Sexually transmitted diseases and The clinical microbiologist

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Sexually transmitted diseases and The clinical microbiologist I am a consultant medical microbiology (Pathology) and an expert in the management of Sexually transmissible diseases and other related tropical diseases.

07/07/2026

Men's S*xual Health: Myths vs Facts
Slide 1: Erectile Dysfunction & Aging
Myth: ED is a normal, unavoidable part of aging.
Fact:

Not inevitable — many older men maintain healthy function

Often caused by treatable conditions (CVD, diabetes, hormonal issues)

Lifestyle changes, medication, and therapy help at any age
Slide 2: Testosterone Supplements
Myth: Testosterone boosts libido and performance in all men.
Fact:

Only beneficial for men with clinically low testosterone

No proven benefit for men with normal levels

Risks: blood clots, sleep apnea, prostate issues, reduced fertility

Blood test required before supplementation
Slide 3: STIs & Oral S*x
Myth: Oral s*x is completely safe with no STI risk.
Fact:

Gonorrhea, chlamydia, syphilis, herpes, HPV transmissible orally

Barrier protection (condoms, dental dams) reduces risk

Regular screening important regardless of activity type
Slide 4: Prostate Health
Myth: Prostate problems only affect men in their 70s–80s.
Fact:

Prostate cancer can occur from age 40+ (family history, African ancestry)

BPH typically begins after 50

Early screening (PSA, DRE) based on risk factors
Slide 5: Male Libido
Myth: Men always have a high, constant s*x drive.
Fact:

Desire varies with stress, mental health, sleep, medications, relationships

Low libido is common, not a masculinity failure

May indicate depression, hormonal issues, or relationship problems

Core Debunking Points1. It's a Misinterpretation of Science The "21 times" figure comes from observational  studies show...
20/06/2026

Core Debunking Points
1. It's a Misinterpretation of Science

The "21 times" figure comes from observational studies showing a statistical association between frequent ej*******on and slightly lower prostate cancer risk

Correlation ≠ Causation — the studies never proved that ej*******ng 21 times causes better health

The researchers themselves never issued this as a recommendation
2. There Is No Medical "Quota"

No major medical body (WHO, NHS, CDC, urology societies) recommends a specific s*xual frequency

S*xual health is assessed by quality, safety, and consent — not by counting occurrences
3. The Studies Have Major Limitations

Self-reported data (men may over/under-report)

Doesn't account for relationship quality, mental health, or other lifestyle factors

Findings don't apply uniformly across all ages, ethnicities, or health statuses
4. Forced S*x Is Harmful, Not Healthy

Coerced s*xual activity is a form of abuse or assault

It causes psychological trauma, anxiety, erectile dysfunction, and relationship damage

True health requires autonomy and consent — pressure destroys both
5. Individual Variation Is Normal

Healthy s*xual frequency ranges from zero to daily depending on the person, age, health, and circumstances

What's "normal" is what feels right for the individual and their partner(s) — not a number from a misread study
Key Message to Share
"The '21 times a month' claim is a distorted reading of scientific data. No doctor prescribes a s*xual quota. Anyone using this number to pressure someone into s*x is misusing science to justify coercion — and coercion is harmful, not healthy."

Dr. Rasheed Abassi, a popular Nigerian men's health expert, recently sparked a massive online firestorm. He stated on live TV that to prevent prostate and cardiac problems, a man must release at least 21 times a month.

As if that wasn't shocking enough, he controversially added that if a man's wife cannot meet this heavy 21-times target, he should consider getting a "side chick on a contract" to make up the numbers! 😂
While studies do link frequent ej*******on to lower prostate cancer risks, women are asking: how is a stressed Nigerian man supposed to meet this target without causing trouble at home? What do you guys think?

Based on the latest data, HPV (human papillomavirus) infection is now the leading cause of throat cancer in the United S...
24/03/2026

Based on the latest data, HPV (human papillomavirus) infection is now the leading cause of throat cancer in the United States today, specifically for oropharyngeal cancers (cancers of the back of the throat, including the base of the tongue and tonsils).

Oropharyngeal cancer has now surpassed cervical cancer as the most common HPV-related cancer in the United States, with more than 21,000 cases yearly compared to nearly 12,000 cervical cancer cases

is oral s*x implicated? Yes, oral s*x is the primary transmission route for HPV-related throat cancer.
How HPV Spreads to the Throat:
HPV is transmitted through intimate skin-to-skin contact, and for oropharyngeal cancer specifically, oral s*x is the main risk factor. The virus infects the cells of the oropharynx (back of the throat, base of tongue, and tonsils) through this contact.

17/03/2026

why does a s*xual drive drops over years in marriage, is it normal or not ? it's believed that after 10 years of marriage men on average approach their partner once a week to once in two weeks :

The decline in s*xual frequency among married couples after approximately 10 years is well-documented and results from a convergence of biological, psychological, and relational factors rather than a single cause.

Primary Drivers of the Decline

Neurological and Biological Shifts
According to biological anthropologist Helen Fisher, relationships progress through three distinct neurological phases: lust (driven by testosterone and oxytocin), attraction (romantic love), and finally attachment . After roughly 10 years, most couples transition into the attachment phase, characterized by "compassionate love" stimulated by vasopressin and oxytocin—the "cuddle hormones" that promote security and comfort but lack the intense dopamine-driven s*xual urgency of earlier phases .

Habituation and Novelty Loss
Research indicates that habituation to a partner significantly reduces s*xual frequency over time . This isn't necessarily boredom, but rather a biological adaptation where the perceived urgency for s*xual connection diminishes as the relationship becomes secure and predictable . Interestingly, studies show that people in second marriages often report higher s*xual frequency, suggesting the novelty of a new partner reactivates earlier neurological patterns .

Life Stage Demands
The 10-year mark typically coincides with peak parenting and career demands. Research from Yabiku and Gager demonstrates that married individuals spend less time having s*x because they allocate more time to childcare and professional responsibilities . The fatigue and stress associated with these demands—particularly when cortisol levels are elevated—directly suppress s*x hormones and libido .

Relational and Psychological Factors

Emotional Intimacy Erosion

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