Justin J. Houman, MD

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Justin J. Houman, MD Comprehensive Men’s Health clinic focused on improving men’s sexual performance, fertility optimization, and hormone management.⁣⁣
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10/10/2026

Does a vasectomy cause prostate cancer?

Comment VAS and I'll send you my vasectomy guide.

This is a myth that, for whatever reason, men have been told. There's zero evidence of a vasectomy causing prostate cancer. Numerous analyses have been done, and there's no reasonable connection between a vasectomy and prostate cancer.

It also has zero impact on your testosterone levels, your sexual function or your erections.

It's a simple, straightforward 7 to 8 minute procedure done in the office under local anesthesia. You're in, you're out, and you're able to resume your life within a few days.

Send this to a guy who's been putting off his vasectomy over this.

Los Angeles and across the US.

10/09/2026

Three questions to ask before testicular pain surgery.

Comment PVPS and I'll send you my testicular pain guide.

Number one. Like anything else in surgery, you want to go to a surgeon who does this a lot. The more they do, the better off they are, and the more experienced they are. I do a couple of these every month. I think that's a good place to start.

Number two. You want to find a fellowship-trained male fertility specialist. I myself did an additional year of training after my urology residency, where we learned the intricacies of this surgery, ultimately leading to better outcomes for patients.

Number three. You want to find out if they're doing a diagnostic s***matic cord block before the surgery. That really helps differentiate patients who are good candidates for this versus patients who aren't. If they're not doing the cord block, you may or may not have a good outcome.

So when you're trying to figure out if the surgeon is right for you, look at their volume, look at their fellowship training, and make sure they're doing a diagnostic s***matic cord block before the surgery.

The full 13-minute video on chronic testicular pain is on YouTube, link in bio.

Save this for your consult, and send it to anyone choosing a surgeon.

Los Angeles and across the US.

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10/07/2026

80 to 90% of the time, we're able to get you to pain-free.

Comment PVPS and I'll send you my testicular pain guide.

When it comes to success rates, I tell patients that my goal is ultimately to get you as close to pain-free as possible. No matter what level you were on a zero to 10 scale before surgery, I try to get you anywhere from zero to one on a daily basis.

About 80 to 90% of the time, we're able to get you to pain-free. And for the other 10 to 20%, we're able to get a significant improvement in your pain scores, where it doesn't impact your quality of life.

The outcomes are very good, but the reason why the outcomes are good is because we do careful patient selection. If the s***matic cord block does not work for you, you are not a candidate for the s***matic cord denervation. You need an alternative. You need to figure out what the cause of the pain is, because it's not those nerve fibers that are transmitting that pain.

Once we figure out that the s***matic cord block has worked, you are an excellent candidate, and more than likely you have a great outcome.

The full 13-minute video on chronic testicular pain is on YouTube, link in bio.

Save this if you're weighing testicular pain surgery.

Los Angeles and across the US.

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Should you wait for male birth control?Comment VAS and I'll send you my vasectomy guide.A lot of guys ask me this before...
10/05/2026

Should you wait for male birth control?

Comment VAS and I'll send you my vasectomy guide.

A lot of guys ask me this before a vasectomy. A recent review in the International Journal of Impotence Research laid out every method in development. Three are worth knowing about, and each one is at a different stage.

A non-hormonal pill, YCT-529, was 99% effective and reversible in animal studies. The only published human results are a single dose in 16 men, and whether it prevents pregnancy in people hasn't been tested.

A daily gel that combines testosterone and nestorone has been through a phase IIb trial. S***m counts fell to 1 million per mL or below in 82% of men by 12 weeks.

A gel injected into the vas deferens, the same tube a vasectomy closes, has been through a phase III trial. About 77 to 97% of men had no s***m in the semen three weeks later.

None of these are approved yet. What's available now is a vasectomy: over 99% effective, about a 7 to 8 minute outpatient procedure, with zero impact on testosterone, libido or erections. It should be considered permanent.

What I ask before a vasectomy: are you sure you're done having kids? That's what I want settled first. A reversal is possible, but success is never guaranteed. If you're not sure, that's exactly what the consult is for.

Save this. Send it to a guy who's waiting on the male pill.

Los Angeles and across the US.

10/02/2026

Your erections don't change.

Comment PVPS and I'll send you my testicular pain guide.

A common question is, what changes from the surgery and what doesn't? I'll tell you what doesn't change. Your erections don't change. Your testosterone levels don't change. Your fertility doesn't change. Your sensation doesn't change. All of these things are untouched from this surgery.

Although it's in close proximity to your p***s, it doesn't impact anything regarding your erections, your pe**le sensation, or***ms, testosterone levels or fertility. None of that is touched.

Patients also ask, is my testicle just going to be numb? The answer is no. You still have sensation to the testicle. What we're doing is cutting those painful nerve fibers, the ones that transmit pain, not the ones that are involved in sensation itself.

The full 13-minute video on chronic testicular pain is on YouTube, link in bio.

Save this, and send it to anyone weighing testicular pain surgery.

Los Angeles and across the US.

***maticCordDenervation

10/01/2026

Two to three rounds of antibiotics. No help.

Comment PVPS and I'll send you my testicular pain guide.

A normal ultrasound is incredibly common when it comes to patients with chronic testicular pain. It doesn't mean that there's nothing wrong. It just means that what is wrong cannot be found on the ultrasound.

The ultrasound is a great test, but it helps rule out only a number of things: a mass, a lump, a varicocele. It doesn't necessarily help rule out nerve pain or nerve irritation, which is a very, very common cause of chronic testicular pain.

So guys will typically get a number of rounds of antibiotics. The doctor thinks it's epididymitis or an infection. Two to three rounds, no help. Then an anti-inflammatory medication. Again, no help. At that point, they're told it's just in their head.

What it takes is a physical exam to reproduce the pain and identify exactly where it is, and then a diagnostic nerve block.

The full 13-minute video on chronic testicular pain is on YouTube, link in bio.

Save this. Send it to the guy who's been told it's in his head.

Los Angeles and across the US.

Vasectomy reversal success varies by surgeon.Comment REVERSAL and I'll send you my vasectomy reversal guide.A study look...
09/30/2026

Vasectomy reversal success varies by surgeon.

Comment REVERSAL and I'll send you my vasectomy reversal guide.

A study looked at 4,568 men who had a reversal, done by 12 surgeons at eight centers. Success, meaning s***m back in the semen at one year, ranged from 54 percent to 93 percent depending on the surgeon. The patients going in were relatively similar.

Like any other surgery, someone who does a lot of them is going to have higher success rates. Time since the vasectomy plays a big role too: the longer it's been, the more often the reversal needs a vasoepididymostomy, where we connect the vas to the epididymis instead of the two ends of the vas back together. Both of these techniques can work. The success rate of the vasovasostomy is a lot higher.

Three questions to ask a reversal surgeon. Number one: if a vasovasostomy is not a viable option, can you do a vasoepididymostomy in the same operation? Number two: do you use an operating microscope or magnifying loupes? Number three: how many reversals do you do?

A lot of patients come in to discuss reversal a little down, with a lot of questions. A lot of times they leave much more optimistic about their chances of future fertility.

Save this, and send it to anyone choosing a reversal surgeon.

Los Angeles and across the US.

09/29/2026

Using a microscope for this surgery is not optional.

Comment PVPS and I'll send you my testicular pain guide.

The s***matic cord itself is a bundle. Outside of it is the cremaster muscle, as well as some of the nerves that carry those pain fibers. Within the cord itself, we have the testicular artery, which carries blood flow to the testicle and keeps it healthy. We have the lymphatics, which help drain some of the fluid from the testicle. We have the veins. And the vas deferens, the tube that carries s***m from the testicle to the outside world.

The whole point of the microsurgical s***matic cord denervation is the word microsurgical. The microscope is so magnified that we're able to see every single part of that s***matic cord. We isolate the testicular artery, the lymphatics, the veins and the vas deferens, and separate them from the painful nerve fibers that are causing testicular pain.

It's the reason why the surgery works, and it's the reason why the testicle survives.

The full 13-minute video on chronic testicular pain is on YouTube now, link in bio.

Save this. Send it to the guy who's been told it's in his head.

Los Angeles and across the US.

***maticCordDenervation

09/27/2026

Did the pain go away?

Comment PVPS and I'll send you my testicular pain guide.

That's the main question after a s***matic cord block. It's an in-office injection, and it takes anywhere from three to five seconds. I use a numbing agent like lidocaine and a steroid that helps calm those nerves, or at least address the nerve pain associated with testicular pain. Most guys within five minutes will have an answer.

If the pain went away, that means those nerves that we just numbed are the cause of the pain. You're a great candidate for a microsurgical s***matic cord denervation. If you didn't respond to the nerve block, it tells us that the nerves aren't responsible for your pain, and it helps us avoid an unnecessary surgery.

The s***matic cord block is the single biggest predictor of whether or not a microsurgical s***matic cord denervation will work. I do this for all my patients before the surgery.

The full 13-minute video on chronic testicular pain is on YouTube now, link in bio.

Save this. Send it to the guy who's been told it's in his head.

Los Angeles and across the US.

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Los Angeles, CA

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5:05pm
Friday 8:30am - 5:05pm

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+13108549898

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