I'm 50 years old, recently married, and can't get hard anymore. Is it because I was a virgin until I met my wife? -- Jeffery

Have you had a semen analysis? You need a semen analysis to know if you’re fertile or infertile. Also, sometimes a regular testosterone level test is not enough. Stress could also be causing your erectile dysfunction. You’re newly married and you’ve just started having sex for the first time in your life. You’re probably nervous. Get your doctor to prescribe you a daily dose of Cialis and think about going to a sex therapist.

I'm overweight, smoke a pack of cigarettes a day and was diagnosed with diabetes last year. Now my teeth are falling out at the age of 21. Is the tooth loss related to my diabetes? -- Josh

This sounds like a joke, Josh. If it's true, then honestly, you’re killing yourself. You’re 21 and overweight, losing teeth and have diabetes. You’re in complete denial of the world. Let me repeat: you are killing yourself. You’re going to be in the emergency room soon. Just smarten up.

I'm 22 years old and uncircumcised. I think my penis is turning women off. Should I get circumcised? -- Lewis

Recent studies have shown that, in fact, circumcision can help lower your risk of many serious infections. Men who are circumcised have a much lower chance of getting HIV, a 35% lower chance of getting human papilloma virus, and about a 30% lowered risk of getting herpes. My recommendation for you is to get the operation done. The risk of complications during surgery is very low, but the potential benefits are quite high.

My family hates my girlfriend, but she's so hot, I can’t dump her. What should I do? -- Malcolm

Let's be honest -- You don’t want to break up with her because she’s hot and gorgeous and because you’re afraid some other guy is going to snap her up. Also, being with her makes you feel like a stud. You’re probably hanging on to her because you’ve got nothing else. But, Malcolm, you’ve got to man up here. You’ve got to stop caring so much about what other people think, and stop depending on her for your self-esteem.

Dr. Harry Fisch is a board certified urologist at New York Presbyterian Hospital/Weill Medical College of Cornell University.

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