Dr. Leandro Reina Alcaina, Medical Director of Andrología Murcia, recently appeared as a guest on The Last Chapter podcast, taking part in an extensive conversation about some of the most relevant issues affecting men’s sexual, reproductive and urological health.
Throughout the interview, Dr. Reina discusses erectile dysfunction, libido, testosterone, male fertility, prostate health and the different treatment options available for erectile dysfunction, ranging from lifestyle changes and medical treatments to surgical solutions.
Talking About Men’s Sexual Health Without Taboos
One of the main goals of the conversation is to bring Andrology closer to the general public and provide clear, scientifically grounded information about conditions that can often lead to doubts, embarrassment or reluctance to seek medical advice.
Dr. Reina discusses the relationship between pornography, sexuality and erectile function, particularly among younger men, while also explaining how factors such as anxiety, stress, smoking, obesity and lifestyle habits can affect sexual and reproductive health.
Another key topic is testosterone. Dr. Reina explains when testosterone levels may begin to decline, which symptoms may be associated with genuinely low testosterone levels, and the role that healthy lifestyle habits can play in maintaining overall hormonal health.
Fertility, Prostate Health and Prevention
The interview also explores male fertility and semen quality, addressing the impact that lifestyle and general health can have on reproductive function.
From a urological perspective, Dr. Reina explains the role of the prostate, the most common problems affecting it and some of the warning signs that should prompt a consultation with a specialist.
The conversation also covers prostate cancer, PSA testing and digital rectal examination, highlighting the importance of prevention, appropriate medical assessment and early diagnosis.
Another topic discussed is the relationship between cycling, the pelvic floor and the pudendal nerve, together with recommendations aimed at reducing potential problems associated with prolonged cycling.
What Treatment Options Are Available for Erectile Dysfunction?
The final part of the interview focuses on erectile dysfunction and its different treatment options.
Dr. Reina explains how erectile dysfunction medications work, including the well-known “blue pill”, as well as other alternatives such as vacuum erection devices.
The conversation also explores those situations in which conventional treatments do not provide satisfactory results and where a penile prosthesis may be considered as a surgical option for appropriately selected patients.
The interview highlights the importance of individualised diagnosis and treatment, as erectile dysfunction can have different causes — physical, psychological or a combination of both — and requires a proper medical assessment.
Dr. Leandro Reina, specialist in Urology and Andrology and Medical Director of Andrología Murcia, is dedicated to the diagnosis and treatment of conditions affecting men’s sexual and reproductive health, including erectile dysfunction and other andrological and urological conditions.
At Andrología Murcia, we would like to thank The Last Chapter team for the invitation and for the opportunity to take part in a space that helps bring reliable information about men’s sexual health to a wider audience in a clear, approachable and professional way.
