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Ashley Winter MD || Urologist Profile picture
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Nov 4 • 3 tweets • 1 min read
As a urologist I would like to remind everyone that "No-nut-November" is predicated on complete falsehoods about the physiology of ejaculation. #nofap #NoFap2022
There are zero health benefits to forcing yourself to not ejaculate for a month. Literally zero. If someone is quoting a study, they have misunderstood the study.
Like yes, if you are locked in your basement masturbating 10 hrs a day that might not lead to a deeply joyful life, but NOT ejaculating for a month is NOT going to give you higher T levels or extra success in life.

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More from @AshleyGWinter

Ashley Winter MD || Urologist Profile picture
Oct 21
Hi @Gap. I'm Jewish & @kanyewest hates me so I don't really appreciate this advertising in my inbox. Not sure why you are continuing to promote this collaboration. I don't plan on shopping at your stores ever again.
Kinda sucks because I used to get most of my work slacks @BananaRepublic but now I won't be shopping at any of your stores.
Honestly tho, @Gap, couldn't you have just changed the label on the sweatshirts? Or donated them? Or anything? But to go and promote @kanyewest immediately following such damaging statements.... It really sends a message and it's not a message I plan on supporting.
Read 7 tweets
Ashley Winter MD || Urologist Profile picture
Oct 20
Nephrectomy worst nightmare OMG
No but seriously this would be a terrifying kidney to remove. Utterly terrifying. IMHO.
For people who don't know, the renal arteries come directly off the aorta, so if one is not identified during removal of a kidney, and damaged before it is stapled or controlled, that can lead to rapid exsanguination.
Read 4 tweets
Ashley Winter MD || Urologist Profile picture
Oct 20
I have been to amazing OBs. I have also been to amazing CNMs. As a urologist, I understand how important APPs are to running a practice. Seeing an excellent CNM supports the OBs in the practice, it does not detract from them.
If I ever feel uncomfortable with a provider, I switch, regardless of their credentials.
I am a high risk pregnancy, since I am 38. I was seen in MFM, & had excellent and attentive care there. They released me to routine prenatal care as my pregnancy is progressing normally. I have seen CNMs within a larger healthcare infrastructure that works as a team.
Read 5 tweets
Ashley Winter MD || Urologist Profile picture
Oct 17
This is a very problematic article.
A *few* thoughts:

1. The treatment for lichen sclerosis is topical corticosteroids, not a vampire facial. Topical steroids are not "hormone replacement therapy," so people fearful of "HRT" do not need to avoid them independent.co.uk/life-style/wom…
2. Vaginal estrogen is *not* HRT either. It is NOT associated with the same risks as systemic hormones. If someone tells you to inject your vagina & clit with vampire facials before using vaginal estrogen for menopause associated dryness, pain, or atrophy that is a 🚩
3. The first line therapy for urinary urgency after menopause is vaginal estrogen. The Emsella chair is not the first line therapy. It is also a very expensive treatment. If your provider suggests this without discussing vaginal estrogen first, they are doing you a disservice.
Read 4 tweets
Ashley Winter MD || Urologist Profile picture
Oct 15
There is absolutely *zero* reason whatsoever to taste your urine unless you are stranded on a deserted island & trying to diagnose yourself with diabetes.
Literally I cannot conceive of any other reason to taste your urine.
Ok yes if you have a urine tasting kink, be my guest. But that's not medical advice. Oz is the worst.
Read 4 tweets
Ashley Winter MD || Urologist Profile picture
Oct 15
Hmmm. This is a horrible idea.
Let me be clear- pharmacists are the best at antibiotic stewardship - I have no doubt about that. But doesn't this put the onus of making various primary care diagnoses on the pharmacists? Do they need to send cultures or swabs if appropriate? Where does this get documented?
I would worry that BECAUSE they can Rx abx they would get lots of pressure to prescribe it so as to not miss something dangerous. *Also none of this changes the fact that many doctors also overuse antibiotics*
Read 4 tweets

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