A Simple Approach to Prolonging Your Sexspan

Mohit Khera, MD, MBA, MPH

How to cite: Khera M. “A Simple Approach to Prolonging Your Sexspan.” September 19, 2025. Accessed Oct 2026. https://grandroundsinurology.com/a-simple-approach-to-prolonging-your-sexspan/

Summary

Mohit Khera, MD, MBA, MPH, F. Brantley Scott Chair in Urology, Baylor College of Medicine, Houston, Texas, explains the concept of ‘sexspan,’ the period of life during which individuals maintain sexual function and intimacy. He presents evidence-based strategies to extend sexual wellness through lifestyle modification, partner engagement, and hormonal balance. He emphasizes that sexual health is a key determinant of overall well-being and directly correlates with lifespan and healthspan. Dr. Khera argues that sexual wellness is influenced by three interdependent pillars: partner health, lifestyle optimization, and hormonal balance.

Dr. Khera highlights that maintaining a healthy sexual partnership requires open communication, mutual respect, and emotional connection. Sexual health should be discussed without stigma, recognizing that intimacy is a critical aspect of quality of life. He presents data showing that couples who communicate effectively about sexual concerns experience higher satisfaction and better relationship outcomes.

He outlines key lifestyle factors that contribute to prolonged sexual function, including regular physical activity, balanced nutrition, quality sleep, and avoidance of tobacco and excessive alcohol. Dr. Khera underscores that metabolic and cardiovascular health directly affect erectile and hormonal function, making lifestyle modification a foundation for sexual longevity.

Addressing hormonal health, Dr. Khera explains the role of testosterone in maintaining libido, energy, and vitality in men. He discusses safe evaluation and management strategies for age-related hypogonadism, emphasizing individualized care and the importance of monitoring for risks and benefits. He underlines that optimizing sexual health through preventive care, lifestyle change, and open communication supports a longer, healthier, and more fulfilling life.

About The 29th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma, men’s health topics like male infertility and sexual dysfunction, and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.

ABOUT THE AUTHOR

Mohit Khera, MD, MBA, MPH

Mohit Khera, MD, MBA, MPH, is a Professor of Urology at Baylor College of Medicine in Houston, Texas, where he holds the F. Brantley Scott Chair in Urology. He additionally serves Baylor College as the Director of the Laboratory for Andrology Research at McNair Medical Institute and the Medical Director of the Executive Health Program. Dr. Khera specializes in male and female sexual dysfunction, men’s health, male infertility, sexual dysfunction, declining testosterone levels in aging men, and hormone replacement therapy. His research interests include studies on the efficacy of botulinum toxin type A in treating Peyronie’s disease, genetic and epigenetic studies of post-finasteride syndrome patients, and testosterone replacement therapy.

About The Author

Mohit Khera, MD, MBA, MPH

Mohit Khera, MD, MBA, MPH, is a Professor of Urology at Baylor College of Medicine in Houston, Texas, where he holds the F. Brantley Scott Chair in Urology. He additionally serves Baylor College as the Director of the Laboratory for Andrology Research at McNair Medical Institute and the Medical Director of the Executive Health Program. Dr. Khera specializes in male and female sexual dysfunction, men’s health, male infertility, sexual dysfunction, declining testosterone levels in aging men, and hormone replacement therapy. His research interests include studies on the efficacy of botulinum toxin type A in treating Peyronie’s disease, genetic and epigenetic studies of post-finasteride syndrome patients, and testosterone replacement therapy. Dr. Khera earned his medical degree from the University of Texas Medical School at San Antonio. He then completed his residency in the Scott Department of Urology at Baylor College of Medicine in Houston, Texas, where he subsequently completed a one-year fellowship in Male Reproductive Medicine and Surgery under the guidance of Dr. Larry I. Lipshultz. Dr. Khera has authored or co-authored numerous book chapters, including those in the acclaimed Campbell-Walsh Urology textbook, Clinical Gynecology, and the fourth edition of Infertility in the Male. He also co-edited the third edition of the popular book Urology and the Primary Care Practitioner and published Recoupling: A Couple’s 4 Step Guide to Greater Intimacy and Better Sex. Dr. Khera has authored more than 90 articles in scientific journals and has lectured extensively worldwide on testosterone replacement therapy and sexual dysfunction. He is a member of the Sexual Medicine Society of North America, the American Urological Association, the American Society of Andrology, the American Medical Association, the Indian Doctors Association of Houston, the Harris County Medical Society, and the Texas Association of Genitourinary Surgeons. He serves on the Strategy and Development Committee for the International Society for Sexual Medicine and on the Board of Directors for the Society of Urologic Prosthetic Surgeons.

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