THE NO BS LETTER
Sexual health
is health.
Every week I send a letter talking about the stuff you need to get your health on track. Get straight answers about vasectomies, erections, testosterone, and everything you’ve been meaning to ask.
Read the latest letters.
What "I'll Look Into It" Actually Means
Thursday, October 29, 2026
This one's for the guys. If your partner has brought up a vasectomy more than once, you've probably said some version of "yeah, I'll look into it."
Read the letterYour FSA Money Disappears in December
Thursday, October 22, 2026
If you've been meaning to get a vasectomy, the next few months might be the cheapest window you'll have all year.
Read the letterThe Vasectomy Myth That Costs Men the Most Sleep
Thursday, October 15, 2026
Of all the questions I get in consultations, one comes up more than any other. Not about pain. Not about recovery. Not even about whether it's the right decision.
Read the letterWhy the Recovery Is Easier Than the Rumors
Thursday, October 08, 2026
If you've heard stories about vasectomy recovery, they probably came from a friend of a friend who "couldn't walk for a week" or made it sound like minor surgery on par with a broken bone.
Read the letterWhat Actually Happens in the Consult (Before You Ever Get to the Table)
Friday, October 02, 2026
Here's something I hear almost every week: men who are more nervous about the consultation than the actual procedure. That surprises people when I say it out loud.
Read the letterChoosing a Vasectomy Provider: The Questions Nobody Asks
Thursday, September 24, 2026
Most guys pick a urologist the same way they pick a dentist. They check if it's in network. They check the reviews. Maybe they ask a buddy who's already had it done.
Read the letterThe Vasectomy Decision Isn't Just the Man's
Friday, September 18, 2026
A lot of men come to me having already decided. And then I ask one question that stops some of them: does your partner feel the same way?
Read the letterWhat You're Picturing Is Worse Than What Actually Happens
Thursday, September 10, 2026
By the time most men sit down in my office, they've already run the movie in their head a hundred times.
Read the letterThe Vasectomy Failure Myth
Thursday, September 03, 2026
If you've had a vasectomy, or you're thinking about one, there's a decent chance this question has crossed your mind: can it just reverse itself on its own, wit
Read the letter
DR. BRUCE SLOANE
Who is Dr. Sloane?
Dr. Bruce Sloane, MD, FACS is a world-renowned, board-certified urologist with 35+ years in practice and 1,000+ vasectomies performed.
He’s spent his career helping men talk about the things they’d rather avoid. His weekly letter brings that same candid, compassionate approach to your inbox, so you can make informed decisions about your sexual health.
Talk with Dr. SloaneTHE VASECTOMY DECISION GUIDE
Considering a vasectomy?
Start with the facts.
From the procedure to recovery, get the answers you both need to make the right decision at the right time. All in one straightforward guide.
Get the Free Decision Guide