5 Common Mistakes Men Make When Facing ED

This podcast is for you. The modern man. I'm Dr. Anne Truong, your host. I'm an intimate health medical doctor and best selling author of the book Erectile Dysfunction Fix. I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds. So let's get started and be sure to visit my website@sexualhealthfulmenpodcast.com for more information and resources from the show. See you on the inside. Foreign hello everyone. Welcome to our show Sexual Health for Men podcast. Today we're gonna do a little different format. It's gonna be myself and my husband. I'm Dr. Anne Truong.

I'm Bao, her husband. As she mentioned, I'm also the executive director for her practice. Just a really fancy word for hers, love slave. And but before we go, I want to also introduce another member of our team here of our podcast. Hopefully you can see this him. It's Bodhi, our dog. So he'll be with us throughout this whole journey.

He's Cavalier King Charles and he's 10 years old and he's been in every part of our life. And I want to mention that the neutral format, we have actually decked out and tech out for you because we bought the Rodecaster Pro and the stream deck and we want to present our best to you. It took us a week to learn how to operate the tech. We needed support of our techie guys, Zebulon and Jurgen to really help us through this journey. This is our first show, so be patient with us. It's going to be raw, it's going to be authentic, but we want to deliver good content for you. All right, on that note, a week ago was Chinese New Year, the year of the tiger. And the tiger is known for bravery, confidence, strength and strong willed. Opinionated and stubborn. Our daughter Kelsey was born in the year of the tiger and she certainly exemplified all that strength. And also February is heart health month. And on that note, I want to discuss about heart health and how it's related to Ed and discussed about the common mistake that men make when they're facing what Ed.

So on. On that note, I know that you wrote a book on the common mistakes, as you mentioned, when facing Ed. And I want to know, and I'm sure the audience wants to know, why you did this.

Well, the reason why I did that is because I treated over 7,000 men with ED and I see that by the time they come and see me, they already take Ed medication. It's not been working, but they don't realize that some of the things that they are trying to do and information they get on the Internet is really harming them more than really helping them and that it just delay them from getting solution to fix their edge. And we're going to talk about it more today. And studies have shown that you can have good sexual activity all the way up to your 70 until the day you die if you know what to do to continue that. What, what are your thoughts?

Well, I mean I for one I definitely want to enjoy intimacy beyond my 70s, going even longer than that into my grave. And honey, I know that you can appreciate that from a self interest perspective. So I definitely want to enjoy the intimacy, you know, as long as I can live.

Well, you know, and women should think about the same thing as well. In a future episode we'll talk about women changes in a woman for sexual health. One thing that will knock off confidence in a man in his sexual performance is that you know what I want to know be interesting is that how many times a man cannot perform until it start perfecting his affecting his confidence and start to become a performance anxiety. Is it one, is it 10 times or 20 times? I'd like to hear what your thoughts are. So please comment below to see how many times you think it would take for a man to have performance anxiety. What are your thoughts?

Well, when it comes to performance anxiety, I believe that experiencing that once is enough. And I personally do not want to ever experience that. And thank God you're my doctor and you've definitely helped me with that. And thank you for that by the way.

All right. Yeah, it's one of the best doctor you know, right?

The only doctor I know and that's the only one that I trust. Especially when it comes to sexual health. You do take good care of me. So what I want to ask you is what, what is, what is the mistake that men make when facing with ed? What is the number one mistake?

Well, the number one mistake is that number one and I want to stress and I put that number one is men think that ED medication is the only solution to to take care of ed. In fact ED medication actually make your ED worse because it doesn't address the root cause of the problem of ed. ED happens because of poor blood flow down to the penis. And if you take ED medication all it does is just relaxes the smooth muscle of the penis. And while it give you short term result it in the long run it actually your. Your root cause of the which is blood flow actually gets worse and so but it will create like a false sense of confidence, sense that, hey, things are working. And I equate that almost to taking pain medicine. When you first noticed having back pain, you become addicted to it, you become dependent upon it for performance. It becomes a crutch and just sapped away your confidence and spontaneity. And that, you know, you don't have any type of spontaneity when you take the ED medication at all. And that men that have chest pain, they can't take the ED medication as well. Again, it's a band aid and it doesn't really solve your ed. But the worst thing is that you don't find out about it until just a couple years later. And that's when you're like, oh my God, you know, this doesn't work. Where do I go from here? You know, a man's erection is a marvel of biological engineering because it takes like 6 system to work together from your brain all the way down to your penis. And it has to work together in coordination and in balance to create an erection. Know that ED causes 90% of physical, meaning medical condition causing that, and 10% are psychological. And you can actually restore blood flow with ED by just changing your diet, like to eat a diet like a Mediterranean diet, and doing high intensity exercise. It's about 180 minutes a week. And sleep, just simple sleeping of seven hours can go a long way.

Well, you know, I just want to say that right now I'm very nervous. Actually. This is my first podcast ever with, with Dr. Ann and looking in the camera and talking. But it actually, it's not too bad. It's not too bad. But I can comment on the ED medication in that I had ED in the past and I was on medication. And what I've noticed that being on medication, you lose the spontaneity as well as the confidence and really have to plan out the intimacy. And I know that with my darling wife here, that used to disturb her a lot. And that's why we began this journey with her being the sexual dysfunction physician. She eliminated that variable. I mean, how did you find that, honey, in terms of now, you know, we can be more spontaneous without the medication.

Well, certainly, you know, it kind of break into your routine. You know, you're hot and heavy, you're ready to go, and then, you know, you have to take the medication. You gotta wait for at least, you know, 15, 20 minutes and that, you know, you have to watch what you eat because eating a fatty meal can decrease the potency of the medication and it's just in the long run, it just doesn't do you any good at all. And it's like taking pain medicine. So we realized that we need to treat the cause of the problem early, and that's exactly what we did. But spontaneity is critical in a relationship.

And I think spontaneity also improves intimacy too. Where, you know, going back to what I said, you agree with me on this, is that you don't, you know, it's, you don't want to plan things out, you lose that spontaneity and it just doesn't work that way. So moving on, what is mistake number two that men with ED make?

Well, mistake number two is that men think that ED only occurs in older men. That is not true at all. In fact, men 20 to 40 years old, 25% of them actually have ED. You can actually still have ED while you have an erection because ED is defined as the inability for a man to have enjoyable sex and with penetration. So ED can range from longer to take a row to have an erection or a partial erection, or you have an erection and you lose it down to all the way to the severe range, which is no erection at all. And the interesting thing is that the younger that you have ed, it is easier to reverse the symptoms and can have longer improvement. So my point is that if you're young, you can still have ed. And if you have it, don't go for that pill. Look for long term solution that can reverse why you have ED in the first place.

So let me clarify. You can have an erection but still have ED condition. I thought that ED means that you have no erection at all. I mean, I don't, I don't understand that.

Right. And that's what a lot of men think as well. In fact, a study shows that 67% of men do not even realize they have ED because they still have an erection. Because an erection is created by blood flow. And just imagine in your penis there are two pipes that are open like this big when you're younger, and as you get older with certain medical condition, the pipe becomes smaller and because of little plaque that gets deposited that impact the flow. And so when you have less flow, you can still get some input of blood into the penis, but it's just not as much. So therefore that's why it takes longer or that you have a partial erection. It's kind of like turning on the faucet. You know, you're not turning it on full, you just turn it on. Partial you still get the water influx coming in, but it's not as much. So you think about a blood flow in that sense. If you're not having a firmer rushing like you used to have, then you should certainly think that I may have ed. And there's a questionnaire that we have that you can take to determine whether you have ED or not. And it ranges from mild, moderate, to severe.

So it's almost like having weak water pressure in the pipes. You're not getting a strong pressure with the water flowing out. Huh. Interesting. Okay. All right. What is mistake number three that men make when with. With ED? Men have ED.

Well, mistake number three is that hoping that ED will go away. ED in fact, affect at least 30 million men in the US and there are at least new cases of ED of 600,000 new cases a year. And this is just an underestimate. This study was done in 2000, and I assume that it's a higher number at this point. And the reason why it's so common is that in order for an erection to happen, it had to start from the brain going down to the penis. And the brain is the largest sexual organ in our body. And there are six systems that is involved. Involve the brain and then processing of the emotion that you have, and then the hormone that is released from the brain. And then the nerve, the nerve from the brain going all the way down to your spinal cord nerve and then affecting the blood vessels, and then the penis muscle itself. The penis muscle is a smooth muscle, and it's controlled by the autonomic nervous system of the sympathetic and the parasympathetic. What's interesting is that these six systems that I mentioned have to work in balance and synergistically. And therefore, if you have many steps in the system, there are many chances of having a problem. And that ED is actually a warning sign of potential heart attack. Heart disease. In seven to 10 years, a third of men actually go on to have heart disease. And that we know that the number one killer of men in middle age is heart attack. The reason why this happens because the penis is small and the blood vessel that goes to the penis is the smallest in the body. It's about one millimeter. And that blood vessel is affected first, and then the next blood vessel is 2 millimeter or 3 millimeter. And that involves the heart. The heart's about 2 to 3 millimeter. And the penis shows the first warning sign. And then if you don't do something about it, it'll progress to affecting the heart and the Arteries of your extremity, a condition called peripheral vascular disease. And also ED can cause anxiety and depression and frustration, and therefore relationship will suffer.

Well, you know, I always thought that ED was just caused by, by the penis itself, because that to me is just another, you know, what men describe as another brain that we have. But it's really interesting how you describe it, that there's, there's different systems that can affect ed. So I found that very interesting.

Yeah. And, and that's what I want to point out, that it really starts in here. And that's why your processing of your senses, visual, the smell, the taste, the sound, it can cause arousal. And ED medication actually does not help you with arousal at all. All it does, it just relaxes the muscle of the penis. So you can circumvent that by working on the largest sexual organ, which is your brain, and using your senso.

It makes a lot of sense. That's how you fix me. So, going on, moving on, what is mistake number four that men with ED make?

Right. Mistake number four is men going on online dispensary to order ED medication. Now, we stressed earlier that ED medication does not treat the underlying cause of why you have ed, which is poor blood flow. It's like, if you do that, it's like as if you have chest pain and then you go online to order medication for your chest pain. Would you do that? No. Why would you do the same thing for your ed? Now, taken that when you have ed, it's a private matter. It's a lot of emotion that goes into that, and you certainly don't want to discuss it with, you know, maybe your doctor or even your spouse. And, and that's why you want to go online, because it's more discreet. But just know it's almost the same thing as getting medication for chest pain online. You really need to be evaluated by a sexual medicine doctor who can really look at you comprehensively. Your history, doing a good physical exam on you, look at all the medication that you have, checking out your heart, the. Your glands, such as your thyroid and your hormones, looking at your pulse and doing a prostate exam as well as a thorough exam on the penis, and doing a questionnaire to evaluate if you have ED and how severe it is. Also looking at doing a questionnaire like, called the ADAM questionnaire to look at your testosterone hormone level and doing comprehensive lab testing that look at all the, the intricacy from your brain all the way down to the penis and evaluating the 6 system that I talk about, you know, from the brain all the way down to the penis. And also looking at your lifestyle. What are you doing? Are you smoking? Are you sleeping, what diet are you, are you taking exercise? And other toxic behavior that may contribute as well.

Now, I know that patients who we've spoken to, I've talked to, that have contacted us initially have gone through the online dispensary with medication, and it only works for a while. And the common theme is they let me know that they're not speaking to a medical doctor. They're not getting the personal attention or even the expertise to fix their issue, their condition and these places. All they want is, you know, to prescribe medication, which, you know, we all know now, you all know that it really can is bad for you if you have ed. So definitely the common theme is to see a medical doctor, whether in person or just have a conversation. So any thoughts on that?

Well, you know, sometimes it's just easier just to go online and seeing somebody online to give you a medication. Seeing somebody that really examine you and look at you thoroughly for at least an hour really goes a long way in addressing the source of your problems. I'm always addressing that approach at this time.

Okay, what is mistake number five that men with ED make?

Well, mistake number five is ignoring simple things such as lifestyle factor that really can affect your edge. Do you know that certain medication that you take over the counter can affect your erection? Such as medication, antidepressant, antihistamine, anti ulcer medicine, ibuprofen, high blood pressure medicine, pain medication, and of course, recreational drug. But simple things such as diet, like eating a lot of sugars or processed food can affect your performance. And smoking, stress, prolonged stress, and drinking excessively of alcohol. And I mean, like, you know, five to 10, you know, hard alcohol a day. In fact, you allow like two drinks a day, or two beers a day, or two glasses of wine a day, and you should be okay. Even not having sex frequently. If you don't have sex, it's like the penis. You use it or you lose it. The penis muscle can actually atrophy if you don't use it. Like your bicep, you don't go to the gym, it's gonna start getting smaller or atrophy. And the same thing with the penis, you don't use it, it gets smaller, it gets scarred down. And then when you actually try to use it, it's not gonna be as good as it used to be. Right. So why, why are you surprised if you haven't used it and then you try to use it, it's not as good as it used to be. So I would recommend at least three times a week for sexual activity. Sleep, not getting enough sleep can contribute to your erection capacity as well.

Now you know, now I have a better picture of that because I consider myself an athlete. I exercise every day, I play tennis at the college level. And I've experienced ED also. I don't, you know, don't have any. I don't smoke. But I never realized that sleep deprivation and ulcer can lead to ed, of which I admit I had that. And I'm sure a lot of you out there in the audience have had some of these symptoms. Maybe not all, but some of these symptoms. And I just find it interesting that overall that can itself affect ed, correct?

Right, Absolutely. You can actually be in good health and have ED. I, I've seen many patients in their 30s and not overweight exercises. They're muscular, but they come in and they have ed. And a lot of that due to probably sleep and prolonged stress and probably not eating the best diet they could eat, you know, a low, very low carb like keto diet. Sometimes it's not the best either. It should be a balanced diet and I recommend the Mediterranean diet. So on that note, I want to stress that there are many other options to treat ED without medication or surgery. And the main thing is the treatment should be geared towards increasing blood flow to the penis and also changing your mindset. Like I said, the brain is the largest sexual organ. But to increase blood flow, there is a procedure called platelet rich plasma where I get blood from your own blood and treat that in the penis to restore blood flow. There's also another modality called shockwave therapy where you use sound wave, deliver that energy to the penis muscle to restore blood flow as well as hormone replacement therapy. And for men, as testosterone men, testosterone level decreases after the age of 35 and some men just a 10% decrease. They can see a change in their erectile capacity and simple things like I talked about earlier lifestyle changes such as diet, exercise, sleep. And also there's peptides like PT141 which stimulate the nerve and the penis for an erection. But the bottom line is there are many other options out there to treat ed. Get the right treatment as soon as you realize that you have ed.

Well, I think you hit it on. The note is that you have to get the right treatment and also to be treated by a credentialed experienced physician to fix the ED. And you know, I've had my ED fixed and you know, by by Dr. Truong here, Dr. Ann. And I just want to mention that initially I was hesitant in doing it because with the PRP shot entails injecting PRP into the penis and I was a little bit apprehensive, but I went through with it and she literally forced me to do it and I did it. And I'm so glad to this day that I did it because it fixed my ed. I can be spontaneous. And you know, I'm sure you, you, the audience out there, you would want to be spontaneous and really have someone with credibility to fix your ed.

Well, what that will will conclude our show with Ed with Bodhi here. And if you would like to get a copy of this ebook where I go into it more detail the five common mistake men face when they have ED, go to our website sexual health for men podcast.com to download the ebook. And I appreciate you being with us for our first show and we will see you next time. So see you in the next time.

So feel free to laugh at us. It's our first show and really enjoy being with you today. And I leave you with a thought. Use it or lose it. Thank you.

Bye bye now.

Bye bye.