#6 Depression: Six Surprising Reasons Why You Are Not Performing Well
11 Nov 2025 · 10 min
Podcast episode (#6) by Dr. Anne Truong (recorded Nov 24, 2022) examining how erectile dysfunction (ED) and mental health (depression, anxiety) interact bi-directionally. Key claims: people with depression are ~39% more likely to develop ED; sexual arousal and erection initiation "start in the brain" and depend on six interacting systems (brain, emotion, hormone, nerve, blood vessels, muscle). The episode emphasizes medical evaluation (blood work, hormones, diabetes screening), lifestyle changes (Mediterranean diet, exercise, sleep, reduced smoking/alcohol/porn), cautions about SSRIs and substance use, and offers a paid membership (Modern Man Club: $57/month billed annually with two months free) and other free resources.
Questions this episode answers
39% more likely to develop ED (cited to a journal in sexual medicine).
Over 7,000 men.
November 24, 2022.
$57 per month, billed as an annual sign-up with two months free (membership includes two one-hour sessions per month).
Chapters
ED is a downer and so is depression. Stay tuned.
In this episode, I'm going to dive.
A little deep into it and see.
How they interrelate and play negatively with each other.
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@sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.
Ed is a downer, leading to mental health issues such as anxiety and depression. But it goes both ways. Actually. People with depression are actually 39% more.
Likely to develop ED even compared to.
Those without the disorder, according to a journal and sexual medicine. Now, the nervous system or the brain is what trigger an erection. It's what triggers arousal, what triggers desire. Because if it doesn't happen up here, it's not going to happen anywhere else or down below the belt. Let me explain. I am going to show you the multimodality approach, my system approach to sexual performance mastery. And what that system look at is that it all starts in the brain. The brain is a larger sexual organ. It is a larger sexual organ. You cannot have an erection without as it starts in the brain. So if you're distracted by or if you are feeling anxious, you're feeling depressed, not going to be an initiation that's going to start, well, how do we get aroused? How do we get desire? We get aroused desire by the five senses that you know, what you see, what you smell, what you taste, what you hear and what you touch. Those are the five senses that feed into the brain, into the arousal center, which then process the emotion that you're in, which then releases a stimulatory or maybe even inhibitory hormone in the brain, which then transmit to the nerve in the back of your head here down the your spinal column, which then goes to the blood vessels, which then either open or close and then go to the corpus cavernosa muscle. So there are six systems that are interplayed. All right, so the brain, the emotion, the hormone, the blood vessels and muscles at this point. And so the sixth system is critical for function. Again, the brain, the emotion, the hormone, the nerve, the blood vessels and the muscle. I can't stress enough to you how that is. And the thing that you need to know when it comes to the Brain is that the brain releases hormones and chemicals that control the whole reaction downward. And even, even, even if it involves something that is enjoyful and pleasurable as sex. So sometimes when you feel depressed or anxious, you may want to feel a little bit more confident by taking a medication or even like an ED medication such as Viagra or Cialis or maybe combine that with a little bit of alcohol or combine that with a little bit of marijuana. Well, Jojo, actually kind of, they, they kind of all act to work against having an erection, actually. So while alcohol, a little bit of it is kind of good to help you relax, but too much of it will actually hinder your erection. Also, if you have depression or anxiety, your doctor give you a medication. And most of the medication for ED like SSRI are actually will hinder your erection. However, talk to your doctor to see if you may be taking something that's a little bit less mild or maybe you don't need anything at all. There are strategies such as exercise. What you eat actually will affect how your mood is as well. And always, if you exercise, your mood is always better and you have more energy. You have more energy. You go outside, enjoy nature, connect with nature. Doing meditation will help with easing, easing depression and anxiety and socializing, communicating and your friends, your family, and, you know, keeping that communication circle strong. Men.
Are you frustrated in dealing with erectile dysfunction? Your relationship is suffering and your medication is not working anymore. Well, what if I tell you that ED is treatable and reversible? You are not alone and is not your fault. Over the past 20 years, I have treated over 7,000 men suffering from E.D. so that way they can regain their, their confidence and be able to function again and have satisfying sex. And now it's time for you to join them to have the same result. I am now having a modern man club, a discreet community free from judgment for men with ED looking to restore their vitality and their sex life. When you sign up, you will get time with me, one hour twice a month where you can ask me anything about sexual dysfunction or how to stop ed, anything you want to ask. And then I give you access to a library full of content on male sexuality, on things that work, things doesn't work. And I do all the vetting, all the work so you don't have to spend time on Google or do research and get frustrated and wasting time, money and anguish. I will do all the research for you. And then on top of that, we will have guest expert joining us to share their wisdom. And don't forget, you have access to a community of men supporting one another and learning for one another. This is all for $57 a month and you sign for a whole year. You get two months free. So don't wait. It is time to get result. If you keep doing the same things now, you're going to get the same result. All you have to do is try something different. Give yourself an opportunity to have a better sex life and stop ED in its tracks. So I want you to look at the link below and or go to my show notes or go to mensexuality club.com sales page. Again mensexuality club.com Sales page. S a l e Sal S p.
A G E I'll put the link below.
Come join me in the modern man club.
So you don't have to take a medication, but you can use those other alternative route. And the bottom line what this last six episodes I've been discussing about, you know, the surprising reason why you may have ED is that the bottom line is if you have ed, first and foremost, first and foremost, you know, go see a doctor, get some blood work done, look at and then if the blood work is okay, if the blood work goes shitty, you may have diabetes, your, your hormones may be low, you may have other inflammation factors going on, you may have some blood disorder that could all be evaluated with your blood work. And then if all that's okay, look at your diet. What, what type of diet are you eating? Are you eating more fruits and vegetable? There should be half of your plate. Are you eating a lot of red meat? A lot of red meat is inflammatory. You should be on a Mediterranean diet. Are you exercising? You're getting three hours of exercise in a week. How's your sleep is you're sleeping seven hours at nighttime because when you're sleeping your body healed. Your body make more hormones. When you're sleeping. Are you smoking? You're smoking. That it? That is a number one, you know, downer for your erection because it is restrict blood flow. And are you watching a lot of porn? Like I talk about excessive porn. Like you know, more than six hours a day on a daily basis you know you're watching porn that you cannot get excited or aroused unless you watch porn because that kind of desensitized or take away the, the senses that you normally have with a partner. Excessive alcohol, we talk about alcohol and that perhaps getting taking about seven to ten drinks a week. It's probably the max you should do. But more than that, it's actually going to be inflammatory to not only your liver but also the blood vessel lining. Just those easy steps, you know, those.
Stuff that I talk about.
Evaluate that first and see if you can make some small changes. But it may go a long way because in my experience, when I treat men with ed, just changing their diet and just sleeping better actually will shoot up their testosterone level and help with their mood. It help with their erection and help with their morning erection as well. And they're able to lose weight. And another thing too guys, if you're noticing you're not having as many nighttime erection or morning erections you used to is another sign again to evaluate all those factors that I talk about. Or it's maybe it's a sign that your hormones may be low and know that ED can be treated. The earlier you treat it, the more effective and more reversible it can be. You know, may not have to do much. So having said that, I hope that this will help you reevaluate and take steps toward an ED free life. So that way you deserve to live a life full of pleasure, happiness and prosperity.
Thanks for listening to the Sexual Health for Men podcast. If you love this episode then please take a screenshot on your phone and post it on Facebook, Instagram or wherever you post. And be sure to tag me and let me know why you like this episode and what you like to hear in the future that will help me know what's great for you. And I would love to give you the most incredible free gift design to help you improve performance quickly. Go to my website@sexualhealthformenpodcast.com to get the book the Five Common Costly Mistakes Men Make When Facing Ed. I would appreciate if you subscribe, leave a review on Apple Podcasts or wherever you listen and just know that you can have sexual vitality for life. I appreciate you. Until next time.
