Anne Truong MDMen's Sexual Health Doctor

A Holistic approach to Treating ED #ed #youtubeshorts #viral #trending #edtreatment #shorts

30 Aug 2023 · 1 min

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In this short educational monologue, Dr. Anne Truong explains her holistic framework for understanding erectile dysfunction, emphasizing six inter‑related systems that contribute to an erection: the brain, hormones, emotions, nerves, blood vessels, and penile muscles. She argues that prescribing Viagra without first addressing these systems is suboptimal. The speaker then details how Viagra works: it relaxes the corpus cavernosum muscle by inhibiting the breakdown of cyclic GMP (cGMP), which prolongs nitric oxide (NO) activity in the muscle, allowing increased blood flow into the penis. Importantly, she notes that Viagra does not directly increase NO production. The overall message is to consider the broader physiological context before relying on pharmacologic treatment alone.

Chapters

The reason why I don't give my patient Viagra when they have ED is because my get heart system concentrates on the six system that help you get an erection, right? Which is the brain, the hormones, the emotion, the nerve, the blood vessel and the muscles. So how Viagra works is that it helps the penis muscle or the corpus cavernosum relax, so that way you can get more blood vessel in. But the reason how it does that is that it inhibits the degradation of an enzyme called cyclic gmp. And therefore that cyclic GMP stays longer. Therefore nitrous oxide stays in the muscle longer. And that's how it open up blood vessels in the penis. Right, but it doesn't increase nitric oxide directly itself.