Ask Us Anything Live

if I don't go live quickly. Hello, hello! We are now live everywhere. We are now live on Facebook and in my Facebook group. We have a Facebook group that's 12,000 members, and we are— we have 150,000 on YouTube and also on also on Twitter as well. So we are live everywhere here. So welcome. There we go. We got 3 people coming on YouTube. I see there. And I am here today with Ken Schaefer and Suzanne Noble. And it's a special thing that we're doing. It's going to be really special for you guys because I feel that Um, it'll be good to hear from them. Uh, Ken, I— let introduce yourself briefly. Introduce yourself, what you do, and, and how you help the men with ED, and then followed by Suzanne. Okay, sure.

Uh, you know, I'm a men's health coach. I, I help men navigate their problems with ED. I, I'm also the author of a book called A Practical Guide to Managing Erectile Dysfunction. Um, and so that, that is really what I call myself, a men's health coach, because ED has so much to do with health. It's not simply just addressing the issue itself, right?

But you're also something very important, John, if, if I can say that, is that you're also a man who, uh, had ED and has overcome his ED. So that's important to say as well too, that you walk the talk and talk the walk, right?

Yes. And I do talk about that in my book quite a bit.

Exactly. No, it's personal, but yet it's empowering, and yet it is courageous to share your journey. And I'm sure what you feel and your journey is not isolated at all. A lot of men will identify with that as well too. Okay, awesome. Thank you, Ken, for being here. Suzanne.

Hi, I'm Suzanne Noble, and I have a weekly podcast called Sex Advice for Seniors, um, and I've also got a big social media following, primarily on Facebook but growing on YouTube. And I have been working with Ken on a program to help men overcome erectile dysfunction, and the reason behind that is because 20 years apart I've had two separate partners who sadly both died, and both times erectile dysfunction was the first sign that something was seriously wrong with them. And so I feel really passionate about the topic and about men understanding that erectile dysfunction is often a signifier of a more serious condition, and it's not simply a case of taking the blue pill and waving it goodbye. And so Ken and I have been working together on a program to really help men navigate ED and also to help when they go to see people like Dr. Truong MD to understand the kind of questions that they should be asking and to just understand more about the underlying condition. And as Ken said, some of the ways that they can change their lifestyle to really help them overcome the problem.

Okay, great. Thank you for being here. So I want everyone here to take a poll. If you're on here, we have a poll that is on the screen. And essentially, come on, guys, take that poll. All right. What I want to know is what have you tried to try to fix your ED so far? All right. I want to know what you tried. Is it number one, Viagra, Cialis, or essentially ED meds. Number 2, Trimix, which is an injection to the penis. And number 3, supplement only. And then number 4, like other stem cell therapies such as like shockwave and P-Shot. All right. So, okay, let's come on, guys. Don't be shy. This is anonymous. I just want to get a pulse on what, what, where they're at, because I will tell you, probably number one is going to win, right? Number one is going to win because, you know, that's what's being pushed. That's what's being pushed down your throat, guys. You don't even know it because it's getting you addicted to the medication and it's getting you hooked and it's getting, it's getting you dependent upon it and your body is falling apart with it over time. All right, and I'll tell you why that is. All right, so right now, only one person done this out of— at least I know 11 are on here. So just answer to put— take the poll on here. Just answer it because we like to know the polls of who's watching this. And if you're taking EasyMed, there's nothing wrong with that. It's just that you're just being shoved in front of you. It's like how sugar is being shoved in front of us, you know, and there's a saying, you don't know what you don't know. You don't know what you don't know. And so, you know, when you go, you know, ED is such a personal problem that, you know, the studies have shown that 87% of men don't talk about it with anyone. And they certainly don't go to a doctor. Only 43% actually go to the doctor, discuss it with the doctor. All right. That means that they're suffering in silence. If you have ED, you're dealing with it on your own and you're trying to search on your own. And what's the first thing you're going to do? You're going to go on the internet, right? Go Google or you're going to go ChatGPT. That's a good question. I have to see what ChatGPT or the AI is suggesting for ED. I, I have not played around with that. Do you go to that? So what's the first thing that pop up, right? What's the first thing that pop up? ED meds, right? Are those online dispensary ED meds because it's quick, it's cheap, and it's easy, right? Even the ED medication, uh, is easy as well. So if you're on here, please take the test. There, there is a little poll right there. You can see it in the corner because I want to know What, oh, um, with our audience, which have you tried so far? Uh, and I would tell you, I equate, um, uh, uh, ED medication like Viagra, Cialis, which is the most common one, uh, to almost like, uh, being addicted to pain medicine, like, um, like, you know, oxycodone and hydrocodone and all those things. Why is that? Because it's a Band-Aid. But it's a temporary fix. Okay. It's really even not a fix. The medication doesn't really address the cause of why you have ED. Yes, it works in about 72% of people that take it. The ED meds, it works in 72 people that take it because what it does is that it increases nitric oxide in your penis. And because it increases nitric oxide, it allow more blood flow to the penis. Okay. But that's it. It doesn't treat why you have ED. It doesn't. And that's why it only works in 72%, because it doesn't, it doesn't address arousal or how you get aroused to get, start an erection. And it doesn't address your hormone level. If your hormone's low, it doesn't do anything for that. It doesn't, it doesn't address if you have a nerve issue, you've been, diabetic for a long time. It doesn't address why you have decreased blood flow, maybe decreased blood flow from high blood pressure, obesity, or high cholesterol. It doesn't address that. And it doesn't, it doesn't address even the elasticity of your penis muscle because the penis muscle itself has to be very elastic in order for it to be engorged with blood. When, uh, what, to get an erection. Okay, so there's a lot of factors in there. So yes, it works about 70% of the time, but guys, think of it as taking pain medicine. You take pain medicine to help with your pain, but does it really fix the root cause of why you have pain? No, it doesn't. It doesn't at all. It's just a Band-Aid. But what happened, you end up getting hooked to it. So you essentially, when you take, you ED meds, you essentially are giving away your own self-response to get an erection because you're telling your body, hey, when I'm ready for an erection, I'm gonna need Viagra on board. That's what you're telling your body. You're telling your body that, hey, you know, the next time you get an erection, you're gonna have a little Sildenafil or a little Tadalafil on board. So, and then if you try to get an erection without the meds, what happened? You can't get it. Why? Because you're training your body to do it. You know, you train your body to have the medication on board. So essentially you're sabotaging your own erection response internally, and you're getting your body used to having in your system, and you're neglecting the cause of why you have an ED. So it's like putting a bandaid an infected wound that's oozing out pus. You're just putting a Band-Aid on that because over time, that pus is going to get deeper into the muscle, into the bone, and over time it's going to become septic. So it really is. And I'm trying to use these metaphors so that way you can understand it, but most men don't realize that's what ED medication do to you. And we live in a culture and society where we like quick fixes, but we have to realize it doesn't really fix anything. So I have Ken and Suzanne here today because one, we are all passionate about helping men with ED, the natural causes, but we come from different space. I come from a medical perspective. Having had a spouse that had ED and being a medical doctor, and Ken come from a personal perspective where he himself had gone through the journey of having ED and having the frustration of trying to find the right path and the right person to help him with his ED. And then Suzanne, with her journey of having partners who are seniors and navigating sexual health as well. So very, you know, 3 different perspectives, and I think that gives a full spectrum of what's going on. So we're here because we want to do Q&A, but we also want to let you know what's available for you as a resource as well. So right now we have 50/50 of the— at least our viewers that are Anne Truong MD that did the poll that 50% are taking meds, the other 50% have had shockwave and P-shot. That's wonderful. I'm glad you guys are doing that. What I'm going to do is I'm going to look at the comment. We always have a lot of comments, which is awesome. I look at the comment and— okay, so there's some people that answer. So Real Deal Smart Contract says he tried number 1, which is Viagra. Uh, hi Mayonnaise, Mayonnaise 2X. All right, so Mayonnaise did number 4. David Cox did number 1, number 2, number 3, which is Viagra. Try mix and supplement. Okay, and are you still having problem, David? Uh, okay, let me know you're having problem. Okay. And Real Deals tried 1 and 4. Okay, wonderful. Okay, so this is a question, and I would like all of us to input into this question. Says, from Mass Spectra, I love all these unique names, Mass Spectra 9384, is diet and exercise the best route? Okay, here we go. Is diet and exercise the best route to overcome ED, or do we need those lifestyle changes and meds? And what can we do to increase semen volume? It seems that lower volume is a sore point. So let's attack this one at a time. It's like multiple questions in one. So yeah, yeah, yeah. So let's attack the first sentence. Is diet and exercise the best route to overcome ED? Well, this is my passion, right? Studies have shown, mass spectra studies have shown that exercise and diet is more superior, is better than Viagra in addressing erections. Yes, it works better in the long term than ED meds. So to answer your question, yes, there are 4 main pillars to restore sexual health, right? Which is diet, exercise, sleep, and, uh, and stress reduction. If you address all those 4 pillars, your ED will be reversed. And if you do it early, it will be reversed permanently. When I say early, the first couple years that you notice ED, all right? Not 10 years after you've been taking ED meds. All right. So, yeah, so diet and exercise have been compared to Viagra and it has shown to be more— works better. It works in like 89% of the time and it lasts longer than Viagra, obviously. And between the two, exercise is more potent than diet, believe it or not. So if you had to pick one that you want to concentrate on, it's exercise. Which makes sense because exercise increases your heart rate and it opens up your blood vessels and it will increase more blood flow. But exercise also important because exercise— I mean, I'm sorry, diet is also important because the diet is what make up what is floating in your blood. What is floating in your blood? Because what you eat is what is floating in your blood. Right? And so if you're eating lean meat and fruits and vegetables, then the blood vessel, the lining of the blood vessel, which is the endothelium, become more healthy. It doesn't leak. So that's what's called inflammation, is leaking. It doesn't leak toxic stuff into your cells. So the diet fix the— what's in the blood and the inside lining. Of your blood vessel, which is like, imagine a pipe like this and the inside lining is here and it fixes that lining because if that lining is strong, then you don't get toxic substances that leak out into your cells. And that's essentially what inflammation is. So diet and exercise is more superior. What are your thoughts, Kenton and Suzanne, on just the diet and exercise at this I mean, Ken, you're—

that's exactly what you did, wasn't it? Was, was make a massive lifestyle change in terms of diet and exercise. But I know you recommend the Mediterranean diet.

Yes. Uh-huh. Yeah, I recommend the Mediterranean diet because that is what the American Diabetic Association, American Heart Association recommend. For reversal of heart disease and also diabetes. Anything you want to add as well, Ken? Or your experience and how hard it is, how easy it is to do this?

I think you can never go wrong with diet and exercise. You just can't go wrong with it. And I wouldn't just limit myself to diet and exercise, make a complete change to your, your lifestyle, live a healthy lifestyle. But it's also important to understand what is the root cause of your ED. There are some causes that diet and exercise may not address directly. However, even if you're not addressing it directly, you're You're gonna respond better to treatments if you're healthy. So whatever treatments you're receiving, if you're living a healthy lifestyle, if you're exercising regularly, eating well, you're probably gonna get more mileage out of whatever treatments you're getting.

Absolutely, absolutely. I like that. And so the second question, do we need those lifestyle, changes and meds. Yes, you need the diet and exercise and the lifestyle changes is getting adequate, at least 7 hours of sleep between 10:00 PM and 6:00 AM. Why is that? Because that's when your body heal physically and psychologically. Your body have to heal, physical and psychological healing. So the physical healing starts from 10 PM to 2 AM, and 2 AM to 6 AM is the psychological healing. That's the reason why if you don't have enough sleep, what happens the next day? You feel tired, your brain is foggy, you're definitely not in a happy mood, right? You definitely don't have focus. So when you have sleep, you deprive your body of rejuvenation, physical and mental rejuvenation. And I can speak for 3 hours on the circadian rhythm and what's happened during when you sleep. But essentially the main thing is that the physical and the mental healing that goes on. And then stress, the stress reduction is because when you have stress, and stress is normal part of our daily life, but one of my mentor has said something, that stress, it's a perception. It's what you perceive it, it is in your thought. Stress is what is in your thought. Now, of course, if somebody chasing me with a gun, that's the physical cause of that. But most of the time, our stresses are in our thought. And in our daily life, we don't get physical threatened. But the stress is oftentimes interpreted in our thought. And so we can control that stress. And we can control that thought to minimize the amount of negativity that it gives us. And men are not the best at being aware of their stress. I could just tell from working with my patients, also with my husband as well. They internalize it. They don't talk about it. And oftentimes they just cope with it with other means, usually alcohol or recreational drugs, or just go fishing, or just go on their own. Women, we talk about it and we socialize. We have a socialization mechanism, and men don't have that as much. But the reason why I mentioned stress and why I don't want to go woo-woo on you guys, okay? I don't want to go woo-woo and so forth, but I mentioned stress because um, stress. Uh, when you have stress, how do you know you have stress? How do you know when you have stress? You guys know how you know when you have stress? Oh, your heart rate goes up when you have stress. Your heart rate goes up. And if you have one of those Oura Rings or one of the Whoop things, it's called heart rate variance. Heart rate variance. So there's a variability in your heart rate. And your heart rate goes up. And so that's when you know, when your heart rate goes up for a long amount of time. And then when that happens, and then there's some physical stuff that goes on when you're stressed is that your hormone, especially testosterone, decreases. And so thyroid decreases as well. Thyroid and testosterone decreases. And then blood sugar rises up. Blood sugar rise up, right? Testosterone go down, thyroid goes down, right? Stress hormone goes up, which is cortisol. That goes up, that will cause more inflammation. Inflammation, meaning, remember I said about leakage of the lining of the blood vessel? The bad things happen when you have prolonged stress. And what else happened when you have prolonged stress? Heart. It affects your heart because the heart rate is high. When the heart rate is high, your heart's working overtime, right? Your heart rate is working overtime. And what happens when you have prolonged stress? The blood sugar goes up, the cholesterol, the fat goes up, the cholesterol goes up. What happens with high heart rate and high blood sugar and high cholesterol? You start developing plaques, you start developing, um, uh, like almost like a fat clot that is in your blood vessels. Okay? You start developing fat clots in your blood vessels that decreases blood flow. So that's why stress is important. But you can be aware of it. But most of us— just be aware that when you have high heart rate on a continuous basis, that's stress. Yeah, that's how you know that you're stressed. How can stress manifest also? Stress manifests that you're not able to sleep as well. You start gaining weight, you start gaining weight easily, you start to have a little swelling in the ankles, swelling in the hands, because that's a sign of stress hormone being elevated as well too. So what about any input from Anne or Suzanne?

Yeah, I just wanted to say that something that we haven't mentioned that you mentioned at the start of this conversation was the fact that for a lot of men, they don't go seek help, they don't go see the doctor, and they're filled with shame around erectile dysfunction. And the stress often is manifested because I know that when my partner first started experiencing it, one of my first thoughts was, this must be related to me. They must not desire me, they must not find me attractive anymore, and this must be because they don't, you know, they're just not turned on by me. So there's an additional stress that I think comes from feeling like you're disappointing your partner. You don't want to be able to talk to them about it because even though it's, you know, it's nothing to do with them. But I think there's also the stress that comes from feeling like you're hiding, um, from what's going on because of that, the shame that so many men feel. I don't know if that's how you felt, Ken, when you were going through this, was that, you know, you were disappointing your partner. And that's also incredibly stressful.

I couldn't agree more. And I think, yeah, I went exactly through what you're describing. And I would add to the guys out there that if you are starting to experience problems, don't hide away from your partner. You have to get them involved and you have to let them, you have to reassure them that it's not them. Sometimes I've seen partners who assume that the guy is starting an affair and that's why he's losing interest. So I think it's important to involve your partner as quickly as you can. I know it's embarrassing, but it's really worth it in the long run.

Yeah, completely.

Awesome. Okay, very good. I'm glad you mentioned that part of it as well. Okay. What I'm going to do is I'm going to get another question out before we address the semen volume and so forth. Okay. You kind of have multiple questions in that. I appreciate you asking, but we'll get back to that because I want to address— now, Ken and Suzanne, do you see the comment on the right-hand side or is it just me? I'm just seeing—

No, no, we can see it. I can see it.

Okay, you can see, you can see that as well. Okay, wonderful. All right, so most people are taking ED medication. Thank you guys for doing the polls. Okay, let's show this. I'm struggling in last 15 years. This is from Aket Sharma. I didn't, I don't, I didn't get morning wood. What should I do? Age 34. So 15 years. So since you were 19 years old, am I right? Yeah, since 19 years old, didn't get morning wood. What should I do? Let me tell you this, Aket. Let me tell you this. When you're young, When you're young— now, I assume you're a healthy young man. I am just assuming that. I don't know. Yeah, but when you're young and if you have ED, it's most— it's most likely not so much physical unless you have a curvature in your penis, unless you have some trauma to your penis, unless you were born with some type of blood disorder or something. I don't know. Okay, but aside that, just assuming that you are healthy young man, most likely when you're under— if you have ED, you're under 40, and most likely that it's not physical. When I say physical, it's because high blood pressure, high cholesterol, diabetes, and being overweight. Now, there are other lifestyle factors that can contribute to this. And for young people, for young men, it's either porn. Porn will, will, will, will contribute to your ED. All right. Smoking, including nicotine and vaping and marijuana. Okay. Sitting in front of the monitor and playing video games all day. Okay, what? When you're playing video games, what happens? You don't exercise as much. You're putting a lot of pressure on your scrotum. You're putting a lot of pressure on there, so it may even affect your testosterone level. Right? All right. And so I mentioned— oh, and then alcohol, right? Alcohol content. If you're drinking more than 14 drinks continuously, every week for like a year, that will affect your erection. And then of course, you know, illicit drugs, right? Street drugs, all sorts of street drugs, that's the one that is illegal. I'm not saying anyone, but I did mention it because you know, that, you know, all the, you know, the pain medication, all of those drugs are inflammation. All right. So, so when you're young, it's your, your lifestyle and the decision you make that affect your erection. And I want to mention porn because porn is so easily accessible now that, that it— how it does is that it ruins the processing of how you process arousal. Because at porn, uh, and when you watch porn, it goes to your brain and then it gives you the dopamine rush in your brain to make you kind of feel good. And right, so, but after, even after even one or two times, and you need more dopamine to stop feeling good, all right? You need more and more and more. And then when, when you actually are with a real partner, a real person during sexual relations, your brain doesn't know how to interpret that. So it doesn't give you as much dopamine in your brain. So it doesn't initiate that erection response. Okay, so your brain gets confused. So Usually when you're young, it's those lifestyle factors. And when you're older, it's really more of the diabetes, the obesity, the high cholesterol, so far, because when you're young, you can definitely reverse your ED, but you don't know what you don't know. And if you just stop those things that I mentioned that need to stop, like—

Yeah. And we know that if people just go cold turkey on porn, especially young people, it can have a— you know, it can come back fairly quickly. But you have to, you have to go cold turkey on it, really. Um, you can't just— for the most part, everybody that I've spoken to says if porn is becoming something that you need to do it every single day, then you seriously have a problem and you need to So, and sometimes it's not the quantity, uh, of porn, it is the almost like the compulsion that you need to watch porn to, uh, function.

I've interviewed, uh, several men that are, uh, that were addicted to porn and overcame it. And I can tell you this from a medical perspective, you won't die if you go suddenly withdraw from porn. We know from seeing drug addicts that get— the drug addicts that are put in jail, and they go from a lot of drugs to no drugs. And guess what? They do fine. They do fine, right? So you won't die from stopping porn, or you won't die from stopping drugs. In fact, what they see is putting them in jail is the best way to rehabilitate them as well. So I hope that was helpful, Kick Trauma, to mention some of the factors that led up to that, because I assume you tried ED when you were 19, and it's been probably— you may not know what you're doing in your lifestyle, contributing to this. So hopefully what we said will be helpful for you. Okay, let me know in the comment. Let me know in the comment if it is. Okay. All right. Akichanama. All right. Wonderful. All right. Let's do another one. Okay. I get this question all the time, every time I go live. I am Uh, Patrick Johnson. Hi, Patrick. Saying, uh, oh, I like that picture. Look at that. Uh, I like that picture there. Uh, it's a short— it's a short downtown area normal. Well, um, it's not— there's no such thing as like normal. It's what is satisfactory for you and for your partner. Okay, uh, but I, I want to mention a study that was done. Um, I can't remember exactly, but it was— they looked at 20,000 men, uh, all sorts of ethnicity, you know, Asian, all ethnicity, all different countries all over the world. And what they found was that, uh, an erect penis with the average, average, okay, average erect penis is, uh, about 5.5 inches long and 4.75 inches circumference— not diameter, circumference. So 4.75 inches circumference, uh, measuring from the base. And, um, erect penis is 5.5 measuring from base all the way to the tip in erect state. All right, uh, and, uh, so That is the average. Now, 87% of men think that they're small. Okay. And why is that? Why is that? Because what— well, the only time you see another penis is when you're watching porn. I mean, or, you know, right? Right. And you think that, you know, the porn— that the porn actors are normal? No, they're chosen because They're in the, you know, 0.1%. And I will tell you, I treated porn actors, okay? And when they're acting, that's not their normal erection. They're getting— they're taking Viagra, they're getting Trimix, and they get all sorts of things going on to make it like that on camera. It's not a natural erection. That's what I'm trying to say. Okay, in fact, they have ED. I'm not saying all porn actors are, but, uh, the one that came to me, they're young and they have ED because it totally messes up with their, uh, uh, arousal response, uh, as well. Okay, so, um, that is kind of like the numbers. So interpret that, you know what average is, and you're above or below that. Now, what they call a micropenis is a penis erect, 3 inches erect or less. Okay, so that's what's called micropenis. But then again, but then again, you know, whatever is satisfactory for you and your partner, that's number one. And I also want to mention the fact that there was a study that looked at, that looked at 10,000 women. And what was the size of the vibrator that they buy? So women buy vibrators, right? It works great. But what do you think the size that, that when they buy vibrator, what size is that is most popular? You think they buy the 7-inch, 8-inch, 9-inch penis?

No.

Or did they buy— they, they buy 5.5. They buy the 5.5 inches, okay, uh, and, and, uh, 4¾, uh, in, uh, circumference, because that, that, that is what is satisfactory for them. So when you are long, doesn't necessarily— the women will like that, okay. Now some women will like that, that's fine. It's like, you know, some of us like spicy, some of us don't like spicy. There's nothing wrong with that. Okay. It's just your personal preference. And so to, if a woman, uh, to start, uh, a woman, so the vagina is like this. So the opening of the vagina, just about half an inch inside the opening of the vagina, so where all the nerve endings are, where the nerve that sends, um, um, send, um, arousal messages, uh, that contribute to orgasm for a woman. But it is just, well, half an inch inside the vagina. And so what I'm trying to lead at is that it's the girth, it's the girth that it really more that affect a woman arousal than the length. So it's the girth because when her vaginal opening is stretched and those nerves are stressed, then it will send more excitatory messages that will contribute to more arousal for the woman. So it's the girth that is stimulatory, not so much the length. The men focuses on the length. Sometimes men have longer length but smaller girth, right? And sometimes, sometimes, uh, uh, um, shorter length, uh, more girth. So honestly, uh, uh, like I said, you know, in, in the vagina area, half an inch in, half an inch is where those nerve endings are. And so she can get stimulatory even if the penis is like an inch or 2 inch. So think about that, okay? Uh, and the vaginal canal, um, so that you have the vaginal opening and then you have the vaginal canal and then you have the cervix. If she's not, if she doesn't have a hysterectomy The cervix is the opening that goes up to your uterus. So oftentimes when you're too long, it may hurt her because the vaginal canal, it's about what, 5 to 6 inches long? Yeah, about some, some women's a little bit shorter, some women's a little bit longer, but the vaginal canal are not very long. So when you're too long, you'll, you'll hit the the cervix, which is the opening of the uterus, and that may cause some discomfort. Okay. So I get this question all the time. It's a ubiquitous question. And I always give numbers and let you guys interpret where you're at as well. You guys have any comment? Does any of your client usually ask this question?

Yes, and I would say that also men rely too much on penetration sex and not enough on some of the other things that you can do. And one of the, one of the things about men with ED is, of course, there is a whole buffet of sexual pleasure out there that doesn't rely on penetrative sex. So become good at oral sex, become good at using your fingers, become good at using toys and other things that are readily available and learn about pleasure as opposed to just focusing on penetration, because that's just one part of the whole buffet of experiences that we can have. And I think for men who feel like they're not big enough, as Anne says, it's— if your partner is having a good time, then size is completely irrelevant.

Absolutely.

I always recommend to guys that, you know, it— you can't really do much about the size. You, you are as big as you are, and the, you know, worrying about it is not going to get you anywhere. You just have to work with what you have, that, you know, that's part of life. It's You have to take the cards you were dealt and work with those. And I think as Dr. Truong MD pointed out and Suzanne, it's really not as important as you think it is. It really isn't.

Yeah, because that's why I mentioned the physical fact is that the nerve is just half an inch inside the vagina. So you don't need to be very long to stimulate that. And for a woman, I mean, if you're heterosexual and even if you are same-sex as well, the prostate is actually the G-spot for men. And the prostate— well, here's my finger. How many inches? It's about 3 inches. Yeah, I can feel the prostate when I do a rectal exam. So the prostate's about 3 inches, about 2 inches in. So the prostate is the stimulatory G-spot for men as well. So it's not that deep in either. And so, but I get this all the time. So what I put on the banner is the Stay Firm program that Ken and Suzanne had put out, and it's regarded as a resource that if you're a man with ED, as a resource that will guide you to seek appropriate help and to do appropriate things naturally first. Before you go down the rabbit hole of medication and injections and penile implant. And I can't tell you how many men that I see in my office that the doctor recommends for them to get a penile implant. And they don't even need a penile implant yet because they have not explored all the lifestyle options yet. But this is the algorithm. You try ED meds, it doesn't work. And then you try Trimix, it doesn't work as well. Penile implant. That's it. Those are the 3 steps, right? But where in there, where in there is diet, exercise? Where in there is stop smoking, stop vaping, stop porn? Nowhere. All right, ED meds. Well, take it for about a few years, doesn't work. Let's try Trimix. Doesn't— you don't like it? Well, penile implant. Right? And penile implants cover— some insurance covers it. I don't think— not all insurance covers it as well. A hospital makes money. Doctors don't make as much money from the penile implant. Hospital make money. Does the prosthesis company make money from that as well? There are many, many complications from penile implant. All right? They don't discuss it. It's hidden. And it's also private, right? Men that have penile implant, actually have pain. And sometimes the rods that are put in your penis— essentially this is your penis, uh, with— yeah, so essentially this is your penis and the rods are put in both sides. The silicone rods are implanted on both sides of the corpus cavernosum here. All right, and sometimes the implant will poke through your tip right here. Because it will kind of poke through the tip and it hurts. Sometimes it will come through and create an opening and the doctor have to, uh, do it again. Yeah, the doctor will have to do it again. Yeah. And, and so the, the, um, the, uh, so there's two rods, two silicone rods that runs on in your penis, uh, here. And I see that at the opening with pain. So a lot of men come in and they have pain around— this is the area here is called the glands, uh, and they have pain around here. And guess what? This is one thing they don't tell you. You don't feel very much when you have an implant. So when you're having, uh, uh, when you're having sexual relation, you don't feel very much. Lost a lot of sensation. So a lot of men that had implant I had a hard time with orgasm. Yeah, you don't feel very much. You kind of lost that sensation. You almost come like a— I call it a mechanical penis. Yeah, uh, is you don't feel much, and sometimes it's hard for ejaculation, uh, as well. Okay, um, right, very good. So check out the program, stayfirmprogram.com, and And right here is the QR code. Is there anything you want to add regarding this program?

No, I mean, we're— it's a, it's a 5-step program that Ken and I have put together based upon his book. And as Anne said, it's very much about what natural steps that you can take to the adaptations you can make to your lifestyle, other things that you can do to support your erectile function. And if you do go to a doctor, the kind of questions that you need to be asking before hopefully you need to go down the medical route. But we hope that lots of men will find it really useful, and thanks so much for helping us to promote it.

I would just like to add something. Suzanne did a great job pulling this all together. I mean, it's just really an excellent course. I've been blown away by it. And it's exactly what I needed when I had ED. If I had had access to this course, I could have shortcut my recovery by years and tens of thousands of dollars. Um, and that's— I'm not exaggerating. I, I could have saved myself a huge amount of money and time. Um, so, you know, this is a great starting point, especially if you don't— if you feel you don't need— I mean, if you feel that you don't you don't know what you don't know and you need a starting point, this is the place to start.

Absolutely. Now, years ago there was no such resource, and oftentimes, you know, it's a private matter. You wanted to do research on your own, but at least use this as a start. And then, but I would tell you this, if you're starting to take ED medicine, you're not result, go see a doctor. All right. I can tell you this. If you have ED and that's about 2 years or less, you can really kind of reverse it on your own with your diet and exercise, stress, and sleep management. That's it. If you're not a type 1 diabetic or that you're not— if that— or that you're not have diabetes for like 10 years. All right. And your hemoglobin A1c, it not 8 and up. All right. So, uh, and so what I'm trying to say is that if you have diabetes or, and if you have a heart condition, you definitely need to go see the doctor, uh, first. And when you have ED, you shouldn't be messing around because when you have diabetes, it affects your blood flow, it affects your nerve, hormone, all of it is, uh, is affected. And so Uh, it's a lot more, uh, going on. So go to stayfirmprogram.com, or there's a QR code, uh, right here, uh, as well. I'll leave the QR code there. We're gonna do a few more questions. And these— isn't— aren't these good questions?

They're amazing.

Good questions. Yeah, we have— and we have— I don't know how many people tune in from Facebook or anything because I only see it from, uh, the YouTube side. But I always love going live. You guys are awesome. Thank you for taking, uh, the poll as well. Um, and so, uh, so we got that. And, um, 23 years. All right, wow, this, this is a complex, uh, one here. 23 years with kidney transplant medication. All right, so, um, all right, kidney transplant medication. That's okay, Judan, we can end, we can end a little bit after that, so you can go ahead and go. But, um, uh, kidney transplant medication is— most of it is steroids, all right? Most of it is steroids, and most of it is anti-rejection medication. Um, and it— I will tell you, um, it is difficult because all the steroids affect your erection, Derek, Derek J. Adams. And all the anti-rejection medication affect your erection as well. So, and you can't do anything about it. You need those medication. So this is the case where I actually will say, well, maybe, you know, take, consider taking daily tadalafil. I don't know how old you are. Oh, you're 23 years old. So I don't know how old you are, but maybe consider taking daily tadalafil, either 5, 10 milligrams, or 20 milligrams of tadalafil daily, using the penis pump, having shockwave therapy, and even getting your own stem cell injections, such as the P-Shot. Right. And, and so you're 62. Yeah. So you're 62. So there are definitely other options like, you know, daily tadalafil, getting treated with the platelet-rich plasma, which is your own blood to help bring in more blood flow to the penis, Botox, which relaxes the penis, and focused shockwave therapy again, which brings more blood flow to the penis as well. This is when I would say, let's go for the big guns. Let's go for the big guns. Let's go for the big guns and let's try it all because I know those medications are strong. You can set up, let me give you a link to schedule a free discovery call with my team. To see how we can— a free discovery call with my team. I can't even find it. Usually I have— oh, okay. Discovery call with my team and they can— we can see how we can help you. You're going to need to get Heart System treatment. So what I want you to do is, um, what I want you to do, uh, Derek J. Adam, so you see that, that email my team there and we'll, we'll, we'll send you a link to, uh, to schedule, um, a discovery call, uh, with my team. It's admin@trungrehab.com. Okay. Uh, but you're gonna, you're gonna need more aggressive treatment. Because of the medication you're on. I have two patients right now that one has liver transplant and another one with kidney transplant, and we're able to get them to have erection, but we have to do the whole shebang. And they're around your age, around early 60s as well too. So this is when— yeah, I'm not against ED meds. Sometimes you have to kind of use ED meds to do a little bit of pushing to get things started a little bit, but low dose, low dose. I like tadalafil, low dose on a daily basis, but low dose only. All right. So I think it's flight mode, no limit. Flight mode, no limit. So just send that email. Was that helpful? That helpful? Can we set up a meeting? There we go. Good. Just email my, uh, my admin person, and she will take care of that. Okay, so I know Suzanne has to go, uh, too. We have about a few more minutes. Um, let's go back. So somebody has a question about PE. Tylon Evans, what, what is the question about PE? I have a question about PE. I assume you mean premature ejaculation, right? So what's the question about premature ejaculation? Now I want to— I'm gonna go. Oh, you're gonna go? Okay. Yes, I'm gonna go. See you. I appreciate you being here, and thank you so much.

Bye-bye.

Bye-bye. All right, so, uh, uh, so PE, premature ejaculation. I would tell you this: what is the definition of premature ejaculation, right? The medical definition of premature ejaculation is Once you penetrate, once you penetrate, and the time to ejaculation is less than 1 minute, that's some premature, less than a minute. Average time is for heterosexual, for heterosexual activity is between 5 to 7 minutes. Okay, it's the average, 5 to 7 minutes, uh, but, uh, definition of PE is less than a minute. So most men think they have PE when they really not don't have PE. All right, I just want to, I just want to say that if it is less than a minute, then defined as PE, uh, and so, um, uh, that's something to, uh, consider. And sometimes PE is related to ED. So, you know, because when you have ED, you want to make sure that you— there are different mechanisms that happen that may contribute to premature ejaculation as well. And then sometimes premature ejaculation is also psychological as well too. And that's why segments are sometimes helpful as well. So, you know, set some definition to go over with you. Okay. All right. Flight Mode No Limits, find it helpful. Wonderful, wonderful. So it seems like we don't have any more questions. I want to go back to Mass Spectra. Are you still here? So we're going to finish that with Mass Spectra. Are you still here, Mass Spectra? Are you still here? Okay. Let's just kind of answer the question. What can we do to increase semen volume? It seems that lower volume is a sore point. Well, you know, it's hard to kind of know the volume sometimes, right? Uh, unless you pull out and you see. But the volume of the semen depends upon the integrity of the prostate, right? So if your prostate is enlarged, uh, you may have less semen volume. One, right? There are other things that contribute to semen volume is how much water you drink that day. If you're dehydrated, then you're not going to have as much semen volume. Okay. And also if your pelvic muscle, the pelvic muscles are weak and most, 90% of men with ED have weak pelvic muscle. If they're weak, then they're not going to contract as much to propel the semen out of the prostate. So, The pelvic muscles are like that. They come from the base of the penis and then they kind of wrap around right here. And so believe it or not, there are two pelvic muscles, the bulbospongiosum and then the ischiocavernosum. Those are the two pelvic muscles that are around right here. And they're small, but they're mighty because those muscles go up to the penis and they wrap around the base of the penis. Right. And what they do is they keep the blood in the penis so that way it stays firm. All right. So that way it stays firm and stay firm and erect. Right. But, but how you exercise is called Kegel. So Kegel is an exercise that you exercise the pelvic muscles. All right. And so men don't exercise that over time. Those muscles get weakened. And also those muscles are fighting against gravity, right? So because they act as a sling. So when you're walking, it's like a sling. Those muscles attach it from your pubic bone, which is right here, to your tailbone. So it's like a hammock. It's like a hammock that holds in your intestine, holds your bladder, hold your bladder, your intestine and everything inside, so your inside doesn't fall out. What happened over time? Gravity pulls on it and it makes it weak. All right? So it makes it weak. And so that's why the muscles get weak. So when the pelvic muscles are weak, it can contribute to low semen volume as well. So it's not contracting as well. To expel the semen to come out of the prostate. So there are several factors for low semen volume that can be correctable, but the first thing is to make sure is that you don't have an enlarged prostate. So how do you know you have an enlarged prostate? Oftentimes you can tell because it affects the urine stream. Like when you urinate, the urine, it doesn't come out as strong as it was when you were in your 20s. Okay. It doesn't come out as strong as it was when you're in your 20s. And it's— and that you urinate at nighttime. At nighttime, you get up twice, 3 times, 4 times at night to go urinate. And then when you urinate, it's not as strong. But then an hour later, you got to go to the bathroom again. Okay, so you got to go to the bathroom again. And Ken, if you have to go, you can. If you have to go, I know that we've gone over our 1 hour.

I'm not in a hurry. If you want me to stay, I'm happy to stay.

Yeah, it's fine. I know that you seem to be doing something else, but like I said, we're going to end soon, but I do want to address the question. As well too. Semen volume, I get this question all the time. I think it's a great question because most men don't realize that there are things that contribute to the semen volume that they can easily correct. But get your prostate checked. But those are the symptoms of enlarged prostate. Oftentimes, the doctor have to put their finger into your rectum and to feel for the size. And you can also get a blood work called PSA as well too, that will indicate whether you have an elevated PSA or not. All right, very good, very good. Good question there. Let me see, let me hide that. Somebody said something so important. Uh, here. Okay, it can be overcome. Good to know. So absolutely. Can ED be— can ED be reversed and overcome? Absolutely. I mean, Ken overcome his once he started knowing how, how or what to do about it, right? So ED is not an end-all, right? And ED is not your fault. It's like if you, if you don't know what you don't know Right? You don't know what you don't know. And you, you, you, once you know what you need to do, and if you do it and follow it and stick with it, you, you will get results. It's almost like weight loss. ED is almost like weight loss. You got to work on it. You got to work on it hard. And you got to, you got to work on it and you have to be committed. To it and stick the course. All right. I mean, a lot of what's going on, Edie, almost very correlated to weight loss as well. So I like to, I like to, to address that. OK, so there are, there are hope even if you're in your 80s. All right. So, men, those of you that are still here, Just know that biologically and physically, your body is primed and programmed to have an erection. All right, your body is, is programmed to have an erection. And believe it or not, your penis has to increase 40 times, uh, blood flow, 40 times more blood flow in your penis to get an erection. But your body is primed and programmed to have it. So what I'm trying to say is that it is a natural thing. It is a program thing. And the reason why you're having ED is because of little things like such as maybe your diet, maybe you're not exercising as much, maybe you're stressed, maybe you're not sleeping as much, maybe you're drinking more alcohol than you should. Just little things like that that contribute to it because there are 6 systems that contribute to create an erection. Right. And you guys don't know this, but an erection starts in the head. Erection starts in the brain. You don't get aroused. It's endgame. You don't get aroused up here. It is endgame. That's why when you have porn, it cause— when you watch porn, I'm sorry, that's why when you watch porn, It is, it causes ED because you're not able to get aroused in here. So an erection starts in here, not down below the belt. So there are 6 systems that contribute to having an erection, which is the brain, right? And then your emotion, how you feel, right? In the brain, you know, let's start in the brain. And the first system is the brain. You get, you get input. In to help you with arousal. What's the input? Your eyes, your nose, what you smell, what you taste, what you hear, and what you touch. Those are the 5 senses. So they get in to stimulate the brain, and then the brain— and then it gets filtered to your emotions. Like, how are you feeling then? Are you feeling anxious? Are you feeling stressed? Are you feeling depressed? Are you having trauma that's still showing up? And then that gets filtered And then it sends the chemical that releases hormones in your brain. Hormones get to be released and the nerve chemical and the hormone then go to the nerve in the back of your brain, which stimulates the parasympathetic nervous system, the nerve here. And then the nerve travels to the heart and the blood vessel and the heart will pump in more blood. And then the blood vessel fills with blood, right? And then that brings in more blood flow to the penis muscle, and the penis muscle then engorges with blood. It gets 40% more blood flow in the penis to create an erection. And it's 6 systems that work in coordination. It's like a symphony. It's like a beautiful Mozart symphony. That works in coordination and just works in a few minutes. Boom, you get— that's why when you're young, you can get an erection like this, right? You get older, takes a little bit longer, but it's still functional. The plumbing is still there. Now, you know, there's 6 systems. So sometimes when you have the 6 systems, uh, sometimes when you have the, uh, the 6 systems, um, uh, one of the systems— if the one of the systems not working well, let's say If you didn't sleep well that night, that affect your emotions and your stress level, then you may not be able to process to get an erection. Or if you have high blood pressure and high cholesterol, then it's hard for you to get the increased blood flow for the erection. So that's the reason why ED is so common, is that there are 6 systems that need to work in harmony and to create this coordination of the erection. And if one system doesn't work well, then you have ED. So that's why I want you to realize that it's a beautiful thing, but it's also a very complex system that creates the erection. And that sometimes when you're just taking a supplement or you're just taking ED med, you're really not addressing all the 6 systems at all. Okay, you're neglecting the whole band. You're not creating that beautiful symphony. All right. And so you really need to kind of know what system that is dysfunctional. And that's what we do when we assess you for the Get Hard. Protocol is that we find out which system is not working well and treat that as well. So yeah, that's why I want you guys to know that it can be overcome and that you don't have to live with it, but you have to do the work. You definitely have to do the work. Right, Ken? What, what, what do you want to say to that?

Yeah, absolutely. I mean, um, that is like the key phrase. You have to be willing to do the work. You have to be willing to change your lifestyle and do the work that that requires. Do the exercise, change your diet, uh, use the penis pump, uh, you know, get, get to the right doctors. It, it It can be a lot to do, but it's worth it. And it's— and there are so many resources out there for you now that you can— it's much easier to get to the doctor you need and to the resources you need. But do the work. That's the only— there's no shortcuts. You have to do the work.

Yeah. So there's a question by Bruce. Getting the, the Kegel machine, you can get that at ednomore.com. And it's a machine that you can, it has electrode you can put on the, this is called the perineal area, which is underneath the scrotum, right before your, your, your anus here. So these are the pelvic muscles. So you put the electrodes on here and there's a little machine that you can hook up to and it does contraction. It does contracting to these muscles here. So essentially it does Kegel exercises for you in 20 minutes without you doing it. You just put it on for 20 minutes a day and it strengthens these muscles because most men do it wrong. And you can get the machine at ED, you can get the machine at ED No More. I put that in the I put that in the comment and it's also in the banner at this point. I think it's like $300 something. It's about $369 for the machine. And it does it for you. So the protocol, do it once a week for 6 weeks and stop for about 2 weeks and do it again. So you really will strengthen it and it will help uh, with erection. It will also help with the intensity of your orgasm as well as help with ejaculation as well. Okay, um, so, uh, having said that, I have to go as well too. You guys have been awesome. You've been asking great questions. I love going live. We have such good engagement. Did you find that helpful? All right, now those of you that are still here, I'm gonna put up the, uh, the poll again, and I want you to take this poll. Uh, the poll says, what have you tried to fix your ED so far? Uh, number 1 is Viagra, Cialis, ED meds. Number 2 is Trimix. Number 3 is supplement. Number 4 is Shockwave, uh, or, uh, P-Shot. Answer that, and I, I love to kind of hear from you and see what you, uh, uh, what have you tried so far? So we want to know what you're doing, and I know some of you have put that in the comments, uh, as well too. But, um, I appreciate you, Ken. Thank you for being here. Thank you for sharing your, your story, um, as well. And I know that these men, uh, appreciate that because I feel that If more men come out and talk about their ED and don't treat it like it's a leprosy or anything. Guys, 50% of men over 50 has ED. So half of your friends, half of your guy friends have ED. If you're over 60, 60% of your friends have ED. They're just not talking about it, right? And they tell you that they don't have it. Remember, just half of them have issues. So it's very common. Don't suffer in silence and don't think that you have something that is shameful. It's really common because most men don't know what they need to do to optimize their sexual health. Really, they don't, because you're not— you're definitely not educated about it and you have to find resources on your own. And when you do Google, you become prey of these online companies that would just throw medication at you. All right. And so we want you just to know that there are options out there besides just ED medication. All right. Because taking ED medication actually will make your ED worse over time because you are not addressing the root cause of why you have ED. So over time, your ED gets worse. Okay. It's like putting a Band-Aid on an infected wound that's oozing out pus, and you're just putting the Band-Aid on there, hoping that it will do the job. Would you do that? Maybe some of you. But if you have a wound that's oozing out pus, please go see the doctor and get it debrided and get some antibiotics. Okay. And so don't do that at this point. Can I tell my— Patrick says, can I tell my doctor I'm nervous? Absolutely. It is normal to feel nervous. It's normal to feel nervous. And honestly, doctor, when we train, we look at it as anatomy part. We don't look at it as anything else. And you tell her that, you tell her that it's nervous when she examined down there. Nothing wrong with that at all. Okay. Nothing wrong. And I treat ED and I see thousands of men and I see them being nervous, but I always reassure them. I said, you know, I'm going to ask you some personal questions and I'm going to examine down there. Are you okay with that? And You know, at first they're nervous, but oftentimes, you know, when you're professional about it, then— and it's very brief. You know, all we need to do is to check the testicles and make sure that there's no plaques in the penis, there's no curvature, there's no opening the penis and things like that. It's brief and it's done. Now with me, I also check the pelvic muscles as well. I also check the strength of the pelvic muscles, and I also do a prostate exam as well too. So every doctor is a little bit different. It's perfectly normal if you feel nervous if somebody examined you down there. Who would want not to feel nervous, right? So take the polls if you can. Other than that, we appreciate you. And, uh, and, uh, thank you for, uh, showing up and asking great questions. And we'll see you in our next live. We'll definitely can do better, and maybe we'll stream this to Substack, uh, next time as well. Very good. Thank you, Ken, for being here. Nice to meet you. Take care. Have a good Monday, guys.