If you're assuming low testosterone is the primary
cause of erectile dysfunction, you are trying to solve the
wrong problem, and worse, popping a quick pill to mask it
might be blinding you to what your body is actually trying to
warn you about. Today, we're breaking down the top five real
drivers of ED, the exact way alcohol physically shuts down
your nerves, and the one warning symptom down there that means
you need to call a doctor today. Put the quick fixes on hold for
five minutes. Let's look at the actual science.
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 at
sexualhealthformenpodcast.com for more information and
resources from the show. See you on the inside.
So, is testosterone important for erection? So, testosterone
is a male hormone that makes a man a man, right? So, a man has
100 times more testosterone level than a woman. A woman,
conversely, have 100 times more estrogen level than a man. Just
saying that low testosterone can be the cause of ED. Well,
erectile dysfunction is multifactorial, meaning multiple
things can cause ED. So ED is not just one thing, it is
multiple contributing factors. Your penis have multiple
receptors for testosterone. And receptors are like the opening
to the key, right? That's the receptor. You put your key in,
and the testosterone is the key, and opening is the receptor. And
in the penis, there are multiple receptors for testosterone. When
you have low testosterone, as less key to go into the hole, so
when there's less key to go into the hole, low testosterone can
contribute, but not primary cause of ED. It will contribute
to shrinkage, it will also contribute to firmness and
increasing blood flow as well. So we have low testosterone is
one of many causes of ED, so that's one. So low testosterone,
yes, can contribute, but it's not the primary factor. Meaning
if you supplement testosterone, if you take either testosterone
injections or pellets, oral testosterone, even gel, not
necessarily that will fix your ED.
So, what's the number one cause of ED? What's the number one
contributor to ED? You'll be surprised to find out what is
the number one cause of ED. Number one cause of ED is
actually alcohol. It's more lifestyle. So excessive alcohol,
I mean, you're allowed like 14 drinks a week, but excessive
alcohol is one. Number two is smoking, number three is
obesity, or overweight, BMI over 30, and number four is diabetes,
and number five is high blood pressure and high cholesterol.
So, having said that, things that you can cut down is smoking
and alcohol consumption. Why does alcohol contribute to ED?
Because when you're drinking alcohol, it affects the nerve as
well as affecting the muscle of the penis, and therefore you
actually have less sensitivity, and you also have less
relaxation of the penis muscle. So it contributes to erection in
nerve and also in muscle. And that's something to know,
because you know there's a term called Whiskey Dick, if you
drink too much alcohol, then it's going to affect your
erection. So that's actually the number one cause of ED.
And age, the older you are does not mean you're going to have
ED. It's just that when you get older, you tend to acquire
medical conditions such as high blood pressure, high
cholesterol, diabetes, and overweight, and then you also
get low testosterone. All that added to contributing to
erectile dysfunction. But not age, necessarily age, is the
cause of ED. Just know that ED, if you're young, like in your
30s, your 40s, starting to notice ED, first things off now.
Are you smoking? Are you drinking too much alcohol? Are
you doing porn? How is your sleep? Are you overweight? Check
those things. What's defined as overweight? When your BMI is
over 30. BMI means body mass index. Okay, you could get that
formula right off the internet and calculate that formula. Some
quick tips there.
So oftentime ED is reversible if you know what causes it, and I
just kind of told you the most common cause of ED. So the last
thing you want to do is you find out that you have ED, and maybe
it's contributed by alcohol or maybe porn or smoking. Well,
what do you end up doing? Go online, next thing you know,
you're taking a Viagra pill from an online dispensary, and that's
not the route that you want to go, because your ED can totally
be reversed and treated if you really take some time to look at
the cause of ED. You know, this is the common questions we get.
Question says, "Hello, what are some causes of left testicle
area being slightly sore sometime, more like on the
attachment area behind the testicle. If your testicle is
sore and it's consistent every day, you need to get evaluated
by a doctor. So see an urologist who specializes in the penis and
the testicles. Because it's a sore, it could be a sign of
infection, it could be a sign of blockage, it could be a sign of
cancer, it could also be a sign of a cyst. So it needs to be
evaluated. Is it consistent day after day, I would advise you to
do testicle massage the same way that women do breast exam. You
should do testicle massage every day, so you can feel the texture
of your testicle, you can feel the cord, the spermatic cord
that goes to the prostate. So your testicle make testosterone,
and it also makes spur, but in a sac, which is your scrotum
outside the body. Because the testicle needs to be one or two
degrees cooler than the body to make testosterone and sperm. If
you are working inside, you sit down a lot, and if you wear
pants, sometimes that can affect the temperature of the testicle
as well. So if you have trauma to the testicle, as in like some
type of blunt force, or if you ride a bike a lot, you
definitely need to have to be evaluated. It's kind of like a
woman finding her breast being tender or a lump in breast, it
needs to be evaluated, and you shouldn't take it lightly. So,
guys, if you have tenderness in the testicle, it could be a lot
of things, so you need to be evaluated first. You can't just
say, "Well, doesn't hurt that much, I'll just lie on it." You
need to get evaluated, because testicular cancer is a
possibility, as well as a cyst, as well as an infection,
sometimes the cord, the spermatic cord, that is a cord
that goes up to bring the sperm to the prostate area, that gets
a kink that can kink and that can turn, called torsion, that
can cause a soreness as well. So you definitely need to
re-evaluate with a doctor, and then something orders an
ultrasound that can look at the structure of the testicle to see
any type of blockage. Oftentimes the testicle is benign, very
easy to use the same ultrasound that women have to look at
babies, but they can visually see the scrotum quite well
there.
You know, there's another follow-up question here about
testicle soreness. Again, you need to be evaluated. Okay, you
can't just assume it's a blockage or lack of ejaculation.
You can't assume that. Well, it's like a woman having a mass
in her breast, can't assume anything. Because a mask in the
breast for a woman could be a cyst, could be scar tissue,
could be cancer, but don't sit on it. Get evaluated. So, I have
another question. And assume it's occasional block that, you
can't assume it. You can't assume anything, because you
need imaging to know what it is. You can go see the doctor, get
an ultrasound, and it will show what it is. So, don't sit on,
don't diagnose yourself either. Okay? Because I have another
comment here. Well, I assume it's a blockage. How do you keep
it from happening? Lack of ejaculation does not cause
testicle pain, right? Ejaculation has nothing to do
with testicle pain. Sometimes testicle pain can be from
trauma, but it could be multiple causes that can be easily
diagnosed by just an imaging test called the ultrasound, so
the function of the testicle is to bring the sperm up into the
Okay, Modern Man. If you're struggling with weak erection,
prostate, and the prostate store the sperm in a sac called
low energy, the food you eat could be the big part of the
self-saminal vesicle, and then when you ejaculate, the sperm,
problem. One of the best research pathways to boost
along with the seminal fluid, comes out, and the seminal fluid
circulation, support healthy testosterone and improve sexual
performance is the Mediterranean diet. It's packed with food that
protects those sperm to allow it to survive in the female. So
open up your blood vessel, lower inflammation, and fuel your
that is the function of the testicle.
Thanks for listening to the Sexual Health for Men Podcast.
hormone, naturally. I've seen men notice real improvement in
both energy and erection within weeks when they shift to this
style of eating. So check out the Mediterranean diet link
right here below, and get that as soon as you can. Stronger
testosterone and better erection.
If you love this episode, then please take a screenshot on your
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what's great for you and I would love to give you the most
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get the book, The Five Common Costly Mistakes Men Make When
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can have sexual vitality for life. I appreciate you. Until
next time.