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If you're assuming low
testosterone is the primary

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cause of erectile dysfunction,
you are trying to solve the

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wrong problem, and worse,
popping a quick pill to mask it

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might be blinding you to what
your body is actually trying to

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warn you about. Today, we're
breaking down the top five real

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drivers of ED, the exact way
alcohol physically shuts down

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your nerves, and the one warning
symptom down there that means

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you need to call a doctor today.
Put the quick fixes on hold for

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five minutes. Let's look at the
actual science.

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This podcast is for you, the
Modern Man. I'm Dr Anne Truong,

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your host. I'm an intimate
health medical doctor and best

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selling author of the book,
Erectile Dysfunction Fix. I'll

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do a deep dive into sexual
health and performance and how

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it affects men of all ages and
backgrounds. So let's get

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started, and be sure to visit my
website at

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sexualhealthformenpodcast.com
for more information and

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resources from the show. See you
on the inside.

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So, is testosterone important
for erection? So, testosterone

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is a male hormone that makes a
man a man, right? So, a man has

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100 times more testosterone
level than a woman. A woman,

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conversely, have 100 times more
estrogen level than a man. Just

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saying that low testosterone can
be the cause of ED. Well,

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erectile dysfunction is
multifactorial, meaning multiple

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things can cause ED. So ED is
not just one thing, it is

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multiple contributing factors.
Your penis have multiple

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receptors for testosterone. And
receptors are like the opening

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to the key, right? That's the
receptor. You put your key in,

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and the testosterone is the key,
and opening is the receptor. And

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in the penis, there are multiple
receptors for testosterone. When

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you have low testosterone, as
less key to go into the hole, so

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when there's less key to go into
the hole, low testosterone can

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contribute, but not primary
cause of ED. It will contribute

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to shrinkage, it will also
contribute to firmness and

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increasing blood flow as well.
So we have low testosterone is

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one of many causes of ED, so
that's one. So low testosterone,

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yes, can contribute, but it's
not the primary factor. Meaning

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if you supplement testosterone,
if you take either testosterone

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injections or pellets, oral
testosterone, even gel, not

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necessarily that will fix your
ED.

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So, what's the number one cause
of ED? What's the number one

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contributor to ED? You'll be
surprised to find out what is

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the number one cause of ED.
Number one cause of ED is

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actually alcohol. It's more
lifestyle. So excessive alcohol,

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I mean, you're allowed like 14
drinks a week, but excessive

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alcohol is one. Number two is
smoking, number three is

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obesity, or overweight, BMI over
30, and number four is diabetes,

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and number five is high blood
pressure and high cholesterol.

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So, having said that, things
that you can cut down is smoking

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and alcohol consumption. Why
does alcohol contribute to ED?

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Because when you're drinking
alcohol, it affects the nerve as

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well as affecting the muscle of
the penis, and therefore you

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actually have less sensitivity,
and you also have less

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relaxation of the penis muscle.
So it contributes to erection in

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nerve and also in muscle. And
that's something to know,

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because you know there's a term
called Whiskey Dick, if you

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drink too much alcohol, then
it's going to affect your

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erection. So that's actually the
number one cause of ED.

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And age, the older you are does
not mean you're going to have

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ED. It's just that when you get
older, you tend to acquire

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medical conditions such as high
blood pressure, high

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cholesterol, diabetes, and
overweight, and then you also

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get low testosterone. All that
added to contributing to

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erectile dysfunction. But not
age, necessarily age, is the

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cause of ED. Just know that ED,
if you're young, like in your

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30s, your 40s, starting to
notice ED, first things off now.

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Are you smoking? Are you
drinking too much alcohol? Are

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you doing porn? How is your
sleep? Are you overweight? Check

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those things. What's defined as
overweight? When your BMI is

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over 30. BMI means body mass
index. Okay, you could get that

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formula right off the internet
and calculate that formula. Some

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quick tips there.

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So oftentime ED is reversible if
you know what causes it, and I

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just kind of told you the most
common cause of ED. So the last

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thing you want to do is you find
out that you have ED, and maybe

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it's contributed by alcohol or
maybe porn or smoking. Well,

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what do you end up doing? Go
online, next thing you know,

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you're taking a Viagra pill from
an online dispensary, and that's

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not the route that you want to
go, because your ED can totally

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be reversed and treated if you
really take some time to look at

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the cause of ED. You know, this
is the common questions we get.

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Question says, "Hello, what are
some causes of left testicle

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area being slightly sore
sometime, more like on the

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attachment area behind the
testicle. If your testicle is

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sore and it's consistent every
day, you need to get evaluated

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by a doctor. So see an urologist
who specializes in the penis and

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the testicles. Because it's a
sore, it could be a sign of

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infection, it could be a sign of
blockage, it could be a sign of

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cancer, it could also be a sign
of a cyst. So it needs to be

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evaluated. Is it consistent day
after day, I would advise you to

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do testicle massage the same way
that women do breast exam. You

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should do testicle massage every
day, so you can feel the texture

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of your testicle, you can feel
the cord, the spermatic cord

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that goes to the prostate. So
your testicle make testosterone,

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and it also makes spur, but in a
sac, which is your scrotum

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outside the body. Because the
testicle needs to be one or two

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degrees cooler than the body to
make testosterone and sperm. If

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you are working inside, you sit
down a lot, and if you wear

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pants, sometimes that can affect
the temperature of the testicle

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as well. So if you have trauma
to the testicle, as in like some

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type of blunt force, or if you
ride a bike a lot, you

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definitely need to have to be
evaluated. It's kind of like a

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woman finding her breast being
tender or a lump in breast, it

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needs to be evaluated, and you
shouldn't take it lightly. So,

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guys, if you have tenderness in
the testicle, it could be a lot

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of things, so you need to be
evaluated first. You can't just

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say, "Well, doesn't hurt that
much, I'll just lie on it." You

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need to get evaluated, because
testicular cancer is a

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possibility, as well as a cyst,
as well as an infection,

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sometimes the cord, the
spermatic cord, that is a cord

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that goes up to bring the sperm
to the prostate area, that gets

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a kink that can kink and that
can turn, called torsion, that

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can cause a soreness as well. So
you definitely need to

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re-evaluate with a doctor, and
then something orders an

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ultrasound that can look at the
structure of the testicle to see

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any type of blockage. Oftentimes
the testicle is benign, very

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easy to use the same ultrasound
that women have to look at

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babies, but they can visually
see the scrotum quite well

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there.

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You know, there's another
follow-up question here about

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testicle soreness. Again, you
need to be evaluated. Okay, you

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can't just assume it's a
blockage or lack of ejaculation.

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You can't assume that. Well,
it's like a woman having a mass

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in her breast, can't assume
anything. Because a mask in the

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breast for a woman could be a
cyst, could be scar tissue,

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could be cancer, but don't sit
on it. Get evaluated. So, I have

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another question. And assume
it's occasional block that, you

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can't assume it. You can't
assume anything, because you

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need imaging to know what it is.
You can go see the doctor, get

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an ultrasound, and it will show
what it is. So, don't sit on,

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don't diagnose yourself either.
Okay? Because I have another

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comment here. Well, I assume
it's a blockage. How do you keep

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it from happening? Lack of
ejaculation does not cause

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testicle pain, right?
Ejaculation has nothing to do

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with testicle pain. Sometimes
testicle pain can be from

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trauma, but it could be multiple
causes that can be easily

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diagnosed by just an imaging
test called the ultrasound, so

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the function of the testicle is
to bring the sperm up into the

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Okay, Modern Man. If you're
struggling with weak erection,

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prostate, and the prostate store
the sperm in a sac called

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low energy, the food you eat
could be the big part of the

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self-saminal vesicle, and then
when you ejaculate, the sperm,

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problem. One of the best
research pathways to boost

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along with the seminal fluid,
comes out, and the seminal fluid

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circulation, support healthy
testosterone and improve sexual

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performance is the Mediterranean
diet. It's packed with food that

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protects those sperm to allow it
to survive in the female. So

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open up your blood vessel, lower
inflammation, and fuel your

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that is the function of the testicle.

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Thanks for listening to the
Sexual Health for Men Podcast.

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00:10:14,462 --> 00:10:18,716
hormone, naturally. I've seen
men notice real improvement in

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both energy and erection within
weeks when they shift to this

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style of eating. So check out
the Mediterranean diet link

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00:10:27,295 --> 00:10:31,479
right here below, and get that
as soon as you can. Stronger

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testosterone and better erection.

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If you love this episode, then
please take a screenshot on your

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phone and post it on Facebook,
Instagram, or wherever you post,

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00:10:44,755 --> 00:10:48,055
and be sure to tag me and let me
know why you like this episode

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and what you like to hear in the
future. That will help me know

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what's great for you and I would
love to give you the most

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incredible free gift designed to
help you improve performance

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quickly. Go to my website at
sexualhealthformenpodcast.com to

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00:11:03,130 --> 00:11:06,940
get the book, The Five Common
Costly Mistakes Men Make When

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Facing ED. I would appreciate if
you subscribe, leave a review on

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00:11:10,930 --> 00:11:14,830
Apple podcasts or wherever you
listen. And just know that you

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can have sexual vitality for
life. I appreciate you. Until

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next time.