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.

Hello there, Modern Man. I'm Dr Anne Truong. I'm a medical

doctor sexual health specialist. I treated over 7000 men. In

today's episode, we're going to talk about the size behind

lasting erection. So stay tuned with me, because I'm going to

kind of touch upon several areas that will be very important for

you to know.

Now, a lasting erection is the result of complex interplay

between psychological, neurological, vascular and

hormones. The process is highly regulated, involving the central

nervous system, which is in the brain, the peripheral which is

outside of the brain, and interplay with nitric oxide

playing a critical molecular role. Now let's talk about the

key physiological mechanism. Number one, neural activation.

This process begins in the brain. Sexual Arousal begins in

the brain, not below the belt. The brain is the largest sexual

organ, so it has to stimulate up here first. So the first thing

that gets stimulated is through your senses, your eyes, your

nose, the smell your mouth, what you taste, what you hear through

your ears, and what you touch through your hand. And or on top

of that, you can also have psychological stimuli, which is

thoughts and emotion. So the brain sends signals through the

spinal cord in the back of your head here, to the nerve all the

way to the penis, but it starts here. If it doesn't start here

in the brain, it isn't going to go anywhere below the belt.

And then the next part is the parasympathetic nervous system

has to be activated for an erection to occur. The

parasympathetic nervous system releases neurotransmitters or

chemicals that relaxes the smooth muscle of the penis,

particularly the penile arteries and the corpus cavernosum, which

is the smooth muscle in the penis, now stress and anxiety

activate the sympathetic nervous system, which then can inhibit

erection by making the blood vessel constrict, increasing

muscle tone in the penis. So the bottom line is, stress and

anxiety inhibit erection because it does not allow for blood to

flow in, or that the muscle in the penis not relaxed in order

to accommodate the engorgement of the blood flow. So you need

to be in the parasympathetic. You need to be relaxed. The

muscle of the penis has to be relaxed. Your mind has to be

relaxed in order for you to get an erection. Okay? So any type

of anxiety or stress, both, your erection is inhibited right

away.

The next part is nitric oxide release. So upon sexual

stimulation, either locally or also by the sensors that I

talked about, the parasympathetic nervous system

release nitric oxide into the corpus cavernosum. Nitric oxide

is the primary molecular mediator for penile erection. So

it goes into the smooth muscle or the corpus cavernosum and

activate quantulate cyclase or cyclic GMP with levels, which

then cause the smooth muscle relaxation and opening the blood

vessels. Essentially, nitric oxide relaxes the smooth muscle

of the penis and open up the blood vessel, so that way you

have more increase in blood flow.

The next event is the vascular event, where you have relaxation

of the smooth muscle the arteries, which then open up the

blood vessel in order for the penis to have increasing blood

flow. And also, when the penis is in war to have increasing

blood flow, it then compresses, or the veins gets compressed,

trapping the blood in the penis, maintaining rigidity. So the

erection is an interplay between blood flow in and then the veins

get compressed, and then the blood stays in the penis. The

next part is that the veins need to be compressed and how it's

compresses, because the muscle then and gorgeous, and then the

vein is compressed against a lining called the tunica

albuginea, which then prevent the blood from leaving the

penis, sustaining direction. So with men who has ED, the veins

or the venous leak, is what causes the loss of direction,

which is the first symptom of ED. So luckily, when there is

venous occlusion, we can treat that. So factors influencing

your erection duration is blood flow and vascular health. So

adequate inflow and efficient vein occlusion are essential for

maintaining an erection.

Condition that impair your vascular health is like

atherosclerosis, diabetes and high blood pressure.

Atherosclerosis a condition where hardening of the blood

vessel artery and these can reduce erection quality and

duration. So watch what you eat. You don't have diabetes.

Exercise, so you don't have high blood pressure. Maintain healthy

weight and also eat a Mediterranean diet, so you don't

have to get atherosclerosis. These are all reversible, men.

It's not something you inherit. It's reversible. So if you want

to maintain your reaction, have good quality and a longer

reaction, watch what you eat, follow the Mediterranean diet,

exercise, decrease your stress, maintain your weight at a

reasonable level, and you don't have to deal with

atherosclerosis, diabetes or even hypertension. Now next is

hormonal balance, testosterone, other hormones influence your

libido or your sex drive, and also erection function. Hormonal

imbalances, especially low testosterone, can shorten the

duration of your erection.

Next is the most important part, probably is psychological state,

is anxiety, stress and performance pressure can

activate the sympathetic nervous system, which I talked about

earlier, which is the stress system, and when that is

activated, you lose your erection. So men, stop

overthinking about it, stop over analyzing it. Don't get stressed

out or get anxious about your erection, because when you do,

the sympathetic nervous system gets activated, your erection is

gone. So you need to stay relaxed, and you need to stay

calm to activate your parasympathetic nervous system

and sustain your erection.

The next part is medication and substances. Certain medications

such as antihypertensive or blood pressure medicine or

antidepressant and alcohol and recreational drugs can really

impair erectile function by affecting the nerve and the

blood vessel system. And also lifestyle such as smoking can

also impair erection as well. The smoking impair your vascular

pathway.

Next is age. Aging is associated with decreased endothelial

function, or the lining of the blood vessel, in lower

testosterone and increased prevalence of other conditions

such as obesity, high blood pressure and diabetes, and

therefore can contribute to shorter or less reliable

erection. However, all the condition I talk about is

actually reversible, so you can't help that you get older,

but the condition that you acquire when you get older is

reversible, is controllable as well.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Let's talk about the nitric oxide, the cyclic GMP pathway.

Nitric oxide induce cyclic GMP accumulation is central to

keeping an erection, so phosphodiesterase type five, or

PDE-5, breaks down cyclic GMP. PDE-5 inhibitors such as Viagra,

prolong erection by maintaining and sustaining cyclic GMP levels

and smooth muscle relaxation. That's one of the reason why my

treatment involves regenerative medicine, using stem cell

therapy to help restore vascular and healthy tissue again. And

also using focused shockwave to improve blood flow and stimulate

angiogenesis, which is stimulate more blood flow and breaking

down the microvascular plaque and offering long term benefit

for ED. And we also add in Botox, because Botox relaxes the

muscle. So the combination of stem cell to restore vascular

tissue and focus shockwave to break down the plaque and

improving blood flow, and then Botox to relax the penile

muscle, all work together to improve blood flow, improve

erection.

So conclusion, lasting erection depends on optimal function of

your nerve, your blood vessels and your hormones and the nitric

oxide smooth muscle relaxation. Also, psychological relaxation

is pivotal to your erection. So don't overthink it. Stay calm

and activate your senses to activate the brain, because

sexual arousal starts in the brain. But the good part is that

all of these work in synergy together. You don't even have to

think about it. Your body is made to have an erection. But

just know that any disruption of any of these domain can lead to

erection difficulty. That's the reason why I created the Get

Hard System. The Get Hard System is what reverses all of the

dysfunction to help you have better erection again. Shockwave

therapy, we've also added high frequency electromagnetic chair,

where you sit on the chair and it does 10,000 Kegels exercises

for you. Why is this important? Because this will make the blood

stay in the penis longer, for better erection, but also the

pelvic muscle gets strengthened, so that way you can hold the

erection longer as well, too. Regenerative medicine with stem

cells to restore blood flow. Botox to relax the muscles. And

then we stress that you maintain the Mediterranean diet and also

a good exercise regimen at this time. And just know that ED is

reversible if you know what you need to do. Start with just your

diet and exercise, sleep, and reduce your stress, and that

you're gonna go a long way at this time. And if you start to

have ED at this point, start with diet, start with exercise,

that will go a long way. And get your blood work, check your

testosterone level as well. So that's a lot in today's episode,

and I hope that you get something out of this. It's a

lot to pack in, but I wanted to kind of throw in there on many

different pathway in your body that work together cohesively,

and that if one is not working well, it will lead to erectile

dysfunction, and we're here to help. You do not have to suffer

in silence at all. So reach out to see if we can work together

to get you restore performance. Check out the calendar link

right here to see if you can schedule a time with me to get

you back in performance again. Go to

restoreperformancesecret.com or check the link down here and

check out that you do not have to live with this, there are

alternatives to ED beside medication and surgery, and

subscribe to the channel, and I will see you in the next

episode, Modern Man.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

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 designed to help you improve performance

quickly. Go to my website at 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.