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.