There is one molecule that determines whether you get an erection or you don't.
One molecule. It is not testosterone. It is not an ED pill. It is not a supplement
your gym buddy told you about. It is called nitric oxide. And right now,
depending on how much damage you have done to your blood vessels and your nerve, your
body may be producing almost none of it.
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.
I'm Dr. Anne Truong. I'm a board-certified medical doctor specializing in sexual
health. I've been a doctor for 25 years treating men with ED. I have come to think
of nitric oxide as the master switch for male sexual function. When it works,
everything downstream works. When it doesn't, nothing does. So today I'm going
to explain exactly what nitric oxide is, why most men with ED have a nitric oxide
problem, and how using the penis pump, done correctly, with the right protocol is
one of the most powerful tools we have for turning that switch back on again to
increase your nitric oxide. This is the science behind why the pump works. And
once you understand it, you will never look at the treatment the same way again.
Let me give you the simplest possible explanation of how an erection works. Your
brain receive a signal either through your eyes, your nose, your taste, what you hear
and touch, where it's visual, emotional, physical. It sends an electrical message
down to your nerve that supplies the penis. Those nerves do one critical thing:
they release nitric oxide. That nitric oxide travel to the penis muscle and opens
up the arteries and tells the muscle to relax. When the smooth muscle relaxes, the
arteries open, blood rushes in, and the erection fill up. So the smooth muscle
relax, and the blood fills in, and then you have an erection. Pressure build, you
get a firm erection. That is it. The whole mechanism. Nitric oxide is what unlocks
the signal. Without it, the door doesn't open. No matter how much blood is
available, no matter how much testosterone you have, no matter how aroused you feel,
if nitric oxide signal is weak, the smooth muscle or the penis muscle stay
contracted, and blood cannot get in.
Now, here's what most men, and honestly, a lot of doctors don't fully appreciate.
There are actually two separate sources of nitric oxide in the penis, and they have
different jobs. The first is called neuronal nitric oxide, or nNOS. This comes
from the nerve ending themselves. When you receive sexual stimulation, the nerve fire
and releases nitric oxide to initiate the erection. Think of it as the ignition key.
It starts the engine. The second is called endothelial nitric oxide or eNOS, it comes
from the endothelium, which is the thin inner lining of your blood vessel. As the
blood begins to flow and increase shear force against those wall, the endothelial
cell produces its own nitric oxide to sustain and amplify direction. Think of
this as the fuel that keep the engine running. You need both of them. And in men
with ED, both are typically compromised. So this is where it gets important, and
where most treatment falls short. The condition that caused ED are the exact
same condition that destroyed nitric oxide production. Diabetes damage the nerve
ending that produce neuronal nitric oxide. The nerve literally cannot fire the way it
used to. The ignition key is broken. Cardiovascular disease and high blood
pressure damage the endothelial lining of the blood vessel. The cells that should be
producing endothelial nitric oxides are stiff, inflamed, and dysfunctional. The
fuel system is compromised. Low testosterone reduces the expression of
both neuronal nitric oxide and e nitric oxide. So your body literally makes less
of the machinery needed to produce nitric oxide. Oxidative stress that comes from
smoking, processed food, chronic inflammation destroys nitric oxide
molecule before they can even do their job. It's like pouring gasoline on an
engine and lighting on fire before the car can even move. Age alone also reduces
nitric oxide production. After the age of 40, most men are producing meaningfully
less, about 50% less nitric oxide. After 60, the decline is a lot more significant.
Now, here is what I need you to understand about Viagra, Cialis, or other ED pills on
the market. These drugs do not produce nitric oxide. They do not fix the system.
What they do is block the enzyme, which normally break down nitric oxide. By
blocking that breakdown, the drug extend the effect of nitric oxide your body is
already producing. Which means, if your nitric oxide production on your own is
declining, if the nerve is damaged, if the endothelium is impaired, there is
progressively less to work with that the drug can do. That's why only 70% of men
using Viagra, Cialis finds it helpful, and after a while, it doesn't help anymore. So
it was never fixing anything. It was just borrowing from a reserve that was quietly
getting smaller. The question is not how to extend the effect of nitric oxide. The
question is how to rebuild your capacity to produce it. This is where the pump
comes in.
How the penis pump rebuild your nitric oxide system. When you create suction with
the penis pump, you are doing something that most men will never ever know. You
are mechanically stimulating both sources of nitric oxide: the nerve and the
endothelial nitric oxide. So here's how stimulating the endothelial nitric oxide.
When you pump, it draws blood to the penis muscle. That blood is moving through the
penal artery that create what is called shear stress, the physical force of blood
flowing into against the vessel wall, the endothelial cell detect this force and
respond by producing more eNOS enzyme and releasing more endothelial nitric oxide.
This is the same mechanism made cardiovascular exercise so beneficial for
heart health. When you run or cycle, your heart rate elevates. It increases blood
flow to your artery, which then creates a shear stress that upregulate the eNOS
system throughout your body. Your blood vessels become more responsive. Your
endothelium become healthier. The penis pump does specifically and directly does
on the muscle the exact location where you need it the most, in the penis. The penis
pump will increase your eNOS in the penis. Research has shown that regular vacuum
therapy or penis pump increases ENOS expression in the penile tissue. In plain
language, your blood vessel get better at producing molecule that open them up
nitric oxide.
Okay, how the penis pu,p stimulate the nerve nitric oxide system? Regular penile
blood flow keep the nerve ending alive and functional. When tissue is chronically
oxygen deprived, which is what happened with untreated ED, the nerve ending in the
penis just gets worse and worse. That nerve fibers that produce the neuronal
nitric oxide literally degenerate. So using the penis pump here reverses that
pathway by repeatedly flooding the tissue with oxygenated blood, you are maintaining
the metabolic environment that nerve and neg need to stay healthy. You are keeping
the ignition system alive. Think of it this way: if you broke your arm and put in
a cast for five years without any physical therapy, without any movement of blood
flow or stimulation, what would happen? The muscle would atrophy, the nerve would
lose sensitivity, the tissue would stiffen. Now imagine a physical therapist
working with that arm every single day during recovery. Gentle movement, control
resistance, regular blood flow. The outcome will be completely different. This
is what the penis pump is doing. The physical therapy for the nitric oxide
system inside your penis.
So, guys, it is more than just an erection. It is increasing nitric oxide in
the penis and the nerve in the endothelium level. 10 minutes, twice a day, consistent
protocol. You are training the biology. So, 10 minute erection inside the cylinder
twice a day. So, not only are you treating ED at the source of the problem as well.
Okay, so the pump stimulate your body produce and use nitric oxide more
effectively, but you can dramatically amplify those results by giving your body
the raw material it needs to make it. So you can give it nitrate. All right,
nitrates are leafy green like spinach, arugula, beets, and kale. These are high
in dietary nitrate, which your body convert to nitric oxide through a pathway
that does not depend on damaged nerve endings or endothelium. That is through a
pathway that uses the bacteria in your mouth which then convert to nitric oxide.
Next, sunlight. So more vitamin D, UV light trigger nitric oxide release from
nitrite store in the skin. Men with less sun exposure have measurably lower
circulating nitric oxide level. This is one of the reasons why heart health and
sexual health often decline in the winter month. Aerobic exercise, full body version
of what the pump does locally, 20 to 30 minutes of moderate exercise a week
increases your eNOS expression. So you are training your endothelium throughout the
whole entire vascular system, including the penis artery.
So, what to eliminate? Smoking destroys nitric oxide directly and immediately. A
single cigarette measurably reduced blood flow in the penis for hours. Alcohol also
impaired the endothelial nitric oxide function. Processed seed oils drive
oxidative stress that degrade nitric oxide before it can even work. Chronic sleep
deprivation reduces nitric oxide production and testosterone
simultaneously. So when you are doing all this alongside your daily pump protocol,
you are not just using a device. You are running a comprehensive biological
restoration system.
I want to tell you about a patient I will call Terence. He was just 60 years old
when he came to see me. Years of blood pressure medication. He's been on and off
Viagra for decades. It's been working less and less. When we did his full workup, the
picture was clear: endothelial dysfunction, low nitric oxide indicator,
nerve sensitivity decline. The ignition key was worn down before the fuel system
was even compromised. We started the Get Hard System. Penis pump was part of his
daily routine, so is the Mediterranean diet. Nitric oxide supplement with
arugula, which is called our Get Hard System. We improve his diet, his sleep got
better, alongside with the clinic treatment with his own stem cell and
Botox. After a few months, he told me something I will never forget. He said, "I
had one erection that felt like I was in my 20s." He was not imagining it. His
biology has changed. The nitric oxide pathway has been retrained. The tissue was
responding again. This is the power of treating the root cause instead of just
chasing the symptom.
Here's what I want you to leave with today. ED is not a mystery. It is a nitric
oxide delivery problem caused by damage to two systems that produce it the nerve and
the blood vessel. Viagra does not fix those system; it borrows from them. The
penis pump, used consistently with the right protocol, is one of the most
evidence based tool you have of mechanically stimulating those system to
heal and regenerate. Pair that with the Mediterranean diet and exercise, and you
are flooding your body with raw material for nitric oxide production and rebuilding
and increasing blood flow for better erection. If you want to go further, if
you want the full picture, what's happening in your body, comprehend the
blood work and a doctor-guided protocol is what we're talking about in the Get Hard
System. If you want to know how we can help you, click the link below for
discovery call or join us in the Modern Man Club at NoEDMan. com, where we will
work with you and work together to get you out of ED towards a pathway where you can
restore your sex life again. So there is hope. You are not broken. You are not
alone, and do not suffer in silence. Check out the Modern Man Club at NoEDMan.com.
Having said that, it will mean the world to me if you subscribe and set
notifications, share it with somebody you think will be helpful, and let me know
what you think about this episode. We just finished our four-part series, Taking Your
Penis to the Gym, where we start out with the benefit of the penis pump, and the
penis pump with exercise, and the penis pump with Mediterranean diet. Now, how the
penis pump increases nitric oxide together. So, having said that, check the
series call "Taking Your Penis to the Gym" in our playlist, and you will get the
roadmap and how to restore your erection again. See you in the next episode.
Okay, Modern Man. If you're struggling with weak erection, low energy, the food
you eat could be the big part of the problem. One of the best research pathways
to boost circulation, support healthy testosterone and improve sexual
performance is the Mediterranean diet. It's packed with food that open up your
blood vessel, lower inflammation, and fuel your 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.
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
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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.