If you're over 40 and waking up three times a night to use the
bathroom, your body is trying to tell you something. A lot of men
are turning to CBD to help with prostate inflammation, but it
comes with one major hidden catch. Today we're talking about
BPH, your sex life, and how to protect both.
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.
"If taking five milligrams of tadalafil daily for BPH, can I
also take CBD tincture?" The short answer to that question is
yes. CBD tincture, you're taking it to calm yourself, taking it
for sleep, you're taking it for pain. CBD can help with all
that, help with anxiety, help with sleep, help with pain, help
even with inflammation. So it depends on what you're taking it
for. But you can take tadalafil with CBD. Just make sure that
CBD do have some THC in there as well, and you may test positive
on urine test. So if you work in an environment that require
urine test, you have to be clean, you have to be very
careful with those products. Okay? And five milligrams of
tadalafil, very common for BPH, because it does work well.
BPH is essentially enlargement of the prostate, and here's the
prostate, here's the bladder. Imagine your body cut in half
like this. The man, here's the bladder. Here is the prostate
that sits right below the bladder, and this is the seminal
vesicle that stores sperm. The prostate function is to add
semen fluid to the sperm, so it can survive in the vaginal canal
and travel up to the uterus for implantation. So this is the
pubic bone. It's the pubic bone right here, and the pubic bone
should be more like above right here, but this model, and the
urethra, which is the pipe that connects the bladder that goes
through the prostate, go to the penis, so that way you urinate,
that's how you urinate. And as when you ejaculate, it comes
from the prostate, it goes through again the urethra, the
urethra is the pipe that you also bring out urine, right, to
go through and come out. So urine and semen go through the
urethra, here, okay? And this is the prostate. Oftentimes
prostate can be palpated or touched by just external right
underneath the scrotal area. At least you can touch it and feel
the prostate, and some men I do ultrasound to look at the
prostate. And in some men it's about two centimeters or one
inch just below the skin, it's very superficial. You can
actually feel it. It's about an inch below the skin right here,
just inside. You can see it. But the best way to reach the
prostate is through the rectum right here. When doctor do a
finger exam, put a finger in here and feel for the prostate
internally and check the size for the prostate internally. So
this the best way is to internal exam where the doctor put the
finger in and feel for the prostate.
And if you're a man and now is over 40, you should get your
prostate check through finger exam as well as getting a PSA.
Because men, that when you get older, you have an enlarged
prostate. And so enlarged prostate is more common than you
think. But doesn't necessarily mean that it's cancer. If it's
enlarged, oftentimes it can be enlarged as long as it doesn't
affect your urine stream, because the urethra, which is
the pipe that takes out your urine, go through the prostate.
If the prostate is enlarged right here, then it will
compress the urethra, which is the tube that brings out your
urine. It will compress the urethra, and therefore that's
why you have symptoms of decreased stream. The stream is
not as long when you are younger, and that's why it takes
you longer to urinate. Also, sometimes you have to do double
void, because when you go urinate, you don't empty
everything in the bladder, because the prostate is clamping
down on that. Other symptoms is that you tend to leak when
you're not urinating. And other symptoms is also night time, you
at night time you go like two, three times, four times a night
to go to the bathroom. So when you have enlarged prostate. It
affects your sleep. You have to get up and go to bathroom. And
enlarged prostate doesn't necessarily cause ED, but
indirectly can cause ED, because it's interfering with your sleep
and it's causing you stress to manage the symptoms. And also
there's a nerve, the nerve that goes to the penis lies on top of
the prostate, and sometimes when the prostate is enlarged, it can
affect that nerve as well. So, enlarged prostate directly does
not cause ED, but indirectly can also contribute to ED, but not
the primary factor. All right?
And the reason why men that are older have enlarged prostate
because of low testosterone, as well as inflammation. Drinking a
lot of liquor can cause inflammation of the prostate.
But interestingly, men that have at least three times sexual
intercourse in a week tend to have less enlargement of the
prostate and less get prostate cancer and live longer. So
essentially, if you are sexually active three times a week, then
it will help with enlargement of the prostate. Okay? And
development of prostate cancer. So, normal size of a prostate is
like a walnut, it should be like a walnut size, like this, or 30
grams. 30 grams is normal size of a prostate. Probably the same
size as this right here, 30 grams. But you know when you
have a large prostate, because it's gonna affect your urine
stream, it's called lower urinary tract symptoms, or LUTs.
That's when you determine whether you need to do a
procedure called TURP to go in. So they go into your urethra,
and they go in through here and make a larger opening, so that
way you can urinate again. But one thing is this: if you have
such a large prostate and it compresses down on the urethra,
it's going to cause retrograde, the urine kind of go backward to
the bladder, sometimes even semen will go backward
retrograde ejaculation. And also the bladder start to get stiff
and was filled with scar tissue. So the bladder become not as
flexible either, so it doesn't get the urine out. So it has
like a backward effect as well. So not only it will affect your
urine stream, it may affect the erection, will also affect the
functionality of the bladder because of the compression on
the bladder itself. If you find that you are urinating more than
two times night time and your urine stream is not as strong,
go see a urologist and get your prostate check. Oftentimes, is
it enlarged and it's affecting your urine stream, you're going
to be taking medication.
But I will tell you this: diet, Mediterranean diet. If you
follow Mediterranean diet, it will also help with decrease in
the size of the bladder, because it's anti-inflammatory. And
also, if you moderate your alcohol content, we keep your
alcohol consumption to about 14 drinks or less for the week,
because alcohol is inflammation to the prostate. And so those
two main things can help with the size of the prostate. It
mainly is medication, but you can take supplements like saw
palmetto, ashwagandha, will also help as well, too. So,
ashwagandha, saw palmetto, all that will also help. And we have
that available as prostate support. Prostate support is in
our store at ED No More. All the ingredients that you need to
help with inflammation of the prostate. The prostate, it's a
very, very complex structure. It is between the bladder, then
it's between the penis and it affect your erection, it affects
your semen. It also affects the bladder and can cause retrograde
ejaculation. It can cause sometimes so much enlarged you
can't even get the semen out as well. You definitely need to get
a check. Don't ignore it, because it could also be cancer.
Cancer is small, but could also be, but especially you need to
get a monitor if you have a family history of prostate
cancer.
I like to talk about the prostate and what it is, because
it's very common for men. And if you're 50 years old, 50% of you
will have enlarged prostate. If you're 60 years old, 60% of you
will have enlarged prostate. And now we're seeing prostate cancer
showing up in younger men in their 40s. Used to be a cancer
of men in the 60s and 70s, but now we're seeing it in men in
their 40s as well, too. So that's why the recommendation is
to get checked around 45, okay? Used to be that get check around
60, now it's like 45 and even in your 40s. So I hope that helped.
Let me know what you guys think.
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.
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