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 who treated over 7000 men with ED. In today's episode,

we're going to talk about, how can you tell whether your

erectile dysfunction is psychological versus is it a

physical cause? I get that question a lot, especially in my

patient who come by to see me, and they want me to

differentiate whether their ED is either physical or is it more

psychological? So let's kind of dive into this.

What are the psychological causes of ED? Number one, it

could be stress and anxiety, like performance anxiety, fear

of intimacy, or past trauma can contribute to ED. Depression can

both affect sexual desire and erectile function. Relationship

issues such as poor communication between the

partners, unresolved conflict or even emotional distance. The

fourth one is low self esteem, often due to past episode of ED

or maybe unrelated issues. If the symptoms of ED, for

psychological ED, can be that ED may occur in a specific

situation or with certain partners, but with other

partners it may not occur. And that the symptoms are variable.

It's inconsistent and it's not predictable. It's known by the

inconsistent ability to achieve or maintain erection. But it's

also maybe different in circumstances, also different

with partner. The number one thing is that you're able to

achieve nighttime erection, and you're able to achieve

masturbation. So you can get an erection with masturbation, and

you can get an erection with morning wood.

Now, what are some of the physical causes of ED there are

many. Let's just kind of hit on the major point. Number one is

that if you're smoking, you're going to get ED. That's what

number one physical cause. And if you're watching porn, then

you're going to have ED, period. And then the other major

physical issue is vascular issues like heart disease or

diabetes, and then issues such as low testosterone or chronic

conditions such as obesity and certain medication may cause it.

And also neurological disorders such as multiple sclerosis, such

as the spinal cord injury, but the number one thing is that

vascular condition. So if you have heart disease, heart

disease mainly happen from either high cholesterol or high

blood pressure, and also, if you're drinking more than 14

drinks a week, that can contribute to ED 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.

ED from physical causes are gradual. It developed over time,

developed over years, and it's a consistent symptom, unlike the

psychological ED which is inconsistent symptom. The

physical cause of ED is consistent symptoms like

persistent inability to achieve or maintain the erection across

all situation, across all partners, across all

environments, and that the physical sign may include, maybe

atrophy or the penis getting smaller, or there may be bending

of the penis as well too. So the diagnostic approach to tell

difference between psychological and physical ED, the doctor

takes a very thorough history of all your medication, all your

chronic condition, chronic condition to consider like high

blood pressure, diabetes, high cholesterol, and your weight,

your heart rate, all your medication that you take, and

then your past medical history that you've had in the past. And

then the physical examination is a test to look for your blood

flow like, how good is your pulses? What is your heart like,

your lungs like? And making sure to check that you don't have any

testicle abnormality or any curvature of the penis, or any

restrictions, any even atrophy, and also evaluating the

integrity the pelvic muscles.

Now on top of that, we look at blood tests. So doctors look at

blood tests like your hormone level, looking at your blood

sugar, looking at your blood level to see if you're anemic,

looking at your kidney function, your liver function, and your

testosterone level, your total, your free and your sex hormone

binding globulin data as well. And then, if necessary, do a

penile doppler ultrasound, as an ultrasound, where we look at the

blood vessels of the penis to determine how much blood flow is

going into the penis from the artery and how much distension

of the veins. And then, now there is a ring that you can

wear, like the FirmTech ring. Check the link below to get that

where you can put it around your penis to see if you have night

time or morning erection that you may not be aware of. And of

course, as doctors, we also assess to see what your stress

level is, your anxiety level is, and your relationship issues.

So you account for all this, and with the thorough history, you

can somewhat differentiate psychological and physical

causes. And then, once this is determined, a treatment is

tailored based upon the identified causes. Always treat

the cause of your ED rather than just taking an ED medication.

Because when you take an ED medication, you're just treating

the symptoms. You're not treating the cause of ED. If

you're taking ED medication, it's like putting a band aid on

an infected wound. You're just covering it up because you're

not treating the causes, which could be diabetes, high blood

pressure. Maybe it's the smoking, maybe this drinking a

lot, and maybe it's the overweight then. So if you're

not treating the cause of the symptoms, then your ED will only

get worse over time, even with ED medication. So I hear men

say, "Well, I take Viagra, and it works very well, but what's

going to happen in a year from now, three years from now, it's

not going to work very well, because the cause of why you

have ED in the first place have never been addressed. Just like,

if you have a tooth that is hurting, would you just brush it

and just soak it with just mouthwash, rather than trying to

go see the dentist and find out what's going on. So look for the

root cause of the problem and treat it. You treat it early,

you're gonna have total reversal of your ED and sometimes it's

just as little as changing your diet, and sometimes it's just as

little as maybe you need to lose a little bit of weight. And if

you start early, then you're gonna have more remarkable

recovery. So having said that, I hope you enjoyed this episode. I

would appreciate it if you subscribe to the channel, share

the channel to someone that you think may benefit from this.

And that just know that you do not have to live in ED there are

options, and you don't have to live with it. You don't have to

suffer in silence anymore. There are alternatives. That's why I

created the course Get Wood Now Boost program where you don't

have to suffer in silence, and that these are a success path

for you to start getting erection function again. Check

it out at getwoodnow.com. Check out the link below. Now just

know that you can be the Modern Man again to live a sexual,

fulfilling life. I will see you in the next episode.

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.