1 00:00:00,840 --> 00:00:05,280 This podcast is for you, the Modern Man. I'm Dr Anne Truong, 2 00:00:05,280 --> 00:00:08,700 your host. I'm an intimate health medical doctor and best 3 00:00:08,700 --> 00:00:11,940 selling author of the book, Erectile Dysfunction Fix. I'll 4 00:00:11,940 --> 00:00:15,180 do a deep dive into sexual health and performance and how 5 00:00:15,180 --> 00:00:18,360 it affects men of all ages and backgrounds. So let's get 6 00:00:18,360 --> 00:00:21,000 started, and be sure to visit my website at 7 00:00:21,000 --> 00:00:24,765 sexualhealthformenpodcast.com for more information and 8 00:00:24,765 --> 00:00:27,525 resources from the show. See you on the inside. 9 00:00:37,845 --> 00:00:41,685 Hello there, Modern Man. I'm Dr Anne Truong. I've treated over 10 00:00:41,685 --> 00:00:46,485 7000 men with ED. In today's episode, we're going to talk 11 00:00:46,485 --> 00:00:52,170 about, are you just tired of having enlarged prostate and 12 00:00:52,170 --> 00:00:56,250 it's kind of killing your sex life and your sleep? What most 13 00:00:56,250 --> 00:00:59,730 doctor won't tell you about the shocking link between your 14 00:00:59,730 --> 00:01:04,050 enlarged prostate or BPH and erectile dysfunction, I'm going 15 00:01:04,050 --> 00:01:08,370 to discuss about today. So stay tuned to the end, so that way 16 00:01:08,370 --> 00:01:12,615 you can find out what you can do with enlarged prostate and if 17 00:01:12,615 --> 00:01:14,595 it's affecting your bedroom performance. 18 00:01:14,660 --> 00:01:20,420 While benign prostatic hypertrophy or BPH itself is not 19 00:01:20,420 --> 00:01:24,980 consider a direct cause of ED, there is significant and complex 20 00:01:24,980 --> 00:01:28,340 relationship between the two conditions. The relationship 21 00:01:28,400 --> 00:01:33,080 manifests in several key ways. Number one, shared risk factors. 22 00:01:33,200 --> 00:01:38,945 Both BPH and ED are common condition in aging men, and they 23 00:01:38,945 --> 00:01:43,445 often share underlying risk factor, which include older men 24 00:01:43,505 --> 00:01:50,165 get higher risk of either BPH or ED or both. They share lifestyle 25 00:01:50,165 --> 00:01:54,545 factors such as obesity, diabetes, high blood pressure, 26 00:01:54,605 --> 00:01:59,165 high cholesterol and heart disease. All these conditions 27 00:01:59,165 --> 00:02:04,430 contribute to either BPH progression and or ED or both, 28 00:02:04,490 --> 00:02:09,170 because these conditions, your prostate is affected by blood 29 00:02:09,170 --> 00:02:14,690 flow. So penis and prostate are dependent upon blood flow. Then, 30 00:02:14,690 --> 00:02:18,110 the penis and the prostate is also dependent upon your hormone 31 00:02:18,110 --> 00:02:22,550 changes, particularly your testosterone. The prostate gets 32 00:02:22,550 --> 00:02:27,275 enlarged with low testosterone and high testosterone, and then 33 00:02:27,275 --> 00:02:30,455 high testosterone can be converted to another hormone 34 00:02:30,455 --> 00:02:36,455 called dihydrotestosterone, or DHT, which is an inflammatory to 35 00:02:36,695 --> 00:02:40,655 the prostate. And then ED is also dependent upon low 36 00:02:40,655 --> 00:02:42,575 testosterone as well. 37 00:02:42,660 --> 00:02:48,120 Number two, there is the impact between BPH and sexual function, 38 00:02:48,180 --> 00:02:54,540 indirectly. So the frustrating and disruptive symptoms of BPH 39 00:02:54,540 --> 00:02:59,700 indirectly affect a man's ability to maintain his erection 40 00:02:59,700 --> 00:03:04,260 and overall sexual desire. Come on, admit it, waking up at night 41 00:03:04,260 --> 00:03:08,625 time, going multiple times, even up to four or five times a 42 00:03:08,625 --> 00:03:13,005 night, and then having a weak urine stream can cause 43 00:03:13,005 --> 00:03:16,785 significant distress and anxiety. Well, number one, the 44 00:03:16,785 --> 00:03:21,345 anxiety, the embarrassment of leakage during intimacy, leakage 45 00:03:21,345 --> 00:03:24,585 during the daytime and then going to the bathroom frequently 46 00:03:24,585 --> 00:03:28,905 at night. It's kind of sure reduce your desire for sex. And 47 00:03:28,905 --> 00:03:32,910 then, not to mention, the sleep deprivation of waking up 48 00:03:32,910 --> 00:03:36,210 multiple times. We talked about how sleep is important for 49 00:03:36,210 --> 00:03:40,050 testosterone, how sleep is important for healing and for 50 00:03:40,050 --> 00:03:42,690 blood flow, and you're not getting sleep when you have 51 00:03:42,690 --> 00:03:47,010 enlarged prostate, and then discomfort and pain when you 52 00:03:47,010 --> 00:03:52,470 urinate, or even ejaculation as well with BPH. Now, even with 53 00:03:52,515 --> 00:03:57,435 BPH, sometimes you can have retrograde ejaculation as well. 54 00:03:57,555 --> 00:04:01,275 The next part of psychological impact with preoccupation of 55 00:04:01,275 --> 00:04:04,995 going to the bathroom every hour, every 30 minutes, leading 56 00:04:04,995 --> 00:04:09,315 to stress, depression and almost loss of interest in sexual 57 00:04:09,315 --> 00:04:10,035 ability. 58 00:04:10,000 --> 00:04:37,492 Now number three, the side effects of BPH medication are 59 00:04:37,982 --> 00:05:04,493 pretty significant. Most medications in the class call 60 00:04:57,130 --> 00:05:14,710 Okay, Modern Man, you are not alone and you don't have to 61 00:05:04,984 --> 00:05:32,476 5-alpha reductase inhibitors or 5-ARI medication such as 62 00:05:14,710 --> 00:05:19,855 suffer anymore. ED can feel isolating, frustrating, and even 63 00:05:19,855 --> 00:05:24,835 defeating. The endless guessing, the quiet shame, the weight of 64 00:05:24,835 --> 00:05:28,915 not feeling like yourself is exhausting. But here's the 65 00:05:28,915 --> 00:05:34,195 truth, you are not broken. You are not alone. You don't have to 66 00:05:32,966 --> 00:06:03,404 finasteride or dutasteride work by shrinking the prostate, but 67 00:05:34,195 --> 00:05:39,295 figure this out alone anymore. The Get Wood Now Boost Program 68 00:05:39,475 --> 00:05:44,575 is your step by step, path to sexual confidence and 69 00:05:44,575 --> 00:05:49,120 restoration. No more suffering in silence, no more trial and 70 00:05:49,120 --> 00:05:53,980 error, just real solution, real result and the confidence you 71 00:05:53,980 --> 00:05:58,900 deserve. It's time to take back your power on your term. Let's 72 00:05:58,900 --> 00:06:02,500 get this journey started together. Check out the course 73 00:06:02,620 --> 00:06:06,925 at getwoodnow.com. I'll see you there. 74 00:06:03,895 --> 00:06:33,842 it can lead to side effects such as decreased libido, ED, and 75 00:06:06,000 --> 00:06:12,000 So some of the side effects of traditional BPH surgery, such as 76 00:06:12,060 --> 00:06:17,520 TURP, do have side effects as well, such as retrograde 77 00:06:17,520 --> 00:06:23,940 ejaculation and also ED. While enlarged prostate itself may not 78 00:06:23,940 --> 00:06:27,960 directly damage the physiological mechanism of an 79 00:06:27,960 --> 00:06:32,205 erection, like blood flow, nerve supply to the penis, but the 80 00:06:32,205 --> 00:06:36,645 symptoms of BPH, especially the side effect of traditional 81 00:06:34,333 --> 00:07:03,788 ejaculation dysfunction, such as reduced semen volume and or 82 00:06:36,645 --> 00:06:41,085 treatments such as medication and the TURP procedure, can 83 00:06:41,145 --> 00:06:45,345 impact a man's sexual health, leading to or worsening of his 84 00:06:45,525 --> 00:06:49,005 erectile dysfunction. This is why it's so important for men to 85 00:06:49,005 --> 00:06:52,605 discuss their symptoms, especially sexual one, and the 86 00:06:52,605 --> 00:06:55,770 urination symptoms, with their doctor. 87 00:06:55,840 --> 00:06:59,020 What do you need to do when you have enlarged prostate? First of 88 00:06:59,080 --> 00:07:01,960 all, go see your doctor first. Don't try to treat it yourself. 89 00:07:02,020 --> 00:07:05,200 And the signs of enlarged prostate is that your urine 90 00:07:04,279 --> 00:07:31,771 retrograde ejaculation. When semen goes into the bladder 91 00:07:05,200 --> 00:07:08,680 stream is not as strong as it used to be. It takes longer for 92 00:07:08,680 --> 00:07:12,460 you to start your urine stream. It takes you longer to stop your 93 00:07:12,460 --> 00:07:15,940 urine stream, and before, if they only take you 30 seconds to 94 00:07:15,940 --> 00:07:18,400 go to the bathroom. Now it taking you, like, 10 minutes, 95 00:07:18,400 --> 00:07:21,265 and you can make a sandwich during the whole time, and then 96 00:07:21,385 --> 00:07:24,445 after you go to the bathroom about an hour later, 30 minutes 97 00:07:24,445 --> 00:07:28,165 later, you need to go again. So called frequency. And the other 98 00:07:28,165 --> 00:07:31,825 thing also is sometimes pain with urination. But the thing 99 00:07:31,825 --> 00:07:34,465 that's most prominent is nighttime urination, or 100 00:07:32,262 --> 00:07:59,263 instead of out in the penis. Another type of medication 101 00:07:34,465 --> 00:07:38,605 nocturia, where you're getting up either between two to five 102 00:07:38,605 --> 00:07:42,610 times at night time to go to the bathroom where you shouldn't be. 103 00:07:42,610 --> 00:07:47,890 It is disrupting your sleep, and it's going to ruin your sex life 104 00:07:47,950 --> 00:07:52,570 as well, too. So go see the doctor, get your examinate, your 105 00:07:52,570 --> 00:07:56,890 prostate examination. Now the prostate, you can see from this 106 00:07:56,890 --> 00:08:01,330 is that it is just right below the bladder. This is the bladder 107 00:07:59,754 --> 00:08:29,701 called alpha blockers, such as tamsulosin or silodosin. These 108 00:08:01,570 --> 00:08:05,530 right here. It's right below the bladder, and kind of where next 109 00:08:05,530 --> 00:08:09,235 to the penis here. And the only way to reach the prostate is 110 00:08:09,235 --> 00:08:12,895 through the rectum right here. And that's how doctors do 111 00:08:12,955 --> 00:08:16,915 examination for your prostate. So it has to be examined 112 00:08:16,915 --> 00:08:21,715 internally to determine the size of the prostate. The normal size 113 00:08:21,715 --> 00:08:25,375 of the prostate is about 30 grams, or the size of a walnut 114 00:08:25,375 --> 00:08:29,860 like this. If it's more large than what it does is that it 115 00:08:29,860 --> 00:08:34,900 compresses the urethra, or the tube that connects the bladder 116 00:08:30,192 --> 00:09:01,120 medications relax the muscle in the prostate and the bladder to 117 00:08:34,900 --> 00:08:39,160 to the penis. That's how you urinate. And it's also where the 118 00:08:39,160 --> 00:08:43,240 nerve go to the penis as well too. It can also affect the 119 00:08:43,240 --> 00:08:47,740 penis function for erection but it's also intimately connected 120 00:08:47,740 --> 00:08:51,325 to the pelvic muscles. So there's a reason why they're all 121 00:08:51,325 --> 00:08:54,985 connected in one or more area, and how important that is. 122 00:08:55,020 --> 00:09:01,680 So to improve your BPH symptoms, you can do Kegel exercises. 123 00:09:01,611 --> 00:09:31,558 improve the urine flow, while this is going to lead to sexual 124 00:09:01,680 --> 00:09:05,820 Check out my video where I talk about how to do Kegel exercises. 125 00:09:06,000 --> 00:09:10,380 And you can also do external prostatic massage with a 126 00:09:10,380 --> 00:09:14,520 massager, you can also do internal prostate massager as 127 00:09:14,520 --> 00:09:18,525 well. But we have something new in the office right now that 128 00:09:18,525 --> 00:09:24,465 will treat BPH symptoms within one to two treatments using 129 00:09:24,465 --> 00:09:29,925 magnetic energy, infrared therapy and also vibration. So 130 00:09:29,925 --> 00:09:32,805 stay tuned on my next episode where I'll talk about that, 131 00:09:32,049 --> 00:09:53,650 dysfunction and also retrograde ejaculation. 132 00:09:32,805 --> 00:09:36,825 where it goes internal, the probe goes internal, and it 133 00:09:36,885 --> 00:09:40,905 treats the prostate area to improve more circulation and 134 00:09:40,905 --> 00:09:45,450 decrease inflammation. And also what's important is you can be 135 00:09:45,450 --> 00:09:49,350 treated without medication and without surgery. And what I want 136 00:09:49,350 --> 00:09:53,730 you to do first is to start doing Kegel and get your 137 00:09:53,730 --> 00:09:57,330 testosterone level measure. Believe it or not, supplementing 138 00:09:57,330 --> 00:10:02,490 testosterone level will also improve urination symptoms as 139 00:10:02,490 --> 00:10:03,030 well, too. 140 00:10:03,600 --> 00:10:08,340 And just know if you have BPH, there are options besides just 141 00:10:08,340 --> 00:10:12,900 medication and surgery, and that if you have BPH, it's also 142 00:10:12,960 --> 00:10:16,980 indirectly linked to ED. You don't have to live with that, 143 00:10:16,980 --> 00:10:21,180 and that's why our treatment focuses on not only treating ED 144 00:10:21,180 --> 00:10:26,625 symptom, but also treating the prostate as well too. So stay 145 00:10:26,625 --> 00:10:29,985 tuned for my next episode where we'll talk about how pulse 146 00:10:29,985 --> 00:10:34,245 electromagnetic therapy, infrared, and vibration combined 147 00:10:34,245 --> 00:10:38,805 in treating the prostate area. It all goes together to how to 148 00:10:38,805 --> 00:10:40,365 improve your sexual health. 149 00:10:40,360 --> 00:10:43,840 So I hope you enjoyed this episode. Let me know what you 150 00:10:43,840 --> 00:10:47,560 think, and I love to hear from you. And it will mean the world 151 00:10:47,560 --> 00:10:51,160 to me if you subscribe to the channel, share this with 152 00:10:51,160 --> 00:10:54,760 somebody that you think can benefit from this information. 153 00:10:54,760 --> 00:10:58,360 And that just know, Modern Man, you do not have to suffer in 154 00:10:58,360 --> 00:11:04,105 silence of your BPH or from ED, there are options, and we're 155 00:11:04,105 --> 00:11:08,485 here to help you with that. So also, check out our Modern Man 156 00:11:08,485 --> 00:11:11,905 Club, it's the space where I coach you to get out of ED 157 00:11:12,325 --> 00:11:17,365 towards more sexual functioning naturally. Check it out at 158 00:11:17,365 --> 00:11:23,665 noedman.com and also, just know that we're here for you, and let 159 00:11:23,665 --> 00:11:26,185 us know in the comment what you think, and I'll see you in the 160 00:11:26,185 --> 00:11:27,085 next episode. 161 00:11:27,865 --> 00:11:31,870 Okay, Modern Man, you are not alone and you don't have to 162 00:11:31,870 --> 00:11:37,030 suffer anymore. ED can feel isolating, frustrating, and even 163 00:11:37,030 --> 00:11:42,010 defeating. The endless guessing, the quiet shame, the weight of 164 00:11:42,010 --> 00:11:46,090 not feeling like yourself is exhausting. But here's the 165 00:11:46,090 --> 00:11:51,415 truth, you are not broken. You are not alone. You don't have to 166 00:11:51,415 --> 00:11:56,455 figure this out alone anymore. The Get Wood Now Boost Program 167 00:11:56,635 --> 00:12:01,735 is your step by step, path to sexual confidence and 168 00:12:01,735 --> 00:12:06,295 restoration. No more suffering in silence, no more trial and 169 00:12:06,355 --> 00:12:11,155 error, just real solution, real result and the confidence you 170 00:12:11,155 --> 00:12:16,120 deserve. It's time to take back your power on your term. Let's 171 00:12:16,120 --> 00:12:19,660 get this journey started together. Check out the course 172 00:12:19,780 --> 00:12:24,160 at getwoodnow.com. I'll see you there. 173 00:12:25,180 --> 00:12:28,420 Thanks for listening to the Sexual Health for Men Podcast. 174 00:12:29,020 --> 00:12:32,380 If you love this episode, then please take a screenshot on your 175 00:12:32,380 --> 00:12:35,800 phone and post it on Facebook, Instagram, or wherever you post, 176 00:12:36,100 --> 00:12:39,445 and be sure to tag me and let me know why you like this episode 177 00:12:39,625 --> 00:12:42,505 and what you like to hear in the future. That will help me know 178 00:12:42,505 --> 00:12:45,565 what's great for you and I would love to give you the most 179 00:12:45,565 --> 00:12:48,625 incredible free gift designed to help you improve performance 180 00:12:48,625 --> 00:12:54,505 quickly. Go to my website at sexualhealthformenpodcast.com to 181 00:12:54,505 --> 00:12:58,345 get the book, The Five Common Costly Mistakes Men Make When 182 00:12:58,345 --> 00:13:02,290 Facing ED. I would appreciate if you subscribe, leave a review on 183 00:13:02,290 --> 00:13:06,250 Apple podcasts or wherever you listen. And just know that you 184 00:13:06,250 --> 00:13:09,850 can have sexual vitality for life. I appreciate you until 185 00:13:09,850 --> 00:13:10,630 next time.