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. Have you ever been told your ED is

just in your head. I'm Dr Anne Truong. I'm a medical doctor

who's helped over 7000 men restore sexual function

naturally. My own husband struggled with ED, and what I

discovered changed his life and thousand others. Today, I'll

show you the real reason behind ED and why it's not your fault.

This will save you years of frustration, fail attempts at

solution and even money. So stay tuned to the end.

The reality is, ED is largely a physical problem which is good

for you, and once you understand the real mechanism driving it,

the actual biological breakdown happening in your body, you'll

finally understand why generic advice has not worked, the pill

has not worked, and what real solution actually need to

address. So I'm a physician specializing in sexual medicine

and regenerative medicine, and I spent over 25 years studying the

actual physiology behind ED. Today, we're going real deep on

the real root causes that most men never hear about. So let's

start by debunking the myth that got us here for decades.

Medicine categorized ED into two bins, psychological or mental,

or physical, as if ED is one or the other. However, this binary

thinking led to a massive blind spot. When doctor couldn't find

an obvious cause, they'll tell men, oh, it's just in your head

or relationship stress, the patient believed that he start

doubting himself, and the actual physical breakdown goes

untreated.

So here's what the research now clearly shows in a comprehensive

analysis of nearly 2000 ED patient, 86% had a primary

physical cause causing the breakdown. 86% have primary

physical cause that cause ED. Only 14% have purely psychogenic

causes. And get this, even those men with pure psychological ED

often develop identical severity core scores to those men with

organic ED. Why is this? Because when you live with dysfunction,

anxiety become a physical stressor that makes the problem

worse, and the mind and the body aren't separate system. They're

together and integrated. But the originating cause in the vast

majority of cases is biological or physical. So the takeaway, if

you have ED, something in your body is broken. It's not in your

mind. So this is a theory. This is what peer review research

published in journal, in nature, Journal in Sexual Medicines and

circulation consistently demonstrate that ED is a

vascular event. First, it comes from blood flow, essentially. It

may trigger psychological consequences, but it originates

in physiology, or the physical causes.

Number two, let's talk about the nitric oxide system. To

understand ED, you need to understand the molecule that

makes erection possible, nitric oxide (NO). Nitric oxide, it's a

signal and molecule. It's not something you eat or supplement

easily. You could take it from the supplement or supplement

called arugula, because it is in its pure form, but it's produced

through the body if you eat through beats, and it's primary

function, erection. So here's how it works in a healthy man,

when you're sexually stimulated, again, erection starts in the

head. The nerves in your penis release acetylcholine, which

then trigger the cells lining the penis artery the endothelial

cell to produce nitric oxide. Nitric oxide then binds to an

enzyme called soluble guanylyl cyclase, which then kind of

stimulate cyclic GMP. And cyclic GMP is the actual worker

molecule, it relaxes the smooth muscle and the corpus cavinosa,

which is the smooth muscle of the penis, the spongy tissue

that then fills up with blood during an erection. As that

smooth muscle relaxes the arteries or the blood vessel

open up, blood rushes into the penis. The pressure in the penis

increases, the vein collapse, trapping the blood inside the

penis, and you get a rigid erection. This entire sequence

depends on adequate nitric oxide production. So what happens when

you don't have enough nitric oxide? Well, the smooth muscle

doesn't relax, the artery doesn't open up, the blood

doesn't rush in, no erection or weak incomplete erection. But

here's the problem, dozen of condition and lifestyle factor

destroy this capacity for you to make nitric oxide. All right,

let me break this down for you. Number one, endothelial

dysfunction. The endothelium is a cell that line the inside of

your blood vessel. Imagine like a pipe like this, and they line

the inside of it. This is what makes nitric oxide. These cells

become damaged with aging, high blood pressure, high

cholesterol, smoking, diabetes and inflammation, such as

oxidative stress. These cells, one day become dysfunctional.

They cannot make nitric oxide anymore, especially oxidative

stress. Oxidative stress means your body has too many free

radical or poor inflammation from poor diet, smoking stress,

they attack and destroy your nitric oxide molecule. That's

why you're producing less nitric oxide than before. Another thing

is insulin resistance. This is huge. When your cells become

resistant to insulin, insulin essentially drive its hormone

that drive blood sugar that floats in your blood vessel into

the cell. When insulin become resistant, several things

happen. So what happens is that with insulin resistance, this

activation fails, so simultaneously, inflammation

increase, which then damage the endothelium and decrease nitric

oxide.

Men, struggling to stay hard? Most of the time it comes down

to poor blood flow. That's why I put together the Good Morning

Wood smoothie, a nutrient packed blend designed to restore blood

flow naturally. My patient often notice improvement in just a few

weeks when they take this part of their daily routine. Click

the link below to get the recipe and start boosting your blood

flow and firmness today, or go to goodmorningwoodsmoothie.com.

Inflammation. You can measure inflammation by a high CRP or C

reactive protein interleukin or even other molecules such as TNF

alpha, but these inflammatory markers actively damage

endothelial cells, again, reducing nitric oxide and no

erection. So when someone tells you ED is in your head, what

they're actually missing is that you have a biochemical breakdown

in nitric oxide production or even availability. That's a

physical problem, a real problem, one that require

addressing oxide

take this nitric oxide, it will give you more nitric oxide even

when your enzyme is not working well. Know that as you age, once

you get over 40, your nitric oxide production decreases by

50%. So even if your nitric oxide system is working, you

still need adequate blood flow to the penis. That's where blood

flow or vascular insufficiency comes in your penis arteries are

small, about one to two millimeter in diameter. They're

like a size of an ant. They are fed by larger arteries that

branch off of the groin arteries. So those larger

arteries are narrow or stiffen, which then happens with

conditions like atherosclerosis, high blood pressure, chronic

inflammation. Your penis then doesn't get enough blood flow in

there. This is called arterial insufficientness, and it's one

of the most common form of ED.

So here's a clinical metric, researcher measure something

called peak systolic velocity. It's a speed of blood flow in

your penis during arousal. If that velocity dropped below 25

centimeters per second, you have a significant arterial

insufficiency. Your arteries become too narrow, too stiff,

not enough blood getting in. So now what causes the artery to

narrow? A condition called atherosclerosis, plaque buildup

in your arteries. The same way that plaque buildup in your

heart. This happens when you have high cholesterol, diabetes,

high blood pressure, smoking, overweight and eating a poor

diet. So the plaque narrows the artery. So think of the arteries

like a pipe, and the plaque is like a gunk that gets stuck on

the side of the pipe, so it narrows the opening of the pipe,

so less blood is flowing in. Are you following me on that? Great,

because this is what happens. It starts first in your penis

artery. Because penis is so small, it's only one to two

millimeter, which is like a size of an ant and the arteries in

your heart is about three to four millimeter. Okay, so if

your ED is almost like a warning sign of poor blood flow. Here's

the thing, the lining your arteries become non functional,

blood doesn't flow smoothly, and plaque starts to stick, and it

gets bigger and bigger and bigger. And then after that,

your arteries become stiffer, so it doesn't become flexible at

all.

But here's something most men don't know about. You also need

to work properly as well. Outflow from the penis. So for

the erection to be maintained, the vein that brings out the

blood out of the penis need to be compressed by the increased

pressure in the corpus cavernosum. So if this venous

tone is impaired or if the smooth muscle on those vein

doesn't respond properly, the blood leaks out. So then you no

longer have a rigid erection. This is called venous leak. So

if you have artery which is incoming blood that comes in, is

be insufficient. Then you have venous leak, which is blood

going out is insufficient. Well, that's a double whammy, so

sometimes you may need to have a Doppler ultrasound to identify

is it inflow or outflow problem there? Okay, so I just want to

mention that at this point.

But here's something critical that changes how you should view

your ED your penis arteries are significantly smaller, and

therefore your ED is really a warning sign, guys, that you're

going to have some heart issues in about seven to 10 years. Keep

that in mind. Don't ignore ED. So Ed isn't just a sexual

problem. It's a warning sign. Treat it properly by addressing

the root cause of it, you're gonna save your heart and you're

gonna live longer. Alright?

likely

pre compared

So other causes of ED and what's called metabolic dysfunction,

and what it means is that it's a metabolic syndrome that

to mention is that testosterone also play a role in erection.

However, testosterone is often blamed for ED, but here's what

the research shows, most men don't have ED problem because of

low testosterone alone. Hypogonadism, or true

testosterone deficiency, is a rare cause of ED. However,

testosterone influences erectile function through multiple

mechanism, which is nitric oxide production is regulated by

testosterone as well. Penile nerve function is also

maintained by testosterone, and the vascular health or the

endothelium, also is controlled by testosterone. Even

psychological arousal, testosterone plays a huge part

in desire, motivation, which then trigger the whole erection

cascade. So while low testosterone isn't usually the

primary cause, it is often a contributing cause, and

addressing it can improve outcome when combined with other

treatment for blood flow. What's important is to know that ED is

caused by vascular, hormone, inflammation, and now we're talk

about nerve. The erection function also depends upon the

nerve signaling as well. If the nerve has to travel all the way

from your brain down to. To your penis. Condition that affect

your nerves are diabetes and a nerve injuries such as spinal

cord, no injury pelvic surgery, like prostate surgery or bladder

surgery or rectal surgery can lead to Ed, and even peripheral

neuropathy can lead to ED as well. So interestingly, research

shows that improve vascular health, or blood vessel health,

often improve nerve dysfunction that causes ED because the nerve

and the blood vessel are co dependent on one another. So

essentially, if you improve your blood flow, you also will

improve your nerve as well, too.

And don't forget the psychological layer. So I'm not

dismissing psychology. The mind and body connection is real and

powerful. But here's accurate picture. Psychological stress

and anxiety don't usually cause ED in men with healthy blood

flow, healthy metabolic system. Instead, they often emerge as a

consequence of ED. So a man experiences ED once, and then

have anxiety about it, which increases

decrease blood flow. Now he has a genuine performance anxiety

problem layer on top of his original blood flow and

metabolic problem. Do you follow me with this? So it really do

tie together. So if performance anxiety is a real complicating

factor, but it's rarely, rarely a root cause in men over 40. But

here's what's critical, if you treat the anxiety but don't want

dress underlying vascular blood flow or hormone problem, your ED

will persist. You might feel better, but the physical part

still remains.

So that's why the common scenario for ED is usually mix a

combination of physical and psychological, and you need to

treat both. And that's why treating the root cause matters?

Because when you restore proper blood flow and metabolic

function, the psychological component often resolved on its

own as well. Other risk factor, you know, I want to mention too

is smoking, poor diet, diet that's high in fat, high in

sugar, and then sedentary lifestyle, no exercise, and then

increase body fat or obesity and uncontrolled high blood pressure

and uncontrolled blood sugar and chronic stress and sleep

deprivation. Don't forget alcohol abuse. Drinking more

than 14 drinks a week is not good as well, too.

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.

So the critical insight is, most men ED is reversible. I want to

say that again, reversible, by addressing these modifiable

factors, you're not stuck. Your body can heal with the right

intervention. So this is what I did for my husband. I used the

Get Hard System to address the six system between the brain,

the hormone, the nerve, the blood vessels and the muscle to

treat his ED. That is our Get Hard System. And I've been doing

this for a long time, I've seen thousands of patients. I've seen

them improve by us treating the root cause. Okay, so when you

treat the root cause, you take care of the problem permanently,

and then you get restored function again. That's the

reason why I created the Get Hard System to treat ED at his

root function. Find out if you're a candidate for the Get

Hard System to restore erection again and kill ed at his root

cause. Check down the link down below, right here, on how to

work with me to get out of that. And also check there's an eBook

that I wrote the five mistakes men with ED make because don't

make those mistakes. Just know that ED is reversible when it's

treated early, and that you don't have to live with it.

There are natural alternative that will get you out of ED. And

you are not broken, right? There is nothing shameful about this.

Address this head, we are here to help you.

Having said that, guys, I will see you next episode. Make sure

you subscribe to our channel. That will make my day if you do

so. Thank you so much.

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

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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.