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If you've noticed a drop in semen volume,
don't just blame your testosterone.

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Ignoring early signs of ED doesn't just
hurt your performance; it can actually

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lead to permanent physical shrinkage.
Today, I am breaking down the hidden

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causes behind low volume, why your brain
is actually your primary sexual organ and

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the exact daily protocols to fix it. We'll
cover the lifestyle changes you need and

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why using a penis pump and regular
masturbation are medically necessary to

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protect your function. Let's dive in.

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This podcast is for you, the Modern Man.
I'm Dr Anne Truong, your host. I'm an

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intimate health medical doctor and best
selling author of the book, Erectile

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Dysfunction Fix. I'll do a deep dive into
sexual health and performance and how it

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affects men of all ages and backgrounds.
So let's get started, and be sure to visit

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my website at
sexualhealthformenpodcast.com for more

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information and resources from the show.
See you on the inside.

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"I don't have any more sperm. Nothing
comes out. No feeling down there, and

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mental stimulation." I'm not sure what
meaning mental stimulation. Well, first of

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all, are you talking about sperm or you
talking about semen? And you said I don't

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have any more sperm coming out, so I
assume you're talking about semen. And so

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there's several reason why if you're not
able to get enough semen, right? It could

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even be dehydration. It could be that your
prostate is enlarged. It could be

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something going on with your testicles. It
could be that your pelvic muscles are weak

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and it's not able to expel out the semen
volume. It could also be that your

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testosterone level is low. So if you're
not able to ejaculate, and you really need

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to be evaluated by urologists because you
need to look at your prostate size, need

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to look at your testicles, need to look at
your testosterone blood level, and get

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your pelvic muscle checked. Because
sometimes you have weak pelvic muscle that

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you're not able to expel out the semen
from the prostate. Because semen is stored

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in the prostate. It needs to be literally
expelled out during ejaculation. But if

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your pelvic muscles are weak, it's not
going to be able to do that. So that is

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the recommendation there.

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I'm not sure what you mean by mental
stimulation, because guys, if you're

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feeling that you are less aroused or your
libido is low, you're not as aroused with

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someone that usually is you aroused with.
Then one, get your testosterone level

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checked. You need to know what your
testosterone level is because testosterone

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affect libido. And then two, if you're
watching porn, stop it because sometimes

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porn will affect your arousal mechanism
that starts in your brain. So porn is now

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more common, more easily accessible now.
Because you can watch porn on your phone

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now. It's more easily accessible, and porn
will mess up with your arousal mechanism

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in your brain. If you don't get aroused in
your brain here, nothing's gonna go down

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below the belt. Because an erection starts
with arousal first, but you're not getting

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aroused. Check your testosterone level.
Check if you're doing porn. Stop porn, and

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then also other thing too is: Are you
depressed? Are you anxious? If you're

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depressed and anxious, then that's gonna
affect arousal as well too. Are you

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stressed? Because when you're stressed,
that's gonna also affect arousal. So there

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are several things that affect that.
Because there are six systems that

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stimulate interaction, and the the brain
is the largest sexual organ, the brain,

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your brain is the largest sexual organ
that stimulate interaction. Not your

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penis; it has to start in your brain.
That's why you have morning wood. Morning

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wood happens when you're asleep. When
you're asleep, your brain is relaxed.

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You're relaxed. You're not thinking about
things that stresses you out. You're not

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depressed. You're not anxious. You're
relaxed, and you and you're in deep sleep.

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That's why morning would happen because
you're totally relaxed. And also your body

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start to make testosterone at nighttime.
And the peak level, your testosterone is

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actually around seven A.M. So the point
that I'm trying to make here is that

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you're aroused when you're relaxed. The
more relaxed you are, the more aroused you

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will be. And that the brain is the largest
sexual organ, so everything has to start

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in the brain. How do you get aroused? You
get aroused by five senses. So through

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touching, through seeing, through smell,
through what you eat. Your food will

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actually will affect your arousal
mechanism. And also your ears, what you

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hear. Those are the sensory feedback that
will send messages to your brain, which

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then is processed through your emotional
status. Like, are you depressed? Are you

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anxious? Are you relaxed? That gets
processed through it. And then the

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hormones in your brain gets released.
Would then send messenger to the nerve in

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the back of your brain, would then travel
down to your heart, which then pump higher

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and then open up your blood vessels, and
then to your penis. So the penis is the

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last organ, but everything starts here.
Three steps start in here in the brain. I

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can't tell you how important your mental
status is and relaxation is to having an

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erection. The more relaxed you are, the
better your erection is. All right? The

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more relaxed, the better the erection. So
that's why you have morning wood. In fact,

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you have about three to six erection while
you're sleeping, without even knowing it.

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Okay, so it's important how the brain is
impact upon the erection.

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And sometimes when you have no feeling
down there, Anthony, it could be a sign of

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also low testosterone as well too. And
sometimes when you're masturbating too

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forcefully, that can affect feeling down
there as well too. How much is too

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forcefully? When you start having
bruising, when you start having swelling

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in your penis, that probably too much
forcefully right there. My point here is

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that your sexual health is important, but
it's very common to start losing it as you

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get older or as you get busy. And so if
you start working on reversing your ED

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when it's early, the chance of getting it
back 100% is a lot easier than if you wait

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10 years. You wait until ED medicine stop
working. Well, by that time, there's too

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much damage by that, right? It's like it's
like fixing your car. Fix your car. You

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want to fix it when first having problem.
You don't want to wait until you're

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driving and the smoke start coming out of
your car, right? So take care of your body

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like you will take care of your car, and
you will find out it goes a long way. I

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hope that I can make that clear to you
all. And don't try to chase after a shiny

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object. Okay? Don't try to chase after
something new, something like improve

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man's body. It's innate program. You are
programmed to have an erection, and it's

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one of the oldest system in the body. Your
body wants to have you have an erection,

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so you don't want to add anything
different in your body for your erection.

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And so you don't want to have that
struggling with that. You need to know

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that you need to know start with your ED,
fixing your ED early, that way you can get

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full reversal. You wait too late; it's
gonna be take only hard to reverse it.

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Nothing is impossible. I work with a man,
and he had ED for 40 years, and we're able

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to reverse his ED for functioning again.
So nothing is impossible, but it takes

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work. One thing I want to point out to you
is that you can reverse your ED, but it

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takes work from you. Yes, you. You have to
put in the work. Even if you come and see

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me in your office, I can boost you and get
things started, but you still have to put

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in the work of eating better, exercising,
of sleeping, and then stress reduction.

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You do all that, you're going to reverse
it. But if you don't, it may not. Because

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we all want an easy button, but our body
is not cooperating with that because our

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body's a lot older than the computer and
an easy butt. And so the key here is that

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you got to put in the work. But how
important that is to you, that is the

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point that I want to make.

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Okay, Modern Man. If you're struggling
with weak erection, low energy, the food

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you eat could be the big part of the
problem. One of the best research pathways

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to boost circulation, support healthy
testosterone and improve sexual

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performance is the Mediterranean diet.
It's packed with food that open up your

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blood vessel, lower inflammation, and fuel
your hormone, naturally. I've seen men

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notice real improvement in both energy and
erection within weeks when they shift to

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this style of eating. So check out the
Mediterranean diet link right here below,

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and get that as soon as you can. Stronger
testosterone and better erection.

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"As a 35-year-old man who hasn't had sex
in three years, going on four. What step

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would you recommend I should take to ease
back to a healthy sexual life? I don't

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have ED, or at least I hope I don't."
Well, that's good. You're 35, and I hope

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that you're in good health. I hope that
you're not obese. Obese means BMI of over

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30. I hope you don't have high blood
pressure. I hope that you don't have

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diabetes, and I hope that you don't have
high cholesterol. If you do, if you have

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diabetes, high blood pressure, high
cholesterol, you can just follow the

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Mediterranean diet, exercise to reverse
those three conditions. I'm just assuming

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you're a healthy guy. But if you do have
high blood pressure, high cholesterol and

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diabetes, just follow the Mediterranean
diet and exercise. You will reverse that.

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Because you're young. You can reverse. And
if you haven't had sex for  three, four

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years, I hope you're not watching porn
because porn will mess your arousal

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mechanism up. So, what step would you
recommend to ease back into a healthy

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sexual life? What step is if you're still
having morning wood, it's a good sign.

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Okay? You're not having morning wood, then
it's not great. But either way, I would

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suggest you use a penis pump three times a
week. It's more like a maintenance. I

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would suggest you use a penis pump to kind
of train, exercise your penis to show

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what's like to have an erection. I don't
know you masturbate, but there's nothing

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wrong with masturbation. Masturbation is
like exercising your penis. So use the

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Thanks
performance quickly. Go to my website at

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penis pump to exercise your penis and
clear the pipe once a week. Nothing wrong

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with masturbation. Clearing the pipe,
right? You want to clear the pipe once a

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week and then use the pump about three
times a week to get you that way your

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penis knows what it's like to have an
erection. Because when you do the penis

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pump, it's gonna prevent atrophy or
shrinkage of the penis. It's gonna prevent

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scar tissue because you haven't had an
erection in a while. Your penis would

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start having a scar tissue that get
developed inside the muscle, and it

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actually prevent it from getting an
erection. So the phrase "use it or lose

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it" is so true for your penis. You don't
use it, you're actually gonna find that

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you're gonna lose it. So you really need
to retrain your penis again to have an

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erection. How do you do that? Using the
penis pump. And then number two is

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masturbating once a week to clear the
pipes. Check to see if you have morning

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wood or not. Most likely you are, and
you're good with that. Just make sure that

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you follow eat the Mediterranean diet. I
would recommend you do a Mediterranean

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diet. The Mediterranean diet will also
help with your erection, but also help you

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lose weight, sleep seven hours at least at
nighttime, and stress management decrease

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your stress. Those are the things that I
would recommend for you right now, Limo,

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to do is that those four things: measuring
diet, exercise, sleep, stress. Use the

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penis pump three times a week, and clear
the pipe once a week as well. Why do you

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want to clear the pipe? Want to clear the
pipe because you don't want the prostate

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to just be inactive because the prostate
is what store semen. If you don't

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ejaculate, just gonna get bogged up in
prostate. So you want to kind of clear it.

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That's why I call clearing the pipe.
Nothing wrong with masturbation. In fact,

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masturbation is an innate feeling. Your
body said, you know, you need to exercise

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your penis and clear the pipe.

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sexualhealthformenpodcast.com to get the
book, The Five Common Costly Mistakes Men

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Make When Facing ED. I would appreciate if
you subscribe, leave a review on Apple

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podcasts or wherever you listen. And just
know that you can have sexual vitality for

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life. I appreciate you until next time.