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  1. madman

    How Does My Metabolic Health Affect My Sexual Health?

    There are many benefits to maintaining strong metabolic health, including weight management, a strong immune system, and reduced risk for chronic disease. But what does your metabolic health have to do with your sexual health? Ask a Sexpert! In this video, Dr. Taylor Kohn unpacks the impact of...
  2. madman

    Emergency Priapism Management

    * They break down the different types of priapism, common causes, and how to go about treating these different situations. Dr. Hillelsohn highlights the utility of phenylephrine and covers monitoring and discharge timelines for priapism. In this episode of Core EM Offsides, Dr. Mitra sits...
  3. madman

    Penile Rehabilitation and Peyronie's Disease After Prostatectomy

  4. madman

    Erectile Dysfunction as the Best Biomarker of Non-Communicable Chronic Diseases

    Go nuts!
  5. madman

    First Time Using Restorex? Here's How To Use It For Peyronie's Disease!

    First time using the Restorex traction device for Peyronie's disease? I'm Melissa Hadley Barrett and today I break down exactly how to use the Restorex traction device safely and effectively to get the best possible results. Many beginners make critical mistakes when starting out with penile...
  6. madman

    Advancing Erectile Dysfunction Research

    In this episode of Pearls & Perspectives, host Amy Pearlman, MD, is joined by Larry Lipshultz, MD, and Northwestern University andrology fellow Nicholas A. Deebel, MD, for a conversation recorded at the 2026 American Urological Association Annual Meeting. The discussion spans career development...
  7. madman

    Do Regenerative Therapies Really Work for ED?

    Regenerative therapies are showing potential as viable treatment options for erectile dysfunction. But with several treatment options available and research still evolving, how can patients decide what works for them? Ask a Sexpert!In this video, SMSNA President-Elect Dr. Landon Trost breaks...
  8. madman

    Sexual Recovery After ADT For Prostate Cancer

    Chapters 00:00 Introduction 00:23 Hormone Therapy and Sexual Function 04:06 Penile Shrinkage During Hormone Therapy 05:12 Cialis and Viagra During ADT 05:31 When to Start Cialis or Viagra 05:51 Is It Too Late to Restore Erectile Function? 06:34 When Cialis or Viagra Aren't Enough 07:25 What If...
  9. madman

    Is Your ED A Symptom Of Something Deadly? The Truth About Heart & Hormone Health - Roundtable

    Must listen here! Most men think erectile dysfunction is a bedroom problem and low testosterone is just a fact of getting older. This roundtable makes the case that both are early warning lights for your heart, your metabolism, and your long-term health and that ignoring them can cost...
  10. madman

    “Pornography and Erectile Dysfunction in the Heterosexual Male”

    Male brain sexual response Central and peripheral pathways in erection Urology Grand Rounds Presents: “Pornography and Erectile Dysfunction in the Heterosexual Male” by: Jorge Castro-Alvear, MD, Psychiatrist and Jennifer Crosby, PA-C, Advanced Practice Provider III Conclusions
  11. madman

    Penises, Peptides, and Pixie Dust – What’s Legitimate vs. Fallacy

    Historical Overview of Sexual Dysfunction Treatments • Treatments for sexual dysfunction have existed for millennia, often based on superstition, ritual, or unproven remedies. • Ancient Egypt: ◦ "Tale of King Huni and the Magician"—incantation ceremony to restore youth, involving animal...
  12. madman

    FDA approves Titan Prime Inflatable Penile Prosthesis

    * Titan Prime builds off the company’s initial Titan IPP by providing improved flaccid flexibility for comfort and concealability. Coloplast noted that Titan Prime includes kink resistant tubing (KRT) that is 11 times as durable to abrasion failure compared with the Titan KRT, as well as...
  13. madman

    HEALTH CANADA - Summary Safety Review - Finasteride and Dutasteride - Assessing the Potential Risk of Sexual Dysfunction

    https://dhpp.hpfb-dgpsa.ca/review-documents/resource/SSR1778504746731
  14. madman

    Low FT directly measured using Equilibrium Dialysis is associated with worse sexual function in community-dwelling men

    https://endo2026.endocrine.org/searchGlobal.asp Introduction The association between circulating testosterone (T) levels and male sexual function was found to be stronger for free T than for total T. However, most studies have relied on calculated free T rather than directly measured...
  15. madman

    Penis Health, What Every Man Needs to Know - Dr. Amy Pearlman

    Most men think erectile dysfunction is a bedroom problem. It's actually one of the earliest warning signs of cardiovascular disease, capable of showing up three to five years before a heart attack.In this episode, Dr. Gabrielle Lyon sits down with Dr. Amy Pearlman, a urologist trained in...
  16. madman

    Sexual Recovery After Radiation For Prostate Cancer

    * 08:22 Testosterone Recovery and Restoring Libido Timelines 00:00 Sexual Function After Radiation: What to Expect 00:52 Radiation vs. Surgery: Key Differences in Recovery 01:50 Hormone Therapy and Erectile Dysfunction Risks 02:32 Maintaining Sexual Function During Treatment 02:53 PCRI...
  17. madman

    SPONTAN®: novel intranasal therapy for erectile dysfunction

    * Pearlman and Riester discuss why treatment timing remains an important consideration for many men with ED and how rapid absorption through the nasal mucosa could support a more spontaneous sexual experience. * T-max median of 10 minutes In this episode of Pearls & Perspectives, host Amy...
  18. madman

    He Lost His Drive. Is It His Testosterone?

    You've watched him pull away and wondered if something is actually wrong with his body — and you were right to wonder. Dr. Arthur Burnett, Johns Hopkins urologist, breaks down exactly what testosterone does (and doesn't) do for men's drive, erections, and mood — and why a basic blood test isn't...
  19. Nelson Vergel

    Microplastics and Men's Sexual Health: What the Latest Research Reveals

    By Nelson Vergel, B.S. ChE, MBA | ExcelMale.com Last updated: May 2026 | Topics: Sexual Health, Testosterone, Fertility, Environmental Health If you've been following discussions about declining testosterone and falling sperm counts, you've probably heard that the causes are complex...
  20. Nelson Vergel

    The Latest Erection Enhancement Treatments: What The Evidence Shows in 2026

    By Nelson Vergel | ExcelMale.com | Updated 2026 Men exploring options for erectile dysfunction (ED) or penile enhancement today have far more choices than a blue pill. A growing number of off-label treatments — from injections to acoustic wave devices — are being used in sexual medicine...
  21. madman

    Prolonged Ischemic Priapism: Should Early Penile Prosthesis Become Standard Care?

    * Acute ischemic priapism is a time-dependent urologic emergency requiring rapid intervention to prevent irreversible tissue damage * Experimental studies demonstrate that prolonged hypoxia, acidosis, and glucopenia lead to progressive cavernosal smooth muscle injury and DNA fragmentation.2 As...
  22. madman

    Erectile Dysfunction explained to Patients and Doctors by a Specialist

    * most cases of erectile dysfunction resistant to PDE5 inhibitors is due to VASCULAR PROBLEM Many men with erectile dysfunction are treated symptomatically without identifying the underlying cause. In this video, Eric Allaire explains how physicians can approach erectile dysfunction as a...
  23. madman

    How Does My Mental Health Impact My Sex Life?

    Mental and sexual health are deeply connected, but how much do those connections affect sexual function and performance? Sexual medicine and mental health expert Dr. Christian J. Nelson joins us to explore the relationship between psychological well-being and sexual health, and how these factors...
  24. madman

    How Does the Penis Change With Age - and What Can Men Do About It?

    Curated By Nelson Vergel | ExcelMale.com | Updated May 2026 Most men assume their penis will stay exactly as they remember it from their 20s. Then, somewhere in their 40s or 50s, things start to feel different. The erections are not quite as firm, morning wood has become less reliable, and a...
  25. madman

    Risk of Erectile Dysfunction Among Reproductive-Aged Men Following Low-Dose Finasteride Use

    Dr. Hriday Bhambhvani discusses findings from “Risk of Erectile Dysfunction Among Reproductive-Aged Men Following Low-Dose Finasteride Use for Androgenetic Alopecia: A Propensity-Matched Cohort Study.” This study examines the implications of finasteride use for hair loss and its potential impact...
  26. madman

    A Johns Hopkins Urologist on Men's Sexual Health, Identity, and the Path to Authentic Manhood

    Dr. Arthur Burnett, a globally recognized Johns Hopkins urologist with 43 years of experience, breaks down the barriers surrounding men's sexual health and identity. This candid conversation explores everything from performance anxiety to the intersection of masculinity and vulnerability...
  27. madman

    Should Men on TRT Get a Coronary Artery Calcium (CAC) Score?

    Curated By Nelson Vergel | ExcelMale.com | Updated May 2026 If you're on testosterone replacement therapy (TRT), you're likely paying close attention to your labs - testosterone levels, estradiol, hematocrit, and lipids. But one critical cardiovascular test remains underutilized by most men on...
  28. madman

    Post-SSRI Sexual Dysfunction (PSSD): 15 Years of Symptoms, Research & Biological Causes

    * It is hypothesized that: ED is in part from SSRI-induced increased intracavernosal oxygen radical formation causing diffuse erectile tissue fibrosis; and reduced sensation/orgasm/libido is from SSRI-induced altered CNS neuron, synapse and neurotransmitter function. Informed consent prior to...
  29. madman

    Ask a Sexpert: Can You Have An Erection Too Long?

    What is priapism, and what should I do to treat it? In the "Ask a Sexpert" video series, we aim to answer some of the most common sexual medicine questions patients ask their providers.
  30. madman

    Start ED Meds Early: PDE5 Inhibitors Within 1 Month Linked to Lower Heart Risk and Mortality

    Abstract INTRODUCTION AND OBJECTIVES: Phosphodiesterase Type 5 (PDE5) inhibitor is effective in treating erectile dysfunction and is generally safe concerning cardiovascular (CV) risk profiles. We analyzed hazard ratio and 1-year outcome of major adverse cardiac events (MACE) to depending on...
  31. madman

    Daily Cialis (Tadalafil) After ED Diagnosis: Lower Risk of Heart Events and Death Over 3 Years

    Abstract INTRODUCTION AND OBJECTIVES: Phosphodiesterase Type 5 (PDE5) inhibitor is effective in treating erectile dysfunction and is generally safe concerning cardiovascular (CV) risk profiles. We analyzed risk ratios and outcome of major adverse cardiovascular to depending on different period...
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