Secrets of good ERECTION

madman

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Critical point that needs to be stressed here is aging causes physical and structural changes to the penile arteries and tissue completely independent of your metabolic health.


* Erectile dysfunction drugs are extremely effective when used correctly, but they only treat the symptom, not the condition. They cause an erection but tissue damage persists and progresses over time. Many men with moderate/severe erectile dysfunction will not respond to medication over the next few years as the corporal lesions have multiplied.












 
ED is multifactorial and vascular issues are the most common cause.

T plays a small role!

* only about 5% or less of erectile dysfunction is caused by hormone imbalances like a testosterone deficiency, surprisingly but its true because it has a smaller role with erections

* most erectile dysfunction is caused by vascular issues so vascular is the most common cause because many men have high blood pressure, cholesterol issues, heart disease and blood flow problems or even obesity which impedes blood flow, diabetes lots of different things





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Listen closely 45:04-47:32

The T level needed for normal erectile physiology is much lower than many men are led to believe!




Dr. Peter Bajic

* In all of the literature that I have read, in all the textbooks that I have read, the guideline panels that I have sat on, data that we have reviewed over and over again to my knowledge there is no conclusive evidence to suggest that testosterone impacts function of the venous-occlusive mechanism specifically whether or not the valves are closing but definitely TESTOSTERONE ACTS IN A PERMISSIVE FASHION FOR NORMAL ERECTILE PHYSIOLOGYt, so the whole pathway that Viagra and Cialis work on or PDE5 inhibitors, PDE5 is a normal component in erectile physiology that pathway which Im not going to delve into because its super complicated even for me, you have to have an adequate amount of testosterone there for that whole thing to work, this is why men who are on androgen suppression therapy or hormone suppression therapy for prostate cancer most of them not all of them most of them when there testosterone goes to 0 they have a very hard time getting an erection and Viagra and Cialis don't work because they don't have any testosterone, but that NUMBER HOW MUCH TESTOSTERONE DO YOU NEED TO TURN THAT LIGHT SWITCH ON IS NOT A 1000 ng/dL LIKE SOME TESTOSTERONE SHOPS MIGHT TRY TO CONVINCE YOU, ITS PROBABLY SOMEWHERE IN THE RANGE 200-250 ng/dL OKAY SO HAVING JUST KINDA LIKE A NORMAL LEVEL, EVEN LOW-NORMAL IS USUALLY ENOUGH FOR THAT PHYSIOLOGIC FUNCTION



 

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