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  1. L

    Pt-141 side affect

    I recently tried PT-141. It gave me raging random erections for about 7-8 hours. Problem is is that the next morning I couldn't get an erection to save my life. Anyone else had this problem?
  2. madman

    Treatment of Sexual Dysfunction & Male Infertility: What the Guidelines Say & What They Do Not

    * She outlines key domains of dysfunction, including erectile dysfunction, ejaculatory disorders, low libido, and hypogonadism, and reviews how these may be assessed in a clinical setting. Helen L. Bernie, DO, MPH, Director, Sexual and Reproductive Medicine and Assistant Professor of...
  3. T

    Persistent ED after steroid cycle despite normal hormones, normal Dopplers, hormone optimization – could I still be missing a hormonal mechanism?

    Hi everyone, I have been trying to solve this for almost 8 years and would really appreciate any ideas, especially from people with experience in endocrinology or post-cycle recovery. Timeline First cycle (2017) Used multiple anabolic steroids (honestly a mess). Also used 1500 IU hCG every 10...
  4. madman

    High-value laboratory testing in erectile dysfunction, reduced sexual desire,and suspected hypogonadism

    * Male sexual symptoms are biologically heterogeneous and clinically nonspecific. Erectile dysfunction, reduced sexual desire, impaired spontaneous erections, and broader androgen-deficiency symptom clusters may arise from vascular, psychogenic, relational, neurological, metabolic, endocrine, or...
  5. madman

    The Mental Story Behind Erectile Dysfunction (And How to Rewrite It)

    * The conversation covers the simple self-test Stephanie uses to help men figure out whether their ED is mental or physical, the fight-or-flight explanation for why anxiety physically blocks arousal, and why one bad experience can spiral into a chronic pattern through anticipatory fear. In...
  6. madman

    Somatic-Autonomic Nerve Grafting in Patients with Persistent Erectile Dysfunction in Post Radical Prostatectomy

    Introduction Conclusion
  7. madman

    Sexual Function in the Spinal Cord Injury Population

    This series highlights the incredible research done by SMSNA investigators across a broad range of sexual medicine-related topics. In this video, Dr. Aron Liaw sits down with Dr. Amelia Khoei to discuss the unique sexual health considerations for patients with spinal cord injuries, from erectile...
  8. madman

    Men’s Sexual Health: What Erectile Dysfunction Can Reveal

    If you’re searching late at night about erectile dysfunction, low testosterone, libido, or fertility, you’re not alone—and those questions can be an important clue about your overall men’s wellness. In this episode of Baptist HealthTalk, host Dr. Anthony Gonzalez sits down with Dr. Justin...
  9. 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...
  10. 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...
  11. madman

    Penile Rehabilitation and Peyronie's Disease After Prostatectomy

  12. madman

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

    Go nuts!
  13. 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...
  14. 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...
  15. 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...
  16. 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...
  17. 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...
  18. 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
  19. 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...
  20. 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...
  21. 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
  22. 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...
  23. 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...
  24. 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...
  25. 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...
  26. 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...
  27. 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...
  28. 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...
  29. 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...
  30. 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...
  31. 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...
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