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  1. 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...
  2. 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...
  3. 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...
  4. 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...
  5. 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...
  6. 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.
  7. 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...
  8. 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...
  9. madman

    A Review of Surgical Options for Peyronie’s Disease

    https://www.vjsm.info/videos/legend-series/a-review-of-surgical-options-for-peyronies-disease Abstract PD-Pathogenesis-The Current Paradigm Indications for Surgical Reconstruction Conclusions
  10. madman

    Defining clinically relevant responses in erectile function: an SMSNA position statement

    https://academic.oup.com/jsm/article/23/3/qdaf392/8507270
  11. madman

    If you’ve been told you need a TURP or HoLEP, you need to see why this is the new gold standard for BPH

    41:00 – The Big One: How to keep your ejaculation and sexual function post-surgery. Are you waking up 3 times a night? Tired of the "weak stream" and meds that don't work? Most men think surgery means choosing between peeing better or losing their sex life. They’re wrong. In this episode...
  12. madman

    How Priapism Leads to Penile Implants (And When It's Too Late)

    In this video, Dr. Jonathan Clavell, men's health specialist and top penile implant expert in Houston, Texas explains what ischemic priapism is, why an erection lasting more than four hours is a true medical emergency, and how delayed treatment can lead to permanent erectile dysfunction. Dr...
  13. madman

    Treating Erectile Dysfunction (ED): Your Options in 2026

    When lifestyle changes and medication stop working, it’s not the end of the road. Join Dr. Kapadia, a recognized Coloplast Titan Center of Excellence surgeon, for a transparent deep dive into Erectile Dysfunction (ED) treatments. In this session, we move beyond temporary fixes to discuss the...
  14. madman

    Dicot Pharma Advances New Erectile Dysfunction Drug LIB-01 to Phase 2b

    https://www.dicotpharma.com/en/press/press-releases/?slug=dicot-pharma-initiates-tablet-manufacturing-ahead-of-phase-2b-clinical-study Uppsala, Sweden, March 12, 2026. Dicot Pharma AB announces that the company has successfully completed the development of LIB-01 as a tablet and initiated...
  15. madman

    Breaking Barriers in Sexual Health: Dicot Pharma’s LIB-01 and the Future of ED Treatment

    This episode of BioBiz Buzz spotlights the rapidly growing global markets for erectile dysfunction (ED) and premature ejaculation (PE), conditions impacting over 500 million men worldwide. Your host Mike Ward interviews Elin Trampe, CEO of Dicot Pharma, who discusses the company’s innovative...
  16. madman

    A new approach could radically change erectile dysfunction treatment: Melanocortin Therapy

    * “It’s amazing — it’s been a quarter of a century, and until recently, there really haven’t been any promising, competitive molecules that could match PDE5 inhibitors in terms of efficacy and tolerability.” * Unlike PDE5 inhibitors, which act locally to enhance and trap blood flow in the...
  17. madman

    Erectile Dysfunction Isn’t Just About Sex — Here’s What It’s Really Telling You

    In this episode of Hormones and Hope, Dr. Chhaya Makhija begins a two-part series on men’s health and erectile dysfunction with urologist and sexual medicine specialist Dr. Katherine Klos. Key Takeaways: * What are the medical causes of erectile dysfunction? * Can erectile dysfunction...
  18. madman

    Assessing the Decline in Libido: Hormonal Complexity, Vascular Health, and Psychosocial Stress

    https://www.bocaratontribune.com/bocaratonnews/2026/04/assessing-the-decline-in-libido-hormonal-complexity-vascular-health-and-psychosocial-stress/ 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...
  19. madman

    Peyronie’s disease acute phase: How should it be managed?

  20. madman

    Peyronie’s Disease: From Clinic to O.R. with Tips for Success

    Peyronie's Disease This presentation provides a practical, experience-driven guide to the evaluation and management of Peyronie’s disease, spanning clinic-based therapies through operative intervention. Jeffrey C. Loh-Doyle, MD, Assistant Professor of Clinical Urology, University of...
  21. madman

    Why Bad Sleep Is Destroying Your Erection

    If you have erectile dysfunction and you’re not sleeping well — or if you’ve never been tested for sleep apnea — this video explains why that matters more than you might think. We break down the three biological mechanisms that connect sleep to erection quality, what obstructive sleep apnea is...
  22. L

    Need some input / direction please <> Labs Attached

    Good afternoon! 53YO, been on TRT for almost 10 years. I switched to a local provider for my TRT. My E2 has spiked and I'm dealing with the usual ED, zero libido, no focus and indifferent on everything (again). But this round of ED is so much worse and I'm hoping an AI would bring the E2 down...
  23. V

    Cheapest online pharmacy in canada for cialis ?

    Hi ! (please authorized pharmacy ONLY) Cheapest i found was 84.99$ + shipping for 28x5mg generic. I would prefer the real cialis brand because by personnal experience the effects are way better. but its 192.99$ for 28 so i dont have the budget at all... if anyone has a better option let me...
  24. madman

    Relationship between erectile dysfunction metabolic syndrome

    Dr. Corona another powerhouse in the field! * The current video summarizes and critical analyzes available evidence from the first reports to a recently updated meta-analysis [1]. Data derived from a meta-analytic approach, including 25 studies and 18,237 subjects showed that MetS was...
  25. madman

    Unravelling the complexities of orgasm, erectile dysfunction, and the impact of common medications on sexual health

    Dr. Goldstein! 00:42:18 Erectile dysfunction causes 01:28:34 Long-term use of ED medications In this episode, Dr. Rena Malik, MD sits down with Dr. Irwin Goldstein, a pioneer in sexual medicine, to unravel the complexities of orgasm, erectile dysfunction, and the impact of common...
  26. madman

    Phase II clinical study for SPONTAN rapid-acting intranasal spray for the treatment of erectile dysfunction

    https://www.theaustralian.com.au/business/stockhead/content/ltr-pharma-takes-spontan-phase-ii-study-to-its-climax-after-completing-recruitment/news-story/f0bd2afde9e4c24f1039ef2aadfb626a
  27. madman

    Erectile Dysfunction and Infertility

    In this powerful episode of Fertility Fact or Fiction, Dr. Victory sits down with urologist and men’s health expert Dr. Justin Houman to break down one of the most misunderstood topics in reproductive health: erectile dysfunction and male infertility. Is erectile dysfunction just a...
  28. madman

    Plaksha University to Harvard - Research focused on hormone-protein interactions to understand hormone bioavailability

    Bright future! Big things coming soon! Yuvna Jain, a Biological Systems Engineering student at Plaksha University, is currently a research intern at Brigham and Women’s Hospital, Harvard Medical School, Boston, through the Khorana Scholars Program. Working in the lab of Dr. Shailendra...
  29. madman

    Recent and future advances in penile prothesis design

  30. madman

    The Hidden Pioneer Behind Viagra & Cialis | Dr. Arthur Burnett on Erectile Dysfunction and Men’s Health

    As we close out Black History Month, we shine a necessary spotlight on a living legend whose name deserves to be spoken with the same weight as the breakthroughs he helped create. Dr. Arthur Burnett is a world-renowned urologist whose groundbreaking research around nitric oxide pathways helped...
  31. madman

    The Science Behind Viagra with Dr. Arthur Burnett

    In this episode of Med School Minutes, we sit down with Dr. Arthur Burnett, a Johns Hopkins urologist, researcher, and professor whose work helped unlock the science behind Viagra and reshape how medicine understands male sexual health. In recognition of Black History Month, we reflect on Dr...
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