Sexual Dysfunction - A General Approach

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Thread 'Muscle Mass, Testosterone & Erections: The Doctor's Blueprint for Men’s Health'

Aug 12, 2025

* the best overall marker for overall health in men is ERECTILE FUNCTION


* One of the most striking points from the discussion was Dr. Kohler’s perspective on erectile dysfunction (ED). He described it not just as a sexual problem, but as one of the earliest "check engine lights" for heart disease. The blood vessels to the penis are smaller than those in the heart, so plaque buildup (atherosclerosis) affects them first. Persistent erection issues can signal vascular problems that may soon affect your heart.

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• madman
• ed; cvd; testosterone/hrt; health
• Replies: 9
• Forum: Testosterone and Men's Health Articles

 

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Thread 'Penile Doppler Explained: Normal Study vs Arterial Insufficiency and Venous Leak'

Aug 23, 2025

Penile Doppler ultrasound is a vital tool for evaluating vascular causes of erectile dysfunction. In a normal study, adequate arterial inflow is demonstrated by a peak systolic velocity (PSV) greater than 30–35 cm/s, and proper venous occlusion is confirmed by a low end diastolic velocity (EDV) approaching zero. This pattern supports the achievement and maintenance of a firm erection. In contrast, the abnormal case shows a PSV less than 25 cm/s, indicating arterial insufficiency, and a persistently elevated EDV of 5–9 cm/s with continuous diastolic flow...

• madman
• penile doppler us; ed; vascular; imaging technique
• Replies: 11
• Forum: Health & Wellness

 

[madman]

Thread 'The interplay of health and heart health on sexual function: understanding the impact of CVD on sexual dysfunction in men'

Oct 26, 2025

* Erectile dysfunction is a marker of underlying cardiac disease, but many doctors are just not asking!




@Nelson Vergel

This is powerful!

6:00-6:15

* You need to lose about 75% of the lumen of the coronary artery before you get your first cardiac symptom but if you lose even a small amount of the very small penile artery you get sexual problems

https://vimeo.com/1100857015?share=copy&fl=cl&fe=ci
VIDEO HERE

Dr. Mike Kirby

Summary

Take Home Message

• madman
• ed; cvd; cardiovacular health
• Replies: 21
• Forum: When TRT Is Not Enough (ED, Libido, & More)