Stop Sabotaging Your Sex Life: Secrets Every Man SHOULD Know - Dr. Mohit Khera

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madman

Super Moderator
Dr. Khera getting real deep here!

Nelson's house is where it's at!

A must listen here!





In Episode 1102, Dr. Mohit Khera, Mark Bell, Nsima Inyang, and Andrew Zaragoza talk about how erectile dysfunction may be an indicator of a much severe issue. They also discuss cures and remedies for erectile disfunction and what helps Dr. Khera's patients better than testosterone replacement therapy.




CHAPTERS:


00:00 - Exercise and Erectile Dysfunction
03:00 - Erectile Dysfunction as a Sign of Heart Disease
05:42 - Daily Cialis Benefits
08:41 - Weight Loss and Sexual Health
10:10 - Who Should Consider Testosterone Replacement Therapy (TRT)
14:25 - How Dr. Mo
15:34 - Treating Both Partners in Sexual Dysfunction
17:28 - Libido Drop After Starting TRT
22:15 - Long Term Effects of TRT on Erectile Dysfunction
23:23 - Importance of Sleep for Sexual Health
24:44 - Porn Induced Erectile Dysfunction
27:34 - How to Talk to Your Doctor About Sexual Dysfunction
29:44 - Female Sexual Dysfunction
31:54 - Testosterone for Women: Side Effects
34:43 - Pellets for Women: First Type of Testosterone
39:05 - What Scares Dr. Mo
41:00 - Normal Testosterone Levels Explained
45:32 - Declining Interest in Sex
49:15 - Sex Span vs Lifespan
51:39 - Catching Cancer Early
52:03 - Importance of Knowing Your Health Numbers
56:15 - Penile Implants Overview
1:00:40 - How to Get Your Lab Work Done
1:02:10 - Heart Health and Erectile Dysfunction
1:03:46 - Negative Effects of Low Testosterone
1:07:40 - Understanding Premature Ejaculation
1:13:20 - Daily Cialis for Additional Health Benefits
1:14:38 - Risks of High Testosterone Levels
1:15:56 - Manual Therapy for Erectile Dysfunction
1:16:54 - Attraction Issues and ED
1:18:57 - Medications to Enhance Libido
1:20:08 - Primary Anorgasmia Explained
1:21:20 - Not Having Morning Wood: What It Means
1:22:30 - No Ejaculate: Causes and Solutions
1:24:30 - Healthy Ejaculation Frequency
1:24:31 - Satisfy Your Partner's Needs


  • Many men with penile implants wish they had done it sooner, as it allows them to have sex whenever they want, without performance concerns. These implants, covered by Medicare, are praised for their high satisfaction rates and functionality.
  • Regular exercise significantly improves erectile function, with 180 minutes of exercise per week showing measurable benefits.
  • Erectile dysfunction is often an early indicator of underlying health issues, such as heart disease or diabetes, with a significant percentage of men who develop ED later suffering from heart attacks or strokes.
  • As societal obesity and diabetes rates increase, testosterone levels are steadily dropping. This decline exacerbates health issues like heart disease and metabolic disorders.
  • TRT can help men with ED, depression, and other health problems, but it's crucial to consider the long-term effects, especially for younger men. High doses of testosterone are not always beneficial and can lead to complications, such as infertility and dependency.
  • Weight loss has been found to improve overall well-being, sometimes even more effectively than testosterone replacement. Lifestyle factors such as diet, exercise, sleep, and stress reduction are essential for optimal health.
  • The importance of treating both male and female sexual dysfunction in couples is highlighted, as sexual issues often affect relationships deeply. Female sexual dysfunction is under-researched but prevalent, with nearly 48% of women in the U.S. experiencing it, though few seek treatment.
  • TRT and daily medications like Cialis help maintain sexual function, protect cardiovascular health, and improve the quality of life when combined with lifestyle changes.
  • Morning erections, also known as nocturnal erections, are seen as indicators of penile health, and regular erections are vital for maintaining erectile function. Additionally, the video touches on medications, supplements, and treatments that can assist in improving libido and sexual performance for both men and women.
 
Defy Medical TRT clinic doctor
Again libido is multifactorial!

Yes you will eventually adapt to your new set-point!


17:28 - Libido Drop After Starting TRT

1:18:57 - Medications to Enhance Libido










Libido starts in the brain.

Neurotransmitters have a big impact especially dopamine.

There is a fine balance here when it comes to the dopamine system!

This is key here..... dopamine circuits are powerfully regulated by androgens!


*dopamine circuits are powerfully regulated by androgens

*androgens as potent modulators of prefrontal cortical operations and of closely related, functionally critical measures of prefrontal dopamine level or tone

*androgens dynamically control meso prefrontal dopamine systems and impact prefrontal states of hypo- and hyper-dopaminergia

*dopamine-dependent prefrontal operations appear to universally follow inverted U shaped functions

* androgens maintain a lifelong capacity to bidirectionally modulate prefrontal dopamine tone

*By targeting enzymes and signaling molecules associated with androgenic metabolites of testosterone (Fig 1), these studies more directly implicate androgens in modulating prefrontal function. They also show that both supranormal androgen stimulation and androgen deficiency negatively affects prefrontal operations (Fig 2A). This inverted U- shaped function is similar to that described for functional meso prefrontal dopamine settings (Cools R and D'Esposito M, 2011; Cools R et al.,2019; Floresco SB, 2013; Floresco SB and Magyar O, 2006)

*The data also demonstrate an inverted U-shaped function that describes these dopamine effects. According to this function, prefrontal dopamine levels— often referred to as prefrontal dopamine tone- that are either higher or lower than a functionally optimal set point are detrimental to behavior and circuit function (Fig 2B).






*The male sexual response cycle is complex and the exact role of testosterone in mediating libido, arousal, erection, ejaculation, and orgasm is multifactorial

*This hormone isn’t the only biological factor with clear, substantial power over our libidos





*Again having a healthy FT is only one piece of the puzzle as libido let alone ED are multifactorial.

*Getting quality sleep, minimizing stress (physical/mental), following a healthy diet, exercising/staying active, improving overall vascular health will have a far bigger impact than jacking up your trough FT!


*Have realistic expectations especially when it comes to libido and erectile function!
 
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