Urologist Discusses the Intricacies of Erectile Dysfunction

[madman]

Dr. Justin Dubin sheds some light on an uncomfortable topic for men.

Podcast Introduction​

Host: "Hello, everyone! Today is Wednesday, June 22nd, and welcome to The Dog Walk, brought to you by Barstool Sports. Before we jump in, a quick note: if you're watching this on YouTube, please subscribe! We've got some fantastic new summer shirts in stock, including the 'Eddie's Ice Cream Shop' shirt featuring a chipwich design and a classic 'bomb pop' print. Check them out and grab one if you can!"

Guest Introduction​

Host: "Now, to today’s episode. We’re back in the studio, and I’m excited to introduce Dr. Justin Dubin, a urologist specializing in male infertility and sexual medicine. Dr. Dubin is completing his fellowship at Northwestern and will soon be the Director of Men’s Health in Hollywood, Florida. Dr. Dubin, welcome!"

Dr. Dubin: "Thanks for having me! I’m a longtime fan of Barstool, so it’s great to be here."

Discussion Topics Overview​

Host: "Great to have you. Today, we’ll cover a variety of topics that I’m sure will be interesting to our listeners. Let’s dive right in with erectile dysfunction."

Erectile Dysfunction: A Comprehensive Breakdown​

Dr. Dubin: "Erectile dysfunction (ED) is more common than most people realize. It affects approximately 30% of men under 40 and increases with age—40% in their 40s, 50% in their 50s, and so on. It’s the most prevalent sexual dysfunction among men.

Achieving an erection involves multiple factors:

1. Good Blood Flow: Proper circulation is essential for erections. Reduced blood flow due to clogged arteries can be an early sign of heart disease.
2. Nerve Function: Nerves link the brain to the penis. Conditions like diabetes can damage these nerves, which is why ED is common in diabetic patients.
3. Hormones: Testosterone plays a crucial role. Low levels can lead to ED.
4. Arousal: Mental and physical arousal is key.
5. Psychological State: Stress, anxiety, or depression can prevent arousal. Some antidepressants can also lead to ED.

Other Key Points Discussed​

• Grower vs. Shower: Dr. Dubin shared that 'grower' means a significant increase in penis size from flaccid to erect (over 1.5 inches). 'Shower' refers to minimal change in size. However, there’s no health significance between the two.
• Average Penis Size: The average erect penis measures around 5.1–5.5 inches.
• Testosterone Therapy (T-Shots): Dr. Dubin advised caution when considering testosterone shots, particularly for men wanting children, as it can cause temporary infertility. He recommended alternatives like Clomid, which increases testosterone naturally.

Medications for Erectile Dysfunction​

Dr. Dubin explained the differences between Viagra and Cialis:

• Viagra works for 6–8 hours and is taken on an empty stomach.
• Cialis lasts 24–36 hours and offers more flexibility, as it can be taken with food.

Both medications are safe for young men dealing with ED due to stress, anxiety, or situational challenges.

Addressing Premature Ejaculation​

Premature ejaculation is defined as lasting under two minutes and causing distress. Dr. Dubin recommended treatments such as:

• Topical Solutions: Products like Roman swipes, which help delay ejaculation.
• Medication: Low-dose antidepressants can prolong ejaculation.
• Therapy: Sex therapists can offer helpful techniques.

Other Key Topics​

• Blue Balls: Explained as epididymal hypertension, a temporary condition caused by prolonged arousal without release. It's not harmful but can be uncomfortable.
• Semen Retention Myth: Popular on social media but not backed by scientific data. Claims that it boosts testosterone or overall health are unfounded.
• Porn and Sexual Health: Porn can be both beneficial and problematic. Diversifying the types of porn consumed is recommended to avoid unrealistic expectations.

Fertility and Lifestyle​

Dr. Dubin emphasized that lifestyle choices impact fertility:

• Obesity, smoking, and substance use can reduce testosterone and sperm quality.
• Heat exposure (e.g., hot tubs, saunas) can temporarily lower sperm production.

He also encouraged men to take proactive steps, like getting a semen analysis or banking sperm, especially before undergoing treatments like chemotherapy.

Final Takeaways​

Dr. Dubin encouraged open communication with healthcare providers and emphasized the importance of regular check-ups for men’s sexual and reproductive health.

Connect with Dr. Dubin​

Dr. Dubin can be found at:

• Instagram & Twitter: @DubinMD
• Podcast: The Man Up Podcast: A Doctor's Guide to Men's Health
• Website: themanuppod.com

Host: "Thanks for joining us, Dr. Dubin, and thank you to our listeners. We hope you found this episode informative!"

 

[madman]

Testosterone + Men's Sexual Health

Dr. Dubin is a fellowship-trained urologist and andrologist focusing on men’s health. He cares for men with fertility problems, sexual issues (erectile dysfunction, premature ejaculation, delayed ejaculation, etc.), Peyronie’s disease, low testosterone, testicular pain and other problems...

www.excelmale.com