Treating erectile dysfunction is not as simple as taking a pill and hoping for the best.
In this episode, you’ll get an inside look at the full ED evaluation process and learn why finding the root cause of ED is the key to restoring your sexual performance. Also, discover the advanced ED treatment options designed to improve natural function instead of relying only on medication. If you want to better understand erectile dysfunction and learn what may actually be preventing stronger, lasting erections, this is an episode you won’t want to miss.
Press play and tune in to the full podcast episode now.
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Key Takeaways
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Resources mentioned:
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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://truongrehab.com/erectile-dysfunction-evaluation-treatment-guide
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Want to regain control of your sex life? It’s time to reverse the effects of ED on your life. Join the Modern Man Club and embark on your journey to complete recovery and community.
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Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.
You ever wonder what an ED consultation is like with a
Speaker:doctor who specializes in sexual health?
Speaker:This podcast is for you, the Modern Man. I'm Dr Anne Truong,
Speaker:your host. I'm an intimate health medical doctor and best
Speaker:selling author of the book, Erectile Dysfunction Fix. I'll
Speaker:do a deep dive into sexual health and performance and how
Speaker:it affects men of all ages and backgrounds. So let's get
Speaker:started, and be sure to visit my website at
Speaker:sexualhealthformenpodcast.com for more information and
Speaker:resources from the show. See you on the inside.
Speaker:Well, I'm Dr. Anne Truong. I've been a medical doctor for over
Speaker:25 years. I've treated over 7000 men with ED. And today I'm going
Speaker:to talk about what I do to evaluate a man with ED in my
Speaker:.office and come up with a treatment plan, and why? Because
Speaker:this will be informative for you. Because if you're thinking
Speaker:about restoring your performance again, get rid of ED, this is
Speaker:the step you need to take. Because ED is complex. You can't
Speaker:figure it out yourself, because there are so many things that
Speaker:are moving at this point when you have ED that you really need
Speaker:to lean in to the professionals. However, if you really follow me
Speaker:on my YouTube channel, you're going to get a lot of guide on
Speaker:what to do, even on your own. I love to hear about it if you are
Speaker:doing that. Okay?
Speaker:So first, if you're a man, let's say you're 55 years old, and you
Speaker:notice you've been having ED for the past year, you don't really
Speaker:want to take Viagra, or maybe you did try Viagra, didn't
Speaker:really work, and it's hit or miss, and your problem is that
Speaker:you're able to get an erection, you just can't maintain it, and
Speaker:that it goes soft, or penetration, and it's becoming
Speaker:kind of problematic with your girlfriend, and it's kind of
Speaker:causing some tension as well, and you don't know what you need
Speaker:to do at this point. You're going online looking for stuff
Speaker:like, should I buy this supplement, should I buy this,
Speaker:should I get that, what should I do. Well, we're going to talk
Speaker:about how to approach that situation. Say you reach out to
Speaker:my office at the link down below, Renew With Dr. Anne.
Speaker:You're going to schedule a time that you're going to talk with
Speaker:my patient ambassador team, that which is run by my husband, Bao
Speaker:Truong. So you're going to talk with somebody from there, and
Speaker:then you're going to fill out your time. And then at the time
Speaker:that is convenient for you, we'll call you on the phone, and
Speaker:the purpose of this phone call is to find out how we can work
Speaker:together to get the result that you want. We'll talk about
Speaker:what's going on with you, what's your concern, what's your
Speaker:difficulty, and what you like to happen, and whether what I do in
Speaker:the office will fit for your need. It's a conversation that
Speaker:can range from 10 minutes to 45 minutes. And if the things work
Speaker:out that is your fit for what we can do to get you to performing
Speaker:again, then what you do is you schedule a consultation. And if
Speaker:the patient ambassador deemed that you are appropriate to get
Speaker:same day in office treatment, then he will schedule you for
Speaker:that as well, too. And our in-office treatment range
Speaker:between 8000 to even 20,000 for ED restoration in as little as
Speaker:five days, depending on your condition. But before you even
Speaker:come in to the office, we have you do some preliminary work. I
Speaker:will order comprehensive blood work that looks essentially from
Speaker:your head to your toe, looking at your blood cell count, your
Speaker:kidney, your liver, your hormones, how their nerve
Speaker:function, inflammatory factors, looking at your blood sugar,
Speaker:looking at your cholesterol, and looking at your testosterone
Speaker:level. Essentially, you're going to get a comprehensive blood
Speaker:work that's probably going to involve between, like, 10 tubes
Speaker:that you go to the lab for, and they will draw it for you, the
Speaker:result gets sent to me. And then when the time of the
Speaker:appointment, when you show up, we already have that blood work
Speaker:ready, so when you show up to the appointment, our office
Speaker:would already send you details of questionnaire that you fill
Speaker:out, as well as your medical history. So we would know all
Speaker:your medical history, we would send you a questionnaire about
Speaker:your ED severity, which is with the IIEF, your testosterone
Speaker:questionnaire, which is the ADAM. We also send a
Speaker:questionnaire for the prostate, which is the IPPS questionnaire,
Speaker:to kind of see where you are in your prostate symptoms. And now
Speaker:we're going to use the Perceived Stress Scale to assess your
Speaker:stress level as well.
Speaker:On the day of the visit, you come in, and we have all that
Speaker:available, as well as your blood work. And you will then be
Speaker:greeted with our team. You will bring to the room, and then I
Speaker:will see you in the office, and the office will go over all the
Speaker:paperwork, but we'll discuss what's important for you. What
Speaker:are your struggles at this time? If your erection goes away when
Speaker:you're firm, then it's most likely venous leak. And then I
Speaker:will assess which one of the six system of the Get Hard System
Speaker:that is broken down. The Get Hard System, look at six system,
Speaker:which is the brain, and what's going on in the brain. Are you
Speaker:able to get aroused? Are the five or the six senses that
Speaker:normally start the erection, is that working right? I will
Speaker:assess the brain function, whether you're able to get
Speaker:aroused, and then I will assess your emotional statuses, and
Speaker:some of that we do down the questionnaire, but also in
Speaker:discussion with you as well, whether you're on medication or
Speaker:not, whether you're under stress at this point. How's that going?
Speaker:And then we'll assess for system number three, which is the
Speaker:hormone, which is measured by the blood work, but then also
Speaker:correlating that with the testosterone questionnaire,
Speaker:which is the ADAM questionnaire. And then we'll also assess then
Speaker:the nerve function, whether the nerve function is working
Speaker:properly from the brain to the nerve by looking at the
Speaker:parasympathetic nervous system. And we can look at the
Speaker:parasympathetic nervous system by looking at your blood
Speaker:pressure, your heart rate, your skin, the temperature of your
Speaker:skin, as well as how your eyes look, and how your skin is, as
Speaker:well. So I can tell whether you're in the parasympathetic
Speaker:mode, a sympathetic mode, and that's the nerve, system number
Speaker:four. System number five is the blood vessel, the heart. We'll
Speaker:listen to your heart, we'll measure your pulses, see what
Speaker:your pulse is like, and arm over your limbs, as well as in the
Speaker:groin area. Feel your thyroid, look at your blood vessel, your
Speaker:carotid, your heart, your pulses, your skin, to listen to
Speaker:your heart lung. Assess for your abdomen, look at your leg to see
Speaker:if you have any skin changes or any hair loss or loss of
Speaker:temperature as well, which will tell me about your
Speaker:parasympathetic sympathetic tone. And then that's the blood
Speaker:vessel. And then we'll also look at the penis to assess for the
Speaker:muscle to see if there's any nodule, such as Peyronie's, any
Speaker:bending. We'll also assess for the state of the blood flow in
Speaker:the penis, and if necessary, we'll do a Doppler ultrasound.
Speaker:If not, it's okay most of the time with examination we'll know
Speaker:what is going on by looking at the six system.
Speaker:So I determine with six system is broken down that need to be
Speaker:fix. And then from there the Get Hard System involve the
Speaker:treatment that's going to restore function. So I, what
Speaker:we're going to do, in order to let's say you lose it when
Speaker:you're firm, which is the most common presentation of ED, then
Speaker:we're going to bring in more blood flow to the penis by using
Speaker:your own platelets from your, we would do at the same day
Speaker:treatment, we will draw out your blood to draw out about 180 to
Speaker:240 cc blood. But don't worry, you have 5000 ccs of that. But
Speaker:we do big draw, and then we're gonna, that's gonna give us
Speaker:about 60 billion platelets, which will help you make more
Speaker:blood vessels, particularly in your penis. So that we draw the
Speaker:blood, we put in a centrifuge, we analyze it, that becomes
Speaker:platelet-rich plasma. That is then put into the penis. And
Speaker:then on top of that, we also use focused shockwave, which is a
Speaker:machine, and I've talked about this before, that goes in and
Speaker:kind of get rid of any plaques, get rid of any scar tissue in
Speaker:there, and also blood flow. And then I will also put in Botox
Speaker:into the penis, 100 units of Botox into the penis. And what
Speaker:the Botox does is that it relaxes the penis muscle in
Speaker:order for it to be able to expand when blood flow comes in.
Speaker:And then what we also are doing now is we do pulse
Speaker:electromagnetic stimulation that is targeted around the groin
Speaker:area in your penis as well as the pelvic area to detoxify and
Speaker:begin healing again around the groin, the penis, and pelvic
Speaker:area. That takes about 20 minutes. Doing the shockwav
Speaker:takes about 25 minutes. And then we also do Kegel stimulation,
Speaker:which is the pulsation of the kegel stimulation with a
Speaker:machine, the Kegel stimulator machine that we put the
Speaker:electrode onto the pelvic muscle to stimulate the muscle. You can
Speaker:get about 8000, 10,000 contraction within about 25
Speaker:minutes. All right, so we do that in the office, but we give
Speaker:you that machine to take home to use at home. And then this is
Speaker:not over yet. So then you will also get access to an app, which
Speaker:is called Well World, that will help you stay on track for a
Speaker:Mediterranean diet, exercise. You can input all your food in
Speaker:there, and there's also meditation in there as well. I
Speaker:believe in whole body healing. That's why I give you the app
Speaker:for to keep you countable. Now the shock wave can be delivered
Speaker:as one, it can be two, three shock wave, we can do that three
Speaker:days in a row, or it can be six, which is done once a week for
Speaker:six weeks.
Speaker:So the whole evaluation is to find out the root cause why you
Speaker:have ED, and if it is venous leak, then we look at it from
Speaker:restoring function and erection by creating more blood flow in
Speaker:the penis. So that way when the penis engorged with blood, it
Speaker:would then compress the vein, so that way the blood doesn't come
Speaker:out again. But we also make the pelvic muscle stronger by doing
Speaker:the Kegel stimulation. So the whole goal is to treat the root
Speaker:cause of why you have ED within the six systems, and then
Speaker:restore function again. But to be honest with you, you have to
Speaker:do the work. You have to do homework. After the treatment,
Speaker:you have to continue and follow the Mediterranean diet. You have
Speaker:to exercise. You have to sleep. You have to use the penis pump
Speaker:as recommended, which it twice a day for six weeks, at least five
Speaker:times a week, or so. Because the penis pump is your penis rehab
Speaker:and exerciser.
Speaker:Where can you get the penis pump? You can get the penis pump
Speaker:at ED No More.com or check the link down below this video to
Speaker:get the penis pump so you can start exercising your penis
Speaker:again. Remember, you are only one pump away.
Speaker:So the treatment that I do in the office, the Get Hard System,
Speaker:is to boost you to stimulate erection again, stimulate
Speaker:healing again, but you're gonna have to do homework to continue
Speaker:it for long term. If you don't, it's almost like going to
Speaker:school, and then you don't go home, you don't do your
Speaker:homework, you're not going to be able to learn and go to the next
Speaker:level and get longer term results. But all you need to do
Speaker:is to follow the diet and the exercise, and doing the pump,
Speaker:you get the Kegel machine. You're going to use the Kegel
Speaker:machine at home as well, too. And if you have an enlarged
Speaker:prostate, we can also treat that with our machine that goes into
Speaker:the prostate, vibrated, and also does infrared heat treatment. We
Speaker:are now instituting a new treatment that helps with the
Speaker:brain in the emotion, mainly with performance anxiety and
Speaker:calming down the stress system, and then stimulating the
Speaker:parasympathetic nervous system. We are now doing it with a far
Speaker:infrared machine that also have terra hertz, which this
Speaker:technology is from NASA. Then we're borrowing that technology
Speaker:in treating the nerve along the spine, the nerve along the neck,
Speaker:as well as the groin and penis area to essentially stimulate
Speaker:the parasympathetic nervous system, which is responsible for
Speaker:erection, and then calm down the stress system, which is the
Speaker:sympathetic nervous system. We've been seeing great results,
Speaker:and we do that once a week for three times. So now we're
Speaker:addressing the emotional part. And if your testosterone level
Speaker:is low, I would then also supplement with testosterone,
Speaker:either through pellet insertion or through testosterone
Speaker:injection at this point. Sometime we'll also add in
Speaker:GLP-1, which is a weight loss medication, either through
Speaker:injection or through oral, that will help lose the fat that you
Speaker:may have. So that way, if you lose the fat, your testosterone
Speaker:level will increase. We find that if men have more fat than
Speaker:is needed and they're obese, it actually will dampen your
Speaker:testosterone response and even affect your erection as well.
Speaker:So the whole visit is a comprehensive visit that you're
Speaker:going to be there for about three hours with evaluation and
Speaker:treatment, then you will have homework, and then we will
Speaker:continue to follow you along to help you to be accountable as
Speaker:much as possible. But the thing you have to do is just know that
Speaker:you have to do some homework to keep the result going. Okay? We
Speaker:see great results when you do that. Because something that's
Speaker:as important as your erection, you're gonna need to do the work
Speaker:to get the result. Think of erection almost like as weight
Speaker:loss. You take a medicine to help you lose weight, but you
Speaker:still gotta eat better, and you still gotta exercise, you still
Speaker:gotta follow through. So, the Get Hard System, very effective.
Speaker:We are addressing the six system with the brain, the arousal, and
Speaker:then the emotion down with the far infrared and the hormone
Speaker:supplemented with testosterone as need. Sometimes we'll do
Speaker:oxytocin as well, and then the nerve, which we now treat it
Speaker:with far infrared with terahertz, and then the blood
Speaker:vessels and also the penis with doing all the modalities, such
Speaker:as platelet rich plasma, stem cell, focus shockwave therapy,
Speaker:and Botox therapy. So I believe in treating the root cause, but
Speaker:So I just want to give you a full idea what the evaluation
Speaker:also healing from the inside. And the way you heal from the
Speaker:looks like, so you can have an idea of what a comprehensive ED
Speaker:inside, fixing that venous leak is through following the
Speaker:evaluation is like, that involve blood work, involve full
Speaker:treatment, involve evaluating why you have ED, which system is
Speaker:Mediterranean diet and doing moderate exercise, which is 30
Speaker:broken down, fix that system, and that's how you're going to
Speaker:minutes, three to four times a week. We have seen remarkable
Speaker:get results. Unlike if you're going to go online and then you
Speaker:improvement, even in men that have their prostate remove, is
Speaker:get like an online dispensary that just give you testosterone.
Speaker:Or just online ED dispensary that just give you Viagra or
Speaker:not responsive to Viagra. And we're seeing men that have
Speaker:Cialis, without really finding out what's really going on with
Speaker:failed Viagra for 10 years and now getting results again
Speaker:you. And everybody is different. The plan is customized according
Speaker:without medication. And that's how, if you treat the root cause
Speaker:to your presentation of your severity of your ED, your
Speaker:medical status, where you live, and everything. And we see
Speaker:of the problem, then you're gonna get faster results as well
Speaker:international patients as well, patients all over the United
Speaker:as long-term result. But it takes commitment from you. It
Speaker:States. Luckily, we are near a major airport hub in DC and
Speaker:Richmond. So, getting here is quite easy.
Speaker:takes time from you as well.
Speaker:So, I hope you find this is helpful. Let me know you have
Speaker:any questions. The link to book that discovery call down below
Speaker:this link right here, or just go to Renew with Dr. Anne.com
Speaker:because your erection is important, and ED, it's a sign
Speaker:that you may have heart disease later on. You don't want to mess
Speaker:with it. Yeah, I want to say, would you Google when you have a
Speaker:heart attack or chest pain. But don't do that to ED. See the
Speaker:right person, get evaluated, get blood work, so that way you're
Speaker:not messing around trying to figure it out on your own. ED is
Speaker:reversible, all right. Treat it early, treat the root cause, and
Speaker:you get your life back again. Okay, modern man. I'll see you
Speaker:in the next episode.
Speaker:Okay, Modern Man, you are not alone and you don't have to
Speaker:suffer anymore. ED can feel isolating, frustrating, and even
Speaker:defeating. The endless guessing, the quiet shame, the weight of
Speaker:not feeling like yourself is exhausting. But here's the
Speaker:truth, you are not broken. You are not alone. You don't have to
Speaker:figure this out alone anymore. The Get Wood Now Boost Program
Speaker:is your step by step, path to sexual confidence and
Speaker:restoration. No more suffering in silence, no more trial and
Speaker:error, just real solution, real result and the confidence you
Speaker:deserve. It's time to take back your power on your term. Let's
Speaker:get this journey started together. Check out the course
Speaker:at getwoodnow.com. I'll see you there.
Speaker:Thanks for listening to the Sexual Health for Men Podcast.
Speaker:If you love this episode, then please take a screenshot on your
Speaker:phone and post it on Facebook, Instagram, or wherever you post,
Speaker:and be sure to tag me and let me know why you like this episode
Speaker:and what you like to hear in the future. That will help me know
Speaker:what's great for you and I would love to give you the most
Speaker:incredible free gift designed to help you improve performance
Speaker:quickly. Go to my website at sexualhealthformenpodcast.com to
Speaker:get the book, The Five Common Costly Mistakes Men Make When
Speaker:Facing ED. I would appreciate if you subscribe, leave a review on
Speaker:Apple podcasts or wherever you listen. And just know that you
Speaker:can have sexual vitality for life. I appreciate you. Until
Speaker:next time.