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How does Benign Prostatic Hyperplasia (BPH) Affect Erectile Dysfunction?
Episode 28420th June 2025 • Sexual Health For Men • Dr. Anne Truong
00:00:00 00:13:15

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Is your bedroom life taking a hit, and you're not sure why? If you're struggling with an enlarged prostate (benign prostatic hyperplasia) and noticing signs of erectile dysfunction, there's likely more going on than you've been told.

In this episode, I uncover the surprising BPH and ED connection that could be the missing piece in your health journey. From overlooked causes to treatment options your doctor may not be mentioning, we’re diving into the facts you need to know.

Don’t miss this chance to get ahead of the problem. Tune in now before symptoms take control.

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Resources mentioned:

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If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!

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Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!

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If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman

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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.storychief.io/benign-prostatic-hyperplasia-treatment-options

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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 start your road to full 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.

https://dranne.co/ebook

Transcripts

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This podcast is for you, the Modern Man. I'm Dr Anne Truong,

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your host. I'm an intimate health medical doctor and best

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selling author of the book, Erectile Dysfunction Fix. I'll

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do a deep dive into sexual health and performance and how

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it affects men of all ages and backgrounds. So let's get

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started, and be sure to visit my website at

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sexualhealthformenpodcast.com for more information and

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resources from the show. See you on the inside.

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Hello there, Modern Man. I'm Dr Anne Truong. I've treated over

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7000 men with ED. In today's episode, we're going to talk

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about, are you just tired of having enlarged prostate and

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it's kind of killing your sex life and your sleep? What most

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doctor won't tell you about the shocking link between your

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enlarged prostate or BPH and erectile dysfunction, I'm going

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to discuss about today. So stay tuned to the end, so that way

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you can find out what you can do with enlarged prostate and if

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it's affecting your bedroom performance.

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While benign prostatic hypertrophy or BPH itself is not

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consider a direct cause of ED, there is significant and complex

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relationship between the two conditions. The relationship

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manifests in several key ways. Number one, shared risk factors.

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Both BPH and ED are common condition in aging men, and they

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often share underlying risk factor, which include older men

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get higher risk of either BPH or ED or both. They share lifestyle

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factors such as obesity, diabetes, high blood pressure,

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high cholesterol and heart disease. All these conditions

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contribute to either BPH progression and or ED or both,

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because these conditions, your prostate is affected by blood

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flow. So penis and prostate are dependent upon blood flow. Then,

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the penis and the prostate is also dependent upon your hormone

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changes, particularly your testosterone. The prostate gets

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enlarged with low testosterone and high testosterone, and then

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high testosterone can be converted to another hormone

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called dihydrotestosterone, or DHT, which is an inflammatory to

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the prostate. And then ED is also dependent upon low

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testosterone as well.

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Number two, there is the impact between BPH and sexual function,

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indirectly. So the frustrating and disruptive symptoms of BPH

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indirectly affect a man's ability to maintain his erection

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and overall sexual desire. Come on, admit it, waking up at night

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time, going multiple times, even up to four or five times a

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night, and then having a weak urine stream can cause

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significant distress and anxiety. Well, number one, the

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anxiety, the embarrassment of leakage during intimacy, leakage

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during the daytime and then going to the bathroom frequently

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at night. It's kind of sure reduce your desire for sex. And

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then, not to mention, the sleep deprivation of waking up

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multiple times. We talked about how sleep is important for

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testosterone, how sleep is important for healing and for

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blood flow, and you're not getting sleep when you have

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enlarged prostate, and then discomfort and pain when you

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urinate, or even ejaculation as well with BPH. Now, even with

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BPH, sometimes you can have retrograde ejaculation as well.

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The next part of psychological impact with preoccupation of

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going to the bathroom every hour, every 30 minutes, leading

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to stress, depression and almost loss of interest in sexual

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ability.

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Now number three, the side effects of BPH medication are

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pretty significant. Most medications in the class call

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Okay, Modern Man, you are not alone and you don't have to

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5-alpha reductase inhibitors or 5-ARI medication such as

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suffer anymore. ED can feel isolating, frustrating, and even

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defeating. The endless guessing, the quiet shame, the weight of

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not feeling like yourself is exhausting. But here's the

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truth, you are not broken. You are not alone. You don't have to

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finasteride or dutasteride work by shrinking the prostate, but

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figure this out alone anymore. The Get Wood Now Boost Program

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is your step by step, path to sexual confidence and

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restoration. No more suffering in silence, no more trial and

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error, just real solution, real result and the confidence you

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deserve. It's time to take back your power on your term. Let's

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get this journey started together. Check out the course

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at getwoodnow.com. I'll see you there.

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it can lead to side effects such as decreased libido, ED, and

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So some of the side effects of traditional BPH surgery, such as

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TURP, do have side effects as well, such as retrograde

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ejaculation and also ED. While enlarged prostate itself may not

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directly damage the physiological mechanism of an

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erection, like blood flow, nerve supply to the penis, but the

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symptoms of BPH, especially the side effect of traditional

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ejaculation dysfunction, such as reduced semen volume and or

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treatments such as medication and the TURP procedure, can

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impact a man's sexual health, leading to or worsening of his

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erectile dysfunction. This is why it's so important for men to

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discuss their symptoms, especially sexual one, and the

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urination symptoms, with their doctor.

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What do you need to do when you have enlarged prostate? First of

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all, go see your doctor first. Don't try to treat it yourself.

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And the signs of enlarged prostate is that your urine

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retrograde ejaculation. When semen goes into the bladder

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stream is not as strong as it used to be. It takes longer for

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you to start your urine stream. It takes you longer to stop your

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urine stream, and before, if they only take you 30 seconds to

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go to the bathroom. Now it taking you, like, 10 minutes,

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and you can make a sandwich during the whole time, and then

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after you go to the bathroom about an hour later, 30 minutes

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later, you need to go again. So called frequency. And the other

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thing also is sometimes pain with urination. But the thing

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that's most prominent is nighttime urination, or

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instead of out in the penis. Another type of medication

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nocturia, where you're getting up either between two to five

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times at night time to go to the bathroom where you shouldn't be.

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It is disrupting your sleep, and it's going to ruin your sex life

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as well, too. So go see the doctor, get your examinate, your

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prostate examination. Now the prostate, you can see from this

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is that it is just right below the bladder. This is the bladder

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called alpha blockers, such as tamsulosin or silodosin. These

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right here. It's right below the bladder, and kind of where next

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to the penis here. And the only way to reach the prostate is

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through the rectum right here. And that's how doctors do

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examination for your prostate. So it has to be examined

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internally to determine the size of the prostate. The normal size

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of the prostate is about 30 grams, or the size of a walnut

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like this. If it's more large than what it does is that it

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compresses the urethra, or the tube that connects the bladder

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medications relax the muscle in the prostate and the bladder to

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to the penis. That's how you urinate. And it's also where the

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nerve go to the penis as well too. It can also affect the

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penis function for erection but it's also intimately connected

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to the pelvic muscles. So there's a reason why they're all

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connected in one or more area, and how important that is.

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So to improve your BPH symptoms, you can do Kegel exercises.

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improve the urine flow, while this is going to lead to sexual

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Check out my video where I talk about how to do Kegel exercises.

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And you can also do external prostatic massage with a

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massager, you can also do internal prostate massager as

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well. But we have something new in the office right now that

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will treat BPH symptoms within one to two treatments using

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magnetic energy, infrared therapy and also vibration. So

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stay tuned on my next episode where I'll talk about that,

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dysfunction and also retrograde ejaculation.

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where it goes internal, the probe goes internal, and it

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treats the prostate area to improve more circulation and

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decrease inflammation. And also what's important is you can be

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treated without medication and without surgery. And what I want

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you to do first is to start doing Kegel and get your

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testosterone level measure. Believe it or not, supplementing

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testosterone level will also improve urination symptoms as

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well, too.

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And just know if you have BPH, there are options besides just

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medication and surgery, and that if you have BPH, it's also

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indirectly linked to ED. You don't have to live with that,

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and that's why our treatment focuses on not only treating ED

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symptom, but also treating the prostate as well too. So stay

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tuned for my next episode where we'll talk about how pulse

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electromagnetic therapy, infrared, and vibration combined

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in treating the prostate area. It all goes together to how to

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improve your sexual health.

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So I hope you enjoyed this episode. Let me know what you

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think, and I love to hear from you. And it will mean the world

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to me if you subscribe to the channel, share this with

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somebody that you think can benefit from this information.

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And that just know, Modern Man, you do not have to suffer in

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silence of your BPH or from ED, there are options, and we're

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here to help you with that. So also, check out our Modern Man

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Club, it's the space where I coach you to get out of ED

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towards more sexual functioning naturally. Check it out at

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noedman.com and also, just know that we're here for you, and let

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us know in the comment what you think, and I'll see you in the

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next episode.

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Okay, Modern Man, you are not alone and you don't have to

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suffer anymore. ED can feel isolating, frustrating, and even

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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.

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Thanks for listening to the Sexual Health for Men Podcast.

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If you love this episode, then please take a screenshot on your

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phone and post it on Facebook, Instagram, or wherever you post,

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and be sure to tag me and let me know why you like this episode

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and what you like to hear in the future. That will help me know

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what's great for you and I would love to give you the most

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incredible free gift designed to help you improve performance

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quickly. Go to my website at sexualhealthformenpodcast.com to

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get the book, The Five Common Costly Mistakes Men Make When

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Facing ED. I would appreciate if you subscribe, leave a review on

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Apple podcasts or wherever you listen. And just know that you

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can have sexual vitality for life. I appreciate you until

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next time.

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