Are you battling erectile dysfunction, wondering if it's all in your head or a red flag for something more serious?
It's a question millions of men face, often leading to confusion and misdirected treatments. I'm here to cut through the noise, revealing the crucial differences between psychological and physical ED. Forget the quick fixes that don't address the real issue. This isn't just another medical lecture; it's your roadmap to lasting, natural erections and a deeper understanding of your body.
Don't let frustration win. Tune in and unlock the answers you deserve.
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Ready to empower your health journey? Secure your FREE PDF copy of the “5 Natural Solutions to Overcome ED” today! Dive into knowledge that could transform your life. Click the link below to claim your copy 👇
https://ed.truongrehab.com/five-natural-solutions-for-ed
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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.
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:Hello there, Modern Man. I'm Dr Anne Truong. I'm a medical
Speaker:doctor who treated over 7000 men with ED. In today's episode,
Speaker:we're going to talk about, how can you tell whether your
Speaker:erectile dysfunction is psychological versus is it a
Speaker:physical cause? I get that question a lot, especially in my
Speaker:patient who come by to see me, and they want me to
Speaker:differentiate whether their ED is either physical or is it more
Speaker:psychological? So let's kind of dive into this.
Speaker:What are the psychological causes of ED? Number one, it
Speaker:could be stress and anxiety, like performance anxiety, fear
Speaker:of intimacy, or past trauma can contribute to ED. Depression can
Speaker:both affect sexual desire and erectile function. Relationship
Speaker:issues such as poor communication between the
Speaker:partners, unresolved conflict or even emotional distance. The
Speaker:fourth one is low self esteem, often due to past episode of ED
Speaker:or maybe unrelated issues. If the symptoms of ED, for
Speaker:psychological ED, can be that ED may occur in a specific
Speaker:situation or with certain partners, but with other
Speaker:partners it may not occur. And that the symptoms are variable.
Speaker:It's inconsistent and it's not predictable. It's known by the
Speaker:inconsistent ability to achieve or maintain erection. But it's
Speaker:also maybe different in circumstances, also different
Speaker:with partner. The number one thing is that you're able to
Speaker:achieve nighttime erection, and you're able to achieve
Speaker:masturbation. So you can get an erection with masturbation, and
Speaker:you can get an erection with morning wood.
Speaker:Now, what are some of the physical causes of ED there are
Speaker:many. Let's just kind of hit on the major point. Number one is
Speaker:that if you're smoking, you're going to get ED. That's what
Speaker:number one physical cause. And if you're watching porn, then
Speaker:you're going to have ED, period. And then the other major
Speaker:physical issue is vascular issues like heart disease or
Speaker:diabetes, and then issues such as low testosterone or chronic
Speaker:conditions such as obesity and certain medication may cause it.
Speaker:And also neurological disorders such as multiple sclerosis, such
Speaker:as the spinal cord injury, but the number one thing is that
Speaker:vascular condition. So if you have heart disease, heart
Speaker:disease mainly happen from either high cholesterol or high
Speaker:blood pressure, and also, if you're drinking more than 14
Speaker:drinks a week, that can contribute to ED as well.
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:ED from physical causes are gradual. It developed over time,
Speaker:developed over years, and it's a consistent symptom, unlike the
Speaker:psychological ED which is inconsistent symptom. The
Speaker:physical cause of ED is consistent symptoms like
Speaker:persistent inability to achieve or maintain the erection across
Speaker:all situation, across all partners, across all
Speaker:environments, and that the physical sign may include, maybe
Speaker:atrophy or the penis getting smaller, or there may be bending
Speaker:of the penis as well too. So the diagnostic approach to tell
Speaker:difference between psychological and physical ED, the doctor
Speaker:takes a very thorough history of all your medication, all your
Speaker:chronic condition, chronic condition to consider like high
Speaker:blood pressure, diabetes, high cholesterol, and your weight,
Speaker:your heart rate, all your medication that you take, and
Speaker:then your past medical history that you've had in the past. And
Speaker:then the physical examination is a test to look for your blood
Speaker:flow like, how good is your pulses? What is your heart like,
Speaker:your lungs like? And making sure to check that you don't have any
Speaker:testicle abnormality or any curvature of the penis, or any
Speaker:restrictions, any even atrophy, and also evaluating the
Speaker:integrity the pelvic muscles.
Speaker:Now on top of that, we look at blood tests. So doctors look at
Speaker:blood tests like your hormone level, looking at your blood
Speaker:sugar, looking at your blood level to see if you're anemic,
Speaker:looking at your kidney function, your liver function, and your
Speaker:testosterone level, your total, your free and your sex hormone
Speaker:binding globulin data as well. And then, if necessary, do a
Speaker:penile doppler ultrasound, as an ultrasound, where we look at the
Speaker:blood vessels of the penis to determine how much blood flow is
Speaker:going into the penis from the artery and how much distension
Speaker:of the veins. And then, now there is a ring that you can
Speaker:wear, like the FirmTech ring. Check the link below to get that
Speaker:where you can put it around your penis to see if you have night
Speaker:time or morning erection that you may not be aware of. And of
Speaker:course, as doctors, we also assess to see what your stress
Speaker:level is, your anxiety level is, and your relationship issues.
Speaker:So you account for all this, and with the thorough history, you
Speaker:can somewhat differentiate psychological and physical
Speaker:causes. And then, once this is determined, a treatment is
Speaker:tailored based upon the identified causes. Always treat
Speaker:the cause of your ED rather than just taking an ED medication.
Speaker:Because when you take an ED medication, you're just treating
Speaker:the symptoms. You're not treating the cause of ED. If
Speaker:you're taking ED medication, it's like putting a band aid on
Speaker:an infected wound. You're just covering it up because you're
Speaker:not treating the causes, which could be diabetes, high blood
Speaker:pressure. Maybe it's the smoking, maybe this drinking a
Speaker:lot, and maybe it's the overweight then. So if you're
Speaker:not treating the cause of the symptoms, then your ED will only
Speaker:get worse over time, even with ED medication. So I hear men
Speaker:say, "Well, I take Viagra, and it works very well, but what's
Speaker:going to happen in a year from now, three years from now, it's
Speaker:not going to work very well, because the cause of why you
Speaker:have ED in the first place have never been addressed. Just like,
Speaker:if you have a tooth that is hurting, would you just brush it
Speaker:and just soak it with just mouthwash, rather than trying to
Speaker:go see the dentist and find out what's going on. So look for the
Speaker:root cause of the problem and treat it. You treat it early,
Speaker:you're gonna have total reversal of your ED and sometimes it's
Speaker:just as little as changing your diet, and sometimes it's just as
Speaker:little as maybe you need to lose a little bit of weight. And if
Speaker:you start early, then you're gonna have more remarkable
Speaker:recovery. So having said that, I hope you enjoyed this episode. I
Speaker:would appreciate it if you subscribe to the channel, share
Speaker:the channel to someone that you think may benefit from this.
Speaker:And that just know that you do not have to live in ED there are
Speaker:options, and you don't have to live with it. You don't have to
Speaker:suffer in silence anymore. There are alternatives. That's why I
Speaker:created the course Get Wood Now Boost program where you don't
Speaker:have to suffer in silence, and that these are a success path
Speaker:for you to start getting erection function again. Check
Speaker:it out at getwoodnow.com. Check out the link below. Now just
Speaker:know that you can be the Modern Man again to live a sexual,
Speaker:fulfilling life. I will see you 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.