Dr John Mulhall, MD - 70% of ED cases are vascular!

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madman

Super Moderator
Beyond Testosterone Book by Nelson Vergel
One of the top in the field love this guy!

Mulhall always breaks it down!

Listen closely as he hits the nail on the HEAD!


3:33-7:13

* if you look at men with ORGANIC ED we can talk about psychogenic ED a little later on if we have time but if you take men with ORGANIC ED PROBABLY 70% OF THEM ARE GOING TO HAVE A VASCULAR COMPONENT INFLOW OR OUTFLOW PROBLEMS and that includes men with diabetes, those high profile causes like medication induced or hormonal ED or Arteriogenic ED, radical pelvic surgery for example account for the vast minority of patients with erectile dysfunction and if you focus in on HORMONE PROBLEMS such as TESTOSTERONE that accounts for the VAST MINORITY of MEN with ERECTION PROBLEMS so the BULK of ED that's PHYSICALLY BASED is VASCULOGENIC as its called!


* the whole link between TESTOSTERONE and ERECTILE FUNCTION it's a WEAK LINK, it's not a POTENT ERECTO-GENIC HORMONE, it's CERTAINLY a LIBDO-GENIC HORMONE and an ORGASMO-GENIC HORMONE but if you take men who have got LOW TESTOSTERONE who have ERECTILE DYSFUNCTION and you treat them with T the AVERAGE CHANGE in ERECTILE FUNCTION is MINIMAL if you use the validated scores (the international index of erectile function scores) so the ELEVATION in those scores is MINIMAL so the CONTRIBUTION of T you DON'T NEED A LOT of T you need SOME you DON'T NEED A LOT of T for ERECTION FUNCTION!








Dr. John Mulhall doesn't just treat erectile dysfunction (ED), he's also on a global mission to demystify its causes, highlight its complexities, and offer an alternative to how we currently think about sexual health.

This is for you if you’re wondering: what can I do today to ensure better sexual health tomorrow? Even if it's good today, don't you want to ensure it'll be good in your later years? And if it's not where you want it to be today, perhaps you've not spoken to anyone about it yet - you're not alone here. There are answers out there and support to be given. But you've got to ask for it.





We cover:

* Exercise and erectile health - getting it up (your heart rate)

* Durability and frequency - it matters, but it should only matter to you

* Exogenous testosterone - risk of transference and its impact on fertility

* Premature ejaculation: lifelong vs. acquired - and what to do about each

* Navigating treatment options - pills, patches, and injectables and caution over the the ‘Wild West’ of supplements

* PDE5 inhibitors - how they work, their cardiovascular benefits, and their limitations

* The psychology behind ED - how placebos enter in and integrating psychological and medical approaches for effective treatment

* Emerging therapies - shockwave therapy, platelet-rich plasma, and penile botox injections - do they work?
 
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