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ED is caused by low levels of testosterone!

"This is the best time! Invite users to read about Title, solve a problem and end with a nice call to action." Want to learn more about what causes erectile dysfunction? Watch our latest episode of The Male Consultant to find out!

WHAT CAUSES ED?? | TMC S1E2

Erectile dysfunction (ED) is a very common condition, particularly in older men. It is estimated that half of all men between the ages of 40 and 70 will have it to some degree. When a man is sexually aroused, his brain sends signals to the nerves in his penis. The nerves increase the blood flow to the penis, causing it to become erect. If the blood flow to the penis is insufficient or if it fails to stay inside the penis, it will not become erect. Any number of things can interfere with sexual arousal and the nerves that control erections. These include:

  • Diseases such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurological disorders.
  • Injuries to the spinal cord, penis, prostate, bladder, or pelvis.
  • Medications such as antidepressants, antihistamines, and high blood pressure medications.
  • Peyronie’s disease (a condition in which the penis is bent or curved due to scar tissue in the erectile tissue)
  • Smoking
  • Substance abuse such as alcohol, cocaine, and heroin.
  • Surgery such as radical prostatectomy, cystectomy, and retroperitoneal lymph node dissection.

There are also psychological causes of ED, such as:

  • Anxiety about sexual performance
  • Depression
  • Guilt
  • Low self-esteem
  • Relationship problems

Treatment for ED depends on the underlying cause. In some cases, such as with psychological causes, counseling may be effective. In other cases, medications or surgery may be necessary. If you are experiencing ED, talk to your doctor about the best treatment options for you.

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What actually CAUSES erectile dysfunction? Join Dr. Alex Tatem as he explains the mechanisms behind how erections are SUPPOSED to work and what can go wrong! To make an appointment with Dr. Tatem or his partner Dr. Jason Kovac, please call (877) 362-2778 and visit IndyMensHealth.com to learn more.

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Video transcription:

Hey guys, dr. Alex Tat here today, we’re going to be talking about erectile dysfunction. What is it and what causes it that and more today on the man cave season, 1 episode, 2, so erectile dysfunction. It affects up to half of men over the age of 40 and is estimated to have flicked almost 40 million men here in the United States alone. But what causes it? This is one of the most common questions I encounter in my practice, despite having been diagnosed with IDI and even prescribed medication, a lot of men I meet, have never had their IDI explained to them. So today we’re gonna fix that we’re gonna cover two things: one: how erections supposed to work in two: what can go wrong? We’re gonna save treatment options for our next video. So if you’re discouraged all you learned today, please don’t be no matter how bad you think your erectile dysfunction is. If you seek out care at a dedicated center of excellence, we can cure you now, let’s go to the drawing board. So how do erections work? A man’s penis is essentially three tubes. There’s a urine tube known as the urethra, which runs at the six o’clock position. This is how a man urinate, but there are also two erectile cylinders that start in the pelvis and run down the length of the penis stopping just before the head. Now these cylinders are called the corpora cavernosa inside these cylinders. You’ve two small arteries known as the penile arteries now what’s supposed to happen, is that when a man is stimulated, the penile arteries dilate to about three to four times their normal size. This allows a rush of blood that fills the smooth muscle tissue inside the corpora. This causes the penis to increase in both length and girth, while pinching off the veins that normally drain the blood from the penis. This provides a firm satisfying erection, that’s suitable for sex. It does not affect sensation, orgasm or ejaculation, although each of those mechanisms are important, they’re actually separate, and today we’re gonna focus just on erections, but how do erections fail now? It’s interesting is that the peano artery is actually one of the smallest arteries in the human body. They are smaller than the arteries in your heart or in your head. They also don’t have a backup. This means that as a man the moment you have a problem with your penile arteries. You’ve got a problem with your erections as we age and start to get more and more miles on the odometer, so to speak, men can develop scarring in the walls of their penile arteries. This is known as atherosclerosis, this constricts the penile artery and prevents it from dilating despite adequate stimulation. This causes some problems. The obvious one is that it prevents a man from achieving firm, reliable erections when he’s trying to be intimate, but it also puts the penis in what’s known as a chronic hypoxic state. This means that the penis isn’t just not getting enough oxygen or enough blood flow. When a man’s trying to be intimate but 24/7. The truth is men are supposed to get three to four firm erections a day, but these normally occur at night and when men first wake up, I often ask patients if they remember waking up when there are teenagers, and the first thing they tell me- is oh yeah doc I used to be able to chop down a tree with that thing, but that hasn’t happened in years. That lack of blood flow actually causes scarring in the erectile bodies. This causes worsening erectile dysfunction, in addition to a loss of of penile length and girth I can’t count the number of guys I’ve treated, who get an erection for the first time in years, look down and then say well heck doc any what it used to be and they’re not imagining it. Yes, obesity can bury the penis, but erectile dysfunction causes a steady loss of penis. We’ll talk more about treatment options in a future video, but the only surefire way to stop this progressive loss in size with a rectal dysfunction is the penile implant. Now everything I’ve talked about so far as known as vascular or specifically arterial erectile dysfunction, but there’s also a type of vascular, edie known as venous leak. Venus leak is when blood leaks out of the penis prematurely. Some men can be born with this. Others may develop it after a penile injury with payro knees, disease or with the scarring that I’ve previously described well. What if a man has had a spinal cord injury where he’s had his prostate removed? This can affect directions through a slightly different, the equally important mechanism back to the drawing board when a man is exposed to an erotic stimulus, his brain perceives this and is converted into electrical signal that travels down the spinal cord to the nerves and the pelvis. These nerves are tightly attached to the prostate. If there is any disruption of this wiring, whether it’s in the brain, the spinal cord or at the level of the prostate, then the penal artery can’t even receive the signal that’s supposed to tell it to dilate. This is what’s known as neurogenic erectile dysfunction. Now what can complicate matters is that the lack of erections from a nervous injury can still cause the same sort of scarring in the erectile bodies I mentioned earlier. This can lead to a worsening vascular component of erectile dysfunction and cause the same sort of loss of penile length and girth that I mentioned previously. This is why many men report a loss of penile length and girth after having their prostate removed. Now this can be mitigated by proactive, penile rehabilitation following prostatectomy or by early penile implant placement. But we’ll talk more about that in the later video. Another issue that can further complicate the treatment of VD is that of testosterone. Testosterone is an essential hormone that helps make men men, unfortunately, because of modern marketing. A lot of men are under the false impression that taking testosterone alone can restore their erections and, if they’re already taking testosterone but still have UD, all they need to do is increase their dose. This is not the case at all. Testosterone is an essential factor for proper erectile function, but it’s only one factor: all men need a certain baseline level of testosterone. If a man’s testosterone is well below that, then the penile artery won’t have enough signal to properly dilate. This phenomenon is most commonly seen in young men with hormonal problems, but if a man’s testosterone is well within the normal range or has been restored with testosterone replacement therapy- and he still has edie that testosterone is not what’s causing his problem, his edie is most likely being caused by one of the issues that we discussed earlier. So these are the mechanisms behind how erections work and how they can break I. Think understanding this as a patient is incredibly important, because it lays the groundwork for understanding how we both create and cure erectile dysfunction, and to learn more about that. Please stay tuned for our next episode. If you liked this video make sure to subscribe for more regular, ten hit that like button and notification Bell and leave a comment, it really helps the channel out until next time is dr.. Alex Tat, signing off from the man cave.

What users commented:

I will never forget the day I came across Dr ogoh on youTube, Thanks for helping me cure my Erectile dysfunction naturally. May you live long doctor.

Doc, you’re going to fast & not defining important words.

Great information!!

I have nothing to add, it’s all so comprehensive.

Im currently suffering ED. Im a young 24 healthy male. Recently did a testosterone lab work waiting on the results. Just nervous its something else. ED happened all of a sudden withing a month

I was absolutely delighted and grateful with the immediate erectile dysfunction healing I got through Dr gboya on YouTube keep saving life doc…

If you want to be strong, big and most significantly lasting you can go’ogle the advice by Mario Volpstein, there are several basic ways to make it happen within the initial days.

Meeting you Dr osaye on YouTube is like meeting God himself because, you have done in my life what no other doctor could do.thank you for curing my genital dysfunction you are a life saver….

Thank you for recommending me to drosaye on his YouTube channel,he is specialized in curing all kinds of sicknesses and diesease, thank you Doctor for your help in my life.

How about multiple sclerosis?

Home that was teared apart because of erectile dysfunction has been restored back with joy, peace and harmony. Thank you dr Gboya on YouTube for vidicating my husband from erectile dysfunction completely keep on the good work,,,,,

Something to add. I started to have very regular morning wood and in general more libido over the day after starting to take ADHD pill Rilatine at the age of 57. Not only this, many other things improved also. I knew I had some issues with dopamine already before that. So I think low dopamine issue affects also the erections. BTW my testo is very high for my age.

I had a full nephrectomy, cancer in left kidney , 2 years ago. I’m suffering from ED. Viafara works sometimes. But not always. Can you help?

Once again fuk all information, pointed at surgery not repair no depth into the actual cause, ie endotheli damage from insulin and correction

And just an FYI, a lot of men don’t get help from Medicare with regards to testosterone medication. You need shots or you need to take special pills. Maybe you can address some natural way of supplanting some of the above?

Thank you for your videos and info, I have been seeing my urologist for years and have been battling ED for the same period. He has never mentioned the implant, he just keeps changing meds etc. is your clinic available for out of state clients ?

Dr. Tatem, sir, what is your professional opinion, if you have one, on the Phoenix by Launch Medical and the Novus Center?

Thank you for your time.

I have no sex drive .. I look at a girl and don’t feel like having sex with them .. I’m 21 .. my testosterone is low and I just started trt .. idk if it’s because of my low sex drive or erectile disfuntion

Why are X-Rays NOT taken below the belt for ED?Thanks

Thanks for posting, very informative