Sex After 70: Men’s Health Edition

Рет қаралды 260,862

Күн бұрын

Host: Dr. Melanie Carminati, PT, DPT, GTS, NCPT
BrooklynPhysicalTherapy.com
Guest: Dr. Michael A. Werner, M.D., FACS
MazeHealth.com @mazewerner
Disclaimer: The medical information in this podcast is for informational purposes only, not individualized medical advice. For personalized care, consult your healthcare provider.
About Dr. Michael A. Werner
Dr. Michael A. Werner, Founder and Medical Director at Maze Health, is a board-certified urologist who received specialized Fellowship training in male infertility, surgery, and male sexual dysfunction at Boston University Medical Center. His private practice in Midtown Manhattan and Westchester, New York, is limited to two areas of specialization: male infertility and male and female sexual dysfunction. He's a frequent lecturer and author in medical journals and books on these topics.
Exploring Men's Health After 70
In this episode, we'll discuss a crucial aspect of men's health after age 70, focusing on sexual health. Our previous podcast episode, "Sex After 70," primarily centered around female sexual health concerns with Dr. Dena Harrison, a gynecologist. However, we received numerous comments asking about men's sexual health and what can be done for men over 70 to maintain a fulfilling sex life. Dr. Werner, could you please share your clinical experience with male patients aged 70 and above? What are some common complaints they come in with in terms of sexual intimacy and sexual function?
Dr. Werner explains that as people live longer, sexual issues in older men become more prevalent. The two primary age-related concerns he encounters are erectile dysfunction and difficulties with ejaculation. The discussion delves into the treatment options for these issues, such as penile implants, penile injections, oral medications, and more.
Pelvic Pain and its Connection with Erectile Dysfunction
The conversation shifts to discussing chronic pelvic pain syndrome in men, which is often not well understood. Dr. Werner elaborates on the different symptoms and their varied manifestations. Dr. Carminati, as a pelvic floor therapist, adds to the discussion by emphasizing the importance of pelvic floor physical therapy and how it can assist in managing pelvic pain and other related issues.
Incorporating Radiofrequency Therapy (Winback Tecar):
Dr. Carminati shares her experiences with radiofrequency therapy, specifically the Winback Tecar system, which she finds beneficial for treating various pelvic conditions. The therapy is described as a warming sensation, and it explains how it helps facilitate deep tissue work for male pelvic pain patients.
Premature Ejaculation and Its Treatment
Dr. Werner addresses premature ejaculation, emphasizing that it's not always a psychological issue but can be physical and, in some cases, lifelong. He discusses treatment options, including the use of selective serotonin reuptake inhibitors (SSRIs) to delay ejaculation and topical numbing agents.
Addressing Low Libido
The conversation then touches on low libido in older men, often related to declining testosterone levels. Dr. Werner highlights the importance of hormone replacement therapy and discusses how it can significantly improve libido in men.
The Impact of Prostate Cancer Treatments on Sexual Function
When it comes to patients who have undergone prostate cancer treatments, Dr. Werner explains the common effects on sexual function and discusses potential treatments. He highlights the importance of early intervention to address post-treatment erection issues and emphasizes the effectiveness of penile injections in these cases.
The podcast concludes with discussions about reducing the stigma around discussing sexual health after the age of 70 and the importance of seeking help for sexual concerns. Dr. Werner and Dr. Carminati stress the value of collaborative efforts between urologists, pelvic floor therapists, and other medical professionals in providing holistic patient care.
This informative conversation shows the importance of open dialogue and a multidisciplinary approach to addressing sexual health challenges in older adults, providing hope and solutions for individuals seeking to improve their quality of life.

Пікірлер: 42

@cerielvanarneman9399 4 ай бұрын

I'm 67 years old I don't have an erection problem I have two girlfriends and younger than me. I don't use Viagra and I don't use steroids. I've been exercising for over 50 years and I'm healthy. Sugar and trans fat and junk food and process food that's the problem of erection problem and heart disease and stroke and premature aging of the skin. Exercising and eating a healthy diet is important for blood flow.

@b.j.thomas8606 4 ай бұрын

frequency?

@frederickhunter4649 4 ай бұрын

A lot people have to realize know matter what you hear,and especially on you tube, you will have to step out of rank one day, all of these you tube remedies are fantasy 😮

@fridaybenard8806 4 ай бұрын

How do I get in touch. I’m over seventy, having erection problems and maybe low terrestorone. How can I get help?

@larryrichards3668 4 ай бұрын

Very informative.

@inspirapt 4 ай бұрын

Glad you liked it

@johnmichaux616 4 ай бұрын

Please comment/advise on men who don't have a wife ,girlfriend or female partner and can't find a suitable one . What is a man ment to do ??? Considering religious teaching, STDs, stigma and any other reasons why a man must not be engaging in sexual pleasure !!!....it is like sex is ONLY reserved for the fortunate and wealthy ! What is a "poor man " ment to do ? .No woman will just come to your rescue .... quite understandable. Sex is good and beneficial for men and woman (don't you agree Dr.) So what is the solution ?? Please advise many of us. Thank you.

@stanspb763 Ай бұрын

There are women who are asking the same questions...where are the men who want a continuing sex life. Do you have a social network, or have activities that are also attracting women such as volunteering at animal shelters or community gardens etc because there are more females who miss intimacy than men I believe. You write as if your are bitter about our condition, that in itself would chase women away. How many times a day to you laugh outloud? If none you have to work on being more available. I moved out of the US 24 years ago after giving all my assets away and left to a country where I did not speak the language and I arrived with two suitcases and $6000 at 51. I had businesses that attracted a low of women of wide age ranges, music recording, (197 gold and platinum albums between 1971 and 1994), a shoe store with only high heels, a business restoring classic Italian GTs most Maserati and Ferrari, a business that repaired and installed the communications equipment for 4 national forests, and a high end dress store, a breading and training ranch for Quarter Horses for Cutting competition, a pro photo studio and restaurant on a beach on Maui...all at the same time, all successful but worked too hard to have free time but was surrounded by beautiful women. Finally I gave everything away to employees, family, my collection of sports GTs to girlfriends and wanted a simple life and because the best part of my life filled with great friends, culture, nature and very low cost of living I am 75, in good shape, my primary GF is 47 a beautiful sexy blonde who is also an open ocean long distance swimmer. And retired Vogue fashion model. I am mote wealthy anymore, not the very handsome but 6-2, 180 lbs, and have hundreds of attractive female friends and all it took was having something interesting to say and making the effort to meet them, on the street, in a park, intermission at the opera or ballet, on dance floors in rock clubs, in art galleries or on hiking trails. Having something non-creepy to say that is of interest to them. My activity partners range from a high of 65 down to 20 and all are single, smart, happy, well mannered and lonely when we met. My main partner had not had a date in10 years despite being flat out hot. She intimidated men 5-6 118 lbs slim with large firm breasts, long slim legs but she was very shy. With attention to her desires and fears addressed directly she has blossomed. She was afraid of men because since a teen players hit on her every day. Women are out there and any are simply afraid after being a lone for a long time, The US is a lonely place because so many factions that hate all the other 999 factions. Do you dance? Even if you do not, but are trainable, sign up for Tango lessons. 10 females of all ages signup for every male. Like gardening? get active in a community garden, be around women who are climbing out of their shell or ones there were always social. Women want men even if they have convinced themselves otherwise. Sex will come if you don't seek it as the goal but a natural result of having a comfortable bond with you. If you go to a gym do not seek girls there, there a conflict between males and females in the same spaces unless in group classes such as flexibility or yoga classes.

@johnmichaux616 Ай бұрын

Thank you for your advice. I am part of lots of the activities you mention but I guess living in a low density population does not give one much of a choice. Traveling in my country is very expensive unfortunately and that is nobodies fault . (Well it is but not civilians) But I hear what you say Thank you.

@harrycordell6123 4 ай бұрын

Thankyou so much appreciate the information😊

@victorvishnay3153 3 ай бұрын

Thanks for this podcast. I am a 64 year old African male and would like to have an appointment with the good NY Urologist.

@BernhardSchwarz-xs8kp 4 ай бұрын

You might as well read the text if the topic interests you. This way you can skip 80% of the part that is nothing but "repetitive filling material".

@williammann6101 Ай бұрын

Thank you for the well needed information. I am a 70 year old, 200 pound, 6 feet, Caucasian male, ( I see that the comment below mine stipulated, "African male...." )

@b.j.thomas8606 6 ай бұрын

How do you get a prescription for E.D. meds? I'm 66 and can j o. and do ok three times weekly. Wife has no interest and makes no efforts to be attractive so I don't pursue. However, I would need her manual help to get up. If I took an E.D. med I think i'd have more confidence to try anyway. Also, if I spent money i'd be motivated to be more forward.

@kendallb.whiting9785 4 ай бұрын

Thankyou for this I’m 75 I like the saldinafel it works great but why do the only give. Me a few at a time?

@robertgoodrich8953 4 ай бұрын

Go get a Medicare supplement for about $125/month. It pays for everything except meds! Then go see a urologist. Any competent one can handle this. If not, find another!

@rudolphwaithe277 3 ай бұрын

@@robertgoodrich89532

@didahuka7986 4 ай бұрын

I am 64 very healthy follow longevity and health span.My wife is in 40's but is not much caring about her health and much less active in sex.I am trying to covince her to eat healthy exercise,manage wieght.

@tousdr 10 күн бұрын

Woman in her 40s that are active, thin and practice physical activity are healthier, love themselves more and are more interested in her sex life🎉 Try to convince her: is difficult but posible

@taherelsayed1865 4 ай бұрын

Thank you so much for the Pretty good information

@csmeyer24562 4 ай бұрын

With pelvic pain what does something in the rectum have to do with anything ??

@richardpeterson7714 4 ай бұрын

Curious as to what might be the average level of testosterone would be in a 70 year old?

@user-tm6nq3ou1v 4 ай бұрын

I'm rolling through 78 soon and makin bacon has never been better .

@MenotMaparura 3 ай бұрын

I need help, I'm loosing sexiouly empitity

@PamCaruso-u6f 4 ай бұрын

My husband has used viagra, and another pill. Never worked. He tried to get injections they didn’t work. He got some stronger injections and doesn’t seem interested in using them. I don’t know if they are any good. He is supposed to see if they are still good or get some new infections. It seems like a lost cause. 😢😢 l keep asking him off and on, but he just doesn’t seem interested. He never brings up sex. I have to.

@stanspb763 Ай бұрын

Injections of what? He might be embarrassed to talk about it but seeking out an up today male sexual health specialist. Does he very have erections when sleeping. There are so many options available now since it is less of a mystery. Does he ever become aroused if watching porn? Does he ever help you to an orgasm? If he does maybe there is enough desire left to want to seek help.

@josephekette8918 17 күн бұрын

Yeah, what i can understand is that sexuality in people above 70 and above should obey nature,in old age every thing in your body starts to wind down,am 84 and i am a Nigerian, so nature have asked to it instead of poppin pills.

@raphaelakutuya4254 3 ай бұрын

Is there any food that one can eat to add more terestrone ?.

@ranjitsinghgrewal4727 3 ай бұрын

Ashwagandha,powder

@stanspb763 Ай бұрын

Resistance weight training, healthy diet with no processed food, no fast food, no vegetable oils but extra virgin olive oil, and L-Citruline power in water daily. You can also consider Testosterone Replacement Therapy. The consistent workouts inthe gym might be enough but American diets kill testosterone so if you do not eat well, nothing helps No where else in the world allows so many harmful additives to foods as the US.Even food and drink containers work against you, such as plastic drink bottle are causing serious decline sexual health

@barraabus 14 күн бұрын

Ahhh a distant memory...😂😂😂

@tefaraabayu9421 Ай бұрын

1/I have ejaculation problem and I have no sperm and I have a pain at the top of my penis. 2/ I have Erection problem. What do you advice me D/r

@appischakra 8 күн бұрын

❤😂🎉 பருவத்தில் உன்னை நகர்த்திச் சென்றது😮 முதுமையில் அதனைத் தொடர வேண்டும் என்று😅 உன் விருப்பம் எதிர்மறையானது😊

@spiridonnspiridonn4596 4 ай бұрын

В любом взрослом возрасте могут пригодиться знания о некоторых практических аспектах нейрофизиологичного секса, которые подробно изложил в *Комментариях* на kzbin.info?v=ULSrZcKcdgg [04.05.2024.]