What causes erectile dysfunction and what can be done to treat it? | Peter Attia & Mohit Khera

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Watch the full episode: • 260 ‒ Men’s Sexual Hea...
This clip is from episode #260 of The Drive - Men's sexual health: Why it matters, what can go wrong, and how to fix it | Mohit Khera, M.D., M.B.A., M.P.H.
In this episode, Peter is joined by Mohit Khera, M.D., M.B.A., M.P.H., a world-renowned urologist with expertise in sexual medicine and testosterone therapy
In this clip, we discuss:
- The pathophysiology of erectile dysfunction
- Medications to treat ED: Viagra, Cialis, and more
- The benefit of lifestyle changes in improving ED symptoms
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About:
The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.
Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.
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[@Dead-Ball-Situation]

As a fit guy who eats well and suffered from ED for some years, I can tell you that the list of "causes" for ED is poorly understood by even the best urologists (I know, for I have been to see them). It is only when I realised years later that I suffered from poor breathing that I discovered the root cause, which was a blood circulation issue caused by overdoing sports. Breathing is key to everything, it is key to life. But we develop bad habits over time. I ended up suffering from bad sleep because of it. The problem is, most people don't notice it and of course will never guess that poor breathing could be a cause. But it really can be. My blood test showed bordeline levels of high red blood cell count. Often this can be found in people who live in High altitudes because of the lack of air. But no, it was my breathing - which to me seemed fine but it really wasn't. There are scientific papers that actually confirm this but bizarely, doctors never talk about it.

[@DishantKothia]

Did it help?

[@ronlentjes2739]

I'll be blunt. Have no trouble getting aroused by attractive women but no dick response what so ever! Like how annoying. Then just recently one girl was been very obvious to me. As I left the store, I actually got a dick response. Like why now after nothing for soo long? It's the cassia cinnamon I had in my homemade milkshake! It's the only common denominator! I'll be testing this and reporting back! The hint came to me when I decided to chew on a raw cinnamon stick on the left of my mouth. The entire left side of my mouth and left side of my tongue swell up big time. I thought it was allergic reaction - but no - this is just what cinnamon does to you naturally - and apparently your dick to. So I will now be testing this out and report back ====✓ Note the other change is keto and fasting which may very well have contributed greatly - but cassia cinnamon seems to be a catalyst. Please understand that the chemicals in our food are hell on our bodies. After keto AND fasting, my congestion and breathing cleared up and got off CPAP.

[@hubermunoz861]

How did you treat your breading problems ! ? I think I have the same

[@Dead-Ball-Situation]

@@hubermunoz861 Chinese acupuncture and cupping/massage/Chinese meds in the end. It was a circulatory problem that affected everything, caused by over doing sport and not getting enough aftercare (massage etc). She said many people suffer from circulation and/or breathing issues, especially those who do vigorous sports too frequently but the consequences are not obvious and so seek western medical help which sometimes only causes them more harm in the long run. She was right in my case.

[@Dead-Ball-Situation]

@@hubermunoz861 With Chinese accupuncture/cupping/Chinese meds. She noted that I had a circulatrory issue caused by overdoing physical excercise and not getting much after care. Too much running, football, gym etc. The body seizes up, although it's not always easy to notice and that can have knock on effects (ED). She says many people seek western medical help but that can make it worse. She was right in my case.

[@LLee0]

Wow! So much great info!!! Thanks!!!

[@ronlondres]

Being health is the key for everything!!!

[@lilytea3]

0:06: 🔑 The severity and frequency of erectile dysfunction (ED) can be determined by asking two simple questions. 3:12: 🔑 The Vicious Cycle of erectile dysfunction: anxiety and subconscious aversion lead to avoidance of sex and low libido. 6:18: 🔬 Viagra was originally developed as a blood pressure medication but was found to have the side effect of causing erections. 9:35: 🩺 The main issue in erectile dysfunction is venous leak or venoocclusive dysfunction, which is caused by atrophy of the muscle as we age. 13:38: 💪 Regular use of the penile muscle is important to prevent atrophy, similar to muscles in the body. 16:37: 💊 Cialis and Flomax medications should not be taken too close together due to the risk of hypotension, but daily Cialis has shown significant improvement in endothelial dysfunction. 19:41: 🤔 The refractory period and difficulty in getting an erection increase with age, but there is no evidence of prolactin being a contributing factor. 22:59: 💡 There is a strong correlation between erectile dysfunction (ED) and cardiovascular disease. 26:19: 🔬 Lifestyle modifications, such as diet and exercise, can lead to meaningful improvements in erectile dysfunction (ED). Recap by Tammy AI

[@user-do7bj6wz2u]

Great medical knowledge from these Doctors

[@rsstnnr76]

The human body is amazing.

[@juanwick8820]

Diet Exercise Sleep Stress reduction or if it still doesn't rise up to the occasion daily 5mg Cialis

[@fraseredk7433]

And a partner with whom you are in love or lust and who does not look like a wildebeest.

[@cleazy______5624]

I do love exercise but my I don't sleep well and my and have a immense amount of stress right now

[@adhipmitra]

Very interesting.

[@LordSnow142]

I wanted to know more about Clomid but you guys just skipped through it and went straight to TRT and HCG.

[@noBody-ue6cs]

Hey, ive been taking tadalafil for a few months, and it hurts my chest like hell now to take it. Can i just, take a break from it for a few months and get back on it? Im set when im on it, im frustrated when im not.

[@Whizzy-jx3qe]

Why oh why do some women find erectile dysfunction so funny and laughable. I experienced EDF before my heart attack,treatment was stents meaning after things settled down my EDF disappeared. My wife’s attitude was very hurtful she found my EDF so funny and laughable taking great delight talking behind my back having a great laugh with her friends and colleagues. I found this very hurtful and depressing.

[@SimonLloydGuitar]

I feel sorry for you there mate. You need a supportive partner, not one who relishes in humiliating and diminishing you. Someone who does that doesnt love or respect you

[@redburtley6021]

Two words: Dump her.

[@chrystelvirgileh.]

Divorce from that woman. This is an intimacy thing she cannot be talking about behind you. ED happens to every single man in his lifetime.

[@bigr0075]

Surprised they didn't mention the combination of l-arginine and pycnogenal or Beetroot.

[@BurhanDanisan]

Great experience doc. you are a godsent Dr Ogoh, keep up the good work I am completely free from ED naturally.

[@user-by4es7fo1i]

What did you do to get rid of ED

[@user-by4es7fo1i]

Am using metoprolol and entresto and my ED get worse

[@user-by4es7fo1i]

But need to know what can be used besides vigara n cialis

[@ahagopian100]

Glad @ 76 simple nutrition has worked for me for 30+ years.

[@marktapley7571]

I think there are a lot of 80 year olds that are exaggerating a lot. Should have also discussed TRT for older men.

[@cleazy______5624]

I agree

[@eddiemartinez1337]

Is daily cialis better to take in morning or night?

[@likhith1035]

Night

[@user-vt5os6er9b]

Your Treatment towards my infection called Hiv virus is incomparable. You assured me of getting healed and surprisingly it was so after using athe medication by your Prescription, ive went for sevey HIV test and they were all negative, God bless you Drigho, I will keep letting the world know about your KZbin channel.

[@Annabella-nz5wu]

1 am definitely happy to have met Dr Ogoh here on his KZbin channel, you've done a great improvement in my life, thank you doctor.❤🎉❤❤🎉

[@neelanjanwagh6618]

High blood pressure medicines also reason for erectile dysfunction

[@empressafiya9022]

I read that sleep apnea could cause this too

[@jeffreykobe4011]

The knowledge & Determination just to make these herbal antidote for Erectile Dysfunction Is mind blowing, God bless the day I was recommended to channel, You are a Godsent to my life.i Humbly appreciate your work doc you are one in a million. its a great thing knowing you Doctor igho.

[@davidedsall9362]

Come on lets address the obvious issue My urologist h at AMC had never see peonies in 2000 by 2010 he had see seven what changed viagra. when i took a dose that was too large 100 mg I got an erectiion that felt like it was going to pop a year later I had painful perones I have talked to several people with the same story IS THIS A COVER UP

[@user-pn9qc3rt7y]

I can’t believe that there is a unique Doctor on the internet, all thanks to God almighty for revealing this savior to me. God will continue to bless you #DrGbolaGade

[@alphabeta8403]

6:30 Viagra 8:30 HRT 13:00 Use it or lose it 18:00 Brand? 18:30 Refractory period 21:00 Be in shape 22:00 Lifestyle modification

[@juanwick8820]

modern hero

[@VdvdbDvvdbd]

You’re doing a good work Dr Ogoh, for providing the best and permanent cure for ED🎉 0:02🎉

[@bgoodorhell4u]

My ED goes away every time I see a new woman. She must be willing.

[@hamidaabdenour9092]

This man lost me on the finastride part so much jargon and the PFS network payroll

[@ogbeborchristabel9276]

Giving all praise to God, and all appreciation to Dr emuakhe for bringing my life back together when I thought everything was over,you'll forever be remembered...

[@spinedoc18]

ED can be induced by a beta blocker? Just heard that at 1:40.

[@stevegillad7940]

Am greatful to dr gboya for being the faithful and trustworthy dr I needed he has a being a blessing to my health ever since I came across him highly recommended for ED ♥️♥️♥️.

[@mixalis6168]

So why do some men in their 60's 70's still able to have sex times easily 3-5 times a day ?

[@joesteffe6155]

Man i wisch this really worked . It didnt work at all for me .

[@TheJfc974]

Does anyone know about acid reflux and daily 5mg Tadalafil ?

[@karansinghnegi9384]

I'm currently talking 2.5mg tadalafill Will go for 5mg from next month

[@sohamocean]

@@karansinghnegi9384 Hi Bro...any feedback on tadafil 2.5 and 5 mg....i am thinking to start and your input will help

[@VdvdbDvvdbd]

You’re doing a good work Dr Ogoh, for providing the best and permanent cure for ED🎉 0:02 0:01

[@bgoodorhell4u]

Men worry about ED and women first interest is money and power. If you are broke and and hard she doesn’t care.

[@aureliendogbeh5554]

Lmao wrong. She got the money, and you're in shape but broke she will f*ck you. But yeah she wont probably get in love, now that's your job.

[@membersonly807]

Someone who doesnt get 🐱

[@bgoodorhell4u]

@@membersonly807 says the boy girl 👧

[@colingomes1096]

❤​@@membersonly807

[@manamana6117]

People are just lazy to move there body do a little resistance training a week.give up the crap oils/foods and fasting erections will be of steal

[@marktapley7571]

@@garygjl9036 Correct. Age is going to get all of us at some point. Sarcopenia is inevitable.

[@dollarbill9073]

🍌 💥

[@llame_az]

I like Peter but phrases 'evolution does not want you to reproduce as you get older' are as nonsensical as it gets.

[@xyzct]

Date a 20 year old.

[@johnamedu1860]

Might as well name your channel Cialis

[@americankrod]

"ED is Cap"

[@mohanish]

You’re on the wrong side of KZbin dude. Only adult discussions here.

[@americankrod]

@@mohanish kzbin.info/www/bejne/mqiqqmqrgs1rmNE

[@seanmaher9263]

Touch my camera through the fence