Revitalize Your Vitality: Peptides & Sexual Health

Anne Truong, MD

Thank you. Thank you for having me here, Dr. Jen.

Jen Pfleghaar, DO, ABOIM

Yes. Of course. Now you also have a few. You have a bestselling book. I would love to hear about that. I think I see it.

Anne Truong, MD

Yes, the bestselling book; Erectile Dysfunction Fix, was released in 2018, and it became an international bestseller. The main thing about the book is that I’m a big proponent of treating the cause of the problem. Being an integrative medicine, treating the cause of the problem rather than treating the symptom, the Band-Aiding the symptom. It discusses the cause of erectile dysfunction and the different approaches to treating erectile dysfunction besides ED,  medicine like Viagra, Cialis, or penile implant, and discusses lifestyle modifications such as diet, exercise, and other lifestyle modifications that you can do to decrease or restore sexual function, and then talks about your stem cell, which is all ontology stem cell where you can have stem cell that in your blood, your bone marrow, and your fat, and then talks about hormone replacement therapy and also shockwave therapy. It’s a multimodal approach to sexual restoration. Without the medication and what we find, and when we do that, in my practice, we’re seeing longer-lasting improvement and also more of a restorative result rather than a temporary result. 

I’m a big proponent of lifestyle modification when you say that because erectile dysfunction is weight loss. You do the hard work to lose weight, look fabulous, and feel fabulous. then, six months or so down the line, you fall over the bandwagon because you’re not exercising or eating well. You gain back the weight again. Then, if you get on the bandwagon, fix that. Would you do the same thing? What a day that we say, that the four pillars of sexual health’s health are diet, exercise, sleep, and stress management. If you stay on top of those four pillars, then your sexual function will maintain an optimal state. But if you fall off the bandwagon, one of those pillars, then you’ll start seeing some changes in your sexual performance.

Jen Pfleghaar, DO, ABOIM

Yes. Especially with men, their sexual health is correlated to their general health. Can you explain to our audience why it’s important and why your doctor should be asking you, How is your sexual health? Because I talk to men about that. Why are we worried about your blood pressure, and why are we worried about your fasting insulin? Well, you do want to have good sexual health moving into your late retirement age. Then the same with women. You always want to ask them, Are you dry down there? Are you going through menopause? It’s important and it’s correlated. Can you explain that?

Anne Truong, MD

I’m so glad you touched upon that. I did give a talk at a medical conference two weeks ago when my point was that sexual health is good cardio health or heart health. It’s also good for general health. Studies have shown that men who present what a day has other associated medical conditions that are hidden; they haven’t presented yet, but the ED symptoms will show up. As you said, a man will notice that more because it’s pretty visible. I have to work well to function. Oftentimes, there was a study that showed that men who have also had concurrent anxiety and depression, men who have also been diagnosed with pre-diabetes or diabetes, and men who have also had concurrent high blood pressure, and high cholesterol that they don’t know about either. The men that had most of the time that ED also correlated with the amount of alcohol that they drank within the week. Then alcohol is the number one co-morbidity in a man with ED. 

If you see the presentation of ED, you need to start looking for cardiovascular risk factors such as high blood pressure, high cholesterol, and obesity, and then also screening for depression, anxiety, and diabetes as well. If you help a guy restore his function, then you’re helping his cardiovascular status or his health status, which then equates to longevity. Equate to more, good general health. Yes. I just feel that, if you’re passionate guys about your sexual function, it’s a good thing because it’s a low warning sign for the man to get this, get it looked at, do some blood work, and go see a doctor to see if maybe you have diabetes.  That’s why you’re underperforming. Maybe you have high blood pressure. Maybe you have high cholesterol. I can’t tell you how many people I see in my office that come to me with ED. What I  ask them is, Have you had any blood work in the last couple of years? No. When we learn about blood work, we see diabetes and high blood sugar. We see high cholesterol that goes off the roof to 400. We also see a kidney problem. We see some liver, a liver enzyme, and abnormalities as well. That’s something the man doesn’t even know he has, but he knows that he has ED. He pops in Viagra or pops off Cialis? It helps him to function for his sexual function, but he’s not looking at the cause of what’s causing my ED in the first place.

Jen Pfleghaar, DO, ABOIM

Yes, and that’s a scary thing because your body’s giving you a sign that something’s off. If you just use those ED drugs, it’s not getting to the root cause. Eventually, those aren’t going to work as well. That’s pretty scary. It’s good that you take a root-cause approach. Why is sexual dysfunction so common in men and women?

Anne Truong, MD

Women also have sexual dysfunction, with a higher percentage than men. Because, as you know, there was a study that showed that of women over 40, 43% of them have sexual dysfunction. Unfortunately for women, we don’t have a sexual organ. We can look down there and say, it’s not working as well compared to a man. Men have sexual organs. They can look and maybe not perform as well, but for a man to hit his erection, it should be his engine light. When it’s flashing, you need to look at what’s inside. But the reason why it is so common is because it’s related to endothelial inflammation or dysfunction, and the endothelium is essentially the lining of your blood vessels.

Imagine your blood vessels as a pipe, and then there’s a lining inside that pipe that keeps the functionality of the blood vessels intact. When the endothelium is inflamed, then there’s leakage out from the blood vessel, which allows the toxin to leak out, which also decreases the elasticity of the blood vessels, decreases the functionality of the blood vessels to the endpoint, and decreases blood flow. That’s the end point. Many factors can cause decreased blood flow, high blood pressure, high cholesterol, diabetes, obesity, depression, anxiety, and alcohol stress, along with the high cortisol from stress and sleep. Most men don’t realize that if they’re depriving themselves of sleep at night, it could affect their sexual function because all those factors that I mentioned are very common. Which we take for granted. But all that cumulatively will cause endothelial dysfunction, which will then affect the blood flow to the penis organ. That will result in ED, and for men aged between 40 and 70, if you’re between 40 and 70, If you are 40, 40% of you have reached age, and if you are 50, 50% of you have reached age 60, 60%, and then at age 70, 70%.

The reason it gets higher with age is that testosterone levels start to drop. Then the underlying medical condition, cumulative over the years, causes more, endothelial dysfunction my approach is that, at 40, 40% of guys already have a problem, then recognize that, dead away and say, If I’m not performing as I used to when I was 20 years old, maybe just look at my diet, my exercise, and my sleep. my stress. Instead of trying to go get that Viagra just to treat the symptom because there’s probably some underlying cause that’s contributing to that. Go get bloodwork, because that’s how much that condition that I mentioned—high cholesterol, diabetes, kidney and liver dysfunction—can be diagnosed easily on blood work.

Jen Pfleghaar, DO, ABOIM

Yes. I know how you said it was a check engine light for men—it’s flashing, and it’s not something that they ignore, but often they bring it up with their doctor, and maybe their doctor brushes it off or just writes them for Viagra or Cialis. Why aren’t patients seeking out sexual dysfunction with their doctors? Are they embarrassed to talk about it? What have you found?

Anne Truong, MD

Well, it’s an intimate issue. A lot of us don’t talk about our sexual lives. Most men don’t even talk about their ED to their wives. Studies have shown that only about 43% of them will talk about their ED with their wife. It’s an intimate issue, and sometimes they don’t. The study has shown that 67% of men don’t even know they have ED. Because we all think ED is impotent. It’s not adequate to stay present longer to get an erection. ED can present a getting-on reaction, and then you lose it. ED can present as almost a premature ejaculation. It can also present an inability to ejaculate or even an inability to orgasm, all the way to no erection. It’s a whole spectrum of that. The first presentation is that the man will be able to get erect, but then he loses that first warning sign. Sometimes it can be. One on a couple of times. It can be. Maybe you’re distracted or stressed. But it was. It happened frequently. Then he had ED. But we live in society. It’s just easier to get medicine and pop into medicine. It works. Okay. I’ll just take it now because I told you, Why should you give up your sexual function to a pill? Because once you start taking that pill, every time you have sex, you’re always going to need that pill. You’re it becomes a crutch for you. 

For a man to have an ED, It’s such a thing; it involves six systems, from the head to the sexual organ and it’s so innate. The point I’m trying to make is that the body is still built in such a way that it. You are programmed to get an erection, so it’s almost like you need to take a pill to blink your eye. You are programmed to get an erection because, deep down, between a man and a woman, there is a primordial instinct to procreate and to continue human life. Yes. That is the primordial instinct. Yes. We can all look at sex all we want, but it’s. We’re all programmed to have, to continue human life. It’s innate to him. Don’t give it up to a pill. But a patient doesn’t talk about it with their doctor, who will be embarrassed by that. Sometimes they don’t know that. Maybe if I talk about it with one of the doctors, I can find some solution to what’s going on. They don’t know that. Maybe they need to talk to the doctor. Just the blood works. Maybe that will help with your ED. It’s all about misinformation, and it’s about discomfort. the subject, study. I just, I, when I gave the lecture and I looked at the study, only about 50% of men will bring it up to their doctor at the appointment. I mean, the 50% of men that have been added are suffering in silence. They’re not talking about the doctor. They’re not talking about it with their partner.

What are they doing? They’re going on Google and they’re googling; they’re dependent on Dr. Google to tell them what to do and what their sexual life is like. Oftentimes, they end up in an online dispensary. They take the ED badly. They just make themselves a bigger hole when they start taking it easy, according to my approach, and that’s information, and education before you pop that pill, maybe you should do some introspection and look at the four pillars of your health. Go get your blood work done. It’s covered by insurance. You may end up discovering you have diabetes. If you fix that, your sex life can also be fixed as well, because if you keep taking the medicine for 3 to 5 years, that medicine isn’t going to work. After all, for 3 to 5 years, the disease worsens the endothelial dysfunction and the blood flow gets worse and worse. That’s why a lot of men go from ED medicine to try and mix injection, which is an injection into the penis to help with erection, and then penile implant. What else is in the penile implant in men in their 40s now, because they’re ED in their 30s? It’s an epidemic. 

Jen Pfleghaar, DO, ABOIM

Don’t ignore the symptoms. You don’t want to end up with a penis pump at age 40. That would be wild. Yes. I mean, that’s a major surgery, too. What are the stem cells that you’re talking about? For those who might not be familiar.

Anne Truong, MD

The stem cell that is easiest to harvest is the platelet, which is floating in your blood, and the platelets account for about 30% of your blood. You have five liters. That’s floating women a little bit less than men. 95% of it is red blood cells. Then you have the white blood cells, but then the platelets fill, which are the ones that help you heal. For instance, if you cut yourself in your hand. What happened? The blood oozes in. Fill in the area, and then the platelets cause the blood to clot, but they also stimulate. Platelets go in there and stimulate other cells to migrate to the cut to seal that cut. When we see a scar all the time, that’s what a platelet does. Platelets stimulate the healing process of the soft tissue and even the bone as well. That’s called a platelet. I get the platelets out from your blood. I would draw out either 180 cc or 240 cc. We put it in a centrifuge to separate the red blood cells from the plasma and just keep the platelets low. That is then re-injected into the penis. What it does is that it heals the endothelium and stimulates more blood flow to the penis. Then also we now I said 20 and 22, but now adding in Botox. The same Botox that you put on the face to get rid of those wrinkles.

Now we’re adding it to the corpus cavernous, something that works like Viagra. It relaxes the penis to allow for erection. Then we’ll also do something called a shockwave, which is a machine that uses electromagnetic energy to transfer that energy to the tissue. What that does is, again, stimulate, heal, and increase blood flow. The whole thing is a double blood flow; however, all that treatment is on the penis itself. But lifestyle modification, diet, exercise, sleep, and stretch management work on repairing the blood vessels and the inflammation, from the penis and up to your brain, because you have to change your diet and exercise to start healing from your dysfunction.

Jen Pfleghaar, DO, ABOIM

Yes. It’s not Botox and the penis is different Because you said it’s new, I hadn’t heard of that yet, but it makes sense. It’s relaxing the cavernous corpus muscle, if you guys don’t know, in the penis, there’s these two columns where they have this muscle, and that’s what fills up with blood. You’re relaxing that, where are you injecting the Toxta Botox?

Anne Truong, MD

Yes. The Botox is injected into the corpus cavernous also.

Jen Pfleghaar, DO, ABOIM

How many units are you using? I’m very intrigued.

Anne Truong, MD

Yes, it’s about 100 units.

Jen Pfleghaar, DO, ABOIM

That’s a lot. Okay, so if any of you get Botox or Toxta Botox which is a cleaner Botox, usually, 2 to 4 units, four units usually here, or two here, it’s not. 100 units is a lot. Have they, your male patients are just, wow, this is working well.

Anne Truong, MD

Absolutely. Yes. That’s our top seller. Our package. It’s called a Performance Boost and is our top seller with platelet injection, a platelet-rich plasma, or PRP. Well, with the shockwave therapy along with the Botox. We have them use a penis pump. I’m a big advocate of penis pumps, penile rehab, and supplements. Also, we have an app where they work on their diet and exercise, keep track of their sleep, and meditate. I’m a big believer, and to treat something as complex as ED, you need multiple approaches to heal from within, too, because I’ve noticed that using one approach isn’t going to help, but I also want to add in. We also do blood work to look at comprehensively what’s going on and what inflammatory markers are present. But then we will also add hormone replacement therapy for men with ED with testosterone if they are candidates as well.

Jen Pfleghaar, DO, ABOIM

Yes. That’s a great point. Now, you mentioned the penis pump. Even if they’re having, do you prescribe that for specific ED problems or everyone? They’re just flexing a muscle.

Anne Truong, MD

Yes. Well, one of the videos I have on YouTube that is going viral now is called Taking Your Penis to the Gym. Using the penis pump for those of you that are not familiar with it—in fact, I have one. I’m going to show you here. I want to bring the penis pump from outside Austin Powers Porn. Dirty negative to actually, a medical device that you can use at home, and almost, a massager as well, because it can be used for rehabilitation of the penis to either maintain the optimal functioning of the penis, or it can also be restorative if you have ED. You can maintain and you can also restore functions. what it is, it looks like this. Or the electric because rechargeable, so it’s the negative pressure. It’s a substance. a vacuum. It’s a vacuum. A negative. suction. You turn it on, and then you put the penis through here. Because of the negative, suction. A friend of mine says it’s oral sex that causes the negative suction. Then, because of the negative suction, a man will have an erection inside the cylinder here. He gets a full erection, the erection adapter to arterial and venous blood. Then once you get to a certain erection, he can stop the suction and just leave it in there.

You want to leave it there for about ten minutes, and then you deflate, and then you deflate here, and you get it out. Because, if the man. Well, every time he has an erection, he’s exercising the penis muscle now. How often do we go to the gym? 3 to 5 times a week. When you go to the gym to do a shoulder press. Well, I don’t know about you, but as you get older, you don’t have as much frequent sex as you did when you were younger. As we get older, live kids, and work on all this stuff happens, and maybe you have, and, of course, once a week, maybe twice a week. But that’s the only time that you have exercised. You have exercised the penis. Well, a man who’s made to have a nighttime erection or morning erection can have between 3 and 6 erections a week. I mean, a night, 3 to 6 erections a night. Each erection can last from 5 to 30 minutes. However, as you get older and your testosterone level drops, a nighttime erection or a morning erection also drops. The frequency of flexing the penis muscle, the cavernous corpus, decreases. Two things happen for a man: after the age of 30, his testosterone level drops, and when the testosterone levels drop. The cavernous corpus, the penis muscle, has a lot of receptors that need testosterone to stay healthy. 

But with a testosterone level drops. What happened to the muscle? The muscle atrophy and the penis muscle atrophy a little bit. When it atrophy, it can develop scar tissue. Fibrosis starts to set in, what is the result? It’s harder to get an erection, and it has a small opening. When you’re firm. How do you prevent that? How do you prevent that penis problem now? Because that will expand the muscle that will bring in oxygenated blood, It will also keep the penile muscle healthy, prevent scarring, and prevent fibrosis because your testosterone level will drop unless you get supplemented with testosterone. Or you can exercise, eat well, and increase your testosterone by 200 points. If you hit 300, you can increase that to 500. but you can’t increase it. Probably not more than 200. The point I’m trying to make is that you can use the penis pump as a preventative to keep, the penis in good health. Or if you have it, you can use it to bring oxygenated blood into the penis and to also rehab the penis. That way, it can know what it’s like to have an erection because men with ED unless they take medicine. Or try a medicine injection, they may not get an erection. What happened over time? The muscles atrophy, resulting in more scar tissue sets in. I’m glad you asked me about the penis power. That’s something that I’m passionate about as well.

Jen Pfleghaar, DO, ABOIM

Yes, you can tell. You can express your passion for the penis pump. I love it, and it’s cool that it’s electric. Yes. that’s nice. You’re not going to wear out your arms, but it’s a great point about bringing oxygen-rich blood that’s healing to the corpus cavernous to the penis. I think that’s a great point, comparing it to a regular muscle. Probably no one’s talking about that. I’m sure that they go to their urologist or their family doctor, and they’re getting sent home with a script instead of a penis pump, which is unfortunate.

Anne Truong, MD

Yes, it is. They’re sending them home with a script. But, I mean, they trust a doctor. However, most doctors are not aware of alternatives other than medications and that penile implant—unfortunately, that’s what insurance covers. But honestly, the cost of this, it’s 100 plus, and, once you know about it, you can buy a massager. Why do you use a massager? To help with pain. Well, this is what I think of it as, almost as I call it, brushing your teeth. Take it, and build your penis as well as your teeth. You want to preserve it. That way, it will stay with you and be functional until the day you die. How do you do that? Well, penis calm, using the four pillars. I would tell them what I’d say to my patient. If you’re able to have an erection, your penis should be three times your weight. If you’re going below three times a week, then you’re not keeping up with your exercise. If you’re not keeping up with your exercise, you’ll have a penis problem.

Jen Pfleghaar, DO, ABOIM

Yes, I love it. Let’s move on to peptides. Could you tell us what you use at your practice for peptides for men and women for sexual health?

Anne Truong, MD

We use PT 141, and I always have a hard time with the Bremelanotide, so we use PT 141, or the  Vyleesi, as the brand name. It’s an injection of a peptide that is subcutaneously injected into the penis, and you just inject it into the abdominal area. That helps with increasing arousal and desire; we see that for men, it helps with testosterone, which increases some desire but not all desire. But if we combine that with testosterone and the PT 141, it will help with arousal and desire. Because the brain is a larger sexual organ. It starts in the brain. For you to get the erection of a female, or even get engorged, it starts in the brain. Because if our brain is not aroused or we’re not in the mood, it’s not going to transmit hormones or nerve transmission from the brain to the nerve, and then down to a sexual organ. What it does is work on stimulating and arousing the brain. Therefore, you’ll also see some of the side effects, which are a little nausea, a headache, and some gas problems. 

Now that I tried it, I recommend it to my patient. I tried it myself as well at low doses, I have a headache as well. My husband is laughing; I mean, I don’t have any problems. I have a headache. If you’re going to use the PT 141, which helps with arousal or desire, it does work well, but you have to work with a doctor to adjust your dose and not necessarily going up higher is helpful. Sometimes the lowest dose that you respond to is the best of all two. You just have to monitor the dosage.

Jen Pfleghaar, DO, ABOIM

Yes. I think it’s pretty funny that one of the side effects is a headache, one that tends to be an excuse not to get together. I know some people now are using PT 141 with oxytocin. Combining those two, I think that is cool and a great idea. When you have your patients on these peptides, are they using them just as needed? Or if they just feel, how are they using them a couple of times a week or a couple of times a month, have you found?

Anne Truong, MD

Well, they’re using it, I would say, probably once a week on special occasions where they need to be there in the mood, and so forth. They don’t use it every time, but they do use it on special occasions. Usually, it’s the men who use it more, and more on the older men, the ones that are in their 70s, will use it more as well. Those are the ones that require a lower dose than the younger men. It’s not all the time that they use it, but they’ll use it on special occasions because, if it’s an injection you got to, I tell them to inject for about 30 to 45 minutes before sexual activity, and it’s time to take that spontaneity out of sexual activity. That’s one of the reasons why they don’t use it as much, but you have to plan that out and get it—your insulin needle. You have to inject as well. But when it’s appropriate, it does help quite a bit. I think if a man tells me that he’s having difficulty getting aroused or desires, that testosterone, that doesn’t help, and I will add in the peptide as well. After doing the PRP, the Botox, and the shockwave treatment, I’ll add that in as an adjunct as well. 

I don’t use oxytocin as much because I tried the nasal oxytocin and some of my patients didn’t notice it as much. It was what they were doing because I had my patient meditate, do box breathing, to help them prolong the experience a little more, and do pelvic exercise. I do cable exercise, too. But again, using multiple modalities and multiple techniques to optimize sexual function is important because there are muscles in the pelvic area that are very important to sexual function. But we never exercised that. I mean, we don’t exercise the muscles down there. What happens when we get older? We get older. It starts to sag and starts to get weakened. We also have fewer hormones. For women, women need estrogen in their vaginal tissue for moisture as well as the strength to maintain the strength of the muscle as well, and so do men. Men need to do their take on muscle to help improve erection. But men also need estrogen, because a recent study found that men need estrogen, as it helps with your desire. Something new I want to add here is that, if a man, you try what PT 141 and has side effects; you can start thinking about maybe taking that new medicine called Addyi, which is branded for women, or arousal and desire. But a man can also take that as well to help with desire.

Jen Pfleghaar, DO, ABOIM

Yes. I remember how I felt postpartum when I was breastfeeding. Your estradiol levels are low, and you can tell down there that something’s off. I used a little bit of estradiol estriol down in the vaginal area to help rebalance that while I was prolonging nursing. That’s something that a lot of OB-GYNs don’t talk about with their breastfeeding mothers. I think that’s unfortunate because then they can’t regain that intimacy with their husband after having the baby. That’s another thing. I always recommend pelvic floor therapy for someone who has internal trigger points. because the pelvis—as you were saying—we have our pelvis and our lamb and ashram coming together, and all those bones are held together by ligaments. Then there’s muscle. It’s because the muscles are tight; it’s going to pull on those ligaments and cause pain. I know I had this hip pain, and I did everything. Everything, except when I did pelvic floor therapy and got the internal trigger point fix, was better. When we look at sexual health for women, we have to address that. it’s interesting. A lot of women are not recommended to do pelvic floor therapy postpartum. I am sending women that are 50-60 for the first time. I practice a lot because we talk about it. But it is very important. You said men need to do pelvic floor exercises as well.

Anne Truong, MD

Yes. I help them with the erection because the pelvic floor muscles wrap up at the base of the pinna, and that helps with the pinna standing more up because the pelvic muscle is weakened, which affects the erection. Because the erection may not be as up. It will be more downsloping. They need to exercise that too. The pelvic muscle is also intricately involved with the prostate. That’s why they’re all in the same area. The prostate—it’s the prostate—actually contributes to sexual function. A recent study found that the urethra, the tube where you urinate, is also involved in sexual function because the urethra has a lot of testosterone receptors in it. The prostate, if you have most men, would have you did, and so the prostate, also involved with that, what I mentioned up the prostate because the muscle, the pelvic muscle, is also involved, and orgasm. That’s the sensation—the contraction of orgasm. The sensation is also involved with ejaculation in getting the seminal semen fluid out. If the pelvic muscle is weakened and you see that in men that have radiation from prostate cancer, then you’ll have a low volume or you’ll have difficulty with ejaculation. 

Men here, very loud and clear, if you want to have a good attraction, focus on those pelvic muscles, because you’ll have a better intensity of orgasm and better ejaculation. How do you exercise that? Those are the same muscles that help you urinate. You start a stream. If you stop that stream and start to stream again, those are the same muscles. You can feel those muscles. I have men, and I have a lot of my patients do their biofeedback. I showed them that these are the muscles you need to contract. You lie down. You put your hand down there and feel it. Feel it contract. Feel it tight. Feel it contract; feel it tight. But, interestingly, I don’t know. Jen, you may know that men who have ED have tightened pelvic muscles. Their muscles are contracted instead of being relaxed. That makes sense. If they’re contracted, then it’s hard for them to get the erection, or it’s contracted because they’re tense. But they’re tense, and it’s hard for them to get direction. But if you relax it, you relax the pelvic muscle. Then, when it contracts, it’ll be a stronger contraction. Okay. It’s worthwhile for men to start doing Kegel. Put your hand down there. Feel the muscle. I usually tell them it’s right beside your scrotum area underneath that field of contraction. When you urinate and stop, and then, you can do that while you’re driving in the car. Do 20 of them. You have to coordinate with your breathing. But the more you do it, the better, and the stronger those muscles are.

Jen Pfleghaar, DO, ABOIM

Yes. That’s great. Now everyone has homework to do. 

Anne Truong, MD

Yes. Three times a week. Then exercise your pelvis and for women too. When I sit in a traffic jam, I’m doing my Kegel exercise. Because, and I have to tell you this, I’m a big advocate for that goal to see, a physical therapist that specializes in the pelvic floor because as a doctor doing this, and I thought I knew how to Kegel, I was not doing it correctly. I was doing it too hard. I was contracting the muscle more than I needed to. and so if I do that, I cause more harm. I’m causing the muscle fatigue. I’ll make it weaker. Go see the pelvic floor specialists or physical therapists, or sometimes an OT as well. That can give you biofeedback on how you need to do that. You don’t have to go a long way. But how to do it, you can do it for the rest of your life. You can do it while you’re standing in the grocery store. You do it while you’re in the car. But it will help you in the long run and also help women, especially with urinary stress and incontinence. That was the reason why I needed to go to therapy or to help with a concussion. Every time I play tennis, every time I overhead or serve, I may lose. I can’t even do jumping jacks. What I did was do the play, and I had the platelet-rich plasma injected on the o-shot, injected into my clitoris and my g-spot, and also along my pelvic muscles. 

Jen Pfleghaar, DO, ABOIM

Yes. That’s great. I love these because they’re natural solutions and they’re not some weird bladder sling surgery and stuff that’s just going to put you out of balance. There are ways to heal out there that are more natural. Even using the peptides as bioidentical hormones, it’s all just this great, anti-aging lifestyle. Thank you for sharing everything with us. I think this is the first interview I’ve ever done where someone put a penis pump up on the screen. That’s a first.

Anne Truong, MD

There we go. I always have someone next to me because I’m always on the podcast and I’m always talking about it. I wish we had something for women to do as well. I have some homework to do on the women in that department because I think that women can do restorative, vaginal therapy the same way that men can. This has been an interesting episode for you and the whole event.

Jen Pfleghaar, DO, ABOIM

I love it. Well, can you please share with us, Dr. Truong, where everyone can find you if they want to work with you or get into your program?

Anne Truong, MD

Well, great. It was my pleasure to be here and to share that. I’m very passionate about education and dispelling the myths and stigma of sexual health because sexual health is health. I believe that if you do what you need to do, you can continue to have sexual vitality for life. Because I’ve seen men in their late 80s still having sexual relations. Having said that, I created an online coaching space program for men with ED, which I just called the Modern Man Club, where I will do live coaching with men in a group. What they need to do to have, to regain their sexual function. But in it, I also have my course to show them the success path as well. I also sort of supplement that they need to take that I have validated and verified because there’s a lot of stuff out there that possibly does not work. I focus on more lifestyle modifications. The four pillars of health are exercise, diet, stress reduction, and sleep. 

Our club is called the Modern Man Club, and you can check it out at the URL, https;//noedman.com is our coaching program. If you need to have more, do it for you, we do it after treatment, where we do the stem cell therapy with the platelet-rich plasma to shockwave and the Botox injection, along with our lifestyle modification, you can go on my website. at truongrehab.com. and you can just contact us there. We love to hear from you, but we offer bulk programs because people get results with the coaching program. I know that I can’t see everybody everywhere. I want to have a big reach to educate men that they have control of their sexual function. Do not give it up to a pill. Do not get a penile implant because there are a lot of complications with that. It all starts with work education. I hope that if someone listens to that, they will learn something from it, throw those pills away, and start looking at restorative therapy for them.

Jen Pfleghaar, DO, ABOIM

Yes, absolutely. I love how passionate you are about it. Thank you so much for being here. I enjoyed talking to you.

Anne Truong, MD

Thank you for having me here.