Full Transcript Sex as a Vital Sign 0:02 We [music] spent our careers studying 0:02 We [music] spent our careers studying the science of a long life. But what 0:05 the science of a long life. But what 0:05 the science of a long life. But what [music] we were simultaneously learning 0:08 [music] we were simultaneously learning 0:08 [music] we were simultaneously learning was the importance of the art of that 0:11 was the importance of the art of that 0:11 was the importance of the art of that long [music] life. 0:13 long [music] life. 0:13 long [music] life. >> If you don't feel you don't you don't 0:14 >> If you don't feel you don't you don't 0:14 >> If you don't feel you don't you don't have energy, you don't want to do 0:16 have energy, you don't want to do 0:16 have energy, you don't want to do anything, let alone sex. [music] So it 0:17 anything, let alone sex. [music] So it 0:17 anything, let alone sex. [music] So it just can help to increase metabolic 0:19 just can help to increase metabolic 0:19 just can help to increase metabolic rate. 0:20 rate. 0:20 rate. >> Therefore, vaginal cream is not going to 0:22 >> Therefore, vaginal cream is not going to 0:22 >> Therefore, vaginal cream is not going to be the answer that is [music] going to 0:24 be the answer that is [music] going to 0:24 be the answer that is [music] going to truly address why you have the pain in 0:26 truly address why you have the pain in 0:26 truly address why you have the pain in the labia in the first place. I always 0:28 the labia in the first place. I always 0:28 the labia in the first place. I always walk my patients up. I do that one 0:30 walk my patients up. I do that one 0:30 walk my patients up. I do that one because that's the polite thing to do. 0:32 because that's the polite thing to do. 0:32 because that's the polite thing to do. But also just, you know, I'm sitting 0:34 But also just, you know, I'm sitting 0:34 But also just, you know, I'm sitting [music] a lot of times, so I just I 0:35 [music] a lot of times, so I just I 0:35 [music] a lot of times, so I just I stand up. I'm moving around. 0:36 stand up. I'm moving around. 0:36 stand up. I'm moving around. >> Do you corggasm? 0:39 >> Do you corggasm? 0:39 >> Do you corggasm? >> And here's how you do it. 0:46 >> What if sex is actually a vital sign? 0:46 >> What if sex is actually a vital sign? >> It is. 0:47 >> It is. 0:47 >> It is. >> What if your erections, libido, arousal, 0:49 >> What if your erections, libido, arousal, 0:49 >> What if your erections, libido, arousal, lubrication, and ability to orgasm were 0:51 lubrication, and ability to orgasm were 0:51 lubrication, and ability to orgasm were telling us something much bigger about 0:52 telling us something much bigger about 0:52 telling us something much bigger about your health? Healthy sexual function 0:55 your health? Healthy sexual function 0:55 your health? Healthy sexual function requires your arteries to dilate, your 0:57 requires your arteries to dilate, your 0:57 requires your arteries to dilate, your nerves to fire, your hormones to 0:59 nerves to fire, your hormones to 0:59 nerves to fire, your hormones to communicate, and of course your brain to 1:01 communicate, and of course your brain to 1:01 communicate, and of course your brain to respond, and that pelvic floor to 1:03 respond, and that pelvic floor to 1:03 respond, and that pelvic floor to function. We'll talk about all that 1:04 function. We'll talk about all that 1:04 function. We'll talk about all that today. So, when sex begins to change as 1:07 today. So, when sex begins to change as 1:07 today. So, when sex begins to change as we age, why do we dismiss it as just 1:09 we age, why do we dismiss it as just 1:10 we age, why do we dismiss it as just getting old? Maybe erectile dysfunction 1:12 getting old? Maybe erectile dysfunction 1:12 getting old? Maybe erectile dysfunction is just about sex. Maybe vaginal dryness 1:15 is just about sex. Maybe vaginal dryness 1:15 is just about sex. Maybe vaginal dryness isn't just menopause. Maybe disappearing 1:17 isn't just menopause. Maybe disappearing 1:18 isn't just menopause. Maybe disappearing libido isn't simply aging. Maybe sexual 1:20 libido isn't simply aging. Maybe sexual 1:20 libido isn't simply aging. Maybe sexual health is one of our best windows into 1:22 health is one of our best windows into 1:22 health is one of our best windows into vascular, hormonal, neurological, 1:25 vascular, hormonal, neurological, 1:25 vascular, hormonal, neurological, metabolic, and relationship health. 1:27 metabolic, and relationship health. 1:27 metabolic, and relationship health. Today, we're going to make the case that 1:29 Today, we're going to make the case that 1:29 Today, we're going to make the case that sex should be considered a vital sign of 1:31 sex should be considered a vital sign of 1:31 sex should be considered a vital sign of healthy aging
How Sexual Function Reflects Overall Health 1:32 healthy aging 1:32 healthy aging >> and an essential part of living the well 1:34 >> and an essential part of living the well 1:34 >> and an essential part of living the well in life. 1:35 in life. 1:35 in life. >> Amen. Well done. Thank you. 1:38 >> Amen. Well done. Thank you. 1:38 >> Amen. Well done. Thank you. >> That's a good summary and certainly a 1:39 >> That's a good summary and certainly a 1:39 >> That's a good summary and certainly a summary of what we'll be talking about 1:41 summary of what we'll be talking about 1:41 summary of what we'll be talking about today. So, we're always uh going to look 1:43 today. So, we're always uh going to look 1:44 today. So, we're always uh going to look at kind of the physical things, the 1:45 at kind of the physical things, the 1:46 at kind of the physical things, the hormonal things as it relates to sex and 1:48 hormonal things as it relates to sex and 1:48 hormonal things as it relates to sex and then we'll see what else kind of comes 1:50 then we'll see what else kind of comes 1:50 then we'll see what else kind of comes up along the way. 1:51 up along the way. 1:52 up along the way. >> Okay. 1:53 >> Okay. 1:53 >> Okay. >> Well, um I think we could probably just 1:56 >> Well, um I think we could probably just 1:56 >> Well, um I think we could probably just get straight into some of the basics of 1:58 get straight into some of the basics of 1:58 get straight into some of the basics of what has first of all, you look great. 2:01 what has first of all, you look great. 2:01 what has first of all, you look great. I'm I was feel remiss if I don't say 2:03 I'm I was feel remiss if I don't say 2:03 I'm I was feel remiss if I don't say that. You look fantastic. I love your 2:06 that. You look fantastic. I love your 2:06 that. You look fantastic. I love your glasses. 2:07 glasses. 2:07 glasses. Talk about that in another episode. So, 2:09 Talk about that in another episode. So, 2:10 Talk about that in another episode. So, >> I just wanted to make sure I start off 2:11 >> I just wanted to make sure I start off 2:11 >> I just wanted to make sure I start off by saying that officially 2:13 by saying that officially 2:13 by saying that officially >> that you look beautiful. 2:14 >> that you look beautiful. 2:14 >> that you look beautiful. >> Yeah, these aren't even like real. 2:16 >> Yeah, these aren't even like real. 2:16 >> Yeah, these aren't even like real. They're just decorations. 2:17 They're just decorations. 2:17 They're just decorations. >> Oh, stop it. 2:22 >> So much so that I'm really limited in 2:22 >> So much so that I'm really limited in the type of frames I can get because my 2:24 the type of frames I can get because my 2:24 the type of frames I can get because my prescript 2:29 [laughter] 2:29 [laughter] was making my cheeks droop. 2:31 was making my cheeks droop. 2:31 was making my cheeks droop. >> Your cheeks are beautiful. So, what has 2:33 >> Your cheeks are beautiful. So, what has 2:34 >> Your cheeks are beautiful. So, what has to work? what what do we have to kind of 2:35 to work? what what do we have to kind of 2:35 to work? what what do we have to kind of get going uh for a patient's body for a 2:38 get going uh for a patient's body for a 2:38 get going uh for a patient's body for a person's body um regarding sexual 2:42 person's body um regarding sexual 2:42 person's body um regarding sexual function and I think it's just a a 2:43 function and I think it's just a a 2:43 function and I think it's just a a perfect place to start um we'll talk 2:47 perfect place to start um we'll talk 2:47 perfect place to start um we'll talk about brain desire 2:49 about brain desire 2:49 about brain desire I think that's really important for 2:50 I think that's really important for 2:50 I think that's really important for women sections here where we'll talk 2:53 women sections here where we'll talk 2:53 women sections here where we'll talk about that of course hormones duh the 2:56 about that of course hormones duh the 2:56 about that of course hormones duh the nervous system endothelium and nitric 2:59 nervous system endothelium and nitric 2:59 nervous system endothelium and nitric oxide 3:00 oxide 3:00 oxide blood flow genital tissue itself and how 3:03 blood flow genital tissue itself and how 3:03 blood flow genital tissue itself and how we can perhaps with that the pelvic 3:06 we can perhaps with that the pelvic 3:06 we can perhaps with that the pelvic floor and that's something that we've 3:08 floor and that's something that we've 3:08 floor and that's something that we've talked about pelvic floor a lot in the 3:10 talked about pelvic floor a lot in the 3:10 talked about pelvic floor a lot in the past but I think that's something we've 3:12 past but I think that's something we've 3:12 past but I think that's something we've been focusing on even more lately with 3:15 been focusing on even more lately with 3:15 been focusing on even more lately with our patients and some relationships that 3:16 our patients and some relationships that 3:16 our patients and some relationships that we're starting to establish with some
Male Sexual Function and Blood Flow 3:18 we're starting to establish with some 3:18 we're starting to establish with some local Scottsdale based uh and and valley 3:22 local Scottsdale based uh and and valley 3:22 local Scottsdale based uh and and valley based pelvic floor therapists metabolic 3:25 based pelvic floor therapists metabolic 3:25 based pelvic floor therapists metabolic health incredibly important if that's 3:27 health incredibly important if that's 3:27 health incredibly important if that's not squared away you're not going to 3:28 not squared away you're not going to 3:28 not squared away you're not going to have a optimal veto psychological health 3:31 have a optimal veto psychological health 3:31 have a optimal veto psychological health relationship and emotional connection 3:33 relationship and emotional connection 3:33 relationship and emotional connection connection. 3:35 connection. 3:35 connection. What do you think about all of that? 3:36 What do you think about all of that? 3:36 What do you think about all of that? That kind of summarize it. 3:38 That kind of summarize it. 3:38 That kind of summarize it. >> I mean, I think what it's demonstrating 3:40 >> I mean, I think what it's demonstrating 3:40 >> I mean, I think what it's demonstrating is that you pretty much mention every 3:43 is that you pretty much mention every 3:43 is that you pretty much mention every aspect of the body. And that's such an 3:45 aspect of the body. And that's such an 3:45 aspect of the body. And that's such an important point. Or maybe that is the 3:47 important point. Or maybe that is the 3:47 important point. Or maybe that is the point. We shouldn't as a society 3:50 point. We shouldn't as a society 3:50 point. We shouldn't as a society separate sexual wellness and healthy 3:54 separate sexual wellness and healthy 3:54 separate sexual wellness and healthy sexual desire and the ability to orgasm. 3:57 sexual desire and the ability to orgasm. 3:57 sexual desire and the ability to orgasm. We shouldn't separate that from your 3:59 We shouldn't separate that from your 3:59 We shouldn't separate that from your other health health markers. So the 4:01 other health health markers. So the 4:01 other health health markers. So the question was, is sexual wellness um a 4:04 question was, is sexual wellness um a 4:04 question was, is sexual wellness um a marker for vitality? And the answer is 4:06 marker for vitality? And the answer is 4:06 marker for vitality? And the answer is profoundly yes. When we have sexual 4:08 profoundly yes. When we have sexual 4:08 profoundly yes. When we have sexual dysfunction, we usually have other 4:11 dysfunction, we usually have other 4:11 dysfunction, we usually have other dysfunctions. 4:12 dysfunctions. 4:12 dysfunctions. >> Yeah. And when you said, you know, we we 4:13 >> Yeah. And when you said, you know, we we 4:14 >> Yeah. And when you said, you know, we we shouldn't separate it, it's because we 4:16 shouldn't separate it, it's because we 4:16 shouldn't separate it, it's because we can't separate it. And I think maybe 4:18 can't separate it. And I think maybe 4:18 can't separate it. And I think maybe when you're saying we shouldn't or let's 4:20 when you're saying we shouldn't or let's 4:20 when you're saying we shouldn't or let's say the patients perspective when they 4:21 say the patients perspective when they 4:21 say the patients perspective when they come in, they say, well, it's my 4:23 come in, they say, well, it's my 4:23 come in, they say, well, it's my hormones. Fix my hormones. And thereof, 4:25 hormones. Fix my hormones. And thereof, 4:25 hormones. Fix my hormones. And thereof, magic. It's all back in order. But they 4:28 magic. It's all back in order. But they 4:28 magic. It's all back in order. But they still have obesity. they still have 4:31 still have obesity. they still have 4:31 still have obesity. they still have metabolic dysfunction. They have 4:32 metabolic dysfunction. They have 4:32 metabolic dysfunction. They have something else going on that is actually 4:36 something else going on that is actually 4:36 something else going on that is actually not just indirectly but rather directly 4:38 not just indirectly but rather directly 4:38 not just indirectly but rather directly affected. 4:38 affected. 4:38 affected. >> Yeah. I mean you say we we we can't and 4:41 >> Yeah. I mean you say we we we can't and 4:41 >> Yeah. I mean you say we we we can't and then I would say no we can't but 4:44 then I would say no we can't but 4:44 then I would say no we can't but actually the system does and the lack of 4:47 actually the system does and the lack of 4:47 actually the system does and the lack of appropriate education to the audience 4:50 appropriate education to the audience 4:50 appropriate education to the audience right the American population as a whole 4:53 right the American population as a whole 4:53 right the American population as a whole does. The American citizen is still not 4:59 does. The American citizen is still not 4:59 does. The American citizen is still not familiar with the idea that the body is 5:01 familiar with the idea that the body is 5:01 familiar with the idea that the body is an interrelated organism. It is still 5:03 an interrelated organism. It is still 5:03 an interrelated organism. It is still thinking the way their health insurance 5:06 thinking the way their health insurance 5:06 thinking the way their health insurance thinks which is dermatology, cardiology, 5:09 thinks which is dermatology, cardiology, 5:09 thinks which is dermatology, cardiology, osteop 5:11 osteop 5:11 osteop you know what I'm saying. Um the point 5:13 you know what I'm saying. Um the point 5:13 you know what I'm saying. Um the point is that 5:14 is that 5:14 is that >> yeah it's specialist based and you you 5:16 >> yeah it's specialist based and you you 5:16 >> yeah it's specialist based and you you know and and the specialists do not 5:18 know and and the specialists do not 5:18 know and and the specialists do not >> they don't communicate. They 5:19 >> they don't communicate. They 5:19 >> they don't communicate. They >> don't communicate 5:20 >> don't communicate 5:20 >> don't communicate >> and they treat the body as if it doesn't 5:22 >> and they treat the body as if it doesn't 5:22 >> and they treat the body as if it doesn't communicate. So what we want the 5:24 communicate. So what we want the 5:24 communicate. So what we want the audience to understand is they shouldn't 5:27 audience to understand is they shouldn't 5:27 audience to understand is they shouldn't allow that to happen when they're 5:28 allow that to happen when they're 5:28 allow that to happen when they're seeking answers for wellness. 5:30 seeking answers for wellness. 5:30 seeking answers for wellness. >> Absolutely. For wellness in general and 5:31 >> Absolutely. For wellness in general and 5:32 >> Absolutely. For wellness in general and then more specifically today to this 5:34 then more specifically today to this 5:34 then more specifically today to this topic about your sexual health and 5:36 topic about your sexual health and 5:36 topic about your sexual health and wellness and your vitality and what that 5:38 wellness and your vitality and what that 5:38 wellness and your vitality and what that actually means. It is relating back to 5:40 actually means. It is relating back to 5:40 actually means. It is relating back to all of those things. 5:42 all of those things. 5:42 all of those things. >> This little flowchart that you have here 5:44 >> This little flowchart that you have here 5:44 >> This little flowchart that you have here is interesting. Can you review this 5:46 is interesting. Can you review this 5:46 is interesting. Can you review this especially for the men? 5:49 especially for the men? 5:49 especially for the men? Well, um that you know with sexual we've 5:52 Well, um that you know with sexual we've 5:52 Well, um that you know with sexual we've got different things we've shown 5:54 got different things we've shown 5:54 got different things we've shown patients over the years. Um it's a a 5:56 patients over the years. Um it's a a 5:56 patients over the years. Um it's a a sort of brain level for sexual areness. 5:59 sort of brain level for sexual areness. 5:59 sort of brain level for sexual areness. There is a hormonal level of course and 6:01 There is a hormonal level of course and 6:01 There is a hormonal level of course and there's a tissue level. Um and then that 6:04 there's a tissue level. Um and then that 6:04 there's a tissue level. Um and then that all there's many things uh obviously in 6:06 all there's many things uh obviously in 6:06 all there's many things uh obviously in and around that. But with the brain that 6:09 and around that. But with the brain that 6:09 and around that. But with the brain that there has to be a certain sort of uh 6:11 there has to be a certain sort of uh 6:11 there has to be a certain sort of uh stimulation in the brain and there's 6:13 stimulation in the brain and there's 6:13 stimulation in the brain and there's certain neurochemicals that kind of go 6:15 certain neurochemicals that kind of go 6:15 certain neurochemicals that kind of go on to allow arousal to happen. um that 6:18 on to allow arousal to happen. um that 6:18 on to allow arousal to happen. um that translating here to the nerves. Nitric 6:20 translating here to the nerves. Nitric 6:20 translating here to the nerves. Nitric oxide is big big part of that. That's 6:22 oxide is big big part of that. That's 6:22 oxide is big big part of that. That's kind of the tissue level. Vasodilation 6:25 kind of the tissue level. Vasodilation 6:25 kind of the tissue level. Vasodilation tissue level, penile blood flow, smooth 6:28 tissue level, penile blood flow, smooth 6:28 tissue level, penile blood flow, smooth muscle relaxation, that's a big big part 6:30 muscle relaxation, that's a big big part 6:30 muscle relaxation, that's a big big part of it. All that's interrelated and then 6:32 of it. All that's interrelated and then 6:32 of it. All that's interrelated and then ultimately erection. 6:33 ultimately erection. 6:33 ultimately erection. >> Right? So the idea with the man is that 6:35 >> Right? So the idea with the man is that 6:35 >> Right? So the idea with the man is that vasoddilation meaning the blood vessels 6:37 vasoddilation meaning the blood vessels 6:37 vasoddilation meaning the blood vessels are actually opening up which is 6:39 are actually opening up which is 6:39 are actually opening up which is allowing the blood to flow into the 6:41 allowing the blood to flow into the 6:42 allowing the blood to flow into the penis specifically to cause it to be 6:44 penis specifically to cause it to be 6:44 penis specifically to cause it to be erect. 6:44 erect. 6:44 erect. >> That that is the key. And then beyond 6:46 >> That that is the key. And then beyond 6:46 >> That that is the key. And then beyond that, that's what it says here. It says 6:48 that, that's what it says here. It says 6:48 that, that's what it says here. It says Venus occlusion. So we often don't uh 6:51 Venus occlusion. So we often don't uh 6:51 Venus occlusion. So we often don't uh kind of think about that, but you once 6:52 kind of think about that, but you once 6:52 kind of think about that, but you once you get the blood in there, now you got 6:54 you get the blood in there, now you got 6:54 you get the blood in there, now you got to trap it in there. Um and so you have 6:56 to trap it in there. Um and so you have 6:56 to trap it in there. Um and so you have to be able to hold it in, 6:57 to be able to hold it in, 6:57 to be able to hold it in, >> right? And that's uh there's Venus in 6:59 >> right? And that's uh there's Venus in 6:59 >> right? And that's uh there's Venus in occlusion that needs to occur. So a lot 7:01 occlusion that needs to occur. So a lot 7:01 occlusion that needs to occur. So a lot of men are we call it vasculopathy and 7:04 of men are we call it vasculopathy and 7:04 of men are we call it vasculopathy and they just have issues with the ability 7:06 they just have issues with the ability 7:06 they just have issues with the ability to actually hold it in. 7:07 to actually hold it in. 7:08 to actually hold it in. >> We have uh certain situations where we 7:09 >> We have uh certain situations where we 7:09 >> We have uh certain situations where we can help a guy get an erection and he
Female Sexual Function, Desire, and Safety 7:11 can help a guy get an erection and he 7:11 can help a guy get an erection and he literally changes position and the blood 7:14 literally changes position and the blood 7:14 literally changes position and the blood all flows back. 7:14 all flows back. 7:14 all flows back. >> Right? So when we're talking about 7:16 >> Right? So when we're talking about 7:16 >> Right? So when we're talking about erectile dysfunction, we tend to ask the 7:17 erectile dysfunction, we tend to ask the 7:17 erectile dysfunction, we tend to ask the man like, "Are you able to get an 7:20 man like, "Are you able to get an 7:20 man like, "Are you able to get an erection? Are you able to maintain the 7:22 erection? Are you able to maintain the 7:22 erection? Are you able to maintain the reaction erection? How hard is the 7:25 reaction erection? How hard is the 7:25 reaction erection? How hard is the erection?" All three of those things are 7:28 erection?" All three of those things are 7:28 erection?" All three of those things are giving us different kinds of information 7:30 giving us different kinds of information 7:30 giving us different kinds of information about the blood vessel system. 7:32 about the blood vessel system. 7:32 about the blood vessel system. >> Sure. 7:33 >> Sure. 7:33 >> Sure. >> And if a man is having issues 7:35 >> And if a man is having issues 7:35 >> And if a man is having issues >> or the psychological system too, I mean, 7:37 >> or the psychological system too, I mean, 7:37 >> or the psychological system too, I mean, you're asking. 7:38 you're asking. 7:38 you're asking. >> True. But I'm sorry. I'm just saying 7:39 >> True. But I'm sorry. I'm just saying 7:40 >> True. But I'm sorry. I'm just saying specific to the blood to the blood 7:42 specific to the blood to the blood 7:42 specific to the blood to the blood vessels um to the chemistry and the 7:45 vessels um to the chemistry and the 7:45 vessels um to the chemistry and the physiology of the blood vessels because 7:47 physiology of the blood vessels because 7:47 physiology of the blood vessels because isn't it fair to say that if a man is 7:49 isn't it fair to say that if a man is 7:49 isn't it fair to say that if a man is having erectile dysfunction it is a 7:52 having erectile dysfunction it is a 7:52 having erectile dysfunction it is a pretty good indicator that there is a 7:54 pretty good indicator that there is a 7:54 pretty good indicator that there is a cardiovascular concern every week 7:58 cardiovascular concern every week 7:58 cardiovascular concern every week >> to put a little sticker 8:02 >> to put a little sticker 8:02 >> to put a little sticker >> I was making a very trying to do that 8:04 >> I was making a very trying to do that 8:04 >> I was making a very trying to do that subtly 8:06 subtly 8:06 subtly >> what we 8:07 >> what we 8:07 >> what we >> [laughter] 8:09 >> [laughter] 8:09 >> [laughter] >> That's horrible. Play back the tape. 8:11 >> That's horrible. Play back the tape. 8:11 >> That's horrible. Play back the tape. Okay. What would you say? 8:13 Okay. What would you say? 8:13 Okay. What would you say? >> Isn't it fair to say that if a man is 8:15 >> Isn't it fair to say that if a man is 8:15 >> Isn't it fair to say that if a man is having erectile dysfunction that you can 8:18 having erectile dysfunction that you can 8:18 having erectile dysfunction that you can use it as a symbol of cardiovascular 8:21 use it as a symbol of cardiovascular 8:21 use it as a symbol of cardiovascular issues systemically? 8:23 issues systemically? 8:23 issues systemically? >> Yes. Okay. Fine. I know what you're 8:24 >> Yes. Okay. Fine. I know what you're 8:24 >> Yes. Okay. Fine. I know what you're saying. Um the penis is the weather vein 8:27 saying. Um the penis is the weather vein 8:27 saying. Um the penis is the weather vein of the cardiovascular system. 8:29 of the cardiovascular system. 8:29 of the cardiovascular system. >> Okay. 8:30 >> Okay. 8:30 >> Okay. >> So, it is literally pointing the way of 8:32 >> So, it is literally pointing the way of 8:32 >> So, it is literally pointing the way of what's going on inside. 8:35 what's going on inside. 8:35 what's going on inside. But as we'll get into more so today, 8:37 But as we'll get into more so today, 8:37 But as we'll get into more so today, it's not just about the cardiovascular 8:39 it's not just about the cardiovascular 8:39 it's not just about the cardiovascular system, but it is the neurovvascular 8:42 system, but it is the neurovvascular 8:42 system, but it is the neurovvascular system. It is the 8:43 system. It is the 8:43 system. It is the >> I can't stop thinking about the penis as 8:45 >> I can't stop thinking about the penis as 8:45 >> I can't stop thinking about the penis as a weather vein and thinking about like 8:46 a weather vein and thinking about like 8:46 a weather vein and thinking about like it moving. 8:47 it moving. 8:47 it moving. >> Then you think about the rooster and 8:49 >> Then you think about the rooster and 8:49 >> Then you think about the rooster and that's what I 8:49 that's what I 8:49 that's what I >> Well, I think about me walking 8:53 >> Well, I think about me walking 8:53 >> Well, I think about me walking the rooster. 8:56 the rooster. 8:56 the rooster. >> All right, this was a tangent. I don't 8:57 >> All right, this was a tangent. I don't 8:57 >> All right, this was a tangent. I don't really This be the first time we ever 8:59 really This be the first time we ever 8:59 really This be the first time we ever edit a podcast. She needs to take this 9:01 edit a podcast. She needs to take this 9:01 edit a podcast. She needs to take this all out that in the room. I want a 9:03 all out that in the room. I want a 9:03 all out that in the room. I want a weather man here. I am a wind and the 9:05 weather man here. I am a wind and the 9:05 weather man here. I am a wind and the weather following. 9:08 weather following. 9:08 weather following. >> Yeah, I was following you. 9:10 >> Yeah, I was following you. 9:10 >> Yeah, I was following you. >> See, but now I interrupted your very 9:12 >> See, but now I interrupted your very 9:12 >> See, but now I interrupted your very good point. It was important. More 9:13 good point. It was important. More 9:14 good point. It was important. More important than the weather ve and is it 9:15 important than the weather ve and is it 9:15 important than the weather ve and is it whether bane or vein? 9:17 whether bane or vein? 9:17 whether bane or vein? >> Vein. 9:19 >> Vein. 9:19 >> Vein. Bane or vein. 9:21 Bane or vein. 9:21 Bane or vein. >> Okay. So, you're you were saying that 9:24 >> Okay. So, you're you were saying that 9:24 >> Okay. So, you're you were saying that penis health is an indicator of 9:26 penis health is an indicator of 9:26 penis health is an indicator of cardiovascular health. 9:28 cardiovascular health. 9:28 cardiovascular health. >> Yes. 9:28 >> Yes. 9:28 >> Yes. >> Very important. 9:30 >> Very important. 9:30 >> Very important. >> And that does uh of course come back the 9:32 >> And that does uh of course come back the 9:32 >> And that does uh of course come back the same thing for women. And we tend to 9:34 same thing for women. And we tend to 9:34 same thing for women. And we tend to kind of think about blood flow only 9:36 kind of think about blood flow only 9:36 kind of think about blood flow only talking about the penis but of course 9:37 talking about the penis but of course 9:37 talking about the penis but of course the clitoris that we're going to talk a 9:39 the clitoris that we're going to talk a 9:39 the clitoris that we're going to talk a lot about today too has a lot of uh 9:42 lot about today too has a lot of uh 9:42 lot about today too has a lot of uh blood flow capability to it and nerve 9:44 blood flow capability to it and nerve 9:44 blood flow capability to it and nerve flow that I really want to talk about. 9:46 flow that I really want to talk about. 9:46 flow that I really want to talk about. >> Yeah. Which is so important because you 9:47 >> Yeah. Which is so important because you 9:47 >> Yeah. Which is so important because you know um cardiovascular health is not 9:50 know um cardiovascular health is not 9:50 know um cardiovascular health is not usually a concern in the women's 9:53 usually a concern in the women's 9:53 usually a concern in the women's medicine world which is insane. 9:55 medicine world which is insane. 9:56 medicine world which is insane. >> Absolutely. they they are um they're 9:58 >> Absolutely. they they are um they're 9:58 >> Absolutely. they they are um they're dealing with cardiovascular disease much 10:01 dealing with cardiovascular disease much 10:01 dealing with cardiovascular disease much much more than we realize and it is not 10:03 much more than we realize and it is not 10:03 much more than we realize and it is not focused on enough for women. I have a 10:06 focused on enough for women. I have a 10:06 focused on enough for women. I have a patient who particularly has had that uh 10:09 patient who particularly has had that uh 10:09 patient who particularly has had that uh a lot of issues to the point of the 10:12 a lot of issues to the point of the 10:12 a lot of issues to the point of the >> heart transplant and other things but 10:14 >> heart transplant and other things but 10:14 >> heart transplant and other things but she's become an advocate uh for women 10:16 she's become an advocate uh for women 10:16 she's become an advocate uh for women and cardiovascular disease as a result 10:18 and cardiovascular disease as a result 10:18 and cardiovascular disease as a result of that that is just not understood. 10:21 of that that is just not understood. 10:21 of that that is just not understood. This again we just we're tanting here 10:24 This again we just we're tanting here 10:24 This again we just we're tanting here but this has so much to do with what's 10:26 but this has so much to do with what's 10:26 but this has so much to do with what's going on with your sexual wellness 10:27 going on with your sexual wellness 10:27 going on with your sexual wellness >> right that's that's that's right and 10:29 >> right that's that's that's right and 10:29 >> right that's that's that's right and even symbolically you think that if your 10:31 even symbolically you think that if your 10:31 even symbolically you think that if your heart isn't working well then perhaps 10:34 heart isn't working well then perhaps 10:34 heart isn't working well then perhaps your intimacy isn't working well I mean 10:36 your intimacy isn't working well I mean 10:36 your intimacy isn't working well I mean there's so many ancient medicines that 10:38 there's so many ancient medicines that 10:38 there's so many ancient medicines that will look at that relationship right the 10:39 will look at that relationship right the 10:39 will look at that relationship right the mental and emotional relationship 10:40 mental and emotional relationship 10:40 mental and emotional relationship between your body or physiology not just 10:43 between your body or physiology not just 10:43 between your body or physiology not just ancient medicines we know that even our 10:45 ancient medicines we know that even our 10:45 ancient medicines we know that even our western medicine clearly makes those 10:47 western medicine clearly makes those 10:47 western medicine clearly makes those connections so heart health means 10:50 connections so heart health means 10:50 connections so heart health means emotional health And then that often can 10:52 emotional health And then that often can 10:52 emotional health And then that often can translate to you're having a problem 10:54 translate to you're having a problem 10:54 translate to you're having a problem with the clitoris getting engorged with 10:56 with the clitoris getting engorged with 10:56 with the clitoris getting engorged with blood because the clitoris also gets 10:58 blood because the clitoris also gets 10:58 blood because the clitoris also gets engorged with blood just like the penis 10:59 engorged with blood just like the penis 10:59 engorged with blood just like the penis would. And that's what allows that 11:01 would. And that's what allows that 11:01 would. And that's what allows that sensitivity and an easier time with 11:03 sensitivity and an easier time with 11:03 sensitivity and an easier time with orgasming. 11:04 orgasming. 11:04 orgasming. >> The clitoris is analogous to the penis 11:06 >> The clitoris is analogous to the penis 11:06 >> The clitoris is analogous to the penis structurally. It's analogous to the 11:08 structurally. It's analogous to the 11:08 structurally. It's analogous to the penis. It's just located in different 11:10 penis. It's just located in different 11:10 penis. It's just located in different parts of the body, but the tissues are 11:12 parts of the body, but the tissues are 11:12 parts of the body, but the tissues are essentially the same 11:13 essentially the same 11:13 essentially the same >> just like the uterus and the prostate. 11:15 >> just like the uterus and the prostate. 11:15 >> just like the uterus and the prostate. the prostate, 11:16 the prostate, 11:16 the prostate, >> which I remember learning in embryology 11:18 >> which I remember learning in embryology 11:18 >> which I remember learning in embryology and thinking, well, isn't that 11:19 and thinking, well, isn't that 11:19 and thinking, well, isn't that interesting? Because when men have their 11:22 interesting? Because when men have their 11:22 interesting? Because when men have their prostate removed and when women have 11:24 prostate removed and when women have 11:24 prostate removed and when women have their uterus removed, they often report 11:28 their uterus removed, they often report 11:28 their uterus removed, they often report um like a mild depression that can come 11:30 um like a mild depression that can come 11:30 um like a mild depression that can come from that. And I always thought it was 11:32 from that. And I always thought it was 11:32 from that. And I always thought it was interesting that that emotion was 11:34 interesting that that emotion was 11:34 interesting that that emotion was correlated to both removals. 11:36 correlated to both removals. 11:36 correlated to both removals. >> Yeah, these tissues are doing 11:38 >> Yeah, these tissues are doing 11:38 >> Yeah, these tissues are doing >> of course. 11:40 >> of course. 11:40 >> of course. >> So, what do you think makes men and 11:42 >> So, what do you think makes men and 11:42 >> So, what do you think makes men and women get in the mood? Um, so what does 11:45 women get in the mood? Um, so what does 11:45 women get in the mood? Um, so what does it actually take to to want to have sex? 11:48 it actually take to to want to have sex? 11:48 it actually take to to want to have sex? Just first and foremost in your mind, 11:50 Just first and foremost in your mind, 11:50 Just first and foremost in your mind, your heart 11:52 your heart 11:52 your heart starting this all off. 11:54 starting this all off. 11:54 starting this all off. >> You know, when we talk about wellness 11:56 >> You know, when we talk about wellness 11:56 >> You know, when we talk about wellness and we talk about the well with life, 11:58 and we talk about the well with life, 11:58 and we talk about the well with life, we've mentioned this before, but sexual 12:01 we've mentioned this before, but sexual 12:01 we've mentioned this before, but sexual intimacy and pleasure with sex is a 12:04 intimacy and pleasure with sex is a 12:04 intimacy and pleasure with sex is a uniquely human 12:07 uniquely human 12:07 uniquely human experience. 12:09 experience. 12:09 experience. So the things that make people want to 12:11 So the things that make people want to 12:11 So the things that make people want to get intimate successfully like really 12:14 get intimate successfully like really 12:14 get intimate successfully like really like this is so good is the human stuff. 12:17 like this is so good is the human stuff. 12:17 like this is so good is the human stuff. The physiology is very important but I 12:20 The physiology is very important but I 12:20 The physiology is very important but I really strongly believe that if you 12:22 really strongly believe that if you 12:22 really strongly believe that if you don't have the human component of 12:25 don't have the human component of 12:25 don't have the human component of emotion and and um what is it that 12:27 emotion and and um what is it that 12:27 emotion and and um what is it that people always talk about safety and 12:29 people always talk about safety and 12:29 people always talk about safety and >> the ability to feel vulnerable on 12:32 >> the ability to feel vulnerable on 12:32 >> the ability to feel vulnerable on purpose. It's very difficult to have, 12:36 purpose. It's very difficult to have, 12:36 purpose. It's very difficult to have, you know, to get in the mood 12:37 you know, to get in the mood 12:37 you know, to get in the mood successfully. 12:39 successfully. 12:39 successfully. >> I heard a video the other day where it
Relationship Dynamics and Sexual Intimacy 12:40 >> I heard a video the other day where it 12:40 >> I heard a video the other day where it was talking about that very concept. It 12:44 was talking about that very concept. It 12:44 was talking about that very concept. It was specific to women and really letting 12:48 was specific to women and really letting 12:48 was specific to women and really letting women know during the during the sexual 12:51 women know during the during the sexual 12:51 women know during the during the sexual act that it's okay. Not just about 12:54 act that it's okay. Not just about 12:54 act that it's okay. Not just about safety, but you don't have to work. You 12:57 safety, but you don't have to work. You 12:57 safety, but you don't have to work. You don't have to do a thing at this moment 13:00 don't have to do a thing at this moment 13:00 don't have to do a thing at this moment um in order to really allow women 13:02 um in order to really allow women 13:02 um in order to really allow women perhaps to fully release. They don't 13:05 perhaps to fully release. They don't 13:06 perhaps to fully release. They don't have to perform in any way. You don't 13:07 have to perform in any way. You don't 13:07 have to perform in any way. You don't have to do anything in any specific way. 13:10 have to do anything in any specific way. 13:10 have to do anything in any specific way. Don't worry, I'll take care of it. 13:19 I mean, at a very black and white level, 13:20 I mean, at a very black and white level, um, I guess I can't help myself from 13:21 um, I guess I can't help myself from 13:21 um, I guess I can't help myself from saying 13:23 saying 13:23 saying there's a lot of work in being 13:25 there's a lot of work in being 13:25 there's a lot of work in being penetrated just physically. 13:27 penetrated just physically. 13:27 penetrated just physically. >> And I don't think that that gets 13:30 >> And I don't think that that gets 13:30 >> And I don't think that that gets respected enough. Um, we find that this 13:33 respected enough. Um, we find that this 13:33 respected enough. Um, we find that this point that you're describing about like 13:35 point that you're describing about like 13:35 point that you're describing about like the woman doesn't even have to do 13:36 the woman doesn't even have to do 13:36 the woman doesn't even have to do anything, right? You're talking about it 13:37 anything, right? You're talking about it 13:38 anything, right? You're talking about it from a from a loving perspective. 13:39 from a from a loving perspective. 13:40 from a from a loving perspective. >> Sure. Of course, 13:40 >> Sure. Of course, 13:40 >> Sure. Of course, >> you're you're saying you don't have to 13:42 >> you're you're saying you don't have to 13:42 >> you're you're saying you don't have to work. It's okay. I've got this. But it's 13:45 work. It's okay. I've got this. But it's 13:45 work. It's okay. I've got this. But it's the same conversation when people are 13:47 the same conversation when people are 13:47 the same conversation when people are having a hard time finding time for sex. 13:50 having a hard time finding time for sex. 13:50 having a hard time finding time for sex. When a relationship doesn't make time 13:53 When a relationship doesn't make time 13:53 When a relationship doesn't make time for sex, what they're usually doing is 13:56 for sex, what they're usually doing is 13:56 for sex, what they're usually doing is not making time for the relationship. 13:58 not making time for the relationship. 13:58 not making time for the relationship. Now, I'm I'm going to tie back to what 13:59 Now, I'm I'm going to tie back to what 13:59 Now, I'm I'm going to tie back to what you're saying. [clears throat] Excuse 14:01 you're saying. [clears throat] Excuse 14:01 you're saying. [clears throat] Excuse me. We we find that when there's um 14:04 me. We we find that when there's um 14:04 me. We we find that when there's um surveys done, the primary reason couples 14:08 surveys done, the primary reason couples 14:08 surveys done, the primary reason couples are not having sex is not anger. It's 14:11 are not having sex is not anger. It's 14:11 are not having sex is not anger. It's not rejection. It's not a lack of love. 14:14 not rejection. It's not a lack of love. 14:14 not rejection. It's not a lack of love. It's making time. 14:16 It's making time. 14:16 It's making time. And that is so incredibly pathologic and 14:19 And that is so incredibly pathologic and 14:20 And that is so incredibly pathologic and symbolic. Or maybe not even symbolic. 14:22 symbolic. Or maybe not even symbolic. 14:22 symbolic. Or maybe not even symbolic. It's just it's just true. It is. It's a 14:23 It's just it's just true. It is. It's a 14:24 It's just it's just true. It is. It's a thing. When you don't make time for sex, 14:26 thing. When you don't make time for sex, 14:26 thing. When you don't make time for sex, you're not making time for the 14:28 you're not making time for the 14:28 you're not making time for the relationship. And funny enough, men will 14:30 relationship. And funny enough, men will 14:30 relationship. And funny enough, men will often say, "She wasn't in the mood. She 14:33 often say, "She wasn't in the mood. She 14:33 often say, "She wasn't in the mood. She didn't feel good. She didn't have time." 14:35 didn't feel good. She didn't have time." 14:35 didn't feel good. She didn't have time." Whereas women will report, "I wasn't in 14:37 Whereas women will report, "I wasn't in 14:37 Whereas women will report, "I wasn't in the mood. I didn't feel good. I didn't 14:39 the mood. I didn't feel good. I didn't 14:39 the mood. I didn't feel good. I didn't have time." 14:41 have time." 14:41 have time." The reason I'm bringing this up now when 14:44 The reason I'm bringing this up now when 14:44 The reason I'm bringing this up now when you're talking about this idea of women 14:45 you're talking about this idea of women 14:45 you're talking about this idea of women don't worry about it, you don't have to 14:47 don't worry about it, you don't have to 14:47 don't worry about it, you don't have to do anything is because I'm not sure that 14:49 do anything is because I'm not sure that 14:49 do anything is because I'm not sure that for however loving and romantic that 14:52 for however loving and romantic that 14:52 for however loving and romantic that sounds, I'm not sure it's really taking 14:53 sounds, I'm not sure it's really taking 14:54 sounds, I'm not sure it's really taking into consideration the truth about how 14:57 into consideration the truth about how 14:57 into consideration the truth about how physically exhausting it can be to have 15:00 physically exhausting it can be to have 15:00 physically exhausting it can be to have penetration. 15:05 >> Got it. I I mean, and of course, I love 15:05 >> Got it. I I mean, and of course, I love everything you're saying. I don't 15:06 everything you're saying. I don't 15:06 everything you're saying. I don't disagree. Uh I think it was a little bit 15:08 disagree. Uh I think it was a little bit 15:08 disagree. Uh I think it was a little bit different. I was just talking about 15:10 different. I was just talking about 15:10 different. I was just talking about right at that moment or the video that I 15:13 right at that moment or the video that I 15:13 right at that moment or the video that I was watching was talking about right at 15:14 was watching was talking about right at 15:14 was watching was talking about right at the moment of sex in order for women to 15:17 the moment of sex in order for women to 15:17 the moment of sex in order for women to be able to open. There's so much that 15:19 be able to open. There's so much that 15:19 be able to open. There's so much that Well, back to kind of what you're 15:20 Well, back to kind of what you're 15:20 Well, back to kind of what you're saying, it's difficult to be penetrated. 15:22 saying, it's difficult to be penetrated. 15:22 saying, it's difficult to be penetrated. So, you have to be in a place of 15:24 So, you have to be in a place of 15:24 So, you have to be in a place of receiving 15:25 receiving 15:25 receiving >> and so psychologically, emotionally, 15:27 >> and so psychologically, emotionally, 15:27 >> and so psychologically, emotionally, spiritually, you got to be ready to 15:28 spiritually, you got to be ready to 15:28 spiritually, you got to be ready to receive in order to physically be able 15:30 receive in order to physically be able 15:30 receive in order to physically be able to handle 15:32 to handle 15:32 to handle >> and all that kind of goes along with it. 15:33 >> and all that kind of goes along with it. 15:33 >> and all that kind of goes along with it. >> Yeah, that's true. I mean that's true 15:35 >> Yeah, that's true. I mean that's true 15:35 >> Yeah, that's true. I mean that's true because that relaxes the body and then 15:37 because that relaxes the body and then 15:37 because that relaxes the body and then it makes it less straining, physically 15:39 it makes it less straining, physically 15:39 it makes it less straining, physically straining. 15:40 straining. 15:40 straining. >> Well, hopefully and that is what helps 15:42 >> Well, hopefully and that is what helps 15:42 >> Well, hopefully and that is what helps women get in the mood. I mean, pain has 15:43 women get in the mood. I mean, pain has 15:43 women get in the mood. I mean, pain has a lot to do uh with getting in the way 15:46 a lot to do uh with getting in the way 15:46 a lot to do uh with getting in the way of of screwing up the mood because women 15:49 of of screwing up the mood because women 15:49 of of screwing up the mood because women are constantly anticipating it. Um, and 15:51 are constantly anticipating it. Um, and 15:51 are constantly anticipating it. Um, and I I've obviously talked with women a lot 15:54 I I've obviously talked with women a lot 15:54 I I've obviously talked with women a lot about this because they're talking about 15:55 about this because they're talking about 15:55 about this because they're talking about their pain. Yeah, I just, you know, 15:57 their pain. Yeah, I just, you know, 15:57 their pain. Yeah, I just, you know, they're literally anticipating it and 16:00 they're literally anticipating it and 16:00 they're literally anticipating it and that's just making it worse. Now we can 16:01 that's just making it worse. Now we can 16:02 that's just making it worse. Now we can kind of maybe talk a little bit about 16:03 kind of maybe talk a little bit about 16:03 kind of maybe talk a little bit about the pelvic floor. All of that's kind of 16:04 the pelvic floor. All of that's kind of 16:04 the pelvic floor. All of that's kind of tightening everything up and making it 16:06 tightening everything up and making it 16:06 tightening everything up and making it very difficult to receive. 16:08 very difficult to receive. 16:08 very difficult to receive. >> Um so there's a lot goes along with 16:11 >> Um so there's a lot goes along with 16:11 >> Um so there's a lot goes along with >> so bringing it back because I guess I 16:12 >> so bringing it back because I guess I 16:12 >> so bringing it back because I guess I took your your romantic concept and took 16:14 took your your romantic concept and took 16:14 took your your romantic concept and took it in the direction you weren't 16:15 it in the direction you weren't 16:15 it in the direction you weren't expecting. Um what so that's 16:18 expecting. Um what so that's 16:18 expecting. Um what so that's >> romantic or was just sort of like hot 16:20 >> romantic or was just sort of like hot 16:20 >> romantic or was just sort of like hot and sexual? I don't know what that 16:21 and sexual? I don't know what that 16:21 and sexual? I don't know what that >> no that idea of don't worry you don't 16:24 >> no that idea of don't worry you don't 16:24 >> no that idea of don't worry you don't have to do anything. I guess there 16:26 have to do anything. I guess there 16:26 have to do anything. I guess there >> um 16:28 >> um 16:28 >> um I always kind of laugh not laugh that's 16:30 I always kind of laugh not laugh that's 16:30 I always kind of laugh not laugh that's not the right word at all. I always kind 16:31 not the right word at all. I always kind 16:31 not the right word at all. I always kind of like poo poo a little bit this idea 16:33 of like poo poo a little bit this idea 16:33 of like poo poo a little bit this idea of feeling safe because I'm like well 16:35 of feeling safe because I'm like well 16:35 of feeling safe because I'm like well you shouldn't be having sex if you don't 16:37 you shouldn't be having sex if you don't 16:37 you shouldn't be having sex if you don't feel safe 16:38 feel safe 16:38 feel safe >> but you know I think that that perhaps 16:40 >> but you know I think that that perhaps 16:40 >> but you know I think that that perhaps is too maybe that's an immature or a 16:43 is too maybe that's an immature or a 16:43 is too maybe that's an immature or a brash way of assessing it. I I think I'm 16:46 brash way of assessing it. I I think I'm 16:46 brash way of assessing it. I I think I'm >> overall concept of like safety. My god, 16:48 >> overall concept of like safety. My god, 16:48 >> overall concept of like safety. My god, that that's that sounds really, you 16:50 that that's that sounds really, you 16:50 that that's that sounds really, you know, but uh I think we're talking about 16:52 know, but uh I think we're talking about 16:52 know, but uh I think we're talking about Yeah, you've got 5,000 things going on 16:54 Yeah, you've got 5,000 things going on 16:54 Yeah, you've got 5,000 things going on in your head at the moment. It's a this 16:56 in your head at the moment. It's a this 16:56 in your head at the moment. It's a this and a that and that I you know that I 16:57 and a that and that I you know that I 16:58 and a that and that I you know that I turn off the oven. These various things 17:00 turn off the oven. These various things 17:00 turn off the oven. These various things that are popping through a woman's mind 17:03 that are popping through a woman's mind 17:03 that are popping through a woman's mind >> um gets in the way of quote safety, 17:05 >> um gets in the way of quote safety, 17:05 >> um gets in the way of quote safety, >> right? And that's that that's what I'm 17:06 >> right? And that's that that's what I'm 17:06 >> right? And that's that that's what I'm saying. I think that I I realize that 17:08 saying. I think that I I realize that 17:08 saying. I think that I I realize that it's the importance of semantics. So, am 17:10 it's the importance of semantics. So, am 17:10 it's the importance of semantics. So, am I being too black and white with this 17:11 I being too black and white with this 17:11 I being too black and white with this idea of safety? And I would say yes. I 17:13 idea of safety? And I would say yes. I 17:13 idea of safety? And I would say yes. I think it's important for the female to 17:14 think it's important for the female to 17:14 think it's important for the female to feel 17:16 feel 17:16 feel if you're juxtaposing the word safe to 17:18 if you're juxtaposing the word safe to 17:18 if you're juxtaposing the word safe to vulnerable. So vulnerable means you 17:20 vulnerable. So vulnerable means you 17:20 vulnerable. So vulnerable means you don't have to be on guard. Let's say 17:22 don't have to be on guard. Let's say 17:22 don't have to be on guard. Let's say that 17:23 that 17:23 that >> I think that's what most women I would 17:26 >> I think that's what most women I would 17:26 >> I think that's what most women I would say all women are going to be able to 17:29 say all women are going to be able to 17:29 say all women are going to be able to enjoy sex the most and they're going to 17:30 enjoy sex the most and they're going to 17:30 enjoy sex the most and they're going to be able to feel in the mood 17:32 be able to feel in the mood 17:32 be able to feel in the mood >> if they're able to say I don't have to 17:33 >> if they're able to say I don't have to 17:34 >> if they're able to say I don't have to be on guard. 17:35 be on guard. 17:35 be on guard. >> Okay. 17:35 >> Okay. 17:36 >> Okay. >> So 17:36 >> So 17:36 >> So >> we're using this sort of the loose term 17:37 >> we're using this sort of the loose term 17:38 >> we're using this sort of the loose term of feeling safe what you're saying. And 17:41 of feeling safe what you're saying. And 17:41 of feeling safe what you're saying. And so what is it for a guy? Um the science 17:45 so what is it for a guy? Um the science 17:45 so what is it for a guy? Um the science pretty much shows as long as the wind is 17:46 pretty much shows as long as the wind is 17:46 pretty much shows as long as the wind is blowing guys 17:49 blowing guys 17:49 blowing guys kind of 17:50 kind of 17:50 kind of >> because because 17:53 >> because because 17:53 >> because because >> guys being in the 17:55 >> guys being in the 17:55 >> guys being in the >> No. No. Are you or that's what you're 17:57 >> No. No. Are you or that's what you're 17:57 >> No. No. Are you or that's what you're saying the first suggest? 17:59 saying the first suggest? 17:59 saying the first suggest? >> No. No. I mean I'm being facicious in 18:01 >> No. No. I mean I'm being facicious in 18:01 >> No. No. I mean I'm being facicious in the mood. I'm usually pretty much ready 18:05 the mood. I'm usually pretty much ready 18:05 the mood. I'm usually pretty much ready to go 18:05 to go 18:05 to go >> because I think men can have any emotion 18:10 >> because I think men can have any emotion 18:10 >> because I think men can have any emotion including frustration and anger 18:12 including frustration and anger 18:12 including frustration and anger >> still and fatigue and be like sex will 18:15 >> still and fatigue and be like sex will 18:15 >> still and fatigue and be like sex will heal. 18:16 heal. 18:16 heal. >> Yeah, 18:17 >> Yeah, 18:17 >> Yeah, >> that's not true for women. That's not 18:19 >> that's not true for women. That's not 18:19 >> that's not true for women. That's not I'm speaking in general. Obviously, 18:20 I'm speaking in general. Obviously, 18:20 I'm speaking in general. Obviously, we're always speaking in general. I 18:21 we're always speaking in general. I 18:21 we're always speaking in general. I don't think that's true for women. I 18:23 don't think that's true for women. I 18:23 don't think that's true for women. I mean, I know it's not true. 18:24 mean, I know it's not true. 18:24 mean, I know it's not true. >> Okay. And I I'll add to that that So, of 18:26 >> Okay. And I I'll add to that that So, of 18:26 >> Okay. And I I'll add to that that So, of course, I'm I'm being a little bit of a 18:28 course, I'm I'm being a little bit of a 18:28 course, I'm I'm being a little bit of a smartass there, but uh generally I think
Cardiovascular Markers and Endothelial Health 18:30 smartass there, but uh generally I think 18:30 smartass there, but uh generally I think that's true for guys. So, let's get that 18:32 that's true for guys. So, let's get that 18:32 that's true for guys. So, let's get that out in the open that they're generally 18:34 out in the open that they're generally 18:34 out in the open that they're generally ready to go. But, but from an emotional 18:36 ready to go. But, but from an emotional 18:36 ready to go. But, but from an emotional standpoint, men have to feel respected. 18:39 standpoint, men have to feel respected. 18:39 standpoint, men have to feel respected. If they don't feel so there's sort of 18:40 If they don't feel so there's sort of 18:40 If they don't feel so there's sort of this safety respect and safety, respect, 18:43 this safety respect and safety, respect, 18:43 this safety respect and safety, respect, safety. That's that those are the two 18:45 safety. That's that those are the two 18:45 safety. That's that those are the two sort of 18:46 sort of 18:46 sort of >> I don't think it's respect and safety. I 18:47 >> I don't think it's respect and safety. I 18:47 >> I don't think it's respect and safety. I think it's respect. 18:48 think it's respect. 18:48 think it's respect. >> Well, no, I'm saying safety for women. 18:49 >> Well, no, I'm saying safety for women. 18:49 >> Well, no, I'm saying safety for women. We were talking about 18:50 We were talking about 18:50 We were talking about >> I know. I'm saying I don't think that's 18:52 >> I know. I'm saying I don't think that's 18:52 >> I know. I'm saying I don't think that's I think if we're saying respect for men, 18:54 I think if we're saying respect for men, 18:54 I think if we're saying respect for men, then I would say it's not safety for 18:55 then I would say it's not safety for 18:55 then I would say it's not safety for women. It's more like being honored or 18:57 women. It's more like being honored or 18:58 women. It's more like being honored or being treasured. 18:59 being treasured. 18:59 being treasured. >> Yeah. Um, let me just go back to what 19:01 >> Yeah. Um, let me just go back to what 19:01 >> Yeah. Um, let me just go back to what you're saying about men being always in 19:03 you're saying about men being always in 19:03 you're saying about men being always in the mood. You know what's so important 19:05 the mood. You know what's so important 19:05 the mood. You know what's so important about that, John, is that so when a man 19:08 about that, John, is that so when a man 19:08 about that, John, is that so when a man isn't in the mood, 19:10 isn't in the mood, 19:10 isn't in the mood, a woman should be concerned for her man. 19:12 a woman should be concerned for her man. 19:12 a woman should be concerned for her man. And that's really important because that 19:14 And that's really important because that 19:14 And that's really important because that doesn't get talked about enough. 19:16 doesn't get talked about enough. 19:16 doesn't get talked about enough. If you have a happy, healthy 19:18 If you have a happy, healthy 19:18 If you have a happy, healthy relationship and you find that your male 19:20 relationship and you find that your male 19:20 relationship and you find that your male partner is suddenly not in the mood 19:21 partner is suddenly not in the mood 19:21 partner is suddenly not in the mood easily, you really should make sure 19:24 easily, you really should make sure 19:24 easily, you really should make sure you're there holding the space and 19:27 you're there holding the space and 19:27 you're there holding the space and perhaps even nudging a little and 19:29 perhaps even nudging a little and 19:29 perhaps even nudging a little and encouraging conversation about what is 19:31 encouraging conversation about what is 19:31 encouraging conversation about what is that about, don't you think? 19:33 that about, don't you think? 19:33 that about, don't you think? >> I I that's that's a great point. And and 19:35 >> I I that's that's a great point. And and 19:35 >> I I that's that's a great point. And and what is that? What why is it that uh a 19:38 what is that? What why is it that uh a 19:38 what is that? What why is it that uh a woman No, why was it why is it that a 19:41 woman No, why was it why is it that a 19:41 woman No, why was it why is it that a guy wouldn't be in the What is he not 19:44 guy wouldn't be in the What is he not 19:44 guy wouldn't be in the What is he not doing? What is she not doing in that 19:46 doing? What is she not doing in that 19:46 doing? What is she not doing in that relationship that's leading into that? 19:49 relationship that's leading into that? 19:49 relationship that's leading into that? >> Or maybe it's something outside of the 19:51 >> Or maybe it's something outside of the 19:51 >> Or maybe it's something outside of the relationship. Like I mean, you tell me. 19:53 relationship. Like I mean, you tell me. 19:53 relationship. Like I mean, you tell me. You see me men more than I do, but I 19:55 You see me men more than I do, but I 19:55 You see me men more than I do, but I would assume from what female patients 19:57 would assume from what female patients 19:58 would assume from what female patients will say that the man isn't in the mood 19:59 will say that the man isn't in the mood 19:59 will say that the man isn't in the mood when he's stressed about something else 20:01 when he's stressed about something else 20:01 when he's stressed about something else or maybe there's actual illness or 20:03 or maybe there's actual illness or 20:03 or maybe there's actual illness or >> No, it's it's it's um I would definitely 20:06 >> No, it's it's it's um I would definitely 20:06 >> No, it's it's it's um I would definitely say when guys just feel like they're 20:09 say when guys just feel like they're 20:09 say when guys just feel like they're shut down, it's because the relationship 20:11 shut down, it's because the relationship 20:11 shut down, it's because the relationship is shut down. So they and or they've 20:15 is shut down. So they and or they've 20:15 is shut down. So they and or they've tried and they get denied enough that 20:17 tried and they get denied enough that 20:17 tried and they get denied enough that they just literally let it go 20:19 they just literally let it go 20:19 they just literally let it go >> and attempt then to operate their life 20:21 >> and attempt then to operate their life 20:21 >> and attempt then to operate their life in a sec sexless way. Lack of a sort of 20:25 in a sec sexless way. Lack of a sort of 20:25 in a sec sexless way. Lack of a sort of desire because I constantly have the 20:26 desire because I constantly have the 20:26 desire because I constantly have the desire. I'm just sort of beating my head 20:27 desire. I'm just sort of beating my head 20:28 desire. I'm just sort of beating my head against the wall and not getting 20:29 against the wall and not getting 20:29 against the wall and not getting anywhere. So they just let it go. 20:31 anywhere. So they just let it go. 20:31 anywhere. So they just let it go. >> Um yeah, 20:33 >> Um yeah, 20:33 >> Um yeah, >> aside from reasons outside of the 20:35 >> aside from reasons outside of the 20:35 >> aside from reasons outside of the relationship. 20:37 relationship. 20:37 relationship. >> No, I'm saying maybe because of reasons 20:39 >> No, I'm saying maybe because of reasons 20:39 >> No, I'm saying maybe because of reasons within the relationship. 20:40 within the relationship. 20:40 within the relationship. >> No, no, I know what you're saying. I'm 20:41 >> No, no, I know what you're saying. I'm 20:42 >> No, no, I know what you're saying. I'm just asking, do you think that cuz with 20:44 just asking, do you think that cuz with 20:44 just asking, do you think that cuz with the men that you've experienced that are 20:46 the men that you've experienced that are 20:46 the men that you've experienced that are having emotional ED, people talk about 20:49 having emotional ED, people talk about 20:50 having emotional ED, people talk about physical or physiologic ED all the time, 20:51 physical or physiologic ED all the time, 20:51 physical or physiologic ED all the time, but you have a particular talent for 20:53 but you have a particular talent for 20:54 but you have a particular talent for dealing with men on all these different 20:56 dealing with men on all these different 20:56 dealing with men on all these different levels. So, when there's emotional ED, 20:59 levels. So, when there's emotional ED, 20:59 levels. So, when there's emotional ED, is it almost always, that's what you're 21:01 is it almost always, that's what you're 21:01 is it almost always, that's what you're saying, almost always has to do with the 21:03 saying, almost always has to do with the 21:03 saying, almost always has to do with the relationship? 21:03 relationship? 21:03 relationship? >> No. Okay, good point. So, now we're 21:05 >> No. Okay, good point. So, now we're 21:05 >> No. Okay, good point. So, now we're we're expanding it out. We're going to 21:07 we're expanding it out. We're going to 21:07 we're expanding it out. We're going to talk about emotional. The other big 21:09 talk about emotional. The other big 21:09 talk about emotional. The other big thing is anxiety. Uh I literally just 21:12 thing is anxiety. Uh I literally just 21:12 thing is anxiety. Uh I literally just had a patient uh last week came seeing 21:15 had a patient uh last week came seeing 21:15 had a patient uh last week came seeing me a new patient and this guy was in 21:17 me a new patient and this guy was in 21:17 me a new patient and this guy was in fantastic shape. Um he was uh in his 21:21 fantastic shape. Um he was uh in his 21:21 fantastic shape. Um he was uh in his early 60s in incredible shape and just 21:25 early 60s in incredible shape and just 21:25 early 60s in incredible shape and just now started needing testosterone. So he 21:27 now started needing testosterone. So he 21:27 now started needing testosterone. So he got well in his 50s where his levels 21:29 got well in his 50s where his levels 21:29 got well in his 50s where his levels were like over 800. 21:31 were like over 800. 21:31 were like over 800. >> Uh anyway, just starting to kind of 21:34 >> Uh anyway, just starting to kind of 21:34 >> Uh anyway, just starting to kind of >> hit him. But part of what it was was the 21:36 >> hit him. But part of what it was was the 21:36 >> hit him. But part of what it was was the anxiety, the performance anxiety kind of 21:39 anxiety, the performance anxiety kind of 21:39 anxiety, the performance anxiety kind of that comes in. And he was already just 21:41 that comes in. And he was already just 21:41 that comes in. And he was already just he had, you know, slight anxiety. You 21:42 he had, you know, slight anxiety. You 21:42 he had, you know, slight anxiety. You could just tell the way his countenance 21:44 could just tell the way his countenance 21:44 could just tell the way his countenance was and just his overall affect was 21:46 was and just his overall affect was 21:46 was and just his overall affect was slightly anxious. Um, but once he had 21:50 slightly anxious. Um, but once he had 21:50 slightly anxious. Um, but once he had any issues downstairs, it just made it 21:52 any issues downstairs, it just made it 21:52 any issues downstairs, it just made it worse. Makes it worse again and and all 21:55 worse. Makes it worse again and and all 21:55 worse. Makes it worse again and and all of that. So, you know, we're we're 21:56 of that. So, you know, we're we're 21:56 of that. So, you know, we're we're working with some of those things uh 21:59 working with some of those things uh 21:59 working with some of those things uh already now. But 22:01 already now. But 22:01 already now. But >> thinking about that, but 22:02 >> thinking about that, but 22:02 >> thinking about that, but >> you guys have to perform. Yeah. you know 22:04 >> you guys have to perform. Yeah. you know 22:04 >> you guys have to perform. Yeah. you know on all kinds of things in life they have 22:05 on all kinds of things in life they have 22:05 on all kinds of things in life they have to show up and perform and they are um 22:08 to show up and perform and they are um 22:08 to show up and perform and they are um measured for that quite literally I mean 22:10 measured for that quite literally I mean 22:10 measured for that quite literally I mean an erection is quite literally a measure 22:13 an erection is quite literally a measure 22:14 an erection is quite literally a measure >> it's quantitative where women are like 22:15 >> it's quantitative where women are like 22:15 >> it's quantitative where women are like oh they don't really know but guys it's 22:17 oh they don't really know but guys it's 22:17 oh they don't really know but guys it's it's out there for the world to see and 22:19 it's out there for the world to see and 22:19 it's out there for the world to see and to judge 22:21 to judge 22:22 to judge >> you know you said the first thing you 22:23 >> you know you said the first thing you 22:23 >> you know you said the first thing you were talking about was relationships 22:25 were talking about was relationships 22:25 were talking about was relationships where the um the man starts to shut down 22:27 where the um the man starts to shut down 22:28 where the um the man starts to shut down because of constant rejection 22:30 because of constant rejection 22:30 because of constant rejection >> yes 22:31 >> yes 22:31 >> yes >> I read the other day something that said 22:33 >> I read the other day something that said 22:33 >> I read the other day something that said sex without intimacy can still be good, 22:35 sex without intimacy can still be good, 22:35 sex without intimacy can still be good, but intimacy without sex shouldn't 22:37 but intimacy without sex shouldn't 22:37 but intimacy without sex shouldn't exist. 22:39 exist. 22:39 exist. I thought that was so good because it's 22:43 I thought that was so good because it's 22:43 I thought that was so good because it's true. The minute you move into a 22:44 true. The minute you move into a 22:44 true. The minute you move into a platonic relationship, 22:47 platonic relationship, 22:47 platonic relationship, you don't really have an intimate 22:51 you don't really have an intimate 22:51 you don't really have an intimate relationship. You can have intimacy with 22:52 relationship. You can have intimacy with 22:52 relationship. You can have intimacy with friends, but that's not what you're 22:55 friends, but that's not what you're 22:55 friends, but that's not what you're married, right? 22:58 married, right? 22:58 married, right? that doesn't exist anywhere else exists 23:00 that doesn't exist anywhere else exists 23:00 that doesn't exist anywhere else exists anywhere else. 23:01 anywhere else. 23:01 anywhere else. >> Um, so yeah. 23:06 >> Um, so yeah. 23:06 >> Um, so yeah. >> So yeah, 23:08 >> So yeah, 23:08 >> So yeah, [laughter] but there's answers. I know. 23:10 [laughter] but there's answers. I know. 23:10 [laughter] but there's answers. I know. Well, these are we're going into the 23:11 Well, these are we're going into the 23:11 Well, these are we're going into the things that block it. And I think that's 23:14 things that block it. And I think that's 23:14 things that block it. And I think that's what's also important uh when it comes 23:16 what's also important uh when it comes 23:16 what's also important uh when it comes to all of this discussion about sexual 23:19 to all of this discussion about sexual 23:19 to all of this discussion about sexual health. It's um not it's about what are 23:22 health. It's um not it's about what are 23:22 health. It's um not it's about what are the obstacles to cure. What are the 23:24 the obstacles to cure. What are the 23:24 the obstacles to cure. What are the things that are actually getting in the 23:25 things that are actually getting in the 23:25 things that are actually getting in the way of allowing uh erections, sexual 23:28 way of allowing uh erections, sexual 23:28 way of allowing uh erections, sexual response, relationship based things that 23:31 response, relationship based things that 23:31 response, relationship based things that are enhancing intimacy? What are the 23:33 are enhancing intimacy? What are the 23:33 are enhancing intimacy? What are the things that are blocking that? So, we 23:35 things that are blocking that? So, we 23:35 things that are blocking that? So, we should look at that just as you know, 23:36 should look at that just as you know, 23:36 should look at that just as you know, patients come in and say, "Give me the 23:38 patients come in and say, "Give me the 23:38 patients come in and say, "Give me the thing that's going to correct it versus 23:40 thing that's going to correct it versus 23:40 thing that's going to correct it versus maybe saying, well, what are the things 23:41 maybe saying, well, what are the things 23:42 maybe saying, well, what are the things that are just in the way right now? 23:43 that are just in the way right now? 23:43 that are just in the way right now? Maybe it's all working. We just got to 23:45 Maybe it's all working. We just got to 23:45 Maybe it's all working. We just got to remove the obstacle." Well, you know, 23:46 remove the obstacle." Well, you know, 23:46 remove the obstacle." Well, you know, ironically, I would argue that the 23:48 ironically, I would argue that the 23:48 ironically, I would argue that the behavioral changes should be the easiest 23:50 behavioral changes should be the easiest 23:50 behavioral changes should be the easiest ones because you just have to do them 23:52 ones because you just have to do them 23:52 ones because you just have to do them and they're free. So, if we understand 23:55 and they're free. So, if we understand 23:55 and they're free. So, if we understand from a woman's perspective how much 23:57 from a woman's perspective how much 23:57 from a woman's perspective how much foreplay 23:59 foreplay 23:59 foreplay makes sex better and makes the female 24:01 makes sex better and makes the female 24:02 makes sex better and makes the female more vulnerable and makes the female 24:03 more vulnerable and makes the female 24:03 more vulnerable and makes the female more in the mood, 24:06 more in the mood, 24:06 more in the mood, then address the foreplay. And foreplay 24:08 then address the foreplay. And foreplay 24:08 then address the foreplay. And foreplay can be anything. In fact, I think some 24:10 can be anything. In fact, I think some 24:10 can be anything. In fact, I think some of the literature suggests that women 24:13 of the literature suggests that women 24:13 of the literature suggests that women who are or couples that are kissing, 24:17 who are or couples that are kissing, 24:17 who are or couples that are kissing, >> yes, 24:17 >> yes, 24:17 >> yes, >> have a 40% easier chance of having a 24:20 >> have a 40% easier chance of having a 24:20 >> have a 40% easier chance of having a vaginal orgasm without clitoreral 24:23 vaginal orgasm without clitoreral 24:23 vaginal orgasm without clitoreral stimulation. 24:25 stimulation. 24:25 stimulation. >> I just read that statistic, but you 24:27 >> I just read that statistic, but you 24:27 >> I just read that statistic, but you know, I'm not great with remembering 24:28 know, I'm not great with remembering 24:28 know, I'm not great with remembering those things, so we can fact check that. 24:29 those things, so we can fact check that. 24:29 those things, so we can fact check that. But it was something dramatic like that 24:30 But it was something dramatic like that 24:30 But it was something dramatic like that was like 40% chance easier. I don't 24:33 was like 40% chance easier. I don't 24:33 was like 40% chance easier. I don't remember what the parameters were, but 24:35 remember what the parameters were, but 24:35 remember what the parameters were, but >> gosh, isn't that significant? 24:37 >> gosh, isn't that significant? 24:37 >> gosh, isn't that significant? >> Yeah. that you can have vaginal orgasm 24:39 >> Yeah. that you can have vaginal orgasm 24:39 >> Yeah. that you can have vaginal orgasm which is really quite difficult for most 24:41 which is really quite difficult for most 24:41 which is really quite difficult for most people if not 24:42 people if not 24:42 people if not >> it is only women or about onethird of 24:45 >> it is only women or about onethird of 24:45 >> it is only women or about onethird of women can easily or or have the capacity 24:48 women can easily or or have the capacity 24:48 women can easily or or have the capacity to have a vaginal 24:49 to have a vaginal 24:49 to have a vaginal >> the capacity 24:50 >> the capacity 24:50 >> the capacity >> yeah so twothirds of women need to have 24:52 >> yeah so twothirds of women need to have 24:52 >> yeah so twothirds of women need to have clitoreral stimulation um and there's 24:54 clitoreral stimulation um and there's 24:54 clitoreral stimulation um and there's nothing wrong with that 24:55 nothing wrong with that 24:55 nothing wrong with that >> no no but if you are practicing foreplay 24:59 >> no no but if you are practicing foreplay 24:59 >> no no but if you are practicing foreplay and foreplay doesn't have to always be 25:00 and foreplay doesn't have to always be 25:00 and foreplay doesn't have to always be the foreplay in the bed in fact I would 25:02 the foreplay in the bed in fact I would 25:02 the foreplay in the bed in fact I would say what we would say is that foreplay 25:06 say what we would say is that foreplay 25:06 say what we would say is that foreplay really is What's leading up to? So, how 25:09 really is What's leading up to? So, how 25:09 really is What's leading up to? So, how did the day go? 25:10 did the day go? 25:10 did the day go? >> The the small touches, all those things 25:12 >> The the small touches, all those things 25:12 >> The the small touches, all those things that you've talked about. 25:13 that you've talked about. 25:13 that you've talked about. >> Yeah. Did Did you have a podcast about 25:15 >> Yeah. Did Did you have a podcast about 25:16 >> Yeah. Did Did you have a podcast about sex? 25:16 sex? 25:16 sex? >> Did that get you? Did you listen to a 25:18 >> Did that get you? Did you listen to a 25:18 >> Did that get you? Did you listen to a podcast about sex 25:21 podcast about sex 25:21 podcast about sex >> early? Because then that is increasing 25:24 >> early? Because then that is increasing 25:24 >> early? Because then that is increasing blood flow to the clitoris. And if the 25:25 blood flow to the clitoris. And if the 25:25 blood flow to the clitoris. And if the clitoris is already engorged by the time 25:29 clitoris is already engorged by the time 25:29 clitoris is already engorged by the time you have your pants off, then how much 25:32 you have your pants off, then how much 25:32 you have your pants off, then how much easier will it be to orgasm? A lot. I 25:35 easier will it be to orgasm? A lot. I 25:35 easier will it be to orgasm? A lot. I like it. And speaking of blood flow, 25:37 like it. And speaking of blood flow, 25:37 like it. And speaking of blood flow, let's talk about erectile function as a
Hormones, Metabolism, and Testosterone 25:40 let's talk about erectile function as a 25:40 let's talk about erectile function as a cardiovascular warning sign. It's part 25:43 cardiovascular warning sign. It's part 25:43 cardiovascular warning sign. It's part of the introduction. Um, the penis is a 25:46 of the introduction. Um, the penis is a 25:46 of the introduction. Um, the penis is a vascular organ. It is a blood flow 25:49 vascular organ. It is a blood flow 25:49 vascular organ. It is a blood flow organ. It is a vessel, artery, and vein 25:53 organ. It is a vessel, artery, and vein 25:53 organ. It is a vessel, artery, and vein organ. And all of that relates back to 25:56 organ. And all of that relates back to 25:56 organ. And all of that relates back to the heart, but more specifically the 25:58 the heart, but more specifically the 25:58 the heart, but more specifically the endothelium. 26:00 endothelium. 26:00 endothelium. >> So, we talk about this a lot at the 26:01 >> So, we talk about this a lot at the 26:02 >> So, we talk about this a lot at the hormone zone and the longevity protocol. 26:03 hormone zone and the longevity protocol. 26:03 hormone zone and the longevity protocol. We talk about the lining of the blood 26:06 We talk about the lining of the blood 26:06 We talk about the lining of the blood vessel, the endothelium it's called, and 26:08 vessel, the endothelium it's called, and 26:08 vessel, the endothelium it's called, and how incredibly important that is and 26:11 how incredibly important that is and 26:11 how incredibly important that is and that that is at the root of many many 26:13 that that is at the root of many many 26:13 that that is at the root of many many diseases, 26:14 diseases, 26:14 diseases, >> right? 26:14 >> right? 26:14 >> right? >> Uh and uh did you 26:16 >> Uh and uh did you 26:16 >> Uh and uh did you >> say what it was? The endothelial lining. 26:18 >> say what it was? The endothelial lining. 26:18 >> say what it was? The endothelial lining. >> The endothelial lining. 26:20 >> The endothelial lining. 26:20 >> The endothelial lining. >> You said what it was. I can't 26:21 >> You said what it was. I can't 26:21 >> You said what it was. I can't >> Oh, that is the lining. 26:22 >> Oh, that is the lining. 26:22 >> Oh, that is the lining. >> The lining of the Yes. And all of that 26:25 >> The lining of the Yes. And all of that 26:25 >> The lining of the Yes. And all of that is relating back to high blood pressure, 26:28 is relating back to high blood pressure, 26:28 is relating back to high blood pressure, certainly insulin resistance or 26:30 certainly insulin resistance or 26:30 certainly insulin resistance or diabetes, um high cholesterol, u the 26:33 diabetes, um high cholesterol, u the 26:34 diabetes, um high cholesterol, u the hardening of the artery itself, all of 26:35 hardening of the artery itself, all of 26:35 hardening of the artery itself, all of that's going to of course affect the 26:37 that's going to of course affect the 26:37 that's going to of course affect the endothelium and vice versa. 26:39 endothelium and vice versa. 26:39 endothelium and vice versa. >> And you know, the the things that kind 26:40 >> And you know, the the things that kind 26:40 >> And you know, the the things that kind of lead into why people have this issue, 26:42 of lead into why people have this issue, 26:42 of lead into why people have this issue, you know, smoking and other lifestyle 26:44 you know, smoking and other lifestyle 26:44 you know, smoking and other lifestyle based things. 26:45 based things. 26:45 based things. >> Um just being overweight kind of plays 26:47 >> Um just being overweight kind of plays 26:47 >> Um just being overweight kind of plays in to all of a lot of times guy, let's 26:50 in to all of a lot of times guy, let's 26:50 in to all of a lot of times guy, let's say guys come in and they just they have 26:51 say guys come in and they just they have 26:51 say guys come in and they just they have erectile dysfunction because they are 26:54 erectile dysfunction because they are 26:54 erectile dysfunction because they are pre-diabetic or diabetic and they're 26:56 pre-diabetic or diabetic and they're 26:56 pre-diabetic or diabetic and they're overweight and if they just remove that 26:59 overweight and if they just remove that 26:59 overweight and if they just remove that block that the break on libido the break 27:01 block that the break on libido the break 27:01 block that the break on libido the break on u erectile function it would just get 27:05 on u erectile function it would just get 27:05 on u erectile function it would just get better. So we often are saying well no 27:07 better. So we often are saying well no 27:07 better. So we often are saying well no let's just use the testosterone we got 27:09 let's just use the testosterone we got 27:09 let's just use the testosterone we got to push past that while the brakes are 27:11 to push past that while the brakes are 27:11 to push past that while the brakes are still on because well you've got a lot 27:14 still on because well you've got a lot 27:14 still on because well you've got a lot of visceral organ fat and you're 27:16 of visceral organ fat and you're 27:16 of visceral organ fat and you're diabetic. 27:17 diabetic. 27:17 diabetic. >> And you know what's so important about 27:18 >> And you know what's so important about 27:18 >> And you know what's so important about this is that especially with like our 27:20 this is that especially with like our 27:20 this is that especially with like our bloomer patients right? Am I saying that 27:22 bloomer patients right? Am I saying that 27:22 bloomer patients right? Am I saying that right? The bloomers. Yes. 27:24 right? The bloomers. Yes. 27:24 right? The bloomers. Yes. >> Um, boomers grew up with the war on 27:28 >> Um, boomers grew up with the war on 27:28 >> Um, boomers grew up with the war on cholesterol, 27:29 cholesterol, 27:29 cholesterol, >> but they sure as [ __ ] didn't grow up on 27:32 >> but they sure as [ __ ] didn't grow up on 27:32 >> but they sure as [ __ ] didn't grow up on championing testosterone. 27:34 championing testosterone. 27:34 championing testosterone. And with all the aggressive too 27:36 And with all the aggressive too 27:36 And with all the aggressive too aggressive cholesterol management that 27:37 aggressive cholesterol management that 27:37 aggressive cholesterol management that has happened in the past 20 to 30 years, 27:39 has happened in the past 20 to 30 years, 27:39 has happened in the past 20 to 30 years, we haven't seen an improvement in 27:41 we haven't seen an improvement in 27:41 we haven't seen an improvement in erectile dysfunction. 27:42 erectile dysfunction. 27:42 erectile dysfunction. >> No. And we haven't seen an improvement 27:43 >> No. And we haven't seen an improvement 27:43 >> No. And we haven't seen an improvement in cardiovascular 27:45 in cardiovascular 27:46 in cardiovascular in outcomes on cardiovascular health. 27:48 in outcomes on cardiovascular health. 27:48 in outcomes on cardiovascular health. But this is important because though the 27:49 But this is important because though the 27:49 But this is important because though the the boomers out there, let's say, um or 27:52 the boomers out there, let's say, um or 27:52 the boomers out there, let's say, um or even really our generation, we need to 27:54 even really our generation, we need to 27:54 even really our generation, we need to we need to understand they need to 27:56 we need to understand they need to 27:56 we need to understand they need to understand that treating cholesterol 27:59 understand that treating cholesterol 27:59 understand that treating cholesterol doesn't doesn't [clears throat] help 28:01 doesn't doesn't [clears throat] help 28:01 doesn't doesn't [clears throat] help cardiovascular outcomes and it doesn't 28:03 cardiovascular outcomes and it doesn't 28:03 cardiovascular outcomes and it doesn't help erectile dysfunction. If anything, 28:05 help erectile dysfunction. If anything, 28:05 help erectile dysfunction. If anything, when you're too aggressive with the 28:06 when you're too aggressive with the 28:06 when you're too aggressive with the cholesterol, you're actually lowering 28:08 cholesterol, you're actually lowering 28:08 cholesterol, you're actually lowering the body's ability to make hormones. 28:10 the body's ability to make hormones. 28:10 the body's ability to make hormones. >> It affects that endothelial lining as 28:13 >> It affects that endothelial lining as 28:13 >> It affects that endothelial lining as well when it's too low. So there's 28:15 well when it's too low. So there's 28:15 well when it's too low. So there's always a balance with with all of this 28:17 always a balance with with all of this 28:17 always a balance with with all of this >> whereas dark chocolate is good for the 28:18 >> whereas dark chocolate is good for the 28:18 >> whereas dark chocolate is good for the ends. 28:19 ends. 28:19 ends. >> Okay. 28:21 >> Okay. 28:21 >> Okay. >> So I really want to talk about a few 28:23 >> So I really want to talk about a few 28:23 >> So I really want to talk about a few things and one particular biomarker uh 28:26 things and one particular biomarker uh 28:26 things and one particular biomarker uh in particular but there are some 28:28 in particular but there are some 28:28 in particular but there are some biomarkers to look out for 28:29 biomarkers to look out for 28:29 biomarkers to look out for cardiovascular health that relates back 28:31 cardiovascular health that relates back 28:31 cardiovascular health that relates back to this endothelium that of course helps 28:33 to this endothelium that of course helps 28:33 to this endothelium that of course helps with erections for guys. Okay. And we 28:35 with erections for guys. Okay. And we 28:35 with erections for guys. Okay. And we check many many things. Uh but ABOB B um 28:39 check many many things. Uh but ABOB B um 28:39 check many many things. Uh but ABOB B um and this is a a sort of hardening of the 28:41 and this is a a sort of hardening of the 28:41 and this is a a sort of hardening of the artery biioarker an aphroenic particle 28:45 artery biioarker an aphroenic particle 28:45 artery biioarker an aphroenic particle um that we look at and that it 28:47 um that we look at and that it 28:47 um that we look at and that it correlates back with overall 28:48 correlates back with overall 28:48 correlates back with overall cardiovascular function. Um it's 28:51 cardiovascular function. Um it's 28:51 cardiovascular function. Um it's certainly this ability or this 28:52 certainly this ability or this 28:52 certainly this ability or this propensity towards making plaque 28:55 propensity towards making plaque 28:55 propensity towards making plaque >> and then affecting that endothelium this 28:57 >> and then affecting that endothelium this 28:57 >> and then affecting that endothelium this lining of blood vessel. So apo B is one 28:59 lining of blood vessel. So apo B is one 28:59 lining of blood vessel. So apo B is one lipoprotein little a and you've heard of 29:02 lipoprotein little a and you've heard of 29:02 lipoprotein little a and you've heard of this one too. uh this is uh mostly 29:05 this one too. uh this is uh mostly 29:05 this one too. uh this is uh mostly genetic about 70 to 90% of that number 29:07 genetic about 70 to 90% of that number 29:07 genetic about 70 to 90% of that number is genetic so we're looking at that as 29:09 is genetic so we're looking at that as 29:09 is genetic so we're looking at that as well again whether or not the patient 29:11 well again whether or not the patient 29:11 well again whether or not the patient might have an issue CRP C reactive 29:13 might have an issue CRP C reactive 29:13 might have an issue CRP C reactive protein uh many people are starting to 29:16 protein uh many people are starting to 29:16 protein uh many people are starting to hear about that glucose hemoglobin A1C 29:19 hear about that glucose hemoglobin A1C 29:19 hear about that glucose hemoglobin A1C and fasting insulin fasting insulin is 29:21 and fasting insulin fasting insulin is 29:21 and fasting insulin fasting insulin is definitely underplayed um not for us and 29:25 definitely underplayed um not for us and 29:25 definitely underplayed um not for us and we've been doing it for years but it's 29:26 we've been doing it for years but it's 29:26 we've been doing it for years but it's usually not in the conventional setting 29:28 usually not in the conventional setting 29:28 usually not in the conventional setting something that's looked at 29:30 something that's looked at 29:30 something that's looked at >> especially if the person's thin 29:32 >> especially if the person's thin 29:32 >> especially if the person's thin >> right and I we see elev ated fasting 29:34 >> right and I we see elev ated fasting 29:34 >> right and I we see elev ated fasting insulin or suboptimal fasting insulin in 29:37 insulin or suboptimal fasting insulin in 29:37 insulin or suboptimal fasting insulin in people all the time. 29:38 people all the time. 29:38 people all the time. >> You know, I guess not until this moment 29:40 >> You know, I guess not until this moment 29:40 >> You know, I guess not until this moment that I really think about that point 29:41 that I really think about that point 29:41 that I really think about that point that especially with our population of 29:44 that especially with our population of 29:44 that especially with our population of skinny fat females that have low libido. 29:48 skinny fat females that have low libido. 29:48 skinny fat females that have low libido. >> I'm not sure how much I've ever brought 29:51 >> I'm not sure how much I've ever brought 29:51 >> I'm not sure how much I've ever brought those two concepts back together. 29:53 those two concepts back together. 29:53 those two concepts back together. Usually I say, "Oh, well, you're tired." 29:55 Usually I say, "Oh, well, you're tired." 29:55 Usually I say, "Oh, well, you're tired." Or, "Oh, you can't build muscle." Or, 29:57 Or, "Oh, you can't build muscle." Or, 29:57 Or, "Oh, you can't build muscle." Or, "Oh, you don't sleep well because your 29:58 "Oh, you don't sleep well because your 29:58 "Oh, you don't sleep well because your blood sugar is low." But I don't know 30:00 blood sugar is low." But I don't know 30:00 blood sugar is low." But I don't know how often I'm saying to someone, "You 30:02 how often I'm saying to someone, "You 30:02 how often I'm saying to someone, "You don't eat enough. there's no way you can 30:03 don't eat enough. there's no way you can 30:03 don't eat enough. there's no way you can orgasm, 30:04 orgasm, 30:04 orgasm, >> right? The protein of it just that alone 30:07 >> right? The protein of it just that alone 30:07 >> right? The protein of it just that alone that that's a great point and we are 30:09 that that's a great point and we are 30:09 that that's a great point and we are understanding more about the the organ 30:12 understanding more about the the organ 30:12 understanding more about the the organ of muscle and how incredibly important 30:14 of muscle and how incredibly important 30:14 of muscle and how incredibly important that is for all of these things we're 30:15 that is for all of these things we're 30:15 that is for all of these things we're talking about right now. But that's 30:17 talking about right now. But that's 30:17 talking about right now. But that's you're you're right. Um if someone has 30:20 you're you're right. Um if someone has 30:20 you're you're right. Um if someone has very little muscle, they have poor 30:22 very little muscle, they have poor 30:22 very little muscle, they have poor insulin handling, 30:24 insulin handling, 30:24 insulin handling, >> blood sugar handling. So the more muscle 30:26 >> blood sugar handling. So the more muscle 30:26 >> blood sugar handling. So the more muscle you have, the more quickly you can 30:28 you have, the more quickly you can 30:28 you have, the more quickly you can handle um any kind of food that's coming 30:31 handle um any kind of food that's coming 30:31 handle um any kind of food that's coming in. Mhm. 30:32 in. Mhm. 30:32 in. Mhm. >> And that prevents a lot of these issues. 30:34 >> And that prevents a lot of these issues. 30:34 >> And that prevents a lot of these issues. >> Plus along those lines, the protein, 30:36 >> Plus along those lines, the protein, 30:36 >> Plus along those lines, the protein, which is amino acids, the amino acids 30:38 which is amino acids, the amino acids 30:38 which is amino acids, the amino acids are the building blocks of the 30:39 are the building blocks of the 30:39 are the building blocks of the neurotransmitters, which are the brain 30:41 neurotransmitters, which are the brain 30:41 neurotransmitters, which are the brain hormones. 30:43 hormones. 30:43 hormones. So, tying it all back together. Really, 30:46 So, tying it all back together. Really, 30:46 So, tying it all back together. Really, it all ends in a good meal. 30:48 it all ends in a good meal. 30:48 it all ends in a good meal. >> There's one other marker I want to make 30:49 >> There's one other marker I want to make 30:49 >> There's one other marker I want to make sure everyone's aware about. This is 30:51 sure everyone's aware about. This is 30:51 sure everyone's aware about. This is called ADNA. 30:53 called ADNA. 30:53 called ADNA. This is also not something that's 30:55 This is also not something that's 30:55 This is also not something that's usually checked uh by most doctors. Um, 30:58 usually checked uh by most doctors. Um, 30:58 usually checked uh by most doctors. Um, but that's something, of course, that we 31:00 but that's something, of course, that we 31:00 but that's something, of course, that we do routinely. 31:01 do routinely. 31:01 do routinely. and ADMA. What this does is it 31:04 and ADMA. What this does is it 31:04 and ADMA. What this does is it specifically inhibits something called 31:05 specifically inhibits something called 31:05 specifically inhibits something called nitric oxide synthesics and that then 31:08 nitric oxide synthesics and that then 31:08 nitric oxide synthesics and that then reduces nitric oxide itself and then if 31:11 reduces nitric oxide itself and then if 31:11 reduces nitric oxide itself and then if nitric oxide goes down then 31:12 nitric oxide goes down then 31:12 nitric oxide goes down then vasoddilation the ability to have an 31:14 vasoddilation the ability to have an 31:14 vasoddilation the ability to have an erection um or to respond with a 31:16 erection um or to respond with a 31:16 erection um or to respond with a cardiovascular system all of that goes 31:18 cardiovascular system all of that goes 31:18 cardiovascular system all of that goes down. So ADMA is a really really easy uh 31:21 down. So ADMA is a really really easy uh 31:21 down. So ADMA is a really really easy uh blood test. it's found a lab course or 31:24 blood test. it's found a lab course or 31:24 blood test. it's found a lab course or quest 31:25 quest 31:26 quest and uh we check that routinely and if it 31:28 and uh we check that routinely and if it 31:28 and uh we check that routinely and if it is high then two things are potentially 31:31 is high then two things are potentially 31:31 is high then two things are potentially happening one they might be having 31:33 happening one they might be having 31:33 happening one they might be having issues where they're making more plaque 31:35 issues where they're making more plaque 31:35 issues where they're making more plaque but the other thing is the reason 31:36 but the other thing is the reason 31:36 but the other thing is the reason they're making the plaque is because if 31:37 they're making the plaque is because if 31:37 they're making the plaque is because if the ADMA is high they have low nitric
Vaginal Dryness, Pain, and Menopause 31:40 the ADMA is high they have low nitric 31:40 the ADMA is high they have low nitric oxide that's of course affecting that 31:43 oxide that's of course affecting that 31:43 oxide that's of course affecting that we're back to the idea of the 31:44 we're back to the idea of the 31:44 we're back to the idea of the endothelium 31:45 endothelium 31:45 endothelium >> just for the purposes of um the audience 31:48 >> just for the purposes of um the audience 31:48 >> just for the purposes of um the audience really remembering this the nitric oxide 31:51 really remembering this the nitric oxide 31:51 really remembering this the nitric oxide um you know People will say on like the 31:53 um you know People will say on like the 31:53 um you know People will say on like the TV shows, my nitro, 31:56 TV shows, my nitro, 31:56 TV shows, my nitro, right? Isn't that what they say? 31:57 right? Isn't that what they say? 31:58 right? Isn't that what they say? >> My nitro for 31:58 >> My nitro for 31:58 >> My nitro for >> Yeah. For like a heart attack. 31:59 >> Yeah. For like a heart attack. 31:59 >> Yeah. For like a heart attack. >> Oh, like nitroglycerin. Yes. 32:01 >> Oh, like nitroglycerin. Yes. 32:01 >> Oh, like nitroglycerin. Yes. >> No, I'm just trying to think of a way 32:02 >> No, I'm just trying to think of a way 32:02 >> No, I'm just trying to think of a way that people can remember because this is 32:04 that people can remember because this is 32:04 that people can remember because this is all biochemistry. So, I think the um pop 32:08 all biochemistry. So, I think the um pop 32:08 all biochemistry. So, I think the um pop culture can think of my nitro, you know, 32:10 culture can think of my nitro, you know, 32:10 culture can think of my nitro, you know, like I'm having a heart attack. My nitro 32:12 like I'm having a heart attack. My nitro 32:12 like I'm having a heart attack. My nitro because what we're allowing is for the 32:13 because what we're allowing is for the 32:13 because what we're allowing is for the blood vessels to open back up instead of 32:15 blood vessels to open back up instead of 32:15 blood vessels to open back up instead of constrict. 32:16 constrict. 32:16 constrict. >> Correct. And yeah, so if someone's 32:17 >> Correct. And yeah, so if someone's 32:17 >> Correct. And yeah, so if someone's having chest pains, they'll take 32:19 having chest pains, they'll take 32:19 having chest pains, they'll take nitroglycerin. It is a very rapid way to 32:22 nitroglycerin. It is a very rapid way to 32:22 nitroglycerin. It is a very rapid way to have lactas dilation would be something 32:24 have lactas dilation would be something 32:24 have lactas dilation would be something we'd say well I want to get an erection 32:25 we'd say well I want to get an erection 32:25 we'd say well I want to get an erection let me take my nitroglycerin but uh same 32:27 let me take my nitroglycerin but uh same 32:27 let me take my nitroglycerin but uh same concept you're right so I think it is 32:29 concept you're right so I think it is 32:29 concept you're right so I think it is good sort of correlation for people to 32:30 good sort of correlation for people to 32:30 good sort of correlation for people to understand we um test nitric oxide 32:33 understand we um test nitric oxide 32:33 understand we um test nitric oxide levels in offices incredibly routine for 32:35 levels in offices incredibly routine for 32:35 levels in offices incredibly routine for us all the time for both men and women 32:38 us all the time for both men and women 32:38 us all the time for both men and women it's going to help all kinds of things 32:40 it's going to help all kinds of things 32:40 it's going to help all kinds of things >> um so ADMA is one way to exact way we 32:45 >> um so ADMA is one way to exact way we 32:45 >> um so ADMA is one way to exact way we have basic salivary tests also for 32:47 have basic salivary tests also for 32:47 have basic salivary tests also for nitric oxide levels so we can really 32:49 nitric oxide levels so we can really 32:49 nitric oxide levels so we can really focus us on that and I think everyone 32:51 focus us on that and I think everyone 32:51 focus us on that and I think everyone should again go back to this idea of the 32:52 should again go back to this idea of the 32:52 should again go back to this idea of the endothelium oxidized LDL so LDL is the 32:56 endothelium oxidized LDL so LDL is the 32:56 endothelium oxidized LDL so LDL is the bad cholesterol but we can actually look 32:58 bad cholesterol but we can actually look 32:58 bad cholesterol but we can actually look at it yeah so so to speak uh bad but 33:01 at it yeah so so to speak uh bad but 33:01 at it yeah so so to speak uh bad but again for people to remember and the 33:03 again for people to remember and the 33:03 again for people to remember and the oxidized version is whether or not it's 33:05 oxidized version is whether or not it's 33:05 oxidized version is whether or not it's actually been rusted 33:08 actually been rusted 33:08 actually been rusted in the system so all of those things 33:11 in the system so all of those things 33:11 in the system so all of those things should be checked we do it routinely um 33:13 should be checked we do it routinely um 33:13 should be checked we do it routinely um if you've never had any of those checked 33:15 if you've never had any of those checked 33:15 if you've never had any of those checked I encourage it uh to have it done even 33:18 I encourage it uh to have it done even 33:18 I encourage it uh to have it done even blood tests these aren't like fancy, 33:20 blood tests these aren't like fancy, 33:20 blood tests these aren't like fancy, schmancy, complicated. I mean, 33:22 schmancy, complicated. I mean, 33:22 schmancy, complicated. I mean, especially for people who are we're 33:24 especially for people who are we're 33:24 especially for people who are we're trying to discourage the audience to be 33:25 trying to discourage the audience to be 33:25 trying to discourage the audience to be so biohacky obsessed. Um, but what we 33:28 so biohacky obsessed. Um, but what we 33:28 so biohacky obsessed. Um, but what we are encouraging is information 33:30 are encouraging is information 33:30 are encouraging is information >> because you can do anything then with 33:32 >> because you can do anything then with 33:32 >> because you can do anything then with the data like but get the information 33:34 the data like but get the information 33:34 the data like but get the information and we really like data. 33:35 and we really like data. 33:35 and we really like data. >> This is the art and science well. We do 33:39 >> This is the art and science well. We do 33:39 >> This is the art and science well. We do not discount it at all. We just keep it 33:41 not discount it at all. We just keep it 33:41 not discount it at all. We just keep it certain amount of levity and balance 33:43 certain amount of levity and balance 33:43 certain amount of levity and balance with it with both the art and the 33:45 with it with both the art and the 33:45 with it with both the art and the science. But this is a big big part of 33:46 science. But this is a big big part of 33:46 science. But this is a big big part of the science for us. And the reason this 33:48 the science for us. And the reason this 33:48 the science for us. And the reason this is so important is because it allows us 33:51 is so important is because it allows us 33:51 is so important is because it allows us to have effective treatments. We always 33:54 to have effective treatments. We always 33:54 to have effective treatments. We always say treat the cause. A patient comes in 33:56 say treat the cause. A patient comes in 33:56 say treat the cause. A patient comes in with erectile dysfunction. All right. 33:58 with erectile dysfunction. All right. 33:58 with erectile dysfunction. All right. Well, all of these markers that you're 34:00 Well, all of these markers that you're 34:00 Well, all of these markers that you're testing are going to help give us a clue 34:02 testing are going to help give us a clue 34:02 testing are going to help give us a clue as to why are they having the erectile 34:04 as to why are they having the erectile 34:04 as to why are they having the erectile dysfunction. Of course, you're going to 34:06 dysfunction. Of course, you're going to 34:06 dysfunction. Of course, you're going to layer onto that mental and emotional 34:07 layer onto that mental and emotional 34:07 layer onto that mental and emotional stuff that we were talking about. Then 34:09 stuff that we were talking about. Then 34:09 stuff that we were talking about. Then you're going to have a much better 34:10 you're going to have a much better 34:10 you're going to have a much better chance of actually fixing that 34:12 chance of actually fixing that 34:12 chance of actually fixing that dysfunction to cure the problem. 34:13 dysfunction to cure the problem. 34:13 dysfunction to cure the problem. >> Right. 34:14 >> Right. 34:14 >> Right. >> And what's one way that we could fix it? 34:15 >> And what's one way that we could fix it? 34:15 >> And what's one way that we could fix it? Let's talk about nitric oxide one 34:18 Let's talk about nitric oxide one 34:18 Let's talk about nitric oxide one there's they're very simple supplements 34:19 there's they're very simple supplements 34:19 there's they're very simple supplements that can be taken for that but you know 34:21 that can be taken for that but you know 34:21 that can be taken for that but you know I'm a huge fan uh of uh seialis 34:25 I'm a huge fan uh of uh seialis 34:25 I'm a huge fan uh of uh seialis tadalapil and the you know so viagra 34:30 tadalapil and the you know so viagra 34:30 tadalapil and the you know so viagra levitra and and seialis but at low doses 34:33 levitra and and seialis but at low doses 34:33 levitra and and seialis but at low doses particularly tedal tadalapil is a long 34:35 particularly tedal tadalapil is a long 34:35 particularly tedal tadalapil is a long acting version of this type of 34:37 acting version of this type of 34:37 acting version of this type of medication is a fast acting but tadal is 34:40 medication is a fast acting but tadal is 34:40 medication is a fast acting but tadal is a very slow acting long long acting I 34:43 a very slow acting long long acting I 34:43 a very slow acting long long acting I should say so very small amounts of that 34:45 should say so very small amounts of that 34:45 should say so very small amounts of that are really excellent for just general 34:48 are really excellent for just general 34:48 are really excellent for just general the health of this endothelium um 34:50 the health of this endothelium um 34:50 the health of this endothelium um helping with erectile function 34:52 helping with erectile function 34:52 helping with erectile function particularly mild and moderate versions 34:54 particularly mild and moderate versions 34:54 particularly mild and moderate versions of it. Um I'm a huge fan and what it's 34:57 of it. Um I'm a huge fan and what it's 34:57 of it. Um I'm a huge fan and what it's doing for the heart. We're seeing now 34:58 doing for the heart. We're seeing now 34:58 doing for the heart. We're seeing now there's brain benefit. There's long-term 35:00 there's brain benefit. There's long-term 35:00 there's brain benefit. There's long-term studies now been around for a long time. 35:02 studies now been around for a long time. 35:02 studies now been around for a long time. Yes. And there's there's actually uh 35:04 Yes. And there's there's actually uh 35:04 Yes. And there's there's actually uh overall benefit for longevity with low 35:07 overall benefit for longevity with low 35:07 overall benefit for longevity with low doses of this. 35:08 doses of this. 35:08 doses of this. >> The nice thing about it being long 35:10 >> The nice thing about it being long 35:10 >> The nice thing about it being long acting is that it really helps when 35:13 acting is that it really helps when 35:13 acting is that it really helps when you're talking about romance, right? So, 35:15 you're talking about romance, right? So, 35:15 you're talking about romance, right? So, because it's long acting and you're 35:16 because it's long acting and you're 35:16 because it's long acting and you're going on a date, let's say, um, 35:20 going on a date, let's say, um, 35:20 going on a date, let's say, um, >> you can eliminate the mental and 35:21 >> you can eliminate the mental and 35:21 >> you can eliminate the mental and emotional stress that may lead to 35:24 emotional stress that may lead to 35:24 emotional stress that may lead to erectile dysfunction because you say, 35:26 erectile dysfunction because you say, 35:26 erectile dysfunction because you say, "Oh, I'm on this long acting medication 35:28 "Oh, I'm on this long acting medication 35:28 "Oh, I'm on this long acting medication that it that that's got my back." That's 35:30 that it that that's got my back." That's 35:30 that it that that's got my back." That's a great way to say it. Versus the person 35:32 a great way to say it. Versus the person 35:32 a great way to say it. Versus the person that's on a date, they go home and 35:34 that's on a date, they go home and 35:34 that's on a date, they go home and they're like, "Excuse me for a second." 35:35 they're like, "Excuse me for a second." 35:35 they're like, "Excuse me for a second." And then they have to go to the bathroom 35:36 And then they have to go to the bathroom 35:36 And then they have to go to the bathroom and take something to help 35:38 and take something to help 35:38 and take something to help >> with um the erection. Right. That's 35:41 >> with um the erection. Right. That's 35:41 >> with um the erection. Right. That's That's I imagine that would cause 35:42 That's I imagine that would cause 35:42 That's I imagine that would cause performance anxiety 35:43 performance anxiety 35:44 performance anxiety >> for sure. Yeah. There's, you know, guys 35:46 >> for sure. Yeah. There's, you know, guys 35:46 >> for sure. Yeah. There's, you know, guys have great uh uh I I 35:50 have great uh uh I I 35:50 have great uh uh I I have patients that inject their penis 35:53 have patients that inject their penis 35:53 have patients that inject their penis with another medication called Tryix, 35:55 with another medication called Tryix, 35:55 with another medication called Tryix, and I have had a couple of patients 35:57 and I have had a couple of patients 35:57 and I have had a couple of patients where their wife didn't even know. Now, 36:00 where their wife didn't even know. Now, 36:00 where their wife didn't even know. Now, that's a whole other conversation about 36:02 that's a whole other conversation about 36:02 that's a whole other conversation about communication and intimacy and all of 36:04 communication and intimacy and all of 36:04 communication and intimacy and all of that that they don't even know anything 36:06 that that they don't even know anything 36:06 that that they don't even know anything about uh those types of injections. But 36:08 about uh those types of injections. But 36:08 about uh those types of injections. But I I've I've spoken with them before um 36:11 I I've I've spoken with them before um 36:11 I I've I've spoken with them before um and they are quite ejecting, you know. 36:15 and they are quite ejecting, you know. 36:15 and they are quite ejecting, you know. So, but yes, the spontaneity is so 36:18 So, but yes, the spontaneity is so 36:18 So, but yes, the spontaneity is so incredibly important. Yes, it's 36:20 incredibly important. Yes, it's 36:20 incredibly important. Yes, it's relieving for guys when they know they 36:21 relieving for guys when they know they 36:21 relieving for guys when they know they have it. 36:22 have it. 36:22 have it. >> If if if spontaneity if a longterm 36:25 >> If if if spontaneity if a longterm 36:25 >> If if if spontaneity if a longterm medication like um like we're discussing 36:28 medication like um like we're discussing 36:28 medication like um like we're discussing here is going to alleviate a problem, 36:29 here is going to alleviate a problem, 36:29 here is going to alleviate a problem, then great. But with that story, what 36:32 then great. But with that story, what 36:32 then great. But with that story, what you're letting us know is that but if 36:33 you're letting us know is that but if 36:34 you're letting us know is that but if not, we still have choices. 36:35 not, we still have choices. 36:35 not, we still have choices. >> Absolutely. 36:36 >> Absolutely. 36:36 >> Absolutely. >> Yeah. And so we've been talking about 36:38 >> Yeah. And so we've been talking about 36:38 >> Yeah. And so we've been talking about guys here and as it relates to uh the 36:41 guys here and as it relates to uh the 36:41 guys here and as it relates to uh the cardiovascular things certainly and that 36:43 cardiovascular things certainly and that 36:43 cardiovascular things certainly and that all kind of relates back to insulin and 36:45 all kind of relates back to insulin and 36:45 all kind of relates back to insulin and blood sugar control and how that 36:47 blood sugar control and how that 36:47 blood sugar control and how that ultimately helps with an erection and we 36:50 ultimately helps with an erection and we 36:50 ultimately helps with an erection and we weren't putting a lot of emphasis on 36:51 weren't putting a lot of emphasis on 36:51 weren't putting a lot of emphasis on testosterone but for a quick moment 36:53 testosterone but for a quick moment 36:53 testosterone but for a quick moment let's talk about that of course 36:54 let's talk about that of course 36:54 let's talk about that of course testosterone is part of that. We're 36:56 testosterone is part of that. We're 36:56 testosterone is part of that. We're going to look at that. We're going to um 36:58 going to look at that. We're going to um 36:58 going to look at that. We're going to um enhance testosterone in a functional way 37:02 enhance testosterone in a functional way 37:02 enhance testosterone in a functional way not just barely get you in the range. 37:03 not just barely get you in the range. 37:03 not just barely get you in the range. We're going to optimize it in a positive 37:05 We're going to optimize it in a positive 37:05 We're going to optimize it in a positive way. And testosterone has a huge amount 37:08 way. And testosterone has a huge amount 37:08 way. And testosterone has a huge amount of influence to psychological desire and 37:11 of influence to psychological desire and 37:11 of influence to psychological desire and drive. But it's just not the only thing 37:13 drive. But it's just not the only thing 37:13 drive. But it's just not the only thing for 37:14 for 37:14 for >> but it is true that testosterone 37:16 >> but it is true that testosterone 37:16 >> but it is true that testosterone will affect women in a similar fashion. 37:19 will affect women in a similar fashion. 37:19 will affect women in a similar fashion. >> Yes. 37:19 >> Yes. 37:19 >> Yes. >> So decrease blood flow to the clitoris, 37:21 >> So decrease blood flow to the clitoris, 37:21 >> So decrease blood flow to the clitoris, decrease ability to orgasm, decrease 37:23 decrease ability to orgasm, decrease 37:23 decrease ability to orgasm, decrease desire. 37:24 desire. 37:24 desire. >> Yes. 37:24 >> Yes. 37:24 >> Yes. >> Okay. 37:25 >> Okay. 37:25 >> Okay. >> And then you know let's mention that 37:27 >> And then you know let's mention that 37:27 >> And then you know let's mention that it's women. switch over and and talk 37:29 it's women. switch over and and talk 37:30 it's women. switch over and and talk about women now as it relates to um this 37:34 about women now as it relates to um this 37:34 about women now as it relates to um this sort of vital organ for them, what's 37:37 sort of vital organ for them, what's 37:37 sort of vital organ for them, what's going on with their vulva, what's going 37:39 going on with their vulva, what's going 37:39 going on with their vulva, what's going on with the clitoris. Um certainly with 37:41 on with the clitoris. Um certainly with 37:41 on with the clitoris. Um certainly with menopause, things are starting to 37:43 menopause, things are starting to 37:43 menopause, things are starting to change. 37:44 change. 37:44 change. >> Yeah. 37:45 >> Yeah. 37:45 >> Yeah. >> Vaginal epithelium lubrication, all of 37:47 >> Vaginal epithelium lubrication, all of 37:47 >> Vaginal epithelium lubrication, all of these things, the elasticity, the sort 37:49 these things, the elasticity, the sort 37:50 these things, the elasticity, the sort of tonus. So we see the vaginal vault uh 37:53 of tonus. So we see the vaginal vault uh 37:53 of tonus. So we see the vaginal vault uh urinary tract uh issues. We see that a 37:56 urinary tract uh issues. We see that a 37:56 urinary tract uh issues. We see that a lot with frequent UTI and just overall 37:58 lot with frequent UTI and just overall 37:58 lot with frequent UTI and just overall comfort 38:00 comfort 38:00 comfort >> dryness, the cracking the but again all 38:03 >> dryness, the cracking the but again all 38:03 >> dryness, the cracking the but again all of that has a solution. 38:06 of that has a solution. 38:06 of that has a solution. >> So what else? Uh you know I talked a 38:09 >> So what else? Uh you know I talked a 38:09 >> So what else? Uh you know I talked a little bit about the pain. We were just 38:10 little bit about the pain. We were just 38:10 little bit about the pain. We were just talking about that earlier the pain that 38:13 talking about that earlier the pain that 38:13 talking about that earlier the pain that anticipation of the pain and how that is 38:15 anticipation of the pain and how that is 38:15 anticipation of the pain and how that is going to affect uh libido. So just 38:18 going to affect uh libido. So just 38:18 going to affect uh libido. So just simply restoring um vaginal lubrication 38:23 simply restoring um vaginal lubrication 38:23 simply restoring um vaginal lubrication is enough to kind of really break that 38:25 is enough to kind of really break that 38:26 is enough to kind of really break that cycle of the concern about uh pain. 38:29 cycle of the concern about uh pain. 38:29 cycle of the concern about uh pain. >> Um do men experience pain with ED? 38:34 >> Um do men experience pain with ED? 38:34 >> Um do men experience pain with ED? >> Uh men if they do not have a full 38:38 >> Uh men if they do not have a full 38:38 >> Uh men if they do not have a full erection and they try to penetrate
Orgasm, Nerves, and the Clitoris 38:40 erection and they try to penetrate 38:40 erection and they try to penetrate >> that can hurt. 38:40 >> that can hurt. 38:40 >> that can hurt. >> Oh yeah. That can be painful up to the 38:42 >> Oh yeah. That can be painful up to the 38:42 >> Oh yeah. That can be painful up to the point of what's called a fracture of the 38:44 point of what's called a fracture of the 38:44 point of what's called a fracture of the penis. So they can literally break. 38:47 penis. So they can literally break. 38:47 penis. So they can literally break. >> Yeah. 38:47 >> Yeah. 38:47 >> Yeah. >> But tomorrow I won't know that again 38:49 >> But tomorrow I won't know that again 38:49 >> But tomorrow I won't know that again because it's so hard about not 38:51 because it's so hard about not 38:51 because it's so hard about not >> you probably you took a test on that at 38:52 >> you probably you took a test on that at 38:52 >> you probably you took a test on that at some point in your life. 38:54 some point in your life. 38:54 some point in your life. >> Uhoh. 38:55 >> Uhoh. 38:55 >> Uhoh. >> Yeah. Yeah. So they you actually can't. 38:57 >> Yeah. Yeah. So they you actually can't. 38:57 >> Yeah. Yeah. So they you actually can't. So there's a [clears throat] risk guys 38:59 So there's a [clears throat] risk guys 38:59 So there's a [clears throat] risk guys have to be kind of careful and that is 39:01 have to be kind of careful and that is 39:01 have to be kind of careful and that is part of the thing that we're talking 39:02 part of the thing that we're talking 39:02 part of the thing that we're talking about with guys when they come in. What 39:03 about with guys when they come in. What 39:03 about with guys when they come in. What do you And even if we examine them with 39:05 do you And even if we examine them with 39:06 do you And even if we examine them with their erection that we can help them 39:07 their erection that we can help them 39:07 their erection that we can help them with with certain medications and we're 39:09 with with certain medications and we're 39:09 with with certain medications and we're examining them in office, is it enough 39:11 examining them in office, is it enough 39:11 examining them in office, is it enough for penetration? So that that 39:12 for penetration? So that that 39:12 for penetration? So that that penetration uh value is important to 39:16 penetration uh value is important to 39:16 penetration uh value is important to look at because if it's too little 39:18 look at because if it's too little 39:18 look at because if it's too little they're trying to literally push it they 39:20 they're trying to literally push it they 39:20 they're trying to literally push it they could hurt themselves. 39:21 could hurt themselves. 39:21 could hurt themselves. >> So imagine that you have impaired 39:23 >> So imagine that you have impaired 39:23 >> So imagine that you have impaired erectile strength and vaginal dryness. I 39:25 erectile strength and vaginal dryness. I 39:26 erectile strength and vaginal dryness. I mean it's just a very difficult 39:27 mean it's just a very difficult 39:27 mean it's just a very difficult combination for the couple 39:28 combination for the couple 39:28 combination for the couple >> and that deterioration of physical 39:30 >> and that deterioration of physical 39:30 >> and that deterioration of physical intimacy can really start to affect 39:32 intimacy can really start to affect 39:32 intimacy can really start to affect their mental and emotional connection as 39:33 their mental and emotional connection as 39:33 their mental and emotional connection as well. So yes, with women, I mean the 39:36 well. So yes, with women, I mean the 39:36 well. So yes, with women, I mean the thing about the thing about um vaginal 39:38 thing about the thing about um vaginal 39:38 thing about the thing about um vaginal lubrication is that much like ED, it is 39:41 lubrication is that much like ED, it is 39:42 lubrication is that much like ED, it is a symptom that is a barometer 39:44 a symptom that is a barometer 39:44 a symptom that is a barometer >> for the rest of the health. The good 39:47 >> for the rest of the health. The good 39:47 >> for the rest of the health. The good thing about 39:50 thing about 39:50 thing about >> Well, I was trying to think the analogy. 39:51 >> Well, I was trying to think the analogy. 39:51 >> Well, I was trying to think the analogy. So there's the weather vein and you said 39:53 So there's the weather vein and you said 39:53 So there's the weather vein and you said like a barometer. 39:54 like a barometer. 39:54 like a barometer. >> That's for women it's barometer for guys 39:57 >> That's for women it's barometer for guys 39:57 >> That's for women it's barometer for guys a weather. 39:58 a weather. 39:58 a weather. >> Well, I mean we do say women are like 40:00 >> Well, I mean we do say women are like 40:00 >> Well, I mean we do say women are like mercury, right? 40:00 mercury, right? 40:00 mercury, right? >> There you go. Okay, good. Barometric. Um 40:04 >> There you go. Okay, good. Barometric. Um 40:04 >> There you go. Okay, good. Barometric. Um yeah. 40:05 yeah. 40:05 yeah. Um the good thing though with vaginal 40:08 Um the good thing though with vaginal 40:08 Um the good thing though with vaginal dryness is that of course there are some 40:10 dryness is that of course there are some 40:10 dryness is that of course there are some very easy extogenous or like external 40:14 very easy extogenous or like external 40:14 very easy extogenous or like external lubricants that you can use to help 40:16 lubricants that you can use to help 40:16 lubricants that you can use to help compensate 40:17 compensate 40:17 compensate >> is is a stage. 40:19 >> is is a stage. 40:19 >> is is a stage. >> Yeah. But I would say that Yeah. But 40:22 >> Yeah. But I would say that Yeah. But 40:22 >> Yeah. But I would say that Yeah. But what about the average person who's 40:23 what about the average person who's 40:23 what about the average person who's like, "Oh, we use Vaseline or if you're 40:25 like, "Oh, we use Vaseline or if you're 40:25 like, "Oh, we use Vaseline or if you're having vaginal dryness, you need to 40:27 having vaginal dryness, you need to 40:27 having vaginal dryness, you need to figure out why." 40:28 figure out why." 40:28 figure out why." >> Yeah. 40:28 >> Yeah. 40:28 >> Yeah. >> That's extremely important. 40:30 >> That's extremely important. 40:30 >> That's extremely important. >> And it's used for menopause, of course. 40:31 >> And it's used for menopause, of course. 40:32 >> And it's used for menopause, of course. it's just usually going to be estrogen 40:33 it's just usually going to be estrogen 40:33 it's just usually going to be estrogen and testosterone deficiency. So, we're 40:35 and testosterone deficiency. So, we're 40:35 and testosterone deficiency. So, we're using uh estradile cream, but also DHEA. 40:40 using uh estradile cream, but also DHEA. 40:40 using uh estradile cream, but also DHEA. We've really learned to add that in, and 40:42 We've really learned to add that in, and 40:42 We've really learned to add that in, and that's not something that would be 40:44 that's not something that would be 40:44 that's not something that would be typically uh given. Uh meaning like 40:47 typically uh given. Uh meaning like 40:47 typically uh given. Uh meaning like every OBGYn will give 40:50 every OBGYn will give 40:50 every OBGYn will give >> um estrod pretty, but there's something 40:52 >> um estrod pretty, but there's something 40:52 >> um estrod pretty, but there's something called prosterone, and that's DHEA. So, 40:54 called prosterone, and that's DHEA. So, 40:54 called prosterone, and that's DHEA. So, it's not like it's not out there, but 40:56 it's not like it's not out there, but 40:56 it's not like it's not out there, but it's not the default. So we 40:58 it's not the default. So we 40:58 it's not the default. So we automatically combine estradi and DHA 41:01 automatically combine estradi and DHA 41:01 automatically combine estradi and DHA together and that is just a life saving. 41:04 together and that is just a life saving. 41:04 together and that is just a life saving. >> I would say and I imagine you agree that 41:06 >> I would say and I imagine you agree that 41:06 >> I would say and I imagine you agree that this is the one place where we're like 41:07 this is the one place where we're like 41:07 this is the one place where we're like vaginal I mean excuse me estrogen cream 41:10 vaginal I mean excuse me estrogen cream 41:10 vaginal I mean excuse me estrogen cream helps. 41:10 helps. 41:10 helps. >> Oh yeah. 41:11 >> Oh yeah. 41:11 >> Oh yeah. >> Like we don't we don't use creams formic 41:14 >> Like we don't we don't use creams formic 41:14 >> Like we don't we don't use creams formic symptoms. You're not going to get 41:15 symptoms. You're not going to get 41:15 symptoms. You're not going to get systemic relief. But if you're talking 41:17 systemic relief. But if you're talking 41:17 systemic relief. But if you're talking about local estrogen deficiency like 41:20 about local estrogen deficiency like 41:20 about local estrogen deficiency like vaginal tissue, 41:22 vaginal tissue, 41:22 vaginal tissue, >> then a localized cream really can be 41:23 >> then a localized cream really can be 41:24 >> then a localized cream really can be quite impactful. 41:24 quite impactful. 41:24 quite impactful. >> And the face. So you can actually face 41:27 >> And the face. So you can actually face 41:27 >> And the face. So you can actually face on the face. 41:28 on the face. 41:28 on the face. >> We've seen that this helps with fine 41:30 >> We've seen that this helps with fine 41:30 >> We've seen that this helps with fine lines or wrinkles as well. 41:31 lines or wrinkles as well. 41:31 lines or wrinkles as well. >> Um so yeah, from a localized standpoint 41:34 >> Um so yeah, from a localized standpoint 41:34 >> Um so yeah, from a localized standpoint of skin, I guess it's not just the face, 41:36 of skin, I guess it's not just the face, 41:36 of skin, I guess it's not just the face, >> right? Yeah, it's just across the board. 41:38 >> right? Yeah, it's just across the board. 41:38 >> right? Yeah, it's just across the board. Yeah, I've seen Yeah, I used it. I've 41:41 Yeah, I've seen Yeah, I used it. I've 41:41 Yeah, I've seen Yeah, I used it. I've bathing in it. Uh for sure, it can be it 41:43 bathing in it. Uh for sure, it can be it 41:43 bathing in it. Uh for sure, it can be it can be helpful if they're kind of 41:45 can be helpful if they're kind of 41:45 can be helpful if they're kind of committed to putting it on and they 41:47 committed to putting it on and they 41:47 committed to putting it on and they won't really get much systemic or 41:49 won't really get much systemic or 41:49 won't really get much systemic or bodywide change in their level. Although 41:52 bodywide change in their level. Although 41:52 bodywide change in their level. Although despite it not really affecting them 41:53 despite it not really affecting them 41:53 despite it not really affecting them systemically, there is a high incidence 41:55 systemically, there is a high incidence 41:55 systemically, there is a high incidence of transference onto pets and kids. 41:58 of transference onto pets and kids. 41:58 of transference onto pets and kids. >> Sure. There's always 41:59 >> Sure. There's always 41:59 >> Sure. There's always >> So, as you're using that outside of the 42:01 >> So, as you're using that outside of the 42:01 >> So, as you're using that outside of the BP, you need to make sure that you're 42:03 BP, you need to make sure that you're 42:03 BP, you need to make sure that you're washing your hands really well or 42:04 washing your hands really well or 42:04 washing your hands really well or covering your arms. 42:06 covering your arms. 42:06 covering your arms. >> Yes. So, um, 42:10 >> Yes. So, um, 42:10 >> Yes. So, um, >> pain changes desire. 42:11 >> pain changes desire. 42:11 >> pain changes desire. >> Pain changes desire. And it makes me 42:13 >> Pain changes desire. And it makes me 42:13 >> Pain changes desire. And it makes me think kind of come back to pelvic floor 42:15 think kind of come back to pelvic floor 42:15 think kind of come back to pelvic floor therapy. 42:17 therapy. 42:17 therapy. Um, 42:17 Um, 42:17 Um, >> wait. You wrote something really nice 42:19 >> wait. You wrote something really nice 42:19 >> wait. You wrote something really nice here that I mean nice like I think it's 42:21 here that I mean nice like I think it's 42:21 here that I mean nice like I think it's a good clear sentence 42:24 a good clear sentence 42:24 a good clear sentence pain. 42:25 pain. 42:25 pain. You said pain about pain and you wrote I 42:29 You said pain about pain and you wrote I 42:29 You said pain about pain and you wrote I don't want sex may actually mean my body 42:32 don't want sex may actually mean my body 42:32 don't want sex may actually mean my body has learned that sex hurts 42:35 has learned that sex hurts 42:35 has learned that sex hurts >> and that's what it is for Yeah, that's a 42:37 >> and that's what it is for Yeah, that's a 42:37 >> and that's what it is for Yeah, that's a great point. Guys are feeling rejected 42:39 great point. Guys are feeling rejected 42:39 great point. Guys are feeling rejected because she's saying no. Well, she's 42:41 because she's saying no. Well, she's 42:41 because she's saying no. Well, she's saying no because she's in pain. That's 42:43 saying no because she's in pain. That's 42:43 saying no because she's in pain. That's real. It's not just like a little bit or 42:45 real. It's not just like a little bit or 42:45 real. It's not just like a little bit or or a little bit of Vaseline and some KY 42:47 or a little bit of Vaseline and some KY 42:47 or a little bit of Vaseline and some KY jelly is going to just totally help the 42:49 jelly is going to just totally help the 42:49 jelly is going to just totally help the process. Um it it isn't enough. And so, 42:52 process. Um it it isn't enough. And so, 42:52 process. Um it it isn't enough. And so, >> and I do think that 42:53 >> and I do think that 42:53 >> and I do think that >> I will say, hold on, let me say, you 42:55 >> I will say, hold on, let me say, you 42:56 >> I will say, hold on, let me say, you know, most guys really aren't overly 42:58 know, most guys really aren't overly 42:58 know, most guys really aren't overly ignorant to it. May maybe some are, but 43:01 ignorant to it. May maybe some are, but 43:01 ignorant to it. May maybe some are, but maybe my experience has been different 43:02 maybe my experience has been different 43:02 maybe my experience has been different because I've had so many guys come in. 43:06 because I've had so many guys come in. 43:06 because I've had so many guys come in. >> My experience as a doctor with males 43:08 >> My experience as a doctor with males 43:08 >> My experience as a doctor with males coming in with their wives, really, 43:11 coming in with their wives, really, 43:11 coming in with their wives, really, really eager to see them get, 43:13 really eager to see them get, 43:13 really eager to see them get, >> of course, 43:14 >> of course, 43:14 >> of course, >> um, it's it's romantic, it's chivalous, 43:17 >> um, it's it's romantic, it's chivalous, 43:17 >> um, it's it's romantic, it's chivalous, it's it's, you know, 43:18 it's it's, you know, 43:18 it's it's, you know, >> it's their protector, right? But but 43:21 >> it's their protector, right? But but 43:21 >> it's their protector, right? But but >> yeah, they're like, "Fix [laughter] it." 43:22 >> yeah, they're like, "Fix [laughter] it." 43:22 >> yeah, they're like, "Fix [laughter] it." >> But, right, get this out. 43:25 >> But, right, get this out. 43:25 >> But, right, get this out. >> But how often are women not reporting 43:28 >> But how often are women not reporting 43:28 >> But how often are women not reporting it? 43:28 it? 43:28 it? >> A lot. 43:29 >> A lot. 43:29 >> A lot. >> And then they'll say, "I'm just going to 43:30 >> And then they'll say, "I'm just going to 43:30 >> And then they'll say, "I'm just going to put up with it." Because either they 43:32 put up with it." Because either they 43:32 put up with it." Because either they don't know that it could be resolved 43:34 don't know that it could be resolved 43:34 don't know that it could be resolved >> or they don't feel like sharing or they 43:36 >> or they don't feel like sharing or they 43:36 >> or they don't feel like sharing or they feel guilty about or whatever the 43:38 feel guilty about or whatever the 43:38 feel guilty about or whatever the nonsense is. So, they put up with it, 43:40 nonsense is. So, they put up with it, 43:40 nonsense is. So, they put up with it, put up with it, put up with it. 43:41 put up with it, put up with it. 43:41 put up with it, put up with it. Meanwhile, are suffering. The sex stops 43:43 Meanwhile, are suffering. The sex stops 43:43 Meanwhile, are suffering. The sex stops being good. Then they don't want it 43:44 being good. Then they don't want it 43:44 being good. Then they don't want it anymore. And now you've got a problem. 43:46 anymore. And now you've got a problem. 43:46 anymore. And now you've got a problem. >> Yeah. So, there's answers. Fix it. 43:50 >> Yeah. So, there's answers. Fix it. 43:50 >> Yeah. So, there's answers. Fix it. communicate. 43:51 communicate. 43:51 communicate. >> Communicate 43:52 >> Communicate 43:52 >> Communicate >> and eat 43:53 >> and eat 43:53 >> and eat >> and eat. 43:55 >> and eat. 43:56 >> and eat. >> I am hungry. But I mean, I just feel 43:57 >> I am hungry. But I mean, I just feel 43:57 >> I am hungry. But I mean, I just feel like food is always at the center of 43:59 like food is always at the center of 43:59 like food is always at the center of everything. In fact, food really is at 44:00 everything. In fact, food really is at 44:00 everything. In fact, food really is at the center of good sex. I even have we 44:02 the center of good sex. I even have we 44:02 the center of good sex. I even have we have a whole section on that here. How 44:04 have a whole section on that here. How 44:04 have a whole section on that here. How is food related to good sex? 44:08 is food related to good sex? 44:08 is food related to good sex? >> Let's talk about clarity. 44:12 >> Let's talk about clarity. 44:12 >> Let's talk about clarity. Um, 44:14 Um, 44:14 Um, you know, women are 44:17 you know, women are 44:17 you know, women are women 44:18 women 44:18 women >> women 44:18 >> women 44:18 >> women >> uniquely 44:19 >> uniquely 44:19 >> uniquely >> uniquely 44:20 >> uniquely 44:20 >> uniquely >> have an organ that is solely 44:24 >> have an organ that is solely 44:24 >> have an organ that is solely for pleasure. The clitoris is only 44:27 for pleasure. The clitoris is only 44:27 for pleasure. The clitoris is only function 44:27 function 44:27 function >> and it's outside of their body. 44:29 >> and it's outside of their body. 44:29 >> and it's outside of their body. >> Yeah. Well, yes. 44:31 >> Yeah. Well, yes. 44:31 >> Yeah. Well, yes. >> I mean, yes. 44:32 >> I mean, yes. 44:32 >> I mean, yes. >> It goes deep inside. 44:33 >> It goes deep inside. 44:33 >> It goes deep inside. >> Okay. But anyway, yes, I 44:36 >> Okay. But anyway, yes, I 44:36 >> Okay. But anyway, yes, I >> Yes. It's just there for for pleasure. 44:39 >> Yes. It's just there for for pleasure. 44:39 >> Yes. It's just there for for pleasure. You know, the analogous the analogy 44:41 You know, the analogous the analogy 44:41 You know, the analogous the analogy there. Isn't that great for for 44:44 there. Isn't that great for for 44:44 there. Isn't that great for for everything you everything you deal with? 44:46 everything you everything you deal with? 44:46 everything you everything you deal with? >> It is 100% pleasure. Um so that's uh 44:51 >> It is 100% pleasure. Um so that's uh 44:51 >> It is 100% pleasure. Um so that's uh again 44:52 again 44:52 again >> and then we've systematically gone 44:54 >> and then we've systematically gone 44:54 >> and then we've systematically gone through generations of not explaining 44:57 through generations of not explaining 44:57 through generations of not explaining it, pretending it doesn't exist and not 45:00 it, pretending it doesn't exist and not 45:00 it, pretending it doesn't exist and not not honoring the purpose of this organ. 45:03 not honoring the purpose of this organ. 45:03 not honoring the purpose of this organ. >> Yeah. We literally have an organ just 45:05 >> Yeah. We literally have an organ just 45:05 >> Yeah. We literally have an organ just for pleasure that's accessible through 45:07 for pleasure that's accessible through 45:07 for pleasure that's accessible through the outside of our body and we don't 45:10 the outside of our body and we don't 45:10 the outside of our body and we don't know what to do with it. 45:13 know what to do with it. 45:13 know what to do with it. >> Yes, that's why people are going to 45:15 >> Yes, that's why people are going to 45:15 >> Yes, that's why people are going to listen to this podcast to hopefully 45:17 listen to this podcast to hopefully 45:17 listen to this podcast to hopefully figure that. 45:17 figure that. 45:17 figure that. >> It's almost like we need a moment of 45:19 >> It's almost like we need a moment of 45:19 >> It's almost like we need a moment of silence. 45:21 silence. 45:21 silence. >> Going to do a little prayer for 45:25 >> Going to do a little prayer for 45:25 >> Going to do a little prayer for >> um yeah, it's it's it's all about 45:27 >> um yeah, it's it's it's all about 45:27 >> um yeah, it's it's it's all about pleasure. 45:28 pleasure. 45:28 pleasure. >> It doesn't have anything else going on. 45:31 >> It doesn't have anything else going on. 45:31 >> It doesn't have anything else going on. the male penises, urination and and the 45:33 the male penises, urination and and the 45:33 the male penises, urination and and the ejaculation 45:34 ejaculation 45:34 ejaculation >> that we know of, of course, that we know 45:36 >> that we know of, of course, that we know 45:36 >> that we know of, of course, that we know of. I'm always 45:38 of. I'm always 45:38 of. I'm always >> openminded to, you know, this is not 45:40 >> openminded to, you know, this is not 45:40 >> openminded to, you know, this is not something I normally say, but 45:43 something I normally say, but 45:43 something I normally say, but >> um I was reading [laughter] 45:46 >> um I was reading [laughter] 45:46 >> um I was reading [laughter] I always laugh at what I say I was 45:47 I always laugh at what I say I was 45:47 I always laugh at what I say I was reading. I don't remember. Well, no, no, 45:50 reading. I don't remember. Well, no, no, 45:50 reading. I don't remember. Well, no, no, this was actual words, but I just never 45:52 this was actual words, but I just never 45:52 this was actual words, but I just never like, you know, I'm not great at quoting 45:55 like, you know, I'm not great at quoting 45:56 like, you know, I'm not great at quoting the facts, but I'm really good at 45:57 the facts, but I'm really good at 45:57 the facts, but I'm really good at remembering the story, you know. take 45:59 remembering the story, you know. take 45:59 remembering the story, you know. take that for what for what you want. Um, 46:02 that for what for what you want. Um, 46:02 that for what for what you want. Um, anyways, I was reading about this 46:04 anyways, I was reading about this 46:04 anyways, I was reading about this ridiculously high percentage of females 46:06 ridiculously high percentage of females 46:06 ridiculously high percentage of females that don't know what their gel genitalia 46:09 that don't know what their gel genitalia 46:09 that don't know what their gel genitalia looks like. 46:10 looks like. 46:10 looks like. >> Oh, yeah. 46:11 >> Oh, yeah. 46:11 >> Oh, yeah. >> And I guess I always think like really, 46:12 >> And I guess I always think like really, 46:12 >> And I guess I always think like really, I mean, we're surrounded by medical 46:13 I mean, we're surrounded by medical 46:14 I mean, we're surrounded by medical practitioners in our life and in our 46:15 practitioners in our life and in our 46:15 practitioners in our life and in our personal life. So, I feel like everybody 46:17 personal life. So, I feel like everybody 46:17 personal life. So, I feel like everybody knows what the female PP looks like, but 46:20 knows what the female PP looks like, but 46:20 knows what the female PP looks like, but apparently that's not true. 46:23 apparently that's not true. 46:23 apparently that's not true. So, this is what 46:25 So, this is what 46:25 So, this is what >> sat with a mirror. This is one of those 46:26 >> sat with a mirror. This is one of those 46:26 >> sat with a mirror. This is one of those moments where I'm like, I feel strongly 46:30 moments where I'm like, I feel strongly 46:30 moments where I'm like, I feel strongly about the fact that every female should 46:32 about the fact that every female should 46:32 about the fact that every female should take a look at what her private parts 46:34 take a look at what her private parts 46:34 take a look at what her private parts look like. 46:35 look like. 46:35 look like. >> Men have no choice but to look, 46:37 >> Men have no choice but to look, 46:37 >> Men have no choice but to look, >> right? It's all 46:38 >> right? It's all 46:38 >> right? It's all >> there, right? 46:39 >> there, right? 46:39 >> there, right? >> Um, but it's important because how can 46:41 >> Um, but it's important because how can 46:41 >> Um, but it's important because how can you know something you haven't taken the 46:44 you know something you haven't taken the 46:44 you know something you haven't taken the time to really see 46:46 time to really see 46:46 time to really see >> and to see and to explore? 46:49 >> and to see and to explore? 46:49 >> and to see and to explore? Absolutely. 46:50 Absolutely. 46:50 Absolutely. >> You know what I just thought of now? You 46:51 >> You know what I just thought of now? You 46:51 >> You know what I just thought of now? You know how we talk about the 30-day sex 46:53 know how we talk about the 30-day sex 46:53 know how we talk about the 30-day sex challenge? This is this is my Let's see 46:55 challenge? This is this is my Let's see 46:55 challenge? This is this is my Let's see if you can put your your endorsement on 46:58 if you can put your your endorsement on 46:58 if you can put your your endorsement on this. My challenge for our couples is to 47:02 this. My challenge for our couples is to 47:02 this. My challenge for our couples is to actually do this together. If you have 47:05 actually do this together. If you have 47:05 actually do this together. If you have not taken the time to just literally 47:09 not taken the time to just literally 47:09 not taken the time to just literally lay on your back, 47:10 lay on your back, 47:10 lay on your back, >> take a look 47:10 >> take a look 47:10 >> take a look >> and take a look, preferably with your 47:13 >> and take a look, preferably with your 47:13 >> and take a look, preferably with your partner. 47:15 partner. 47:15 partner. >> And if this turns sexual, then great. 47:16 >> And if this turns sexual, then great. 47:16 >> And if this turns sexual, then great. But I really mean this about a moment of 47:18 But I really mean this about a moment of 47:18 But I really mean this about a moment of intimacy and understanding each other. 47:20 intimacy and understanding each other. 47:20 intimacy and understanding each other. My challenge to you is if you have not 47:23 My challenge to you is if you have not 47:23 My challenge to you is if you have not actually sat by yourself or with your 47:25 actually sat by yourself or with your 47:25 actually sat by yourself or with your partner and taken a look and understood 47:28 partner and taken a look and understood 47:28 partner and taken a look and understood what you're looking at, I suggest you do 47:31 what you're looking at, I suggest you do 47:31 what you're looking at, I suggest you do that. In fact, I challenge you. 47:33 that. In fact, I challenge you. 47:33 that. In fact, I challenge you. >> Yeah. So, that's it's a challenge. A 47:36 >> Yeah. So, that's it's a challenge. A 47:36 >> Yeah. So, that's it's a challenge. A 30-day challenge? No. 47:37 30-day challenge? No. 47:37 30-day challenge? No. >> No. No. Just I mean, goodness 30 days.
Practical Testing and Treatment Options 47:40 >> No. No. Just I mean, goodness 30 days. 47:40 >> No. No. Just I mean, goodness 30 days. Um just once. 47:41 Um just once. 47:41 Um just once. >> Yeah. 47:42 >> Yeah. 47:42 >> Yeah. >> Do it. 47:44 >> Do it. 47:44 >> Do it. >> I think that's a great idea. Yeah, I 47:45 >> I think that's a great idea. Yeah, I 47:45 >> I think that's a great idea. Yeah, I think the more patients are um just 47:47 think the more patients are um just 47:47 think the more patients are um just aware of all kinds of things about their 47:49 aware of all kinds of things about their 47:49 aware of all kinds of things about their health and their body and um exploring 47:52 health and their body and um exploring 47:52 health and their body and um exploring things and food and all of that. I mean, 47:55 things and food and all of that. I mean, 47:55 things and food and all of that. I mean, understanding nutrition and all of that, 47:56 understanding nutrition and all of that, 47:56 understanding nutrition and all of that, the better. This is part of all of that. 47:58 the better. This is part of all of that. 47:58 the better. This is part of all of that. It's definitely part of living a 48:00 It's definitely part of living a 48:00 It's definitely part of living a well-lived life. It's understanding 48:02 well-lived life. It's understanding 48:02 well-lived life. It's understanding >> that intimate organ 48:05 >> that intimate organ 48:05 >> that intimate organ and how intimate it is and how amazing 48:07 and how intimate it is and how amazing 48:07 and how intimate it is and how amazing it is. There's recent research just came 48:09 it is. There's recent research just came 48:09 it is. There's recent research just came out. They actually mapped it. Um uh and 48:12 out. They actually mapped it. Um uh and 48:12 out. They actually mapped it. Um uh and it's it's pretty cool to see some of the 48:14 it's it's pretty cool to see some of the 48:14 it's it's pretty cool to see some of the images of this and what they what they 48:15 images of this and what they what they 48:15 images of this and what they what they did. 48:16 did. 48:16 did. >> That's cool. 48:17 >> That's cool. 48:17 >> That's cool. >> Yeah. They they really understand 48:19 >> Yeah. They they really understand 48:19 >> Yeah. They they really understand there's even more nerves than we 48:20 there's even more nerves than we 48:20 there's even more nerves than we thought. And they also were able to map 48:23 thought. And they also were able to map 48:23 thought. And they also were able to map it and how these nerves so many of them 48:26 it and how these nerves so many of them 48:26 it and how these nerves so many of them come down right into the glands or the 48:28 come down right into the glands or the 48:28 come down right into the glands or the the tip of the clitoris. Um there's 48:30 the tip of the clitoris. Um there's 48:30 the tip of the clitoris. Um there's there's tens of thousands of these nerve 48:32 there's tens of thousands of these nerve 48:32 there's tens of thousands of these nerve ends. So far more actually than the male 48:35 ends. So far more actually than the male 48:35 ends. So far more actually than the male penis. 48:38 penis. 48:38 penis. >> Interesting. 48:38 >> Interesting. 48:38 >> Interesting. >> Yeah. So, it's there [clears throat] for 48:40 >> Yeah. So, it's there [clears throat] for 48:40 >> Yeah. So, it's there [clears throat] for a purpose and you need to uh continue to 48:44 a purpose and you need to uh continue to 48:44 a purpose and you need to uh continue to focus on that on that purpose. Um, 48:47 focus on that on that purpose. Um, 48:48 focus on that on that purpose. Um, >> and it's an organ. 48:49 >> and it's an organ. 48:49 >> and it's an organ. >> It's an organ. It's it's it's there for 48:52 >> It's an organ. It's it's it's there for 48:52 >> It's an organ. It's it's it's there for a reason. Yeah. It's six times greater 48:54 a reason. Yeah. It's six times greater 48:54 a reason. Yeah. It's six times greater nerve fiber density than the penis. It's 48:57 nerve fiber density than the penis. It's 48:57 nerve fiber density than the penis. It's six times. It's a lot more 49:01 six times. It's a lot more 49:01 six times. It's a lot more there, which I think is also important 49:03 there, which I think is also important 49:03 there, which I think is also important from, you know, a sexual standpoint. 49:06 from, you know, a sexual standpoint. 49:06 from, you know, a sexual standpoint. guys, you know, they have a penis, they 49:08 guys, you know, they have a penis, they 49:08 guys, you know, they have a penis, they grab their penis, they're holding on to 49:09 grab their penis, they're holding on to 49:09 grab their penis, they're holding on to their penis, it's a different kind of 49:11 their penis, it's a different kind of 49:11 their penis, it's a different kind of thing, and you have to approach the 49:13 thing, and you have to approach the 49:13 thing, and you have to approach the clitoris far more gently. And now 49:15 clitoris far more gently. And now 49:15 clitoris far more gently. And now [clears throat] some of the guys are 49:16 [clears throat] some of the guys are 49:16 [clears throat] some of the guys are listening. Um, this is the reason why. 49:18 listening. Um, this is the reason why. 49:18 listening. Um, this is the reason why. There's a hell of a lot more knowledge 49:19 There's a hell of a lot more knowledge 49:19 There's a hell of a lot more knowledge there. 49:20 there. 49:20 there. >> Yeah. And if you take the time to look 49:21 >> Yeah. And if you take the time to look 49:21 >> Yeah. And if you take the time to look at it like I suggested, then you can 49:23 at it like I suggested, then you can 49:23 at it like I suggested, then you can understand the [clears throat] anatomy 49:24 understand the [clears throat] anatomy 49:24 understand the [clears throat] anatomy and can explore that together like 49:26 and can explore that together like 49:26 and can explore that together like figure out, oh, this is good, this is 49:28 figure out, oh, this is good, this is 49:28 figure out, oh, this is good, this is not good, this is too tender, you know, 49:30 not good, this is too tender, you know, 49:30 not good, this is too tender, you know, that that can definitely happen. And 49:32 that that can definitely happen. And 49:32 that that can definitely happen. And then also 49:34 then also 49:34 then also take the stress off of yourselves of 49:35 take the stress off of yourselves of 49:36 take the stress off of yourselves of understanding that if the clitoris is so 49:38 understanding that if the clitoris is so 49:38 understanding that if the clitoris is so sensitive and the inside of the vagina 49:42 sensitive and the inside of the vagina 49:42 sensitive and the inside of the vagina isn't as sensitive, then why do we have 49:46 isn't as sensitive, then why do we have 49:46 isn't as sensitive, then why do we have this 49:47 this 49:47 this >> pressure of having penetration only 49:51 >> pressure of having penetration only 49:51 >> pressure of having penetration only orgasm? I mean, it doesn't make sense. 49:53 orgasm? I mean, it doesn't make sense. 49:53 orgasm? I mean, it doesn't make sense. It's like you're it's like you're trying 49:54 It's like you're it's like you're trying 49:54 It's like you're it's like you're trying to write your name with your toe when 49:56 to write your name with your toe when 49:56 to write your name with your toe when you have a hand, you know? Yeah, the toe 49:58 you have a hand, you know? Yeah, the toe 49:58 you have a hand, you know? Yeah, the toe can do it, but why are you focusing on 50:00 can do it, but why are you focusing on 50:00 can do it, but why are you focusing on training the toe when you have a hand? 50:02 training the toe when you have a hand? 50:02 training the toe when you have a hand? It's the same thing with the clitoris. 50:04 It's the same thing with the clitoris. 50:04 It's the same thing with the clitoris. Like, use the clitoris. Don't judge the 50:07 Like, use the clitoris. Don't judge the 50:07 Like, use the clitoris. Don't judge the quality of your orgasms by whether or 50:08 quality of your orgasms by whether or 50:08 quality of your orgasms by whether or not it was from penetration only. 50:10 not it was from penetration only. 50:10 not it was from penetration only. >> Yeah, maybe that's just because with 50:13 >> Yeah, maybe that's just because with 50:13 >> Yeah, maybe that's just because with mutual intercourse with a man and a 50:14 mutual intercourse with a man and a 50:14 mutual intercourse with a man and a woman, there's penetration because 50:16 woman, there's penetration because 50:16 woman, there's penetration because that's what the guy is saying he needs. 50:18 that's what the guy is saying he needs. 50:18 that's what the guy is saying he needs. Um, so part of this would be 50:20 Um, so part of this would be 50:20 Um, so part of this would be understanding that the intimacy is part 50:22 understanding that the intimacy is part 50:22 understanding that the intimacy is part of the excitement for a guy, exploring, 50:25 of the excitement for a guy, exploring, 50:25 of the excitement for a guy, exploring, understanding, seeing your pleasure. I 50:27 understanding, seeing your pleasure. I 50:27 understanding, seeing your pleasure. I mean, that's what a guy 50:30 mean, that's what a guy 50:30 mean, that's what a guy he wants his own pleasure, but part of 50:32 he wants his own pleasure, but part of 50:32 he wants his own pleasure, but part of his excitement and and feeling 50:35 his excitement and and feeling 50:35 his excitement and and feeling satisfied. And they've done studies with 50:37 satisfied. And they've done studies with 50:37 satisfied. And they've done studies with this, too. And and 50:40 this, too. And and 50:40 this, too. And and >> understanding that ultimately people 50:41 >> understanding that ultimately people 50:41 >> understanding that ultimately people need, men need to know that their 50:43 need, men need to know that their 50:43 need, men need to know that their partner is satisfied. Essential. 50:45 partner is satisfied. Essential. 50:45 partner is satisfied. Essential. >> Yeah. 50:46 >> Yeah. 50:46 >> Yeah. Thank God. 50:54 >> Okay. Um, 50:54 >> Okay. Um, you know, you mentioned before about 50:55 you know, you mentioned before about 50:55 you know, you mentioned before about testosterone. Yes, women need 50:57 testosterone. Yes, women need 50:57 testosterone. Yes, women need testosterone. They need it just as much 51:00 testosterone. They need it just as much 51:00 testosterone. They need it just as much as guys do. Please don't underestimate 51:02 as guys do. Please don't underestimate 51:02 as guys do. Please don't underestimate that. We talked about that so many times 51:04 that. We talked about that so many times 51:04 that. We talked about that so many times in this podcast 51:06 in this podcast 51:06 in this podcast >> um countless times at this point. 51:09 >> um countless times at this point. 51:09 >> um countless times at this point. >> So, women need testosterone. They need 51:11 >> So, women need testosterone. They need 51:11 >> So, women need testosterone. They need to have their levels checked. they need 51:13 to have their levels checked. they need 51:13 to have their levels checked. they need to have it checked by someone that's 51:14 to have it checked by someone that's 51:14 to have it checked by someone that's understanding the functional levels 51:16 understanding the functional levels 51:16 understanding the functional levels because if they're just looking at the 51:17 because if they're just looking at the 51:17 because if they're just looking at the basic levels on the labs, they often 51:19 basic levels on the labs, they often 51:19 basic levels on the labs, they often won't get diagnosed with low 51:20 won't get diagnosed with low 51:20 won't get diagnosed with low testosterone nor receive it. Or if they 51:23 testosterone nor receive it. Or if they 51:23 testosterone nor receive it. Or if they do, they just keep them on such low 51:25 do, they just keep them on such low 51:25 do, they just keep them on such low doses that it doesn't actually do 51:26 doses that it doesn't actually do 51:26 doses that it doesn't actually do anything. Well, um, aren't the norms on 51:30 anything. Well, um, aren't the norms on 51:30 anything. Well, um, aren't the norms on most traditional labs for women for 51:33 most traditional labs for women for 51:33 most traditional labs for women for testosterone after the reproductive 51:35 testosterone after the reproductive 51:35 testosterone after the reproductive ages? 51:37 ages? 51:37 ages? >> Don't the norms sometimes go down as low 51:39 >> Don't the norms sometimes go down as low 51:39 >> Don't the norms sometimes go down as low as like 20 or 51:42 as like 20 or 51:42 as like 20 or literally zero. Um, I think lab core um 51:45 literally zero. Um, I think lab core um 51:45 literally zero. Um, I think lab core um the normal range is two two to 45 51:49 the normal range is two two to 45 51:49 the normal range is two two to 45 >> 45. 51:51 >> 45. 51:51 >> 45. We're using 70 to 150, right? 51:53 We're using 70 to 150, right? 51:53 We're using 70 to 150, right? >> And we've been using that for 51:55 >> And we've been using that for 51:55 >> And we've been using that for >> 20 years. It's been a minute since I 51:56 >> 20 years. It's been a minute since I 51:56 >> 20 years. It's been a minute since I looked at that, but yeah. So, that means 51:58 looked at that, but yeah. So, that means 51:58 looked at that, but yeah. So, that means that if you get a testosterone that's 52:00 that if you get a testosterone that's 52:00 that if you get a testosterone that's immeasurable for the female, your 52:03 immeasurable for the female, your 52:04 immeasurable for the female, your practitioner can very easily say to you, 52:05 practitioner can very easily say to you, 52:05 practitioner can very easily say to you, "It's not 52:06 "It's not 52:06 "It's not >> correct." 52:07 >> correct." 52:07 >> correct." >> And you're supposed to say, "Oh, well 52:09 >> And you're supposed to say, "Oh, well 52:09 >> And you're supposed to say, "Oh, well then I wonder I wonder why I don't have 52:12 then I wonder I wonder why I don't have 52:12 then I wonder I wonder why I don't have libido. I'm constantly moody. I have 52:15 libido. I'm constantly moody. I have 52:15 libido. I'm constantly moody. I have cognitive impairment. 52:17 cognitive impairment. 52:17 cognitive impairment. >> Must be depression." 52:18 >> Must be depression." 52:18 >> Must be depression." >> Right? So, yeah. 52:19 >> Right? So, yeah. 52:19 >> Right? So, yeah. >> I mean, maybe it is depression, but even 52:21 >> I mean, maybe it is depression, but even 52:21 >> I mean, maybe it is depression, but even if it is depression, you'll still 52:23 if it is depression, you'll still 52:23 if it is depression, you'll still benefit from the testosterone 52:24 benefit from the testosterone 52:24 benefit from the testosterone >> because it helps with all of that. So 52:25 >> because it helps with all of that. So 52:25 >> because it helps with all of that. So yes, get it checked. Um, make sure 52:27 yes, get it checked. Um, make sure 52:27 yes, get it checked. Um, make sure you're replacing testosterone. I think 52:30 you're replacing testosterone. I think 52:30 you're replacing testosterone. I think it's incredibly important for everything 52:32 it's incredibly important for everything 52:32 it's incredibly important for everything we're talking about sexual wellness. It 52:34 we're talking about sexual wellness. It 52:34 we're talking about sexual wellness. It is a foundational therapy for what it is 52:37 is a foundational therapy for what it is 52:37 is a foundational therapy for what it is that we're doing. 52:39 that we're doing. 52:39 that we're doing. >> And certainly with orgasm, too. I mean, 52:41 >> And certainly with orgasm, too. I mean, 52:41 >> And certainly with orgasm, too. I mean, all of it's just it's helping enhancing 52:44 all of it's just it's helping enhancing 52:44 all of it's just it's helping enhancing orgasm, the intensity, the likelihood of 52:47 orgasm, the intensity, the likelihood of 52:47 orgasm, the intensity, the likelihood of all of that. 52:48 all of that. 52:48 all of that. >> Thing that's amazing about orgasm is 52:51 >> Thing that's amazing about orgasm is 52:51 >> Thing that's amazing about orgasm is that it's like an entire neurologic 52:53 that it's like an entire neurologic 52:54 that it's like an entire neurologic event. It's not just a localized 52:56 event. It's not just a localized 52:56 event. It's not just a localized occurrence. You're having an orgasm and 52:59 occurrence. You're having an orgasm and 52:59 occurrence. You're having an orgasm and the amount of chemical firing that is 53:02 the amount of chemical firing that is 53:02 the amount of chemical firing that is happening 53:04 happening 53:04 happening is I mean it's poetic. 53:08 is I mean it's poetic. 53:08 is I mean it's poetic. So 53:08 So 53:08 So >> there's nothing else like your human 53:10 >> there's nothing else like your human 53:10 >> there's nothing else like your human experience. When you were and you were 53:11 experience. When you were and you were 53:11 experience. When you were and you were saying earlier that it is uniquely a 53:14 saying earlier that it is uniquely a 53:14 saying earlier that it is uniquely a human experience. There isn't anything 53:16 human experience. There isn't anything 53:16 human experience. There isn't anything else that we do in our entire existence 53:19 else that we do in our entire existence 53:19 else that we do in our entire existence that can possibly compare to the 53:23 that can possibly compare to the 53:23 that can possibly compare to the cocreation. 53:24 cocreation. 53:24 cocreation. I mean, this is this is a little 53:26 I mean, this is this is a little 53:26 I mean, this is this is a little biblical. I mean, it is the only time 53:29 biblical. I mean, it is the only time 53:29 biblical. I mean, it is the only time that we actually have the ability to 53:32 that we actually have the ability to 53:32 that we actually have the ability to co-create with God. And I mean, how much 53:35 co-create with God. And I mean, how much 53:35 co-create with God. And I mean, how much more profound can you get? So, it's a 53:37 more profound can you get? So, it's a 53:37 more profound can you get? So, it's a it's a gift. It is an absolute gift. 53:40 it's a gift. It is an absolute gift. 53:40 it's a gift. It is an absolute gift. >> Right. Right. Because you we don't need 53:43 >> Right. Right. Because you we don't need 53:43 >> Right. Right. Because you we don't need to orgasm to procreate. 53:46 to orgasm to procreate. 53:46 to orgasm to procreate. You don't need to. But that was written 53:48 You don't need to. But that was written 53:48 You don't need to. But that was written into the makeup of the human 53:51 into the makeup of the human 53:51 into the makeup of the human specifically to continue to remind us 53:54 specifically to continue to remind us 53:54 specifically to continue to remind us how pleasurable it is to have union. 53:56 how pleasurable it is to have union. 53:56 how pleasurable it is to have union. >> Yes. 53:57 >> Yes. 53:57 >> Yes. >> It's not just duty, 53:59 >> It's not just duty, 53:59 >> It's not just duty, >> right? 53:59 >> right? 54:00 >> right? >> It's pleasure and purpose, 54:02 >> It's pleasure and purpose, 54:02 >> It's pleasure and purpose, >> right? 54:07 >> Yeah. Just it circles back to God. It is 54:07 >> Yeah. Just it circles back to God. It is you're having that level of pleasure to 54:09 you're having that level of pleasure to 54:09 you're having that level of pleasure to remind you of how incredibly important 54:11 remind you of how incredibly important 54:11 remind you of how incredibly important that union is with man, woman or God. 54:15 that union is with man, woman or God. 54:15 that union is with man, woman or God. >> Well, the fact that it is neurologic 54:18 >> Well, the fact that it is neurologic 54:18 >> Well, the fact that it is neurologic reminds us that if there's impairment in 54:20 reminds us that if there's impairment in 54:20 reminds us that if there's impairment in orgasming, it could also be um a nerve 54:25 orgasming, it could also be um a nerve 54:25 orgasming, it could also be um a nerve function issue. It could be a 54:26 function issue. It could be a 54:26 function issue. It could be a physiologic issue. It could be literally 54:28 physiologic issue. It could be literally 54:28 physiologic issue. It could be literally anatomy like you have nerve impingement. 54:31 anatomy like you have nerve impingement. 54:31 anatomy like you have nerve impingement. I mean, because it's neurologic, there 54:33 I mean, because it's neurologic, there 54:33 I mean, because it's neurologic, there are so many different places that one 54:35 are so many different places that one 54:35 are so many different places that one should look when determining why are 54:37 should look when determining why are 54:37 should look when determining why are they having problems with orgasm. 54:40 they having problems with orgasm. 54:40 they having problems with orgasm. >> You know, [clears throat] especially 54:42 >> You know, [clears throat] especially 54:42 >> You know, [clears throat] especially with women uh and and and that 54:44 with women uh and and and that 54:44 with women uh and and and that challenge, it can be 54:46 challenge, it can be 54:46 challenge, it can be a lot of neurological 54:50 a lot of neurological 54:50 a lot of neurological issues that's that's going on with that. 54:51 issues that's that's going on with that. 54:51 issues that's that's going on with that. From a hormonal standpoint, uh dopamine, 54:54 From a hormonal standpoint, uh dopamine, 54:54 From a hormonal standpoint, uh dopamine, epinephrine, neuropinephrine, the whole, 54:56 epinephrine, neuropinephrine, the whole, 54:56 epinephrine, neuropinephrine, the whole, you know, SSRI kind of thing is a big 54:59 you know, SSRI kind of thing is a big 54:59 you know, SSRI kind of thing is a big part of it. uh for for women and this 55:03 part of it. uh for for women and this 55:03 part of it. uh for for women and this hormone called oxytocin which is 55:05 hormone called oxytocin which is 55:05 hormone called oxytocin which is probably one of our favorites. 55:08 probably one of our favorites. 55:08 probably one of our favorites. >> Yeah. 55:08 >> Yeah. 55:08 >> Yeah. >> Using oxytocin for both men and women 55:11 >> Using oxytocin for both men and women 55:11 >> Using oxytocin for both men and women orgasm at the right dose 55:13 orgasm at the right dose 55:13 orgasm at the right dose >> uh in the right delivery we give it as a 55:14 >> uh in the right delivery we give it as a 55:14 >> uh in the right delivery we give it as a lozage and and couple that with a 55:17 lozage and and couple that with a 55:17 lozage and and couple that with a peptide called PT-41 55:19 peptide called PT-41 55:19 peptide called PT-41 renalide and PT41 is a very unique uh 55:23 renalide and PT41 is a very unique uh 55:23 renalide and PT41 is a very unique uh peptide that's also is working on the 55:25 peptide that's also is working on the 55:25 peptide that's also is working on the central nervous system level. Um, so 55:28 central nervous system level. Um, so 55:28 central nervous system level. Um, so that really helps to kind of wake things 55:30 that really helps to kind of wake things 55:30 that really helps to kind of wake things up. You know, these things don't have to 55:32 up. You know, these things don't have to 55:32 up. You know, these things don't have to be, we were talking before about 55:34 be, we were talking before about 55:34 be, we were talking before about removing the brakes. And so now we're 55:36 removing the brakes. And so now we're 55:36 removing the brakes. And so now we're going to still use something that's 55:37 going to still use something that's 55:37 going to still use something that's going to push that orgasm. And maybe 55:39 going to push that orgasm. And maybe 55:39 going to push that orgasm. And maybe that is part of it, but I think when
Closing Advice and Resources 55:41 that is part of it, but I think when 55:41 that is part of it, but I think when people are using these tools and then 55:43 people are using these tools and then 55:43 people are using these tools and then practicing with their partner, they're 55:45 practicing with their partner, they're 55:45 practicing with their partner, they're literally laying down new nerve pathways 55:48 literally laying down new nerve pathways 55:48 literally laying down new nerve pathways to improve it for the future to where 55:50 to improve it for the future to where 55:50 to improve it for the future to where maybe they don't even need these things. 55:52 maybe they don't even need these things. 55:52 maybe they don't even need these things. Yes, I think that's a very good point 55:54 Yes, I think that's a very good point 55:54 Yes, I think that's a very good point because um do you remember that show 55:56 because um do you remember that show 55:56 because um do you remember that show American Ninja? 55:58 American Ninja? 55:58 American Ninja? >> Okay. Remember how none of the girls can 56:01 >> Okay. Remember how none of the girls can 56:01 >> Okay. Remember how none of the girls can do the wall and none of the girls can do 56:02 do the wall and none of the girls can do 56:02 do the wall and none of the girls can do the wall and then finally that girl did 56:05 the wall and then finally that girl did 56:05 the wall and then finally that girl did the wall and then after she did it, 56:07 the wall and then after she did it, 56:07 the wall and then after she did it, everyone, not everyone, but many women 56:09 everyone, not everyone, but many women 56:09 everyone, not everyone, but many women were able to do the wall. 56:11 were able to do the wall. 56:11 were able to do the wall. >> And that's such an important thing to 56:13 >> And that's such an important thing to 56:13 >> And that's such an important thing to consider about the way we're using these 56:14 consider about the way we're using these 56:14 consider about the way we're using these medications. Sometimes, as you said, 56:16 medications. Sometimes, as you said, 56:16 medications. Sometimes, as you said, you're releasing the brakes. Sometimes 56:17 you're releasing the brakes. Sometimes 56:17 you're releasing the brakes. Sometimes what you're doing is you're showing the 56:19 what you're doing is you're showing the 56:19 what you're doing is you're showing the body how to do it. And then once the 56:22 body how to do it. And then once the 56:22 body how to do it. And then once the body goes, "Oh, I understand." Then you 56:26 body goes, "Oh, I understand." Then you 56:26 body goes, "Oh, I understand." Then you often can remove these um crutches. And 56:30 often can remove these um crutches. And 56:30 often can remove these um crutches. And crutches in this case is a good thing. 56:31 crutches in this case is a good thing. 56:31 crutches in this case is a good thing. It's like, "I broke my leg. I'm using 56:33 It's like, "I broke my leg. I'm using 56:33 It's like, "I broke my leg. I'm using crutches to relieve pressure off the 56:35 crutches to relieve pressure off the 56:35 crutches to relieve pressure off the broken leg so that it can heal." 56:37 broken leg so that it can heal." 56:37 broken leg so that it can heal." >> Crutch in this case doesn't mean like 56:39 >> Crutch in this case doesn't mean like 56:39 >> Crutch in this case doesn't mean like something you're dependent on maybe to 56:41 something you're dependent on maybe to 56:41 something you're dependent on maybe to the point of pathology. It's a tool to 56:43 the point of pathology. It's a tool to 56:43 the point of pathology. It's a tool to allow for repair. 56:45 allow for repair. 56:45 allow for repair. >> So be very open-minded on exploring all 56:49 >> So be very open-minded on exploring all 56:49 >> So be very open-minded on exploring all of these potential avenues. if you're 56:51 of these potential avenues. if you're 56:51 of these potential avenues. if you're not getting the quality of orgasm and 56:53 not getting the quality of orgasm and 56:53 not getting the quality of orgasm and sexual vitality that you want. 56:55 sexual vitality that you want. 56:55 sexual vitality that you want. >> Yeah, it's it reminds me again back to 56:56 >> Yeah, it's it reminds me again back to 56:56 >> Yeah, it's it reminds me again back to the 30-day challenge that we love to 56:58 the 30-day challenge that we love to 56:58 the 30-day challenge that we love to say. Um that is, you know, it's a little 57:01 say. Um that is, you know, it's a little 57:01 say. Um that is, you know, it's a little bit of we say fake it till you make 57:02 bit of we say fake it till you make 57:02 bit of we say fake it till you make them. Just do it no matter what because 57:04 them. Just do it no matter what because 57:04 them. Just do it no matter what because it's laying down new nerve pathways and 57:07 it's laying down new nerve pathways and 57:07 it's laying down new nerve pathways and it's practice that eventually makes 57:09 it's practice that eventually makes 57:09 it's practice that eventually makes perfect. 57:10 perfect. 57:10 perfect. >> So yeah, a big fan of of of that idea. 57:13 >> So yeah, a big fan of of of that idea. 57:13 >> So yeah, a big fan of of of that idea. >> Practice it. 57:14 >> Practice it. 57:14 >> Practice it. >> Sure. 57:15 >> Sure. 57:16 >> Sure. Um, all right. So, for us, what would 57:18 Um, all right. So, for us, what would 57:18 Um, all right. So, for us, what would maybe be, you know, some 57:21 maybe be, you know, some 57:21 maybe be, you know, some some questions that we would ask a 57:23 some questions that we would ask a 57:23 some questions that we would ask a patient when they're coming in to see 57:25 patient when they're coming in to see 57:25 patient when they're coming in to see us? Um, the sort of the sexual, you 57:27 us? Um, the sort of the sexual, you 57:27 us? Um, the sort of the sexual, you know, uh, vitality workup. Um, we're 57:31 know, uh, vitality workup. Um, we're 57:31 know, uh, vitality workup. Um, we're just going to ask you to sexually act. 57:33 just going to ask you to sexually act. 57:33 just going to ask you to sexually act. >> We're always, first of all, we're just 57:34 >> We're always, first of all, we're just 57:34 >> We're always, first of all, we're just always having the conversation. We're 57:36 always having the conversation. We're 57:36 always having the conversation. We're letting patients know in a very, 57:38 letting patients know in a very, 57:38 letting patients know in a very, >> uh, balanced way that we're open to the 57:41 >> uh, balanced way that we're open to the 57:41 >> uh, balanced way that we're open to the conversation. It's not judgmental. It's 57:43 conversation. It's not judgmental. It's 57:43 conversation. It's not judgmental. It's not overly uh 57:46 not overly uh 57:46 not overly uh uh I guess medical, but it is 57:50 uh I guess medical, but it is 57:50 uh I guess medical, but it is >> but it is 57:50 >> but it is 57:50 >> but it is >> but it is very um at the same time, but 57:53 >> but it is very um at the same time, but 57:53 >> but it is very um at the same time, but it's sort of this balanced honest 57:55 it's sort of this balanced honest 57:55 it's sort of this balanced honest conversation and just opening uh that 57:58 conversation and just opening uh that 57:58 conversation and just opening uh that up. And I think when patients just see 58:00 up. And I think when patients just see 58:00 up. And I think when patients just see that uh that we're we're at ease asking 58:03 that uh that we're we're at ease asking 58:03 that uh that we're we're at ease asking about it in a calm, gentle way, then 58:06 about it in a calm, gentle way, then 58:06 about it in a calm, gentle way, then they're at ease responding to it and 58:08 they're at ease responding to it and 58:08 they're at ease responding to it and opening up about it because it really 58:10 opening up about it because it really 58:10 opening up about it because it really does help to kind of understand some of 58:12 does help to kind of understand some of 58:12 does help to kind of understand some of these specifics to know how to help 58:14 these specifics to know how to help 58:14 these specifics to know how to help somebody specific. 58:16 somebody specific. 58:16 somebody specific. >> So these are questions that the patients 58:18 >> So these are questions that the patients 58:18 >> So these are questions that the patients that can be or the people before they 58:20 that can be or the people before they 58:20 that can be or the people before they become patients can be asking 58:21 become patients can be asking 58:21 become patients can be asking themselves. 58:23 themselves. 58:23 themselves. >> Has your libido or arousal changed? Have 58:25 >> Has your libido or arousal changed? Have 58:25 >> Has your libido or arousal changed? Have your erections changed? Has your morning 58:28 your erections changed? Has your morning 58:28 your erections changed? Has your morning erections changed for guys? Um, has some 58:30 erections changed for guys? Um, has some 58:30 erections changed for guys? Um, has some lubrication changed? Is sex painful? 58:33 lubrication changed? Is sex painful? 58:33 lubrication changed? Is sex painful? >> Yeah. 58:34 >> Yeah. 58:34 >> Yeah. >> Um, has genital or clitoreral sensation 58:36 >> Um, has genital or clitoreral sensation 58:36 >> Um, has genital or clitoreral sensation changed? Which a lot of times when 58:37 changed? Which a lot of times when 58:37 changed? Which a lot of times when supplements say, "Wait, I don't I can't 58:39 supplements say, "Wait, I don't I can't 58:39 supplements say, "Wait, I don't I can't feel anything." 58:40 feel anything." 58:40 feel anything." >> Can you orgasm? How do you orgasm? Has 58:43 >> Can you orgasm? How do you orgasm? Has 58:43 >> Can you orgasm? How do you orgasm? Has the intensity changed? Does the overall 58:46 the intensity changed? Does the overall 58:46 the intensity changed? Does the overall sexual frequency change with your 58:47 sexual frequency change with your 58:47 sexual frequency change with your partner? Why [clears throat] 58:49 partner? Why [clears throat] 58:49 partner? Why [clears throat] are you satisfied with your sexual 58:50 are you satisfied with your sexual 58:50 are you satisfied with your sexual relationship? What does it mean to be 58:52 relationship? What does it mean to be 58:52 relationship? What does it mean to be satisfied? You know, there's two that 58:53 satisfied? You know, there's two that 58:53 satisfied? You know, there's two that I'd like to point out that I have found 58:55 I'd like to point out that I have found 58:55 I'd like to point out that I have found um to be probably the most useful. One 58:58 um to be probably the most useful. One 58:58 um to be probably the most useful. One of them is that idea of can you orgasm? 59:00 of them is that idea of can you orgasm? 59:00 of them is that idea of can you orgasm? And then from there, have you ever 59:02 And then from there, have you ever 59:02 And then from there, have you ever experienced an orgasm? When was the last 59:03 experienced an orgasm? When was the last 59:03 experienced an orgasm? When was the last time you experienced an orgasm? Can you 59:05 time you experienced an orgasm? Can you 59:05 time you experienced an orgasm? Can you orgasm if you have clitoreral 59:07 orgasm if you have clitoreral 59:07 orgasm if you have clitoreral stimulation? Because again, I think 59:10 stimulation? Because again, I think 59:10 stimulation? Because again, I think there is this misconception that if you 59:12 there is this misconception that if you 59:12 there is this misconception that if you cannot orgasm through vaginal 59:14 cannot orgasm through vaginal 59:14 cannot orgasm through vaginal penetration only, then you have a 59:15 penetration only, then you have a 59:15 penetration only, then you have a problem, 59:17 problem, 59:17 problem, >> right? Um 59:18 >> right? Um 59:18 >> right? Um >> that always amazes me that so many women 59:20 >> that always amazes me that so many women 59:20 >> that always amazes me that so many women still feel that Yeah. And it also goes 59:22 still feel that Yeah. And it also goes 59:22 still feel that Yeah. And it also goes to show you how often the clitoris is 59:24 to show you how often the clitoris is 59:24 to show you how often the clitoris is excluded from sex, which is crazy. Um, 59:27 excluded from sex, which is crazy. Um, 59:27 excluded from sex, which is crazy. Um, and then the other one is the idea about 59:29 and then the other one is the idea about 59:29 and then the other one is the idea about how satisfied are you? You know, with 59:30 how satisfied are you? You know, with 59:30 how satisfied are you? You know, with females, I always ask them, 59:33 females, I always ask them, 59:33 females, I always ask them, are you happy with your libido? Not what 59:36 are you happy with your libido? Not what 59:36 are you happy with your libido? Not what does your partner say? Because what I 59:38 does your partner say? Because what I 59:38 does your partner say? Because what I really want to know is, 59:40 really want to know is, 59:40 really want to know is, do they feel satisfied with how much sex 59:43 do they feel satisfied with how much sex 59:43 do they feel satisfied with how much sex that they have? And if they don't, is 59:45 that they have? And if they don't, is 59:45 that they have? And if they don't, is that because someone is telling them 59:47 that because someone is telling them 59:47 that because someone is telling them it's not enough or is it really like no? 59:50 it's not enough or is it really like no? 59:50 it's not enough or is it really like no? Now, if a woman's like, I'm happy with 59:51 Now, if a woman's like, I'm happy with 59:51 Now, if a woman's like, I'm happy with my libido and I don't care if I don't 59:53 my libido and I don't care if I don't 59:53 my libido and I don't care if I don't have sex, then that's still that's still 59:55 have sex, then that's still that's still 59:55 have sex, then that's still that's still a symptom to me. 59:56 a symptom to me. 59:56 a symptom to me. >> It is, but ultimately um the way they 59:59 >> It is, but ultimately um the way they 59:59 >> It is, but ultimately um the way they certainly in medicine, how we measure 1:00:00 certainly in medicine, how we measure 1:00:00 certainly in medicine, how we measure these things, it comes down to the 1:00:02 these things, it comes down to the 1:00:02 these things, it comes down to the patient's uh interpretation. It's which 1:00:05 patient's uh interpretation. It's which 1:00:05 patient's uh interpretation. It's which always surprises me about the technical 1:00:08 always surprises me about the technical 1:00:08 always surprises me about the technical diagnosis of premature ejaculation of 1:00:10 diagnosis of premature ejaculation of 1:00:10 diagnosis of premature ejaculation of your men. it is less than one minute. 1:00:14 your men. it is less than one minute. 1:00:14 your men. it is less than one minute. That is part of the diagnosis. But the 1:00:16 That is part of the diagnosis. But the 1:00:16 That is part of the diagnosis. But the other part of the diagnosis is and it 1:00:19 other part of the diagnosis is and it 1:00:19 other part of the diagnosis is and it bothers him. 1:00:21 bothers him. 1:00:21 bothers him. >> It if he's like, "Well, yeah, I don't 1:00:22 >> It if he's like, "Well, yeah, I don't 1:00:22 >> It if he's like, "Well, yeah, I don't know. It's less than a minute, but it 1:00:23 know. It's less than a minute, but it 1:00:23 know. It's less than a minute, but it never bothered me. I'm I'm good. I got 1:00:25 never bothered me. I'm I'm good. I got 1:00:25 never bothered me. I'm I'm good. I got mine." 1:00:26 mine." 1:00:26 mine." >> And then it's not technically diagnosed 1:00:29 >> And then it's not technically diagnosed 1:00:29 >> And then it's not technically diagnosed with church. It's like to your point 1:00:32 with church. It's like to your point 1:00:32 with church. It's like to your point physiologically, I mean, it is. And 1:00:34 physiologically, I mean, it is. And 1:00:34 physiologically, I mean, it is. And hopefully people would open up to that 1:00:36 hopefully people would open up to that 1:00:36 hopefully people would open up to that and say, "No, this actually is a 1:00:37 and say, "No, this actually is a 1:00:38 and say, "No, this actually is a problem. let's see if you can at least 1:00:40 problem. let's see if you can at least 1:00:40 problem. let's see if you can at least fix this 1:00:41 fix this 1:00:41 fix this >> I mean I I think that's thank you for 1:00:43 >> I mean I I think that's thank you for 1:00:43 >> I mean I I think that's thank you for pointing that out because I think that 1:00:44 pointing that out because I think that 1:00:44 pointing that out because I think that even if the patient says it's not a 1:00:46 even if the patient says it's not a 1:00:46 even if the patient says it's not a problem for me I would still put it in 1:00:48 problem for me I would still put it in 1:00:48 problem for me I would still put it in my notes as a symptom because there 1:00:51 my notes as a symptom because there 1:00:51 my notes as a symptom because there should be healthy libido I'm not talking 1:00:54 should be healthy libido I'm not talking 1:00:54 should be healthy libido I'm not talking about the fringe cases like the widow 1:00:56 about the fringe cases like the widow 1:00:56 about the fringe cases like the widow who lost the love of her life or you 1:00:58 who lost the love of her life or you 1:00:58 who lost the love of her life or you know I'm not talking about that I'm 1:00:59 know I'm not talking about that I'm 1:00:59 know I'm not talking about that I'm talking about the average person in a 1:01:01 talking about the average person in a 1:01:01 talking about the average person in a relationship they should have some 1:01:03 relationship they should have some 1:01:03 relationship they should have some libido for sex 1:01:05 libido for sex 1:01:05 libido for sex >> yeah and for life itself Um, okay. So, 1:01:10 >> yeah and for life itself Um, okay. So, 1:01:10 >> yeah and for life itself Um, okay. So, we kind of went over a lot of things 1:01:11 we kind of went over a lot of things 1:01:11 we kind of went over a lot of things here and having these conversations are 1:01:14 here and having these conversations are 1:01:14 here and having these conversations are always 1:01:16 always 1:01:16 always I'm always learning something as I go 1:01:18 I'm always learning something as I go 1:01:18 I'm always learning something as I go through all of this uh with you and sort 1:01:20 through all of this uh with you and sort 1:01:20 through all of this uh with you and sort of the notes and researching about it 1:01:23 of the notes and researching about it 1:01:23 of the notes and researching about it synthesizing what we've done for the 1:01:24 synthesizing what we've done for the 1:01:24 synthesizing what we've done for the past 20 years. Uh, it is definitely when 1:01:28 past 20 years. Uh, it is definitely when 1:01:28 past 20 years. Uh, it is definitely when it comes to sex, it is both a science uh 1:01:31 it comes to sex, it is both a science uh 1:01:31 it comes to sex, it is both a science uh and art, right? 1:01:32 and art, right? 1:01:32 and art, right? >> For sure. 1:01:33 >> For sure. 1:01:33 >> For sure. >> And just because things are changing 1:01:34 >> And just because things are changing 1:01:34 >> And just because things are changing doesn't mean there's a problem. There is 1:01:37 doesn't mean there's a problem. There is 1:01:37 doesn't mean there's a problem. There is change that comes with with age, but 1:01:40 change that comes with with age, but 1:01:40 change that comes with with age, but that's not the same thing as saying I 1:01:41 that's not the same thing as saying I 1:01:42 that's not the same thing as saying I have a problem and I'm blaming it on 1:01:43 have a problem and I'm blaming it on 1:01:43 have a problem and I'm blaming it on age. 1:01:44 age. 1:01:44 age. >> Right. Good point. And also maybe you're 1:01:46 >> Right. Good point. And also maybe you're 1:01:46 >> Right. Good point. And also maybe you're referring back to say, well, I need to 1:01:47 referring back to say, well, I need to 1:01:47 referring back to say, well, I need to be like I was in my 20s. And it doesn't 1:01:49 be like I was in my 20s. And it doesn't 1:01:50 be like I was in my 20s. And it doesn't necessarily have to be exactly like 1:01:52 necessarily have to be exactly like 1:01:52 necessarily have to be exactly like that. You need to be the best version of 1:01:54 that. You need to be the best version of 1:01:54 that. You need to be the best version of yourself at the age that you're at. And 1:01:56 yourself at the age that you're at. And 1:01:56 yourself at the age that you're at. And that should includes uh healthy sexual 1:01:59 that should includes uh healthy sexual 1:01:59 that should includes uh healthy sexual >> intercourse 1:02:00 >> intercourse 1:02:00 >> intercourse >> and subjective subjective back to what 1:02:02 >> and subjective subjective back to what 1:02:02 >> and subjective subjective back to what you were saying about it doesn't bother 1:02:03 you were saying about it doesn't bother 1:02:03 you were saying about it doesn't bother me subjective satisfaction. So when I 1:02:05 me subjective satisfaction. So when I 1:02:05 me subjective satisfaction. So when I was 25, I was having great sex on the 1:02:08 was 25, I was having great sex on the 1:02:08 was 25, I was having great sex on the line. It was wonderful. Well, now I'm 75 1:02:10 line. It was wonderful. Well, now I'm 75 1:02:10 line. It was wonderful. Well, now I'm 75 and I'm having good sex and it's 1:02:12 and I'm having good sex and it's 1:02:12 and I'm having good sex and it's wonderful. They may be totally 1:02:13 wonderful. They may be totally 1:02:13 wonderful. They may be totally different, but your emotional 1:02:15 different, but your emotional 1:02:15 different, but your emotional relationship to the sex that you're 1:02:17 relationship to the sex that you're 1:02:17 relationship to the sex that you're having is still quite satisfactory 1:02:18 having is still quite satisfactory 1:02:18 having is still quite satisfactory despite your age. 1:02:20 despite your age. 1:02:20 despite your age. >> Yeah. Continue to do it. Continue to 1:02:24 >> Yeah. Continue to do it. Continue to 1:02:24 >> Yeah. Continue to do it. Continue to know that you can 1:02:26 know that you can 1:02:26 know that you can >> keep it part of your life. Um, this is 1:02:28 >> keep it part of your life. Um, this is 1:02:28 >> keep it part of your life. Um, this is what's going to help. 1:02:29 what's going to help. 1:02:29 what's going to help. >> Make time for it. 1:02:30 >> Make time for it. 1:02:30 >> Make time for it. >> Make time for it. Communicate. 1:02:32 >> Make time for it. Communicate. 1:02:32 >> Make time for it. Communicate. >> Communicate. 1:02:33 >> Communicate. 1:02:33 >> Communicate. >> Yeah. Back to you. Make time for it. 1:02:34 >> Yeah. Back to you. Make time for it. 1:02:34 >> Yeah. Back to you. Make time for it. Yeah, 1:02:35 Yeah, 1:02:35 Yeah, >> you know, literally schedule it in. 1:02:37 >> you know, literally schedule it in. 1:02:37 >> you know, literally schedule it in. >> This is what we're going to do. There's 1:02:39 >> This is what we're going to do. There's 1:02:39 >> This is what we're going to do. There's nothing wrong with that. It doesn't 1:02:40 nothing wrong with that. It doesn't 1:02:40 nothing wrong with that. It doesn't always have to be perfectly spontaneous. 1:02:42 always have to be perfectly spontaneous. 1:02:42 always have to be perfectly spontaneous. Just to 1:02:43 Just to 1:02:43 Just to >> We have said repeatedly that the 1:02:45 >> We have said repeatedly that the 1:02:45 >> We have said repeatedly that the well-lived life is a life made up of 1:02:47 well-lived life is a life made up of 1:02:47 well-lived life is a life made up of habits that serve a long life that is 1:02:52 habits that serve a long life that is 1:02:52 habits that serve a long life that is enjoyed. Those habits include not just 1:02:56 enjoyed. Those habits include not just 1:02:56 enjoyed. Those habits include not just exercise and drinking water. It must 1:02:58 exercise and drinking water. It must 1:02:58 exercise and drinking water. It must include physical intimacy in the form of 1:03:01 include physical intimacy in the form of 1:03:01 include physical intimacy in the form of sex. 1:03:05 Are you liking what you're hearing? Do 1:03:05 Are you liking what you're hearing? Do you want to hear more? 1:03:06 you want to hear more? 1:03:06 you want to hear more? >> Are you loving this great content? And 1:03:08 >> Are you loving this great content? And 1:03:08 >> Are you loving this great content? 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This is where we get far more 1:03:33 This is where we get far more 1:03:34 This is where we get far more information for you, protocols on 1:03:35 information for you, protocols on 1:03:35 information for you, protocols on longevity and health, and definitely the 1:03:37 longevity and health, and definitely the 1:03:37 longevity and health, and definitely the notes for today's episode. 1:03:38 notes for today's episode. 1:03:38 notes for today's episode. >> And finally, if you're ready to make a 1:03:40 >> And finally, if you're ready to make a 1:03:40 >> And finally, if you're ready to make a change, a real change in your own life, 1:03:42 change, a real change in your own life, 1:03:42 change, a real change in your own life, feel free to check us out at our private 1:03:44 feel free to check us out at our private 1:03:44 feel free to check us out at our private practice at hormoneheyenzone.com.
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