Sex Expert: What Women Actually Need To Enjoy Sex

Full Transcript

https://www.youtube.com/watch?v=PnpHwhTWw0c

[00:00] Is there a way to enlarge the?
[00:02] Is there a way to enlarge the?
[00:04] So, you can put your penis in this device.
[00:05] They've actually done research on this.
[00:07] So, 30 minutes twice a day and it does show improvements in length about 2 cm.
[00:11] about 2 cm.
[00:12] Tada.
[00:13] And that's not all.
[00:15] So, they actually did a study on pistachios where guys at 100 g of pistachios every day and they saw a decrease in erectile dysfunction because if you're not having erections now, you're no longer getting blood flow to your penis and it will shrink over time.
[00:26] And the same goes for women with their clitoris because it's the same type of tissue.
[00:29] But also, when you look at people who have sex once a week, they live 49% longer than people who only have sex once a year.
[00:35] have sex once a year.
[00:37] 49% longer.
[00:40] Yeah.
[00:43] And for every 100 orgasms men had, they lived like 13% longer.
[00:45] Be right back.
[00:48] Dr. Reena Malik has become the world's most watched urologist.
[00:51] After sharing everything you need to know about hormones, sexual health, and how to have better sex based on the data.
[00:55] So, how can you have the best sex possible?
[00:57] So, there's four main pillars
[01:00] possible?
[01:00] So, there's four main pillars of sexual health.
[01:02] So, pillar one is fuel.
[01:04] So, how you nourish your body, and it's a huge part of sexual activity.
[01:06] And then pillar two is strength.
[01:08] When people think about strength, they always think about going to the gym and lifting weights.
[01:12] But it's much more than that.
[01:14] So, when you look at the data, any sort of cardiovascular exercise is going to improve sexual function.
[01:17] It's going to improve blood flow to the penis and to the clitoris.
[01:21] And then also if you do 150 minutes a week, it is the same amount of improvement as you would see when you take a medication like Viagra.
[01:28] And the other part of it is the pelvic floor.
[01:30] It's under evaluated, under discussed, and we'll get into that.
[01:32] But pillar three is environment.
[01:34] So things like stress, sleep, and endocrine disrupting chemicals.
[01:39] For example, they looked at data on men sleeping 5 hours a night versus 8 hours a night.
[01:43] Guys who sleep 5 hours a night, their testosterone drops by 15%.
[01:47] Yeah.
[01:49] And then the last of the four pillars that we don't talk about enough is, and that's still important.
[01:55] I want to talk about morning erections, squirting, clitorol stimulation, and certain positions that are going to increase the probability that my partner
[02:01] increase the probability that my partner has an orgasm.
[02:02] has an orgasm.
[02:04] Let's talk about all of that.
[02:07] First of all,
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[03:05] Dr. Reena Malik, if somebody was to come up to you in the street, having watched your videos online, and they were a a follower of the content you've produced over the last couple of years, if you had to guess the question they would ask you, because it's probably the most frequent, popular question you get asked, what do you think they would say?
[03:23] They would say, "What can I be doing right now to improve my sex life?"
[03:27] Who would be asking you that question?
[03:29] And why do you think they'd be asking it?
[03:31] I think everyone can agree that sex is something we enjoy.
[03:34] It's something that's important that we want to have, right?
[03:36] And there is um a desire to have good sex or feel like maybe you're missing out on something that could be even better.
[03:44] So, how can you have the best sex possible?
[03:46] Because you hear all these people talking about amazing sex in the media.
[03:48] You might see it on pornography.
[03:50] You might feel like this is something amazing.
[03:52] Why am I not having that?
[03:54] I want that.
[03:56] Right.
[03:57] So, on that point, you said it's obvious that it's important.
[03:59] I think it appears to be increasingly not obvious that it's important because when you look at some
[04:06] important because when you look at some of these stats and I'll throw this graph up on screen
[04:10] and it shows that people are becoming more sexless especially young adults between 18 and 30.
[04:14] This graph is pretty stark.
[04:17] Mhm. Think about 50 years ago.
[04:19] There was no cell phones.
[04:21] There might be some TV programs but there was ads in between TV programs and there was only certain TV shows you could watch at a certain time that you enjoyed and then there was nothing to watch.
[04:28] There was no email.
[04:30] So, you went to work and you came home and there was really not a lot of communication between you and your co-workers or your job.
[04:34] They made dinner with their family.
[04:35] They hung out and then maybe they watched a program or two and then they lied down in bed.
[04:41] They didn't have a phone to scroll on.
[04:43] They didn't have anything to keep them up.
[04:45] And so then they were like next to their partner and maybe they're talking, maybe they're cuddling.
[04:50] And so there was more like opportunity and space for sex, right?
[04:52] You it was a thing that you did for enjoyment, for pleasure, for fun.
[04:56] Now we have all these distractions that keep our mind away from sex.
[04:59] In order to enjoy sex, you need to have space for it to be able to enjoy your partner and
[05:07] to be able to enjoy your partner and feel like you want that, right?
[05:09] And now we're sort of there's not as much room for it.
[05:11] That's one.
[05:14] Two is younger people, how are they dating, right?
[05:16] How are they meeting each other?
[05:17] They're meeting each other through apps, through um DMs.
[05:20] And so they're not actually like really having these deep meaningful connections.
[05:25] there have there's a big hookup culture.
[05:27] There's a big like fling culture.
[05:29] And imagine first time sex for most people is not great.
[05:31] You don't know your partner.
[05:33] You don't know what they like.
[05:34] And you may not be able to express what you like.
[05:36] You're never taught how to talk about sex, right?
[05:38] So you don't know how to say like, "Hey, I like it like this."
[05:40] And you may be self-conscious cuz it's your first time.
[05:41] So you have like mediocre sex or bad sex.
[05:43] And they're like, "Well, I don't really want that."
[05:44] And there's just no like follow through, right?
[05:46] There's there's not a lot of um education on what sex should look like.
[05:48] like the only education people are getting are from often erotic films and so they're seeing sex that's not real that's curated and they're trying to emulate that and that's not pleasurable for most people and younger people these days are um
[06:08] and younger people these days are um actually having a rise in more what we call rough sex so choking has become very very common as common as like they call choking almost like vanilla sex so young people if you look at data like 60% of women and I think 20% of men have been choked during sex of that age group, like college age group.
[06:30] And of those people who get choked, 20% have been choked 25 times or more.
[06:35] Now, I think it's fine if you're into that, but I can't imagine that that many people are into choking.
[06:40] And there's data to support that.
[06:41] So, when you look at qualitative data, and this is by uh Debbie Herbick, she's a sex researcher, and she did qualitative research, and she asked people like, "What is it like?
[06:47] Do you enjoy being choked? Tell us about it.
[06:49] Right? Women were like, "Yeah, it's okay.
[06:51] Sometimes I'm scared because my partner is big and strong and I'm, you know, smaller and they have big hands.
[06:57] Sometimes it's fine and sometimes I don't really care for it, but like it's just a part of sex.
[07:01] It's just as normal as as kissing, for example.
[07:03] And so if you're having sex and you're doing things just because you think that's
[07:09] things just because you think that's what your partner wants or what it what your partner wants or what it should look like and you're not enjoying it, well, that's not going to be sex that you want to have.
[07:14] that point you said about the the lifestyles we lead and how that might be impacting our sex lives I thought was really interesting because we don't talk enough about this but when you look at some of the data on this demographic um you know people 30 and below around that age the extreme outliers are spending 8 to 10 hours on their phones on social media and on the internet and roughly about 15 to 20% of young people describe their usage as almost constant effectively scrolling during all waking hours while they're eating, while they're in the bathroom, and before they go to sleep.
[07:49] So, and I was wondering from a dopamine perspective if there's correlation between these like dopamogenic activities that are now like hijacking our lives, whether it's short form videos on social media, whether it's pornography or food, whether it's having an impact on what then happens in the bedroom and our performance in the bedroom.
[08:08] If you think about what you need to have
[08:10] If you think about what you need to have good sex is you need to be sort of in the mind space for sex.
[08:14] And if you're constantly like hijacked by all these other things, you're never like really getting in the mood, right?
[08:20] You're just like, "Oh, I'm going to be turned on when I see my partner and we're going to have sex and it's going to be over."
[08:25] And it's just really a mechanical thing at that point, right?
[08:27] You're not actually you're just trying to get an orgasm.
[08:30] You're not actually like spending the time to enjoy and to experience that fully because you're just so like you're just your brain is always doing something else, right?
[08:38] because people are constantly scrolling like every 60 seconds there's a new video, there's something else.
[08:45] And so it's really hard to focus.
[08:47] And so that can translate to the bedroom where you're like you're having sex, but your brain is somewhere else thinking about something else you saw or something you have to do or something you want to see or something you want to look up, whatever it is, but you're not really in there in the moment.
[08:59] You're just going through the motions.
[09:00] And so I think that's really where the challenge is is that people are becoming increasingly distractable.
[09:07] I find it really hard, I got to be honest, to have sex if I've had like a really really busy day or if I'm really
[09:11] really really busy day or if I'm really really thinking about something.
[09:13] I really thinking about something.
[09:14] I almost have to I have to like intentionally create quite a lot of space.
[09:16] space.
[09:17] Exactly.
[09:17] Exactly.
[09:17] In order to be able to be in the mood.
[09:20] In order to be able to be in the mood.
[09:20] Yeah.
[09:22] Be aroused, right?
[09:22] It takes like time and energy.
[09:24] time and energy.
[09:24] I think I appreciate you for saying that because a lot of people think that men are just ready to go at any moment and that's not fair, right?
[09:25] you for saying that because a lot of people think that men are just ready to go at any moment and that's not fair,
[09:27] people think that men are just ready to go at any moment and that's not fair,
[09:29] go at any moment and that's not fair, right?
[09:32] right? Because everyone needs time to be aroused.
[09:34] aroused. It's not just instant for everybody, especially when you have a lot of work stress or life stress or other things going on.
[09:35] everybody, especially when you have a lot of work stress or life stress or other things going on.
[09:37] lot of work stress or life stress or other things going on.
[09:39] other things going on. It's actually like you have to make time and space for it.
[09:41] like you have to make time and space for it.
[09:42] it.
[09:43] Yeah. Because as a man, you got to get an erection.
[09:45] an erection. And I I always think that an erection is a consequence usually, especially when it comes to sex.
[09:47] an erection is a consequence usually, especially when it comes to sex.
[09:49] And I'm not talking about morning glories here, but an erection is a consequence of like a story.
[09:50] not talking about morning glories here, but an erection is a consequence of like a story.
[09:52] but an erection is a consequence of like a story.
[09:54] a story.
[09:55] You use the word aroused.
[09:57] There's like a story in my head which makes me go, "Oh, that's kind of hot."
[09:59] makes me go, "Oh, that's kind of hot."
[10:02] Yeah. You need something. You need some stimuli, right?
[10:04] stimuli, right? You need to think about something, see something, smell something, feel something, right?
[10:05] something, see something, smell something, feel something, right?
[10:07] something, feel something, right?
[10:07] You need to just be together and and sort of allow yourselves to be intimate before
[10:09] need to just be together and and sort of allow yourselves to be intimate before
[10:11] allow yourselves to be intimate before that sort of desire and arousal come together.
[10:14] And for me as well, it's not just touch like that doesn't necessarily for me, it really is quite like a psychological thing.
[10:19] I was wondering if this is there's any data around this or I mean just even anecdotally like people get aroused in very very different ways, don't they?
[10:27] Yeah, absolutely. I mean some people um are very like visual so they you know they see their partner and they get aroused very quickly.
[10:36] Basically when you get aroused you need to be in a parasympathetic nervous system state.
[10:39] So in order to get an erection you need to be in the state which is like rest and digest.
[10:43] So if you're stressed if you're thinking about other things if you're essentially on the go you are not allowing your nervous system to calm down.
[10:51] And so for some people that's a whole bunch of different things.
[10:53] Some people can switch more easily into that state and some people need more of like uh you know to feel either mentally stimulated or they need to have some associations like it might be like they need a certain scent, they need to like relax their body, they need to like go take a bath, whatever it is, but some
[11:13] take a bath, whatever it is, but some people need different things and knowing people need different things and knowing what that is for your partner is super important, right?
[11:19] Because then you can incorporate that.
[11:21] Everything is scheduled in our lives, right?
[11:22] And then you're like, "Oh, but now sex is like the last thing on the schedule, right?"
[11:27] And like I don't even think about it.
[11:28] Like, "Oh, okay. Now, yeah, maybe let's have sex."
[11:29] But it's like, if you actually make time to be intimate, allow yourself to be in that brain space, be together, that's when it can actually happen.
[11:37] Especially when you've been in a long-term relationship, it doesn't come as easily like spontaneously, which we call spontaneous desire.
[11:43] It it comes more as a response to these other cues that allow you to feel desire and to feel aroused.
[11:50] H I also think I was thinking about a previous relationship I had where on the days where I'd been like working very hard and I was like tired or stressed or I've been traveling and I was jetlagged.
[12:03] I think there was also because I didn't see this person often there was also an expectation that when I did see them we were going to have sex.
[12:07] >> and um that was that was very hard because actually the expectation of it
[12:14] because actually the expectation of it stressed me out more.
[12:16] stressed me out more.
[12:18] Yeah. And that can happen like if it becomes the elephant in the room it can become a little bit heavy which then is sort of counterproductive to performance.
[12:24] and this is you know sort of a variation on performance anxiety.
[12:26] So when you feel like you have to perform on demand and maybe you're worried it might not happen it creates this vicious loop right so you may maybe have trouble with an erection or maybe it's like I I'm expected to have sex but I really can't get there mentally.
[12:39] whatever it is. Now, you're thinking about that, right?
[12:41] And then you're with your partner.
[12:43] You're like, "Oh my god, am I going to have trouble?"
[12:45] You're not enjoying the pleasurable sensations or the visuals or like feeling each other.
[12:48] You are literally thinking in your own head about how you're going to respond.
[12:51] And then that anxiety makes it so that you can't get an erection or you can't be aroused.
[12:54] And so now you're like anxious and you're not focused.
[12:57] You're almost spectatoring.
[12:59] You're just watching yourself have sex.
[13:01] You're not actually like in the moment.
[13:02] So then, you know, you have a negative outcome because when you're stressed, your sympathetic nervous system is on, right?
[13:06] You can't really get an erection or you can't really get aroused.
[13:09] And so then you're
[13:15] really get aroused.
[13:17] And so then you're like, "Oh man, now I've let my partner down.
[13:19] Now I haven't performed," which I hate that word, but like performed the way I should or or I'm expected to.
[13:24] And now something's wrong with me.
[13:26] And now that just keeps going in a vicious cycle.
[13:28] cycle.
[13:29] Have you spoken to people that have experienced this?
[13:31] Absolutely.
[13:32] It's common.
[13:34] Very common. I tell people anytime you have problems in the bedroom, it stays with you.
[13:38] with you.
[13:39] So, how do you break the cycle?
[13:41] Yeah. So, I tell people when you're with your partner, take the pressure off um penetration.
[13:44] Just explore each other's body.
[13:47] Do what's called like sensate focus.
[13:48] Like explore the rest of your body.
[13:50] Figure out other arogynous zones, other things that can turn you guys both on that don't involve erections and penetration.
[13:55] And then once you realize you're focused on that, you're really like exploring, enjoying, playing, you're having a good time, and you're not thinking about your erection, now you'll notice, oh, the erection just comes, right?
[13:59] And then once you realize you're focused on that, you're really like exploring, enjoying, playing, you're having a good time, and you're not thinking about your erection, now you'll notice, oh, the erection just comes, right?
[14:00] And then once you get to that point, then you can start even touching genitals, but still hold off on penetration.
[14:02] And then after you've realized like the genitals are, you
[14:15] realized like the genitals are, you know, it's always working the way I want.
[14:17] know, it's always working the way I want it to.
[14:19] I'm not thinking about it.
[14:19] I'm not stressed.
[14:20] Then finally, you can then introduce penetrative sex again.
[14:23] So, it's just sort of like a gradiated sort.
[14:24] of slow advance into um you know, having sex again, but now kind of focusing on.
[14:31] being more present and mindful and enjoying those sensations.
[14:33] I think a lot of people will be able to do that, but there's also a big contingent of people that just avoid sex.
[14:37] Mhm.
[14:42] It's it's a sore subject in their relationship for whatever reason.
[14:44] Both partners don't know how to communicate.
[14:47] They haven't got the tools to talk about these kind of things openly and honestly.
[14:51] Do you see that a lot as well?
[14:53] Absolutely.
[14:53] I mean, what do you hear in this regard?
[14:55] So, I think it's really sad.
[14:58] I see people come in and they're like, I ask every patient like, "Are you are you having sex?
[15:00] Why not?" Right?
[15:02] Because sometimes they'll say no.
[15:03] And most doctors will be okay.
[15:05] But I always say, "Why not?" Right?
[15:06] Why are you not having sex?
[15:08] Is it because you're having an issue?
[15:09] Is it because you're having pain?
[15:11] What's going on?
[15:13] Right?
[15:13] And often times I'll hear from people that my partner is
[15:16] I'll hear from people that my partner is just not into it and I just sort of gave up and I'm just we just don't have sex anymore.
[15:23] You know, for me that's a red flag because sex is a huge important part of our lives.
[15:29] It is a way we connect with another human being.
[15:34] It's also telling that things are working really well.
[15:38] So, when you have good sexual function, meaning you get an erection well or you get aroused well and you have a good orgasm and everything feels good, that tells me that, hey, you've got great blood flow to your genitals, your nerves are working great, your hormones are sending signals, like all these things are good, right?
[15:53] But also, sex is more than just the act of sex.
[15:58] It also helps you live longer.
[16:01] So, there's been a few studies looking at sex and longevity.
[16:05] And when you look at people who have sex once a week compared to people who have sex once a year, the difference in all cause mortality is 49%.
[16:11] They live 49% longer than people who only have sex once a year.
[16:14] 49% longer.
[16:15] 49% longer.
[16:15] Yeah.
[16:15] Yeah.
[16:18] Yeah. Yeah.
[16:18] Be right back.
[16:18] No, I'm joking.
[16:21] Be right back.
[16:21] No, I'm joking.
[16:22] So, and but even if you're doing like less than once a week, but more than once a year, it still improves your longevity.
[16:27] There was actually interesting study in 1997, I think it was, where they looked at the number of orgasms men had, and they found that men who had for every hundred orgasms men had, they lived like 13% longer.
[16:43] They had a 13% increase in life expectancy.
[16:45] And so, it was really interesting to me just just showing you that like this is not just an act of pleasure and fun.
[16:52] It is obviously, but it's much more than that because people who are having sex clearly have better health and there this connection with people.
[16:58] I mean, loneliness is a big issue right now.
[17:02] The the WHO made loneliness like an epidemic.
[17:03] So, they've said that loneliness is as bad as having like 15 cigarettes.
[17:09] And so, sex is a way to feel connected to another human being.
[17:11] On that data, we're not saying that it's the sex itself that's causing people to live longer.
[17:16] We're I guess it's it's hard to establish causation in terms of
[17:18] hard to establish causation in terms of.
[17:21] Yeah. It's not necessarily sex, but they've looked at like they try to control for other things like age and coorbidities and all these studies and um it's also like sex is a cardiovascular workout, right?
[17:30] For many people is a cardiovascular workout.
[17:32] You are getting a phys physical physical activity with your partner.
[17:35] Um you are increasing your heart rate.
[17:37] You are doing these things that are also good for your body.
[17:41] And the fact that you're able to have sex, right, tells me a lot about it, right?
[17:45] You're you're able to hold a certain position.
[17:47] you're able to u maintain this level of activity without getting short of breath, right?
[17:51] Like these are things that having sex, you know, keeps you healthy to some degree.
[17:56] If I want to make sure that I have great sex, what are some of the foundational things that I need to be thinking of in terms of my lifestyle?
[18:04] Yeah. So, there's four main pillars of sexual health.
[18:06] I like to think of it like your sexual health is your house.
[18:08] And these pillars are the foundation.
[18:11] And if you don't have the foundation, it doesn't matter what else you do.
[18:13] Um, you can try to do everything else to patch up your house, but it's always going to break again because the foundation's not there.
[18:18] So, you've got fuel, and fuel is
[18:22] So, you've got fuel, and fuel is how you nourish your body.
[18:23] A lot of the data I'm going to talk about is about men because there's just a lot more data on men and sexual health, but that doesn't mean that the same things don't apply to women.
[18:32] There's just less less robust data on it.
[18:34] So, when you talk about fuel, the Mediterranean diet is the most studied diet.
[18:39] So, including things like healthy fats like avocados, leafy greens, nuts, and we're going to talk about nuts in a little more detail.
[18:47] These things are super helpful.
[18:49] And obviously having lean proteins, having an abundance of fruits, which we're going to talk about as well.
[18:54] There's a study called the Health Professionals Follow-up Study.
[18:57] They look at 20,000 men, and they saw that men who adhered to a Mediterranean diet had a 22% lower risk of erectile dysfunction.
[19:07] So what specific things in that diet, right?
[19:09] People always like, "What are the superfoods I need to have?"
[19:11] Almonds are great, but pistachios, they actually did a study on pistachios where they looked at 100 grams of pistachios.
[19:17] Guys ate 100 grams of pistachios every day and they saw a decrease in erectile dysfunction.
[19:23] So pistachio nuts will make my penis harder.
[19:23] harder.
[19:25] I mean, so I always say like I don't love to talk about superfoods because then people like, "Oh, I just got to eat pistachios and it's all good, right?"
[19:31] It's it's part of a whole diet, but certainly having nuts because they have great omega-3s, they have healthy fats.
[19:37] These are the reasons that they they really sort of improve diet.
[19:42] Fruit um anything that has sort of flavonoids, so like colorful fruit like blueberries, citrus fruits, um lycopine, which is red fruits, all of these things improve antioxidants and also have been shown to reduce the incidence of erectile dysfunction.
[19:55] So having stronger erections.
[19:57] specifically blueberries actually came out to have I think something around 20% also improvement in erectile function when you're eating blueberries regularly.
[20:06] So lots of I think things in the diet that can be helpful.
[20:09] Also fiber is one that we don't talk about enough.
[20:12] When you eat fiber in your gut it converts to short- chain fatty acids.
[20:15] These short- chain fatty acids then sort of have these endothelop protective mechanisms.
[20:20] They protect the blood vessels.
[20:22] They make them healthier.
[20:23] And so when your blood vessels are
[20:24] And so when your blood vessels are healthier, you get better metabolic
[20:25] healthier, you get better metabolic health. So you get less diabetes, less
[20:27] health. So you get less diabetes, less high blood pressure, less high
[20:28] high blood pressure, less high cholesterol. And these all of these
[20:30] cholesterol. And these all of these things together improve erectile
[20:32] things together improve erectile function.
[20:33] function. >> So I think making sure that you meet the
[20:36] >> So I think making sure that you meet the criteria for fiber, which is 38 grams
[20:38] criteria for fiber, which is 38 grams for men, 25 grams for women, um, is
[20:41] for men, 25 grams for women, um, is really really important. And then
[20:43] really really important. And then obviously managing your calories and a
[20:45] obviously managing your calories and a maintenance, right? because we don't
[20:46] maintenance, right? because we don't want to gain weight because excess
[20:48] want to gain weight because excess atapost tissue or excess fat also puts
[20:50] atapost tissue or excess fat also puts you at higher risk for erectile
[20:52] you at higher risk for erectile dysfunction and other sexual
[20:54] dysfunction and other sexual dysfunctions. Next we have uh strength.
[20:58] dysfunctions. Next we have uh strength. All right.
[21:00] All right. So there's strength where we think about
[21:02] So there's strength where we think about cardiovascular and resistance exercise
[21:04] cardiovascular and resistance exercise but there's also pelvic floor strength.
[21:06] but there's also pelvic floor strength. So we'll start with cardiovascular
[21:08] So we'll start with cardiovascular exercise. The one study that's quoted
[21:10] exercise. The one study that's quoted very often is 150 minutes of exercise of
[21:13] very often is 150 minutes of exercise of cardiovascular exercise moderate
[21:14] cardiovascular exercise moderate intensity. when you look at the
[21:16] intensity. when you look at the improvement in erectile function scores,
[21:19] improvement in erectile function scores, it is the same amount of improvement as
[21:21] it is the same amount of improvement as you would see when you take a medication
[21:23] you would see when you take a medication like Viagra. So, literally, if you do
[21:26] like Viagra. So, literally, if you do 150 minutes a week, you are getting the
[21:28] 150 minutes a week, you are getting the same improvement as you could get with a
[21:30] same improvement as you could get with a medication potentially. And so, I tell
[21:32] medication potentially. And so, I tell people like, look, if you don't want to
[21:34] people like, look, if you don't want to take a pill, this is a great way to
[21:36] take a pill, this is a great way to improve sexual function. Now, you might
[21:38] improve sexual function. Now, you might say, okay, well, I, you know, maybe
[21:40] say, okay, well, I, you know, maybe you're listening and you have heart
[21:42] you're listening and you have heart issues and you can't really do moderate
[21:43] issues and you can't really do moderate intensity exercise. They actually looked
[21:45] intensity exercise. They actually looked at that too. So there was a group where
[21:46] at that too. So there was a group where they looked at men who had heart disease
[21:49] they looked at men who had heart disease and they weren't really able to do
[21:51] and they weren't really able to do moderate intensity exercise. So they did
[21:52] moderate intensity exercise. So they did like a 5minute warm-up. They did 20
[21:54] like a 5minute warm-up. They did 20 minutes of walking and 5 minutes of a
[21:56] minutes of walking and 5 minutes of a cool down. And with this supervised
[21:58] cool down. And with this supervised protocol, they still improve erectile
[22:00] protocol, they still improve erectile function by 70%. So it's all relative to
[22:03] function by 70%. So it's all relative to where you're starting. But any sort of
[22:06] where you're starting. But any sort of cardiovascular exercise that's above
[22:08] cardiovascular exercise that's above what you are capable like what you're
[22:10] what you are capable like what you're doing now is going to improve sexual
[22:12] doing now is going to improve sexual function particularly erectile function
[22:14] function particularly erectile function cuz it's going to improve blood flow to
[22:15] cuz it's going to improve blood flow to the genitals going to improve blood flow
[22:17] the genitals going to improve blood flow to the penis. It's going to improve
[22:18] to the penis. It's going to improve blood flow to the clitoris for women. So
[22:20] blood flow to the clitoris for women. So that's where cardiovascular exercise is
[22:22] that's where cardiovascular exercise is so so important in terms of resistance
[22:24] so so important in terms of resistance exercise. I know these little weights
[22:26] exercise. I know these little weights are probably not sufficient for doing
[22:28] are probably not sufficient for doing much, especially for men, in terms of
[22:30] much, especially for men, in terms of improving um muscular health, but
[22:32] improving um muscular health, but obviously we're not going to bring like
[22:34] obviously we're not going to bring like really heavy weights to the table here.
[22:36] really heavy weights to the table here. So, one, we know that resistance
[22:38] So, one, we know that resistance training is significantly correlated
[22:40] training is significantly correlated with testosterone. So when you do heavy
[22:43] with testosterone. So when you do heavy resistance training of your large muscle
[22:45] resistance training of your large muscle groups, so like your lower extremities,
[22:47] groups, so like your lower extremities, your glutes, you're doing like Olympic
[22:49] your glutes, you're doing like Olympic deadlifts, squats, that sort of stuff,
[22:51] deadlifts, squats, that sort of stuff, you actually see improvements in
[22:53] you actually see improvements in testosterone. Now, it's not going to be
[22:55] testosterone. Now, it's not going to be like you do it once and you get this
[22:57] like you do it once and you get this sustained improvement, but continuous
[22:59] sustained improvement, but continuous sort of regular resistance exercise
[23:01] sort of regular resistance exercise improves testosterone.
[23:03] improves testosterone. There's also data that shows that when
[23:05] There's also data that shows that when men do resistance exercise to maintain
[23:07] men do resistance exercise to maintain muscle mass. So, we know that muscle
[23:09] muscle mass. So, we know that muscle mass decreases about 7% every decade of
[23:12] mass decreases about 7% every decade of life after around 40. When you maintain
[23:14] life after around 40. When you maintain it through resistance exercise, they're
[23:17] it through resistance exercise, they're three times less likely to have erectile
[23:19] three times less likely to have erectile dysfunction.
[23:19] dysfunction. >> Oh, really?
[23:20] >> Oh, really? >> Yeah. So, they maintain erectile
[23:21] >> Yeah. So, they maintain erectile function, they maintain sexual desire,
[23:24] function, they maintain sexual desire, they maintain um satisfaction with sex.
[23:27] they maintain um satisfaction with sex. >> I read a quote yesterday that said
[23:28] >> I read a quote yesterday that said muscle is medicine. And I thought,
[23:30] muscle is medicine. And I thought, that's really true based on everything
[23:31] that's really true based on everything I've learned on this podcast around, you
[23:33] I've learned on this podcast around, you know, like glucose control and and
[23:36] know, like glucose control and and testosterone. And now you're telling me
[23:38] testosterone. And now you're telling me about your sex life.
[23:40] about your sex life. >> Yeah, it is. I think people push back
[23:43] >> Yeah, it is. I think people push back because they think like, why should I
[23:44] because they think like, why should I have to go to the gym? But our lives
[23:46] have to go to the gym? But our lives have changed. We sit at a computer or we
[23:49] have changed. We sit at a computer or we sit at podcasts or we sit all the time.
[23:51] sit at podcasts or we sit all the time. We're not moving. We're not doing manual
[23:53] We're not moving. We're not doing manual labor, which is what a lot of our
[23:56] labor, which is what a lot of our historic history is, right? doing manual
[23:58] historic history is, right? doing manual labor, farming, doing things outside,
[24:00] labor, farming, doing things outside, being physical, and we're meant to be
[24:02] being physical, and we're meant to be physical. We're meant to lift heavy
[24:04] physical. We're meant to lift heavy things. We're meant to move our bodies,
[24:06] things. We're meant to move our bodies, and we're just doing less and less of
[24:07] and we're just doing less and less of it.
[24:08] it. >> So, I think it's so important. Um, the
[24:10] >> So, I think it's so important. Um, the other thing is we want to prevent
[24:11] other thing is we want to prevent sarcopenia. So, sarcopenia is muscle
[24:13] sarcopenia. So, sarcopenia is muscle loss. And when you have muscle loss, um,
[24:16] loss. And when you have muscle loss, um, that also increases your risk of having
[24:19] that also increases your risk of having sexual dysfunction.
[24:20] sexual dysfunction. >> What about the pelvic floor? Like, how
[24:21] >> What about the pelvic floor? Like, how does that come into this story of
[24:23] does that come into this story of >> Oh, yeah. So, we missed that part. So,
[24:25] >> Oh, yeah. So, we missed that part. So, um, the pelvic floor, here's your
[24:28] um, the pelvic floor, here's your pelvis, right? It's this bony structure
[24:30] pelvis, right? It's this bony structure where all your organs live. This is a
[24:32] where all your organs live. This is a female. So, I'm taking out the, uh,
[24:34] female. So, I'm taking out the, uh, internal structures, which is the
[24:36] internal structures, which is the uterus, the rectum, and the bladder. And
[24:38] uterus, the rectum, and the bladder. And so, that's what sits inside the pelvis.
[24:41] so, that's what sits inside the pelvis. And so, you can see this bowl of muscles
[24:43] And so, you can see this bowl of muscles here, right? Interesting. I've never
[24:44] here, right? Interesting. I've never seen.
[24:44] seen. >> And you can see them from the inside,
[24:45] >> And you can see them from the inside, and you could see them from the outside.
[24:47] and you could see them from the outside. That's your anus. And in this person,
[24:49] That's your anus. And in this person, there's a vagina. So, that's the hole
[24:50] there's a vagina. So, that's the hole for the vagina. So you can see that your
[24:52] for the vagina. So you can see that your anus and your vagina run through the
[24:54] anus and your vagina run through the pelvic floor. And in men, your penis
[24:56] pelvic floor. And in men, your penis runs through the pelvic floor. And so
[24:58] runs through the pelvic floor. And so this, let me see if I can show you on
[24:59] this, let me see if I can show you on this model. In this model, you can see
[25:02] this model. In this model, you can see they kind of show you the muscles here
[25:03] they kind of show you the muscles here on the side.
[25:04] on the side. >> Yeah.
[25:05] >> Yeah. >> So these are your pelvic floor muscles
[25:06] >> So these are your pelvic floor muscles that are around the penis and the anus.
[25:10] that are around the penis and the anus. >> Okay.
[25:11] >> Okay. >> Okay. These structures are very
[25:14] >> Okay. These structures are very important for a variety of things. um
[25:16] important for a variety of things. um they attach to your bony landmarks here,
[25:18] they attach to your bony landmarks here, your hips, your sacrum, your pubic
[25:21] your hips, your sacrum, your pubic symphysis. They attach to all these and
[25:24] symphysis. They attach to all these and they sort of just work in the background
[25:26] they sort of just work in the background for most people. How they affect your
[25:28] for most people. How they affect your sexual function is when you orgasm,
[25:31] sexual function is when you orgasm, these muscles contract and release at a
[25:35] these muscles contract and release at a at a rhythmic contraction of8 seconds.
[25:37] at a rhythmic contraction of8 seconds. And so you may feel that, right? There's
[25:39] And so you may feel that, right? There's like this pulsing feeling when you
[25:40] like this pulsing feeling when you orgasm. And that's these muscles sort of
[25:42] orgasm. And that's these muscles sort of doing that. And when men ejaculate, the
[25:45] doing that. And when men ejaculate, the pelvic floor muscles are contracting to
[25:47] pelvic floor muscles are contracting to help shoot the ejaculate out. They
[25:49] help shoot the ejaculate out. They squeeze when you need to keep things in.
[25:51] squeeze when you need to keep things in. So they'll keep urine in, they'll keep
[25:53] So they'll keep urine in, they'll keep um your stool in, and they relax when
[25:55] um your stool in, and they relax when you need to pee in, when you need to
[25:57] you need to pee in, when you need to defecate.
[25:58] defecate. >> So when you're trying to hold a wee,
[25:59] >> So when you're trying to hold a wee, you're like tightening your pelvic
[26:00] you're like tightening your pelvic floor.
[26:01] floor. >> Correct. Correct. But these are also
[26:03] >> Correct. Correct. But these are also responsive to stress. So, just like
[26:05] responsive to stress. So, just like people get TMJ where they get tense in
[26:08] people get TMJ where they get tense in their jaw cuz they are stressed and they
[26:10] their jaw cuz they are stressed and they like sleep at night and they clench up
[26:11] like sleep at night and they clench up their jaw. They don't really know
[26:12] their jaw. They don't really know they're doing it, the same thing can
[26:14] they're doing it, the same thing can happen. These muscles can get very tight
[26:16] happen. These muscles can get very tight or they can get misaligned. So, say you
[26:18] or they can get misaligned. So, say you have a hip injury or say you have a back
[26:20] have a hip injury or say you have a back injury, the muscles can compensate by
[26:22] injury, the muscles can compensate by tightening up. And so, a lot of people
[26:24] tightening up. And so, a lot of people unknowingly have tension in these
[26:26] unknowingly have tension in these muscles and it can present in a multiple
[26:29] muscles and it can present in a multiple different ways. It can present with back
[26:31] different ways. It can present with back pain. It can present with constipation.
[26:35] pain. It can present with constipation. It can present with urgency frequency
[26:37] It can present with urgency frequency because remember your bladder is sitting
[26:39] because remember your bladder is sitting right here on top of these muscles. So
[26:41] right here on top of these muscles. So when the muscles are tense, your bladder
[26:43] when the muscles are tense, your bladder is feeling like there's something
[26:46] is feeling like there's something something activating it. And so it's
[26:47] something activating it. And so it's like, oh man, I got to pee. That means I
[26:49] like, oh man, I got to pee. That means I have to pee. This tension is telling my
[26:50] have to pee. This tension is telling my bladder I have to pee. But it's really
[26:52] bladder I have to pee. But it's really that your bladder is not that full. It's
[26:53] that your bladder is not that full. It's that these muscles are telling you to do
[26:55] that these muscles are telling you to do that. You can also have trouble peeing
[26:57] that. You can also have trouble peeing because you can see that your urethra
[26:58] because you can see that your urethra goes through here. And if the muscles
[27:00] goes through here. And if the muscles are really tight, sometimes it can be
[27:01] are really tight, sometimes it can be difficult to urinate because it clenches
[27:03] difficult to urinate because it clenches off the pee. And then with sex, it can
[27:06] off the pee. And then with sex, it can cause pain. If they're really tight, it
[27:08] cause pain. If they're really tight, it can prevent blood from getting to the
[27:10] can prevent blood from getting to the genital organs. So for men, they can
[27:12] genital organs. So for men, they can have erectile dysfunction. For women,
[27:15] have erectile dysfunction. For women, they can have difficulty getting orgasms
[27:17] they can have difficulty getting orgasms or difficulty getting arousal because
[27:19] or difficulty getting arousal because they're not getting blood flow to the
[27:21] they're not getting blood flow to the clitoris. Sometimes they can also cause
[27:23] clitoris. Sometimes they can also cause premature ejaculation in men. And so
[27:25] premature ejaculation in men. And so these muscles are so important and all
[27:28] these muscles are so important and all we hear about is keigull and keigull are
[27:30] we hear about is keigull and keigull are exercises to strengthen these muscles.
[27:32] exercises to strengthen these muscles. But keigull are good when you have a
[27:34] But keigull are good when you have a normal pelvic floor. Meaning like
[27:36] normal pelvic floor. Meaning like there's no tension. It's completely
[27:38] there's no tension. It's completely normal. It's acting normal. You're not
[27:39] normal. It's acting normal. You're not having any symptoms at all. But if you
[27:41] having any symptoms at all. But if you have any of the symptoms I talked about,
[27:42] have any of the symptoms I talked about, doing keles might make it worse because
[27:44] doing keles might make it worse because you're now tightening muscles that are
[27:46] you're now tightening muscles that are already tight.
[27:47] already tight. >> We also talked about pelvic floor
[27:49] >> We also talked about pelvic floor relaxation. Doing exercises to
[27:51] relaxation. Doing exercises to specifically relax these muscles. So
[27:53] specifically relax these muscles. So that can be diaphragmatic breathing.
[27:56] that can be diaphragmatic breathing. That can be doing like a figure four
[27:58] That can be doing like a figure four stretch. That can be doing happy baby
[28:01] stretch. That can be doing happy baby pose which are yoga poses or child's
[28:03] pose which are yoga poses or child's pose. All these things can sort of
[28:05] pose. All these things can sort of stretch and lengthen these muscles so
[28:07] stretch and lengthen these muscles so they can learn to relax again. Now when
[28:09] they can learn to relax again. Now when it's really bad, you have to go see a
[28:11] it's really bad, you have to go see a pelvic floor physical therapist who can
[28:13] pelvic floor physical therapist who can really work with you to identify which
[28:14] really work with you to identify which of the muscles are maybe more
[28:16] of the muscles are maybe more dysfunctional and maybe work
[28:17] dysfunctional and maybe work specifically on those. Um but I think
[28:20] specifically on those. Um but I think it's it's so important. that's under
[28:21] it's it's so important. that's under evvaluated, underd discussed when it
[28:24] evvaluated, underd discussed when it comes to sexual function. It's a hugely
[28:26] comes to sexual function. It's a hugely important part of sexual function.
[28:29] important part of sexual function. >> How many people are struggling with
[28:31] >> How many people are struggling with these issues, specifically the like
[28:34] these issues, specifically the like erectile dysfunction issues and what age
[28:36] erectile dysfunction issues and what age are they?
[28:37] are they? >> Yeah. So, it starts early. I think
[28:39] >> Yeah. So, it starts early. I think there's always been a sort of a
[28:40] there's always been a sort of a disconnect where we think young guys
[28:42] disconnect where we think young guys don't have this or if they have it, it's
[28:43] don't have this or if they have it, it's all in their head. That's not
[28:45] all in their head. That's not necessarily true. Many young men do
[28:47] necessarily true. Many young men do develop erectile dysfunction because of
[28:49] develop erectile dysfunction because of biologic factors, but the data is really
[28:52] biologic factors, but the data is really robust on older guys. So above the age
[28:54] robust on older guys. So above the age of 50, we see 52% of men having erectile
[28:58] of 50, we see 52% of men having erectile dysfunction, which is
[28:59] dysfunction, which is >> 52%.
[29:01] >> 52%. >> And it goes up 10% every decade. So 60%
[29:05] >> And it goes up 10% every decade. So 60% of 60-y olds, 70% of 70 year olds. So
[29:07] of 60-y olds, 70% of 70 year olds. So erectile dysfunction continues to
[29:09] erectile dysfunction continues to worsen. This happens because one, you
[29:12] worsen. This happens because one, you know, our blood vessels get older, they
[29:14] know, our blood vessels get older, they get stiffer, they're not functioning as
[29:16] get stiffer, they're not functioning as well as they should. And we're seeing
[29:18] well as they should. And we're seeing also a rise in all these other comorbid
[29:20] also a rise in all these other comorbid conditions like diabetes, cholesterol,
[29:22] conditions like diabetes, cholesterol, high blood pressure. All these affect
[29:24] high blood pressure. All these affect how healthy your blood vessels are. And
[29:26] how healthy your blood vessels are. And so with these, they see the problem in
[29:29] so with these, they see the problem in their penis or in in women's case in
[29:31] their penis or in in women's case in their clitoris before they see heart
[29:33] their clitoris before they see heart disease or strokes or brain issues or
[29:35] disease or strokes or brain issues or dementia. And I think this is worth
[29:37] dementia. And I think this is worth pausing on which is a erectile
[29:40] pausing on which is a erectile dysfunction problem is a often a symptom
[29:43] dysfunction problem is a often a symptom of a cardiovascular issue. Right.
[29:45] of a cardiovascular issue. Right. >> Yeah. We call it a canary in a coal
[29:47] >> Yeah. We call it a canary in a coal mine. So it is like telling you that
[29:49] mine. So it is like telling you that something bad is coming. So the data
[29:51] something bad is coming. So the data would support that when you have
[29:53] would support that when you have erectile dysfunction if it's because of
[29:56] erectile dysfunction if it's because of an organic reason, right? not
[29:57] an organic reason, right? not psychoggenic but most people I think
[29:58] psychoggenic but most people I think have a combination of both that within 3
[30:01] have a combination of both that within 3 to 5 years you will start developing
[30:03] to 5 years you will start developing issues with your heart and so it
[30:06] issues with your heart and so it precedes those issues and if 7 years
[30:09] precedes those issues and if 7 years later 14% of those guys will have a
[30:12] later 14% of those guys will have a heart attack and so it's really an
[30:14] heart attack and so it's really an opportunity sexual problems are an
[30:17] opportunity sexual problems are an opportunity to look inside to figure out
[30:20] opportunity to look inside to figure out what's going on and to investigate and
[30:22] what's going on and to investigate and to change your life
[30:23] to change your life >> and when you say erectile dysfunction we
[30:25] >> and when you say erectile dysfunction we should probably define what that means
[30:26] should probably define what that means because there's going to be a lot of
[30:27] because there's going to be a lot of guys sat at home now thinking, "Oh my
[30:29] guys sat at home now thinking, "Oh my god, like my penis is a bit softer than
[30:31] god, like my penis is a bit softer than usual."
[30:31] usual." >> Yeah. So, erectile dysfunction is
[30:34] >> Yeah. So, erectile dysfunction is defined as the inability to maintain an
[30:36] defined as the inability to maintain an erection that's sufficient for
[30:38] erection that's sufficient for intercourse. So, you can get an
[30:40] intercourse. So, you can get an erection, but it goes away before you
[30:42] erection, but it goes away before you ejaculate or climax.
[30:44] ejaculate or climax. >> And so, that's typically and I think
[30:45] >> And so, that's typically and I think it's really important to differentiate
[30:46] it's really important to differentiate that from something like premature
[30:48] that from something like premature ejaculation where you climax too soon.
[30:51] ejaculation where you climax too soon. So, you ejaculate before you're want to.
[30:54] So, you ejaculate before you're want to. Uh, but that doesn't mean that you have
[30:56] Uh, but that doesn't mean that you have a problem maintaining your erection.
[30:57] a problem maintaining your erection. That's a whole different process.
[30:59] That's a whole different process. >> I've got a friend, people are gonna
[31:01] >> I've got a friend, people are gonna think I'm talking about myself because I
[31:02] think I'm talking about myself because I use that phrase a lot. I've got a
[31:03] use that phrase a lot. I've got a friend. He's um he's almost 40 years old
[31:06] friend. He's um he's almost 40 years old and I've heard him say on several
[31:09] and I've heard him say on several occasions that he's lost his erection
[31:11] occasions that he's lost his erection during sex. Is that erectile
[31:13] during sex. Is that erectile dysfunction? But what if he can keep his
[31:16] dysfunction? But what if he can keep his erection watching porn?
[31:18] erection watching porn? >> Well, so that's more multiffactorial,
[31:20] >> Well, so that's more multiffactorial, right? So I think if you lose it once or
[31:22] right? So I think if you lose it once or twice, right? Most guys will have an
[31:24] twice, right? Most guys will have an issue where they lose an erection at
[31:25] issue where they lose an erection at some point in their life. I think the
[31:26] some point in their life. I think the important thing is not to catastrophize.
[31:28] important thing is not to catastrophize. It's a problem when it becomes a
[31:30] It's a problem when it becomes a routine. Now, if someone is telling me,
[31:32] routine. Now, if someone is telling me, "Hey, I can watch porn and maintain my
[31:34] "Hey, I can watch porn and maintain my erection, but I can't with a partner."
[31:36] erection, but I can't with a partner." There's multiple different reasons for
[31:38] There's multiple different reasons for that that could be at play. One is that
[31:40] that that could be at play. One is that there's no pressure, right? You're by
[31:41] there's no pressure, right? You're by yourself. You're watching porn. There's
[31:43] yourself. You're watching porn. There's no pressure of performance. There's no
[31:45] no pressure of performance. There's no anxiety of performance. So, that may be
[31:46] anxiety of performance. So, that may be part of it. Other thing may be that that
[31:49] part of it. Other thing may be that that level of arousal that you're getting
[31:51] level of arousal that you're getting from porn. If you're watching like let's
[31:52] from porn. If you're watching like let's say the same kind of porn every time,
[31:54] say the same kind of porn every time, you're masturbating the same way every
[31:56] you're masturbating the same way every time, maybe using a firm grip or some
[31:58] time, maybe using a firm grip or some people will masturbate like uh facing
[32:00] people will masturbate like uh facing the bed or um you know against hard
[32:03] the bed or um you know against hard objects. And so that
[32:05] objects. And so that >> against hot objects.
[32:07] >> against hot objects. >> Yeah. Like the their fist or something.
[32:09] >> Yeah. Like the their fist or something. And so that u can't be replicated by a
[32:12] And so that u can't be replicated by a person, right? You can't replicate those
[32:14] person, right? You can't replicate those behaviors by a vagina or a mouth. If you
[32:18] behaviors by a vagina or a mouth. If you become habituated to a certain thing
[32:20] become habituated to a certain thing that turns you on and that's the only
[32:23] that turns you on and that's the only thing that really gets you going and
[32:25] thing that really gets you going and that's that's something that you can't
[32:26] that's that's something that you can't really get with your partner, then it
[32:28] really get with your partner, then it will be difficult to reach the level of
[32:30] will be difficult to reach the level of arousal that you need to get an
[32:32] arousal that you need to get an erection.
[32:32] erection. >> Okay. So, two questions then. So,
[32:34] >> Okay. So, two questions then. So, >> that doesn't count as erectile
[32:36] >> that doesn't count as erectile dysfunction. If you can get an erection
[32:38] dysfunction. If you can get an erection watching porn but can't get it with your
[32:39] watching porn but can't get it with your partner.
[32:40] partner. >> Yeah, it may or may not be. So, if you
[32:42] >> Yeah, it may or may not be. So, if you wake up with your morning erection,
[32:44] wake up with your morning erection, that's great. That's a sign. That's when
[32:45] that's great. That's a sign. That's when there's nothing else at play, right? You
[32:47] there's nothing else at play, right? You are just that tells me that your body's
[32:49] are just that tells me that your body's functioning well. You've got good blood
[32:50] functioning well. You've got good blood flow, good uh good hormones working, got
[32:52] flow, good uh good hormones working, got a good amount of testosterone, and your
[32:54] a good amount of testosterone, and your nerves are working well, and you're
[32:56] nerves are working well, and you're getting a good morning erection. Now,
[32:58] getting a good morning erection. Now, morning erections or nighttime erections
[33:00] morning erections or nighttime erections are normal, and they're healthy. So,
[33:02] are normal, and they're healthy. So, when you're a young boy, you get
[33:04] when you're a young boy, you get actually like erections three to five
[33:06] actually like erections three to five times a night, and they can last up to
[33:07] times a night, and they can last up to 40 minutes long. So you can spend a lot
[33:10] 40 minutes long. So you can spend a lot of your night with an erection. When you
[33:12] of your night with an erection. When you get older, like in your 40s, that drops
[33:14] get older, like in your 40s, that drops to about half the time. So maybe
[33:16] to about half the time. So maybe erections are a little shorter that they
[33:18] erections are a little shorter that they maybe max out at 30 minutes, but
[33:19] maybe max out at 30 minutes, but sometimes they're shorter. You should
[33:21] sometimes they're shorter. You should still be getting three to five erections
[33:22] still be getting three to five erections at night. You won't know all of these,
[33:24] at night. You won't know all of these, but typically you wake up with a morning
[33:25] but typically you wake up with a morning erection. And so if you're not getting
[33:27] erection. And so if you're not getting morning erections, that tells me that,
[33:29] morning erections, that tells me that, hey, there's something going on that we
[33:31] hey, there's something going on that we should address. And on your other point
[33:33] should address. And on your other point about how you masturbate impacting your
[33:35] about how you masturbate impacting your sex life, I imagine that applies to men
[33:38] sex life, I imagine that applies to men and women.
[33:39] and women. >> Absolutely.
[33:39] >> Absolutely. >> And are you saying that if there's a
[33:41] >> And are you saying that if there's a particular way you get yourself off in
[33:43] particular way you get yourself off in private
[33:44] private that is very hard for the other person
[33:46] that is very hard for the other person to replicate, you might become
[33:47] to replicate, you might become desensitized to that?
[33:49] desensitized to that? >> You might just get habituated. I don't
[33:50] >> You might just get habituated. I don't think desensitized, but habituated is
[33:53] think desensitized, but habituated is like you might just your body just might
[33:54] like you might just your body just might respond really well to that particular
[33:57] respond really well to that particular stimulation. Now, that's not inherently
[33:58] stimulation. Now, that's not inherently a bad thing, right? If that's what gets
[34:01] a bad thing, right? If that's what gets you off and you and your partner are
[34:02] you off and you and your partner are okay with you doing that together,
[34:04] okay with you doing that together, right? You may mutually masturbate
[34:06] right? You may mutually masturbate together and that's fun for you and you
[34:07] together and that's fun for you and you guys enjoy it, there's no problem with
[34:09] guys enjoy it, there's no problem with it. It's just knowing what's going on,
[34:11] it. It's just knowing what's going on, right? And sort of deciding like, okay,
[34:13] right? And sort of deciding like, okay, if this is a problem, let me try to
[34:15] if this is a problem, let me try to diversify what I do during my solo sex
[34:18] diversify what I do during my solo sex periods or let me take a little break
[34:20] periods or let me take a little break and kind of uh try something, you know,
[34:22] and kind of uh try something, you know, just not masturbate for a little while
[34:24] just not masturbate for a little while and come back to it later. The fact that
[34:25] and come back to it later. The fact that we get an erection in the morning, does
[34:27] we get an erection in the morning, does that mean that's we're supposed to have
[34:29] that mean that's we're supposed to have sex in the morning? From like an
[34:30] sex in the morning? From like an evolutionary perspective,
[34:31] evolutionary perspective, >> not necessarily. It's just it's the way
[34:33] >> not necessarily. It's just it's the way your body releases testosterone is one
[34:35] your body releases testosterone is one of the reasons this happens is overnight
[34:37] of the reasons this happens is overnight your body is making more testosterone.
[34:39] your body is making more testosterone. That's when your body sort of has
[34:41] That's when your body sort of has nocturnal testosterone production. And
[34:43] nocturnal testosterone production. And so it's highest in the morning, which is
[34:45] so it's highest in the morning, which is why often you get a morning erection.
[34:47] why often you get a morning erection. And you know it just means that some
[34:50] And you know it just means that some people will have more desire also in the
[34:52] people will have more desire also in the morning because testosterone is a
[34:53] morning because testosterone is a hormone of desire.
[34:55] hormone of desire. >> Is it the same for women?
[34:56] >> Is it the same for women? >> Yeah. So women um women also have
[35:00] >> Yeah. So women um women also have nocturnal clitoreral tumescence. Same
[35:02] nocturnal clitoreral tumescence. Same sort of pattern and they won't
[35:04] sort of pattern and they won't necessarily know it right because they
[35:06] necessarily know it right because they can't visualize it. But you know you can
[35:08] can't visualize it. But you know you can some women may know sort of feel that
[35:10] some women may know sort of feel that pelvic congestion or like feeling that
[35:12] pelvic congestion or like feeling that there's a bunch of like blood flow in
[35:13] there's a bunch of like blood flow in the area. But most will not and that's
[35:16] the area. But most will not and that's okay. But your body protects itself. So
[35:18] okay. But your body protects itself. So you've heard the term use it or lose it,
[35:19] you've heard the term use it or lose it, right? People are like your body's
[35:21] right? People are like your body's protecting itself. You don't have to
[35:23] protecting itself. You don't have to have sex. If your body is healthy, it
[35:25] have sex. If your body is healthy, it will do this all night to keep your
[35:27] will do this all night to keep your genitals healthy. It will make sure that
[35:29] genitals healthy. It will make sure that your genitals are getting blood flow
[35:30] your genitals are getting blood flow even if you're not having sex. But if
[35:33] even if you're not having sex. But if you stop having those nighttime
[35:35] you stop having those nighttime erections, now is it becomes more of a
[35:37] erections, now is it becomes more of a problem because over time, say you stop
[35:40] problem because over time, say you stop having erections or cleral tumes for
[35:42] having erections or cleral tumes for months, years, right? And then there's
[35:46] months, years, right? And then there's no blood flow to those areas over time.
[35:48] no blood flow to those areas over time. And actually I can show you here. This
[35:50] And actually I can show you here. This is a a pelvic model. And here this this
[35:54] is a a pelvic model. And here this this purple thing here is called the corpora.
[35:57] purple thing here is called the corpora. And this is like a really nice spongy
[35:59] And this is like a really nice spongy tissue that fills with blood. And when
[36:02] tissue that fills with blood. And when it fills with blood, it expands and
[36:03] it fills with blood, it expands and lengthens. And then um the blood stays
[36:06] lengthens. And then um the blood stays there until you're done with your
[36:08] there until you're done with your stimulation. And then it goes back. And
[36:10] stimulation. And then it goes back. And so if there's no healthy fresh blood
[36:12] so if there's no healthy fresh blood getting to the penis on a regular basis
[36:15] getting to the penis on a regular basis either through nighttime erections or
[36:16] either through nighttime erections or through sex with your partner then you
[36:18] through sex with your partner then you will get fibrosis of these tissues. That
[36:21] will get fibrosis of these tissues. That means you get a little scar in the in
[36:23] means you get a little scar in the in the tissues and then over time you might
[36:25] the tissues and then over time you might see some shrinkage of the penis. And so
[36:27] see some shrinkage of the penis. And so it is really important to maintain also
[36:30] it is really important to maintain also good health of these tissues. And the
[36:31] good health of these tissues. And the same goes for women with their clitoris
[36:34] same goes for women with their clitoris because it's the same type of tissue. In
[36:35] because it's the same type of tissue. In fact, if you look at the clitoris, it is
[36:38] fact, if you look at the clitoris, it is this is the part that you see. We don't
[36:39] this is the part that you see. We don't really We don't have a clitoris.
[36:41] really We don't have a clitoris. >> That one there.
[36:42] >> That one there. >> This is a uterus.
[36:49] >> You're going to keep that in.
[36:51] >> You're going to keep that in. >> Okay. I can show you here. There we go.
[36:53] >> Okay. I can show you here. There we go. There's this like she told me.
[36:54] There's this like she told me. >> Is it crazy?
[36:56] >> Is it crazy? >> Okay. Yeah. This is good. This is good.
[36:58] >> Okay. Yeah. This is good. This is good. Okay. They told me they don't say
[36:59] Okay. They told me they don't say glitter.
[37:04] >> That's a little That's a Yeah. Okay.
[37:08] >> That's a little That's a Yeah. Okay. >> They told me
[37:10] >> They told me >> you're not going to live that one down.
[37:11] >> you're not going to live that one down. >> You asked the team where the ClariS was.
[37:13] >> You asked the team where the ClariS was. Did you ask the team where the clitoris
[37:15] Did you ask the team where the clitoris was?
[37:16] was? >> Well, I'm I'm worried about who said
[37:18] >> Well, I'm I'm worried about who said that, too. Um, okay. So,
[37:21] that, too. Um, okay. So, so let's talk about the female anatomy.
[37:23] so let's talk about the female anatomy. This is a pelvic model. And here, um,
[37:25] This is a pelvic model. And here, um, you can see this is the vagina. This is
[37:28] you can see this is the vagina. This is the urethra where you pee from. This is
[37:30] the urethra where you pee from. This is your labia minora. And you can't see the
[37:32] your labia minora. And you can't see the labia majora, but they would be out
[37:34] labia majora, but they would be out here, right? So, inner lips, outer lips.
[37:36] here, right? So, inner lips, outer lips. Now, this up here is your clitorol
[37:39] Now, this up here is your clitorol glands. So, it's the same as the glands
[37:41] glands. So, it's the same as the glands of the penis. And so, this is all you
[37:43] of the penis. And so, this is all you see, right? It also has a little
[37:45] see, right? It also has a little covering, which you can't see here. Just
[37:46] covering, which you can't see here. Just like men have foreskin, women have a
[37:48] like men have foreskin, women have a clitoreral hood that covers the the head
[37:50] clitoreral hood that covers the the head of the the clitoris. And so when you
[37:53] of the the clitoris. And so when you look at the clitoris on the inside,
[37:55] look at the clitoris on the inside, which we can't see perfectly here, but
[37:56] which we can't see perfectly here, but I'm going to just take this out. Um, it
[37:59] I'm going to just take this out. Um, it actually goes all the way back like
[38:02] actually goes all the way back like this. So if you were to feel from the
[38:04] this. So if you were to feel from the vagina, from the vaginal side, it would
[38:05] vagina, from the vaginal side, it would be at the very top of the vagina going
[38:08] be at the very top of the vagina going all the way back. These are the these
[38:10] all the way back. These are the these blue things are the clitoreral bulbs
[38:12] blue things are the clitoreral bulbs here. Um, so and these are the legs of
[38:16] here. Um, so and these are the legs of the clitoris here on the side. And so
[38:18] the clitoris here on the side. And so this is essentially the homalogue of the
[38:21] this is essentially the homalogue of the penis. So if I take the penis and we
[38:23] penis. So if I take the penis and we don't have a like a full model here.
[38:26] don't have a like a full model here. What does homalues mean?
[38:27] What does homalues mean? >> So homologues means that they're
[38:28] >> So homologues means that they're essentially the same structure. They're
[38:30] essentially the same structure. They're made from the same cells but they're in
[38:32] made from the same cells but they're in the male and the female. So here you can
[38:35] the male and the female. So here you can see this is if this is your penis. This
[38:38] see this is if this is your penis. This is what you see up to here. This is the
[38:39] is what you see up to here. This is the bone. This is your fat up here. And then
[38:42] bone. This is your fat up here. And then here it goes deep into the pelvis. And
[38:45] here it goes deep into the pelvis. And so here's your testicles, right? And so
[38:47] so here's your testicles, right? And so below the testicles, this area of the
[38:49] below the testicles, this area of the paranneeium, you also have penal tissue
[38:52] paranneeium, you also have penal tissue sort of that you can palpate from this
[38:54] sort of that you can palpate from this side um that's coming all the way down.
[38:56] side um that's coming all the way down. And if you had sort of a 3D model, you'd
[38:58] And if you had sort of a 3D model, you'd see that it forks out just like the
[38:59] see that it forks out just like the clitoris does.
[39:00] clitoris does. >> So does clitoral stimulation feel like
[39:04] >> So does clitoral stimulation feel like stimulating someone's tip of their
[39:06] stimulating someone's tip of their penis?
[39:07] penis? >> Exactly. And so you could think if
[39:08] >> Exactly. And so you could think if someone just stimulated the head of the
[39:10] someone just stimulated the head of the penis, they uh it would be fine. It
[39:14] penis, they uh it would be fine. It would be nice, but it's probably better
[39:15] would be nice, but it's probably better if you stimulate more of the clitoris or
[39:17] if you stimulate more of the clitoris or more of the penis. That's why you can
[39:19] more of the penis. That's why you can stimulate obviously the external the
[39:21] stimulate obviously the external the clitoris, but you can also stimulate
[39:23] clitoris, but you can also stimulate from the inside. And some people are
[39:25] from the inside. And some people are more responsive to that than others.
[39:27] more responsive to that than others. What you hear of is like the G-spot or
[39:29] What you hear of is like the G-spot or the Gzone, right? And the G-spot or
[39:31] the Gzone, right? And the G-spot or Gzone is if you were to go in the inside
[39:34] Gzone is if you were to go in the inside of the vagina at the top side, which I
[39:36] of the vagina at the top side, which I can't really stick this in here, but it
[39:38] can't really stick this in here, but it would be about 2 cm in at the top. And
[39:40] would be about 2 cm in at the top. And that's because that's an area where
[39:42] that's because that's an area where there's a lot of nerves endings. One,
[39:44] there's a lot of nerves endings. One, you can palpate the clitoris basically
[39:46] you can palpate the clitoris basically throughout the entire anterior wall, but
[39:48] throughout the entire anterior wall, but also there's the skins glands, which are
[39:50] also there's the skins glands, which are these glands that sit underneath the
[39:52] these glands that sit underneath the urethra, and they're the homalogue of
[39:53] urethra, and they're the homalogue of the male prostate. And so, they're right
[39:57] the male prostate. And so, they're right there, and then the vagina is there. And
[39:58] there, and then the vagina is there. And so, that's an area that can be very
[40:00] so, that's an area that can be very enjoyable to stimulate. It's not
[40:02] enjoyable to stimulate. It's not necessarily always going to lead to
[40:04] necessarily always going to lead to orgasm because some people have
[40:06] orgasm because some people have different sort of distance between the
[40:08] different sort of distance between the clitoreral body and the vagina. So some
[40:11] clitoreral body and the vagina. So some people have less distance may feel it
[40:14] people have less distance may feel it better than some that don't. Uh but
[40:16] better than some that don't. Uh but ultimately um that's why that area is so
[40:18] ultimately um that's why that area is so sensitive for many women. On this point
[40:20] sensitive for many women. On this point of um morning erections, I was thinking
[40:23] of um morning erections, I was thinking much of the reason why I've always been
[40:25] much of the reason why I've always been cautious of having sex in the morning or
[40:27] cautious of having sex in the morning or even like masturbating in the morning or
[40:28] even like masturbating in the morning or anything like that is I'm worried that
[40:30] anything like that is I'm worried that it will cause a dopamine crash which
[40:32] it will cause a dopamine crash which will make me feel lazy and lethargic.
[40:34] will make me feel lazy and lethargic. >> Well, so when you think about what
[40:36] >> Well, so when you think about what happens during an orgasm is you have
[40:38] happens during an orgasm is you have this release of dopamine and then you
[40:40] this release of dopamine and then you your prolactin goes up and sort of like
[40:43] your prolactin goes up and sort of like everything calms down. Now some people
[40:46] everything calms down. Now some people feel a a sense of clarity. They call it
[40:48] feel a a sense of clarity. They call it postnut clarity, right? they feel clear,
[40:50] postnut clarity, right? they feel clear, they feel like motivated to do stuff,
[40:51] they feel like motivated to do stuff, they feel uh excited to go do something
[40:54] they feel uh excited to go do something else and they sort of move on from what
[40:55] else and they sort of move on from what they're doing. There's some people who
[40:56] they're doing. There's some people who feel post-coidal dysphoria. They
[40:58] feel post-coidal dysphoria. They actually feel sad or they feel depressed
[41:00] actually feel sad or they feel depressed after they orgasm. And we don't know
[41:03] after they orgasm. And we don't know exactly why this happens, but it is
[41:05] exactly why this happens, but it is because of this dramatic change in sort
[41:08] because of this dramatic change in sort of neurochemical signaling in the brain.
[41:10] of neurochemical signaling in the brain. And for those people who have it, it can
[41:12] And for those people who have it, it can be days where they sort of like feel
[41:14] be days where they sort of like feel bad. It can be hours where they feel
[41:16] bad. It can be hours where they feel sad. And so it can be really traumatic.
[41:18] sad. And so it can be really traumatic. So pillar two, what's pillar two of the
[41:21] So pillar two, what's pillar two of the four pillars of men's sexual health?
[41:23] four pillars of men's sexual health? >> We talked about strength.
[41:24] >> We talked about strength. >> Okay, so we did strength, we did fuel.
[41:27] >> Okay, so we did strength, we did fuel. >> What's pillar three?
[41:28] >> What's pillar three? >> Pillar three is environment. So we can
[41:29] >> Pillar three is environment. So we can start with the easy stuff and that's
[41:31] start with the easy stuff and that's stress, right? Everyone knows stress is
[41:33] stress, right? Everyone knows stress is bad. But I think the thing is people
[41:35] bad. But I think the thing is people just think like h I'll just I'll deal
[41:37] just think like h I'll just I'll deal with it. Everyone's stressed. Like
[41:38] with it. Everyone's stressed. Like what's it's normal to be stressed? If
[41:40] what's it's normal to be stressed? If you are chronically stressed, that means
[41:43] you are chronically stressed, that means your cortisol is raised all the time,
[41:45] your cortisol is raised all the time, which is dampening your testosterone,
[41:47] which is dampening your testosterone, which is also keeping you in the
[41:49] which is also keeping you in the sympathetic state, and you just cannot
[41:51] sympathetic state, and you just cannot get in your mind space and in the
[41:54] get in your mind space and in the nervous system place to actually have
[41:56] nervous system place to actually have sex. So, that's super important. And I
[41:59] sex. So, that's super important. And I think, you know, there's lots of
[42:00] think, you know, there's lots of different ways to alleviate stress. You
[42:03] different ways to alleviate stress. You got to figure out what works for you.
[42:04] got to figure out what works for you. Um, for some people, using a stress
[42:06] Um, for some people, using a stress ball, even just at work. And I think
[42:08] ball, even just at work. And I think part of it you can actually incorporate
[42:10] part of it you can actually incorporate some intimacy. There's some evidence,
[42:11] some intimacy. There's some evidence, you know, the Gottmans have been on your
[42:13] you know, the Gottmans have been on your podcast doing a 20 second hug. So
[42:16] podcast doing a 20 second hug. So standing with your partner or loved one
[42:18] standing with your partner or loved one and hugging for 20 seconds on your own
[42:21] and hugging for 20 seconds on your own like independent gravity
[42:23] like independent gravity >> actually helps alleviate stress and
[42:25] >> actually helps alleviate stress and break sort of a stress loop. Doing a
[42:27] break sort of a stress loop. Doing a six-second kiss with your partner. And
[42:30] six-second kiss with your partner. And so it seems like six seconds, no big
[42:32] so it seems like six seconds, no big deal, but actually if you time it, it's
[42:33] deal, but actually if you time it, it's like hm if I'm just doing a kiss and I'm
[42:34] like hm if I'm just doing a kiss and I'm not like actually it's a little bit
[42:36] not like actually it's a little bit longer than normal. And so these sort of
[42:38] longer than normal. And so these sort of small things can help alleviate stress.
[42:41] small things can help alleviate stress. Any type of movement can be really
[42:42] Any type of movement can be really beneficial.
[42:43] beneficial. >> The gym is great as well.
[42:45] >> The gym is great as well. >> The other thing is just having like
[42:47] >> The other thing is just having like interactions with people. And so that's
[42:48] interactions with people. And so that's where we're becoming more isolated. But
[42:50] where we're becoming more isolated. But even just like talking to the barista or
[42:52] even just like talking to the barista or talking to someone at the grocery store,
[42:54] talking to someone at the grocery store, this again tells your brain that you're
[42:56] this again tells your brain that you're in a safe space, like you're talking to
[42:58] in a safe space, like you're talking to someone. They're having a normal social
[42:59] someone. They're having a normal social interaction.
[43:01] interaction. So, and then being creative. And we've
[43:03] So, and then being creative. And we've been trying to work with this work on
[43:04] been trying to work with this work on this with our kids because there's so
[43:06] this with our kids because there's so much external stimuli all the time,
[43:07] much external stimuli all the time, right? They want to play video games,
[43:09] right? They want to play video games, they want to watch TV, they want to play
[43:10] they want to watch TV, they want to play sports, but we want them to be bored and
[43:13] sports, but we want them to be bored and be creative, like come up with creative
[43:14] be creative, like come up with creative ideas to keep themselves
[43:17] ideas to keep themselves interested and engaged in a different
[43:18] interested and engaged in a different way. So, I think that's so so important.
[43:21] way. So, I think that's so so important. And outside of stress, sleep. Um, sleep
[43:24] And outside of stress, sleep. Um, sleep is there's just so much abundance of
[43:26] is there's just so much abundance of data on how sleep affects hormonal
[43:28] data on how sleep affects hormonal health. They looked at data on men
[43:30] health. They looked at data on men sleeping 5 hours a night versus eight
[43:32] sleeping 5 hours a night versus eight hours a night. So you take the same guy
[43:34] hours a night. So you take the same guy and he sleeps eight hours, then you, you
[43:35] and he sleeps eight hours, then you, you know, do five five hours for a few days.
[43:38] know, do five five hours for a few days. His test for a week, his testosterone
[43:39] His test for a week, his testosterone drops by 15%.
[43:41] drops by 15%. >> Wow.
[43:42] >> Wow. >> That's like as much testosterone drop as
[43:44] >> That's like as much testosterone drop as would happen with 10 years of life.
[43:46] would happen with 10 years of life. >> And do you know how long they did that
[43:47] >> And do you know how long they did that for? How long?
[43:48] for? How long? >> It was short. It was like a week. So, a
[43:50] >> It was short. It was like a week. So, a week of sleep deprivation will will tank
[43:52] week of sleep deprivation will will tank your testosterone.
[43:54] your testosterone. >> And sleep apnnea is another one that I
[43:56] >> And sleep apnnea is another one that I think people one don't realize they have
[43:58] think people one don't realize they have and two don't realize that fixing it
[44:00] and two don't realize that fixing it could actually improve their hormonal
[44:01] could actually improve their hormonal health.
[44:02] health. >> Wait, so does this mean that people who
[44:03] >> Wait, so does this mean that people who have chronically bad sleep probably have
[44:05] have chronically bad sleep probably have low testosterone?
[44:07] low testosterone? >> Probably. Yeah.
[44:07] >> Probably. Yeah. >> And what is the symptoms of low
[44:09] >> And what is the symptoms of low testosterone?
[44:10] testosterone? >> So, low testosterone, they're sometimes
[44:12] >> So, low testosterone, they're sometimes very vague. So it can be fatigue, it can
[44:15] very vague. So it can be fatigue, it can feel brain fog, it can be depression, it
[44:18] feel brain fog, it can be depression, it can be low desire, it can be erectile
[44:21] can be low desire, it can be erectile dysfunction. That's what people always
[44:22] dysfunction. That's what people always think. It's just erectile dysfunction,
[44:23] think. It's just erectile dysfunction, but it's this whole constellation of
[44:25] but it's this whole constellation of symptoms. It can also be increased fat
[44:27] symptoms. It can also be increased fat mass, decreased muscle mass. So all of
[44:29] mass, decreased muscle mass. So all of these things can happen because we have
[44:31] these things can happen because we have testosterone receptors all over our
[44:33] testosterone receptors all over our body. We have them in our brain. We have
[44:34] body. We have them in our brain. We have them in our muscle. We have them in our
[44:36] them in our muscle. We have them in our bone. And these can all have really
[44:38] bone. And these can all have really serious consequences when it's low. when
[44:41] serious consequences when it's low. when you have sleep apnnea. And how you know
[44:42] you have sleep apnnea. And how you know you have sleep apnea is uh your partner
[44:44] you have sleep apnea is uh your partner might tell you that you're like waking
[44:45] might tell you that you're like waking up in the middle of like gasping for
[44:47] up in the middle of like gasping for air. If you have one really easy way to
[44:50] air. If you have one really easy way to check is take a a measuring tape and
[44:52] check is take a a measuring tape and measure your neck circumference. If it's
[44:54] measure your neck circumference. If it's more than 17 in for a guy or 16 inches
[44:57] more than 17 in for a guy or 16 inches for a female, it means it's very likely
[44:59] for a female, it means it's very likely that you may have sleep apnea. And
[45:02] that you may have sleep apnea. And that's because when you have excess mass
[45:04] that's because when you have excess mass basically here, it's compressing your
[45:05] basically here, it's compressing your airway and can make it difficult to get
[45:08] airway and can make it difficult to get air into your um into your body. When
[45:11] air into your um into your body. When you improve sleep apnea, we've seen
[45:12] you improve sleep apnea, we've seen improvements in testosterone as high as
[45:14] improvements in testosterone as high as 200 nanogs per deciliter. So huge jumps
[45:17] 200 nanogs per deciliter. So huge jumps in testosterone after fixing sleep
[45:19] in testosterone after fixing sleep apnea. And the same goes for other sleep
[45:22] apnea. And the same goes for other sleep disorders, although the data is not as
[45:24] disorders, although the data is not as abundant. Uh but sleep is so important.
[45:27] abundant. Uh but sleep is so important. Then we talk about what's in your
[45:28] Then we talk about what's in your environment. So let's grab this. Okay.
[45:32] environment. So let's grab this. Okay. So, you get a bottle of water. So many
[45:35] So, you get a bottle of water. So many of my patients actually they only buy
[45:37] of my patients actually they only buy like cases of plastic bottled water.
[45:39] like cases of plastic bottled water. Once in a while a plastic bottle of
[45:41] Once in a while a plastic bottle of water like don't stress yourself out.
[45:42] water like don't stress yourself out. This goes back to stress. People get
[45:44] This goes back to stress. People get really stressed like what's in my
[45:45] really stressed like what's in my environment? What am I drinking? What am
[45:47] environment? What am I drinking? What am I eating? Like do what you can control.
[45:50] I eating? Like do what you can control. So plastic water bottles have things
[45:52] So plastic water bottles have things like phalates and BPAs which can affect
[45:55] like phalates and BPAs which can affect hormonal health. They can mimic
[45:57] hormonal health. They can mimic estrogen. They can reduce the production
[46:00] estrogen. They can reduce the production of testosterone based on these
[46:02] of testosterone based on these mechanisms. Also things like plastics in
[46:05] mechanisms. Also things like plastics in the environment, PAS, so the things like
[46:08] the environment, PAS, so the things like non-stick cookware, all those things can
[46:09] non-stick cookware, all those things can affect hormone health. Now, how do you
[46:12] affect hormone health. Now, how do you sort of protect yourself, right? I tell
[46:14] sort of protect yourself, right? I tell people again, don't stress. There's only
[46:16] people again, don't stress. There's only so much you can control. So, like I love
[46:18] so much you can control. So, like I love that we're not drinking out of plastic.
[46:20] that we're not drinking out of plastic. If you have to drink out of plastic
[46:22] If you have to drink out of plastic because you're at an event or whatever,
[46:24] because you're at an event or whatever, try to make sure it's not a um a warm
[46:28] try to make sure it's not a um a warm bottle. So, it hasn't been like sitting
[46:29] bottle. So, it hasn't been like sitting in the sun for hours and hours and hours
[46:31] in the sun for hours and hours and hours because as it gets warm, it releases
[46:33] because as it gets warm, it releases more microlastics and more chemicals
[46:35] more microlastics and more chemicals into the water. When you're eating food,
[46:37] into the water. When you're eating food, if you are eating out of say you get
[46:39] if you are eating out of say you get takeout, put it on a plate and warm it
[46:41] takeout, put it on a plate and warm it up. Don't ever warm up that plastic. And
[46:43] up. Don't ever warm up that plastic. And when you store food in the fridge, put
[46:45] when you store food in the fridge, put it in a glass container or a metal
[46:48] it in a glass container or a metal container, but don't ever leave the food
[46:49] container, but don't ever leave the food in the plastic and put it in the fridge.
[46:51] in the plastic and put it in the fridge. These are simple things you can control.
[46:53] These are simple things you can control. You could also limit sort of your
[46:54] You could also limit sort of your exposure to dust because dust has
[46:56] exposure to dust because dust has microplastics. You can try to wear more
[46:59] microplastics. You can try to wear more cotton fabrics, less synthetic fabrics
[47:01] cotton fabrics, less synthetic fabrics because they shed less microplastics.
[47:04] because they shed less microplastics. But again, I think do what you can do,
[47:06] But again, I think do what you can do, but don't let the stress of these
[47:08] but don't let the stress of these chemicals like derail you because stress
[47:11] chemicals like derail you because stress is not helping either. And how much of a
[47:13] is not helping either. And how much of a difference does you know microplastics
[47:16] difference does you know microplastics make on my hormonal health? Is it really
[47:18] make on my hormonal health? Is it really a big big deal?
[47:19] a big big deal? >> Well, I think it depends. It's all dose
[47:20] >> Well, I think it depends. It's all dose dependent, right? So, we're all exposed.
[47:22] dependent, right? So, we're all exposed. Like, if you look at the data, like
[47:24] Like, if you look at the data, like people are, you know, consuming quite a
[47:26] people are, you know, consuming quite a bit of microplastics and we're seeing
[47:27] bit of microplastics and we're seeing them actually even in testicles, in
[47:30] them actually even in testicles, in penis tissue samples, like they're in
[47:32] penis tissue samples, like they're in our bodies. And so, I think that it's
[47:35] our bodies. And so, I think that it's definitely playing a role. How much? We
[47:37] definitely playing a role. How much? We don't know yet. We just know there are
[47:39] don't know yet. We just know there are mechanisms and we know that they do
[47:40] mechanisms and we know that they do affect hormonal health and so do the
[47:43] affect hormonal health and so do the best you can.
[47:44] best you can. >> Do you and your family drink out of
[47:45] >> Do you and your family drink out of plastic bottles?
[47:46] plastic bottles? >> No, we drink we we have like metal water
[47:49] >> No, we drink we we have like metal water bottles for the kids and myself. And
[47:50] bottles for the kids and myself. And >> what about non-stick pans?
[47:52] >> what about non-stick pans? >> We buy ceramic. We we do our best to
[47:54] >> We buy ceramic. We we do our best to like avoid those as much as possible. So
[47:57] like avoid those as much as possible. So the other thing is the company you keep.
[47:59] the other thing is the company you keep. I think we don't talk about this enough
[48:00] I think we don't talk about this enough and we talk about it in terms of
[48:02] and we talk about it in terms of business like you want to keep people
[48:03] business like you want to keep people who are successful around you. You want
[48:05] who are successful around you. You want to keep people who can help you. But it
[48:06] to keep people who can help you. But it also plays a role in your sexual
[48:08] also plays a role in your sexual environment, right? So my husband is in
[48:10] environment, right? So my husband is in these groups with a bunch of other male
[48:12] these groups with a bunch of other male physicians. And there's a lot of
[48:13] physicians. And there's a lot of discussion about how they never have sex
[48:15] discussion about how they never have sex anymore. And they're all just like, "Oh
[48:17] anymore. And they're all just like, "Oh yeah, this is just like normal. Like
[48:18] yeah, this is just like normal. Like we're getting older. Our partners don't
[48:20] we're getting older. Our partners don't want to have sex. It's so frustrating."
[48:21] want to have sex. It's so frustrating." And there's a lot of discussion about
[48:22] And there's a lot of discussion about this and and it's it's almost like, "Oh,
[48:26] this and and it's it's almost like, "Oh, that's okay." Like that's just normal,
[48:27] that's okay." Like that's just normal, right? They're normalizing this
[48:29] right? They're normalizing this experience where that sex has not become
[48:31] experience where that sex has not become a priority because life is so stressful,
[48:33] a priority because life is so stressful, things are so crazy. Maybe you're having
[48:34] things are so crazy. Maybe you're having relationship discord. So, it absolutely
[48:37] relationship discord. So, it absolutely plays a role. And there's actually some
[48:39] plays a role. And there's actually some evidence that it may help you make
[48:41] evidence that it may help you make better choices. So, there's one study
[48:42] better choices. So, there's one study where they looked at I think it was like
[48:44] where they looked at I think it was like 50,000 people and they um did an
[48:48] 50,000 people and they um did an intervention where they tried to
[48:49] intervention where they tried to encourage these people to surround
[48:52] encourage these people to surround themselves with positive influences that
[48:53] themselves with positive influences that were like have safe sex and avoid
[48:55] were like have safe sex and avoid negative influences. And they saw that
[48:57] negative influences. And they saw that for that these people had an increase in
[49:00] for that these people had an increase in like sexual positive behavior. So like
[49:02] like sexual positive behavior. So like safe sex practices by 46%.
[49:05] safe sex practices by 46%. So just by changing who they spent their
[49:08] So just by changing who they spent their time with, they saw this major
[49:10] time with, they saw this major difference in how they approached their
[49:12] difference in how they approached their sex lives.
[49:12] sex lives. >> Okay. So if your friends are very
[49:14] >> Okay. So if your friends are very pessimistic about sex and they're not
[49:15] pessimistic about sex and they're not having and they're complaining about it,
[49:17] having and they're complaining about it, that's going to become sort of
[49:19] that's going to become sort of contagious.
[49:20] contagious. >> Yeah. And I think it it extrapolates to
[49:22] >> Yeah. And I think it it extrapolates to everything. what kind of relationships
[49:24] everything. what kind of relationships you you're in. How do they view their
[49:26] you you're in. How do they view their relationship with their partner? Is it a
[49:28] relationship with their partner? Is it a priority? Do they make it a priority?
[49:30] priority? Do they make it a priority? Right? Or are they just busy doing their
[49:31] Right? Or are they just busy doing their own thing and they're just like living
[49:33] own thing and they're just like living in parallel lives? They're doing their
[49:35] in parallel lives? They're doing their own thing. You're doing your own thing.
[49:36] own thing. You're doing your own thing. You never really spend time with your
[49:37] You never really spend time with your partner and then when you go hang out
[49:39] partner and then when you go hang out with your friends, you're like, "Oh god,
[49:41] with your friends, you're like, "Oh god, I'm so glad to get away." And you're not
[49:42] I'm so glad to get away." And you're not like talking about how much you enjoy
[49:44] like talking about how much you enjoy your partner. People tend to talk
[49:47] your partner. People tend to talk negatively, right? They want to like
[49:48] negatively, right? They want to like sort of like vent. And so when you have
[49:50] sort of like vent. And so when you have people who don't make that a part of
[49:52] people who don't make that a part of their lives, it also affects you. They
[49:53] their lives, it also affects you. They value their partner and they talk about
[49:55] value their partner and they talk about them in a positive way, that's a a great
[49:58] them in a positive way, that's a a great thing to say like, okay, this is the
[49:59] thing to say like, okay, this is the right kind of person I want because I
[50:01] right kind of person I want because I want to value my partner too and I don't
[50:03] want to value my partner too and I don't want that to rub off on me because it
[50:05] want that to rub off on me because it absolutely does.
[50:06] absolutely does. >> And the other thing you said in this
[50:07] >> And the other thing you said in this category of environmental stuff is
[50:09] category of environmental stuff is things like pornography consumption. Is
[50:10] things like pornography consumption. Is it possible to consume too much porn?
[50:12] it possible to consume too much porn? >> So it's not the amount of porn that you
[50:14] >> So it's not the amount of porn that you watch, it is the sort of the way you
[50:17] watch, it is the sort of the way you feel about it. Many people watch porn
[50:19] feel about it. Many people watch porn for a variety of different reasons. Most
[50:21] for a variety of different reasons. Most often it's for pleasure and enjoyment.
[50:23] often it's for pleasure and enjoyment. But there's some people who watch porn
[50:24] But there's some people who watch porn because they want to get away from
[50:26] because they want to get away from negative feelings, right? This is giving
[50:28] negative feelings, right? This is giving them dopamine and they're using it as a
[50:30] them dopamine and they're using it as a way to just feel better in the moment.
[50:32] way to just feel better in the moment. And so that become that can become a
[50:35] And so that become that can become a compulsion where they're watching porn
[50:36] compulsion where they're watching porn and it's like giving them these positive
[50:38] and it's like giving them these positive feelings and they feel negative in life
[50:39] feelings and they feel negative in life and they're going back to porn to sort
[50:41] and they're going back to porn to sort of again have that compulsion to watch
[50:43] of again have that compulsion to watch porn again. But that's a small subset of
[50:45] porn again. But that's a small subset of people. The other thing is that there's
[50:47] people. The other thing is that there's a lot of negative discussion around
[50:49] a lot of negative discussion around porn, right? People like porn is bad,
[50:51] porn, right? People like porn is bad, it's dangerous, it's evil. And I think,
[50:53] it's dangerous, it's evil. And I think, you know, it's more nuanced than that.
[50:55] you know, it's more nuanced than that. But if you feel that porn is bad, every
[50:58] But if you feel that porn is bad, every time you watch porn, you feel negative,
[51:00] time you watch porn, you feel negative, you feel bad about yourself. That's
[51:02] you feel bad about yourself. That's where we see people having the most
[51:04] where we see people having the most dysfunction associated with it because
[51:05] dysfunction associated with it because they feel guilty. They could watch it
[51:07] they feel guilty. They could watch it once a year and they could feel super
[51:09] once a year and they could feel super guilty about it and it could affect
[51:10] guilty about it and it could affect their sexual function. They could see
[51:12] their sexual function. They could see themselves as a bad person. and they
[51:13] themselves as a bad person. and they could see themselves as wrong or
[51:15] could see themselves as wrong or immoral. And that's really when it
[51:17] immoral. And that's really when it becomes an issue. If you are finding
[51:19] becomes an issue. If you are finding yourself either compulsively watching
[51:21] yourself either compulsively watching pornography and using it as a scapegoat,
[51:24] pornography and using it as a scapegoat, maybe time to reevaluate, say, why am I
[51:26] maybe time to reevaluate, say, why am I doing this? How can I switch this out
[51:28] doing this? How can I switch this out for something else that makes me feel
[51:29] for something else that makes me feel better that might be healthy, like
[51:31] better that might be healthy, like exercise or going for walks or whatever
[51:33] exercise or going for walks or whatever that may be? And then if it's something
[51:35] that may be? And then if it's something that's really making you feel like bad
[51:38] that's really making you feel like bad or guilty because maybe that's how you
[51:40] or guilty because maybe that's how you were raised, maybe that's what you feel
[51:41] were raised, maybe that's what you feel about morality, then yeah, maybe like
[51:43] about morality, then yeah, maybe like you either need to work through that
[51:45] you either need to work through that because porn is maybe something that you
[51:47] because porn is maybe something that you still want to watch at times or you need
[51:49] still want to watch at times or you need to abstain. But usually those are it's
[51:51] to abstain. But usually those are it's very difficult to abstain for most
[51:53] very difficult to abstain for most people to abstain for prolonged periods
[51:55] people to abstain for prolonged periods of time. So I think it's it's something
[51:56] of time. So I think it's it's something you have to work through if you find
[51:58] you have to work through if you find yourself having these sort of feelings
[51:59] yourself having these sort of feelings about pornography or you're compulsively
[52:01] about pornography or you're compulsively watching it. But for most people, it's
[52:04] watching it. But for most people, it's adults. For most adults, it is fantasy.
[52:07] adults. For most adults, it is fantasy. It's a place where you can experience uh
[52:11] It's a place where you can experience uh see things that you may never do in real
[52:12] see things that you may never do in real life that may be enjoyable, that are fun
[52:15] life that may be enjoyable, that are fun to watch, that have allow you to feel
[52:16] to watch, that have allow you to feel arousal. We see that when couples watch
[52:19] arousal. We see that when couples watch porn together, they are more likely to
[52:21] porn together, they are more likely to be more satisfied in their relationship.
[52:22] be more satisfied in their relationship. And when there's a discord, like one
[52:24] And when there's a discord, like one person really doesn't like it or doesn't
[52:26] person really doesn't like it or doesn't use it, and the other one uses it a lot,
[52:27] use it, and the other one uses it a lot, that's where we see the problem. Is porn
[52:30] that's where we see the problem. Is porn consumption going to impact my intimacy
[52:33] consumption going to impact my intimacy with my partner?
[52:35] with my partner? >> So, it depends. I think a lot of people
[52:37] >> So, it depends. I think a lot of people watch it without an issue, right? They
[52:39] watch it without an issue, right? They watch
[52:39] watch >> if I masturbate and I ejaculate, I'm not
[52:42] >> if I masturbate and I ejaculate, I'm not going to then be able to ejaculate very
[52:43] going to then be able to ejaculate very quickly necessarily with my partner.
[52:45] quickly necessarily with my partner. >> Yeah. So, that obviously that is, you
[52:47] >> Yeah. So, that obviously that is, you know, there's a refractory period after
[52:49] know, there's a refractory period after you ejaculate. Now, when you're younger,
[52:50] you ejaculate. Now, when you're younger, that refractory period could be minutes.
[52:53] that refractory period could be minutes. And when you're older, that can be a day
[52:55] And when you're older, that can be a day and a half. And so we see that some
[52:58] and a half. And so we see that some people may struggle, especially if
[52:59] people may struggle, especially if they're watching a lot of porn every
[53:01] they're watching a lot of porn every single day and their refractory period
[53:03] single day and their refractory period is maybe a day. Then they may actually
[53:05] is maybe a day. Then they may actually really have trouble ejaculating with
[53:07] really have trouble ejaculating with their partner because they've not given
[53:09] their partner because they've not given themselves that time.
[53:11] themselves that time. >> This has had probably the single biggest
[53:13] >> This has had probably the single biggest impact on my office. Of all the products
[53:16] impact on my office. Of all the products that I've tried that have given me
[53:18] that I've tried that have given me productivity gains or cognitive boosts,
[53:20] productivity gains or cognitive boosts, I would say that exogenous ketones are
[53:23] I would say that exogenous ketones are in the top three most pivotal things
[53:26] in the top three most pivotal things that have given me a massive
[53:27] that have given me a massive productivity gain. It's some Stanford
[53:28] productivity gain. It's some Stanford graduates that have been able to
[53:30] graduates that have been able to basically bottle up the effect you get
[53:33] basically bottle up the effect you get from being in a ketogenic diet in a
[53:35] from being in a ketogenic diet in a small shot that you can take that makes
[53:38] small shot that you can take that makes you feel incredibly focused and gives
[53:40] you feel incredibly focused and gives your brain an incredible source of
[53:41] your brain an incredible source of energy. And the clinical studies that
[53:42] energy. And the clinical studies that have been done on exogenous ketones have
[53:44] have been done on exogenous ketones have absolutely blown my mind. I reached out
[53:46] absolutely blown my mind. I reached out to them. I became a cooner in the
[53:48] to them. I became a cooner in the company. I became an investor in the
[53:49] company. I became an investor in the company. And so it's with great pride
[53:51] company. And so it's with great pride that I can tell you that this exists. If
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[54:16] things a business can do is build like a bigger company without actually hiring
[54:19] bigger company without actually hiring like one. But the problem we all face is
[54:21] like one. But the problem we all face is that most companies don't have every
[54:22] that most companies don't have every skill in house. So when I look at the
[54:24] skill in house. So when I look at the businesses seeing real success today,
[54:26] businesses seeing real success today, the consistent pattern with all of them
[54:28] the consistent pattern with all of them is how quickly they move. They bring in
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[55:12] pro.fr.com. And the last one, the last of the four
[55:13] And the last one, the last of the four pillars,
[55:14] pillars, >> the last of the four pillars we talked a
[55:15] >> the last of the four pillars we talked a little bit about, it's called
[55:17] little bit about, it's called confidence. And confidence is not like
[55:19] confidence. And confidence is not like stringing around like a peacock like I
[55:21] stringing around like a peacock like I know what I'm doing. It's confidence in
[55:22] know what I'm doing. It's confidence in knowledge and curiosity. So, knowledge
[55:25] knowledge and curiosity. So, knowledge we talked about a little bit,
[55:26] we talked about a little bit, understanding female anatomy, like how
[55:28] understanding female anatomy, like how do female bodies get aroused, right?
[55:31] do female bodies get aroused, right? what makes them aroused, where is the
[55:32] what makes them aroused, where is the clitoris, knowing some anatomy, and two,
[55:35] clitoris, knowing some anatomy, and two, actually talking to your partner or
[55:37] actually talking to your partner or paying attention to their cues. We that,
[55:39] paying attention to their cues. We that, for some reason with sex, it's the only
[55:41] for some reason with sex, it's the only time that we just expect people to be
[55:43] time that we just expect people to be mind readers. We just want you to know
[55:44] mind readers. We just want you to know what I like and just go for it, right?
[55:46] what I like and just go for it, right? And and then when it's not good, you're
[55:48] And and then when it's not good, you're like, well, you just don't know what
[55:49] like, well, you just don't know what you're doing. And it's like, it's it's
[55:51] you're doing. And it's like, it's it's wild to me that we actually never got
[55:54] wild to me that we actually never got taught how to talk about sex, how to
[55:55] taught how to talk about sex, how to bring it up with a partner, how to, you
[55:58] bring it up with a partner, how to, you know, just explore and have fun with
[56:00] know, just explore and have fun with sex. maybe add a toy to the bedroom. So,
[56:02] sex. maybe add a toy to the bedroom. So, there's lots of different types of toys.
[56:04] there's lots of different types of toys. This is a uh vulva stimulator. So, you
[56:07] This is a uh vulva stimulator. So, you put this on the outside. So, you can see
[56:08] put this on the outside. So, you can see that it would in theory, if this was
[56:11] that it would in theory, if this was smaller, would stimulate the um the
[56:14] smaller, would stimulate the um the clitoris on the outside. It also can
[56:16] clitoris on the outside. It also can change in shape. It'll vibrate, right?
[56:19] change in shape. It'll vibrate, right? It'll have different stimulations that
[56:21] It'll have different stimulations that you can play around with and decide what
[56:22] you can play around with and decide what you enjoy.
[56:23] you enjoy. >> So, this one's run out of battery. Um
[56:27] >> So, this one's run out of battery. Um so,
[56:28] so, >> they're brand new. They have not been
[56:29] >> they're brand new. They have not been used.
[56:30] used. >> I didn't say they had been very
[56:32] >> I didn't say they had been very defensive though. Um, so if my pinky
[56:34] defensive though. Um, so if my pinky finger, if my finger here is the
[56:35] finger, if my finger here is the clitoris,
[56:36] clitoris, >> Yeah.
[56:36] >> Yeah. >> I put it on like that.
[56:39] >> I put it on like that. >> Yeah.
[56:39] >> Yeah. >> And then it vibrates.
[56:40] >> And then it vibrates. >> Correct.
[56:41] >> Correct. >> And then the penis goes through the
[56:43] >> And then the penis goes through the hole.
[56:44] hole. >> And there's another version of that.
[56:45] >> And there's another version of that. This is basically
[56:48] This is basically >> this is basically like the hole goes
[56:50] >> this is basically like the hole goes around the penis
[56:51] around the penis >> and that goes in
[56:52] >> and that goes in >> and that can go in and stimulate and vi
[56:54] >> and that can go in and stimulate and vi vibrate. So, you both feel the vibration
[56:56] vibrate. So, you both feel the vibration and you both feel the stimulation.
[56:58] and you both feel the stimulation. >> I remember I was with um had a partner
[57:00] >> I remember I was with um had a partner and she she felt that sex toys were for
[57:02] and she she felt that sex toys were for older people. Old people specifically
[57:04] older people. Old people specifically what she said and she she was kind of
[57:07] what she said and she she was kind of against the use of them. I've always
[57:08] against the use of them. I've always been down.
[57:09] been down. >> I think it adds novelty and it's
[57:11] >> I think it adds novelty and it's exciting and it just adds something new.
[57:13] exciting and it just adds something new. >> But she felt like it was almost like
[57:16] >> But she felt like it was almost like giving up.
[57:17] giving up. >> Well, I mean, look, I think I wonder
[57:19] >> Well, I mean, look, I think I wonder why. I would I would if I she was here,
[57:20] why. I would I would if I she was here, I'd ask her, why do you think that? What
[57:22] I'd ask her, why do you think that? What belief system do you have that's making
[57:24] belief system do you have that's making you think that this is like not a good
[57:26] you think that this is like not a good thing to use? Right? We use technology
[57:28] thing to use? Right? We use technology in so many places in our lives, right?
[57:31] in so many places in our lives, right? So why not introduce it in our sex
[57:33] So why not introduce it in our sex lives?
[57:33] lives? >> Are you going to become reliant on it
[57:34] >> Are you going to become reliant on it though? Because it doesn't make it
[57:35] though? Because it doesn't make it easier to get off with a sex toy.
[57:37] easier to get off with a sex toy. >> So they've actually looked at vibration
[57:40] >> So they've actually looked at vibration and can you get desensitized to it? And
[57:42] and can you get desensitized to it? And the way they've looked at is actually
[57:43] the way they've looked at is actually like construction workers where they're
[57:44] like construction workers where they're using those like vibration tools, right,
[57:46] using those like vibration tools, right, to and and seeing if like their hands
[57:48] to and and seeing if like their hands get desensitized. And what they've seen
[57:50] get desensitized. And what they've seen is yes, for a short period of time they
[57:52] is yes, for a short period of time they do lose a little bit of sensation at
[57:54] do lose a little bit of sensation at their fingertips, but then it restores
[57:56] their fingertips, but then it restores back to normal. And so it's not that
[57:58] back to normal. And so it's not that you're going to become desensitized
[57:59] you're going to become desensitized forever, right? I think you brought up a
[58:02] forever, right? I think you brought up a great point, which is adding novelty.
[58:03] great point, which is adding novelty. Now, I think when I say novelty, people
[58:05] Now, I think when I say novelty, people are like, "Oh my god, I need to role
[58:08] are like, "Oh my god, I need to role play in a different way or bring like
[58:10] play in a different way or bring like some sort of BDSM or whatever into my
[58:13] some sort of BDSM or whatever into my sex life." And that's not exactly true.
[58:15] sex life." And that's not exactly true. So when you think about sex, right, it's
[58:17] So when you think about sex, right, it's just like eating your favorite ice
[58:19] just like eating your favorite ice cream. Maybe you have vanilla ice cream,
[58:21] cream. Maybe you have vanilla ice cream, you know, three times a week and you
[58:22] you know, three times a week and you enjoy it. But if you start having
[58:23] enjoy it. But if you start having vanilla ice cream every single day,
[58:25] vanilla ice cream every single day, you're kind of bored with it, right? And
[58:27] you're kind of bored with it, right? And the same goes for sex. Now having
[58:29] the same goes for sex. Now having routine in sex, knowing what you like,
[58:32] routine in sex, knowing what you like, um knowing what your partner likes, it
[58:33] um knowing what your partner likes, it can be very helpful, but it also is nice
[58:37] can be very helpful, but it also is nice to add novelty. So if you think about
[58:39] to add novelty. So if you think about you can extrapolate from the flow state.
[58:41] you can extrapolate from the flow state. So when you are in a flow state for
[58:43] So when you are in a flow state for work, right, things feel really almost
[58:45] work, right, things feel really almost effortless and you're just like in a
[58:46] effortless and you're just like in a zone, you can also get into a sexual
[58:49] zone, you can also get into a sexual flow state. When you look at the flow
[58:50] flow state. When you look at the flow state, yeah, you need things to be
[58:52] state, yeah, you need things to be slightly challenging to get into the
[58:53] slightly challenging to get into the flow state. They can't be easy and they
[58:56] flow state. They can't be easy and they can't be so hard that you're going to
[58:57] can't be so hard that you're going to get frustrated, right? And so you need
[58:59] get frustrated, right? And so you need to add a slight challenge to your sexual
[59:03] to add a slight challenge to your sexual encounter to get into that flow state.
[59:05] encounter to get into that flow state. And that's when you start having really
[59:07] And that's when you start having really great sex cuz you're like in you're so
[59:09] great sex cuz you're like in you're so totally immersed. you're feeling great
[59:11] totally immersed. you're feeling great and it's it's super fun, right? So, I
[59:13] and it's it's super fun, right? So, I think that's another part of being
[59:15] think that's another part of being confident is being able to and confident
[59:17] confident is being able to and confident to try new things and explore new
[59:18] to try new things and explore new things. And it can be as simple as like
[59:21] things. And it can be as simple as like doing it in a different room or maybe
[59:22] doing it in a different room or maybe getting a pillow or switching where your
[59:25] getting a pillow or switching where your head position is. Like, it can be so
[59:27] head position is. Like, it can be so small, but it can just add a little bit
[59:29] small, but it can just add a little bit of uniqueness and novelty and challenge.
[59:32] of uniqueness and novelty and challenge. >> Are there certain positions that are
[59:35] >> Are there certain positions that are going to increase the probability that
[59:37] going to increase the probability that my partner has an orgasm?
[59:38] my partner has an orgasm? >> Yeah. So, uh, typically when the female
[59:41] >> Yeah. So, uh, typically when the female partner is on top, she has more control
[59:43] partner is on top, she has more control over where she's getting stimulation,
[59:46] over where she's getting stimulation, um, to the clitoris because, right, she
[59:48] um, to the clitoris because, right, she can angle her body in such a way. So,
[59:50] can angle her body in such a way. So, often time that shows uh, that has, uh,
[59:53] often time that shows uh, that has, uh, higher orgasm rates. There's actually
[59:55] higher orgasm rates. There's actually like this uh this technique called the
[59:57] like this uh this technique called the cooidal alignment technique where you
[01:00:00] cooidal alignment technique where you sort of move in a rocking uh a sort of a
[01:00:03] sort of move in a rocking uh a sort of a rocking motion so that um your pubic
[01:00:06] rocking motion so that um your pubic symphysis. So this bone right here um is
[01:00:09] symphysis. So this bone right here um is sort of like rubbing against their
[01:00:11] sort of like rubbing against their clitoris like this area the skin here is
[01:00:13] clitoris like this area the skin here is rubbing against the clitoris while
[01:00:14] rubbing against the clitoris while you're penetrating and that has been
[01:00:16] you're penetrating and that has been shown to increase orgasm rate and
[01:00:19] shown to increase orgasm rate and pleasure in sex. But really it's about
[01:00:21] pleasure in sex. But really it's about figuring out and trying different things
[01:00:23] figuring out and trying different things and realizing like that for example that
[01:00:24] and realizing like that for example that coil alignment technique is sort of
[01:00:26] coil alignment technique is sort of difficult like it's not that easy and
[01:00:27] difficult like it's not that easy and intuitive and so you have to sort of
[01:00:29] intuitive and so you have to sort of play around with it and figure out like
[01:00:31] play around with it and figure out like what is going to work uh best and yeah
[01:00:33] what is going to work uh best and yeah realizing it might not work. You might
[01:00:35] realizing it might not work. You might be like super awkward and like okay like
[01:00:37] be like super awkward and like okay like that's okay like it's not the end of the
[01:00:38] that's okay like it's not the end of the world if sex is not perfect every time
[01:00:41] world if sex is not perfect every time because we're learning and we're playing
[01:00:42] because we're learning and we're playing and we're having fun. And so I think
[01:00:44] and we're having fun. And so I think that's really the key is like not
[01:00:45] that's really the key is like not letting yourself get so frustrated if
[01:00:47] letting yourself get so frustrated if something doesn't go exactly the way you
[01:00:49] something doesn't go exactly the way you envision it in your head.
[01:00:50] envision it in your head. >> I used to think that a woman orgasming
[01:00:52] >> I used to think that a woman orgasming was when this was when I was younger. Um
[01:00:54] was when this was when I was younger. Um was when she squirted.
[01:00:56] was when she squirted. >> Mhm.
[01:00:56] >> Mhm. >> So like that's what I thought it thought
[01:00:58] >> So like that's what I thought it thought an orgasm was squirting.
[01:00:59] an orgasm was squirting. >> Yeah. Well, you're probably not the only
[01:01:01] >> Yeah. Well, you're probably not the only one to think that. And so squirting, not
[01:01:03] one to think that. And so squirting, not every woman squirts. So about 40% of
[01:01:05] every woman squirts. So about 40% of women squirt. Squirting is the emission
[01:01:07] women squirt. Squirting is the emission of fluid at the time of orgasm. Um
[01:01:10] of fluid at the time of orgasm. Um usually it's clear, colorless, and it
[01:01:11] usually it's clear, colorless, and it can be quite voluminous. um it's coming
[01:01:14] can be quite voluminous. um it's coming from the urethra which is the pee hole
[01:01:16] from the urethra which is the pee hole essentially and remember I talked about
[01:01:18] essentially and remember I talked about those skins glands those skins glands
[01:01:21] those skins glands those skins glands are the homalogue of the male prostate
[01:01:23] are the homalogue of the male prostate and they have a little bit of fluid in
[01:01:24] and they have a little bit of fluid in them too typically when you have
[01:01:28] them too typically when you have stimulation um and squirting they will
[01:01:30] stimulation um and squirting they will release fluid from the bladder as well
[01:01:33] release fluid from the bladder as well as the skins glands that combines
[01:01:34] as the skins glands that combines together and and it's emitted through
[01:01:37] together and and it's emitted through through that
[01:01:37] through that >> so it's not pee
[01:01:39] >> so it's not pee >> the way they describe it and there's
[01:01:40] >> the way they describe it and there's been a lot of research on this so
[01:01:41] been a lot of research on this so there's people who say it's pee. There's
[01:01:43] there's people who say it's pee. There's people who say it's not. There's a
[01:01:44] people who say it's not. There's a couple studies. So, one is they put dye
[01:01:47] couple studies. So, one is they put dye into the bladder and they took women who
[01:01:50] into the bladder and they took women who said they were squirters and they had
[01:01:51] said they were squirters and they had them orgasm and they saw is there dye in
[01:01:54] them orgasm and they saw is there dye in the uh in the fluid and yeah, there was
[01:01:57] the uh in the fluid and yeah, there was dy in fluid. So, it's coming, it has to
[01:01:59] dy in fluid. So, it's coming, it has to come from the bladder. The skins glands
[01:02:00] come from the bladder. The skins glands only hold a small amount, but it's
[01:02:02] only hold a small amount, but it's chemically different. It's usually
[01:02:04] chemically different. It's usually clear, odorless. It doesn't smell like
[01:02:06] clear, odorless. It doesn't smell like pee. And so, there's some theories as to
[01:02:08] pee. And so, there's some theories as to why that might be. It may be that um
[01:02:11] why that might be. It may be that um when you're having sex, there's
[01:02:13] when you're having sex, there's different hormonal signals that change
[01:02:14] different hormonal signals that change the concentration of what's filtering
[01:02:16] the concentration of what's filtering through your kidneys so that it is a
[01:02:18] through your kidneys so that it is a little bit different in composition.
[01:02:20] little bit different in composition. There's some theories that when there's
[01:02:21] There's some theories that when there's more estrogen around that it may change.
[01:02:23] more estrogen around that it may change. There may be some like um fluid filling
[01:02:26] There may be some like um fluid filling in the actual interstissia of the
[01:02:28] in the actual interstissia of the organs. Again, it's hard to say, but
[01:02:30] organs. Again, it's hard to say, but it's absolutely coming from the urethra
[01:02:32] it's absolutely coming from the urethra which is connected to the bladder as
[01:02:34] which is connected to the bladder as well as the steam glands. But I think
[01:02:35] well as the steam glands. But I think like this this whole discussion about
[01:02:37] like this this whole discussion about what it is, it doesn't matter. Like is
[01:02:39] what it is, it doesn't matter. Like is it pleasurable? Are you enjoying it?
[01:02:41] it pleasurable? Are you enjoying it? Great. If you squirt and you enjoy it,
[01:02:43] Great. If you squirt and you enjoy it, great. If you don't, that doesn't mean
[01:02:45] great. If you don't, that doesn't mean that there's something wrong and that
[01:02:46] that there's something wrong and that your partner hasn't orgasmed. The way to
[01:02:48] your partner hasn't orgasmed. The way to figure out if your partner orgasm is you
[01:02:50] figure out if your partner orgasm is you ask her, right? Either she tells you or
[01:02:52] ask her, right? Either she tells you or you ask her. And sometimes it's obvious
[01:02:54] you ask her. And sometimes it's obvious and sometimes it's not, but you know,
[01:02:55] and sometimes it's not, but you know, you you sort of figure it out.
[01:02:58] you you sort of figure it out. >> There's three theories that emerged in
[01:03:00] >> There's three theories that emerged in my research about why women squirt from
[01:03:02] my research about why women squirt from an evolutionary perspective. The first
[01:03:04] an evolutionary perspective. The first was that, and these are just theories,
[01:03:06] was that, and these are just theories, they're not proven. Um, of course, the
[01:03:08] they're not proven. Um, of course, the first is that squirting contains PSA and
[01:03:10] first is that squirting contains PSA and zinc, which are naturally antibacterial,
[01:03:13] zinc, which are naturally antibacterial, and ejaculating these fluids during or
[01:03:14] and ejaculating these fluids during or after sex may have evolved to flush the
[01:03:17] after sex may have evolved to flush the urethra and prevent UTI. Um, the logic
[01:03:19] urethra and prevent UTI. Um, the logic being in a pre antibiotic world, a woman
[01:03:22] being in a pre antibiotic world, a woman who could flush bacteria out of her
[01:03:24] who could flush bacteria out of her system after mating was more likely to
[01:03:25] system after mating was more likely to stay healthy and reproduce. That's one
[01:03:26] stay healthy and reproduce. That's one theory. The other reason,
[01:03:27] theory. The other reason, >> well, before you I want to talk about
[01:03:28] >> well, before you I want to talk about that really quickly. So, that's a really
[01:03:30] that really quickly. So, that's a really interesting theory. So one the reason
[01:03:32] interesting theory. So one the reason they emit PSA is because schemes glands
[01:03:35] they emit PSA is because schemes glands are the homalologue of the prostate. So
[01:03:38] are the homalologue of the prostate. So the prostate makes PSA which is prostate
[01:03:40] the prostate makes PSA which is prostate specific antigen.
[01:03:41] specific antigen. >> So this point this word homalogue again.
[01:03:42] >> So this point this word homalogue again. >> Yeah it's a so basically the prostate in
[01:03:44] >> Yeah it's a so basically the prostate in the male the same tissue when they're an
[01:03:47] the male the same tissue when they're an embryo becomes the prostate in the male
[01:03:48] embryo becomes the prostate in the male and becomes a skins glands in the
[01:03:50] and becomes a skins glands in the female. So that's why it's emitting PSA.
[01:03:53] female. So that's why it's emitting PSA. That is an interesting theory because
[01:03:54] That is an interesting theory because there are a subset of women who get UTI
[01:03:56] there are a subset of women who get UTI after sex. Not everybody but some do.
[01:03:59] after sex. Not everybody but some do. And it's it's not because of the
[01:04:01] And it's it's not because of the ejaculate or because of the male
[01:04:04] ejaculate or because of the male harboring some bacteria. It's because of
[01:04:05] harboring some bacteria. It's because of the actual thrusting of the penis. It's
[01:04:08] the actual thrusting of the penis. It's taking bacteria from the outside and
[01:04:09] taking bacteria from the outside and making it more easy for it to go through
[01:04:11] making it more easy for it to go through the urethra into the bladder. And women
[01:04:13] the urethra into the bladder. And women have a short urethra. And so I want just
[01:04:15] have a short urethra. And so I want just to debunk that myth that it's like
[01:04:17] to debunk that myth that it's like you're getting it from your partner or
[01:04:19] you're getting it from your partner or there's something wrong with you. It is
[01:04:20] there's something wrong with you. It is literally just anatomy. And so some
[01:04:22] literally just anatomy. And so some women do get more UTI after sex.
[01:04:25] women do get more UTI after sex. >> And so that is an interesting theory
[01:04:26] >> And so that is an interesting theory because maybe that's true. I don't know.
[01:04:28] because maybe that's true. I don't know. The second theory was in ancient
[01:04:30] The second theory was in ancient ancestors, the hormonal surge during
[01:04:32] ancestors, the hormonal surge during orgasm and ejaculation actually
[01:04:33] orgasm and ejaculation actually triggered the release of an egg. Humans
[01:04:36] triggered the release of an egg. Humans evolved to ovulate on a cycle now, but
[01:04:38] evolved to ovulate on a cycle now, but we kept the plumbing and the neuro
[01:04:40] we kept the plumbing and the neuro hormonal reflex. It's a happy accident,
[01:04:42] hormonal reflex. It's a happy accident, a biological vestage that no longer
[01:04:43] a biological vestage that no longer serves its original reproductive
[01:04:45] serves its original reproductive purpose, but remains because it isn't
[01:04:47] purpose, but remains because it isn't harmful for survival.
[01:04:49] harmful for survival. >> Interesting. I mean there is some
[01:04:50] >> Interesting. I mean there is some thought that maybe orgasming
[01:04:53] thought that maybe orgasming um spasms orgasm help with fertility but
[01:04:56] um spasms orgasm help with fertility but it's not really uh robust.
[01:04:59] it's not really uh robust. >> And the last one kind of matches what
[01:05:00] >> And the last one kind of matches what you just said there which is the mate
[01:05:02] you just said there which is the mate selection theory. The intense pleasure
[01:05:03] selection theory. The intense pleasure and psychological response of squirting
[01:05:05] and psychological response of squirting or or orgasm act as a reward system. It
[01:05:08] or or orgasm act as a reward system. It incentivizes women to seek out specific
[01:05:10] incentivizes women to seek out specific partners who provide high levels of
[01:05:12] partners who provide high levels of stimulation, potentially signaling a
[01:05:13] stimulation, potentially signaling a better genetic compatibility or a more
[01:05:16] better genetic compatibility or a more attentive male, which would help with
[01:05:18] attentive male, which would help with the survival of of offspring. Maybe
[01:05:21] the survival of of offspring. Maybe >> that makes sense.
[01:05:23] >> that makes sense. >> 40% of women squirt.
[01:05:25] >> 40% of women squirt. >> Yeah. So, the other thing is obviously a
[01:05:27] >> Yeah. So, the other thing is obviously a lot of sex is focused on genitals, but
[01:05:29] lot of sex is focused on genitals, but there's a whole body of arogynous zones,
[01:05:31] there's a whole body of arogynous zones, right? Almost almost your entire body
[01:05:34] right? Almost almost your entire body can be an erogynous zone. We talked a
[01:05:36] can be an erogynous zone. We talked a little bit about it when we talked about
[01:05:37] little bit about it when we talked about sensate focus, right? You can explore,
[01:05:39] sensate focus, right? You can explore, you can find areas that people find uh
[01:05:42] you can find areas that people find uh erogynous. So when you looked at data,
[01:05:44] erogynous. So when you looked at data, necks, nipples, lips, buttocks, inner
[01:05:48] necks, nipples, lips, buttocks, inner thighs, all these areas are considered
[01:05:50] thighs, all these areas are considered arogynous by most most people regardless
[01:05:53] arogynous by most most people regardless of their um sexual orientation,
[01:05:55] of their um sexual orientation, regardless of their cultural upbringing.
[01:05:57] regardless of their cultural upbringing. It seems to be pretty universal. There's
[01:05:59] It seems to be pretty universal. There's actually a famous paper about
[01:06:00] actually a famous paper about non-genital orgasms and like how people
[01:06:03] non-genital orgasms and like how people orgasm without any genital stimulation.
[01:06:06] orgasm without any genital stimulation. So lip orgasms, anal sex orgasms.
[01:06:09] So lip orgasms, anal sex orgasms. >> Is that possible?
[01:06:10] >> Is that possible? >> Yeah, it's been documented. Absolutely.
[01:06:13] >> Yeah, it's been documented. Absolutely. And and so it's um nipple orgasms.
[01:06:15] And and so it's um nipple orgasms. There's a whole variety of ways even
[01:06:17] There's a whole variety of ways even like women have had orgasms during
[01:06:18] like women have had orgasms during childirth. Like there's there have been
[01:06:20] childirth. Like there's there have been these documented ways to orgasm and it's
[01:06:23] these documented ways to orgasm and it's because these areas can be very
[01:06:24] because these areas can be very erogynous and sometimes stimulating
[01:06:26] erogynous and sometimes stimulating multiple areas can like add more
[01:06:29] multiple areas can like add more erogynous interest and that's why you
[01:06:31] erogynous interest and that's why you see people like maybe in the BDSM
[01:06:33] see people like maybe in the BDSM community they'll they'll be using um
[01:06:35] community they'll they'll be using um nipple clamps while they're doing other
[01:06:37] nipple clamps while they're doing other things right so there's there's a whole
[01:06:38] things right so there's there's a whole bunch of areas that are erogynous and
[01:06:41] bunch of areas that are erogynous and most of the times people are not really
[01:06:43] most of the times people are not really spending much time on foreplay or
[01:06:46] spending much time on foreplay or stimulating these erogynous zones as
[01:06:48] stimulating these erogynous zones as much as they should Right? You you have
[01:06:50] much as they should Right? You you have a whole body to play with. And how do
[01:06:51] a whole body to play with. And how do you stimulate them? There's actually
[01:06:53] you stimulate them? There's actually evidence behind that. So on your skin,
[01:06:55] evidence behind that. So on your skin, we have these special fibers called C
[01:06:57] we have these special fibers called C tactile eference. When you stimulate
[01:06:59] tactile eference. When you stimulate these fibers, they help you feel
[01:07:01] these fibers, they help you feel pleasure, enjoyment, those sorts of
[01:07:03] pleasure, enjoyment, those sorts of things. And so there was a study where
[01:07:06] things. And so there was a study where they took 19 couples, a small study, it
[01:07:07] they took 19 couples, a small study, it was out of London, and they basically
[01:07:10] was out of London, and they basically told them to stimulate an arogynous zone
[01:07:12] told them to stimulate an arogynous zone and a non-erogynous zone. The
[01:07:13] and a non-erogynous zone. The non-erogynous zone being the forehead.
[01:07:15] non-erogynous zone being the forehead. And so they had the couples stimulated.
[01:07:16] And so they had the couples stimulated. And they told them stimulated at levels
[01:07:18] And they told them stimulated at levels of 18 cm/s
[01:07:21] of 18 cm/s uh in terms of how fast you're caressing
[01:07:23] uh in terms of how fast you're caressing the arm or or or body part and at 3 cm
[01:07:27] the arm or or or body part and at 3 cm per second. And what they found was
[01:07:28] per second. And what they found was those who stimulated at 3 cm per second
[01:07:31] those who stimulated at 3 cm per second had more sexual arousal had more
[01:07:33] had more sexual arousal had more pleasant stimulation compared to those
[01:07:35] pleasant stimulation compared to those who were stimulating at 18 cm per
[01:07:37] who were stimulating at 18 cm per second. Now this makes sense because
[01:07:39] second. Now this makes sense because those C tactile aphrant fibers respond
[01:07:42] those C tactile aphrant fibers respond very well to that slow gentle caress.
[01:07:46] very well to that slow gentle caress. The other interesting thing is that
[01:07:47] The other interesting thing is that these fibers are only responsive to
[01:07:50] these fibers are only responsive to human touch. So if I take a glove and I
[01:07:52] human touch. So if I take a glove and I put it on my hand and I touch you, it
[01:07:54] put it on my hand and I touch you, it still doesn't work.
[01:07:55] still doesn't work. >> Interesting. That's so interesting
[01:07:57] >> Interesting. That's so interesting because in Los Angeles where we are now,
[01:07:59] because in Los Angeles where we are now, we were viewing an office and we were
[01:08:00] we were viewing an office and we were walking down the street to see what the
[01:08:02] walking down the street to see what the neighborhood was like and we walked past
[01:08:04] neighborhood was like and we walked past one place and it is a robot massage
[01:08:07] one place and it is a robot massage parlor. M
[01:08:09] parlor. M >> and I always thought great like well
[01:08:11] >> and I always thought great like well part of me thought maybe my prefrontal
[01:08:13] part of me thought maybe my prefrontal cortex thought oh great idea because you
[01:08:15] cortex thought oh great idea because you know you can get massages whenever you
[01:08:16] know you can get massages whenever you want it's going to be cheap maybe you
[01:08:18] want it's going to be cheap maybe you can have one in your home but then the
[01:08:19] can have one in your home but then the other part of me as I saw it thought
[01:08:21] other part of me as I saw it thought actually I don't actually think that's
[01:08:22] actually I don't actually think that's like why I get massages
[01:08:24] like why I get massages >> I think there's something about human
[01:08:25] >> I think there's something about human touch which makes a big difference
[01:08:27] touch which makes a big difference >> absolutely there is um and so I think
[01:08:29] >> absolutely there is um and so I think that's uh we're evolutionary
[01:08:32] that's uh we're evolutionary evolutionarily built to seek out human
[01:08:35] evolutionarily built to seek out human touch and human behavior
[01:08:37] touch and human behavior >> I wonder if I would want a robot to
[01:08:38] >> I wonder if I would want a robot to massage me.
[01:08:41] massage me. >> It wouldn't be as good. No.
[01:08:42] >> It wouldn't be as good. No. >> I mean, think about sitting in a massage
[01:08:44] >> I mean, think about sitting in a massage chair. Is it ever as good?
[01:08:45] chair. Is it ever as good? >> It's never as good,
[01:08:46] >> It's never as good, >> right? And so, I don't think a robot's
[01:08:47] >> right? And so, I don't think a robot's going to be that different from a maybe
[01:08:49] going to be that different from a maybe a little better than a massage chair,
[01:08:51] a little better than a massage chair, but like
[01:08:52] but like >> massage chairs are never good.
[01:08:53] >> massage chairs are never good. >> No, they're just like they're okay.
[01:08:55] >> No, they're just like they're okay. They're mediocre. M Reena, I want to
[01:08:57] They're mediocre. M Reena, I want to talk about um testosterone, how that
[01:09:00] talk about um testosterone, how that links to sexual function, but also just
[01:09:02] links to sexual function, but also just overall health because I was reading
[01:09:04] overall health because I was reading that there's been a 300% increase in the
[01:09:06] that there's been a 300% increase in the United States in the last 10 years of
[01:09:08] United States in the last 10 years of testosterone prescriptions. And my
[01:09:10] testosterone prescriptions. And my friends are increasingly having
[01:09:11] friends are increasingly having conversation about testosterone, which
[01:09:12] conversation about testosterone, which we weren't having
[01:09:14] we weren't having >> even 5 years ago. It wasn't a
[01:09:15] >> even 5 years ago. It wasn't a conversation. And now the conversation
[01:09:17] conversation. And now the conversation I'm having amongst my friends is like,
[01:09:18] I'm having amongst my friends is like, is our testosterone high enough? Do we
[01:09:19] is our testosterone high enough? Do we need to go get supplements to increase
[01:09:21] need to go get supplements to increase our testosterone?
[01:09:22] our testosterone? >> Testosterone is declining. So when you
[01:09:24] >> Testosterone is declining. So when you look at testosterone levels from the
[01:09:26] look at testosterone levels from the 1990s, like late 1990s, the average
[01:09:29] 1990s, like late 1990s, the average level was around 600 and if you look at
[01:09:32] level was around 600 and if you look at data around two 2015, it was 450. So
[01:09:35] data around two 2015, it was 450. So there's been like a 25% decline in
[01:09:38] there's been like a 25% decline in testosterone. Now you're going to ask me
[01:09:39] testosterone. Now you're going to ask me why. One, we talked about some of the
[01:09:41] why. One, we talked about some of the endocrine disrupting chemicals. That's
[01:09:43] endocrine disrupting chemicals. That's part of it certainly. Two, there's a
[01:09:45] part of it certainly. Two, there's a significant rise in obesity.
[01:09:47] significant rise in obesity. Testosterone has aromatase. And
[01:09:49] Testosterone has aromatase. And testosterone converts to estrogen using
[01:09:51] testosterone converts to estrogen using this enzyme called aromatase. And so
[01:09:54] this enzyme called aromatase. And so when you have more fat mass, you have
[01:09:55] when you have more fat mass, you have more aromatase. And more testosterone is
[01:09:57] more aromatase. And more testosterone is being converted to estrogen. And so now
[01:10:00] being converted to estrogen. And so now you have less testosterone.
[01:10:01] you have less testosterone. >> Sorry. How do we how do you have less
[01:10:02] >> Sorry. How do we how do you have less testosterone?
[01:10:03] testosterone? >> So because there's more fat mass,
[01:10:05] >> So because there's more fat mass, there's more aromatase. So that
[01:10:07] there's more aromatase. So that aromatase sees all this testosterone and
[01:10:09] aromatase sees all this testosterone and it converts it to estrogen.
[01:10:11] it converts it to estrogen. >> Okay. This is where they say they talk
[01:10:13] >> Okay. This is where they say they talk about man boobs.
[01:10:14] about man boobs. >> Yeah. So when you have a lot of
[01:10:15] >> Yeah. So when you have a lot of estradiol around you can get man boobs,
[01:10:19] estradiol around you can get man boobs, >> you can get gynecomastia. So a term for
[01:10:20] >> you can get gynecomastia. So a term for it. So that's one. Two is we see a rise
[01:10:23] it. So that's one. Two is we see a rise in diabetes and insulin resistance which
[01:10:26] in diabetes and insulin resistance which also causes a decrease in testosterone.
[01:10:30] also causes a decrease in testosterone. We're seeing a rise in ultrarocessed
[01:10:32] We're seeing a rise in ultrarocessed food intake and that doesn't have the
[01:10:36] food intake and that doesn't have the optimal nutrition that you need to
[01:10:38] optimal nutrition that you need to optimize testosterone. So we're getting
[01:10:41] optimize testosterone. So we're getting you know a high highly caloric which
[01:10:43] you know a high highly caloric which then leads to obesity. We're getting um
[01:10:46] then leads to obesity. We're getting um lack of healthy fats. We're you know all
[01:10:48] lack of healthy fats. We're you know all these things are super important for
[01:10:50] these things are super important for testosterone. The Mediterranean diet is
[01:10:52] testosterone. The Mediterranean diet is what has been the most studied and
[01:10:54] what has been the most studied and basically anti-inflammatory diet is what
[01:10:56] basically anti-inflammatory diet is what they found for testosterone. So trying
[01:10:58] they found for testosterone. So trying to just eat like whole foods,
[01:11:00] to just eat like whole foods, unprocessed foods as much as possible
[01:11:03] unprocessed foods as much as possible and minimizing the inflammatory foods.
[01:11:05] and minimizing the inflammatory foods. >> Does testo having high testosterone make
[01:11:07] >> Does testo having high testosterone make me more fertile? No, not necessarily.
[01:11:10] me more fertile? No, not necessarily. So, I think people inherently think that
[01:11:12] So, I think people inherently think that the higher your testosterone level is
[01:11:14] the higher your testosterone level is when you check your blood work, that
[01:11:16] when you check your blood work, that that's better. And that's not
[01:11:17] that's better. And that's not necessarily true. Now, everyone is
[01:11:20] necessarily true. Now, everyone is different. And what I can't tell you is
[01:11:22] different. And what I can't tell you is what your receptors look like, what your
[01:11:25] what your receptors look like, what your testosterone or androgen receptors look
[01:11:27] testosterone or androgen receptors look like, how sensitive are they to
[01:11:29] like, how sensitive are they to testosterone. And everyone's a little
[01:11:31] testosterone. And everyone's a little bit different. But when you look at the
[01:11:32] bit different. But when you look at the same guy or you look at two different
[01:11:34] same guy or you look at two different guys, their variability can be so much
[01:11:36] guys, their variability can be so much that a guy who's 900 can be normal and a
[01:11:38] that a guy who's 900 can be normal and a guy who's 500 can be normal because
[01:11:40] guy who's 500 can be normal because everyone has individual genetic
[01:11:41] everyone has individual genetic variations. It's how their cells how
[01:11:44] variations. It's how their cells how sensitive their cells are, how many
[01:11:46] sensitive their cells are, how many cells they have, you know, how many
[01:11:47] cells they have, you know, how many latig they have in their testicles. Um
[01:11:50] latig they have in their testicles. Um the CAG repeats, which are these DNA
[01:11:52] the CAG repeats, which are these DNA repeats on the receptor themselves.
[01:11:54] repeats on the receptor themselves. People who have more are less sensitive
[01:11:56] People who have more are less sensitive to the testosterone that's around. So
[01:11:58] to the testosterone that's around. So they need more testosterone to get the
[01:11:59] they need more testosterone to get the same result. Whereas people who have
[01:12:01] same result. Whereas people who have less repeats have more sensitivity so
[01:12:03] less repeats have more sensitivity so they they don't need as much
[01:12:05] they they don't need as much testosterone. And so everyone is
[01:12:06] testosterone. And so everyone is individual. And so that's why it's
[01:12:08] individual. And so that's why it's really important to understand how are
[01:12:09] really important to understand how are you feeling, right? It's not about
[01:12:11] you feeling, right? It's not about chasing a number. And so absolutely we
[01:12:14] chasing a number. And so absolutely we know that when your testosterone is low
[01:12:16] know that when your testosterone is low below 214 nanogs per deciliter that your
[01:12:20] below 214 nanogs per deciliter that your risk of mortality goes up by two. So you
[01:12:22] risk of mortality goes up by two. So you are going to double your risk of dying
[01:12:24] are going to double your risk of dying if you have low testosterone. But when
[01:12:26] if you have low testosterone. But when you go super high, super physiologic,
[01:12:29] you go super high, super physiologic, meaning like 1,800 or higher, now you're
[01:12:31] meaning like 1,800 or higher, now you're putting yourself at risk for other
[01:12:33] putting yourself at risk for other things. You can have blood thickening,
[01:12:35] things. You can have blood thickening, which is a known side effect of
[01:12:36] which is a known side effect of testosterone replacement, and that puts
[01:12:38] testosterone replacement, and that puts you at risk for stroke, heart attack,
[01:12:40] you at risk for stroke, heart attack, heart disease. Over long periods of
[01:12:43] heart disease. Over long periods of time, it can affect your heart because
[01:12:45] time, it can affect your heart because it can um there's also heart muscle
[01:12:48] it can um there's also heart muscle cells that get exposed to this high
[01:12:50] cells that get exposed to this high level of testosterone. And when that
[01:12:52] level of testosterone. And when that happens, these they sort of change over
[01:12:54] happens, these they sort of change over time and they become more collagen
[01:12:56] time and they become more collagen deposition. They get more fibrosis and
[01:12:59] deposition. They get more fibrosis and this makes them stiffer and so that
[01:13:00] this makes them stiffer and so that you're not pumping blood as effectively
[01:13:02] you're not pumping blood as effectively as you would otherwise. And so there are
[01:13:05] as you would otherwise. And so there are real consequences to going too high.
[01:13:08] real consequences to going too high. There's also the side effects of having
[01:13:09] There's also the side effects of having acne, of changes in mood in terms of
[01:13:12] acne, of changes in mood in terms of aggression and things when you get
[01:13:13] aggression and things when you get really high. So really, it's about
[01:13:15] really high. So really, it's about finding what you feel good at. More is
[01:13:18] finding what you feel good at. More is not necessarily better. Once your
[01:13:20] not necessarily better. Once your testosterone receptors are saturated,
[01:13:22] testosterone receptors are saturated, meaning they're all bound to
[01:13:23] meaning they're all bound to testosterone more doesn't help you. It
[01:13:25] testosterone more doesn't help you. It might help you get more muscles, which
[01:13:27] might help you get more muscles, which is why people abuse anabolic steroids
[01:13:29] is why people abuse anabolic steroids and testosterone because it will
[01:13:30] and testosterone because it will continue to help you get bigger muscles,
[01:13:32] continue to help you get bigger muscles, but that's it. It's not going to help
[01:13:34] but that's it. It's not going to help you with your brain health, your bone
[01:13:36] you with your brain health, your bone health, your sexual health, your any of
[01:13:38] health, your sexual health, your any of that.
[01:13:39] that. >> Is there a way to
[01:13:41] >> Is there a way to visually spot a person with low
[01:13:43] visually spot a person with low testosterone? Are there visual clues?
[01:13:46] testosterone? Are there visual clues? Usually it's someone who feels very
[01:13:48] Usually it's someone who feels very fatigued like they can't get out of bed.
[01:13:51] fatigued like they can't get out of bed. They feel just like so drained. Usually
[01:13:53] They feel just like so drained. Usually they are a little bit more overweight.
[01:13:56] they are a little bit more overweight. >> Skinny fat
[01:13:58] >> Skinny fat >> visceral adop I mean you can't always
[01:14:00] >> visceral adop I mean you can't always tell if they're skinny. So it could be
[01:14:01] tell if they're skinny. So it could be because they could have visceral adopy
[01:14:02] because they could have visceral adopy which is meaning that the fat is around
[01:14:04] which is meaning that the fat is around the the organs right and so you don't
[01:14:06] the the organs right and so you don't see like a big pot belly necessarily. Um
[01:14:09] see like a big pot belly necessarily. Um they may have really low sexual desire.
[01:14:12] they may have really low sexual desire. They may have decrease in mood.
[01:14:13] They may have decrease in mood. >> What about skin and bones? Does it
[01:14:15] >> What about skin and bones? Does it impact skin and bones?
[01:14:16] impact skin and bones? >> Yeah. So, if you get high testosterone,
[01:14:18] >> Yeah. So, if you get high testosterone, you can get acne because it affects the
[01:14:19] you can get acne because it affects the sebum in the skin. Um, bone health. So,
[01:14:22] sebum in the skin. Um, bone health. So, testosterone converts to estradiol and
[01:14:26] testosterone converts to estradiol and estradiol is really important for bone
[01:14:28] estradiol is really important for bone metabolism. And so, when you have low
[01:14:31] metabolism. And so, when you have low testosterone, you can also have low
[01:14:33] testosterone, you can also have low estrogen. And when your estrogen gets
[01:14:35] estrogen. And when your estrogen gets very low, you get a higher risk for
[01:14:38] very low, you get a higher risk for fractures, higher risk for osteoporosis.
[01:14:41] fractures, higher risk for osteoporosis. And so that's where your bone health um
[01:14:43] And so that's where your bone health um can be in danger. And so that's why
[01:14:45] can be in danger. And so that's why testosterone can help protect your bones
[01:14:47] testosterone can help protect your bones because of its conversion to estradile.
[01:14:50] because of its conversion to estradile. >> If you do have low testosterone, should
[01:14:51] >> If you do have low testosterone, should you be considering taking anabolic
[01:14:53] you be considering taking anabolic steroids? Like
[01:14:55] steroids? Like and who is testosterone replacement
[01:14:57] and who is testosterone replacement therapy good for?
[01:14:59] therapy good for? >> So I'm going to ask you a question. Why
[01:15:00] >> So I'm going to ask you a question. Why why are you saying anabolic steroids?
[01:15:02] why are you saying anabolic steroids? >> I don't know. Cuz I hear that people big
[01:15:03] >> I don't know. Cuz I hear that people big bodybuilders take anabolic steroids. The
[01:15:05] bodybuilders take anabolic steroids. The reason I asked you that is because
[01:15:06] reason I asked you that is because people think anabolic steroids and
[01:15:08] people think anabolic steroids and testosterone replacement therapy are the
[01:15:09] testosterone replacement therapy are the same thing and they're not. And so
[01:15:11] same thing and they're not. And so testosterone replacement therapy is what
[01:15:14] testosterone replacement therapy is what is given to guys who have low
[01:15:16] is given to guys who have low testosterone. If you have truly low
[01:15:18] testosterone. If you have truly low testosterone, there's a few things you
[01:15:20] testosterone, there's a few things you can obviously improve testosterone
[01:15:21] can obviously improve testosterone naturally by going back to those pillars
[01:15:23] naturally by going back to those pillars of health that we talked about. Improve
[01:15:24] of health that we talked about. Improve your sleep, do resistance training,
[01:15:26] your sleep, do resistance training, avoid endocrine disrupting chemicals.
[01:15:28] avoid endocrine disrupting chemicals. But if you are still low despite doing
[01:15:30] But if you are still low despite doing all those things or you're like so
[01:15:32] all those things or you're like so fatigued that you can't move your body
[01:15:33] fatigued that you can't move your body and like you really need to do it, then
[01:15:35] and like you really need to do it, then I think testosterone replacement is is
[01:15:37] I think testosterone replacement is is very valuable. And so testosterone
[01:15:39] very valuable. And so testosterone replacement is getting you to a level of
[01:15:42] replacement is getting you to a level of testosterone that is within normal.
[01:15:45] testosterone that is within normal. We're not trying to get you super high.
[01:15:47] We're not trying to get you super high. We're not trying to get you to become a
[01:15:48] We're not trying to get you to become a bodybuilder. We're trying to get you to
[01:15:50] bodybuilder. We're trying to get you to normal, what you should be. And so
[01:15:53] normal, what you should be. And so anabolic steroids are different. And
[01:15:55] anabolic steroids are different. And anabol steroids are like all these
[01:15:56] anabol steroids are like all these different um oral pills and injectables
[01:15:58] different um oral pills and injectables and things that work on muscle as well
[01:16:00] and things that work on muscle as well as work on your uh androgen receptors.
[01:16:03] as work on your uh androgen receptors. And so those are typically things that
[01:16:05] And so those are typically things that people are taking on their own. They're
[01:16:08] people are taking on their own. They're kind of self-directing their care and
[01:16:10] kind of self-directing their care and they're not really monitoring their
[01:16:12] they're not really monitoring their testosterone or they don't really care
[01:16:14] testosterone or they don't really care how high they go. They just want the end
[01:16:16] how high they go. They just want the end product of looking muscular. And so they
[01:16:20] product of looking muscular. And so they are getting really high testosterones
[01:16:22] are getting really high testosterones and that has its own host of concerns in
[01:16:26] and that has its own host of concerns in addition to the ones we talked about
[01:16:27] addition to the ones we talked about like blood clots and and heart attack.
[01:16:29] like blood clots and and heart attack. But there's a 15 times higher risk of
[01:16:32] But there's a 15 times higher risk of having premature heart failure and a 122
[01:16:36] having premature heart failure and a 122 times more risk of cardiac death when
[01:16:39] times more risk of cardiac death when you're taking anabolic steroids for the
[01:16:41] you're taking anabolic steroids for the purposes of increasing muscle mass and
[01:16:43] purposes of increasing muscle mass and not and get getting really high in your
[01:16:45] not and get getting really high in your testosterone. So, it is a real serious
[01:16:48] testosterone. So, it is a real serious issue when you take anabolic steroids
[01:16:50] issue when you take anabolic steroids because it can have real serious health
[01:16:52] because it can have real serious health consequences.
[01:16:53] consequences. >> I've always imagined that once I have
[01:16:55] >> I've always imagined that once I have kids, so I'm I think I'm scared that if
[01:16:57] kids, so I'm I think I'm scared that if I have testosterone replacement therapy
[01:16:59] I have testosterone replacement therapy at this age at 33, it might impact my
[01:17:01] at this age at 33, it might impact my fertility.
[01:17:02] fertility. >> It absolutely will.
[01:17:03] >> It absolutely will. >> Okay, good. So, I'm not going to do that
[01:17:06] >> Okay, good. So, I'm not going to do that until I've had all four of the kids.
[01:17:08] until I've had all four of the kids. >> Yeah.
[01:17:08] >> Yeah. >> As many as I can.
[01:17:10] >> As many as I can. >> And then I figured when I hit like 45,
[01:17:13] >> And then I figured when I hit like 45, then I'll go on testosterone replacement
[01:17:15] then I'll go on testosterone replacement therapy. Is this a good strategy?
[01:17:17] therapy. Is this a good strategy? >> Well, first of all, I would want to know
[01:17:19] >> Well, first of all, I would want to know why you want to be on testosterone. Is
[01:17:20] why you want to be on testosterone. Is your testosterone low?
[01:17:21] your testosterone low? >> I have no idea.
[01:17:22] >> I have no idea. >> Right? Are you having any symptoms?
[01:17:24] >> Right? Are you having any symptoms? >> I mean, you live a very highpowered,
[01:17:26] >> I mean, you live a very highpowered, busy life. And so, I can guarantee your
[01:17:29] busy life. And so, I can guarantee your stress is probably not under control.
[01:17:31] stress is probably not under control. Like, probably you're not sleeping
[01:17:33] Like, probably you're not sleeping great. And not to say that those are
[01:17:35] great. And not to say that those are things that, you know, you can't do in
[01:17:36] things that, you know, you can't do in addition to taking testosterone if your
[01:17:38] addition to taking testosterone if your testosterone is indeed low. But I think
[01:17:41] testosterone is indeed low. But I think the important thing is realizing like
[01:17:43] the important thing is realizing like it's only going to help you if your
[01:17:45] it's only going to help you if your testosterone receptors are not fully
[01:17:47] testosterone receptors are not fully saturated and giving you more
[01:17:48] saturated and giving you more testosterone is going to saturate them.
[01:17:50] testosterone is going to saturate them. >> Doesn't it just drop anyway with age?
[01:17:52] >> Doesn't it just drop anyway with age? >> It does. So it drops about uh 1% a year
[01:17:56] >> It does. So it drops about uh 1% a year on average. Some people drop less, some
[01:17:58] on average. Some people drop less, some people drop more. So if you look at
[01:17:59] people drop more. So if you look at someone who is healthy and they have a
[01:18:02] someone who is healthy and they have a normal testosterone, they usually won't
[01:18:04] normal testosterone, they usually won't become what we call hypogonatal or have
[01:18:06] become what we call hypogonatal or have low testosterone even as they age
[01:18:09] low testosterone even as they age because the drop is so low. it's only 1%
[01:18:11] because the drop is so low. it's only 1% a year. But if you add on these comorbid
[01:18:14] a year. But if you add on these comorbid conditions, if you add on a high stress
[01:18:15] conditions, if you add on a high stress life, if you add on poor sleep, if you
[01:18:18] life, if you add on poor sleep, if you add on um exposure to endocrine
[01:18:20] add on um exposure to endocrine disrupting chemicals, you're going to
[01:18:21] disrupting chemicals, you're going to see um that number come down much
[01:18:24] see um that number come down much higher.
[01:18:24] higher. >> It's actually I was just I pulled up a
[01:18:26] >> It's actually I was just I pulled up a graph here um that shows testosterone
[01:18:29] graph here um that shows testosterone decline with age. And it's actually not
[01:18:32] decline with age. And it's actually not that steep.
[01:18:33] that steep. >> It's not It is going to decline, but it
[01:18:36] >> It's not It is going to decline, but it may not decline to the point where you
[01:18:38] may not decline to the point where you need testosterone. So, not everyone
[01:18:40] need testosterone. So, not everyone needs it. Depending on the data you look
[01:18:41] needs it. Depending on the data you look at, 20 to 40% of guys have low
[01:18:44] at, 20 to 40% of guys have low testosterone. Um, and when you look at
[01:18:47] testosterone. Um, and when you look at the number that get treated, it's like
[01:18:48] the number that get treated, it's like 2%.
[01:18:49] 2%. >> And it starts declining from about 20
[01:18:51] >> And it starts declining from about 20 years old.
[01:18:52] years old. >> Yeah. Depends on the person. 20 to 40
[01:18:54] >> Yeah. Depends on the person. 20 to 40 years old that start, it's probably more
[01:18:55] years old that start, it's probably more around 30 to 40. And the reason we came
[01:18:57] around 30 to 40. And the reason we came up with these numbers, right, these
[01:18:59] up with these numbers, right, these guidelines to to guide us on what's
[01:19:00] guidelines to to guide us on what's normal and what's not is because you
[01:19:02] normal and what's not is because you look at population-based data and you
[01:19:04] look at population-based data and you look at when these symptoms arise and
[01:19:06] look at when these symptoms arise and there are like clear numbers like you
[01:19:08] there are like clear numbers like you may start having bone loss uh around
[01:19:10] may start having bone loss uh around 300. You might start having uh you know
[01:19:14] 300. You might start having uh you know decreased sexual frequency of thoughts
[01:19:16] decreased sexual frequency of thoughts at 215. You might start having feeling
[01:19:19] at 215. You might start having feeling less physical vigor uh around 290.
[01:19:22] less physical vigor uh around 290. Right? And so there are numbers that we
[01:19:24] Right? And so there are numbers that we know based on population-based data that
[01:19:26] know based on population-based data that we're seeing these numbers decline. Now
[01:19:28] we're seeing these numbers decline. Now the other thing to think about when
[01:19:30] the other thing to think about when you're looking at testosterone is free
[01:19:31] you're looking at testosterone is free testosterone. So testosterone comes in
[01:19:34] testosterone. So testosterone comes in different forms in the body. It comes
[01:19:36] different forms in the body. It comes bound and unbound. So 45% of
[01:19:39] bound and unbound. So 45% of testosterone is bound to SHBG which is a
[01:19:43] testosterone is bound to SHBG which is a molecule of protein that is really
[01:19:45] molecule of protein that is really tightly binds to testosterone. Doesn't
[01:19:47] tightly binds to testosterone. Doesn't let it go for your body to use. Then
[01:19:49] let it go for your body to use. Then there's some that's bound to albumin
[01:19:51] there's some that's bound to albumin which is sort of loosely bound and then
[01:19:53] which is sort of loosely bound and then there's 2% that's free 1 to 2% that's
[01:19:56] there's 2% that's free 1 to 2% that's free and that's what we say is like the
[01:19:57] free and that's what we say is like the most available to your body for use and
[01:20:01] most available to your body for use and there's actually you know good data that
[01:20:02] there's actually you know good data that looks at free testosterone and the
[01:20:04] looks at free testosterone and the levels of free testosterone are
[01:20:06] levels of free testosterone are correlated with these symptoms as well
[01:20:08] correlated with these symptoms as well and so you do have to look at the big
[01:20:10] and so you do have to look at the big picture so I always check a total
[01:20:12] picture so I always check a total testosterone as well as an SHBG because
[01:20:14] testosterone as well as an SHBG because some people can have elevated SHBG
[01:20:17] some people can have elevated SHBG thyroid dysfunction due to aging, just
[01:20:20] thyroid dysfunction due to aging, just genetic variability, right? In women,
[01:20:22] genetic variability, right? In women, SHBG goes up when you take oral
[01:20:24] SHBG goes up when you take oral contraceptives and it stays up for life
[01:20:27] contraceptives and it stays up for life if you take oral contraceptives. So, it
[01:20:28] if you take oral contraceptives. So, it can affect their free testosterone. The
[01:20:30] can affect their free testosterone. The other thing to think about testosterone
[01:20:31] other thing to think about testosterone is it's for life. Once you take it, your
[01:20:33] is it's for life. Once you take it, your body stops making its own testosterone.
[01:20:36] body stops making its own testosterone. Many people over years will notice that
[01:20:37] Many people over years will notice that their testo their testicles get smaller
[01:20:40] their testo their testicles get smaller um because their body stops making its
[01:20:42] um because their body stops making its own testosterone. So, it's not something
[01:20:44] own testosterone. So, it's not something to take lightly. Now if you want say you
[01:20:46] to take lightly. Now if you want say you were low right now and you wanted to
[01:20:48] were low right now and you wanted to conceive there are ways where you can
[01:20:50] conceive there are ways where you can take other um other pharmaceuticals that
[01:20:53] take other um other pharmaceuticals that will naturally boost your own production
[01:20:55] will naturally boost your own production like hcg or clomid or enclomophene.
[01:20:58] like hcg or clomid or enclomophene. These work basically uh in different
[01:21:00] These work basically uh in different ways to either tell your brain that hey
[01:21:02] ways to either tell your brain that hey we need more testosterone or they send
[01:21:04] we need more testosterone or they send they mimic the signals that tell your
[01:21:06] they mimic the signals that tell your testicles to make more testosterone. And
[01:21:09] testicles to make more testosterone. And so there are ways to do it and you
[01:21:10] so there are ways to do it and you definitely need someone who's, you know,
[01:21:12] definitely need someone who's, you know, well-versed in managing hormone
[01:21:14] well-versed in managing hormone management. Uh, but there are things
[01:21:16] management. Uh, but there are things that you can do if you're low. But
[01:21:18] that you can do if you're low. But again, I don't think it's once you once
[01:21:20] again, I don't think it's once you once you start these things, you can't go I
[01:21:21] you start these things, you can't go I mean, you can get off of it, but it's
[01:21:23] mean, you can get off of it, but it's sort of a process and it's not something
[01:21:24] sort of a process and it's not something that everyone will do because you're
[01:21:26] that everyone will do because you're going to feel good on testosterone if
[01:21:28] going to feel good on testosterone if you're taking it. And then when you get
[01:21:29] you're taking it. And then when you get off it, because your body is like no
[01:21:31] off it, because your body is like no longer making its own, you're going to
[01:21:32] longer making its own, you're going to feel horrible. So, do you think most 50
[01:21:34] feel horrible. So, do you think most 50 plus year old men should be taking
[01:21:37] plus year old men should be taking testosterone
[01:21:39] testosterone replacement therapies?
[01:21:40] replacement therapies? >> Only if they're symptomatic and they're
[01:21:42] >> Only if they're symptomatic and they're low, right? So,
[01:21:42] low, right? So, >> would it make them the average man, the
[01:21:44] >> would it make them the average man, the average 50-year-old man, if this is the
[01:21:45] average 50-year-old man, if this is the average, feel better on a daily basis?
[01:21:48] average, feel better on a daily basis? >> Not necessarily. Because if they are
[01:21:50] >> Not necessarily. Because if they are normal, like I said, if their
[01:21:51] normal, like I said, if their testosterone receptors are already fully
[01:21:53] testosterone receptors are already fully saturated, it's not going to change,
[01:21:54] saturated, it's not going to change, right? It's not going to change their
[01:21:56] right? It's not going to change their it, like I said, it may make their
[01:21:58] it, like I said, it may make their muscles look bigger, but it's not going
[01:21:59] muscles look bigger, but it's not going to change their their cognition. It's
[01:22:01] to change their their cognition. It's not going to change their mood. It's not
[01:22:03] not going to change their mood. It's not going to change their sex drive. It's
[01:22:04] going to change their sex drive. It's not going to change their erections when
[01:22:06] not going to change their erections when their testosterone receptors are fully
[01:22:08] their testosterone receptors are fully saturated.
[01:22:09] saturated. >> And you know, in this graph, what is
[01:22:10] >> And you know, in this graph, what is showing the decline here? Has that got
[01:22:12] showing the decline here? Has that got anything to do with whether their
[01:22:14] anything to do with whether their testosterone levels are fully saturated?
[01:22:15] testosterone levels are fully saturated? Because
[01:22:16] Because >> no, you can't tell from that.
[01:22:17] >> no, you can't tell from that. >> You can't tell from that. So, you could
[01:22:18] >> You can't tell from that. So, you could have low testosterone but still be
[01:22:19] have low testosterone but still be fully.
[01:22:20] fully. >> That's why we talk about symptoms,
[01:22:21] >> That's why we talk about symptoms, right? Because that's how I can tell. I
[01:22:23] right? Because that's how I can tell. I think, you know, that's part of what
[01:22:25] think, you know, that's part of what being a doctor is, right? Talking to
[01:22:26] being a doctor is, right? Talking to your patients and figuring out what's
[01:22:28] your patients and figuring out what's going on with them and what their
[01:22:29] going on with them and what their symptoms are and making sure it's
[01:22:30] symptoms are and making sure it's nothing else, right? You can have low
[01:22:32] nothing else, right? You can have low thyroid and that can mimic what what uh
[01:22:35] thyroid and that can mimic what what uh what low testosterone feels like. You
[01:22:37] what low testosterone feels like. You can have a high prolactin because you
[01:22:38] can have a high prolactin because you might have a benign tumor in your brain
[01:22:41] might have a benign tumor in your brain that's secretreting prolactin and that
[01:22:43] that's secretreting prolactin and that can reduce your testosterone. So that's
[01:22:44] can reduce your testosterone. So that's the the reason to get a full evaluation
[01:22:46] the the reason to get a full evaluation to make sure there's nothing else that
[01:22:48] to make sure there's nothing else that we're missing that's causing you to have
[01:22:50] we're missing that's causing you to have these symptoms if your other levels are
[01:22:52] these symptoms if your other levels are normal.
[01:22:53] normal. >> Uh okay, that makes sense. So just
[01:22:54] >> Uh okay, that makes sense. So just because my testosterone levels would be
[01:22:56] because my testosterone levels would be low doesn't mean I necessar if I don't
[01:22:59] low doesn't mean I necessar if I don't if I'm not symptomatic doesn't mean that
[01:23:01] if I'm not symptomatic doesn't mean that I should necessarily just assume that I
[01:23:03] I should necessarily just assume that I need testosterone replacement therapy.
[01:23:05] need testosterone replacement therapy. >> Exactly.
[01:23:05] >> Exactly. >> Okay. Yeah. I think I think most of my
[01:23:08] >> Okay. Yeah. I think I think most of my male friends are just assuming that once
[01:23:09] male friends are just assuming that once we hit 50 we're all on the testosterone.
[01:23:11] we hit 50 we're all on the testosterone. >> I mean look I think when if you need it
[01:23:14] >> I mean look I think when if you need it it's a great drug. It's a great option
[01:23:16] it's a great drug. It's a great option to improve your quality of life. It's
[01:23:19] to improve your quality of life. It's obviously preventing uh bone loss. It's
[01:23:22] obviously preventing uh bone loss. It's improving your longevity. it's uh
[01:23:24] improving your longevity. it's uh preventing hopefully having some benefit
[01:23:26] preventing hopefully having some benefit in terms of cardioabolic health and so
[01:23:28] in terms of cardioabolic health and so yeah absolutely if you need it but it's
[01:23:31] yeah absolutely if you need it but it's not something that like everyone should
[01:23:32] not something that like everyone should just take cuz why not right like it's a
[01:23:35] just take cuz why not right like it's a when you play with hormones it's serious
[01:23:36] when you play with hormones it's serious business you know
[01:23:38] business you know >> I guess a lot of men are self-conscious
[01:23:39] >> I guess a lot of men are self-conscious in a way that they don't often admit and
[01:23:41] in a way that they don't often admit and they want to have big muscles
[01:23:43] they want to have big muscles >> and they want to feel strong
[01:23:44] >> and they want to feel strong >> and this is the the problem I'm seeing
[01:23:45] >> and this is the the problem I'm seeing with younger guys right now is that
[01:23:48] with younger guys right now is that there's a lot of young kids taking
[01:23:50] there's a lot of young kids taking anabolics because there's so much
[01:23:52] anabolics because there's so much pressure to look a certain way, right?
[01:23:54] pressure to look a certain way, right? Because nowadays when how do you meet
[01:23:56] Because nowadays when how do you meet people on social media through like
[01:23:58] people on social media through like swiping and and all you see is what they
[01:24:00] swiping and and all you see is what they look like. And so there's this pressure
[01:24:02] look like. And so there's this pressure and like I'll see it at the gym like I'm
[01:24:03] and like I'll see it at the gym like I'm like at the gym and there's these young
[01:24:05] like at the gym and there's these young kids who I'm like there is no way you
[01:24:06] kids who I'm like there is no way you are naturally that built at that age,
[01:24:09] are naturally that built at that age, right? Like unless you've been lifting
[01:24:11] right? Like unless you've been lifting since you were like seven years old. And
[01:24:13] since you were like seven years old. And so and of course there are some. But it
[01:24:16] so and of course there are some. But it is serious because one, it causes
[01:24:18] is serious because one, it causes infertility, right? When you're on
[01:24:19] infertility, right? When you're on testosterone replacement after about 18
[01:24:23] testosterone replacement after about 18 18 months, 70% of people on testosterone
[01:24:25] 18 months, 70% of people on testosterone replacement will be infertile.
[01:24:27] replacement will be infertile. >> 17
[01:24:28] >> 17 >> 70 70%.
[01:24:30] >> 70 70%. >> 70.
[01:24:31] >> 70. >> And even as soon as like 10 weeks, we
[01:24:33] >> And even as soon as like 10 weeks, we see some people having drops in their
[01:24:36] see some people having drops in their sperm count. So, it's variable with how
[01:24:38] sperm count. So, it's variable with how quickly you're going to see impacts on
[01:24:40] quickly you're going to see impacts on your fertility, but it absolutely
[01:24:42] your fertility, but it absolutely happens. And it can it can come back for
[01:24:45] happens. And it can it can come back for the large majority of people, but how
[01:24:47] the large majority of people, but how long it takes depends on your age and
[01:24:49] long it takes depends on your age and how long you were on testosterone
[01:24:50] how long you were on testosterone replacement therapy. And in some cases,
[01:24:52] replacement therapy. And in some cases, it can take as long as 2 years to come
[01:24:54] it can take as long as 2 years to come back.
[01:24:54] back. >> I really need to get my testosterone
[01:24:56] >> I really need to get my testosterone levels checked.
[01:24:57] levels checked. >> Yeah, you should. But also, you should
[01:25:00] >> Yeah, you should. But also, you should get your semen analysis checked. And
[01:25:01] get your semen analysis checked. And I've done that.
[01:25:02] I've done that. >> Good. Good. Because that's also a
[01:25:03] >> Good. Good. Because that's also a biomarker of health. We've seen that
[01:25:05] biomarker of health. We've seen that people who have poor semen parameters
[01:25:08] people who have poor semen parameters they have higher rates of mortality and
[01:25:10] they have higher rates of mortality and they actually live when you look at age
[01:25:12] they actually live when you look at age like what age people die they die
[01:25:14] like what age people die they die younger compared to people and it's dose
[01:25:16] younger compared to people and it's dose dependent. So if you're have like normal
[01:25:20] dependent. So if you're have like normal uh the concentration of sperm and then
[01:25:22] uh the concentration of sperm and then it keeps going down and down and down.
[01:25:23] it keeps going down and down and down. If you look at the age it's like they
[01:25:25] If you look at the age it's like they live to 78 77 76 like you can actually
[01:25:28] live to 78 77 76 like you can actually see it come down except for people who
[01:25:30] see it come down except for people who have no sperm because those are usually
[01:25:31] have no sperm because those are usually genetic disorders. Those are live a
[01:25:33] genetic disorders. Those are live a little longer because it's not
[01:25:34] little longer because it's not necessarily due to cardioabolic issues.
[01:25:37] necessarily due to cardioabolic issues. Um, but it's basically a reflection of
[01:25:39] Um, but it's basically a reflection of your overall health.
[01:25:43] >> Steve, what are you doing?
[01:25:44] >> Steve, what are you doing? >> Uh, just making myself a delicious
[01:25:46] >> Uh, just making myself a delicious coffee
[01:25:47] coffee >> from the freezer.
[01:25:49] >> from the freezer. >> From the freezer. Have you not heard
[01:25:50] >> From the freezer. Have you not heard about Contier?
[01:25:50] about Contier? >> No.
[01:25:51] >> No. >> Oh my gosh. This is going to change your
[01:25:53] >> Oh my gosh. This is going to change your life. A couple of months ago, the
[01:25:55] life. A couple of months ago, the founder of this business called Matt
[01:25:56] founder of this business called Matt sent a big shipment of this coffee to
[01:26:00] sent a big shipment of this coffee to our office in London. What most people
[01:26:01] our office in London. What most people don't know is that the processing of
[01:26:02] don't know is that the processing of coffee takes out a lot of the taste. So
[01:26:04] coffee takes out a lot of the taste. So what they do is they flash freeze it at
[01:26:07] what they do is they flash freeze it at the optimal moment when it's most tasty
[01:26:10] the optimal moment when it's most tasty and they send you in the post the coffee
[01:26:12] and they send you in the post the coffee in these little frozen ice cubes. Now
[01:26:14] in these little frozen ice cubes. Now Matt sent a big shipment to my office. I
[01:26:16] Matt sent a big shipment to my office. I moved it to the kitchen. I said to the
[01:26:17] moved it to the kitchen. I said to the team, "Knock yourselves out." And then I
[01:26:19] team, "Knock yourselves out." And then I saw so many messages in our Slack
[01:26:20] saw so many messages in our Slack channel of people going, "Oh my god,
[01:26:23] channel of people going, "Oh my god, what the hell is that? It's so
[01:26:24] what the hell is that? It's so delicious." All I have to do is pop it
[01:26:26] delicious." All I have to do is pop it out in the morning using the little
[01:26:27] out in the morning using the little button on the back of this thing. I pour
[01:26:30] button on the back of this thing. I pour my hot water in and I mix it and that is
[01:26:34] my hot water in and I mix it and that is done. You can get $30 off your first
[01:26:36] done. You can get $30 off your first order of Cometier coffee if you go to
[01:26:39] order of Cometier coffee if you go to cometier.com/stephven.
[01:26:41] cometier.com/stephven. Try it and please Instagram DM me,
[01:26:44] Try it and please Instagram DM me, LinkedIn me and let me know if you love
[01:26:46] LinkedIn me and let me know if you love it as much as I do. Make sure you keep
[01:26:48] it as much as I do. Make sure you keep what I'm about to say to yourself. I'm
[01:26:50] what I'm about to say to yourself. I'm inviting 10,000 of you to come even
[01:26:52] inviting 10,000 of you to come even deeper into the diary of a CEO. Welcome
[01:26:54] deeper into the diary of a CEO. Welcome to my inner circle. This is a brand new
[01:26:58] to my inner circle. This is a brand new private community that I'm launching to
[01:26:59] private community that I'm launching to the world. We have so many incredible
[01:27:01] the world. We have so many incredible things that happen that you are never
[01:27:03] things that happen that you are never shown. We have the briefs that are on my
[01:27:05] shown. We have the briefs that are on my iPad when I'm recording the
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[01:27:38] I will speak to you then.
[01:27:43] One of the things I was quite surprised
[01:27:44] One of the things I was quite surprised by, I'll be honest, is when I went on
[01:27:47] by, I'll be honest, is when I went on your YouTube channel
[01:27:48] your YouTube channel >> Mhm.
[01:27:48] >> Mhm. >> one of your very high performing videos,
[01:27:51] >> one of your very high performing videos, I think it had 31 million views, was
[01:27:55] I think it had 31 million views, was about enlarging your penis.
[01:27:56] about enlarging your penis. >> Yes.
[01:27:59] >> Yes. >> I didn't know that so many men were
[01:28:02] >> I didn't know that so many men were interested in ways to enlarge their
[01:28:04] interested in ways to enlarge their penis. Well, it's interesting because
[01:28:06] penis. Well, it's interesting because when you look at the data, more men want
[01:28:08] when you look at the data, more men want to so I let's say most guys would love
[01:28:12] to so I let's say most guys would love to be taller, right? If you're an
[01:28:13] to be taller, right? If you're an average height man, most guys would love
[01:28:14] average height man, most guys would love to be taller, right?
[01:28:16] to be taller, right? >> Yeah. True.
[01:28:16] >> Yeah. True. >> Um more men want to have a longer penis
[01:28:18] >> Um more men want to have a longer penis than they want to be taller.
[01:28:20] than they want to be taller. >> Really?
[01:28:20] >> Really? >> Mhm.
[01:28:23] >> Mhm. >> Wow. Wow.
[01:28:26] >> Wow. Wow. Why is this?
[01:28:28] Why is this? >> Well, I think you know a lot of people
[01:28:31] >> Well, I think you know a lot of people um it starts at a young age. I have
[01:28:33] um it starts at a young age. I have sons, right? And so I see it like they
[01:28:35] sons, right? And so I see it like they talk about their penis in such a way
[01:28:37] talk about their penis in such a way like very early in life like oh my god
[01:28:39] like very early in life like oh my god my penis is so big or it should be so
[01:28:41] my penis is so big or it should be so big or whatever and and there and it's
[01:28:44] big or whatever and and there and it's like this it becomes this like this
[01:28:46] like this it becomes this like this society thing about who's got a bigger
[01:28:48] society thing about who's got a bigger penis like it's very interesting but
[01:28:50] penis like it's very interesting but there's a lot of pressure to feel like
[01:28:53] there's a lot of pressure to feel like and and a lot of discussion around
[01:28:54] and and a lot of discussion around bigger is better right it's it's talked
[01:28:57] bigger is better right it's it's talked about in media it's subtly joked about
[01:28:59] about in media it's subtly joked about it is um everywhere you look people are
[01:29:02] it is um everywhere you look people are talking about like being wellendowed as
[01:29:04] talking about like being wellendowed as being better. But interestingly, on my
[01:29:06] being better. But interestingly, on my podcast, we interviewed the the guy who
[01:29:09] podcast, we interviewed the the guy who has the largest medically verified
[01:29:10] has the largest medically verified penis. It's I think it's like 13 or 14
[01:29:13] penis. It's I think it's like 13 or 14 inches in length. And um he actually has
[01:29:16] inches in length. And um he actually has a lot of trouble because it's so large
[01:29:18] a lot of trouble because it's so large that people don't want to have sex with
[01:29:20] that people don't want to have sex with him and it's uncomfortable for them. And
[01:29:22] him and it's uncomfortable for them. And so, like, it's not all roses and
[01:29:24] so, like, it's not all roses and sunshine on the other side. But the
[01:29:27] sunshine on the other side. But the reality is that many people feel what's
[01:29:29] reality is that many people feel what's called small penis anxiety. and they
[01:29:31] called small penis anxiety. and they they even if they have a normalsized
[01:29:33] they even if they have a normalsized penis, they feel consumed with how the
[01:29:36] penis, they feel consumed with how the size of their penis is. And so that's
[01:29:38] size of their penis is. And so that's why this video did so well. I naively
[01:29:40] why this video did so well. I naively had no idea how many people it would
[01:29:42] had no idea how many people it would resonate with because I'm not a guy,
[01:29:43] resonate with because I'm not a guy, right? And I see patients all the time,
[01:29:45] right? And I see patients all the time, but at that time in my career, people
[01:29:47] but at that time in my career, people weren't coming to me to talk about it.
[01:29:48] weren't coming to me to talk about it. And so I um I realized like there's so
[01:29:52] And so I um I realized like there's so many people quietly feeling insecure.
[01:29:54] many people quietly feeling insecure. And we talk a lot about women having
[01:29:55] And we talk a lot about women having body image issues. Men do too, right?
[01:29:58] body image issues. Men do too, right? They feel insecure about the size of
[01:30:00] They feel insecure about the size of their penis because also they're seeing
[01:30:02] their penis because also they're seeing guys on pornography who have very
[01:30:05] guys on pornography who have very well-endowed fallaces and you know they
[01:30:07] well-endowed fallaces and you know they chose to be porn actors for a reason,
[01:30:09] chose to be porn actors for a reason, right? Because they are naturally
[01:30:11] right? Because they are naturally wellendowed. And so you're comparing
[01:30:13] wellendowed. And so you're comparing yourself to the outliers and the average
[01:30:15] yourself to the outliers and the average penis is about 5.3 to 5.5 in erect. But
[01:30:19] penis is about 5.3 to 5.5 in erect. But when you look at like what do women
[01:30:21] when you look at like what do women want, they will say on average they want
[01:30:23] want, they will say on average they want a 6 in penis. But when you look at like
[01:30:26] a 6 in penis. But when you look at like the kind of sex toys they buy and they
[01:30:28] the kind of sex toys they buy and they did this study because they were looking
[01:30:29] did this study because they were looking at people who they were trying to decide
[01:30:32] at people who they were trying to decide what kind of when they were developing
[01:30:34] what kind of when they were developing fallaces for trans people like they they
[01:30:37] fallaces for trans people like they they reconstruct fallacuses for they wanted
[01:30:39] reconstruct fallacuses for they wanted to they were making them too girthy and
[01:30:40] to they were making them too girthy and they like well we need to figure out
[01:30:41] they like well we need to figure out what girth women want and so they looked
[01:30:44] what girth women want and so they looked at like what women buy on online like
[01:30:47] at like what women buy on online like what is the most purchased sex toy and
[01:30:49] what is the most purchased sex toy and it's actually pretty close to average.
[01:30:52] it's actually pretty close to average. >> Do you say 5.2 in
[01:30:53] >> Do you say 5.2 in >> 5.2 two to 5.5 depending on the study
[01:30:55] >> 5.2 two to 5.5 depending on the study you're looking at. Yeah.
[01:30:56] you're looking at. Yeah. >> Correct.
[01:30:57] >> Correct. >> Mhm.
[01:30:58] >> Mhm. >> H. And what size do men think the
[01:31:02] >> H. And what size do men think the average is?
[01:31:03] average is? >> Oh, they think it's like six or seven
[01:31:04] >> Oh, they think it's like six or seven in.
[01:31:05] in. >> Oh, okay. So, they think the average is
[01:31:06] >> Oh, okay. So, they think the average is bigger. And also, how does age come into
[01:31:08] bigger. And also, how does age come into this? Because I'm presuming that when I
[01:31:10] this? Because I'm presuming that when I get older, my penis is going to shrink
[01:31:11] get older, my penis is going to shrink or something.
[01:31:11] or something. >> If you have good blood flow to your
[01:31:13] >> If you have good blood flow to your penis, it shouldn't shrink. So, like I
[01:31:15] penis, it shouldn't shrink. So, like I said earlier, if you stop having
[01:31:18] said earlier, if you stop having nighttime erections or you're not having
[01:31:19] nighttime erections or you're not having erections, now you're no longer getting
[01:31:21] erections, now you're no longer getting blood flow to your penis and it will
[01:31:22] blood flow to your penis and it will shrink over time. Also, if you're
[01:31:24] shrink over time. Also, if you're gaining weight, it will appear that it's
[01:31:26] gaining weight, it will appear that it's shrinking because you're getting more
[01:31:28] shrinking because you're getting more fat over here. So, if you think about
[01:31:31] fat over here. So, if you think about your penis here, this is the fat right
[01:31:33] your penis here, this is the fat right above this bone. And as this fat gets
[01:31:35] above this bone. And as this fat gets more and more, you're seeing less and
[01:31:37] more and more, you're seeing less and less of the penis.
[01:31:38] less of the penis. >> And is there a way to enlarge the penis?
[01:31:40] >> And is there a way to enlarge the penis? So there are many ways that have been uh
[01:31:43] So there are many ways that have been uh tried, discussed, um attempted. So
[01:31:46] tried, discussed, um attempted. So there's definitely surgeries that you
[01:31:48] there's definitely surgeries that you can get, but they there's not a lot of
[01:31:50] can get, but they there's not a lot of surgeons who do a lot of penile
[01:31:52] surgeons who do a lot of penile lengthening surgeries and they have lots
[01:31:54] lengthening surgeries and they have lots of complications, like very high rates
[01:31:56] of complications, like very high rates of complications because the penis is a
[01:31:58] of complications because the penis is a very vascular organ. And the thing is
[01:32:00] very vascular organ. And the thing is that when you have the tiniest
[01:32:03] that when you have the tiniest difference on your penis, you notice it,
[01:32:05] difference on your penis, you notice it, right? Like I have guys come to like the
[01:32:06] right? Like I have guys come to like the tiniest little thing on their penis and
[01:32:08] tiniest little thing on their penis and they're like, "Is this okay?" Like this
[01:32:09] they're like, "Is this okay?" Like this is new. And like luckily it's nothing,
[01:32:12] is new. And like luckily it's nothing, right? But I'm like they notice it. You
[01:32:14] right? But I'm like they notice it. You notice it when something's wrong. So
[01:32:15] notice it when something's wrong. So imagine you have a surgery and now
[01:32:17] imagine you have a surgery and now something changes, right? So it is it is
[01:32:19] something changes, right? So it is it is really difficult to sort of replicate
[01:32:22] really difficult to sort of replicate exactly a normal penis when you're
[01:32:24] exactly a normal penis when you're lengthening it through surgery. So I
[01:32:27] lengthening it through surgery. So I don't recommend surgery for lengthening
[01:32:29] don't recommend surgery for lengthening penis. There is a safer way and that has
[01:32:32] penis. There is a safer way and that has been shown to help and that's using a
[01:32:34] been shown to help and that's using a traction device. So a traction device,
[01:32:38] traction device. So a traction device, we have one here. This is one brand. You
[01:32:40] we have one here. This is one brand. You can get many of these online. And you
[01:32:42] can get many of these online. And you can put your penis in this device.
[01:32:45] can put your penis in this device. >> It really I like I feel like um I get
[01:32:48] >> It really I like I feel like um I get like shivers when I watch you do this to
[01:32:49] like shivers when I watch you do this to this penis.
[01:32:50] this penis. >> So you would wrap it. It would be more
[01:32:52] >> So you would wrap it. It would be more comfortable than just putting this like
[01:32:54] comfortable than just putting this like directly on your penis.
[01:32:55] directly on your penis. >> For you guys that can't see, she's
[01:32:56] >> For you guys that can't see, she's clamping the end of the penis into this
[01:32:58] clamping the end of the penis into this >> into this device. And then you sort of
[01:33:01] >> into this device. And then you sort of lengthen it uh extend it with this 30
[01:33:04] lengthen it uh extend it with this 30 minutes twice a day for this particular
[01:33:05] minutes twice a day for this particular device. They've actually done some
[01:33:07] device. They've actually done some research on this one. 30 minutes twice a
[01:33:09] research on this one. 30 minutes twice a day and you there's like a whole
[01:33:11] day and you there's like a whole protocol on their website and it does
[01:33:13] protocol on their website and it does show improvements in length about two
[01:33:14] show improvements in length about two centimeters but it is a commitment to
[01:33:17] centimeters but it is a commitment to increasing length and to doing this
[01:33:19] increasing length and to doing this process.
[01:33:20] process. >> So just on those numbers 2 cm increase
[01:33:22] >> So just on those numbers 2 cm increase over what period of time and does that
[01:33:24] over what period of time and does that >> or about 3 to 6 months depending yeah
[01:33:26] >> or about 3 to 6 months depending yeah >> and is it permanent?
[01:33:27] >> and is it permanent? >> So that's all we don't know. I mean most
[01:33:29] >> So that's all we don't know. I mean most of the studies stop at you know once
[01:33:31] of the studies stop at you know once they get their results and we don't know
[01:33:32] they get their results and we don't know that if you stop will it just revert
[01:33:35] that if you stop will it just revert back to normal? I don't know. And so the
[01:33:37] back to normal? I don't know. And so the other thing about this particular
[01:33:38] other thing about this particular traction device that's night is if you
[01:33:40] traction device that's night is if you have a curvature in the penis like you
[01:33:41] have a curvature in the penis like you develop something called Peron's
[01:33:43] develop something called Peron's disease, this device can actually curve
[01:33:46] disease, this device can actually curve a little bit away from if you like let's
[01:33:48] a little bit away from if you like let's say you have um indentation on the top
[01:33:50] say you have um indentation on the top of the penis, it can actually bend away
[01:33:52] of the penis, it can actually bend away from that and it can help straighten out
[01:33:54] from that and it can help straighten out the penis. So, that's actually a a a
[01:33:57] the penis. So, that's actually a a a really nice utilization for it because
[01:33:59] really nice utilization for it because um for some people that can be really
[01:34:01] um for some people that can be really traumatic and devastating to have a
[01:34:03] traumatic and devastating to have a change in the way your penis appears
[01:34:05] change in the way your penis appears because it starts curving all of a
[01:34:06] because it starts curving all of a sudden. And this is safe and effective
[01:34:08] sudden. And this is safe and effective and you can have bruising. It can be
[01:34:10] and you can have bruising. It can be slightly uncomfortable, but it's you're
[01:34:12] slightly uncomfortable, but it's you're not going to really hurt yourself uh too
[01:34:15] not going to really hurt yourself uh too much by doing something like this.
[01:34:16] much by doing something like this. >> I thought a curved penis would hit the
[01:34:18] >> I thought a curved penis would hit the G-spot better. Yeah, sometimes a slight
[01:34:20] G-spot better. Yeah, sometimes a slight curve can be beneficial for some people,
[01:34:23] curve can be beneficial for some people, but again, I think like when you notice
[01:34:25] but again, I think like when you notice like there's a a dramatic change. You do
[01:34:28] like there's a a dramatic change. You do that more. Come
[01:34:30] that more. Come rip the end off.
[01:34:31] rip the end off. >> It's okay. Um,
[01:34:34] >> It's okay. Um, >> I'm just trying to figure out how this
[01:34:35] >> I'm just trying to figure out how this works. So, I get the penis. I put it
[01:34:38] works. So, I get the penis. I put it >> through. Yeah.
[01:34:40] >> through. Yeah. >> Clamp it down.
[01:34:41] >> Clamp it down. >> And you want to put it at your normal.
[01:34:42] >> And you want to put it at your normal. And then you'll just slightly advance
[01:34:44] And then you'll just slightly advance the the length. You're not going to pull
[01:34:45] the the length. You're not going to pull crazy. easier. It's going to do a little
[01:34:47] crazy. easier. It's going to do a little bit of traction so it's not uncomfort.
[01:34:49] bit of traction so it's not uncomfort. It's slight like just a slight tension.
[01:34:51] It's slight like just a slight tension. It shouldn't be like like that. It
[01:34:52] It shouldn't be like like that. It should be much less tension, but it is I
[01:34:55] should be much less tension, but it is I mean they can vary in price from $100 to
[01:34:58] mean they can vary in price from $100 to $500. So it's a onetime cost. It is not,
[01:35:02] $500. So it's a onetime cost. It is not, like I said, not dangerous. What is
[01:35:04] like I said, not dangerous. What is dangerous is when people try to do
[01:35:06] dangerous is when people try to do something that became popular on TikTok
[01:35:08] something that became popular on TikTok called jelking. And jelking is where you
[01:35:10] called jelking. And jelking is where you use your your hands and you make like an
[01:35:13] use your your hands and you make like an okay sign with your fingers and you're
[01:35:15] okay sign with your fingers and you're like stretching the penis with your
[01:35:18] like stretching the penis with your hands. And this can be dangerous because
[01:35:21] hands. And this can be dangerous because you can create micro tears in the penis.
[01:35:23] you can create micro tears in the penis. And we in the urology community have
[01:35:24] And we in the urology community have seen plenty of patients who have now
[01:35:27] seen plenty of patients who have now developed erectile dysfunction after
[01:35:29] developed erectile dysfunction after doing jelking because they've now
[01:35:30] doing jelking because they've now created damage to their penis. And so I
[01:35:34] created damage to their penis. And so I I really caution people because this
[01:35:36] I really caution people because this there is so much despair around sexual
[01:35:39] there is so much despair around sexual function, around penal health that
[01:35:42] function, around penal health that people are willing to try things and
[01:35:44] people are willing to try things and they might really hurt themselves. No
[01:35:46] they might really hurt themselves. No joke, I had a patient the other day ask
[01:35:48] joke, I had a patient the other day ask me if he should drink hydrogen peroxide
[01:35:50] me if he should drink hydrogen peroxide because he saw some ad that said
[01:35:52] because he saw some ad that said hydrogen peroxide will fix your
[01:35:54] hydrogen peroxide will fix your erections and I said please don't. um
[01:35:57] erections and I said please don't. um this is you know but he really was like
[01:36:00] this is you know but he really was like seriously earnestly asking me this
[01:36:02] seriously earnestly asking me this question and I you know I didn't want to
[01:36:04] question and I you know I didn't want to shame him by any means and I was like no
[01:36:05] shame him by any means and I was like no you know this is actually not safe and
[01:36:07] you know this is actually not safe and it's not going to help you and there's
[01:36:09] it's not going to help you and there's no pill there's no drink there's no
[01:36:11] no pill there's no drink there's no anything that's going to give you a
[01:36:13] anything that's going to give you a longer penis
[01:36:15] longer penis >> what are the cases that you see that
[01:36:16] >> what are the cases that you see that break your heart
[01:36:18] break your heart >> you know I I've seen so there I've seen
[01:36:20] >> you know I I've seen so there I've seen patients who've had surgery to lengthen
[01:36:22] patients who've had surgery to lengthen their penis and they are above average
[01:36:25] their penis and they are above average when they at baseline and they have
[01:36:27] when they at baseline and they have these surgeries to lengthen their penis
[01:36:28] these surgeries to lengthen their penis and then they have a bad outcome and now
[01:36:31] and then they have a bad outcome and now their penis is disfigured forever. And
[01:36:33] their penis is disfigured forever. And that's what really um you never forget
[01:36:36] that's what really um you never forget that because that person knowing the
[01:36:38] that because that person knowing the risks and benefits perhaps made a choice
[01:36:40] risks and benefits perhaps made a choice and that choice didn't go the way they
[01:36:42] and that choice didn't go the way they wanted and now they have to live with
[01:36:43] wanted and now they have to live with that for the rest of their life and
[01:36:45] that for the rest of their life and that's really sad.
[01:36:46] that's really sad. >> Gosh,
[01:36:48] >> Gosh, imagine that. Christ
[01:36:50] imagine that. Christ >> Yeah.
[01:36:51] >> Yeah. >> Well, and it just it doesn't work
[01:36:53] >> Well, and it just it doesn't work anymore. Well, like the one patient I'm
[01:36:56] anymore. Well, like the one patient I'm thinking of, um, he, uh, had a like it
[01:37:00] thinking of, um, he, uh, had a like it it basically developed a scar all at the
[01:37:02] it basically developed a scar all at the top of the penis. So, it was like
[01:37:04] top of the penis. So, it was like disfigured essentially. Um, and so it
[01:37:08] disfigured essentially. Um, and so it was it was really sad.
[01:37:10] was it was really sad. >> Before I hit puberty, I definitely had a
[01:37:12] >> Before I hit puberty, I definitely had a penis anxiety because I was the youngest
[01:37:14] penis anxiety because I was the youngest in my year at school and I I was the I
[01:37:18] in my year at school and I I was the I was short, very very short, very small.
[01:37:20] was short, very very short, very small. I remember what it felt like to like
[01:37:22] I remember what it felt like to like hide my hide my dick
[01:37:24] hide my hide my dick >> when I was around like guys in the
[01:37:26] >> when I was around like guys in the changing room and stuff like that. Um,
[01:37:29] changing room and stuff like that. Um, you know, after puberty things I
[01:37:32] you know, after puberty things I changed.
[01:37:32] changed. >> And what I want people to understand, I
[01:37:34] >> And what I want people to understand, I think more than anything is that you
[01:37:36] think more than anything is that you don't need a long penis to pleasure a
[01:37:38] don't need a long penis to pleasure a partner. We just talked about how the
[01:37:40] partner. We just talked about how the clitoris is the is the most reliable
[01:37:42] clitoris is the is the most reliable route to orgasm, right? And so you don't
[01:37:45] route to orgasm, right? And so you don't need a penis to stimulate the clitoris.
[01:37:48] need a penis to stimulate the clitoris. You can use your mouth, your fingers,
[01:37:50] You can use your mouth, your fingers, you can use a toy. There's so many ways
[01:37:52] you can use a toy. There's so many ways to help your partner achieve pleasure.
[01:37:56] to help your partner achieve pleasure. And and yes, of course, there are a
[01:37:58] And and yes, of course, there are a small subset of women who really
[01:37:59] small subset of women who really appreciate a large fallus. But the large
[01:38:02] appreciate a large fallus. But the large majority of women, if you look at survey
[01:38:04] majority of women, if you look at survey data, are very happy with the size of
[01:38:06] data, are very happy with the size of their partner, are very content with
[01:38:09] their partner, are very content with average or slightly above average or
[01:38:10] average or slightly above average or slightly below average as long as they
[01:38:12] slightly below average as long as they are feeling intimate and they're feeling
[01:38:14] are feeling intimate and they're feeling pleasure. And so I think that there's a
[01:38:16] pleasure. And so I think that there's a misnomer that that people think if I
[01:38:18] misnomer that that people think if I have a longer penis I'm going to be able
[01:38:20] have a longer penis I'm going to be able to pleasure my partner more
[01:38:22] to pleasure my partner more >> as it relates to women. Is there
[01:38:24] >> as it relates to women. Is there different size vaginas?
[01:38:26] different size vaginas? >> Yeah. So the a so just like there's
[01:38:27] >> Yeah. So the a so just like there's averages there's averages in females.
[01:38:29] averages there's averages in females. And so average vag vaginal length is
[01:38:31] And so average vag vaginal length is about 3 and 1/2 in. So when women get
[01:38:34] about 3 and 1/2 in. So when women get aroused it expands and widens and
[01:38:37] aroused it expands and widens and lengthens to about double. So the
[01:38:40] lengthens to about double. So the average woman can easily accommodate the
[01:38:42] average woman can easily accommodate the average penis. maybe slightly larger
[01:38:45] average penis. maybe slightly larger than average. And so I think generally
[01:38:47] than average. And so I think generally speaking, knowing that like you will be
[01:38:49] speaking, knowing that like you will be able to fit in the average woman and you
[01:38:52] able to fit in the average woman and you will be able to please her with the size
[01:38:54] will be able to please her with the size of your fallus. And like I said,
[01:38:56] of your fallus. And like I said, penetration is is not as important. In
[01:38:58] penetration is is not as important. In fact, only about 85% of women orgasm
[01:39:01] fact, only about 85% of women orgasm through penetration alone. They need
[01:39:03] through penetration alone. They need clitoreral stimulation to achieve
[01:39:04] clitoreral stimulation to achieve climax. And so again, penetration feels
[01:39:07] climax. And so again, penetration feels good. I I tell guys, it's like somebody
[01:39:10] good. I I tell guys, it's like somebody rubbing your testicles or your
[01:39:12] rubbing your testicles or your paranneeium. feels good, but it's not
[01:39:14] paranneeium. feels good, but it's not going to make you orgasm. And so
[01:39:16] going to make you orgasm. And so penetrating, yeah, if you're getting a
[01:39:18] penetrating, yeah, if you're getting a lot of clitoreral stimulation because
[01:39:20] lot of clitoreral stimulation because maybe she has a thinner, you know, her
[01:39:22] maybe she has a thinner, you know, her clitoreral shaft is closer to the
[01:39:24] clitoreral shaft is closer to the vaginal canal, maybe, you know, the size
[01:39:26] vaginal canal, maybe, you know, the size of the penis matters more. But for a lot
[01:39:28] of the penis matters more. But for a lot of women, it's not going to be
[01:39:30] of women, it's not going to be sufficient and they're going to need
[01:39:31] sufficient and they're going to need some directed clitoreral stimulation.
[01:39:33] some directed clitoreral stimulation. Why do different vaginas feel different
[01:39:35] Why do different vaginas feel different to and I guess the the inverse is also
[01:39:38] to and I guess the the inverse is also the case where like different penises
[01:39:40] the case where like different penises will feel remarkably different even if
[01:39:42] will feel remarkably different even if they're the same size roughly and you
[01:39:44] they're the same size roughly and you can have sex with somebody and go it
[01:39:46] can have sex with somebody and go it feels really good.
[01:39:48] feels really good. >> I mean I think again it's how you it's
[01:39:50] >> I mean I think again it's how you it's like the emotion in the ocean right like
[01:39:52] like the emotion in the ocean right like how you use your so let's let's talk
[01:39:54] how you use your so let's let's talk about the vaginas first. So, when a
[01:39:56] about the vaginas first. So, when a vagina is um has more pelvic floor
[01:39:59] vagina is um has more pelvic floor strength, they may be able to like tense
[01:40:02] strength, they may be able to like tense around the penis better, like they may
[01:40:04] around the penis better, like they may be able to sort of grab the penis with
[01:40:06] be able to sort of grab the penis with their pelvic floor a little stronger
[01:40:08] their pelvic floor a little stronger versus someone who doesn't. And that's
[01:40:09] versus someone who doesn't. And that's where I think some people get worried
[01:40:11] where I think some people get worried when I say, "Oh, you need to relax your
[01:40:12] when I say, "Oh, you need to relax your pelvic floor." They're like, "Oh, I
[01:40:13] pelvic floor." They're like, "Oh, I don't want to be looser." Right? And
[01:40:16] don't want to be looser." Right? And that's not going to happen if you have a
[01:40:17] that's not going to happen if you have a normally functioning pelvic floor. If
[01:40:19] normally functioning pelvic floor. If you're
[01:40:19] you're >> So, the penis is going in here, right?
[01:40:21] >> So, the penis is going in here, right? >> Correct. So, if I if you're a woman and
[01:40:23] >> Correct. So, if I if you're a woman and you do pelvic floor exercises, then
[01:40:25] you do pelvic floor exercises, then you're going to feel tighter.
[01:40:27] you're going to feel tighter. >> Well, you're you're able to contract and
[01:40:30] >> Well, you're you're able to contract and squeeze those muscles during sex better
[01:40:32] squeeze those muscles during sex better around the penis.
[01:40:33] around the penis. >> Yes. But we don't want you to be
[01:40:34] >> Yes. But we don't want you to be tighter. We want you to be able to
[01:40:36] tighter. We want you to be able to squeeze the muscles and relax the
[01:40:38] squeeze the muscles and relax the muscles. Use them like a normal muscle
[01:40:39] muscles. Use them like a normal muscle like your bicep. You squeeze and relax.
[01:40:41] like your bicep. You squeeze and relax. Squeeze and relax. We don't want it to
[01:40:42] Squeeze and relax. We don't want it to be constantly squeezed.
[01:40:44] be constantly squeezed. >> But to the man, it will feel tighter.
[01:40:46] >> But to the man, it will feel tighter. >> You will perceive it as tighter, but it
[01:40:47] >> You will perceive it as tighter, but it will not be that she's actually tighter.
[01:40:49] will not be that she's actually tighter. it just means that maybe her pelvic
[01:40:50] it just means that maybe her pelvic floor muscles are doing a better job. So
[01:40:53] floor muscles are doing a better job. So that's for the female. For the male,
[01:40:55] that's for the female. For the male, it's it's generally like how the penis
[01:40:58] it's it's generally like how the penis moves and how the positioning is and
[01:41:00] moves and how the positioning is and where it's uh it may be girth that's
[01:41:03] where it's uh it may be girth that's different. It may be the way that you're
[01:41:05] different. It may be the way that you're moving in the vaginal canal and that may
[01:41:08] moving in the vaginal canal and that may be why it feels different.
[01:41:09] be why it feels different. >> They often say that if you've got big
[01:41:11] >> They often say that if you've got big feet or big hands, you know, like people
[01:41:14] feet or big hands, you know, like people think you have a big penis.
[01:41:15] think you have a big penis. >> Not necessarily true. So there's um
[01:41:18] >> Not necessarily true. So there's um there's actually no evidence that big
[01:41:19] there's actually no evidence that big hands, big feet correlate to female
[01:41:21] hands, big feet correlate to female size. There's one study in Japan where
[01:41:23] size. There's one study in Japan where they looked at nose length. And so the
[01:41:26] they looked at nose length. And so the longer your nose is from the the bridge
[01:41:29] longer your nose is from the the bridge down to the tip, that is potent, at
[01:41:32] down to the tip, that is potent, at least the Japanese population that they
[01:41:34] least the Japanese population that they studied was correlated with the length
[01:41:35] studied was correlated with the length of the penis.
[01:41:39] >> People also think tall people have big
[01:41:41] >> People also think tall people have big penises. Not necessarily.
[01:41:45] >> But nose length, there's some
[01:41:47] >> But nose length, there's some correlation in a study in Japan.
[01:41:48] correlation in a study in Japan. >> Yes.
[01:41:49] >> Yes. >> Okay. I was just checking if my nose.
[01:41:52] >> Okay. I was just checking if my nose. >> Okay. Um the last thing I want to talk
[01:41:54] >> Okay. Um the last thing I want to talk to you about is
[01:41:56] to you about is >> and how this relates to everything we've
[01:41:58] >> and how this relates to everything we've talked about today, desire, attraction,
[01:41:59] talked about today, desire, attraction, sex. Is there any early data emerging
[01:42:01] sex. Is there any early data emerging that shows any correlations?
[01:42:03] that shows any correlations? >> Yeah. So ompic there's sort of benefits
[01:42:06] >> Yeah. So ompic there's sort of benefits and there's potential downsides. So the
[01:42:08] and there's potential downsides. So the benefits are that when you're on Osmpic,
[01:42:10] benefits are that when you're on Osmpic, we see improvements in metabolic
[01:42:12] we see improvements in metabolic diseases. They have improvements in
[01:42:14] diseases. They have improvements in diabetes, improvements in heart disease,
[01:42:16] diabetes, improvements in heart disease, improvements in overall health, right?
[01:42:18] improvements in overall health, right? And so that is going to mean that your
[01:42:20] And so that is going to mean that your blood vessels are healthier. You're more
[01:42:22] blood vessels are healthier. You're more able to get blood flow to your genitals.
[01:42:24] able to get blood flow to your genitals. You're going to have stronger sexual
[01:42:26] You're going to have stronger sexual function and arousal, right? So that's
[01:42:29] function and arousal, right? So that's great. The other thing is that you are
[01:42:31] great. The other thing is that you are losing weight. So you feel better. you
[01:42:33] losing weight. So you feel better. you feel more like your body image is is
[01:42:36] feel more like your body image is is feeling good about yourself. Also, for
[01:42:38] feeling good about yourself. Also, for men, remember I talked about this fat
[01:42:40] men, remember I talked about this fat pad right above your penis.
[01:42:42] pad right above your penis. >> That's getting smaller. And so now you
[01:42:44] >> That's getting smaller. And so now you can see more of your penis. So you may
[01:42:46] can see more of your penis. So you may have heard of ompic penis where people
[01:42:47] have heard of ompic penis where people are saying, "Oh, my penis is getting
[01:42:48] are saying, "Oh, my penis is getting longer." It's not actually that your
[01:42:50] longer." It's not actually that your penis is getting longer. It's that this
[01:42:51] penis is getting longer. It's that this fat is going down. So now you're seeing
[01:42:53] fat is going down. So now you're seeing more of your penis,
[01:42:54] more of your penis, >> which makes it look longer.
[01:42:56] >> which makes it look longer. >> Yes. Exactly. Reality. Yes. Exactly.
[01:42:59] >> Yes. Exactly. Reality. Yes. Exactly. Well, it is reality to the person
[01:43:00] Well, it is reality to the person looking. Right. Um so those are all
[01:43:03] looking. Right. Um so those are all great things and I think that's
[01:43:05] great things and I think that's wonderful. Now the other part of it is
[01:43:07] wonderful. Now the other part of it is ompic works on the brain and it works on
[01:43:09] ompic works on the brain and it works on the reward pathway. So you now see food
[01:43:12] the reward pathway. So you now see food and you don't feel like it's that much
[01:43:13] and you don't feel like it's that much of a reward. So you don't chase after
[01:43:15] of a reward. So you don't chase after you have less desire for food. There's
[01:43:17] you have less desire for food. There's emerging data that we're seeing people
[01:43:18] emerging data that we're seeing people on these medications, these GLP1s, have
[01:43:21] on these medications, these GLP1s, have less desire for, let's say, gambling,
[01:43:23] less desire for, let's say, gambling, let's say shopping, let's say, you know,
[01:43:25] let's say shopping, let's say, you know, alcohol, smoking, whatever it is, right?
[01:43:28] alcohol, smoking, whatever it is, right? And so there's a theoretical because it
[01:43:30] And so there's a theoretical because it works on the same pathways that it could
[01:43:32] works on the same pathways that it could also decrease desire for sex. And I
[01:43:35] also decrease desire for sex. And I think the thing that, you know, there's
[01:43:36] think the thing that, you know, there's so many people on these medications,
[01:43:38] so many people on these medications, there's so many metabolic benefits that
[01:43:40] there's so many metabolic benefits that I worry that people may not even realize
[01:43:42] I worry that people may not even realize that their sexual desire is changing,
[01:43:45] that their sexual desire is changing, right? They might just be like, "Oh, you
[01:43:47] right? They might just be like, "Oh, you know, I'm I'm eating less. I look great.
[01:43:49] know, I'm I'm eating less. I look great. Everything's wonderful." But like slowly
[01:43:50] Everything's wonderful." But like slowly in the background, they're like, "Oh,
[01:43:52] in the background, they're like, "Oh, maybe my desire is less." And maybe it's
[01:43:54] maybe my desire is less." And maybe it's creating discord in the relationship.
[01:43:56] creating discord in the relationship. Hard to say because we don't have data
[01:43:57] Hard to say because we don't have data yet. So yeah, I think it's just
[01:43:59] yet. So yeah, I think it's just something that you should be aware of
[01:44:00] something that you should be aware of that if you start feeling like you have
[01:44:03] that if you start feeling like you have less desire for sex or maybe you're
[01:44:05] less desire for sex or maybe you're like, "Man, I just really don't feel
[01:44:06] like, "Man, I just really don't feel into anything." Talk to your doctor cuz
[01:44:09] into anything." Talk to your doctor cuz maybe your dose is just too high and
[01:44:11] maybe your dose is just too high and maybe it just needs to come down a
[01:44:12] maybe it just needs to come down a little bit. And again, we don't know
[01:44:14] little bit. And again, we don't know yet. But I do worry about this because I
[01:44:16] yet. But I do worry about this because I feel like we're we're gonna start seeing
[01:44:18] feel like we're we're gonna start seeing it.
[01:44:19] it. >> Is it possible to do studies on this
[01:44:20] >> Is it possible to do studies on this type of thing?
[01:44:22] type of thing? >> Absolutely. So you can take people
[01:44:24] >> Absolutely. So you can take people starting Ozmpi and you can say, "Hey,
[01:44:26] starting Ozmpi and you can say, "Hey, here is or or any GLP1." You know,
[01:44:29] here is or or any GLP1." You know, there's questionnaires. So like for
[01:44:30] there's questionnaires. So like for women there's the female sexual function
[01:44:32] women there's the female sexual function index. For men there's Adam, which is a
[01:44:33] index. For men there's Adam, which is a questionnaire about testosterone. But
[01:44:35] questionnaire about testosterone. But you could there's sexual desire
[01:44:36] you could there's sexual desire questionnaires that you can use. Um, and
[01:44:38] questionnaires that you can use. Um, and you can take it at the beginning and
[01:44:39] you can take it at the beginning and then you can take it as they increase
[01:44:41] then you can take it as they increase their dose and see if there's a change,
[01:44:43] their dose and see if there's a change, right, in terms of their sexual desire.
[01:44:45] right, in terms of their sexual desire. >> You said at the start about knowing how
[01:44:48] >> You said at the start about knowing how to talk to your partner. I think like
[01:44:50] to talk to your partner. I think like intimacy desire, maybe the conversations
[01:44:51] intimacy desire, maybe the conversations like with your partner, how to have that
[01:44:53] like with your partner, how to have that conversation when there's a problem.
[01:44:54] conversation when there's a problem. >> Yeah. I I wish I could say there was
[01:44:56] >> Yeah. I I wish I could say there was like a script that you can follow and
[01:44:57] like a script that you can follow and it's going to work. But everyone's so
[01:44:59] it's going to work. But everyone's so different. But I think the important
[01:45:00] different. But I think the important thing is like not giving up because what
[01:45:03] thing is like not giving up because what happens is because we don't ever talk
[01:45:05] happens is because we don't ever talk about sex, when you bring it up, it's
[01:45:07] about sex, when you bring it up, it's immediately like, "Oh my god, is
[01:45:08] immediately like, "Oh my god, is something wrong? Did I do something
[01:45:09] something wrong? Did I do something wrong? Um, do you not like me? Am I not
[01:45:11] wrong? Um, do you not like me? Am I not attractive?" Right? You're automatically
[01:45:13] attractive?" Right? You're automatically going down the rabbit hole of worry and
[01:45:15] going down the rabbit hole of worry and concern. And instead of dealing with it,
[01:45:17] concern. And instead of dealing with it, you're supposed to shut it down. No, I
[01:45:18] you're supposed to shut it down. No, I don't want to talk about it. Right? Um
[01:45:19] don't want to talk about it. Right? Um especially if like maybe you haven't
[01:45:21] especially if like maybe you haven't connected intimately in a while and like
[01:45:23] connected intimately in a while and like you just don't want to deal with that or
[01:45:24] you just don't want to deal with that or you're you have other stressors in life.
[01:45:27] you're you have other stressors in life. Maybe you're not feeling like very good
[01:45:29] Maybe you're not feeling like very good about yourself and so you're like,
[01:45:30] about yourself and so you're like, "Well, I don't really feel sexy, so I
[01:45:32] "Well, I don't really feel sexy, so I don't want to have sex." And so, I think
[01:45:34] don't want to have sex." And so, I think really understanding that whatever
[01:45:36] really understanding that whatever reaction you get from your partner when
[01:45:37] reaction you get from your partner when you do talk to them, it's not about you.
[01:45:39] you do talk to them, it's not about you. It's just usually about how they're
[01:45:40] It's just usually about how they're feeling. And so, don't stress about
[01:45:42] feeling. And so, don't stress about that. And two, like it's anything that
[01:45:45] that. And two, like it's anything that is worth having requires work. So having
[01:45:48] is worth having requires work. So having a good sex life, having intimacy over
[01:45:51] a good sex life, having intimacy over the long haul with someone, if you are
[01:45:54] the long haul with someone, if you are committed to that relationship, it is
[01:45:56] committed to that relationship, it is worth working for. It is worth dealing
[01:45:58] worth working for. It is worth dealing with a little bit of discord to get
[01:46:00] with a little bit of discord to get there. And so I tell people when you
[01:46:02] there. And so I tell people when you want to talk about sex, first of all,
[01:46:03] want to talk about sex, first of all, don't do it in the bedroom. Don't do it
[01:46:05] don't do it in the bedroom. Don't do it right before or after sex. Do it at a
[01:46:07] right before or after sex. Do it at a time where you are both calm, relaxed.
[01:46:09] time where you are both calm, relaxed. Maybe you're out for a walk, maybe
[01:46:10] Maybe you're out for a walk, maybe you're in the car, so you're not like
[01:46:12] you're in the car, so you're not like looking directly at each other. You're
[01:46:13] looking directly at each other. You're kind of parallel. And always start with
[01:46:15] kind of parallel. And always start with a positive thing. like I you know I
[01:46:17] a positive thing. like I you know I really enjoy this about our relationship
[01:46:19] really enjoy this about our relationship and I would love if we could talk about
[01:46:21] and I would love if we could talk about this and and maybe they're going to be
[01:46:23] this and and maybe they're going to be like uh I'm not ready for that and you
[01:46:25] like uh I'm not ready for that and you say maybe we could come up with a time
[01:46:27] say maybe we could come up with a time where we can talk about this that works
[01:46:28] where we can talk about this that works for you right let them feel like they're
[01:46:30] for you right let them feel like they're coming to the conversation with like
[01:46:32] coming to the conversation with like they're not being ambushed or like
[01:46:34] they're not being ambushed or like talking about something and then be
[01:46:35] talking about something and then be curious. I think the big thing is like
[01:46:37] curious. I think the big thing is like being curious like what's going on with
[01:46:39] being curious like what's going on with you like I want to I want to I want to
[01:46:41] you like I want to I want to I want to be there for you. I love you. you know,
[01:46:43] be there for you. I love you. you know, I miss what we used to have or I miss
[01:46:45] I miss what we used to have or I miss this about us. And I think that there's
[01:46:47] this about us. And I think that there's always these misconceptions. I hear it
[01:46:49] always these misconceptions. I hear it all the time, right? It'll be like this
[01:46:51] all the time, right? It'll be like this partner only wants sex and this partner
[01:46:53] partner only wants sex and this partner never wants sex and you know, and that's
[01:46:56] never wants sex and you know, and that's it. Like that's the end of the
[01:46:57] it. Like that's the end of the conversation. But the reality is that
[01:46:59] conversation. But the reality is that there it's it's somewhere in between. So
[01:47:01] there it's it's somewhere in between. So typically women tend to view sex as like
[01:47:05] typically women tend to view sex as like added stress sometimes when they're
[01:47:06] added stress sometimes when they're already stressed. Like they're like,
[01:47:07] already stressed. Like they're like, "Oh, it's just one more thing to do."
[01:47:10] "Oh, it's just one more thing to do." Whereas men look at it as a stress
[01:47:11] Whereas men look at it as a stress relief. So, one, you're coming at it
[01:47:13] relief. So, one, you're coming at it from two different angles. The other
[01:47:15] from two different angles. The other thing is men aren't really taught how to
[01:47:17] thing is men aren't really taught how to be intimate. And so, for a lot of men,
[01:47:20] be intimate. And so, for a lot of men, sex is their version of intimacy. Like,
[01:47:22] sex is their version of intimacy. Like, that's how they connect. That's how they
[01:47:24] that's how they connect. That's how they feel connected with a partner. And so,
[01:47:27] feel connected with a partner. And so, often times when they're doing these
[01:47:29] often times when they're doing these initiations or attempts at sex, it feels
[01:47:31] initiations or attempts at sex, it feels like they're being greedy or it feels
[01:47:32] like they're being greedy or it feels like they're they just want sex. And I
[01:47:34] like they're they just want sex. And I think we have to reframe how we look at
[01:47:36] think we have to reframe how we look at that. Like, sex is not just sex. It is
[01:47:38] that. Like, sex is not just sex. It is intimacy. It is being together
[01:47:40] intimacy. It is being together connecting with another human being. So
[01:47:42] connecting with another human being. So how do we do that right? And like how do
[01:47:45] how do we do that right? And like how do we make that sex worth having? We get
[01:47:48] we make that sex worth having? We get into this frame where we have sex as
[01:47:50] into this frame where we have sex as like in a hurried quick like just got to
[01:47:53] like in a hurried quick like just got to get this done way. I just need to get an
[01:47:54] get this done way. I just need to get an orgasm. I just need to get a release.
[01:47:56] orgasm. I just need to get a release. But sex is supposed to be something we
[01:47:58] But sex is supposed to be something we look forward to. It's supposed to be
[01:47:59] look forward to. It's supposed to be something that we're excited about. And
[01:48:01] something that we're excited about. And so we have to build that in. We have to
[01:48:02] so we have to build that in. We have to sort of like build the environment where
[01:48:05] sort of like build the environment where sex can can happen. So, it may mean
[01:48:08] sex can can happen. So, it may mean like, "Hey, we are affectionate during
[01:48:10] like, "Hey, we are affectionate during the day. Maybe we send a lovey text
[01:48:12] the day. Maybe we send a lovey text message. Maybe um you know, I give you a
[01:48:14] message. Maybe um you know, I give you a hug. I caress your back. I um tell you
[01:48:17] hug. I caress your back. I um tell you you look beautiful. I I'm I'm showing
[01:48:18] you look beautiful. I I'm I'm showing you gratitude for how much I care about
[01:48:20] you gratitude for how much I care about you in other ways." I think just really
[01:48:23] you in other ways." I think just really taking the time to understand why your
[01:48:25] taking the time to understand why your partner feels the way they do.
[01:48:26] partner feels the way they do. >> I'm curious about on that communication
[01:48:28] >> I'm curious about on that communication point about how different genders
[01:48:31] point about how different genders in heterosexual couples have different
[01:48:33] in heterosexual couples have different sort of taboos and things that are just
[01:48:35] sort of taboos and things that are just a bit sensitive. Um, and I was looking
[01:48:37] a bit sensitive. Um, and I was looking at the the variance between men and
[01:48:39] at the the variance between men and women, and the the top one for men was
[01:48:41] women, and the the top one for men was around performance anxiety. So, like
[01:48:43] around performance anxiety. So, like admitting to things like erectile
[01:48:44] admitting to things like erectile dysfunction because it feels like it's
[01:48:46] dysfunction because it feels like it's so intrinsically connected to
[01:48:47] so intrinsically connected to masculinity
[01:48:49] masculinity >> and you feel like a failure as a man if
[01:48:50] >> and you feel like a failure as a man if you can't get a erection and pleasure
[01:48:52] you can't get a erection and pleasure your partner, right?
[01:48:53] your partner, right? >> And then for women, it was talking about
[01:48:54] >> And then for women, it was talking about um prioritizing pleasure and asking for
[01:48:57] um prioritizing pleasure and asking for more foreplay or um, you know, specific
[01:49:01] more foreplay or um, you know, specific specific stimul stimulation around the
[01:49:03] specific stimul stimulation around the clitoris or something like that. um
[01:49:05] clitoris or something like that. um because they don't want to be labeled as
[01:49:06] because they don't want to be labeled as highmaintenance or too much hard work,
[01:49:09] highmaintenance or too much hard work, etc.
[01:49:10] etc. >> And it's interesting that on that walk
[01:49:11] >> And it's interesting that on that walk with your partner, there are different
[01:49:13] with your partner, there are different things that will trigger each of you.
[01:49:15] things that will trigger each of you. >> Mhm.
[01:49:16] >> Mhm. >> Um other ones for women were pain and
[01:49:18] >> Um other ones for women were pain and discomfort, bringing that up. Um body
[01:49:20] discomfort, bringing that up. Um body image and the mental load, explaining
[01:49:22] image and the mental load, explaining why you aren't in the mood. And other
[01:49:24] why you aren't in the mood. And other ones for men are expressing nonsexual
[01:49:26] ones for men are expressing nonsexual needs because it might be seen as
[01:49:26] needs because it might be seen as unmanly, unmanly, boundaries and
[01:49:29] unmanly, unmanly, boundaries and rejection, communicating when they don't
[01:49:30] rejection, communicating when they don't want sex. And lastly, the script, which
[01:49:32] want sex. And lastly, the script, which is discussing fantasies that deviate
[01:49:33] is discussing fantasies that deviate from the norm.
[01:49:35] from the norm. >> So, I want to talk about fantasy, but
[01:49:36] >> So, I want to talk about fantasy, but before that, I would just say that, you
[01:49:38] before that, I would just say that, you know, it because of social media, we're
[01:49:40] know, it because of social media, we're in a place and I get text messages from
[01:49:43] in a place and I get text messages from my husband 24 hours a day with like not
[01:49:44] my husband 24 hours a day with like not 24 hours a day, but like all waking
[01:49:46] 24 hours a day, but like all waking hours with reals and videos. Oh, I think
[01:49:49] hours with reals and videos. Oh, I think you'd like this. I think you'd like
[01:49:50] you'd like this. I think you'd like this. You should check this out. And
[01:49:52] this. You should check this out. And it's like his way of like connecting and
[01:49:54] it's like his way of like connecting and like, hey, let's talk about this later.
[01:49:55] like, hey, let's talk about this later. Like, this is fun. And so I I tell my
[01:49:57] Like, this is fun. And so I I tell my patients like send your partner a a
[01:49:59] patients like send your partner a a video that you saw on social media that
[01:50:01] video that you saw on social media that might help them understand like why this
[01:50:03] might help them understand like why this is important to you. Maybe send them a
[01:50:05] is important to you. Maybe send them a video send them this podcast, right? Say
[01:50:07] video send them this podcast, right? Say like, "Hey, I watched this. It was
[01:50:08] like, "Hey, I watched this. It was great." Good idea. You know, um and I I
[01:50:10] great." Good idea. You know, um and I I learned so much. And honestly, so many
[01:50:12] learned so much. And honestly, so many patients bring their partners to me.
[01:50:14] patients bring their partners to me. Whether it's women bringing male
[01:50:15] Whether it's women bringing male partners or men bringing female
[01:50:17] partners or men bringing female partners, they come to me and they say,
[01:50:19] partners, they come to me and they say, "Look, like I want you to meet this
[01:50:20] "Look, like I want you to meet this doctor and I want you to talk to them."
[01:50:21] doctor and I want you to talk to them." And like it's beautiful to see that.
[01:50:24] And like it's beautiful to see that. Like I love it because it's it's so
[01:50:26] Like I love it because it's it's so deeply caring that they like brought
[01:50:28] deeply caring that they like brought their partner and they want them to feel
[01:50:30] their partner and they want them to feel good and they just want to figure out
[01:50:31] good and they just want to figure out what's going on and like I think it's so
[01:50:33] what's going on and like I think it's so lovely to to to find someone who's so
[01:50:35] lovely to to to find someone who's so invested in making sure that sex is good
[01:50:37] invested in making sure that sex is good for you, right?
[01:50:38] for you, right? >> As men though, we're just not good at
[01:50:39] >> As men though, we're just not good at talking about this stuff,
[01:50:41] talking about this stuff, >> right? But you know, I think you can't
[01:50:42] >> right? But you know, I think you can't use that as a crutch.
[01:50:44] use that as a crutch. >> Yeah.
[01:50:44] >> Yeah. >> Do you know what I mean? Like
[01:50:45] >> Do you know what I mean? Like >> Yeah, I do. Yeah. We're just not good at
[01:50:47] >> Yeah, I do. Yeah. We're just not good at it though. We just
[01:50:48] it though. We just >> But no one's good at it. It's not men.
[01:50:49] >> But no one's good at it. It's not men. Women are not good at it either.
[01:50:51] Women are not good at it either. >> I think men are worse at it. I think in
[01:50:53] >> I think men are worse at it. I think in general no one is good at talking about
[01:50:54] general no one is good at talking about sex. Like I, you know, I think it's
[01:50:57] sex. Like I, you know, I think it's interesting because I talk about it all
[01:50:58] interesting because I talk about it all the time, but I have seen very good
[01:51:01] the time, but I have seen very good communicators struggle with talking
[01:51:03] communicators struggle with talking about sex. And so I think it's just um
[01:51:06] about sex. And so I think it's just um it's just it's uncomfortable and and
[01:51:08] it's just it's uncomfortable and and it's like if you and I can have this
[01:51:10] it's like if you and I can have this conversation and we can talk about sex
[01:51:12] conversation and we can talk about sex openly, like there's no reason that you
[01:51:14] openly, like there's no reason that you can't learn how to talk about sex and it
[01:51:16] can't learn how to talk about sex and it it's it's a learning process and it's
[01:51:18] it's it's a learning process and it's worth it's worth investing in. Do people
[01:51:20] worth it's worth investing in. Do people bring you their fantasies?
[01:51:22] bring you their fantasies? >> Yeah, I've had I've had well more not
[01:51:24] >> Yeah, I've had I've had well more not not as many fantasies as like real sort
[01:51:27] not as many fantasies as like real sort of diverse interests in sex.
[01:51:30] of diverse interests in sex. >> What do you mean by So I had a patient
[01:51:32] >> What do you mean by So I had a patient who came to me and said uh you know
[01:51:34] who came to me and said uh you know after sometimes this was not like our
[01:51:36] after sometimes this was not like our first visit like we built a rapport and
[01:51:38] first visit like we built a rapport and he told me you know the I I really
[01:51:40] he told me you know the I I really struggle with arousal and the only time
[01:51:42] struggle with arousal and the only time I get aroused is I have a a medical kink
[01:51:45] I get aroused is I have a a medical kink and so I go to this person who will put
[01:51:47] and so I go to this person who will put a fully catheter in me and that's what
[01:51:50] a fully catheter in me and that's what turns me on. And I was like that's
[01:51:52] turns me on. And I was like that's really interesting. And I was like,
[01:51:53] really interesting. And I was like, "Okay, like that's that's great, but
[01:51:55] "Okay, like that's that's great, but like it took a long time for us to get
[01:51:56] like it took a long time for us to get there for him to feel comfortable." But
[01:51:58] there for him to feel comfortable." But it also then was like, "Well, if that's
[01:51:59] it also then was like, "Well, if that's what turns you on, you know, then you
[01:52:02] what turns you on, you know, then you got to sort of explore other ways to
[01:52:03] got to sort of explore other ways to incorporate that with a partner. Maybe
[01:52:05] incorporate that with a partner. Maybe not." So like a a catheter is is um is a
[01:52:09] not." So like a a catheter is is um is a tube that you put in the bladder for to
[01:52:11] tube that you put in the bladder for to drain urine.
[01:52:13] drain urine. >> What hole does that go in?
[01:52:14] >> What hole does that go in? >> The urethra.
[01:52:15] >> The urethra. >> It goes in the penis.
[01:52:16] >> It goes in the penis. >> Correct. And so there's actually a lot
[01:52:18] >> Correct. And so there's actually a lot of people who enjoy urethral play. So
[01:52:20] of people who enjoy urethral play. So they will take sounds, they're called
[01:52:22] they will take sounds, they're called sounds, like little um uh rods with a
[01:52:25] sounds, like little um uh rods with a frail flared base and they will insert
[01:52:27] frail flared base and they will insert them in the urethra.
[01:52:29] them in the urethra. But people do find that pleasurable. And
[01:52:31] But people do find that pleasurable. And so because there is some, you know,
[01:52:33] so because there is some, you know, there there are some nerve endings there
[01:52:34] there there are some nerve endings there that can be pleasurable. And so again,
[01:52:37] that can be pleasurable. And so again, it is totally fine to have interests
[01:52:39] it is totally fine to have interests that are, you know, outside what we call
[01:52:41] that are, you know, outside what we call conventional. Um, but of course I think
[01:52:43] conventional. Um, but of course I think you need to uh if that's something that
[01:52:45] you need to uh if that's something that you're really into, you have to sort of
[01:52:46] you're really into, you have to sort of bring your partner into the into the
[01:52:48] bring your partner into the into the fold if that's what really gets you
[01:52:50] fold if that's what really gets you turned on. Now, in terms of fantasies,
[01:52:52] turned on. Now, in terms of fantasies, almost everyone fantasizes, right?
[01:52:54] almost everyone fantasizes, right? Almost everyone does. And the
[01:52:56] Almost everyone does. And the interesting thing when you look at
[01:52:57] interesting thing when you look at fantasies is there's a lot of fantasies
[01:53:00] fantasies is there's a lot of fantasies that you would think are not common but
[01:53:02] that you would think are not common but are. So, for example, um being sexually
[01:53:05] are. So, for example, um being sexually submissive is very common. So women
[01:53:08] submissive is very common. So women fantasize about it like around 60%, men
[01:53:11] fantasize about it like around 60%, men are like 20%, having this desire of sex,
[01:53:15] are like 20%, having this desire of sex, this fantasy of sexual submission. It
[01:53:16] this fantasy of sexual submission. It may not mean that they want to be
[01:53:18] may not mean that they want to be submissive in real life, but that's the
[01:53:19] submissive in real life, but that's the fantasy they're having. Um, men often
[01:53:22] fantasy they're having. Um, men often have voyerism fantasy. So like watching
[01:53:26] have voyerism fantasy. So like watching sex. Um, they also have uh sex with
[01:53:29] sex. Um, they also have uh sex with multiple partners. Um, women tend to
[01:53:32] multiple partners. Um, women tend to have a lot of like sexual um dominance
[01:53:34] have a lot of like sexual um dominance but also romance in their fantasies. So
[01:53:36] but also romance in their fantasies. So like in exotic places or um that or with
[01:53:39] like in exotic places or um that or with and a lot of times like 90% of the time
[01:53:42] and a lot of times like 90% of the time people fantasize about strangers or it
[01:53:44] people fantasize about strangers or it could be someone they know but outside
[01:53:45] could be someone they know but outside of their relationship and so that's
[01:53:46] of their relationship and so that's completely normal and nothing to be
[01:53:48] completely normal and nothing to be worried about. It doesn't mean that like
[01:53:49] worried about. It doesn't mean that like you want that person. It's just a
[01:53:50] you want that person. It's just a fantasy. It's a safe place in your head
[01:53:52] fantasy. It's a safe place in your head to think about fantasy. And I think one
[01:53:55] to think about fantasy. And I think one realizing if someone fantasizes about
[01:53:57] realizing if someone fantasizes about something it means nothing about how
[01:53:58] something it means nothing about how they feel about you. It's just where
[01:54:00] they feel about you. It's just where their brain goes to explore. I tell my
[01:54:02] their brain goes to explore. I tell my patients sometimes write down your
[01:54:03] patients sometimes write down your fantasies for yourself. Just like write
[01:54:05] fantasies for yourself. Just like write them down. Don't share that with anybody
[01:54:06] them down. Don't share that with anybody and have your partner do the same. And
[01:54:08] and have your partner do the same. And then if you guys decide you feel
[01:54:09] then if you guys decide you feel comfortable at some point to each share
[01:54:11] comfortable at some point to each share one fantasy and you can start talk and
[01:54:13] one fantasy and you can start talk and maybe one that you would want to try and
[01:54:15] maybe one that you would want to try and like it allows you to sort of explore
[01:54:17] like it allows you to sort of explore and think about different things. It
[01:54:19] and think about different things. It could be a negative outcome like you
[01:54:20] could be a negative outcome like you could just be like oh no this what
[01:54:21] could just be like oh no this what didn't do it for me but it could also be
[01:54:23] didn't do it for me but it could also be very positive. And so just like again I
[01:54:25] very positive. And so just like again I think the big thing is understanding
[01:54:26] think the big thing is understanding like it doesn't need to be that serious.
[01:54:28] like it doesn't need to be that serious. like we can experiment, we can play, we
[01:54:30] like we can experiment, we can play, we can have fun. And if you bring that back
[01:54:33] can have fun. And if you bring that back into your life, you are going to be
[01:54:34] into your life, you are going to be happier, less lonely, live longer. Like
[01:54:38] happier, less lonely, live longer. Like everyone should just be having more sex.
[01:54:42] everyone should just be having more sex. >> It's um Yeah, it's interesting that
[01:54:44] >> It's um Yeah, it's interesting that we're getting more and more sexless
[01:54:46] we're getting more and more sexless because I think the world is stealing
[01:54:49] because I think the world is stealing our attention and that's causing a big
[01:54:51] our attention and that's causing a big loss in connection. But then everyone's
[01:54:52] loss in connection. But then everyone's lives are more stressful than ever
[01:54:54] lives are more stressful than ever before. if a bomb goes off 10,000 miles
[01:54:57] before. if a bomb goes off 10,000 miles that way, I I see it when I open my
[01:54:59] that way, I I see it when I open my phone.
[01:54:59] phone. >> Um, so it's an interesting time to sort
[01:55:01] >> Um, so it's an interesting time to sort of almost try and reclaim sex and
[01:55:05] of almost try and reclaim sex and >> to work on one's sexual health, the
[01:55:08] >> to work on one's sexual health, the overall the full picture of one's sexual
[01:55:10] overall the full picture of one's sexual health. Um, you're working on a book
[01:55:12] health. Um, you're working on a book which is, I guess, endeavoring to do
[01:55:14] which is, I guess, endeavoring to do much of that, which is coming out in
[01:55:15] much of that, which is coming out in September
[01:55:16] September >> called The Hard Truth: Everything Men
[01:55:18] >> called The Hard Truth: Everything Men Need to Know About Good Health, Great
[01:55:20] Need to Know About Good Health, Great Sex, and Long Life. So, if you're
[01:55:21] Sex, and Long Life. So, if you're watching this after the 1st of September
[01:55:24] watching this after the 1st of September 2026 or around that time, then the book
[01:55:26] 2026 or around that time, then the book is probably available for pre-order or
[01:55:28] is probably available for pre-order or already out. It's not available for
[01:55:29] already out. It's not available for pre-order yet, is it?
[01:55:30] pre-order yet, is it? >> Uh, it will be soon, but not yet.
[01:55:32] >> Uh, it will be soon, but not yet. >> Okay. When the book is out, I'm going to
[01:55:34] >> Okay. When the book is out, I'm going to link it below in the comments section.
[01:55:35] link it below in the comments section. Um, when it's available for pre-order,
[01:55:37] Um, when it's available for pre-order, The Hard Truth: Everything Men Need to
[01:55:38] The Hard Truth: Everything Men Need to Know About Good Health, Great Sex, and
[01:55:40] Know About Good Health, Great Sex, and Long Life. So, if the subjects we talked
[01:55:42] Long Life. So, if the subjects we talked about today have piqu your interest, the
[01:55:45] about today have piqu your interest, the book, I imagine, is going to go into
[01:55:46] book, I imagine, is going to go into greater detail on all of these subjects.
[01:55:48] greater detail on all of these subjects. >> Absolutely. I think it's a book that
[01:55:50] >> Absolutely. I think it's a book that really I I wish was a part of sexual
[01:55:52] really I I wish was a part of sexual education. I think all men need to know
[01:55:54] education. I think all men need to know this. You know, as women, we end up
[01:55:57] this. You know, as women, we end up taking care of our male partners. I make
[01:55:59] taking care of our male partners. I make all the doctor's appointments. I, you
[01:56:01] all the doctor's appointments. I, you know, I organize all of that. I make
[01:56:03] know, I organize all of that. I make sure that my kids get all their
[01:56:04] sure that my kids get all their vaccines, all that sort of stuff. And
[01:56:06] vaccines, all that sort of stuff. And and you know, it becomes on us to take
[01:56:08] and you know, it becomes on us to take care of our fathers, too. And so, as
[01:56:09] care of our fathers, too. And so, as women, we hold that role. And I think it
[01:56:12] women, we hold that role. And I think it is so valuable to understand what men go
[01:56:16] is so valuable to understand what men go through and also to be able to support
[01:56:17] through and also to be able to support them along the way. And I think it's a
[01:56:20] them along the way. And I think it's a great gift for, you know, men in your
[01:56:22] great gift for, you know, men in your life or for, you know, older sons even
[01:56:25] life or for, you know, older sons even to like help people understand their
[01:56:27] to like help people understand their bodies. And honestly, it's a huge
[01:56:28] bodies. And honestly, it's a huge motivator. I tell people like for
[01:56:30] motivator. I tell people like for nothing else, people care about sex. And
[01:56:33] nothing else, people care about sex. And I have seen patients turn around their
[01:56:35] I have seen patients turn around their lives because they want to have better
[01:56:37] lives because they want to have better sex. They'll literally improve their
[01:56:38] sex. They'll literally improve their blood sugars. They'll improve their
[01:56:41] blood sugars. They'll improve their blood pressure because they just want to
[01:56:42] blood pressure because they just want to protect their sexual health.
[01:56:44] protect their sexual health. >> Reena, thank you. We have a um closing
[01:56:46] >> Reena, thank you. We have a um closing tradition on this podcast where the last
[01:56:48] tradition on this podcast where the last guest leaves a question for the next
[01:56:49] guest leaves a question for the next guest not knowing who they're leaving it
[01:56:50] guest not knowing who they're leaving it for.
[01:56:50] for. >> Mhm.
[01:56:50] >> Mhm. >> This is the first time in Dario history
[01:56:53] >> This is the first time in Dario history where the guest has actually stamped it
[01:56:56] where the guest has actually stamped it with a stamp that says certified 100%
[01:56:59] with a stamp that says certified 100% human.
[01:57:00] human. >> Okay.
[01:57:00] >> Okay. >> So, you can see there's a little stamp.
[01:57:02] >> So, you can see there's a little stamp. >> So, when is that AI?
[01:57:03] >> So, when is that AI? >> So, it's not AI and it actually says
[01:57:04] >> So, it's not AI and it actually says that in the middle. It says Gen AI free
[01:57:08] that in the middle. It says Gen AI free sign of things to come. But their
[01:57:10] sign of things to come. But their question I guess is somewhat linked to
[01:57:11] question I guess is somewhat linked to that. They the question they've asked
[01:57:12] that. They the question they've asked for you is so much of the world feels
[01:57:15] for you is so much of the world feels hopeless about this moment. What would
[01:57:18] hopeless about this moment. What would you tell someone to help them reclaim
[01:57:21] you tell someone to help them reclaim their agency?
[01:57:29] I think that
[01:57:33] I think that we as humans are meant to be with other
[01:57:36] we as humans are meant to be with other humans. We are meant to connect and I
[01:57:40] humans. We are meant to connect and I think making that a priority will allow
[01:57:43] think making that a priority will allow people to feel
[01:57:46] people to feel um to feel a part of something again.
[01:57:49] um to feel a part of something again. You know, I think um I think there is
[01:57:51] You know, I think um I think there is like an emergence of people starting to
[01:57:53] like an emergence of people starting to look back at religious constructs and
[01:57:56] look back at religious constructs and and go to community and be a part of
[01:57:58] and go to community and be a part of things and enjoy live events again like
[01:58:01] things and enjoy live events again like we weren't doing before. I think if we
[01:58:03] we weren't doing before. I think if we prioritize that, there is still hope
[01:58:05] prioritize that, there is still hope that we can come together as a society.
[01:58:08] that we can come together as a society. And I think, you know, the pendulum
[01:58:10] And I think, you know, the pendulum always swings right in every way, like
[01:58:12] always swings right in every way, like it's going to go far right or far left
[01:58:14] it's going to go far right or far left and people are going to hate each other
[01:58:16] and people are going to hate each other and then they're going to love each
[01:58:17] and then they're going to love each other and they're going to come back.
[01:58:18] other and they're going to come back. And I think if you just look at history
[01:58:20] And I think if you just look at history time and time again, it repeats itself.
[01:58:22] time and time again, it repeats itself. And we will find unity and we will find
[01:58:26] And we will find unity and we will find togetherness. We are obviously feeling
[01:58:28] togetherness. We are obviously feeling pain from a variety of different sources
[01:58:31] pain from a variety of different sources and we may feel pain right like in terms
[01:58:33] and we may feel pain right like in terms of other things to come but ultimately I
[01:58:36] of other things to come but ultimately I I'm an optimist and I think that we'll
[01:58:38] I'm an optimist and I think that we'll come together and and we will find um
[01:58:41] come together and and we will find um happiness and joy in human connection
[01:58:44] happiness and joy in human connection >> and I hope you're right and I think
[01:58:46] >> and I hope you're right and I think we're seeing the early signs of that now
[01:58:48] we're seeing the early signs of that now for anyone that's listening that wants
[01:58:49] for anyone that's listening that wants to learn more from Reena um I highly
[01:58:51] to learn more from Reena um I highly recommend they go to your YouTube
[01:58:52] recommend they go to your YouTube channel I will collab if we can um and
[01:58:55] channel I will collab if we can um and if we do collab on YouTube you'll a
[01:58:57] if we do collab on YouTube you'll a little smiling Reena um next to the Dar
[01:59:00] little smiling Reena um next to the Dar of Seio logo where you can click through
[01:59:01] of Seio logo where you can click through to her YouTube channel. She's got almost
[01:59:03] to her YouTube channel. She's got almost 3 million subscribers and she goes
[01:59:05] 3 million subscribers and she goes through all of the questions which no
[01:59:08] through all of the questions which no one has ever answered for us. And I was
[01:59:09] one has ever answered for us. And I was looking at some of the questions that
[01:59:11] looking at some of the questions that you answer for people. Everything from
[01:59:13] you answer for people. Everything from >> why you dribble after you pee and how to
[01:59:16] >> why you dribble after you pee and how to stop it. porn director reveals what what
[01:59:19] stop it. porn director reveals what what scenes are faked in almost every scene
[01:59:21] scenes are faked in almost every scene of movies, but then also a lot of the
[01:59:23] of movies, but then also a lot of the stuff we've talked about today around um
[01:59:25] stuff we've talked about today around um penal health, erectile dysfunction, um
[01:59:28] penal health, erectile dysfunction, um sex positions, and so much more. So,
[01:59:30] sex positions, and so much more. So, it's a wonderful repository of
[01:59:32] it's a wonderful repository of information that is constantly being
[01:59:34] information that is constantly being updated. That is a great place to
[01:59:35] updated. That is a great place to subscribe. So, I highly recommend you
[01:59:36] subscribe. So, I highly recommend you do. Dr. Reena, thank you so much for
[01:59:38] do. Dr. Reena, thank you so much for your time.
[01:59:39] your time. >> You're so welcome. YouTube have this new
[01:59:40] >> You're so welcome. YouTube have this new crazy algorithm where they know exactly
[01:59:42] crazy algorithm where they know exactly what video you would like to watch next
[01:59:44] what video you would like to watch next based on AI and all of your viewing
[01:59:46] based on AI and all of your viewing behavior. And the algorithm says that
[01:59:49] behavior. And the algorithm says that this video is the perfect video for you.
[01:59:52] this video is the perfect video for you. It's different for everybody looking
[01:59:53] It's different for everybody looking right now. Check this video out and I
[01:59:55] right now. Check this video out and I bet you you might love

https://www.youtube.com/watch?v=PnpHwhTWw0c

Summary

TL;DR — This video explores the multifaceted aspects of sexual health, emphasizing that good sex is achievable through a holistic approach encompassing physical well-being, mental state, and environmental factors. It debunks common myths and provides data-driven insights into improving sexual function and satisfaction for both men and women.

Key points

• Sexual health is built on four pillars: fuel (nutrition), strength (exercise and pelvic floor health), environment (stress, sleep, chemicals), and confidence (knowledge and communication).

• Lifestyle factors like diet (Mediterranean), exercise (cardiovascular and resistance training), sleep, stress management, and avoiding endocrine disruptors significantly impact sexual function.

• Modern distractions, particularly excessive screen time and the nature of online dating, contribute to decreased sexual activity and connection.

• Open communication about desires, needs, and concerns is crucial for a healthy sex life, overcoming common taboos and anxieties around performance and pleasure.

• Understanding anatomy, exploring erogenous zones beyond the genitals, and incorporating novelty can enhance intimacy and satisfaction.

Takeaway — Prioritizing sexual health requires a comprehensive approach that integrates physical, mental, and emotional well-being, supported by open communication and a willingness to explore and adapt.