A Urologist’s Guide to Sexual Superpowers

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Sexual well being is a vital side of total wellness, however typically, even the fittest amongst us can expertise difficulties on this space. If you’re dealing with issues within the bed room, don’t fear, you’re not alone!

As an award-winning urologist educated at UCLA, Harvard, and Vanderbilt, I continuously push the envelope of what’s doable. Twenty years in the past, I helped to pioneer robotics for prostate most cancers surgical procedure. Five years in the past, I started focusing my clinic and analysis efforts on helping males to regain and optimize their sexual well being. I realized that robust blood circulation is the important thing to female and male sexual well being, however this text will go manner past the fundamentals of cardio train, a clear weight-reduction plan, wholesome habits, and sufficient hydration.

What follows are one of the best remedies I take advantage of in my sexual medication and urology workplace in Northern California.

Oral Medications:

1: Boosting Nerve Signals with Nitric Oxide Supplements: Erections begin as electrical impulses transmitted by the spinal twine into the pelvic nerves. These nerves launch Nitric Oxide, an important molecule that dilates blood vessels permitting blood to circulate into the penis or clitoris. As you age, your pure Nitric Oxide ranges decline, resulting in lowered circulation, much less rigidity, and problem with penetration. Boosting Nitric Oxide with a complement similar to AFFIRM will assist restore blood circulate to the genitalia leading to more durable erections. Nitric Oxide supplementation can be a pure technique to lower systolic blood stress by 5-10 mmHg, enhance mind perform, increase exercises, and enhance immune perform.

2: PDE-5 Inhibitors like Viagra and Cialis: When I used to be a surgical resident at UCLA within the 90s, my professors found the mechanism of motion of PDE-5 inhibitors like Viagra and Cialis. Since then, lots of of tens of millions of males have tried these surprise medicine, which have confirmed very protected. In reality, past serving to erectile perform, research present that Cialis improves urinary perform, Viagra reduces the chance of dementia, and Cialis decreases the incidence of coronary heart assaults.

The minor unintended effects of those medicines embrace:

• Headache – so have some Tylenol accessible.
• Stuffy nostril – I recommend Patanase (don’t use Afrin or Sudafed as a result of they will make erections worse).
• Reflux – you need to use TUMS if you happen to expertise heartburn.

Other tips about utilizing PDE-5 inhibitors embrace:

• The low-cost generic variations of those medicine are Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra)
• Cialis begins working in half-hour and lasts as much as 36 hours and has a 5mg day by day dose and a 20 mg most dose
• Viagra and Levitra begin working in half-hour however solely final 8 hours.
• The most dose of Viagra is 100mg, and the utmost dose of Levitra is 20 mg.
• It is best to take Viagra on an empty abdomen, however you possibly can take Cialis and Levitra with or with out meals.
• Viagra and Cialis work higher when mixed with a Nitric Oxide Booster like AFFIRM.

3: Bremelanotide or PT-141: PT-141 is a peptide initially examined to darken pores and skin naturally, however researchers found that it elevated libido as a aspect impact. Injected below the pores and skin or used as a nasal spray, males expertise a brief enhance in intercourse drive and spontaneous erections. In ladies, PT-141 was FDA-approved as Vyleesi, a prescription medication used to deal with hypoactive (low) sexual want dysfunction (HSDD) in ladies who haven’t gone by way of menopause.  PT-141 is a protected and efficient drug for each women and men, though a few quarter of customers expertise nausea.

4: Apomorphine: Apomorphine is a drug that has been used to deal with Parkinson’s Disease for greater than 20 years that has a helpful aspect impact. Apomorphine works within the mind to stimulate nerves that set off the relief of the sleek muscle of the erectile physique, enhancing blood circulate to the penis and leading to an erection inside 20 minutes. The results sometimes final for hours, and there are stories that Apomorphine decreases the time earlier than a second and third ejaculation. Studies investigating Apomorphine for treating low arousal and sexual dysfunction in ladies present elevated sexual satisfaction scores. Uncommon unintended effects embrace nausea, vomiting, headache, and dizziness.  To enhance efficiency, Apomorphine is commonly mixed with Cialis and Viagra as a sublingual troche (below your tongue), accessible on Rugiet.com, eliminating the wait time that historically comes with capsules.

5: Oxytocin: Oxytocin is a peptide hormone produced within the physique. In ladies, it performs an important position in childbirth and nursing. In women and men, taking Oxytocin earlier than or throughout intercourse has been proven to extend total sexual satisfaction with rising emotions of reference to a associate and enhancing the feeling of orgasm. Numerous research have proven Oxytocin to be protected. The most typical and quickest utility route is an intranasal spray with plasma oxytocin ranges rising inside 20 minutes and lasting for about an hour. Another kind is oral drops utilized beneath the tongue about ten minutes earlier than intercourse.

Building New Blood Vessels: 90% of erectile dysfunction is said to lowered blood circulate to the penis on account of clogged arteries. Two applied sciences stimulate new blood vessels’ progress – low-intensity shockwave remedy and platelet-rich plasma (PRP).

6: Low-intensity Shockwave Therapy is utilized on to the penis by a medical supplier. The waves stimulate an acute inflammatory response that prompts native stem cells and releases progress elements that outcome within the progress of recent blood vessels. Some practitioners declare that the waves knock plaque off blood vessels, however this has not been demonstrated by medical analysis.

What you must find out about Low-intensity shockwaves:

• This know-how is efficient in roughly three of each 4 males
• Usually, it takes 4 to six weeks for males to really feel the advantages, they usually sometimes want 6 to 12 remedies.
• There is an analogous system to be used at house known as the Phoenix, however regardless of advertising claims, there has by no means been a printed research displaying that the Phoenix improves erectile perform.

7: Platelet Rich Plasma (PRP): Platelets have two features. The first is to kind a blood clot to cease bleeding. The second is to provoke therapeutic and regrowth by releasing numerous progress elements. Many specialties, notably orthopedics and dermatology, use Platelet Rich Plasma (PRP) to stimulate the expansion of localized tissue. If a professional sexual medication doctor injects PRP into your penis as soon as a month for a minimum of 2-3 months, you’ll possible expertise improved erectile perform. Women obtain the injection within the clitoris, which boosts sensation and orgasms. Believe it or not, the injection will not be almost as painful as you would possibly assume, however don’t do this at house!

Injections:

8: Botox Injections within the Penis: In a flaccid penis, the vascular easy muscle is contracted in order that blood doesn’t enter the penis. During an erection, nerve impulses sign blood vessels to loosen up and open to extend penis dimension. If a professional doctor injects Botox into the penis with a tiny needle, inside per week, a person will discover a bigger flaccid penis and higher erections. Depending on the dose, the consequences of Botox for ED will final three to 6 months. Now that could be a actual Botox get together!’!

9: Penile Injection Therapy: For males with harm to the nerves that offer the penis, creating an erection by way of sexual stimulation will not be doable. However, injecting medicine (Trimix) immediately into the penis can artificially dilate the arteries resulting in a inflexible erection. The length and firmness of the erection depend upon the medicine dose and the standard of a person’s blood circulation.  Typically, erections can final between half-hour and 4 hours. If an erection lasts greater than 4 hours, injecting the penis with an antidote is critical to reverse the preliminary remedy’s results. Some males with regular erectile perform inject Trimix for leisure functions to delay their erection, however I might not suggest this. Sometimes the enemy of fine is ideal.

Other Miscellaneous Technologies:

10: The Emsella Chair: High Intensity Focused Electromagnetic Waves from the Emsella Chair present noninvasive electromagnetic stimulation of the pelvic flooring musculature, strengthening weak pelvic muscular tissues in women and men. Studies in ladies present a dramatic enchancment in sexual perform. My soon-to-be-published research in males show enchancment in ejaculation, erections, and urination after ten periods lasting half-hour every. Absolutely no work is required by the affected person – he/she sits on a agency floor on high of a 2 Tesla magnet whereas the magnetic area contracts the pelvic flooring musculature. The muscle stimulation will not be painful, and the therapy has no dangers or unintended effects.

11: Lubricants: Vaginal dryness on account of insufficient lubrication is a matter for girls of all ages and their companions and is a comparatively simple repair. More than 1 / 4 of all ladies reported experiencing ache throughout intercourse, and an absence of lubrication is a significant trigger. In addition, analysis reveals that lubricant use is related to larger sexual pleasure and satisfaction. Water-based lubricants can dry out shortly; oil-based merchandise shouldn’t be used with condoms and altered vaginal micro organism. My favourite is silicone-based lubricants like UberLube , a high-end lubricant designed to reinforce sensation and scale back friction. When not in use, it dissipates, leaving the pores and skin smooth and moisturized with none moist or sticky residue.

12: Testosterone Replacement (TRT): Erections are a circulation perform. Testosterone substitute doesn’t immediately enhance blood circulate.  However, testosterone supplementation does increase sexual want in each women and men. A 3rd article on this sequence will deal with Testosterone.

Treatments to keep away from!
Truckstop dietary supplements similar to Yohimbine, Tribulus, Fenugreek, and Ginkgo biloba haven’t been discovered to be efficient. Maca and Horny Goat Weed have restricted knowledge and keep away from Rhino capsules (manufactured by a person sentenced to 46 months in federal jail.) Many clinics provide stem cells for ED, however their profit has not been adequately researched, and the fee and standardization haven’t been established. Finally, regardless of claims on the contrary, the Phoenix house system has by no means been adequately examined for the therapy of ED.

What does the event of ED imply? Important! Read This!

It is crucial to know that ED represents a decline in penile circulation and is an early warning signal for different blood vessel blockages that may happen sooner or later. Therefore, if you happen to develop ED in your 30s, 40s, or 50s, strongly take into account alterations in weight-reduction plan, train, sleep, stress administration, and habits to stop extra extreme adjustments to your well being sooner or later.

For extra particulars concerning the suggestions and data on males’s bodily, psychological, emotional, and sexual well being, seek advice from my complete males’s well being e book, The twenty first Century Man, also called ‘The Dude Bible.’ If you’ve discovered this useful, subscribe to my YouTube channel at https://www.youtube.com/BrandeisMD and observe me on Instagram at https://www.instagram.com/judsonbrandeismd/ .

Additionally, if you happen to’ve been looking for a pure resolution to handle dimension considerations, take a look at P-Long. It is the primary and solely clinically confirmed protocol to naturally enhance the scale of your manhood with out surgical procedure or beauty fillers.   If you wish to change into a affected person, yow will discover me at BrandeisMD.com in Northern California.

This is sponsored content material. M&F will not be endorsing the web sites or merchandise listed on this article.