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

This clip is from episode #260 of The Drive - Men's sexual health: Why it matters, what can go wrong, and how to fix it | Mohit Khera, M.D., M.B.A., M.P.H.

In this episode, Peter is joined by Mohit Khera, M.D., M.B.A., M.P.H., a world-renowned urologist with expertise in sexual medicine and testosterone therapy

In this clip, we discuss:

- The pathophysiology of erectile dysfunction
- Medications to treat ED: Viagra, Cialis, and more
- The benefit of lifestyle changes in improving ED symptoms

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About:

The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.

Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.

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[Dead-Ball-Situation]

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

[garyclarke]

When I had my prosectomy the doctor purposely damaged my parasympathetic nerves and I have suffered with ED for the past 9 years

[Whizzy-jxqe]

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

[lilytea]

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

[juanwick]

Diet
Exercise
Sleep
Stress reduction

or if it still doesn't rise up to the occasion


daily 5mg Cialis

[LordSnow]

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

[ronlondres]

Being health is the key for everything!!!

[neelanjanwagh]

High blood pressure medicines also reason for erectile dysfunction

[empressafiya]

I read that sleep apnea could cause this too

[BurhanDanisan]

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

[vtoserb]

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

[marktapley]

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

[Annabella-nzwu]

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

[dobjwzu]

Great medical knowledge from these Doctors

[bigr]

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

[alphabeta]

6:30 Viagra

8:30 HRT

13:00 Use it or lose it

18:00 Brand?

18:30 Refractory period

21:00 Be in shape

22:00 Lifestyle modification

[eddiemartinez]

Is daily cialis better to take in morning or night?

[jeffreykobe]

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

[ahagopian]

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

[pnqcrty]

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