A Urologist’s Information to Sexual Superpowers


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Sexual well being is an important facet of general wellness, however typically, even the fittest amongst us can expertise difficulties on this space. When you’re dealing with issues within the bed room, don’t fear, you’re not alone!

As an award-winning urologist skilled at UCLA, Harvard, and Vanderbilt, I consistently push the envelope of what’s potential. Twenty years in the past, I helped to pioneer robotics for prostate most cancers surgical procedure. 5 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 eating regimen, wholesome habits, and satisfactory hydration.

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

Oral Drugs:

1: Boosting Nerve Indicators with Nitric Oxide Dietary supplements: Erections begin as electrical impulses transmitted by the spinal twine into the pelvic nerves. These nerves launch Nitric Oxide, a significant molecule that dilates blood vessels permitting blood to circulation 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 resembling AFFIRM will assist restore blood circulation to the genitalia leading to more durable erections. Nitric Oxide supplementation can be a pure approach to lower systolic blood strain by 5-10 mmHg, enhance mind perform, increase exercises, and enhance immune perform.

2: PDE-5 Inhibitors like Viagra and Cialis: After I was 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, a whole bunch of thousands and thousands of males have tried these marvel medication, which have confirmed very secure. In truth, past serving to erectile perform, research present that Cialis improves urinary perform, Viagra reduces the danger of dementia, and Cialis decreases the incidence of coronary heart assaults.

The minor unintended effects of those medicines embody:

  • Headache – so have some Tylenol out there.
  • Stuffy nostril – I counsel Patanase (don’t use Afrin or Sudafed as a result of they’ll make erections worse).
  • Reflux – you should utilize TUMS when you expertise heartburn.

Different tips about utilizing PDE-5 inhibitors embody:

  • The low-cost generic variations of those medication 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 every day dose and a 20 mg most dose
  • Viagra and Levitra begin working in half-hour however solely final 8 hours.
  • The utmost dose of Viagra is 100mg, and the utmost dose of Levitra is 20 mg.
  • It’s higher to take Viagra on an empty abdomen, however you may 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 facet impact. Injected beneath the pores and skin or used as a nasal spray, males expertise a brief enhance in intercourse drive and spontaneous erections. In girls, PT-141 was FDA-approved as Vyleesi, a prescription medication used to deal with hypoactive (low) sexual want dysfunction (HSDD) in girls who haven’t gone via menopause.  PT-141 is a secure 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 Illness for greater than 20 years that has a useful facet impact. Apomorphine works within the mind to stimulate nerves that set off the comfort of the sleek muscle of the erectile physique, enhancing blood circulation 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. Research investigating Apomorphine for treating low arousal and sexual dysfunction in girls present elevated sexual satisfaction scores. Unusual unintended effects embody nausea, vomiting, headache, and dizziness.  To extend efficiency, Apomorphine is commonly mixed with Cialis and Viagra as a sublingual troche (beneath your tongue), out there on Rugiet.com, eliminating the wait time that historically comes with tablets.

5: Oxytocin:
Oxytocin is a peptide hormone produced within the physique. In girls, it performs a vital function in childbirth and nursing. In women and men, taking Oxytocin earlier than or throughout intercourse has been proven to extend general sexual satisfaction with rising emotions of reference to a accomplice and enhancing the feeling of orgasm. Quite a few research have proven Oxytocin to be secure. 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. One other kind is oral drops utilized beneath the tongue about ten minutes earlier than intercourse.


Constructing New Blood Vessels: 90% of erectile dysfunction is expounded to lowered blood circulation to the penis as a consequence of clogged arteries. Two applied sciences stimulate new blood vessels’ progress – low-intensity shockwave remedy and platelet-rich plasma (PRP).

6: Low-intensity Shockwave Remedy 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 components that end result within the progress of latest 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 learn about Low-intensity shockwaves:

  • This know-how is efficient in roughly three of each 4 males
  • Normally, it takes 4 to six weeks for males to really feel the advantages, and so they sometimes want 6 to 12 remedies.
  • There’s a comparable machine to be used at residence referred to as the Phoenix, however regardless of advertising and marketing claims, there has by no means been a printed research exhibiting that the Phoenix improves erectile perform.
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7: Platelet Wealthy Plasma (PRP): Platelets have two features. The primary is to kind a blood clot to cease bleeding. The second is to provoke therapeutic and regrowth by releasing varied progress components. Many specialties, notably orthopedics and dermatology, use Platelet Wealthy Plasma (PRP) to stimulate the expansion of localized tissue. If a certified 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. Girls obtain the injection within the clitoris, which reinforces sensation and orgasms. Imagine it or not, the injection just isn’t practically as painful as you may suppose, however don’t do that at residence!



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. Throughout an erection, nerve impulses sign blood vessels to loosen up and open to extend penis dimension. If a certified doctor injects Botox into the penis with a tiny needle, inside every week, a person will discover a bigger flaccid penis and higher erections. Relying on the dose, the results of Botox for ED will final three to 6 months. Now that may be a actual Botox occasion!’!

9: Penile Injection Remedy: For males with injury to the nerves that offer the penis, creating an erection via sexual stimulation just isn’t potential. Nevertheless, injecting treatment (Trimix) straight into the penis can artificially dilate the arteries resulting in a inflexible erection. The length and firmness of the erection rely upon the treatment dose and the standard of a person’s blood circulation.  Sometimes, erections can final between half-hour and 4 hours. If an erection lasts greater than 4 hours, injecting the penis with an antidote is important to reverse the preliminary remedy’s results. Some males with regular erectile perform inject Trimix for leisure functions to extend their erection, however I might not suggest this. Typically the enemy of fine is ideal.


Different Miscellaneous Applied sciences:

10: The Emsella Chair: Excessive Depth Centered Electromagnetic Waves from the Emsella Chair present noninvasive electromagnetic stimulation of the pelvic flooring musculature, strengthening weak pelvic muscle groups in women and men. Research in girls present a dramatic enchancment in sexual perform. My soon-to-be-published research in males reveal enchancment in ejaculation, erections, and urination after ten classes lasting half-hour every. Completely 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 just isn’t painful, and the remedy has no dangers or unintended effects.

11: Lubricants: Vaginal dryness as a consequence of insufficient lubrication is a matter for girls of all ages and their companions and is a comparatively straightforward repair. Greater than 1 / 4 of all girls reported experiencing ache throughout intercourse, and an absence of lubrication is a significant trigger. As well as, 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 boost 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 Alternative (TRT): Erections are a circulation perform. Testosterone alternative doesn’t straight enhance blood circulation.  Nevertheless, testosterone supplementation does increase sexual want in each women and men. A 3rd article on this sequence will concentrate on Testosterone.

Therapies to keep away from!
Truckstop dietary supplements resembling Yohimbine, Tribulus, Fenugreek, and Ginkgo biloba haven’t been discovered to be efficient. Maca and Sexy Goat Weed have restricted knowledge and keep away from Rhino tablets (manufactured by a person sentenced to 46 months in federal jail.) Many clinics supply stem cells for ED, however their profit has not been adequately researched, and the associated fee and standardization haven’t been established. Lastly, regardless of claims on the contrary, the Phoenix residence machine has by no means been adequately examined for the remedy of ED.


What does the event of ED imply? Essential! Learn This!

It’s important to grasp 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. Subsequently, when you develop ED in your 30s, 40s, or 50s, strongly think about alterations in eating regimen, train, sleep, stress administration, and habits to stop extra extreme modifications to your well being sooner or later.


For extra particulars in regards to the suggestions and knowledge on males’s bodily, psychological, emotional, and sexual well being, confer with my complete males’s well being e-book, The twenty first Century Man, also referred to as ‘The Dude Bible.’

When 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/ .

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Moreover, when you’ve been trying to find a pure answer to handle dimension considerations, take a look at P-Lengthy. It’s the first and solely clinically confirmed protocol to naturally enhance the dimensions of your manhood with out surgical procedure or beauty fillers.


If you wish to turn into a affected person, you will discover me at BrandeisMD.com in Northern California.

That is sponsored content material. M&F just isn’t endorsing the web sites or merchandise listed on this article.