Does Your Dick Need Rehab?

I wonder if there are some people or some family doctors that would see a man, let's say, in his 50s, 60s, 70s, and maybe they would just, they would say, well, that's part of getting older.

Would there be a reason to refer to to someone like you in that age range who's, yeah, struggling with their erections.

Well, first, if someone's struggling with erections that are, well, the issue is persistent, consistent, or worsening over time, I would hope that the medical provider that this person is asking for help from would do more due diligence for that patient than to say, hey, you're just getting older, you gotta live with it.

Because we do know that if you have reduced erectile function that is persistent, ongoing, consistent, We know from research that the likelihood of an adverse cardiovascular event within three years is probable.

So your hard health down there, is indicative of your heart health.

And it's crucial to get cardiovascular workup, to assess for your heart health, to rule out things like diabetes and metabolic disorder diseases.

Those things are really important as far as comprehensive diagnostic related to erectile function sexual health.

So it is indicative of your overall health.

So that definitely should be looked at and tended to.

Now, what are the possible physical, psychological aspects to someone's erectile dysfunction or whatever sexual dysfunction that they are experiencing? Because we do want to be ruling out red flags or other avenues of why this person is experiencing sexual dysfunction or, for example, erectile dysfunction.

It could even be hormonal, endocrine, the endocrine system, cardiovascular system, nervous system.

All of those systems have to be intact.

And operating... well in order for erections to occur, right? And of course, mental health and well-being have significant impact.

So you've got psychogenic ED and vasculogenic ED and then everything in between that overlaps.

So I do think it's imperative to have that diagnostic workup done.

And hopefully that primary care provider internist will do a little bit more investigation to rule in and rule out other potential causes that we might honestly be saving someone's life, preventing a heart attack and then medically treating appropriately.

Now that's not to say that someone like myself who works with the musculoskeletal system, the pelvic floor, the muscles and the nerves, and also the sexuality counseling to bridge that wouldn't be helpful or advised because that's where the education the confidence building the learning around the parts of their body and what impacts sexual function you know we piece it all together to give them this bird's eye view of the beautifully complex systems that are our biology and that there are many ways to work with them and to change and also relationship-wise and just offering some communication skills or helping to reduce anxiety around performance and things like that.

So the education, I think, is an indispensable resource that people lean on when they're seeking support for their sexual dysfunction or their pain problem.

It's the knowledge that empowers them to implement change.