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    Best Of: Power to the Penis w/ Dr. Edward Karpman

    enMay 07, 2021

    Podcast Summary

    • Explore Pleasure-Enhancing Tools and Resources for a Satisfying SummerDiscover Promescent's sex enhancement products, including their delay spray and arousal gel, and the iconic Magic Wand for powerful vibrations. Seek advice from a healthcare professional for a healthier sex life.

      Summer is the season of passion and pleasure, and Promescent's line of sex enhancement products can help enhance the experience. Their legendary delay spray allows men to last longer, while their warming arousal gel for women adds an extra layer of pleasure. Meanwhile, the Magic Wand, an iconic sex toy, offers powerful vibrations for solo or partnered play. It's important to understand the differences between orgasm and ejaculation, and addressing common penis challenges with the help of a healthcare professional, like board certified urologist Dr. Edward Cartman, can lead to a healthier and more satisfying sex life. So, make this summer the sexiest one yet by exploring these pleasure-enhancing tools and resources. Check out promescent.com/emily for a discount on Promescent's products, and sexwithemily.com/magicwand for a variety of Magic Wand models.

    • Understanding Erectile Dysfunction and Its ImpactErectile dysfunction, affecting half of men over 40, impacts sexual satisfaction for both partners, and can even affect young men. It's caused by various factors, including venous leaks, and treatments are continually advancing.

      The discussion highlighted the increasing importance of addressing penis-related challenges, particularly erectile dysfunction, which affects half of men over the age of 40. This issue has gained more attention due to societal shifts and advancements in treatments. Erectile dysfunction is defined as the inability to obtain and maintain an erection sufficient for sexual intercourse, and it can significantly impact young men as well, often due to genetic factors or injuries. The analogy of a leaking bucket helps illustrate the issue, where the penis acts as the faucet and the body as the bucket, and a venous leak can cause half the "water" to leak out before reaching its destination. This can result in inadequate sexual satisfaction for both partners.

    • ED: Physical vs. Psychological CausesED can have both physical and psychological causes. While most cases are due to physical issues, 10% are caused by mental factors. Undiagnosed physical conditions like venous leaks can lead to frustration, embarrassment, and relationship problems. Seek medical advice for proper diagnosis and effective treatment to avoid serious consequences.

      Erectile dysfunction (ED) is a complex issue that can have both physical and mental causes. While the majority of ED cases are due to physical issues, approximately 10% are caused by psychological factors such as stress, anxiety, and inappropriate expectations. However, it's important to note that many men, particularly younger ones, may not be aware of underlying physical conditions like venous leaks. These conditions can go undiagnosed and untreated, leading to frustration, embarrassment, and even relationship problems. It's essential to recognize that ED can have serious consequences if left untreated, and seeking medical advice is crucial for proper diagnosis and effective treatment. Symptoms of a venous leak include the inability to maintain an erection despite being sexually aroused, and it's essential to consult a healthcare professional for proper evaluation and management.

    • Understanding the nuances of sexual dysfunctionMistaken diagnoses can occur due to misunderstanding the specifics of sexual dysfunction, such as distinguishing between rigidity and erectile dysfunction, orgasm and ejaculation, and recognizing conditions like the Venus flytrap phenomenon or Peyronie's disease.

      Sexual dysfunction can present in various ways, and it's essential to understand the terminology and specifics of each case. For instance, some men might experience issues with rigidity during sex, which could be mistaken for erectile dysfunction, but it could also be due to a Venus flytrap phenomenon where the erection goes soft during intercourse. Additionally, it's crucial to differentiate between orgasm and ejaculation, as men might believe they're not having an orgasm when, in fact, they still are, but with retrograde ejaculation. Furthermore, the shape of the penis, such as a curve due to Peyronie's disease, could impact sexual experiences and cause discomfort or pain. These issues can affect men of all ages, not just those over 40. Overall, understanding the unique challenges and terminology related to sexual dysfunction is crucial for effective diagnosis and treatment.

    • Advancements in Penile Implants for Late Sixties EDPenile implants, like P and L implants, are advanced, reliable solutions for individuals in their late sixties dealing with ED. Quick surgery with a 3-week healing period leads to improved sexual satisfaction.

      Sex and sexual health are important topics for individuals at any age, including those in their late sixties, who may be dealing with erectile dysfunction. Despite common misconceptions, modern implants and surgical procedures have advanced significantly, making penile implants a reliable solution for those dealing with ED. These implants, such as the P and L implants which have been around since 1972, are sophisticated, reliable, and less prone to problems. The surgery to install an implant, like a penile implant which takes around 17 minutes on average, is a quick procedure. However, it's important to note that patients need to heal for around three weeks before fully using the implant. The result is a significant improvement in sexual satisfaction for both the patient and their partner. The implant, which includes a pump, cylinders, and a reservoir, allows the man to control the erection, generating pressure greater than a natural erection. Overall, the availability and advancements of these sexual health solutions can greatly improve the quality of life for those dealing with ED.

    • Penile implants: A reliable solution for erectile dysfunctionPenile implants offer consistent results, minimal side effects, quick recovery, coverage by insurance, and low infection rates for men experiencing ED. They're a reliable alternative to medications for those who don't respond or prefer a more permanent solution.

      Penile implants offer a solution for men experiencing erectile dysfunction, with minimal side effects and a quick recovery time. Unlike medications like Viagra, penile implants are not dependent on external factors and provide consistent results. The procedure is covered by Medicare and most insurance plans, and infection rates are low due to antibiotic coating. Men who may not respond to medications or prefer a more reliable option may consider penile implants. However, it's important for individuals to understand the technology and address any underlying health issues before considering the procedure. Many men are unaware of the potential for erectile dysfunction and may be in denial about their symptoms. Penile implants offer a viable solution for those who want to regain their sexual function and confidence.

    • Seeking expert help for sexual health issuesMen should consult sexual health specialists for ED and other issues, use resources like SMSNA and edcure.org, and consider hormonal treatments for low testosterone.

      Acknowledging and addressing sexual health issues, especially erectile dysfunction, requires seeking help from specialists who have expertise in the field. Men should not rely solely on their long-term doctors for solutions, as there have been significant advancements in sexual health treatments for both men and women. To find these specialists, resources such as the Sexual Medicine Society of North America and websites like edcure.org can be utilized. Additionally, hormonal factors, particularly testosterone levels, play a crucial role in sexual function and libido for men, especially as they age. Testosterone is essential for every step in the process of an erection and is linked to a man's sex drive. Low testosterone levels can lead to a lack of interest in sex, making it essential to maintain healthy normal levels. Overall, addressing sexual health concerns requires a proactive approach, including seeking out specialized care and considering hormonal treatments when necessary.

    • Hormonal Changes in Men and Women: Impact on Health and Quality of LifeAs people age, hormonal changes can lead to various health issues, including menopause symptoms for women and testosterone decline for men, affecting quality of life. Societal stigmas make it difficult to discuss these issues, leading to underreporting and underdiagnosis.

      Both men and women experience hormonal changes as they age, which can lead to various health issues. For women, menopause brings about noticeable symptoms like hot flashes, mood swings, and vaginal dryness around the age of 50. For men, testosterone levels begin declining as early as 30, leading to less noticeable symptoms like gray hair, wrinkles, and decreased libido. However, these symptoms can be significant and impact quality of life. It's important to note that "normal" hormone levels are arbitrary and can vary greatly from person to person. Men may not realize they have a testosterone deficiency until it reaches a certain point, and insurance companies may deny coverage based on arbitrary numbers. Both genders face societal stigmas surrounding discussing these issues, making it difficult to seek help. Men, in particular, may feel embarrassed about discussing their penis size or performance, leading to underreporting and underdiagnosis of related conditions. Overall, it's crucial to prioritize open communication about these issues and advocate for personalized, evidence-based healthcare.

    • Creating a comfortable environment for discussing sexual healthUsing relatable language and a locker room atmosphere helps men feel at ease discussing sexual health concerns with healthcare providers.

      Creating a comfortable and open environment for discussing sexual health concerns with patients, particularly men, is crucial for effective communication and treatment. Urologist Cartman suggests using simple, relatable language and creating a locker room-like atmosphere to help patients feel at ease. This approach, he believes, is becoming more acceptable due to societal changes and the normalization of sexual health discussions through media and advertising. Cartman's own journey into urology was influenced by a desire to help improve patients' quality of life and the joy he finds in making a difference in their experiences.

    • Maintaining open communication and seeking specialized care are essential for healthy sexual relationshipsEffective communication and finding the right healthcare professional can lead to improved sexual health and satisfaction for both partners

      Communication and understanding are key in maintaining a healthy and satisfying sexual relationship. Discrepancies in desire, comfort level, and functionality between partners can lead to problems. It's essential for both partners to be on the same page and make the journey together. In the case of sexual health, seeking out specialized doctors and treatments can make a significant difference. For instance, a prosthetic urologist, who specializes in penile implants, can provide better results than a general urologist who performs only a few implants a year. It's crucial to invest time and effort in finding the right healthcare professional, as it concerns one's own well-being. Additionally, the importance of keeping up-to-date with new research and studies, and having open conversations about sexual health, can help alleviate fears and misconceptions. Overall, maintaining open communication and seeking out specialized care can lead to improved sexual health and satisfaction for both partners.

    • Men's struggles with sexual dysfunction influenced by societal pressures and personal embarrassmentSocietal expectations of masculinity tied to virility and sexual prowess, historical role as family providers, and personal embarrassment contribute to men's reluctance to discuss and seek help for sexual dysfunction, leading to a cycle of stress and anxiety.

      Societal pressures and personal embarrassment contribute significantly to men's struggles with sexual dysfunction. Men are programmed to prioritize their reproductive abilities due to their role in ensuring the continuation of the species. Society's emphasis on masculinity being tied to virility and sexual prowess can lead to immense psychological damage when men face impotence. Men are often reluctant to discuss their issues due to societal stigmas and feelings of inadequacy. Historically, men have been expected to provide for their families, which adds to their stress and anxiety when they cannot perform sexually. These pressures can lead to a vicious cycle where men's sexual dysfunction causes further stress and anxiety, making it even more difficult to address the root cause of the issue. It is crucial for men to recognize and acknowledge their problems and seek help, and for healthcare providers to approach these conversations with sensitivity and understanding.

    • Penile implants: A ReviewPenile implants are a low-maintenance, long-lasting solution for men dealing with ED, offering improved confidence and relationships. They're filled with saline, minimal risks, and high satisfaction rates. Men should focus on girth over length, and the learning curve is manageable with a simple remote control.

      Penile implants are a low-maintenance, long-lasting solution for men dealing with erectile dysfunction. Unlike breast implants, there's no need for routine maintenance or fill-ups, and the risks are minimal since they're filled with saline. Studies show a high patient and partner satisfaction rate, with most men experiencing improved confidence and relationships. It's essential to manage expectations, as penile implants don't drastically alter size, and men should focus on girth rather than length, which is more important to most women. The learning curve for using the implant is manageable, and it's a simple, two-function remote control. Overall, penile implants offer a reliable, long-term solution for men dealing with erectile dysfunction, providing improved confidence and relationships.

    • Perception vs. Reality of Penis SizeMen's perceived penis size can differ from reality due to factors like fat pad positioning and measurement techniques. The average penis size is closer to 5.5 inches, and self-confidence and accurate communication are essential for a satisfying sexual experience.

      The size of a penis that a man perceives can differ significantly from its actual size due to various factors like the positioning of the fat pad and the measurement techniques used. Most studies focus on the visible external penis, and the more weight a man gains, the more penis length he may lose as the fat pad separates from the abdominal wall. A common misconception is that the average penis size is around 7 inches, when in reality it's closer to 5.5 inches. Additionally, some men may use invasive methods, like injections or needles, to enhance their perceived size during sexual activities. It's essential for men to understand their actual penis size and accept it, as self-confidence and accurate communication with partners are crucial for a satisfying sexual experience.

    • Men's fixation on penis size often misguidedWomen generally prioritize emotional connection and relationship quality over penis size. Focusing on these aspects can lead to greater intimacy and happiness.

      Men's obsession with penis size is often unfounded, as women are generally not as fixated on it as men believe. This was discussed during an interview with Dr. Edward Karpman, who shared his experience with a patient who insisted he had a larger penis than he actually did. The doctor explained that such beliefs can lead to dissatisfaction and unhappiness, especially if surgery is involved. Dr. Karpman emphasized that intimacy and the quality of the relationship are more important than the mechanics of sex. He also shared that his biggest turn-on is a partner who lets him be himself and is easy to get along with, while his biggest turn-off is someone who is bossy and demanding. From a medical perspective, he advised being careful during sex with a woman on top to avoid penile fractures. Overall, the conversation highlighted the importance of focusing on the emotional and relational aspects of sex rather than just the physical.

    • The Importance of Kindness in RelationshipsKindness is crucial for building and maintaining healthy relationships as it impacts how we handle conflicts effectively.

      Importance of kindness in relationships. Dr. Karpman used the analogy of a water balloon to illustrate the inevitability of conflict in relationships, but emphasized that it's how we handle those conflicts that matters. He emphasized that kindness is the most important personality trait in another person, making it essential for building and maintaining healthy relationships. As Emily wrapped up the episode, she encouraged listeners to explore her website for articles on various topics related to sex, dating, and relationships. She also invited listeners to send in their questions for her to answer on future episodes. Overall, the conversation highlighted the importance of kindness and effective communication in navigating the complexities of human relationships.

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