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Host: Dr. Melanie Carminati, PT, DPT, GTS, NCPT BrooklynPhysicalTherapy.com Guest: Dr. Michael A. Werner, M.D., FACS MazeHealth.com @mazewerner Disclaimer: The medical information in this podcast is for informational purposes only, not individualized medical advice. For personalized care, consult your healthcare provider. About Dr. Michael A. Werner Dr. Michael A. Werner, Founder and Medical Director at Maze Health, is a board-certified urologist who received specialized Fellowship training in male infertility, surgery, and male sexual dysfunction at Boston University Medical Center. His private practice in Midtown Manhattan and Westchester, New York, is limited to two areas of specialization: male infertility and male and female sexual dysfunction. He's a frequent lecturer and author in medical journals and books on these topics. Exploring Men's Health After 70 In this episode, we'll discuss a crucial aspect of men's health after age 70, focusing on sexual health. Our previous podcast episode, "Sex After 70," primarily centered around female sexual health concerns with Dr. Dena Harrison, a gynecologist. However, we received numerous comments asking about men's sexual health and what can be done for men over 70 to maintain a fulfilling sex life. Dr. Werner, could you please share your clinical experience with male patients aged 70 and above? What are some common complaints they come in with in terms of sexual intimacy and sexual function? Dr. Werner explains that as people live longer, sexual issues in older men become more prevalent. The two primary age-related concerns he encounters are erectile dysfunction and difficulties with ejaculation. The discussion delves into the treatment options for these issues, such as penile implants, penile injections, oral medications, and more. Pelvic Pain and its Connection with Erectile Dysfunction The conversation shifts to discussing chronic pelvic pain syndrome in men, which is often not well understood. Dr. Werner elaborates on the different symptoms and their varied manifestations. Dr. Carminati, as a pelvic floor therapist, adds to the discussion by emphasizing the importance of pelvic floor physical therapy and how it can assist in managing pelvic pain and other related issues. Incorporating Radiofrequency Therapy (Winback Tecar): Dr. Carminati shares her experiences with radiofrequency therapy, specifically the Winback Tecar system, which she finds beneficial for treating various pelvic conditions. The therapy is described as a warming sensation, and it explains how it helps facilitate deep tissue work for male pelvic pain patients. Premature Ejaculation and Its Treatment Dr. Werner addresses premature ejaculation, emphasizing that it's not always a psychological issue but can be physical and, in some cases, lifelong. He discusses treatment options, including the use of selective serotonin reuptake inhibitors (SSRIs) to delay ejaculation and topical numbing agents. Addressing Low Libido The conversation then touches on low libido in older men, often related to declining testosterone levels. Dr. Werner highlights the importance of hormone replacement therapy and discusses how it can significantly improve libido in men. The Impact of Prostate Cancer Treatments on Sexual Function When it comes to patients who have undergone prostate cancer treatments, Dr. Werner explains the common effects on sexual function and discusses potential treatments. He highlights the importance of early intervention to address post-treatment erection issues and emphasizes the effectiveness of penile injections in these cases. The podcast concludes with discussions about reducing the stigma around discussing sexual health after the age of 70 and the importance of seeking help for sexual concerns. Dr. Werner and Dr. Carminati stress the value of collaborative efforts between urologists, pelvic floor therapists, and other medical professionals in providing holistic patient care. This informative conversation shows the importance of open dialogue and a multidisciplinary approach to addressing sexual health challenges in older adults, providing hope and solutions for individuals seeking to improve their quality of life.

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In this video we will cover: how to increase your libido. In addition we will discuss several causes of a low libido and how to treat and improve it. This video will be suitable for men and women, so pay attention! A large part of your libido is subjective and up to you and your partner, if you have one. This means that some people and some couples are happy with sex once a month and others are unhappy with sex 5 times a week. However, because we always think the grass is greener elsewhere, I will provide you with some concrete numbers. I found a medical study from 2017 which studied the sexual behaviour of 26,000 people. On average it seems that adults are having sex 54 times a year. Although there were some significant difference in age groups. It seems the older you get, the lower your sex drive. How to boost your libido? Your libido depends on many factors. Sex is a multidimensional experience which requires a balanced mental, physical and emotional state and in this balance lies your solution. 1. First of all reduce stress. As you might know stress can cause many health problems but may also contribute to a lower sex drive. 2. Secondly, become comfortable with your intimate self. You could do this by exploring your own body. Which will help you to become more familiar with your body, your desires and the things that please you. 3. Next up, limit your alcohol consumption. Drinking just one glass may help to set the mood and increase your interest, but drinking too many will surely not help. 4. Tip number 4 focusses on your sleep schedule, as low energy seems to equal a lower sex drive. Make sure you maintain a regular sleep schedule and get sufficient sleep. 5. If relevant one of the most effective ways to fix a low libido is to improve your relationship with your partner. 6. Lastly, a low libido can be caused by several health problems. I will explain these in depth in an other video. You can find that video here: Playlist for sex related medical problems: https://www.youtube.com/playlist?list=PLaG3Bo3L0gX6I4FYPkL6bJ1Xx7dRs697P Most common causes of a low libido: https://youtu.be/_SbM8aRB21k - Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. - I want to give special thanks to my sponsors on Patreon: - Sebastian Houwing: Investor - Roel: Supporter Literature: 1: NHS. (2020). Loss of Libido (reduced sex drive|). 2. Severson A. (2019). Boost Your Libido with These 10 Natural Tips. 3. Fielding S. (2020). How often couples should have sex, according to 3 sex therapists. 4. Fisher HE. Aron A. Brown LL. (2006). Romantic love: a mammalian brain system for mate choice. Philos. Trans. R. Soc. Lond. B Biol. Sci. 361 (1476): 2173–86. 5. The Free Dictionary. * The images in this video are used for educational purposes only. Most of the images and video material in this video comes from https://www.canva.com/. Music: 1. Verified Picasso, Fish Room 2. Patrick Patrikos, Good Times 3. Patrick Patrikos, Rockville Follow me on instagram: @HOWTOMEDICATE Follow me on twitter: @HOWTOMEDICATE Support me on Patreon: https://www.patreon.com/howtomedicate Books I used In Medical School: Lehninger Principles of Biochemistry Seventh Edition, https://amzn.to/2PFGidh Guyton and Hall Textbook of Medical Physiology 14th Edition, https://amzn.to/3inL6jM Human Anatomy & Physiology (12th Edition), https://amzn.to/2DHlHCT Oxford Handbook of Clinical Specialties, https://amzn.to/3fU854s Oxford Handbook of Emergency Medicine, https://amzn.to/31LfMVg Oxford Handbook of Clinical Medicine, https://amzn.to/3ky73hZ Janeway's Immunobiology, https://amzn.to/3gLZW3e Atlas of Human Anatomy (Netter Basic Science), https://amzn.to/3afFe9c Netter's Anatomy Flash Cards, https://amzn.to/2XSAMIN The House of God, S. Shem, https://amzn.to/31I7HAU Gear I use: Camera: Canon EOS M50: https://amzn.to/33SNMSn Microphone: Boya Lavalier Microphone: https://amzn.to/3aggLkc Microphone: Rode VideoMicPro: https://amzn.to/3amCmrh Computer: Apple Macbook Pro: https://amzn.to/33PDEtuBoost Cbd Gummies For Ed Evaluating Their Potential And Effectiveness