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Learn More: http://erectioniq.com/ Dr. Robert Segal joins the Erectile Dysfunction Radio Podcast to discuss Low Testosterone and Erectile Dysfunction. Dr. Segal is a urologist in Maryland who specializes in male sexual medicine. The Erectile Dysfunction Radio Podcast is dedicated to educating and empowering men to address erectile dysfunction, improve confidence, and enhance the satisfaction in their relationships. This podcast is hosted by certified sex therapist, Mark Goldberg, LCMFT, CST. Transcript of Episode 16 – Low Testosterone and Erectile Dysfunction with Dr. Robert Segal MARK: Welcome to another episode of the Erectile Dysfunction Radio podcast. Today we are joined by Dr. Robert Segal. Dr. Segal is a urologist who has completed a fellowship in male sexual medicine at Johns Hopkins. He practices general urology and male sexual medicine. Dr. Segal specializes in male sexual dysfunction, including hypogonadism, which is low testosterone, and the topic of tonight’s podcast, premature ejaculation, Peyronie’s disease and erectile dysfunction. Dr. Segal has conducted research and is an author of multiple articles on these topics. Welcome, Dr. Segal. DR. SEGAL: Thank you very much. Happy to be here. MARK: So our topic today, Dr. Segal, is going to be low testosterone and erectile dysfunction. So I’d like to get started by helping our listeners understand what it means when somebody has low testosterone. DR. SEGAL: Okay. So testosterone is the hormone that gives a man his vitality. Energy level, libido, it contributes to a sense of well-being, good mood. And it’s produced, for the most part, by the testicles, so about 95% of the testosterone in the body comes from the testicles, and so if someone has low testosterone, it means that there is insufficient production of testosterone. And typically, the clinical symptoms associated with it include low sex drive, low energy level, the inability to exercise or to perform a great deal of physical activity, it can be associated with depression, with erectile dysfunction as well. It’s diagnosed with a blood test that would be ordered on the basis of the patient having these symptoms. MARK: Okay. So testosterone goes way beyond just sexual function. It includes also mental health, other areas of general function, energy levels. Is that correct? DR. SEGAL: I would say that that’s very true. One of the difficult things associated with assessing for low testosterone and potentially managing it, is that a lot of the symptoms that I mentioned to you are relatively nonspecific, and so just because someone has one or more of these symptoms does not automatically mean that they have low testosterone. And sometimes you can have men who have low testosterone, who have these symptoms, who, when you treat them and get their testosterone levels normalized, they are still symptomatic, which implies that their symptoms are related to something else other than the low testosterone. MARK: So there’s a lot of complexity with low testosterone, the symptoms, not always a simple fix the low testosterone and everything’s going to be okay. DR. SEGAL: Exactly. The one other thing that I think is important to mention is that low testosterone is also associated with some other issues throughout the body. It can be associated with a cardiovascular disease, and men with low testosterone may be at higher risk of cardiovascular outcomes such as heart attack or stroke. It can be associated with weak bones, otherwise called osteopenia or osteoporosis. So those are two of the big ones that we hadn’t touched upon before. And so I have some patients who may not derive benefit in terms of their sexual symptoms, for example, with replenishing testosterone, but because they want to keep these other body systems healthy, they will kind of continue testosterone replacement just for the ancillary benefit, so to speak. MARK: Got it. Okay. Now, when you were talking about conditions that are associated, one of the things that I think will also be very important for our listeners to understand are what are some of the most common causes of low testosterone? DR. SEGAL: So it’s a good question, and this can sometimes, in fact, many times, be difficult to ascertain. You could make the argument that, in some cases, it may not even entirely matter what the cause is, because if the end result is having low testosterone, and the treatment, for the most part, is the same, I.e replacing testosterone with different medical options, then finding the exact cause may not be possible or may not be that important. ...transcript continued at: https://erectioniq.com/low-testosterone-and-erectile-dysfunction/

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Que se passe-t-il si vous prenez plus de doses de viagra que ce qui est recommandé? Ecoutez les explications du Dr. Beley. Dr. Sébastien Beley est un chirurgien urologue et andrologue. Sur sa chaîne YouTube consacrée à la santé sexuelle de l'homme, il parle de l'urologie et de la maladie de Lapeyronie. Il aborde des sujets liés aux problèmes sexuels, notamment la dysfonction érectile, la testostérone, les difficultés d'éjaculation, la varicocèle, les fuites urinaires, l'incontinence, la fertilité, le cancer de la prostate et plus encore. De nouvelles vidéos tous les lundis et jeudis. Découvrez nos playlists : Problèmes de pénis, dysfonction érectile, éjaculation précoce et plus : https://www.youtube.com/playlist?list=PLxkLBp74RkTgm93gvWksPICIx3IVL03Hl La maladie de Lapeyronie : https://www.youtube.com/playlist?list=PLxkLBp74RkTjM-JZ3oyU75n0jTilzP-FV Désir et érection: https://www.youtube.com/playlist?list=PLxkLBp74RkTjqlyxp7IAl1x4CxUmce3p3 Infertilité Masculine et contraception : https://www.youtube.com/playlist?list=PLxkLBp74RkThNK87L8OFoaZLZ_CI-9Dwe et plus encore! Maladie de Lapeyronie, Dysfonction érectile, Troubles de l'érection, sexualité, taille, activité sexuelle, vitaros, viagra, cialis, dépassé la posologie, overdose, douleur, priapisme, varicocèle, embolisation du varicocèle, Impuissance masculine, malformations, pathologies, troubles de la libido, testostérone, orgasme, relation sexuelle satisfaisante, éjaculation, traiter la dysfonction érectile. Recommandation, Français, Évaluation, Traitement, Médical, Chirurgie ,Plicature, Greffe, Implant pénien, Libido, Cancer de la prostate, Traitement hormonal. Peyronie's disease, Guideline, French, Evaluation, Treatment, Medical, Surgery, Plication, Graft, Penile prosthesis, Libido, Erectile dysfunction, Prostate cancer, hormone treatment. Restez connectés : site web : http://www.urologues-opera.paris Instagram : @dr.sebastienbeley Facebook : @dr.sebastien.beley LinkedIn : https://www.linkedin.com/in/sebastien-beley Twitter: https://twitter.com/beley_urology prenez rendez-vous sur : [email protected] https://www.bealy.io/teleconsultation

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this Youtube channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.

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Download the world's smartest nutrition app MacroFactor: https://bit.ly/jeffmacrofactor (2 weeks free using code JEFF) In this video I'm discussing the effects of steroids: good and bad. Check out my two BEST products (my beginner-intermediate training program and my nutrition app) 1. My Fundamentals Training Program: https://shop.jeffnippard.com/product/fundamentals-hypertrophy-program/ 2. MacroFactor Diet App: http://bit.ly/jeffmacrofactor [Use code Jeff for a FREE 2 week trial] Here's my instagram: https://instagram.com/jeffnippard ------------------------------- References: How Much Muscle Can Creatine Build https://pubmed.ncbi.nlm.nih.gov/29214923/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5679696 How Much Muscle Can Steroids Build https://www.strongerbyscience.com/much-steroids-increase-hypertrophy/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104052/ https://journals.lww.com/cjsportsmed/Abstract/1995/10000/Fat_Free_Mass_Index_in_Users_and_Nonusers_of.3.aspx General Risks of Steroid Usage https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2022.1059473/full The Effect of Steroids on the Brain https://pubmed.ncbi.nlm.nih.gov/33811018 The Effect of Steroids on the Heart https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580689 The Effect of Steroids on the Testes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4988681/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620455/ The Effect of Steroids on Life Expectancy https://www.jwatch.org/na57257/2024/03/19/higher-mortality-associated-with-anabolic-steroid-use https://pubmed.ncbi.nlm.nih.gov/30460728/ Thanks to these folks for helping me with the video: Mike Israetel: https://www.youtube.com/RenaissancePeriodization Derek More Plates More Dates: https://www.youtube.com/MorePlatesMoreDates Chase Irons: https://www.youtube.com/ChaseIrons Also, shoutout to Kurzgesagt for the video concept idea: https://www.youtube.com/kurzgesagt ------------------------------- Written by Jeff Nippard Filmed by Jeff Nippard & Meraki Films (https://www.instagram.com/mrkifilms/) Edited by Rickie Ho & Jeff Nippard (https://twitter.com/coldgamerick) Music Arranged by Editor Musket (https://www.youtube.com/@TheEditorJosh) Music sourced from Epidemic Sound ------------------------------- About me: I'm a Canadian natural pro bodybuilder and internationally-qualified powerlifter with a BSc in biochemistry/chemistry and a passion for science. I've been training for 15 years drug-free. I'm 5'5 and fluctuate between 160 lbs (lean) and 180 lbs (bulked). ------------------------------- Disclaimers: Jeff Nippard is not a doctor or a medical professional. Always consult a physician before starting any exercise program. Use of this information is strictly at your own risk. Jeff Nippard will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death.

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