Gay Men Going Deeper Penis Health Q & A
22 snips
Dec 19, 2024 
Dr. Joshua Gonzalez, a board-certified urologist specialized in sexual medicine, dives deep into the often-taboo subjects surrounding penis health. He discusses the medical perspectives on circumcision and the implications of foreskin care. The conversation covers erectile dysfunction, revealing both physiological and psychological factors, and outlines treatment options like testosterone therapy and pelvic floor physical therapy. They also tackle premature ejaculation, masturbation myths, and the importance of body appreciation—encouraging listeners to love their bodies and seek help when needed.
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Pelvic Floor Impacts Sexual Function
- Pelvic floor dysfunction can impair erection and ejaculation by disrupting coordinated muscle control.
- Pelvic floor physical therapy often improves sexual function, advises Josh Gonzalez.
Balance TRT With Fertility Goals
- If testosterone is low, discuss testosterone replacement or fertility‑preserving stimulants based on reproductive goals.
- Understand TRT can suppress sperm production, warns Josh Gonzalez.
Pills Improve Inflow, Need Arousal
- Use PDE5 inhibitors (Viagra/Cialis) to boost arterial inflow during arousal; they act systemically and need sexual stimulation.
- Expect common side effects like flushing and headache, says Josh Gonzalez.
