
Shameless Sex #281 ED AKA Erectile Issues, Porn, and Blue Balls - with Dr. Justin Dubin
Jun 21, 2022
Dr. Justin Dubin, a urologist focused on male infertility and sexual medicine, shares research-backed perspectives. He discusses reframing erectile dysfunction as erectile control issues. Conversation covers porn’s impact on sexual expectations, why younger people face more control problems, and whether blue balls are real. Practical angles and surprising research findings make it lively and eye-opening.
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Talk About Kids Early And Clearly
- Have the children-values conversation before major commitments and be transparent about your stance on parenthood.
- Seek clarity (yes/maybe/no) and consider couples or individual therapy if uncertain.
How Justin Dubin Chose Sexual Medicine
- Justin Dubin described his path from Johns Hopkins to urology and sexual medicine after working as a clinical research coordinator.
- He emphasized his passion for improving quality of life through sexual health rather than only preventing death.
High ED Rates Among Porn Performers
- Porn performers show high rates of erectile problems, with 40% meeting ED criteria and 69% using medical erectile aids.
- Younger performers under 30 used more Viagra/Cialis, suggesting performance demands and industry pressures affect erectile control.


