Is your relationship navigating the choppy waters of midlife? Then you are not alone. In this week's deep dive on "The Hormone Prescription Podcast," we unpack the conversations you need to have but might be dreading. This episode, we tackle erectile dysfunction (ED) head-on with the formidable Dr. Elliot Justin. Let's not skirt around the issue—the man in your life's ED affects both of you deeply. It's essential to address it not just for his well-being, but for yours and your relationship's health.

Dr. Justin strides into the studio with an awe-inspiring list of credentials: urologist, innovative thinker, and couples' counselor extraordinaire, renowned for bringing new perspectives to midlife challenges. Today, he shares the collective wisdom garnered from years at the forefront of men's health and intimate relationships.

Midlife can feel like a carnival of changes and curveballs. But when the elephant in the room is ED, that jovial atmosphere quickly transforms into a solo tightrope walk. Dr. Justin encourages us to transform this walk into a joint tightrope act, one that strengthens your bond and navigates the complexities of progesterone to performance.

About Dr. Elliot Justin:

ELLIOT JUSTIN, MD, FACEP, is the CEO and Founder of FirmTech, the first sex tech company dedicated to improving men’s erectile fitness. He has a background in Emergency Medicine and healthcare technology consulting. Dr. Justin is also a serial healthcare entrepreneur, having founded and sold Pegasus Emergency Group and Swift MD. He has provided guidance to various services, telemedicine, and tech startups. Dr. Justin pursued Slavic Studies at Harvard University and studied medicine at Boston University. Happily married for 35 years, and father of three children, Elliot and Ann live in Montana with three energetic mares and a flock of chickens

So, what can you expect to uncover in this eye-opening chat?

• Insights You Can’t Afford to Ignore: Understand just how much ED can influence your daily life, and how to navigate these changes with grace.

• The Expert’s Plan for Partnership: Dr. Justin’s wealth of knowledge and experience is distilled into practical strategies to face the ED challenge as a team.

• Innovative Approaches to Speak Up and Heal: Discover modern ways to approach ED—no more outdated stigmas, only up-to-date solutions.

• Communication is Key to Connection: Learn the importance of open and honest conversation, and some powerful dialogue strategies for building bridges.

• Success Stories that Give Hope: Real-life experiences and victories will inspire you on your own journey through midlife.

This episode bears all, from tender anecdotes to strategic wisdom, and catapults us into a space where ED isn't just a problem to overcome, but a journey to undertake together.

So gather your wits and your earbuds—this one’s going to shake up the midlife conversation in all the best ways. Tune into "The Hormone Prescription Podcast" now. And remember, don't just listen—subscribe, review, and transform the narrative of midlife with us.

Speaker 1 (00:00):

“What goes up does not have to come down until you're ready.” Dr. Elliot. Justin, stay tuned to find out why your partner's ED is essential to address and how.

Speaker 2 (00:12):

So the big question is, how do women over 40 like us keep weight off, have great energy, balance our hormones in our moods, feel sexy and confident, and master midlife? If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself again. As an O-B-G-Y-N, I had to discover for myself the truth about what creates a rock solid metabolism, lasting weight loss, and supercharged energy after 40, in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results and to give you clarity on the answers to your midlife metabolism challenges. Join me for tangible, natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston. Welcome to the Hormone Prescription Podcast.

Speaker 1 (01:05):

Hi everybody. Welcome back to another episode of The Hormone Prescription. Thank you so much for joining me today as we dive into the topic of erectile dysfunction for men. You know, it's kind of interesting that, you know, we women actually get erections of our clitoris. It's really a mini penis and most women aren't aware of that. And if you are not getting erections, that's something that needs to be addressed. I think we dive into this in this episode. In the interview we talk a little bit about this. He calls it something else for women, but for men and women, it really can be a sign of larger health issues, particularly related to your cardiac function, to your heart that can be lethal. So it's something you need to pay attention to. A lot of guys don't talk to their doctors about this issue because they're embarrassed and really, yeah, those days are over.

Speaker 1 (02:02):

You need to start talking to your doctors about your sex. You just do. It's imperative. Your sex is not separate from <laugh>. Your total function, your liver function, your hormone function, your brain function, your gastrointestinal digestive function, your heart cardiac function, your sex is an essential part of your body, of who you are, how you function, your vitality. We get into that in this episode. Dr. Justin is on the same page with me. So if your doctor is ignoring your sexuality and not talking to you about it, it's time that you brought it up and demand to have it addressed and also for your partner. But I know that we women sometimes play that role for the men in our lives to be the one to help them get over themselves and talk about this with their doctor. So we're gonna talk about how to do that in this episode and more.

Speaker 1 (02:57):

Dr. Justin is not only a physician who's treated many, many patients, but he's a researcher, he's a developer, and he, like me, is always thinking about how we can serve people better? How can we help them live healthier, happier, longer lives? So I think you're gonna love Dr. Justin as much as I love talking to him. Just note, this is an explicit interview. So we do say some words that you might not want your kiddos to hear. So if you don't want them to hear it, you might wanna switch to a different episode and listen to this when you are in privacy. Just a note and I'll tell you a little about Dr. Justin. Then we'll get started. So, Dr. Elliot, Justin is a medical doctor fellow and CEO of the founder of Firm Tech. It's the first sex tech company dedicated to improving men's erectile fist fitness. Most sex companies are just sex toy companies, but this is a tech company to improve erectile fitness. He has a background in emergency med and healthcare technology consulting, and he is a serial healthcare entrepreneur, like I said, always developing things to help people live better lives. And he founded and sold multiple companies and provided guidance to various services. And he's just an all around badass who loves helping people. So I think you're gonna enjoy this episode. Without further ado, please help me welcome Dr. Elliot Justin to the show.

Speaker 3 (04:31):

Thanks. I welcome the opportunity to speak.

Speaker 1 (04:32):

Yeah. I'm really excited to have you on because you and I both know that men are not talking to their doctors about their erectile difficulties, their sexual difficulties, or low libido, all the problems they're having in the bedroom. We know that they, there are women, female partners are aware, and therefore we're really the ones that need the information. So if you're a woman listening, listen up, because really, I always say that erectile dysfunction could save a man's life, and we're gonna talk about that and you're probably scratching your head going, how could that save a man's life? But I wanna start by, I could explain that, know you have a background. Yeah, we'll get to that. You have a background in emergency medicine and healthcare technology. So what got you interested in diving deeper into the subject of men's sexuality and erectile dysfunction and men's sexual health?

Speaker 3 (05:34):

Well, my background, I'm an emergency medicine physician, and since 2015, my, I've been doing medical technology. That's how I got to this as an emergency medicine doctor, I can assure you that's short of a heart attack or a stroke. There are a few emergencies I could concern a man as much as a lip dick. So this is something that's of, of, you know, of vital importance to men, both their self-esteem and their health. I got involved in this. I was actually working on a very complicated catheter to regulate blood pressure after a stroke. A urologist heard what I was doing and said, I see you've done some research with neuromodulation of erectile function, which I had a neuromodulation for. We mean placing electrodes by a nerve and nerves. The paradigm for that is cardiac pacemaker that controls your heart, your heart, even have to even after you're dead.

Speaker 3 (06:17):

My thought was if we can control sexuality, the impact on, on, on an aging population would be enormous. I will say that project failed. I tried to neuromodulation the cous nerve, which everyone's favorite nerve no has heard about. Suppose the nerve that's responsible produce orgasms in men or women. We try it out on, on some, on some sheep. And actually, and on myself. We, we to no effect. I actually don't think that we know how orgasms are produced. It's very complicated. Well, oddly, even more complicated than, than the heart. So this urologist came to me about in 2015 and said, I wanna count the number nocturnal erection, not two, excuse me, came me three years ago, 2020, and said, I wanna count the number of nocturnal erections that are leading indicator of mass cardiovascular health. And I said, really? I know, I know anything about it.

Speaker 3 (07:03):

I, you know, I mean, everyone knows about morning wood. We poke up partners where it, we made, we laugh about it. But a healthy man has three to five nocturnal erections per night. And if that number goes down, it's a sign of an impending heart attack or stroke. So it's not just an association. Blood take, taking a blood high blood pressure is associated with stroke and heart attack. Declined number of nocturnal reactions is actually a leading indicator. It's predictive. So that I thought, gee, that could be enormous as an emergency medicine doctor. But a, that's another vital sign and a vital sign that would be much more compelling to men probably than any other than the other, other vital signs. And we live in this age of healthcare wearables for pretty much everything except for sex. And what do men, frankly, women care more about?

Speaker 3 (07:43):

How many steps they took yesterday or their calorie count or this or this or, or their sexual health. And that's, you know, that's a, that's a rhetoric, rhetoric question for most people. So the numbers are enormous, as you indicated earlier. I mean, 50% of men by age 50 have erectile dysfunction. It's even higher for women. And why is it higher for women? Because postmenopausal women lose their hormonal protection against heart disease. So postmenopausal women have all the same problems that men deal with. Diabetes, high blood pressure, atherosclerosis, auto attacks, et cetera. But premenopausal women take SSR antidepressants and they take hormones all which have, both of which have a significant impact upon their sexual performance as a health. So with d with data, we give people data. We can now transform the quality of, of, of, of health, of healthcare. We can transform how things are managed.

Speaker 3 (08:35):

'Cause There's a cliche, if you can track it, you can hack it. So right now, when it comes to sexual health, doctors just really just have opinions. If I go, I'm 70 years old. If I went to a urologist or a sexologist right now and said, I like where my, where my sexual health is right now. I can perform every day. My wife and I are happy, but I wanna keep it there. What can ha what can you tell me? Or I told him, you know, I'm having, I'm, I'm, I'm, I'm struggling getting erections. They can wave an ultrasound over my, over my penis in the office, but I'm not getting aroused. I'm not finding out what I really wanna know, which is what's happening when I'm trying to, trying to perform. So if we can give people data, they can then measure the impact of diseases, medications, diet, self effects, all these claims that are made and see what works for them.

Speaker 1 (09:18):

Yeah. You know, you, you've made so many great points in that. I just wanna go back and highlight a couple of them. Sure. So number one is that most women don't realize that erectile dysfunction is a problem for women. Women, yes. We get erections, ladies, right? 'cause Our clitoris is a small penis and they do get erect with sexual arousal. And that we women just write off that we're not getting aroused. We don't have orgasms as, oh, it's only a pleasure problem. But it's not just like for men, like you said, it's a leading indicator for cardiac disease. It is a leading indicator for cardiac disease and hormonal poverty for you ladies. So I just wanna highlight that because I think that's essential. But now I wanna go back. So this is great. Okay. That you, you really saw that there was a need for this. And you probably recognize men aren't gonna go to the doctor for this. They're not gonna talk about it. And so you started looking at ways that they could actually measure this themselves, right?

Speaker 3 (10:22):

Correct. Well, the doctors are really ignorant about this. Mm-Hmm. <affirmative>, I'll, I'll give you two examples in, I was approached by Dr. Hot Hotel and professor of urology at University of Utah to count the nerve nocturnal erections. And he wanted to embed sensors into a device like a condom ring that had six mm-Hmm. But it would have six times the elasticity of the condom ring. And I looked at this device and said, well, that's not gonna work because condom rings break. So have he been a urologist unaware of the fact that this piece of common technology is actually vulnerable to breaking also condom rings can rotate, which means, which means, means you have rotational artifact. And my thought to hit the response was, well, let's do better than that. Let's try to do more than just count the number in external erections. Let's try to figure out the health of all erections. So my thought was to embed sensors into an advanced form of an erection ring or cochran instead of colloquially known as this doctor, I've never used the cockran. Now I have yet to find, well, here's a joke we have at medical, at medical congresses. I'll ask you, how do you tell the difference between a straight doctor and a gay doctor? You ask one question, Rin,

Speaker 1 (11:27):

Have you used a coching? Is that the question? <Laugh>? That's

Speaker 3 (11:30):

The question you got. How have you used a coching? You got, and the answer is, and, and a straight doctor's like nine is like never. 'cause They just, whether it's male pride or I don't, you know, straight doctors treat rings like a Suman kryptonite. I don't need that. Gay doctors will be like, yeah, like last night you got a better one. So gay straight doctors aren't open to the really, what should be the, the first line of therapy for man who has dysfunction? Then you have, there's no, there's no sense from these doctors about what is, what is normal sexual behavior. The scoring systems that are used by urologists, by sexologists to evaluate men or women for that matter, are focused on penetrative sex. There's the shim score, the atom, the eye, you're probably familiar with these. They don't reflect what people are actually doing.

Speaker 3 (12:14):

Mo most se most, most sex between, between partners over the age of 40. Penetration is just a part of it. It's not the focus, it's not the endpoint. And these studies, like something out of the 1950s or 60, are focused on that as an endpoint. Then urologists think, okay, the first line of therapy is to give a PD five medication with Viagra, Ali, p and d, you know, the, the top ones. But those medications put more blood into the penis, but they don't keep it there. Mm-Hmm. <affirmative> most men's problem is not getting it up. Most men's problem is losing an erection. That could happen for a whole variety of reasons from anxiety, diabetes, hypertension, alcohol, drugs. And then the most common one that urologists don't think about because all men get it, all women get it too, which is venous leak syndrome.

Speaker 3 (12:57):

Urologists are sure are surgery oriented. The pill doesn't work. They wanna put an implants into a penis or, or do some sort of surgical procedure. So venous leak syndrome is something that we can be born with. Very, very few men have it where you get blood, the penis, but it leaks out because the muscles that control the veins to hold the blood of the penis aren't, aren't very strong. Venous leak syndrome is something we all experience as we get older. I don't know how old you are. I'm 70. If I sit on a plane for five or six hours, my socks will start to pinch. My wedding band will, my finger will be hard, hard to take off my finger because I have venous link. 'cause As I get older, the, the muscles and my small veins don't pump blood back to my heart as effectively.

Speaker 3 (13:32):

It's the same thing for the penis. As we get older, our, our our, the smooth muscles weaken in our penis. We get an erection and we lose it. Now, that loss could be accelerated by anxiety or it can be the very cause of anxiety or, or caused by medications. Our research shows the big cocktails are SR antidepressants and anti antihypertensive and or in combination. But the solution is a plumbing solution. The P five medications put more blood in the penis. A properly used Cochran holds the blood in the penis, allowing a man to sustain erection for more, for a more satisfactory time period. Coing should be mainstreamed. I look at vibrators in my lifetime. My mother's vibrator was in a bottom dress drawer of a supply closet. Just thought we'd never find it. <Laugh>. We didn't know what it was.

Speaker 3 (14:15):

We found it. You know, I don't, my wife probably owns seven or eight. My daughter takes 'em on dates. They've been mainstreamed. It's no longer considered to be shameful for women to use a vibrator. Most women, I think in the latest report there were 60 women, 60 million women in the United States own more than one. What do men have? Well, they have these monstrous things called strokers. Like somebody could beat something to death with, they don't have anything, but, but they do have rings. But cochlea have been made the wrong way for many years. Can I, may I explain? Yeah. So I want to come up with a ring that could be worn overnight. Well, this cause I want to count data. I want to count these nocturnal erections. I also want to come up with a ring that could be worn comfortably during sex with sensors inside of it in order to record the duration of the firmness.

Speaker 3 (14:56):

Every erection. So we get baseline data on man's sexual health. But ings have been made for 150 years out of tight silicone rings. You have to have an erection before you put them on. 'cause They choke off the blood supply. It's like a NOIs on of penis. I mean, it's like some design by a hangman. I mean, so I thought, let's make coch rings out of a soft elastomer. So these are, I dunno if on camera right now, but these, these, our rings are unique. They're, they're made out of a, out of a soft elastomer. So they're comfortable with us. Silicone makes us adapt to them. I also wanted the ring to be safe, easy on, easy off. Many men are overweight. They, they, they can't, they can't even see their penis. Men who they're, they're anxious. These things need to be made very, very easy for them.

Speaker 3 (15:35):

I would suspect that about half the se heterosexual sex in the world starts when a man is scratching his wife's back. When she takes a bra off at night. Women don't like bras in their back because they're silicone in the back. It's itchy to the skin. I was looking at my wife's bra on the ground and I thought, oh, a hook. Women don't put on bras over their heads. A bras is a ring that opens and closes with a hook. Let's make an erection ring with a hook. So it's easy on, easy off. And then let's also design a ring. But that man can put on when he is flacid. So we can put on discreetly, put on hours before second. It could be worn for hours. So it doesn't block the arterial flow. It only constrains the return. And then let's also try to design a ring that will make a man's pleasure more intense.

Speaker 3 (16:19):

It's not a vibrator. The way we do that with a man is we draw out the. So we tested a ring on a group of men between the ages of 27 and 70. The goal is that if we put the right, we want to increase the ejaculatory phase by 50%. So with this ring, my ejaculatory phase goes from four seconds to seven seconds. That's a significantly more powerful orgasm. I think it's good as a vibrator, but it's, if it's for an instantly more powerful orgasm. But more importantly now, by putting sensors into it, we, we have a ring that's comfortably worn overnight to count nocturnal erections, which are leading the indicator mass. Cardiovascular health and wandering sex. The ring can measure the duration of firmness of erections. So now men can measure the impact of everything from medications, diseases, supplements, diets, relationships. Mm-Hmm. <Affirmative> on sexual performance and say what works, what doesn't work.

Speaker 1 (17:07):

So I wanna ask you, because you mentioned this before we started recording, and then we touched a little bit on it just then that vibrators are mainstream for women. I mean, there are all kinds you can get like, what did I see online? It was like a superhero shaped vibrator. And I mean, they got everything. So sex toys for women are really mainstream, but not for men unless they're gay men. Why do you think that is?

Speaker 3 (17:34):

Well, I think there's several reasons. I think women, one, represent a much larger market. Women do women make what? Like 80% of the purchases overall in the United States or, I, I I think that might, I think it might be worldwide women purchase. If you exclude condoms, women purchase the majority of the sex toys. So when people look at numbers in, in the sex toy area, they say, oh, well men buy more. Well, not, that's not that. Once you exclude condoms, then it's, you know, then it's women. I think women are more open-minded rep represent a larger market. I also think the vibrators have been so enormously successful. No one else has figured out something equivalent for, you know, for men. I think for gay men, it's different. They're really, really focused on, on sexual pleasure and much less inhibited. Mm-Hmm. <Affirmative>. And also anal sex requires a harder penis. It's harder to penetrate the anal sphincter than it is to penetrate a vagina. So a ring becomes, you know, it's almost a necessary tool.

Speaker 1 (18:28):

Okay. You, you made a comment though before we were recording. There's something about you, the way you said it was pretty comical because you said if a woman brings sex toys into the bedroom, so can you share that, that no problem. Yeah, sure. But if a man, then what happens? Yeah.

Speaker 3 (18:44):

When managers introduce sex toys, the industry surveys say they get used one or two times and then they get thrown out. If a woman introduces a sex toy, it, it gets used for as long and as often as she wants, wants it to be used. But, that also inhibits men from buying sex toys as well too, because they're not gonna get used. I also, I don't think any effort has really been made by the industry to make sex, make conquering sexy. But, but I, but the data shows this, this is a really important 'cause and there's, we, we've had an internal study to this effect. And there's gonna be big paper, two pi papers, spout rings at the American Neurology Association and Congress coming up, coming up in in May one is going, is going to show that if a man wants to have a longer lasting erection, a ring is more, more effective than a PD five medication.

Speaker 3 (19:27):

Well, big pharma's not gonna like that. And the heterosexual doctors have frankly been, they should have caught on this a long time ago. And if we're using rings, they would realize it. But a ring to dil in our internal data will keep, we were looking at D 2 cent data. So no one has studied D two ence. D two s is the time it takes for an erection to go down. We didn't measure time to go up because there's so many variables involved in that. Are you with a partner? Are you masturbating just by watching porn? You're drinking? We are just interested in the time it takes for erection to go down. 'cause That would be a measure of how much blood is held in the penis. So the ring alone, dala fill alone sustains an erection on the average of two, two to three minutes afterwards. The ring is about four and a half minutes long. And a ring plus the film is about five and a half minutes. So that those are men without Ed. So the takeaway message really is for all men would be, if you want to have a longer lasting, harder erection, put a ring on it and take a pill. Also, if you're a man who suffers prematurely and you want to keep thrusting afterwards comfortably, not uncomfortably, put a ring on it, take a pill. Mm-Hmm,

Speaker 1 (20:30):

<Affirmative>, you made the comment several times, and I don't wanna bypass it because I think it's worth talking about. 'cause I know somebody listening is wondering why are doctors so phobic about talking about sex? You know, sexual function is a leading indicator of your overall health and vitality. So looking at a male man or woman's sexual functioning, I think is vital to their overall health assessment. And if there's any difficulty there, it's essential to evaluate it because it corresponds to cortisol stress hormone levels, and there are other sex hormone levels and vascular function, cardiac function, but also as a preventative practice, just like drinking enough water, just like enough aerobic exercise, weight bearing exercise, sex, regular, active, pleasurable sex is vital in promoting vitality. So what are we missing? Because I know women are listening, why isn't my doctor talking to me about this? Why isn't my doctor talking to my partner about this? What is the problem with doctors here?

Speaker 3 (21:41):

I have so angry about this issue because we physicians are doing our patients a horrific disservice. I'm seven years old, I'm a doctor. Doctor should feel comfortable talking to me. I've never had a doctor warn me about the sexual side effects of medication. I've never had a doctor ask me about my marriage. Did not ask those questions. Is stupid. It's insensitive. Now. One reason is there are no boxes to check for those things. There's no way of making money addressing those things that they should. And, and, and it actually applies to urologists as well too. They often don't take complete sex stories with people, but just, Hey, here's a PD five medication. We'll do an ultrasound. You're not working. You need an implant. You're not helping a person that way. I completely agree with you. Studies show that if someone has sex every day, their cortisol levels significantly improve.

Speaker 3 (22:27):

If men were in control study, big study was done. Whales, I think of Scotland. If men have men with equivalent cardiovascular disease at age 70 start having sex twice a week, their risk of cardiac arrest goes down 50% over the next five years. The benefits are enormous. And we should be recommending to people to have more sex. We doctors make recommendations about diet, about exercise, about sleep, and we don't speak about sex. And if we do speak about it, we are embarrassed. We have, believe me, people wanna talk about it. My, my last year of emergency medicine clinical practice, I said, you know what, I'm just going to do what I was trained to do in medical school. I'm gonna add a sexual history to pretty much all my exams. Well, it turned out even people came in with an ankle sprain. Wanna talk about both? A lot of 'em just wanna talk about their sex lives and they don't wanna talk about this spouse who wants to tell you all about it.

Speaker 3 (23:15):

So people, men and women are hungry for this information. And they're, to your point, and I would like to bring it up, Dr. Dustin, we doctors are doing them a tremendous disservice. But I don't know if doctors, mostly doctors are even capable of discussing it because they're kind of, they're relative as, as, as a group. They're relatively pr and conservative in conservative sort. An old, an old fashioned kind of, you know, you know, meaning about sex. Before I got involved in this field, I never, I never went to sexual congresses of urology or society of sexual methodology, which is no one's talk. There's very little talk about pleasure. All the focus is on surgery and pills. And it's not focused on what most con what concerns most people, which is how do I maintain my sexual health if I, if I'm poor sexual health, how, what can I do to reverse it? It's, you know, the, the focus of the doctors is, is on things, I'll be blunt things that make them money. Yeah,

Speaker 1 (24:06):

That's unfortunate. And really sex has been relegated to the closet for everyone. And it's such a vital part of health prevention, of promotion, of vitality, prevention of disease. I would be remiss if I didn't ask about, you mentioned some causes and contributors to erectile dysfunction, sexual dysfunction in men. If we didn't talk about porn, because that's epidemic among men in the United States all over the world, globally, how does that affect, and I know there's some women listening who are like, my husband watches porn. Is that part of the problem? Well,

Speaker 3 (24:42):

I'm, I'm, I'm ambivalent about porn because for a lot of men it is an escape to a world where they, where they, where in fantasy they, they get what they want and the things that they're not getting from their partners, male or female partners. For some people porn is beneficial. And so are we gonna ban porn because it's also harmful to some people. I wish that people could discuss porn with their partners. That's really where the where it comes in porn becomes. It can become a window into finding out what someone else's fantasies are. And most people, too many people don't have sex regularly. They, so before I talk about, talk about porn, because I'm, I I'm gonna get, I'll get you the mail, the major male complaint about porn in a moment. Mm-Hmm. <affirmative> men, too many people stop making love. Hmm. That's, they need to plan for pleasure.

Speaker 3 (25:23):

I mean, I, it it, I bring this up with guys at the gym or women, women too, which is like, Hey, you these, because they know what, they know what I'm doing. You, you let me know your love life is not satisfactory. How many hours do you spend working out a week? It'd be like, oh, 10, 14 hours. And I'll say, if you could just take two hours of that away and put that into your relationship, and they look at me like, men and women look at me like I'm nuts. Well, it's that, that that can't be done. I said, yeah, it can be done and should be done with planning. You know, a good love making is no more spontaneous than a good exercise session or, or a great meal meal. I don't just up a great meal

Speaker 1 (25:57):

Meal or a great vacation. I

Speaker 3 (25:58):

Don't, I don't go there, I don't, I don't know the refrigerator and say, Hey, what, what are the leftovers? Let's have leftovers again, <laugh>. And that's what, and that's, let's have rotisserie chicken for the third night in a row. And that's the problem with a lot of people sex <laugh>. They, they, they get bored with what they're doing with their partners and they don't talk about it.

Speaker 1 (26:15):

That analogy. But I love it. It's great. It's so true. You know, and, and I recently, I've really been diving the past six or so months into sacred sexuality and womb wisdom and the whole, you know, three types of orgasms or more, actually five, that women can have. And in diving into this, I've read a lot where the biggest problem for most women regarding sex and why they don't wanna have it, is because their men don't know how to properly work the machinery, how to please them, the different types of orgasms, what's required to get their motors going. And for them to become satisfied and actually to make love. They know how to wham bam, thank you man, kind of ma'am have sex, but they don't know how to make love. And so I'm wondering, where do guys supposed to learn this? Where

Speaker 3 (27:06):

Are women supposed to learn? I mean, you, you, because men have all the same complaints about women, men my age and men younger. It's like, oh, she's all, you know, she's, she, she thinks she tugs on my, my penis. Like, like, like, like an arm a machine or, you know, so people, this, this issue cuts both ways. Okay? And this is where people, people need to, people need to, my opinion, they, they need to, to communicate better about what they want. I mean, I, I'll get back to, I'll get back to, to my food analogy. Mm-Hmm. My wife is in the room right now. I don't know what she wants for dinner. And I could eat, you know, I, you know, so I, if, if I want, if I want to, if I wanna really make her happy with, for dinner tonight, I should explore what her, her ideas are.

Speaker 3 (27:45):

I think when it comes to sex, people kind of settle into both parties. I go down on her, she comes and then I penetrate her. That's kind of pretty, pretty standard and pretty boring sex that goes, that goes on for most people. This, they would, they would communicate. And that's what, that's, that's where I think porn can be valuable. People watch, if people explore porn together, they will expl expand their vocabulary for love, you know, for, you know, for love making. Also, there are a lot of guys for porn, porn is an outlet for them. The way shopping is for women and people like to say that, that porn built the web, but porn might have built the web originally. But shopping sustains the web, women do 85 to 90% of shopping online. Women have done studies showing that women get the same dopamine hits in their brain that men do from shopping, that men do from Washington porn. So gone to the point of Congress as people like to blame the other sex, but they need to, you know, examine what they're doing. And then they, then they need, they, they need to communicate better about what, about what their mutual needs are and be more. Right. Not saying nothing.

Speaker 1 (28:45):

That's fascinating information about shopping. I didn't know that's the case. So you're kind of equating the two.

Speaker 3 (28:51):

If women think it's ridiculous that a man wants to look at eight, eight bodies online, a guy might also think it's ridiculous that the woman needs to look at 25 shoes online. It's, it's, it's <laugh>. You know, it's, I mean, but meanwhile to your, you know, Dr. Doc, Dustin, to your point, they could be making love. They could be. They could be. And that's the problem. They're not talking, they're not not playing for pleasure. They're not communicating. In addition to which there are other problems, which circle back to which we, people are taking a lot of medications to interfere with their sexual performance with, you know, half the adult population being diabetic, hypertensive 20, 25% taking anti antis antidepressants. All these drugs have, have, and these diseases have significant impact upon, upon their sexual performance. And people. And the doctors don't do a good job about wanting people to know about the sexual side effects.

Speaker 3 (29:37):

So with data, about how long they last, how firm they can get, we have, we're starting to get some data about women with the, the, the trial protocol. We can, they, people can then say, you know what? My doctor prescribed 300 milligrams of whatever antidepressant, but I noticed that around 150 milligrams my erection starts to soften or I can't. So people, I mean of course we, we, we recommend to everyone if they don't make changes, but with their medications before, let's discuss it with healthcare providers. But I know people are doing it because the healthcare providers don't know about them, don't know about these issues and don't prioritize. You know, they, as you said, you said earlier, the least priority for most doctors is someone's sexual performance. But if someone's taking Sri SRI antidepressant and lisinopril for their blood pressure and they can't get it up, but they can't, you're not making, you're not helping, you're not helping the depressions very much and you're not helping their their partner either.

Speaker 1 (30:29):

Right? Sex is a natural antidepressant. So <laugh>, if you fix the sex, you probably wouldn't need the medication. So there's a woman listening now and she's really paying attention because she's thinking, wow, we don't have sex. We become like roommates. Either one of us could take it or leave it. Maybe she hasn't gotten out of hormonal poverty. So that's part of her issue. And if that's you, you definitely wanna listen up. 'cause <Laugh>, we are gonna run a special at her hormone club this winter if you wanna join us. But she knows her partner, she's observed that he's having some difficulties, whether obtaining an erection, maintaining having short or premature. How do you suggest that she approach this and talk to him? Because I've heard complaints from women before that when they've tried to bro this subject with their partners, that it has not been met with openness. So as a man, what would you say? How do we approach this with our partners?

Speaker 3 (31:30):

That's a great question. Hopefully you have some background information on the guy, because someone, it depends upon the person's age, but if, if it's, if it's a man over 45 or 50 it's the, the likelihood of that person having a physiological problem increases. So you really need to know what someone's blood pressure is, what their blood sugar, hemoglobin A1C is and the blood sugar, what their testosterone level is. There are, there are tests and then there are medications. I, you know, with, I've been impressed with the work that I've done over the last year, speaking to our patients, how many men could be helped just by, just in their medications and 'cause they're often taking multiple medications that that, that often a combination with alcohol are, are affecting their sexual performance. So you need to find out about the base, these, these baseline health factors.

Speaker 3 (32:16):

Another issue is these are all hard, such such just discussed, which is if a man can get it up with pornography and if a man is having erections at night when he's sleeping, he should be able to get up with his partner. And if he's not getting up with, with his partner, there's some issue in the relationship more, far more likely not some anxiety producing issue that's built up over the over built up over the years that need that, that needs to be addressed. Addressed. Mm-Hmm. <Affirmative> between the two of them or, or addressed with, with, with the benefit of, of therapy. That's where ring comes in handy because a lot of those men get, they can get up and then they lo then they lose the erection and then they avoid sex because they, they, they feel I've got it up with her, but I've lost it. It hasn't worked out. That's where ring ring comes with confidence build up because a male erection things very differently than a male without erection. And, and Cochran will keep the blood in the penis even if people are having an argument of some erection.

Speaker 1 (33:05):

Is the way for her to approach it with him to maybe say, honey, I have some concerns I'd like to talk to you about. Can we set aside some time this weekend and then secure a time and then just couch it as a health concern and say, you know, I've noticed a, B, C when we are making love and I'm concerned because I heard Dr. Justin talking on <laugh> Dr. Kirin show that this could have indications, meaning that you're at increased risk for heart disease, heart attack and early death, or any of the other things we've talked about. Or that the medications you're on might need to be adjusted. And I'm really wondering if we might be able to go to your doctor or if you could make an appointment with your doctor. Does that sound like a reasonable approach?

Speaker 3 (33:52):

Yeah, definitely.

Speaker 1 (33:53):

It's non-threatening. Uhhuh <affirmative>.

Speaker 3 (33:55):

Absolutely. And it does have to be approached as a partner issue. I mean, men often need the support of their partners just to comply with their medicines. Mm-Hmm. <Affirmative>, I mean women are much more likely to comply with their, with it, with their medicines. Also, I think people need to think about what happens when they try to have sex. And his significance, if a man never gets an erection, doesn't have a a morning erection, this is where a device that can count the overnight that could be worn overnight comes in handy. I'll take it at both extremes. If a man, if a, if a man has a tech ring that can count, he wears overnight and he has nocturnal erections three or more, that man's sexual health is good enough to have to have sex. So that indicates that the issue is not medication related, disease related.

Speaker 3 (34:36):

The issue is probably is partnership related at the other extreme, the other extreme, and this happens, we, we, if a man has two or less nocturnal erections or those not, and those erections are, are either weak or not, they just don't occur that partner is getting risk fatigue or jaw fatigue for nothing. 'cause It ain't gonna happen. That man has a significant erectile problem that man needs to, to your point, that man needs to see a urologist and a cardiologist because he has a cardiovascular, cardio urological problem of, of profound significance and he needs help. Mm-Hmm. <Affirmative>. So, and that's what, that's, that's where the data really comes in handy. 'cause The data ought to assess what's going on. So it could be, Hey honey, I noticed that, you know, the last six months have been really bad, you know, been difficult for you in, in bed and you start taking medication X just around the same time. Maybe the medication is the problem and maybe we can, with data, we can test whether that is the

Speaker 1 (35:30):

Issue. Right. And so the device that you developed actually they can wear overnight and it gives data in the privacy of their own home. Is that correct?

Speaker 3 (35:39):

That's correct. It can be one during sex as well too.

Speaker 1 (35:41):

Okay. And so how often do they have to use it to get enough data for how long a week takes a month? It

Speaker 3 (35:48):

Takes about up to about four uses for the sensors to calibrate the, to the individual's body. 'cause People's, you know, penises vary and, and how firm they get, they vary and, and you know, just variability. Variability in how long, how, how long people last. So I use it the way I use blood pressure. I take my blood pressure once a week. I take my, I measure my sexual health once a week. Oh,

Speaker 1 (36:10):

Okay. And then you kind of can follow it over time.

Speaker 3 (36:13):

Yeah, we have, we have men who use it every day and we have men who use it frequently. I mean it's been really valuable. There's a whole other issue here too, which can discuss prostate disease, which is, is another issue that prostate disease can, erectile dysfunction can mean a warning sign of prostate disease. So if a man Oh mm-Hmm

Speaker 1 (36:27):

<Affirmative> Yeah. We even

Speaker 3 (36:28):

Talk that, I'm sorry, sorry I It's okay. So Right, if a man develops is starting to develop erectile dysfunction that man does need, you know, especially an older man, not, you know, old man over the age of 45, 50, that man needs, needs a a ur urology exam as well too.

Speaker 1 (36:42):

And men should be getting a rectal prostate exam annually. Correct.

Speaker 3 (36:47):

Annually. At least every two, every every two or three years. And if there's a family history, it should, it might need to be done more frequently. Right. I mean the PSA test remains controversial. I think it's a good idea. There might be some false positives, but, you know, why take a chance?

Speaker 1 (37:00):

Well what's the current age at which they should be getting that and is it annual?

Speaker 3 (37:03):

It's annual, I think it's 55. I I have to look. The indications change so frequently I have to look it up.

Speaker 1 (37:09):

Same for women <laugh>. Yeah. So yeah, make sure that your partner is getting the PSA prostate specific antigen and a rectal prostate exam at whatever the current recommendations are. They should be getting that Women you need to be getting your rectal every year <laugh>. They also need the rectal for screening for blood as well. Oh my gosh. This is such good information. And I think you've helped save some men, some women, and some marriages and couplings today because it's vital. Lemme

Speaker 3 (37:41):

Talk about that. 'cause We've had two men who had significantly declining nocturnal erections who went to their doctors and, and, and went to cardiology, actually got a cardiology workup and they, and they got catheterized and they got treated. They would've, they could've gone to have a heart, have a heart attack or something more, more disastrous. So the data, the data's fun, but the data's also really, really valuable. Yes.

Speaker 1 (38:01):

Very valuable when it comes to health. So ladies, don't ignore it. If your partner is suffering with any of these conditions, take steps to assess what's going on and get it addressed. Because it could be a sign of deeper health issues that could be life threatening, number one. But number two, a great sex life is really an important part of your, not only your physical vitality, but your emotional wellness and your connection to your partner and to the world at large. So thank you so much Dr. Justin for coming on and sharing this wonderful information. You've got some information to share with everyone about where they can find out more about you. We'll have the links in the show notes, they can find out more about your device and about how you are helping men.

Speaker 3 (38:54):

Yeah. If I could just add just one other thing, Dr. Dunston, which is that Sure. We're working, we're working on similar technology for women. So we've retested on, on, on, on 38 women and it's, it's our goal by early 25 2025 to deliver data for women that will also allow them to hack their sex, their sexual health in order to have a long, a longer lifetime of, of love making.

Speaker 1 (39:13):

Okay. You gotta give us a sneak peek in like one to two minutes <laugh>. Sure. So we can know about that.

Speaker 3 (39:19):

Uhhuh we are measuring, it's all about blood flow in men and women. So just as, as the male device firmness is a marker of blood flow in a female device. I don't call it so much erection, but I call it arousal. We are measuring blood flow in the CLS overnight. Women have nocturnal chlor arousal and we are measuring that as a leading indicator of their cardiovascular and cardiometabolic health. And in one during sex, we are measuring their chlor arousal as well. So women can then measure the impact of diseases, diets, supplements, creams, all the, all, all things that that which claims are made for, for their sexual health and see what works best for them.

Speaker 1 (39:54):

That's amazing. Thank you for that. Do keep me updated on that <laugh>. I will. So yeah, tell everyone where they can find out more.

Speaker 3 (40:01):

Sure. You can find us at my firm tech M-Y-F-I-R-M-T-E-C h.com and you can find me directly at elliot E-L-L-I-O t@myfirmtech.com. And thank you much so much, doc Dustin, for this opportunity.

Speaker 1 (40:15):

Yeah, thank you so much for coming on. I think this has been such valuable information. We will have that link in the show notes and you can go there to click and find out more and stay updated. I'm gonna stay updated on what's coming down the line for women and I'll certainly let you know. So thank you again for joining us for another episode of the Hormone Prescription. I know you are inspired to create a better sex life for yourself and your partner for all its wellness and vitality benefits. I look forward to hearing from you on social media more about this. Have a great week and until next week, peace, love, and hormones y'all.

Speaker 2 (40:55):

Thank you so much for listening. I know that incredible vitality occurs for women over 40 when we learn to speak hormones and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it if you'd give me a review and subscribe. It really does help this podcast out so much. You can visit the hormone prescription.com where we have some free gifts for you and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation. Until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.

► Learn more about Dr. Justin's works on erectile fitness - CLICK HERE.

► Feeling tired? Can't seem to lose weight, no matter how hard you try?

It might be time to check your hormones.

Most people don’t even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what’s going on with your hormones and get you back on track.

We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started.

Try Her Hormone Club for 30 days and see how it can help you feel better than before. CLICK HERE.

► Do you feel exhausted, moody, and unable to do the things that used to bring you joy?

It could be because of hormonal poverty! You can take our quiz now to find out if your hormone levels are at optimum level or not. Take this quiz and get ready to reclaim your life; say goodbye to fatigue and lack of energy for good.

We want every woman to live her best life — free from any signs or symptoms of hormonal poverty, so they can relish their everyday moments with confidence and joy. Imagine having a strong immune system, vibrant skin, improved sleep quality… these are all possible when hormones are balanced!

CLICK HERE now and take the #WWPHD Quiz to discover if you’re in hormonal poverty — it only takes 2 minutes! Let’s get started on optimizing your hormone health today.