Viagra

And that is a dark place to be as a guy. And so you're taking these medications, all you're getting is a headache and nothing else. And then maybe you have other options. They're actually injections you can do in the penis, which is about as appetizing as you might imagine. But men want a better solution. And they'll come to us as sexual medicine specialists, you know, seeking that. And that's what I do. So the bulk of my surgical practice is actually fixing erectile dysfunction with a procedure called implant placement. Okay. >> Oh, no. >> Absolutely. So now I think did Reena show you one of these last time? >> She brought it and I didn't I didn't ask her to show me. It makes me like I get full body shuddters when I hear about this stuff. Yeah. The thought of putting that up my penis. >> Well, >> you can show me. No, you can show. >> Well, I would tell you the good news is is you don't have to. Okay. Like that's that's what we have a job for. Okay. But the way I explain to patients is like this. So take this out of out of the picture. Okay. Ultimately like the male erection is just two inflatables tubes that start in the pelvis and go out the shaft of the penis. It makes sense, right? It is a hydraulic motion. What happens is you get stimulated, get a rush of blood into those tubes, get a rigid erection, able to use that for intimacy, and then when you climax, pop off valve opens back up and everything drains out. All right? So, if you can understand brakes on a car, you can understand erections. But the problem is that when you have long-term metabolic and vascular dysfunction, the brake lines, the blood vessels that feed those erections, they fail. And all of a sudden, you can't get enough blood flow for it to work. And believe it or not, you can actually get atrophy of the penis over time, and you actually lose size. All right, which no man is eager to see. All right, but whenever the easy things like oral medications, Viagra and Seals don't work anymore