"this term sex pan which I've never heard before what is that sex span is how long you are able to engage in satisfying sexual activity and most men most women want their sex fan to last as long as the..."

"Dr Mo Hera who are you and what have you spent your life doing so I'm a urologist and I specialize in male and female sexual dysfunction testosterone replacement therapy and infertility for the past 1..."

"started recording about this term sex pan which I've never heard before what is the sex pan and why do you care about it yeah so Stephen you know what lifespan is it's how long you're going to live ri..."

"do to make my sex span last as long as my lifespan there's many things you can do and I call it the four pillars the first is Diet exercise sleep and stress reduction I don't have a pill on the planet..."

"first of which is who have you worked with in your career and the second question is what is your CV give me a rundown of your professional experience yeah so I started my residency in 2000 and uh I d..."

"flavor of the types of conversations you have on day one when they walk into your practice when they come to see you what is the issue that they say they have and how do they express it like what are ..."

"of the big subjects that I hear a lot about even in my friendship groups is about libido I've I've got so many stories in my friendship group of either one or both Partners losing their libido so on t..."

"in simp it's a desire to engage in sexual activity right for men and women and you have to you know when it's a true problem they have to be bothered by the condition so I just want to be very clear t..."

"vicious cycle I've seen this in my own life um several times Well at least once and I've seen it in some of my friends where because there's a bedroom issue when you go to the bedroom you're both a li..."

"to be honest I'm a pill skeptic yes so I try and avoid taking pills to solve my problems if I can right obviously there's going to be situations where I can't and I accept that but my bias is towards ..."

"every drug has side effects right but they're low with five milligrams back pain stuffy nose um headache can occur in these but it's quite small but I do think that this is one of the medications that..."

"that people report when they're on seis so on the larger dose headache stos back pain is more common with Calis and other medications um but it can be reported remember you shouldn't take these medica..."

"unfortunate part we don't have a lot of treatment options for women and if you look about it if I want to give you an example in 2015 if you and I went into the drugstore in the US Walgreens and said ..."

"talked about how if dopamine is up we're much more likely to be aroused and if serotonin is up then we're much less likely to be ared correct so this kind of ties into something I was thinking when yo..."

"as like a scales yes where if I if I put weight on one end the other one goes up and if I put weight on the other end the other one goes up yes there is a very famous uh Michael Perman came up with th..."

"this psychogenic component we talk about um do dopamine levels how much is pornography causing this libido crisis yeah pornography and Ed in libido is somewhat controversial there's some data suggest ..."

"reading some stats here from jamama Network that says the percentage of men between 18 and 24 reporting no sexual activity in the past year increased from roughly 18 % to roughly 30% in the space of w..."

"Global obesity Trends Global diabetes Trends I'll put them on the screen for anyone that's watching on video um also there's been an increase in pornography consumption from what I was able to tell fr..."

"let's talk about obesity then yeah because these these stats here are pretty shocking um this one shows the global obesity Trends which just shows them going straight up yes which is horrific this one..."

"of weight that'll have a big impact on my testosterone levels let's talk about that it's not a little bit so the best study was at the European male aging study Fred woo and what he showed was this it..."

"of patients where you've given them testosterone treatment in some form you've done something to increase their toest testosterone and you've seen a remarkable reported difference in their sex life al..."

"like me be taking testosterone if your levels are low yeah and you're symptomatic and I think that's very important if a man comes in with low levels of testosterone and says I feel great I have no sy..."

"I want to make sure I'm clear why would a woman take testosterone because when I think of T testosterone I think of men yes so women make more testosterone than any other hormone in their body make mo..."

"before about HRT yeah and women taking HRT because of menopause and things like that should they be does HRT have testosterone in it no so typically when we say HRT we're talking about estrogen and pr..."

"testosterone one of the big conversations that's rattling on on the Internet is about this decline in male test testosterone over the last couple of years what exactly is that decline if you had to so..."

"of fertility I'm in a season of life where I'm going to be trying to have kids pretty soon what's the most important things I should be thinking about from a lifestyle perspective in your view yeah so..."

"and my partner came to you and we said listen we've got sexual problems in the bedroom um what are the steps that you would the things you'd look at that we haven't focused on so much today is there a..."

"world at 40 will suffer U from erectile dysfunction 40% 40% Jes 50% at 50 60% at 60 70 at 70 80 80 you do the math it essentially is a very prevalent condition this condition is associated with increa..."

"raise their hands from a psychological standpoint why is that I think they're embarrassed I think that I think that we're historically sexual dysfunction looks as a like a weakness I'm not a man less ..."

"your life I have not I have I have not it doesn't mean that it's not but it's okay if I did it's not it's there's nothing wrong with it right there's nothing it's normal it's okay and it's it can be t..."

"the impact that kids can have have a significant impact really right because it increases your stress right particularly for your many times for the partner as well so if you both are stressed because..."

"premature ejaculation let's talk about it very important 30 so sexual disfunction we've been talking about Ed today right but there's many different types of sexual dysfunction there's premature ejacu..."

"that's really important is the Traverse trial it's really big everyone historically has always said that testosterone is dangerous it causes prostate cancer and it causes a heart attack and a stroke a..."

"lifespan will at low testosterone I believe will reduce your lifespan I mean taking like testosterone injections and stuff sometimes I think about like again I don't don't really know what I'm talking..."

"uh earlier on in my career I conducted a very large trial looking at depression in testosterone and we had almost 850 patients and we showed that men with low testosterone levels were much more likely..."

"you got to communicate you got to at least be able to tell each other did you know that only 44% of men who start developing Ed even tell their Partners now think about that You' say what do you mean ..."

"improve sexual dysfunction in men and women testosterone placement therapy using Viagra vaginal lubrications local vaginal estrogen therapy we didn't talk about that it's critical for postmenopausal w..."

"injury and tear it hurts okay right so you can't ask a woman to enjoy sex if it hurts every time she has sex a lot of women I've heard a lot of women talking about that about this idea that the reason..."

"she's obviously handling the psychological side of things and she's not here but just on this point of improving communication what is the best advice you give to people that are currently in a situat..."

"about things like vibrators and stuff like that um I know that was the a chapter handled by your sex therapist according to what you said is there any risk that using vibrators or other toys and tools..."

"the um what's the most important thing we haven't talked about that we should have well there's a couple things I want to talk about one is we didn't talk about Peroni disease it's an important diseas..."

"suffering alone what else I want you to think about sexual dysfunction as no no longer a Band-Aid uh we are not looking for Viagra we are looking for a cure we want a cure for ED and a cure for ED cou..."

"one thing we haven't talked directly about but we've talked about it indirectly is the role that trauma plays in sexual dysfunction and Trauma in all of its forms um I think I had a partner who was ve..."

"sometimes they're not forthcoming what's that that you haven't in front of you on the desk it's I've been hesitating talking about it so this is a penal implant oh gosh and this yes that's exactly wha..."

"when you tell it to go down Dr Mo we have a closing tradition on this podcast where the last guest leaves a question for the next guest not knowing who they're going to be leaving it for yeah and the ..."