Erectile dysfunction is one of those topics that affects millions of men but rarely gets discussed openly. Yet sexual health is often closely connected to overall health, relationships, confidence, vascular function, mental wellbeing, and quality of life.
So what actually causes erectile dysfunction? Is it simply a normal part of aging? Do medications like Viagra and Cialis solve the problem? And what should men know about the growing number of supplements and “male enhancement” products being marketed online?
In this episode of Causes or Cures, I sat down with Dr. Judson Brandeis, a board-certified urologist, sexual medicine specialist, surgeon, researcher, author, and founder of BrandeisMD, to explore the science of erections, sexual wellness, and healthy aging. Dr. Brandeis has spent more than 25 years helping men navigate issues related to sexual function and intimacy, and he brings both clinical experience and research expertise to the conversation.
We discuss what happens physiologically during an erection, why blood flow and nitric oxide are so important, and how erectile dysfunction can sometimes serve as an early warning sign for cardiovascular disease, metabolic disorders, or other underlying health concerns. Dr. Brandeis also shares practical strategies men can use right now to improve their sexual health and explains the benefits and limitations of commonly prescribed medications such as Viagra and Cialis.
The conversation also dives into the rapidly expanding men’s enhancement industry, including supplements, shockwave therapy, and Dr. Brandeis’s own P-Long protocol. Along the way, we discuss intimacy, communication, sex after menopause, teaching men about the aging vagina, the emotional impact of erectile dysfunction, and the important differences between FDA-approved medications and dietary supplements.
Whether you’re curious about the science of sexual health, maintaining a longer “sexspan”, interested in healthy aging, or simply wondering what actually works and what may be marketing hype, this is a fascinating conversation that goes well beyond erectile dysfunction alone.
Tune in to hear my full conversation with Dr. Judson Brandeis on Causes or Cures.
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