This week, on the Austin Love Doctor’s™ podcast, Dr. Emily Porter discusses a question from a patient regarding penis shrinkage and erectile dysfunction in Austin.
If you are struggling with any of these issues, keep reading to learn how Dr. Porter can help you with erectile dysfunction in Austin.
Narrator: The Austin Love Doctor. Episode 004. The Incredible Shrinking Penis,
Stop Smoking. Nitric Oxide. Dr. Joel Kaplan’s Enlargement System. And
help for erectile dysfunction in Austin
Dr. Runels: This is Dr. Charles Runels, inventor of the O-Shot®, and thank you for joining Dr. Emily Porter, the Austin Love Doctor™, as she openly discusses your most intimate questions regarding relationships, sex, and personal wellness through the eyes of a medical doctor who treats men and women for a variety of sexual issues using the latest medical advancements available. Get comfortable. Relax. And welcome your host, Dr. Emily Porter.
Dr. Emily Porter: It’s Dr. Emily Porter, the Austin Love Doctor, and I got a question from JD, who is a 64 year-old man about erectile dysfunction in Austin. And JD asks us, “I’ve noticed that as I age, my penis seems to be shrinking. Am I just imagining this?” And that’s a very good question—the mystery of the shrinking penis.
Dr. Emily Porter: This is an interesting question about a specific type of erectile dysfunction in Austin. So, it kind of depends. Your flaccid penis probably doesn’t change size a whole lot, although as you age, everyone gets a little shorter. You do lose some volume. So, the space that lines your vertebrae, for example, they get a little bit run down, so everyone shrinks a little bit. Over 20 years, you might be half an inch shorter, or an inch shorter than what you are at one point in your life. But, the flaccid penis probably doesn’t change as much as an erect penis does.
Dr. Emily Porter: So really, what it comes down to is that penises respond to good flow, and erections are healthy. That’s what your penis is there for, it’s what it’s supposed to do. So, if you have poor blood flow, which can be caused by lots and lots of reasons and lead to erectile dysfunction in Austin. For example, people that have very bad high blood pressure that’s not controlled. Their arteries can clamp down, and they don’t get blood to important places. They don’t get blood to their kidneys, right? They don’t always get blood to their heart the way it should be, or to their brain.Dr. Emily Porter: So, if your penis has suffered from poor blood flow for a sustained time period, it may actually develop permanent shrinkage, which is really, really kind of, I think, every man’s worst nightmare, right? You’ll spend your whole life trying to figure out how to make it bigger, and now, you’re worried about how to just keep it the same size as what it was.
Dr. Emily Porter: Well, your penis, the arteries and veins are really, really small. So, oftentimes, even before men will have a heart attack, they’ll start to have erectile dysfunction as kind of a predictor of problems that lay ahead for larger organs. So, if you smoke, you’re restricting blood flow to your penis and increasing your likelihood for erectile dysfunction in Austin.
Dr. Emily Porter: So, it’s one really, really great thing you can do to avoid erectile dysfunction in Austin is to stop smoking. Smoking, all the chemicals in nicotine that are in cigarettes, the toxins in there, they actually cause the arteries to clamp down, and the blood can’t get to where it needs to go. So, that will make it to where your penis doesn’t get all the nutrients that it needs. So, that’s a couple things.
Dr. Emily Porter: And then, plaques in the arteries. Just like you can get plaques in your heart, and that’s what causes a heart attack, or you can get plaques in your brain, and that’s what causes a stroke, your penis, again, the vessels are much smaller. So, if you have little plaques that build up from age, or from … sometimes it’s just genetics, even there’s some babies that die of SIDS, and when they do an autopsy, they can see plaques inside their arteries. So, some of it’s just genetic, unfortunately.
Dr. Emily Porter: But, if you get plaques inside those arteries, that also can make it more difficult for blood to get there. So, if all this kind of perfect storm happens, right, with blood pressure, age … diabetes is another one that makes it difficult for the arteries to receive blood, and you don’t get blood where it needs, then the cells there, they get deprived of their critical nutrients, causing erectile dysfunction in Austin. And one of them is nitric oxide, and that’s what Viagra and Cialis and Levitra, all those meds, they try to increase your nitric oxide levels in your penis to allow you to have an erection.
Dr. Emily Porter: So, if you don’t get the nutrients that it needs, then what happens is, the tissue actually will degenerate a little bit, and some fibrosis can happen, which is a fancy word for kind of scarring, leading to erectile dysfunction in Austin. So, the arteries and the veins, they’re not as elastic as what they’re supposed to be, and that actual erectile tissue becomes less elastic. So, if it does that, it’s less stretchy, and it’s supposed to be stretchy. That’s what happens when you have an erection. Like, if somebody took a measuring tape and measured their penis while it was flaccid and then they measured it erect, most men are going to be bigger around in circumference with an erection than they are with a flaccid penis, as well as longer, and that’s because the membranes there, they stretch to accommodate the blood filling up the tissue. The tissue in the penis is kind of spongy, and it can receive a decent amount of blood.
Dr. Emily Porter: Then, the membranes around that tissue, and the skin, stretch. So, if you don’t get nutrients there, and those tissues lose their ability to stretch because they become kind of scarred down, then your erection can’t get as big, because now it can’t stretch as much. I hope that makes sense.
Dr. Emily Porter: So, it’s possible that if you have severe erectile dysfunction in Austin that’s come from a long time of not having good erections, or not having good blood flow, that you might not be able to get as big of an erection, and it might be smaller. Even if it’s hard, it might be smaller, if that makes sense. So, you might be right. Your penis might be smaller than what it was 20 or 40 years ago.
Dr. Emily Porter: And the other thing that happens with shrinkage erectile dysfunction in Austin, if the blood vessels get narrow, and they get kind of scarred, then they can’t expand, but they also aren’t as good at trapping blood inside. So, you can get a leak. And so, even if you get an erection, if the blood doesn’t stay inside your penis, then you can’t maintain that erection, and then that’s frustrating, almost as frustrating, if not more frustrating than the man who has a hard time getting an erection in the first place, because just when he starts to get into it and think things are working well, then they’re not working anymore, and certainly that’s frustrating.
Dr. Emily Porter: So, one thing you can do, and there’s no real proof, scientific proof, that penis pumps, also called vacuum erection devices, that they actually increase the size of a normal penis. So, that’s not really what they’re for, although I have some people that definitely think that they help with erectile dysfunction in Austin. But, what they do is if you use a pump, and you can buy them, I don’t know, get a decent pump. Don’t just go to like a sex shop, or don’t just go on Amazon. Some of them can be kind of dangerous. You want to have one that you can control sort of the speed and the pressure.
Dr. Emily Porter: You can actually do some harm with them. But, what a pump does is it creates a vacuum, so there’s different kinds of pumps. There’s ones that you can create that vacuum, or bring that pressure, by hand, just kind of squeeze something, and it creates a vacuum, or a seal. And then, there’s some that either plug in, or that you use a battery. So normally what happens is you … it works best if you shave, or trim, the hair that’s down there, so that you’re having the chamber right on, or cylinder, right on the skin. Use a little bit of lubricant so that you have a nice seal, some sort of water-based lubricant so it doesn’t affect the plastic. Most of them have a plastic or acrylic pieces.
Dr. Emily Porter: And so, you get that, you get a seal, and then you will start pressure, and you want to lubricate your penis before you put the pump on all the way down to the glans, or the head, because otherwise, as it kind of starts to grow, it can get stuck on the side wall of the chamber, and it doesn’t feel very good.
Dr. Emily Porter: So, you want to kind of lubricate that, and then put it on, and you want to basically leave it on to where your penis feels very full, like just where it might start to feel a little bit like a throb. Definitely a different sensation than just an erection that you get from having desire, it’s from a neurological stimulus. This is literally a manual erection where the pump is pulling blood into an area, sort of like a controlled hickey.
Dr. Emily Porter: But, it shouldn’t hurt. It might feel a little bit uncomfortable, but it shouldn’t hurt. If it starts to hurt, it means that you’re overdoing it, and you need to back off a little bit. So, you would get this seal, and then sort of, if your pump has a gauge on it, which I recommend if you’re beginning to get one that does, you want to keep the pressure at 5-7 or so millimeters of mercury, not above 10 millimeters of mercy.
Dr. Emily Porter: And you want to basically hold that erection at 5-7, max 10, millimeters of mercury for about 10 minutes twice a day. And so, there’s different theories on how you do this. Some people think that you should get it there, hold the seal, and just maintain it there for 10 minutes. Some people prefer to bring it all the way up, and hold it there for like a minute, and then let the pressure off, and then do it again, and maybe do that 10 times.
Dr. Emily Porter: So, there’s different ways you can do it. But, you want to do that twice a day, especially if you’re getting treatments for erectile dysfunction in Austin, or you’re having difficulty. And then, honestly, probably most men could benefit from having that several times a week, at least once a day, several times a week indefinitely to keep muscles strong. So, you want to think of that kind of as penis yoga. You’re strengthening muscles, and you’re bringing nutrients to an area so that you’re strengthening all the vessels, the muscles that are inside the arteries and veins, so that they work better, so they receive blood, and they trap blood better, and you’re bringing all the nutrients to those tissues that have been starved and deprived of nitric oxide before, fighting erectile dysfunction in Austin.
Dr. Emily Porter: So now, the blood vessels stretch, and they straighten out a little bit, and now they’re healthier. So, if you want to do it once a day, that’s fine too. But, you want to take like a five or ten minute break in between. That might work better for some people.
Dr. Emily Porter: The biggest complaints that I have with patients with … it’s always with pumps. Whenever we do treatments that involve a pump, the problems are always with the pump, because it can be kind of difficult to get used to it. So, one thing is, a couple tips. I would recommend standing if you’ve never used a pump before. At least, if you’re not going to stand, sit on the edge of a bed or a chair. You want to have your testicles hang down to gravity.
Dr. Emily Porter: So, you want gravity to help sort of keep them out of the way. This is especially true if you’re going to use an electric pump that’s going to provide kind of a constant sort of pressure in that you can’t control as much as you can with the hand pump. So, stand up, maybe try just the first time. And then, you want to aim your penis to the floor. That seems to help, if you aim it down. And then, if you take your hand, most people are right-handed, and so, most people will use their left hand to hold the pump. If you take your pinky finger, and you hold it underneath the cylinder that would go on your penis, and you use your pinky finger kind of as a wall, or a barrier, between your penis and your scrotum, so it’s across sort of sideways, and you pull pressure in towards your spine.
Dr. Emily Porter: So, you’re going to hold that cylinder, and then, use that finger on the underside to kind of create a wall, and pull that cylinder towards your body, and towards your spine. What will happen is that there’s sort of fat in that area where your pubic hair would grow, and you need to have the skin really touching that cylinder to get a good seal. And if you do that, and you hold your finger there, it helps sort of prevent the testicles from getting sort of sucked up into the pump, which doesn’t feel good. It doesn’t feel good. I get a lot of yelps in my office as people are adjusting to how to do this.
Dr. Emily Porter: But, you catch on pretty quickly. And then, you would just turn it off, and just try it again. So, those are kind of the tips, is to have the area shaved, use a water-based lubricant, aim down, put that finger there to create that barrier, and then you want to pull the cylinder in towards your body. And there’s lots of good places to get pumps. You used to need a prescription for a pump, and those are quite expensive. Dr. Joel Kaplan, he has lots of pumps, and he’s a urologist, and a very, very good selection of pumps that you can try, and hopefully any physician that you’re going to for treatments for erectile dysfunction in Austin will also have one.
Dr. Emily Porter: But again, you can overdo this. You can get the pressure too high, or you can do it too much, and then you can actually cause some problems to the nerves, and that’s not what we’re trying to do here. We’re trying to build muscles, and bring blood into tissue to strengthen it, and kind of help keep that shrinkage from happening. So, I hope that helps. I hope you find one, and that you’re able to stop the shrinkage and erectile dysfunction in Austin that may or may not be happening. And for all the men out there who didn’t even realize this was a thing, I hope you now realize that it is a thing, and you go out, and get your penis yoga on at least daily. Thanks a lot.
Dr. Runels: Thank you for joining Dr. Emily Porter, the Austin Love Doctor. If you have a question about your relationship, or sexuality, please feel free to contact her directly at AustinLoveDoctor.com.
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