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Hey mom I need -- to leave the room right now the because I gotta talk about -- very grown up.
Listen many medical conditions and treatments contribute to sexual problems in relationships.
And research is showing that folks who do develop sexual -- function or dysfunction as a result of taking a medication.
Are more likely to stop taking their medication.
Our doctor somebody you don't want to be with someone that's not taking care of themselves so how do we get folks to take their medicine and still be able to enjoy their relationship I think I stated that very innocent -- you.
The candidate who very well -- they -- Jamie in my practice I see they're very young.
People coming to the practice.
Or either older guys and medication is not always the way to go when we see someone -- 12530.
Year old has sexual dysfunction.
There's nothing mechanically wrong with -- it's mostly emotional psychological.
Maybe they're going through job good -- inside the stress so you have to deal with it and I just shouldn't.
Depression -- -- -- just right of a prescription and get them out of your office you have to get to the underlying problem.
In older -- as time goes on there's some vascular -- blockage of the blood flow.
And that's when we start treating them with Viagra Libby -- Dallas and the question comes up.
Which one -- take what's the difference Viagra and maybe throw usually stay in your system for about four hours you want to make -- you take -- -- empty stomach.
An hour before any kind of activity see Alice takes longer mom is not listening -- No I just had a flashback to doctor Rosenfeld talking about how.
When sometimes it goes overboard need to run to the hospital but go ahead that's never happened and that's one of the reason why we always started a very low dose before we go to -- doses and so -- -- There are also injections that we can -- for tough cases and finally there.
Prostheses it's -- surgery Sunday night and military bases so there's a lot of help and I think it's important not to suffer from that.
When I see a young person also that's not one of those psychological stuff -- goes back to what mark is gonna talk about -- first sign of heart disease.
In men who is actually sexual dysfunction remember that so the same kind of cholesterol -- who -- -- coronary arteries in the heart.
Goes and disable artery upload Jennifer there you see do you want him use that.
As a flat to test them of course are a lot of medications and.
Fascinating I had never heard that when you talk about the medications can you tell the guys -- women out there whether or not there are risks associated with those medications.
Absolutely Jamie I see a lot more of erectile dysfunction in my practice and how would like because the conditions caused it and the treatments cause and high blood pressure causes it.
Diabetes causes it when I go to treat the high blood pressure beta blockers can cause -- diuretics.
If you question directly those two are real big ones for that the beta blockers and diuretics anti depressants.
Cause it because serotonin in the brain can lead to erectile dysfunction.
So I go ahead and untreated depression and the -- is that the patients is to make it out I'm not depressed anymore but now my sex life is ruined and now depressed from that.
But we don't want our patients stopping their medications.
Because they're developing evidence as a result we want them to come back to us talk it over with us that -- were -- on the show.
Have that conversation with your position it's tough though.
That's so tough thing to talk about me well -- played as a doctor I gotta be direct with a patient I -- -- before they do I bring it up to them and I try to get them to talk about it it's such an important part of all aspects and I think they're doctors feel comfortable but you you're absolutely right you have to create an environment.
They're they're not embarrassed.
And sometimes you need to split the couples and sometimes you need to talk privately and then -- -- -- comes out and that's what it is.
But before we also jumping all these medications tough talked about this before if -- more than -- healthy.
And you see around 455055.
Things are -- -- -- slowdown.
You can't take things such as though argument -- -- -- and -- actually two -- a day and help.
Put this something that's natural -- no margin is actually a terrible and also increases the blood flow very similar to Viagra so there are things we can do before we jump to the medications that can help -- and that's a big deal we got to go but yeah.
I -- about niacin.
That's another one I think increases what I don't know absolutely but that's another -- that is improving and I wanna I wanna take over David's point exercise.
Decreasing stress all of which helps your blood pressure.
You may not actually need the medication we can stay out of of this commission and the anti depressants for that matter stay out of the vicious cycle by a healthier lifestyle out in May be reevaluating whether you're in a healthy relationship but thank you so much and I -- just to remind folks -- -- -- illogical surgeon and the deal with us quite frequently.
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