Erectile Function Explained: What It Says About Your Cardiovascular Health

WEBVTT
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Welcome to another episode of Health Recoded.
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I'm Alex.
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I'm your nurse.
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And today I'm speaking with Dr.
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Elliot Justin, CEO of Firm Tech, and we talk about sexual health, erectile function, and dysfunction, and most importantly, what that means for your cardiovascular health.
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So let's dig in.
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Uh you know, my daughter has a slide on her desk that says, if you knew my parents, you'd understand.
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I don't have a lot of filters.
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So game on.
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I kind of like that though.
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I think that's where the best conversations come from, particularly with health.
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Or or sex.
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It's just this.
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Well, well, let's say let's get into it.
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Yeah, go ahead.
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Um, how did you first become interested in your field?
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Like, tell me some about your background.
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Well, my background, I'm an emergency medicine physician and I I practiced for well over 20 years.
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I think I estimate I I treated about 180,000 people.
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Uh, and that was a really a really great experience.
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Uh uh and unfortunately, I witnessed the deterioration of healthcare uh because we went from uh physician-pati-patient-focused relationship, that was where there where there's where there's respect to by the end of my career, it was about the electronic health record.
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And electronic health record were the best of started with the best of intentions to um as as for patient safety and and to improve practice, but ended up just being a billing machine.
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Yeah.
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Uh so but um, you know, short of a heart attack or a stroke, there are a few emergencies that concern a man as much as they consistently limb penis.
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Uh and when Viagra first came out in the 1990s, it was restricted.
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You can only prescribe 10 pills a month, and those pills had to be prescribed just by a specialist, by a urologist.
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But meanwhile, farmers bombarding the airwaves, you know, TV, radio, with information about Viagra at that time, back in the 1990s.
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And men would men would come into the ER Friday, Saturday night, especially, you know, one, two o'clock in the morning, yeah, wanting their problem fixed.
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Uh, and of course, the year for them it was an emergency.
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But the urologists, of course, did not regard a guy, the guy's anxiety about impotence at two o'clock in the morning on a Saturday as an emergency.
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They didn't want to want to come in.
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And we had a it became like a running joker.
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Well, we're just going to get a uh a Viagra beeper.
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Uh and the urologists have to carry the Viagra beeper on the weekends.
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Uh so I I've always been interested in in sex.
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I'd um particularly.
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I I I probably I had to say I'm an outlar based on the fact that I don't know any of the doctors whose mothers took them to urologists twice when they were teenagers because she was worried that their masturbation habit might prevent them from getting into college.
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Here I am, Mom.
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Uh and I can remember.
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And uh and then uh what specifically got me into this phase of my career was I, you know, I live in Montana and and I really I really enjoy horseback riding.
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And my wife says I ride like a 12-year-old.
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I ride at least like a maturity of a 25-year-old.
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But sometimes I have the illusion that I'm a centaur, that I'm one with my horse, I'm really having fun.
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Uh and that can be a dangerous illusion.
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So I some do-gooder had cut a tree that had fallen over a trail in the next valley over.
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Uh, by the way, it's called Paradise Valley.
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And don't tell anyone about it.
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We don't want people coming here to Montana.
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But the next someone cut a tree that had fallen over a trail so you could walk underneath it, but you couldn't ride a horse underneath it.
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Uh and I was moving along really fast and was not paying enough attention, but also was looking off a different direction.
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So I broke six ribs and six vertebrae.
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Uh, and that got me interested in what's been done to rehabilitate sexual function in men and women who had a spinal code injury.
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I fortunately did not uh have a spinal code injury.
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Uh and there were um, as I recall, six papers in the urology literature, peer-reviewed papers uh that claim that they're able to neuromodulate human sexuality.
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So we talk about neuromodulation, it's we the the parad, the paradigm is really cardiac pacemaking.
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Most people know about cardiac pacemaking.
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Putting electrode in the heart, we can even make the heart beat after you're dead.
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We can uh we're controlling uh you know nerve function.
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Uh so to be able to neuromodulate human sexuality would be really powerful, not just if people want to optimize their performance, but for an aging population with more and more sexual problems, that would be really powerful.
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Uh and so in these papers they place an electrode by the uh pudendal and cavernous nerves.
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Everyone's two favorite nerves, no one talks about the come out from underneath the pupil bone that are responsible for men and women for arousal and climax.
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And I tried on two rams, two male sheep.
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Uh, and we got erection and ejaculation, but we also got defecation and urination.
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So it wasn't quite bedroom stuff.
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Yeah.
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Uh and my, you know, I best had a choice then I could raise a bunch of money and go down to Nigeria, the Congo, and try this out on man with ED, or I could just try it out on myself.
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So I had a friend of mine, urologist, has a clinic, surgery center in California, went to his clinic, had him implant electrodes by my pedal and cavernous nerves, tried all different uh amplitudes and frequencies and voltages, and I never felt anything more than the tingle from the electricity.
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I actually don't think we understand the neurophysiology of human sexuality.
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And if my wife were in the room, she'd say it's Aphrodite.
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Well, I can go with that one for the time being.
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Um because in the end, we we I think we will figure it out.
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And I think it's more complex than just the nerves.
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Yeah.
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Um so the and which is interesting because obviously I think it'd be there are obviously higher cortical functions that and that are involved that we just haven't figured, haven't mapped or figured out.
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Anyway, I called up this test on myself, Project O and tried to get it published as a case report, but couldn't.
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Uh but it was a good story.
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So uh I was working with a urology professor, with a surgery professor at the University of Utah on a catheter to regulate blood pressure at the stroke.
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He took the surge and told the story to a professor of urology.
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It's about four years ago.
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Yeah.
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And he said, Oh, I want to work with him because I've been trying for the last nine years to come up with a way of counting the number of nocturnal erections that men have.
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Okay.
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So he contacted me and I said, Why do we care about nocturnal erections?
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We know about Morningwood, we laugh about it.
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Uh-huh.
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He said, Because nocturnal erections are a leading indicator of a man's cardiovascular and sexual health.
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The penis of the canary in the coal mine of cardiovascular disease.
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And I never heard that before.
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Yeah.
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Uh and that took me aback because at that time, and I want to add that at that time in my career, I had become a consultant in with remote patient management sensor technologies, because I also got involved in the telehealth company.
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I founded called SwiftMD.
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Uh, and that telehealth company had a wing called Swift Vitals, where we were way before our time, this would be back in this would be back in 2006, 2007.
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We wanted to get the vital signs off of the wrist, use off the old radio artery, the ulnar artery.
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And we got pulse and pulse oximetry uh in a band, but I couldn't raise any more money.
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Today, this they got whoop, you got Apple, you got Garmin, you got all these all these wearables that are getting vital signs off of finger or the or the wrist.
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But I just I just too far ahead of my time.
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Uh and there was at that time, it was no, you need to go see the doctor in order to get your problem solved.
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Yes, the doctor has to examine you, and suddenly after COVID, oh, you don't have to go to the doctor at all.
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Matter of fact, you can go you can fill out a questionnaire and get a pill.
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You can go to a telehealth service and speak to a nurse or a nurse practitioner, and you know, it and not even a doctor, and they'll diagnose and treat you over the phone.
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So things have changed.
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But it got me interested in remote patient management technologies.
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Um, what type of information can people get at home that will hopefully prevent them from having to see a doctor because of the getting preventive health information?
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Yeah.
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And if they do have a problem, they'll help to guide them to deal with that problem intelligently and cost-effectively.
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So this um uh urology professor wanted to come up with a way of counting nocturnal erections.
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Uh, he told me that this is a leading indicator of man's cardiovascular and sexual health.
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And when I heard the word leading indicator, it kind of lit up my brain because in medicine we don't have a lot of leading indicators.
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In medicine, we treat associations and often too aggressively.
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Yeah.
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With blood pressure and low proteins jumping out immediately.
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Yes, blood pressure and low proteins are predictive at the extremes.
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But we treat people in the low, high range and very aggressively, and those that's not really predictive in those ranges.
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For example, my blood pressure goes from 120 to 140.
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Maybe it's a signal of something.
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If my blood pressure went to 220, I got a problem.
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And that's an emergency.
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Um, but if the man's number of nocturnal erections comes down in number by 50%, the man has close to 50%, in most studies, has close to 50% chance of having a cardiovascular problem in the next two or three years.
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In some studies, it's as high as 70%.
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Well, that's really interesting because what we um there are a lot of vital signs that are going to motivate a man to improve his overall health.
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Uh guys are a lot more interested in their sexual health than they are in how many steps they took yesterday, or some heart rate variability thing that aura comes up with and says, oh, you're maybe under stress.
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So uh, you know, we live in this incredible age of healthcare wearables that with a promise that we're going to get individualized care from these things as opposed to one size fits all care that we doctors make mistakes with all the time.
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Uh and, you know, we're all on the road, men and women too, from sexual and cardiovascular fitness to sexual and cardiovascular dysfunction.
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And we all would like to get early signals about those problems before they become overt.
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Um, you don't want to find out that you have an abnormal electrocardiogram after you have chest pain.
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You want to get a signal before before you have an abnormal electrocardiogram.
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So this doctor at the University of Utah, um, unlike me, he's what I call a cock ring virgin.
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I'm married for less 38 years to a woman who's interested in blunt enjoy sex toys.
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Uh and um most straight men are not interested in cock rings.
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They, you know, 90% of gay men use cock rings regularly, only 10% of straight men use them regularly.
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Um and they mean the reason there's a reason for that.
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One, they're obviously more into it, but two, the rings are uncomfortable.
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They're these hard silicone rings, they pinch are uncomfortable.
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Uh, you in order for them to be effective, a man has to have a full erection, and then you slide this ring down the shaft of penis and it goes around the base of the penis, and it's it's cutting off the blood flow uh and keeping the blood in the penis.
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And uh, you know, essentially you're lynching your penis, and they're not really safe to be used more than 20, 30 minutes, and there's a reason why they've not they've not you know caught along, caught on.
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Uh so when he came, told me you wanted to cap the number nocturnal erections.
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My thought was, well, I want to embed sensors into and I'm I'm not gonna call it an erection ring because coching ring puts it in the realm of a sex toy novelty.
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Yeah, um, I want to I want to come up with a I have to come up with an erection ring that can be worn for a lot longer than 20, 30 minutes, that can be worn for 8, 10, 12 hours while someone's asleep.
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Uh and the idea for it came to me when I was scratching my wife's back.
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Um, because uh I had estimate, I'm talking to men and women now, that not could be the majority of heterosexual sex and committed relationships thoughts when a woman wants her back scratch when the bra comes off.
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Right?
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Yeah, you're laughing because you were like it's you're like your back is itchy.
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Why is that?
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It's because the way it's it's there's a silicone panel in the back of the bra, uh-huh, and the silicone is irritated to the skin.
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And over time, I mean I mean, if the fashion industry data says that women adjust their bras about 10 times a day.
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You're not even aware of it.
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Is that more?
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Yeah.
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This is a study, you know, average.
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You know, because you know, because people because and you can you know, I was I don't really I wasn't thinking about that, but now of course I'm more aware of it.
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And now I also became aware of the fact that, oh, I adjust the waistband my underwear several times a day.
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Uh well, why is that?
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Because the waistband, the men's underwear is made out of silicone and it's irritating.
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And some are, you know, especially on a hot day, or if you've been, or if you've been working out, or you know, it it might fold on itself or it pulls, it pulls on whatever.
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It's irritating.
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Not gonna say it's painful, but it's you know but it's annoying.
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Uh and but we forget about it because we wear these underwear, bras, underwear, you know, we wear them all the time, we just forget about it.
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Um so my thought when scratching, I was scratching her back, and I looked down the ground and I saw her bra.
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And I said, hmm, a bra is a ring.
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Women don't put on bras over their head.
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A bra opens and closes with this feature, a hook.
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I thought, why don't we make an erection ring that opens and closes with a hook?
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Because it'd be easy on, easy off, it'd be safe.
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Yeah.
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And then on her desk, my wife had a stress ball, you know, a squash, soft, squishy stress balls.
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And I said, Oh, duh.
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Why are we making erection rings out of hard silicone?
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Why don't we make an erection ring out of an elastomer?
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Stress balls are meant out of elastomer.
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It's softer, it's stretchier.
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Elastomers have have a silicone makes us adapt to them.
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Hence, you know, the mark that a bra that's a little bit too tight can leave on your skin, or the mark that um underwear can leave on your waist, or the sock worn if you wear, you know, all if you wear socks all day, you might be at a little more indentation, indentation mark in your sock.
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Silicones make us adapt to them.
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Elastomers adapt to us.
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It's different, it's a different property.
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So let's make an erection ring out of elastomer.
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So it can be worn for hours.
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It doesn't block the arterial flow and opens and closes a hook.
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Because we want the ultimate blood to flow in because we want to measure nocturnal erections.
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Uh so imagine a uh, you know, the force is still on, blood is still flowing into the penis, but you plugged it on the other end, say 75% to constrain the venous return.
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And if you're not erect, there's no constraint what's there's no constraint whatsoever.
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So now we have a um a ring that can be won overnight.
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There are two sensors embedded in the ring.
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There's a uh a pressure sensor there, you can see the button.
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There's in the in the hook, there's a strain gauge.
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As the penis expands and girth, it presses the on the pressure sensor, it pulls on the hook, it gives the computer two data points that the computer then can interpret turn to a one to ten firmness scale.
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And so that's that's the backstory.
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That's the backstory.
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Wow, I have so many questions from all of that.
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So this is not specifically a sex toy.
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This is more of like a whoop or an aura ring for nocturnal erections for people to or men to understand any underlying conditions that may be occurring.
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Underlying conditions, medications, relationship issues.
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Yeah.
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The device basically fundamentally, I mean we we have to call it diagnostic aid.
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We can't say it's a diagnostic, that's a legal thing, but yeah it's a diagonal.
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I believe it's not nothing.
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Uh but the um it one overnight, it counts the number of nocturnal reactions, measure the duration of firmness.
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A deterioration in those numbers is indicated, it is an indicator of a cardiovascular problem or medication problem, usually.
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Because at night when you're sleeping, then there are no variables, you're not with a partner, you're not masturbating it.
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We eliminate you know variables.
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Um the and but it can be won during sex as well, too, to measure duration of firmness, which men are interested in.
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Uh, and it it also functions as an erration ring because it will enhance, optimize a man's performance.
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So I got I got into this for the data, Alex.
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And we've had we've had three men get cardiac catheterizations because the data was so lousy.
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And we documented 270,000 eruptions.
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Uh about about which about about 90% of which are nocturnal sessions, overnight sessions.
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This is the world's largest dick database.
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Uh, and it totally overturns the conventional wisdom about men's sexual health.
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We have um the conventional wisdom is just frankly absolutely wrong about what's going on with men.
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Because the studies that the studies that were done in the past uh rep are were limited in numbers.
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No one has a data set this large.
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Uh, and they're they didn't really, you know, one of the mistakes that we make in medicine is we we doctors, academics who set the standards, they see the sickest people in the practices and they project from them on the general population.
00:17:07.839 --> 00:17:23.279
Uh so the urologists are seeing men who can't get up or struggle to get it up, and most of those men have cardiovascular or diabetic problems, but that's not most men.
00:17:23.519 --> 00:17:32.400
So the current thinking is that um cardiovascular or metabolic diabetic problems are responsible for about 50 to 70 percent of reptile dysfunction.
00:17:34.000 --> 00:17:35.039
It's not true.
00:17:35.359 --> 00:17:39.279
Uh so um in in here's here's what the data shows.
00:17:39.359 --> 00:17:48.799
So the the expectation was that as the well, the conventional wisdom is that the instance of retal dysfunction goes up 10% per decade after age 40.
00:17:49.039 --> 00:17:51.279
By my age, I'm 73, it's it's 70 percent.
00:17:52.559 --> 00:18:08.960
And therefore, men as they age get more diabetes, hypertension, atherosclerosis, take more medicines, as they age, their erections, sex erections should become less firm, the nocturnal erections should last, not last as long, should become less firm, and go down in number.
00:18:10.319 --> 00:18:11.279
That didn't happen.
00:18:12.000 --> 00:18:14.720
So why why is not is that not happening?
00:18:14.799 --> 00:18:22.720
And I think it's because why are men, the vast majority of men, in their 70s just as hard as men in their 30s?
00:18:24.160 --> 00:18:28.079
Well, it's because we we the definition of rectile dysfunction is flawed.
00:18:28.400 --> 00:18:38.559
And I'm I'm on a crusade, not crusade is a famous word, but I'm on I'm on on track to change that because of all the research being done with being inducted our technology.
00:18:38.880 --> 00:18:41.680
So here's the definition of retal dysfunction.
00:18:42.960 --> 00:18:50.640
First clause inability to get an erection or difficulty to get an erection and decreased nocturnal erections.
00:18:51.519 --> 00:18:54.720
Well, those guys have a cardiovascular problem.
00:18:55.440 --> 00:19:00.960
But it's only three to five percent of men who have that problem in a lot in our largest data set in the in the world.
00:19:01.440 --> 00:19:02.559
And that's a real problem.
00:19:02.720 --> 00:19:07.279
Um and the and devices, our devices are really valuable for identifying men with that problem.
00:19:07.519 --> 00:19:15.599
The second clause of the official definition from the International Life of Sexual Medicine is difficulty sustaining an erection, maintaining erection.
00:19:15.839 --> 00:19:16.799
Well, it's all men.
00:19:16.880 --> 00:19:18.480
That's all men as we get older.
00:19:18.640 --> 00:19:24.640
Uh the expectation that that a guy who's 60 is going to perform like a guy who's 20 is just stupid.
00:19:24.799 --> 00:19:30.400
Uh, and uh so what's going on for guys losing their erection?
00:19:30.559 --> 00:19:32.720
Well, it's multifactorial.
00:19:33.359 --> 00:19:46.240
Um, it could be there's a baby crying next room, you're worried about paying the mortgage, you and your wife were partner aren't aren't getting along, uh, you've had four cocktails, maybe it's one o'clock in the morning and dancing hard for the last hour was a mistake.
00:19:46.400 --> 00:19:56.480
Or it could be, in many cases, and doctors don't want to talk about this, we prescribe medications to men that interfere with their sexual health and don't warn them about it.
00:19:56.720 --> 00:20:02.240
The SSRI and antidepressants are a disaster for men's sexual performance.
00:20:02.480 --> 00:20:09.519
Uh, the um the anti antihypertenses are problematic.
00:20:10.000 --> 00:20:19.759
Uh and if you and doctors don't even think about it because, hey, what sex is not isn't important, but also because sex is not an electronic health record.
00:20:20.000 --> 00:20:23.839
Doctors could make money asking questions about sex, they would.
00:20:24.000 --> 00:20:27.440
We lot, you know, people want to talk about how, oh, it's a cultural thing, we're just inhibited.
00:20:27.599 --> 00:20:29.119
We don't want we don't want to talk about sex.
00:20:29.440 --> 00:20:36.319
We doctors talk about vomit, shit, diarrhea, piss, pus, but we're not inhibited at all when it comes to talking about this disgusting things.
00:20:36.400 --> 00:20:38.240
And sex, nobody's thinking sex is disgusting.
00:20:38.319 --> 00:20:38.880
It's intimate.
00:20:39.039 --> 00:20:41.920
But all those other things I just mentioned are intimate as well, too.
00:20:42.079 --> 00:20:42.240
Yeah.
00:20:42.400 --> 00:20:46.480
Hey, hey, Alex, how much, how much, how's that pus smelling coming from your pylon abstract?
00:20:46.640 --> 00:20:47.920
You know, just to pick on you from the moment.
00:20:48.079 --> 00:20:52.559
You know, we you know, it's we so I I don't buy, I don't buy the the cultural thing.
00:20:53.039 --> 00:20:55.359
I I I I think it's a failure.
00:20:55.519 --> 00:20:59.039
There's I think the pro fundamental problem is that doctors can't make money off it.
00:20:59.119 --> 00:21:00.319
There's no box to check.
00:21:00.480 --> 00:21:05.599
Hey, ask questions about someone's sexual performance and you'll make another one, make it up for the family doctor at$25.
00:21:06.000 --> 00:21:12.559
Nor is there a box to check for the urologists, because urologists to make money, because urologists are focused on surgeries.
00:21:12.640 --> 00:21:15.599
That's how they in radiation therapy, and so that's that's how they make money.
00:21:15.759 --> 00:21:21.599
So second clause, difficulty, you know, maintaining erection.
00:21:22.559 --> 00:21:28.000
Uh what's going on at the at the basic physiological level?
00:21:28.319 --> 00:21:30.000
Guy's getting hard, doesn't it?
00:21:30.160 --> 00:21:38.559
His problem's not getting blood in, his problem's not with his heart pumping blood, his problem is not with his arteries, blood's leaving the penis.
00:21:38.880 --> 00:21:42.400
There's no pill that will prevent the blood from leaving the penis.
00:21:42.559 --> 00:21:42.799
Yeah.
00:21:42.960 --> 00:21:44.640
Only a ring will do that.
00:21:44.960 --> 00:21:47.039
Uh and I didn't understand this four years ago.
00:21:47.200 --> 00:21:48.559
Four years ago, I was like most men.
00:21:48.640 --> 00:21:52.640
If you ask me about a resh ring, they would have said, Hey, I'm good.
00:21:52.799 --> 00:21:53.599
I don't need it.
00:21:53.839 --> 00:21:54.000
Yeah.
00:21:54.240 --> 00:21:56.799
I might play around with it, but I, you know, I don't I don't I don't need it.
00:21:56.960 --> 00:22:04.880
Um and now I realize it's not about good, it's about All men, men with ED, men without ED will benefit from a ration ring.
00:22:04.960 --> 00:22:05.839
So why is that?
00:22:06.000 --> 00:22:07.759
Because only a ring will hold blood in.
00:22:07.920 --> 00:22:21.200
So if a man wants, here's a question every man and every woman or man who's involved with a man should ask themselves Do you want to get harder than you can right now?
00:22:21.359 --> 00:22:23.759
Beyond rock hard, there's a ration ring heart.
00:22:23.839 --> 00:22:24.480
Do you want that?
00:22:24.640 --> 00:22:27.119
So the of course every pro every person should want that.
00:22:27.200 --> 00:22:28.640
Every guy will say yes to that.
00:22:28.799 --> 00:22:39.200
Now the the the aver the average man using our device in a study of like 30 men increases his girth by three millimeters by using a ration ring.
00:22:39.359 --> 00:22:42.720
Well, that's not very much, but it actually is very much.
00:22:42.880 --> 00:22:48.000
Because beyond, because three, you know, no one's gonna walk by and say, hmm, one star, three millimeters.
00:22:48.240 --> 00:22:55.440
But no, but the um that's more blood than you can than you can hold in the penis with a hand, a mouth, a vagina, etc.
00:22:56.000 --> 00:23:03.119
The more blood you hold in the penis, the long the longer you're gonna last, the more sensitive you're gonna be, because the more blood you hold, the more sensitive more sensitive you are.
00:23:03.359 --> 00:23:05.440
Women use vibrators, so they don't have this issue.
00:23:05.599 --> 00:23:08.720
The vibrator maintains continuous arterial blood flow.
00:23:09.440 --> 00:23:17.279
Uh and also the vibrator also um helps to retain blood in blood in the bulbs of other cholera.
00:23:17.599 --> 00:23:18.319
Men don't have that.
00:23:18.480 --> 00:23:19.759
Blood goes in, blood leaves.
00:23:19.839 --> 00:23:26.400
The PD5 medications that are so popular by agro-sialis, they put a little more blood in, they're helpful, but they don't keep keep it there.
00:23:26.640 --> 00:23:28.400
So here are the questions guys should ask themselves.
00:23:28.880 --> 00:23:29.759
Do you want to get harder?
00:23:29.839 --> 00:23:30.319
Of course.
00:23:30.480 --> 00:23:31.839
Do you want to last longer?
00:23:32.000 --> 00:23:32.640
Of course.
00:23:32.880 --> 00:23:34.400
Do you want to be more confident?
00:23:34.559 --> 00:23:37.039
Meaning, hey, have that third cocktail.
00:23:38.000 --> 00:23:40.319
Or stay up another hour.
00:23:40.400 --> 00:23:44.559
Because so often people did they, you know, they they they lose, they have confidence issues.
00:23:44.960 --> 00:23:53.200
Another important one, that I've heard about this from several women, custom women of customers, and for my wife as well, too, is she likes the fact that she's more confident in me.
00:23:53.599 --> 00:24:00.000
She likes the fact that, oh, with a ring on, he's gonna stay hard for 40, 45 minutes, the minimal stimulation.
00:24:00.160 --> 00:24:01.200
And what does that mean for her?
00:24:01.359 --> 00:24:06.799
Well, most women involved with men in a committed relationship, care about the men.
00:24:06.880 --> 00:24:07.759
So what are they thinking about?
00:24:07.839 --> 00:24:12.240
So in a healthy relationship, I hope this isn't a graphic, a healthy relationship, the woman usually comes first.
00:24:12.319 --> 00:24:14.960
And the woman usually comes first from all sex.
00:24:15.200 --> 00:24:16.799
And we end up with a vibrator.
00:24:16.880 --> 00:24:19.920
Uh and um, and then what happens?
00:24:20.160 --> 00:24:27.039
Well, while she's while she while she's focusing on her pleasure, she she cares about her man, she's also thinking, is he gonna be hard afterwards?
00:24:27.680 --> 00:24:28.319
Taking too long?
00:24:28.480 --> 00:24:32.160
And there's like these common questions that the women ask, you know, ask them ask themselves.
00:24:32.559 --> 00:24:38.160
Well, those questions go away when a guy has a ring on because he's hard.
00:24:38.319 --> 00:24:42.480
And a man who's worried about losing his erection is probably gonna lose direction.
00:24:42.559 --> 00:24:48.640
A man who's not worried about losing his erection because he has a ring on, he's still he's still in the game because that's the male mindset.
00:24:48.799 --> 00:24:54.880
The uh and and the last question is do you want to have a more intense orgasm?
00:24:55.279 --> 00:24:58.079
Only a ring will give a man a more intense orgasm.
00:24:58.400 --> 00:24:58.960
How?
00:24:59.200 --> 00:25:03.440
Because we're putting a bit of light pressure over the urethra and drawing up the ejaculatory phase.
00:25:03.599 --> 00:25:08.880
The rings are designed to draw up the ejaculatory phase, and the longer the ejaculatory phase, the more intense the orgasm.
00:25:09.039 --> 00:25:15.039
So my my my um ejaculatory phase time with our device goes in four seconds to seven seconds.
00:25:15.359 --> 00:25:17.119
Well, that's an incredible orgasm.
00:25:17.359 --> 00:25:19.279
And I first had it when I was age 70.
00:25:19.359 --> 00:25:22.079
You know, I didn't have it before before then.
00:25:22.240 --> 00:25:24.480
Well, what does my wife like about that?
00:25:24.559 --> 00:25:26.640
I love it, but what do my like about it?
00:25:26.960 --> 00:25:33.839
She likes the fact that, wow, it's it's more whatever she's doing to me now becomes more intense as well, too.
00:25:34.000 --> 00:25:41.279
Uh and and I and not not just picking on my wife, we we hear about that from this from my customers all you know frequently.
00:25:41.440 --> 00:25:43.440
So, all men, I got into this with the data.
00:25:43.599 --> 00:25:44.960
The data is really important.
00:25:45.440 --> 00:25:54.319
Every man should know what his the vital signs are of a sexual cardiovascular health by monitoring his nocturnal reactions, just the way every, especially every man over age of 45, 50.
00:25:54.400 --> 00:25:59.519
You know, you know, if I went if I went to a doctor right now and and he just said, hey, you look great.
00:25:59.599 --> 00:26:00.400
What are you doing here?
00:26:00.559 --> 00:26:03.200
I would think, uh, is this 1900?
00:26:03.279 --> 00:26:05.039
Are you gonna get an electrocardiogram?
00:26:05.200 --> 00:26:09.119
You check my low proteins, and they're probably all gonna come back normal.
00:26:09.359 --> 00:26:10.000
And that's nice.
00:26:10.079 --> 00:26:10.559
I feel good.
00:26:10.640 --> 00:26:15.680
I don't feel I don't feel like wasted my time because my blood, my my diagnostic and blood tests are normal.
00:26:15.759 --> 00:26:16.480
I feel, oh, that's great.
00:26:16.559 --> 00:26:21.200
I feel better about myself, but I do want to track them because I'm looking for early signals of problems.
00:26:21.519 --> 00:26:26.640
Uh and it's the same thing with you know with the data from our device.
00:26:26.799 --> 00:26:31.759
I'm confident that what we're doing will become embedded in clinical workflows.
00:26:32.480 --> 00:26:34.079
It'll take three to five years, Alex.
00:26:34.160 --> 00:26:43.039
You know how slow things are in medicine, but it'll it'll be it'll become embedded because it's an easy and and I'll share with you that right now there are two large studies going on.
00:26:43.200 --> 00:26:48.799
One's at Brown University and Cleveland Clinic, and the other's at Baylor and a hospital in Madrid, Spain.
00:26:48.960 --> 00:26:53.680
But they're looking at um they're correlating nocturnal erection parameters with CT calcium scores.
00:26:53.920 --> 00:27:04.000
CT calcium scores will become, as you know, the screening test for cardiovascular disease in men and women, and other, and along with other inflammatory markers, Apo B and other inflammatory markers in cardiovascular health.
00:27:04.079 --> 00:27:12.480
And I'm confident those papers will show that our the value of our device as complementary to them.
00:27:12.720 --> 00:27:23.519
There's already a paper at the University of Utah showing that our device is as good as an in office doppler, which uh for screening for men's sexual health.
00:27:23.680 --> 00:27:28.960
And I actually think our device can probably probably better because um the in-office doppler is one data point.
00:27:29.119 --> 00:27:31.200
Our device, a man gets multiple data points.
00:27:31.279 --> 00:27:40.880
And I know from my data, it can really be it can be variable depending upon sleep, alcohol, other you know, you know, uh, you know, you know, you know, other factors.
00:27:41.119 --> 00:27:47.200
So so so here we have these guys who are gonna benefit from a ring who think they have ED.
00:27:48.240 --> 00:27:50.079
But that's not really ED to my mind.
00:27:50.240 --> 00:27:51.599
And I'll I'll put it this way, Alex.
00:27:52.319 --> 00:27:56.640
I won't ask how old you are, Alex, but I'll I'll ask you this question.
00:27:56.880 --> 00:28:01.119
Do you do you run as fast now as you did when you were 16 years old?
00:28:01.759 --> 00:28:03.759
I don't run, but I'm just gonna say no.
00:28:04.400 --> 00:28:07.279
Well, everyone, no one, no one, almost no one does, even people who train.
00:28:07.519 --> 00:28:12.400
Well, the answer is, Alex, I think you have a bad case of RD running dysfunction.
00:28:13.119 --> 00:28:14.799
And I can help you, Alex, before it gets worse.
00:28:14.880 --> 00:28:18.240
You don't want to end up like me, Alex, with a really terminal case of running dysfunction.
00:28:18.400 --> 00:28:24.559
I have a whole series of exercises, supplements, pills, and we I just start seeing you now at least every quarter.
00:28:24.640 --> 00:28:26.559
But that's what we've done with men with rectile dysfunction.
00:28:26.640 --> 00:28:35.359
We have we have millions and millions and millions of men identifying as having erectile dysfunction when what they're really because we've medicalized the aging process.
00:28:35.599 --> 00:28:38.160
What they really have is erectile disappointment.
00:28:38.480 --> 00:28:43.119
So, and and I and let me let me nail this down with an analogy.
00:28:43.680 --> 00:28:57.119
Uh when I if I fly to visit my grandkids in Sweden, some of my grandkids are in Sweden, and I sit on a plane for 12 to 15, 12 to 15 hours, my rings get tight and my socks get tight.
00:28:57.279 --> 00:28:58.240
And why is that?
00:28:58.400 --> 00:29:01.119
Because it didn't happen when I was 25 years old.
00:29:01.279 --> 00:29:01.920
Why is that?
00:29:02.000 --> 00:29:12.559
Because as we get older, our venules, our small veins get stiffer, and the smooth muscles around our venules that squeeze the blood back to our heart, they they get weaker with age.
00:29:13.200 --> 00:29:14.799
You think that's not going on in the penis?
00:29:14.880 --> 00:29:16.319
So, what happens in the penis?
00:29:16.559 --> 00:29:23.039
As we get older, blood leads faster because we don't, our smooth muscle and our venules get weaker.
00:29:23.200 --> 00:29:25.759
You know, when a guy's, yeah, I gotta pick up myself.
00:29:25.839 --> 00:29:32.079
I'm 13 years old, I can remember her name too, Susan Tannenbaum, uh in my sixth grade class.
00:29:32.319 --> 00:29:33.519
She held my hand for five minutes.
00:29:33.599 --> 00:29:38.160
I had a heart on for like two hours without any other stimulation.
00:29:38.480 --> 00:29:40.160
That doesn't happen to me anymore.
00:29:40.319 --> 00:29:48.240
And people, people, some people want to say, oh, it doesn't happen anymore because you are uh, you know, you're jaded, basically.
00:29:48.559 --> 00:29:49.279
But no, no.
00:29:49.440 --> 00:29:55.599
You know, my my my my thoughts are much more sexually explicit now, basically because I have so much experience than they are then.
00:29:55.759 --> 00:29:57.279
It's just that we are younger then.
00:29:57.359 --> 00:30:00.079
And obviously there are hormonal issues that enter into this as well, too.
00:30:00.160 --> 00:30:08.160
But we the doctors have overlooked overlooked the aging of the aging of the venous of the circulation, and the ring addresses it.
00:30:10.319 --> 00:30:18.400
So you're saying that the because I've learned that around age 40 is kind of the expectation to see the decline of erectile function.
00:30:18.640 --> 00:30:22.960
Are you saying that's not really the expectation that if that occurs, there's something earlier.
00:30:23.200 --> 00:30:24.240
It's happening earlier.
00:30:24.400 --> 00:30:26.480
Uh the the the decline in men's sexual.
00:30:26.880 --> 00:30:27.759
Well, two things.
00:30:27.920 --> 00:30:30.960
One, men, there are two two aspects to this.
00:30:31.920 --> 00:30:39.440
Men, you know, in a large data set, men in their 70s are just as hard as men in their 30s.
00:30:40.160 --> 00:30:42.799
But they're but men in the 70s are saying they have ED.
00:30:43.200 --> 00:30:50.880
And they're saying that in a greater number because they're they don't have ED, they're just erections are going down faster for a variety of reasons.
00:30:51.039 --> 00:30:53.519
Uh, but they're guessed they're just as hard.
00:30:54.640 --> 00:30:55.440
Vast majority.
00:30:55.599 --> 00:31:00.079
Not guys, obviously, with severe hypertension, diabetes, you know, are different category.
00:31:00.240 --> 00:31:06.640
Here's what deterred men male deterioration happens perhaps even earlier than female female sexual health deterioration.
00:31:07.119 --> 00:31:12.160
So a guy who's fifty a young man who's 15 can masturbate seven or eight times in a day.
00:31:13.039 --> 00:31:17.039
A young man who's 25, maybe he's down to four or five times a day.
00:31:17.200 --> 00:31:20.559
A guy who's 35, he's down to three or four times a day.
00:31:20.720 --> 00:31:24.880
And and and the interval between climaxes gets longer and longer and longer.
00:31:24.960 --> 00:31:34.000
So the deterioration in men in men in men's sexual response is the deterioration in the climate in the in in the refractory period, the time time between climaxes.
00:31:34.640 --> 00:31:35.759
Women don't have that issue.
00:31:36.000 --> 00:31:36.240
Yeah.
00:31:36.480 --> 00:31:38.400
To the same degree that men do.
00:31:40.240 --> 00:31:52.559
So then erectile dysfunction with aging at least is not so much not being able to get hard, it's just a slight change in the length of duration, is what you're saying, and how long it lasts.
00:31:53.119 --> 00:31:54.240
Unrelated to PE.
00:31:54.720 --> 00:31:58.400
It's it's it's it's a decrease, the erection goes down faster.
00:31:59.200 --> 00:32:01.680
Here's here's here's so here's here's here's a study.
00:32:01.839 --> 00:32:05.519
Um this and this is blended data from two studies.
00:32:05.680 --> 00:32:09.920
We looked at we not we, when I say we, I mean re research using our device.
00:32:10.079 --> 00:32:17.680
Uh um she looked at D2 mass in this time, the time it takes for an erection to go down after climax.
00:32:18.880 --> 00:32:22.079
I think anyone, I don't think any I don't think it's been studied ever.
00:32:22.319 --> 00:32:30.640
Um and it was t it was about 35 men aged 28 to 70.
00:32:30.960 --> 00:32:34.160
And these were men who didn't have ED.
00:32:34.240 --> 00:32:36.640
I'll then I'll tell you about the men with ED study afterwards.
00:32:36.880 --> 00:32:38.000
These men without ED.
00:32:38.720 --> 00:32:45.920
Um and basically, and it was the and the study was like, hey, you know, masturbate, because we don't want any other variables.
00:32:46.079 --> 00:32:49.839
Avoid alcohol, avoid marijuana, just masturbate.
00:32:50.079 --> 00:32:55.680
Uh get so get rock hard, have an orgasm, how long would it take the erection go down?
00:32:55.920 --> 00:32:58.559
With nothing, it was like it was like 30 seconds.
00:32:58.880 --> 00:33:04.720
With to Dalafil, 10 milligrams, most commonly prescribed erection pill, it was two minutes.
00:33:04.799 --> 00:33:06.880
So holding more blood in the penis, which is good.
00:33:07.519 --> 00:33:12.799
Uh with the ring, it was over three minutes.
00:33:13.359 --> 00:33:15.680
And with both together, it was over four minutes.
00:33:15.839 --> 00:33:25.920
And the takeaway for that for all men is you want optimize your performance, put a ring on it, andor and then take a pill.
00:33:26.640 --> 00:33:34.400
Uh there um there's the doctor Yoshi Sato in Japan who did a study of the ring, the ring alone.
00:33:34.480 --> 00:33:37.519
We have we make rings without technology, cultural performance ring.
00:33:37.680 --> 00:33:42.240
He did a study on 40 men with really D.
00:33:42.319 --> 00:33:45.440
I'm not by really D, I mean guy, my perspective, my definition.
00:33:45.680 --> 00:33:57.599
Really D meaning struggle to struggle to you know to you know to get it up, struggle to maintain an erection, an inability to have an erection for sad and have and sustain it for satisfactory intercourse, get hard enough.
00:33:58.160 --> 00:34:04.480
Uh and there are two there's something called a rectile rectile hardness score, EHS.
00:34:04.640 --> 00:34:06.240
It's a four-point score.
00:34:06.400 --> 00:34:10.800
Uh a four is normal, a zero is a totally dead penis.
00:34:11.039 --> 00:34:15.519
Uh and a two is can stiffen but can't penetrate.
00:34:15.920 --> 00:34:23.119
A three is stiffened, can't penetrate, but lose lose it, cannot have satisfactory in intercourse.
00:34:23.679 --> 00:34:31.119
All the men in the in uh were taking uh uh viagraph, all that sodanophil, to dalophil.
00:34:31.519 --> 00:34:35.599
Um in the EHS2 category, these are the guys who couldn't even penetrate.
00:34:35.760 --> 00:34:37.199
They got a little stiff, they couldn't penetrate.
00:34:37.519 --> 00:34:42.880
50% of the men, if they added a ring, were able to have satisfactory intercourse for 10 minutes.
00:34:43.199 --> 00:34:53.679
In the EHS3 category, which and this is the vast majority, this is the vast majority of men who have significant DD, these are men who could stiffen but couldn't sustain their erection for a satisfactory period.
00:34:53.840 --> 00:35:01.280
100% of them were able to have intercourse for 10 minutes, and the vast majority stayed high for eight minutes after they climaxed.
00:35:01.519 --> 00:35:03.039
Now, the numbers are small.
00:35:03.119 --> 00:35:12.719
It was 20, it was 20 men in each group, but that that shows that the power of the ring, even with men who have, my perspective, genuine ED, they're not getting enough blood in.
00:35:13.679 --> 00:35:20.960
So is this ring that you're referencing from these studies the tech ring you're talking about, or the other original cock ring that you're talking about?
00:35:21.440 --> 00:35:23.039
Well, there we have three three rings.
00:35:23.199 --> 00:35:27.599
So the Japanese study was with the ring without technology with a performance ring.
00:35:27.760 --> 00:35:30.559
The D2 Messine study was with the tech ring.
00:35:31.519 --> 00:35:35.440
Um and men were encouraged, the tech ring is adjustable, the tightness.
00:35:35.760 --> 00:35:44.320
Men were encouraged to adjust it to what they, you know, what you know, their degree of comfort that that they comfort and performance that they wanted.
00:35:44.639 --> 00:35:49.119
Um the big data study um of 27,000 erections.
00:35:49.199 --> 00:35:50.719
Well, that that's the tech ring.
00:35:50.800 --> 00:35:55.440
That because you can't study get data without with it without the tech ring.
00:35:55.760 --> 00:35:56.400
Yeah.
00:35:56.800 --> 00:36:01.679
So you originally started studying for the neurological issues, correct?
00:36:01.760 --> 00:36:03.119
But then transitioned to the vascular.
00:36:03.440 --> 00:36:06.239
I started, no, we just got involved just for the heart issues.
00:36:06.480 --> 00:36:18.239
Um to look at nocturnal erections as a m as a marker of cardiovascular health, and then realized that I come up with with a performance optimizer for men.
00:36:18.400 --> 00:36:21.360
I mean, look look at the look at I mean, men have nothing.
00:36:21.440 --> 00:36:21.599
Yeah.
00:36:21.840 --> 00:36:24.960
Tell me stupid strokes or something you can beat someone to death with.
00:36:25.199 --> 00:36:26.400
Women have so much.
00:36:26.559 --> 00:36:30.480
I mean, women want to often complain, probably so, that they're not studied enough.
00:36:30.559 --> 00:36:34.480
Uh, but when it comes to sexual optimizers, uh it's unbelievable.
00:36:34.559 --> 00:36:39.679
I think my wife could come to bed with a bandolier, uh, depending upon what she because she's open-minded.
00:36:39.760 --> 00:36:42.719
So, you know, what shape, what form, what sensation do I want?
00:36:42.880 --> 00:36:49.519
This type of vibration, that type of, you know, it's it's extraordinary that what women have available to them if they if they're open-minded.
00:36:49.679 --> 00:37:02.800
Now, back um, and that's occurred in my I'm a lot older than you, you know, my mother's vibrator in the early 60s was huge, but it was also stuffed away in a you know, bottom drawer and supply closet.
00:37:03.039 --> 00:37:15.360
Um uh you know, when I started, when I was most actively dating in the late 70s, early 80s, that was when that was when men, not women, this was kind of amusing, men, not women that decided to commercialize the vibrator.
00:37:15.519 --> 00:37:18.239
Vibrator's been around since the 18, like 1860s, 1870s.
00:37:18.320 --> 00:37:20.400
And the original vibrators were steam powered.
00:37:20.639 --> 00:37:32.320
The um uh and and you can find these ads in women's magazines from like the 18, you know, 18, 80s, and 90s, you know, for, hey, for you know, for women's problems, you know, you know, put this on your put this on your stove.
00:37:32.480 --> 00:37:45.119
You know, the um uh but the you know, originally the concern with vibrators was that, oh, it's it's like the end of the American family, women are gonna marry the vibrator, yeah, or that they're gonna be numbing and they're unnatural.
00:37:45.280 --> 00:37:47.280
And now they're not, you know, they're they're normalized.
00:37:47.360 --> 00:37:51.840
I mean, my my wife, like many women, can climax without a vibrator, but she prefers it.
00:37:52.000 --> 00:37:52.239
Why?
00:37:52.480 --> 00:37:53.360
Because it's better.
00:37:53.440 --> 00:37:55.199
Uh the more variety sensation.
00:37:55.360 --> 00:38:01.199
Well, you know, what I don't, as I said four years ago, I my attitude towards the ration rings was stupid.
00:38:01.440 --> 00:38:01.920
I don't need it.
00:38:02.000 --> 00:38:02.719
I'm good.
00:38:02.880 --> 00:38:06.639
Now my attitude is I don't want to have an orgasm without it because it's always better.
00:38:06.800 --> 00:38:09.360
Why would I want to have an orgasm that's not that's not as good?
00:38:09.440 --> 00:38:14.079
Uh and my, you know, my wife's idea of foreplay is because I'm a guy, hey, here's a ring.
00:38:14.239 --> 00:38:16.880
You know, okay, I guess I'll stop working.
00:38:17.039 --> 00:38:24.880
Uh so I think the men and doctors need to open their minds about rational rings.
00:38:24.960 --> 00:38:26.480
And one's obviously for the data.
00:38:26.880 --> 00:38:29.519
Uh, and I don't want to, I want, I don't want to minimize that.
00:38:29.679 --> 00:38:31.039
The data is profoundly valuable.
00:38:31.119 --> 00:38:35.360
The data will tell you about your sexual and cardiovascular health.
00:38:35.440 --> 00:38:36.960
And all men should want to know about that.
00:38:37.039 --> 00:38:38.480
Not guess, not think.
00:38:38.800 --> 00:38:45.199
Because, you know, we we have a saying in emergency medicine eat right, stay fit, die anyway.
00:38:45.360 --> 00:38:56.639
We we all would like to get signals early on about problems from wearables, whether it's a ring or you know, whether it's whoop or a garmin or or either device, we want to get we want to get signals early.
00:38:56.719 --> 00:39:05.119
So with but you know, I I've had a couple men tell me just in the last month, I wish I'd gotten this earlier or known about it earlier.
00:39:05.199 --> 00:39:07.280
Because they have problems, these are these guys who have bad data.
00:39:07.440 --> 00:39:07.760
Yeah.
00:39:07.920 --> 00:39:09.840
Um, and they're right.
00:39:10.079 --> 00:39:11.360
But it is new.
00:39:11.519 --> 00:39:17.440
I've you know, and then the cost at the other extreme, they're the guys who say, I spent$275 and my data is normal.
00:39:17.519 --> 00:39:18.559
Why'd I spend this money?
00:39:18.719 --> 00:39:21.280
Well, it's still good data.
00:39:21.519 --> 00:39:22.320
It's still good data.
00:39:22.400 --> 00:39:29.039
I don't, you know, go go go tell your blood pressure cuff that go go go tell uh you know, it's like go, you know, it's a stuff it's people.
00:39:29.199 --> 00:39:30.639
But the data's really valuable.
00:39:30.719 --> 00:39:38.000
But I I didn't I got into it for the data, but then I realized I've actually come up with a way of optimizing men's sexual performance.
00:39:38.320 --> 00:39:38.639
Yeah.
00:39:38.880 --> 00:39:41.280
I think it's very important data to know as well.
00:39:41.599 --> 00:39:49.519
So you talked about what the ring is showing us, but what does erectile health actually tell us about vascular health?
00:39:50.079 --> 00:39:55.760
Well, if you're if you're in good erectile health, you're more than likely not to be in good vascular health.
00:39:56.320 --> 00:39:58.800
Uh I can't tell you the percentage correlation.
00:39:59.039 --> 00:39:59.360
Okay.
00:39:59.519 --> 00:40:02.880
I'm again I'm guessing it's gonna be high.
00:40:04.000 --> 00:40:14.079
Uh and I can tell you um that our device also functions as a sleep monitor, but I can't I shouldn't tell you that, but I I know it does.
00:40:14.239 --> 00:40:22.639
Um so I mean I somehow actually know I did a podcast a couple weeks ago with with with someone about wearables.
00:40:23.360 --> 00:40:31.519
And the guy said that he's impressed by the fact that Aura Aura correlates 79% with the data from a sleep lab.
00:40:32.639 --> 00:40:35.039
Well, he was unaware that that's actually bad.
00:40:35.280 --> 00:40:41.519
That that you know, that because in medicine we're looking for 95% correlation, not 79%.
00:40:42.559 --> 00:40:50.639
Um but I know from there's a study right now going on at Bailey University comparing our ring to whoop overnight.
00:40:51.599 --> 00:40:54.719
And our device correlates 100% with Whoop.
00:40:55.119 --> 00:40:56.880
Uh, and that's interesting.
00:40:56.960 --> 00:41:05.760
So I I'm I'm I'm actually a call later on today with a sleep doctor who's interested in you know in doing a study, and that would be really, you know, really, really valuable to people.
00:41:05.920 --> 00:41:08.960
So I think there's other information to get out of the device.
00:41:09.280 --> 00:41:14.639
I just can't make strong claims because we don't, we don't, I don't, you know, we don't have the data.
00:41:14.800 --> 00:41:19.119
But I do know that your sexual health is leading indicating your cardiovascular health.
00:41:19.280 --> 00:41:32.159
Um and as to the percentage, I can I can say if you have bad, if you have bad ED data, it's it's close to the correlation is close to 100%.
00:41:32.880 --> 00:41:36.639
If you have good ED data, it doesn't mean you don't have a heart problem.
00:41:36.880 --> 00:41:41.119
I can that's I I don't because I so that's that's the the difference.
00:41:41.519 --> 00:41:42.159
Yeah.
00:41:42.480 --> 00:41:51.280
So at what point is if somebody were having these erectile difficulties that you're talking about where they're not having the erection for as long, right?
00:41:51.360 --> 00:42:02.960
So the blood flow is leaving, how much of that do we absolutely know is vascular, and how much of erectile dysfunction issues are more of a neurological or a psychological problem or another comorbidity?
00:42:03.199 --> 00:42:04.639
Okay, that's that's a great question.
00:42:04.960 --> 00:42:10.719
So um and here's here's what we know and here's what we don't know.
00:42:11.039 --> 00:42:29.119
So I um you know the the current thinking is that erectile dysfunction is um that that uh approximately 50 to 70 percent of the men who have rectile dysfunction have a cardiovascular problem.
00:42:29.920 --> 00:42:31.920
I know that that's not the case.
00:42:32.159 --> 00:42:42.079
Doctors don't know that yet because the big data study that we have, that I can tell you about the data, uh it hasn't been publicized yet, but I but it's there.
00:42:42.239 --> 00:42:55.679
So what uh the the the actu the actual indicate problem is that it's only three to five percent, maybe five percent tops of men who are currently diagnosed having retal dysfunction actually have a cardiovascular problem.
00:42:55.920 --> 00:43:02.559
And that's because we grouped together these two categories of men that don't belong together men who can't get it up and men who get up and lose it.
00:43:02.800 --> 00:43:09.039
Um that's the big number.
00:43:09.199 --> 00:43:23.440
Um the we do know that there are medications that the antihypotensis and depressants have a negative impact upon cardiovascular, upon sexual health.
00:43:23.679 --> 00:43:26.639
But we don't, it's dose individual related.
00:43:26.800 --> 00:43:35.519
That's where the device is really valuable because there are there are guys out there who can pop SSRIs and take beta blockers, and their dick continues to function really well.
00:43:35.679 --> 00:43:46.000
And then there are guys out there who start taking those pills, and their erections go from a 10 in hardness to a seven hardness, and the nocturnal erection duration goes from 45 minutes on average to 20 minutes on average.
00:43:46.159 --> 00:43:54.639
So that that's the power of the device because it it allows people to assess their own sexual and cardiovascular health objectively.
00:43:54.960 --> 00:43:59.599
The um there are I'm but I do want to say that there are men obviously who have.
00:44:00.079 --> 00:44:05.760
Good erectile nocturnal erection parameters who do have a heart problem.
00:44:07.760 --> 00:44:13.039
But we also know that at the same time that if those numbers go down, you got a heart problem.
00:44:13.119 --> 00:44:14.639
But now the device is telling you you have a heart problem.
00:44:14.719 --> 00:44:17.519
It's not a, it's not, it looks, it's like your blood pressure cuff.
00:44:17.599 --> 00:44:20.159
I I you know you can have normal blood pressure, still have a heart attack.
00:44:20.239 --> 00:44:28.320
You know, so it's just that's just you know, you can have normal Apple B, normal lipoproteins, normal electrocardiogram, uh, and even get a normal stress test.
00:44:28.400 --> 00:44:29.840
I mean, and still have a heart attack.
00:44:30.000 --> 00:44:34.159
But that doesn't mean you shouldn't get the screen tests because we're looking for signals in the screen test.
00:44:34.239 --> 00:44:36.000
They're just not 100% predictive.
00:44:36.239 --> 00:44:36.880
Yeah.
00:44:38.639 --> 00:44:40.000
This is also fascinating.
00:44:40.159 --> 00:44:43.840
I have so many more questions I want to ask you, but I know we're getting closer to our time.
00:44:44.079 --> 00:44:44.239
Yeah.
00:44:44.480 --> 00:44:45.599
Um I got five minutes.
00:44:46.639 --> 00:44:46.960
Okay.
00:44:47.119 --> 00:44:50.559
Well, what is one thing you want listeners to take away as we wrap up?
00:44:52.239 --> 00:44:53.920
Here, I'm gonna give you three things, okay?
00:44:54.000 --> 00:45:00.719
Um is the first is we are developing this year at the Clitique, the world's first model of health perclitoris.
00:45:00.880 --> 00:45:21.679
We're going to deliver to women commercially by certainly by March of next year, the ability to have a smart wearable that goes in and out of the vagina, be worn overnight, one during sex, which they'll be able to measure the impact of diabetes, hypertension, atherosclerosis, medications, and women take what medications that men do upon their sexual health.
00:45:21.840 --> 00:45:30.960
Women, post-menopause of women will be able to optimize their HRT and their testosterone because they'll see I would I want they what's the goal?
00:45:31.119 --> 00:45:37.280
We one one of the goals is we women want to be wet and they want to be more responsive as they go through go through menopause.
00:45:37.440 --> 00:45:43.920
Well, right now your hormones are being prescribed on a generalized one-size-fits-all basis and come back in three to six months.
00:45:44.000 --> 00:45:48.639
Now you'll be able to see what men can do, which is this dose is not working for me.
00:45:49.119 --> 00:45:52.880
You'll see you'll see you'll see it right away because you're not gonna see you're not gonna see the blood flow in the clitoris.
00:45:53.119 --> 00:45:55.199
Uh um, so that's coming.
00:45:55.360 --> 00:46:02.480
Uh, but the other the other two things are if you're a man over the age of 45 or 50, you should get your sexual health data.
00:46:02.559 --> 00:46:04.800
You should put a ring on it and get your data.
00:46:04.960 --> 00:46:07.199
You what you're gonna want it as a baseline.
00:46:08.000 --> 00:46:09.360
Uh if if it's normal.
00:46:09.440 --> 00:46:14.880
And if it's not normal, it's be nice to find out when you're 45 rather than have a heart attack when you're 55.
00:46:15.280 --> 00:46:26.639
And the second, the third thing is all men, whether you have VD or don't have VD, you can optimize your performance and your pleasure and your partner's pleasure with an ration ring.
00:46:28.079 --> 00:46:29.199
So don't be afraid of them.
00:46:29.440 --> 00:46:30.559
Don't be afraid of them, yeah.
00:46:31.280 --> 00:46:31.679
Good point.
00:46:31.840 --> 00:46:33.599
And women need to encourage men to use them.
00:46:33.679 --> 00:46:40.320
I mean, part of the problem is, I'm talking to men, a lot of men, and post-customer consultant services, men are embarrassed.
00:46:40.559 --> 00:46:43.199
Women today are not embarrassed use of vibrator.
00:46:43.519 --> 00:46:45.840
Maybe on the first date, but they're not embarrassed to use a vibrator.
00:46:45.920 --> 00:46:47.280
They're just they're just they're just normative.
00:46:47.440 --> 00:46:51.920
And I know my daughter, and my daughter's generation, that when she's 30.
00:46:52.239 --> 00:46:55.119
Um, they you know, she before she got married, she take them on dates.
00:46:55.199 --> 00:46:59.280
You know, it's just they're just and her group, they're not they're just normalized.
00:46:59.599 --> 00:47:05.280
Uh and men need to open their up their minds about rings, but women need to as well, too.
00:47:05.519 --> 00:47:09.840
I mean, you want you got you want you got to perform, put a ring on him.
00:47:12.159 --> 00:47:12.639
Might as well.
00:47:12.719 --> 00:47:13.360
Why not?
00:47:14.480 --> 00:47:15.920
Well, I've really enjoyed this.
00:47:16.000 --> 00:47:17.519
Where can the audience find you?
00:47:17.840 --> 00:47:18.239
Sure.
00:47:18.400 --> 00:47:23.440
You can find us at myfirmtech, my f I r m t ch dot com.
00:47:23.760 --> 00:47:29.599
You can click on the science section, go click on research, and you can see all the research that's being done with with the technology.
00:47:29.840 --> 00:47:35.119
You can reach me personally at ellioty-l-i-o-t at myfirmtech.com.
00:47:35.679 --> 00:47:35.920
Okay.
00:47:36.079 --> 00:47:36.559
Thank you so much.
00:47:36.800 --> 00:47:38.400
And Instagram, myfirmtech.
00:47:39.119 --> 00:47:39.840
It's a web.
00:47:40.320 --> 00:47:41.920
We're on Instagram too, myfirmtech.
00:47:42.079 --> 00:47:42.159
Oh.
00:47:42.400 --> 00:47:43.119
And LinkedIn.
00:47:43.599 --> 00:47:46.559
Yeah, I'll link everything in the description on YouTube as well.
00:47:46.800 --> 00:47:47.440
Excellent.
00:47:47.679 --> 00:47:48.079
Yeah.
00:47:48.400 --> 00:47:50.000
Thank you so much for listening.
00:47:50.079 --> 00:47:52.239
I hope you enjoyed this conversation.
00:47:52.480 --> 00:47:57.760
If you found it helpful, please like and subscribe or share it with someone else who might find it interesting.
00:47:58.000 --> 00:48:05.840
You can always reach out to me, leave a comment, or find me on Instagram at Health Recoded Podcast if you have any questions or any topics that you want covered.
00:48:06.079 --> 00:48:08.320
Thanks for listening, and I'll see you guys next week.