Episode Transcript
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(00:05):
Hello and welcome.
.999This is Intimacy After, a podcast for mature women facing intimacy issues from various causes.
Please know you are not alone.
It is time to stop suffering in silence.
On this podcast, we give hope that through practice of simple steps and proven tips, you can improve intimacy and resurrect your love life.
(00:33):
Break free, learn to laugh again, to play again, to be happy, to love and know that you are loved.
I am your host, Queen.
Come on inside.
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Hey sister friend, welcome inside to another episode of intimacy after.
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I missed you last week.
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My voice was just not behaving, but I'm back.
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There's been some reference to erectile dysfunction, also called ed.
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In my past podcast and a few questions regarding partners who are affected by ed also came to light.
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So today we're going to navigate the waters of erectile dysfunction and how it impacts.
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Both partners in the first couple of podcasts, I reviewed how I became interested.
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In this area of intimacy after.
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Various life changes.
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As a radiation oncologist.
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That's a physician who treats cancer with radiation.
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In follow up with my female patients, they mentioned how they felt left out regarding intimacy in the post cancer survivorship setting.
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There have been commercials in support of men regaining their stamina.
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Regaining their identity and functionality.
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The focus appears to be on how the male counterparts feel when they are.
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Unable to perform.
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An able to satisfy self and or others.
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But what about the female partners? It may or may not be an issue again.
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Depending on the baseline of your relationship.
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How, however, that's not to say that things cannot change for better.
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If facing erectile dysfunction, ed, there may be opportunities to explore together as a couple different and various ways.
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Of intimacy.
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That may benefits.
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You also sister, friend.
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Is it possible to have an interest in the outcome of treatment for erectile dysfunction as a female? Is it selfish to want more? Before going any further, let's have a basic understanding of what ed actually is because there's been some finger pointing and some concept that's proven to be just not true.
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So we have to just step back a little bit before we get any deeper.
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Have you ever had that talk though? Like how to chat with your mates about what erectile dysfunction.
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E D actually is, there are lots of information out there, but it's time to bring it in and talk about what ed is and how it affects, not just him, but also you.
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So what exactly is erectile dysfunction? Before we talk about that.
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Have you ever considered how the penis actually function? I know, right.
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We are going to go back to this anatomy 1 0 1 before we can talk about.
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The blame game or how this happened or who's at fault, we need to know.
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Well, how does a penis actually become erect? Let's talk about this, the common and easiest way that I typically explain to my male patients when discussing the effects of cancer treatment.
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On the erection function.
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Is that there are two parts to have an interaction.
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One, there are nerves that run on either side of the prostate, to the penis that is responsible for waking up the penis.
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If you will, when aroused.
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It remains flacid.
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Secondly, the blood then flow into the penis to make it firm enough for intercourse or interaction.
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So that means anything that affect these major players will therefore affects erection and lead to dysfunction.
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That is the nerves, the blood vessels curvature of the penis itself, et cetera.
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Erectile dysfunction then occurs when someone has trouble getting are keeping an erection firm enough for sexual activity.
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It's a common issue, especially for men as they get older.
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But it can happen to any male at any time for a multitude of reasons.
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There are several common causes of ed, which typically categorize into physical, psychological, and some others due to lifestyle.
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Nothing in these common causes include you, my sister friend, because this is a physical thing.
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You are not to blame, but let's talk about some of these, right? Let's determine which category your mate is in.
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It could be more than one category as well.
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I'm going to cover like the three most common umbrella things that's, uh, can affect your mate.
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So we have physical causes and this include problems with blood flow nerves.
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Or hormones.
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Conditions like high blood pressure, which is very common heart disease, which is also very common diabetes.
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To common and obesity that is on the rise can all make it more difficult to have an erection because they affect blood circulation.
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So again, there are certain building blocks that causes an erection.
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What are those building blocks? And when those building blocks are affected, What, and how does it manifest when it comes to erectile dysfunction? The other thing too, is mental health, which plays a big role in E D and is bundled in psychological causes.
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So when we talk about stress, anxiety, depression, and even relationship problems.
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Can interfere with how brain sends that signal body for sexual activity.
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So if any of those things is affecting mind, Then mind is not connecting to say, Hey, get aroused, have an erection.
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Let's play here.
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This has been depicted and some movies.
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If, you know, a couple is in a sexual situation, and let's say this young man is overly overjoyed.
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That is finally getting to meet this lovely lady.
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And in his excitement.
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The pressure for performance become an issue.
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And the male is unable to achieve an erection due to that stressor.
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And this is shown in the movie as, you know, the guy being embarrassed by the lack of the ability to function, but eventually that comes around and he settles down, et cetera is the same thing that can be going on in some of our mostly younger males when they're having these.
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Psychological issues that's affecting their ability to function.
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Then they're also lifestyle factors, which include such choices as smoking, too much alcohol using drugs or not getting enough exercise among other things that can lead to and cause problems with erection, right? These habits can hurt your mate's body's ability to have that healthy blood flow or affect the hormone levels.
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And this is going to manifest has an ability to have that erection necessary for penetration and sexual function.
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Understanding these causes helps people and can help you find the right treatments or changes they can make to improve the situation.
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No one likes to feel like they are alone when going through any issues.
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So though many prefer not to discuss this topic, it is important to realize just how common this condition truly is for my international listeners, global prevalence of erectile dysfunction.
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Is estimated to be over 150 million worldwide.
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Which is expected to double by 2025.
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Some of you may not be good with numbers or like numbers, but when you hear 150 million and you are one that goes to show how common it truly is.
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In the United States, about 13 million men are affected by erectile dysfunction.
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For age-related prevalence of ed men in their forties, around 40% of them experienced some form of erectile dysfunction.
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That's a lot of men facing these issues.
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Yes.
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Approximately 40% of men in their forties, like, wow.
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Unfortunately, the numbers continue to increase with age.
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And so plus, or minus a few percentage, but men in their sixties, about 60% of them are having issues.
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Men age 70 and up, up to 70% of them are facing erectile dysfunction in some capacity.
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To bring it down to, um, easy to understand term if you know, 10 men who are in their seventies.
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Seven or more of them having problems with erection.
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So.
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It's a big deal.
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Right.
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A room full of men in their forties.
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Four out of 10 of them are ready, starting to have issues.
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So the numbers may be startling to some, especially if you're listening and you're not currently facing any such issue.
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I recommend you enjoy your mate.
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For as long as you can.
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Oh boy.
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Got to have fun with this is a serious matter, but it's not all on you.
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With such startling numbers and starting as early as in the forties, many couples are facing erectile dysfunction issues.
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And it may be that each of you just go to your own corner, not acknowledging or addressing the issue.
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Right.
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Oh, that's his issue or his problem.
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You may be thinking, but you will find that he may just be urine in.
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To talk to you about it and find out how you may feel about erectile dysfunction.
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It may matter greatly to you, or it may not.
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But one thing is for sure it matters immensely to him.
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Talk about it.
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Another thing I found out too, was that, uh, there are some men who are so embarrassed and not wanting to talk about it, that they will abstain from sexual intercourse.
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They will abstain from touching you.
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So you don't know what's going on.
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You have to talk to him about what's going on.
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Do say something like, Hey, babe.
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It's been a week.
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A month, two months, six months a year.
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What's going on.
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Are you experienced in erectile dysfunction? Uncomfortable conversation.
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I know, but it's conversations that need to be had.
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Because of this erectile dysfunction can significantly impact your relationships and intimacy through many ways.
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Let's talk about a few here.
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The emotional strain of the elephant in the room where couples often experience stress, frustration, and a decrease in sexual satisfaction, maybe.
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When y'all first got together, it was toe curling, great sex and everything was fantastic.
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And the ripping off of the clothes, then it became so, so.
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And then non-existence or.
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War.
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It may have been.
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So, so in the beginning, Or non-existent to begin with.
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Regardless of where you were erectile dysfunction can lead to decrease intimacy.
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And decrease emotional connection between you and your mate.
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Sometimes the decrease in connection is purely because of his self-consciousness about the issue.
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For some of my more seasoned listeners.
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Who are in their seventies and eighties, you may have.
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Been through a relationship before and is now on your second or third marriage and you have made it known that, okay, I'm in this relationship.
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Just for companionship, right? Sexual intercourse is not required.
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However, keep listening because I will get into.
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Portions of intimacy that may not include intercourse.
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So even though you're having this friendship, Holding off the hands may be all you want.
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But.
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It could get a little bit better.
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Keep listening.
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Another thing though.
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Is that communication challenges can become even more magnified June this time of sexual issues due to erectile dysfunction.
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Some couples may avoid discussing the issue, which can exacerbate feelings of isolation or misunderstanding, and sometimes the smallest thing.
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The smallest issues or misunderstanding may get blown out of proportion simply because of the underlying erectile dysfunction problem that he may be facing, then that you may or may not be aware of.
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I may be wrong, but there is nothing worse than being in a relationship and feeling isolated from your mate.
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For my younger listeners or for those who are seeking to find their soulmate.
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I have to pause right here and let you know, I don't believe in soulmate.
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I am my own soulmate and my hubby is the whipped cream and cherry on top.
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One thing I know for sure is that you have to be okay with yourself first, before being able to build a relationship.
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It's foundational.
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But that's for another podcast.
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All that to say what you already know.
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The relationship and bond in a marriage is very important.
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You are doing life with another human in close proximity.
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It matters.
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If not discussed and attended to.
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Erectile dysfunction can lead to relational breakdown.
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In some cases, ed can lead to reduce quality of life.
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And if left on treated like a disease like cancer.
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It will contribute to relationship conflicts or even separation and death of a relationship through divorce.
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Uh, therefore sister, friend.
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Treatment is important and treatment typically include counseling.
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Some level of self realization.
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Hers.
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Open communications are critical and a good start to address in this erectile dysfunction issue and its effects.
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On intimacy.
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The emotional impact on her, on you.
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Is often overlooked ed can have a profound, emotional impact on the female partner in a relationship and many women like yourself.
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Makes appearance feelings of rejection.
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Self-blame.
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And even insecurity.
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You may wonder if you are no longer attractive or if you did something wrong to cause your partner's difficulties.
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Yes, sadly, I have heard it all.
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And sometimes it's all because of ignorance.
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Right.
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And ignorance implementing because he doesn't know what's causing this.
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So.
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He may blame you because you gained weight.
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You may have cut off your hair or some other change that is different from when you first met 10, 15, 25 plus years ago.
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Like.
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C'mon now.
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That is on a susceptible to use that as some kind of gauge as to why he may be having erectile dysfunction.
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I typically remind some of my patients that the only thing constant.
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Is change.
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And that includes the human body as well.
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But these thoughts of blame can lead to a sense of inadequacy and affair that the relationship may deteriorate as one woman shared.
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I couldn't help, but feel it was my fault.
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I thought he was no longer attracted to me and it hurt deeply.
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Sister friend, if he's staying away.
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It could be for multiple reasons.
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And that won't go into that.
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We're all detectives at heart.
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But if all else fails, just start with the anatomy.
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Just start with the basic, could it be erectile dysfunction? Right.
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And remember his function is not.
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Based on you.
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That is why this information is so very important for you to understand the mechanics of his erectile dysfunction.
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It is outside of you.
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It is not caused by you.
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Though I have heard the ridiculous argument of blame saying that well, he had diabetes and other health issues because she cooks that type of food for him.
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Isn't that the most ridiculous thing ever blaming someone else based on the food that was prepared with love.
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Instead of blame.
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How about shopping together or watching a documentary about healthier food options? For some of us, and yes, I said, us purposely, the food we eat is culturally ingrained.
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How do you talk away? Someone from their barbecue ribs or a double cheeseburger with bacon and fried chicken and jerk chicken and Lavon Mia.
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And you can add your favorite to the list and don't even go to the desserts, right? Nevertheless, I'm not sure how even to address that ridiculous blame game.
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She cooked the food.
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Oh boy.
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What do you think? Are you to blame? What is a good way to address this issue? Leave me a message would love to hear your input.
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Well, sister friend, this may sound foreign to you, but it is possible to rekindle intimacy beyond the usual.
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So let's dive into something sizzling that doesn't require a single bedsheet acrobatic move.
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I see you out there past cheerleaders in gymnast, you can keep the Palm pumps though.
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They may come in useful.
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Yep.
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We're talking about rekindling intimacy beyond the old, in an ultra routine.
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Who knew there was an entire universe of closeness outside traditional bed hopping or whatever it was for you living room hopping, kitchen hop in.
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Backseat of the car hopping airplane upping.
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Uh, I'm hoping that you were having fun when you were hopping first up.
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Let's chat about touch.
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Not just any touch, but the kind that makes your heart do a happy dance.
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Imagine a central game of tag with massages or a deep dive into tantra.
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Turn in your living room into a Zen zone.
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It's not just about where you touch, but how you make the other person feel.
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It's pretty much the adult version of coloring inside the lines.
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Now.
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If you're into more active bonding, why not chat? Chat? Your way into a tango lessons or robe out the yoga mat for some interesting position.
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Why did they name that position? Downward dog.
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I always wonder.
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I never saw a dog doing yoga.
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Have you? Growing up common.
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Compensation here.
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Okay.
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So.
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Let's go to the kitchen.
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Cooking a spice.
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The dish together might sound cliche, but the playful banter over who chops the tomatoes or the carrots or the salary better is priceless.
240
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And you get to taste, test your teamwork.
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And here's a fun fact from another sex therapist.
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Intimacy doesn't need a GPS that points only to the bedroom.
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As we previously talk about hopping around.
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Dive into sensory delights, like feeling the warmth of each other's skin, getting intoxicated by your partners sent.
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Listening to each other's heart beat or even indulgent in an intense.
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No blinking allowed.
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I gaze in competition.
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Trust me the giggles you'll share.
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Try not to blink.
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We'll connect you in ways you never saw coming.
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It's just share.
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Joy.
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It's playful and it's fun.
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Right.
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These playful ventures into the realm of intimacy, help you discover those little islands of connection that aren't reliant on.
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Anyone's plumbing, working flawlessly.
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So erectile dysfunction won't even come into the ploy or is an issue.
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Think of it as a treasure hunt for the census where the real prize is discovering new facets of each other.
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Now.
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In these playful.
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Engagement and endeavors.
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There may be a time or two where something may not be quite pleasant.
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You know, just.
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Simply say, whoa.
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Oh, oh.
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That's not going to work, honey.
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That's not gonna work and then try something else.
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Never tried to make it too uncomfortable for too long and make it a playful banter.
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So the moment will just pass and you move on to something else.
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These shared experiences, not only cultivate a sense of partnership, but also evoke a playful aspect of intimacy that often gets lost in the routine of daily life and phone calls and work.
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And.
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Everything else.
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And it brings you together in a way.
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That is unbelievable.
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And the bonds just get tighter.
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Embarking on a journey of exploration together identifies unique preferences and desires that don't necessarily depend on erectile function.
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Ultimately though sister friend, ultimately these creative detours, aren't just a work around.
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They're a celebration of your relationships, depth and diversity.
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It's about layering, the connection with laughter and tenderness and a dash of curiosity.
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By embracing these adventures, you're signing up for a journey.
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That's as much about enjoying the ride as it is about reaching.
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Any particular destination.
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So.
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Put on your explorers, hats.
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And get ready to uncover new territories of love, fueled by Umer and genuine connection.
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Wrapping it up.
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Folks.
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Let's talk about being a dynamic duo when things get tricky.
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If erectile dysfunction is crashing your party, it's crucial to TAC team with medical professionals in this area to uncover what's really going on my disclaimer.
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Again, I'm a radiation oncologist by trade.
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So while I may treat sexual dysfunction caused by cancer treatment, this is not my primary specialty.
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I do like my male patient cancer survivors to follow up with specialties in that field urologist, they can do much more than I can.
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I'm limited to pills and suggestion of various pumps, et cetera, but they can go deeper.
294
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They can talk about the various mechanics of things and they can discuss various pumps and then graduate to injection at the base of the penis.
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Just before intercourse.
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Yes.
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The needle is super fine though.
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Like super, super fine.
299
00:27:05,684.4784581 --> 00:27:06,704.4784581
It's like a wire.
300
00:27:07,184.4784581 --> 00:27:09,704.4784581
I've been told it doesn't really hurt much.
301
00:27:10,484.4784581 --> 00:27:18,804.4784581
Implants among other treatment modalities, ladies, please, please go to these appointments with your mates.
302
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At least the initial appointment that will discuss the treatment plan so that, you know, if this doesn't work, if the pill doesn't work, then you can try another type of pill you made changed the frequency.
303
00:27:30,414.4784581 --> 00:27:56,44.4784581
Or then you may go to the pumps and when should you introduce injections and all these other things? And the thing about this also is you have to be aware of other illnesses and other comorbidities, right? So if heart attack, was present in the past, then you may have to talk about, well, what's a better dose to start to test it, because that was a big fair of some of my patients.
304
00:27:56,44.4784581 --> 00:27:56,314.4784581
Right.
305
00:27:56,314.4784581 --> 00:28:01,864.4784581
Because when you were taking these medication, let's say high blood pressure medication.
306
00:28:02,134.4784581 --> 00:28:08,624.4784581
And their blood pressure is already low redirecting some of the blood to the penis can cause them to have.
307
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A single pole event that is to think.
308
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So you want to do these sexual, um, fixes and treatment based on the overall big picture of what it is that your mate is going through.
309
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Additionally, why you need to go.
310
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I found out most of men tend to fib on their true functionality.
311
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You know, I may have a 60 year old male saying that they're functioning as though they're 21.
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Oh, we know that's not true.
313
00:28:41,74.4784581 --> 00:28:50,24.4784581
Oh, so how do we know this? There is a questionnaire that is typically given to our male patients.
314
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And you can do an internet search and go over this with your mate as well.
315
00:28:55,994.4784581 --> 00:29:05,24.4784581
It's called shim, S H I M, which stands for sexual health inventory for male.
316
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And this will give you an idea of the questions that your mate will be asked.
317
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To make it even more fun.
318
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You can have fun with this too.
319
00:29:13,384.4784581 --> 00:29:23,994.4784581
You know, you can print out two copies and let him fill one out where he thinks he is and you can film one out to see where you actually think he is.
320
00:29:24,294.4784581 --> 00:29:28,134.4784581
And that will foster a discussion as well.
321
00:29:29,14.4784581 --> 00:29:29,374.4784581
Right.
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00:29:29,554.4784581 --> 00:29:33,274.4784581
So there is lots that you can do sister, friend.
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To be a part of.
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Note in the diagnosis of ed and being a part of the treatment.
325
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Process for him without it being a bitter sad.
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Journey.
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You can make this where it's a process that you can come together and grow closer with your mate.
328
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Sister friend.
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You need to do.
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What you have to do to assemble your eighth team to tackle the mystery that is erectile dysfunction.
331
00:30:06,114.4784581 --> 00:30:17,364.4784581
You may also consider entering couples therapy and sex therapy where a little professional guidance can help you both navigate the emotional twists and turns with some finesse.
332
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It's like having a GPS for your relationship, ensuring you stay on course without detours into frustration town.
333
00:30:26,4.4784581 --> 00:30:29,964.4784581
And even if you get a little bit frustration, it's okay to take a break.
334
00:30:29,964.4784581 --> 00:30:33,414.4784581
I'd say, you know what? I think we're getting a little frustrated here.
335
00:30:33,414.4784581 --> 00:30:45,864.4784581
How about we try again? Tomorrow or let's take a break, let's go for a walk together and let's do this again next week or whatever timeframe you want to agree on, but don't let it be.
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Pushy and cause frustration.
337
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Sometimes you have to take baby steps in these arena and Hey, you're not alone in this right.
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There are resources out there.
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Ask your primary care provider for recommendations.
340
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Be careful off the internet searches out there, please.
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Ladies.
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No.
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No sort of remedies can be done to you to treat his erectile dysfunction that bears repeating right.
344
00:31:19,54.4784581 --> 00:31:34,534.4784581
It's not you, ladies is something mechanical going on with his body, so you can take the potion and also be careful about the types of potion and stuff he's introducing into his body to try and.
345
00:31:35,134.4784581 --> 00:31:44,614.4784581
Be functional again, you know, I'm from the Caribbean and they have all sorts of what I call folklore and tales and some swears by it.
346
00:31:44,614.4784581 --> 00:31:46,234.4784581
And some say it doesn't work.
347
00:31:46,474.4784581 --> 00:32:02,44.4784581
You know, the Irish Moss and the, what was it? The cow for? And, you know, there's all these things out there and the gensy that's supposed to give virility and stuff to men, but.
348
00:32:02,44.4784581 --> 00:32:06,514.4784581
Be careful about certain things that you use, everything natural.
349
00:32:07,474.4784581 --> 00:32:09,334.4784581
Isn't all natural.
350
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That is to say even natural things have side effects as well.
351
00:32:15,194.478458 --> 00:32:22,514.4784581
I know while I was at Walter Reed, the center for prostate disease and research, they had a sexual function review for men.
352
00:32:22,814.478458 --> 00:32:32,744.478458
Like monthly, not only just for prostate cancer, but also for other seeking education and on what can be done for treatment of erectile dysfunction.
353
00:32:33,194.478458 --> 00:32:46,844.478458
Don't know if they still have it there, but I imagine there are other hospitals, other urology offices, and other such services available out there where they actually talk about things like this and talk about.
354
00:32:48,74.478458 --> 00:32:49,214.478458
Proven treatment.
355
00:32:50,594.478458 --> 00:32:53,744.478458
I again, I go back to, you know, back home in the Caribbean rehab.
356
00:32:53,774.478458 --> 00:32:57,764.478458
All these things and I'm sure some of them work, but I don't know which one works.
357
00:32:57,764.478458 --> 00:32:59,54.478458
So don't ask me.
358
00:32:59,864.478458 --> 00:33:02,114.478458
Which one works on which one does it? Right.
359
00:33:02,294.478458 --> 00:33:03,464.478458
Just be careful.
360
00:33:03,644.478458 --> 00:33:15,864.478458
And especially if you're on medication for other things, sometimes some of these roots and Herb's, and things can affect the level of the medication in your bloodstream.
361
00:33:15,864.478458 --> 00:33:16,854.478458
That's required.
362
00:33:16,854.478458 --> 00:33:18,384.478458
That's another dangerous thing.
363
00:33:18,654.478458 --> 00:33:23,214.478458
So you gotta take care of your temple or help your may take care of their temple.
364
00:33:23,484.478458 --> 00:33:28,134.478458
Right? I keep saying you just in case there are some male listeners in our welcome.
365
00:33:28,464.478458 --> 00:33:29,574.478458
All listeners.
366
00:33:30,444.478458 --> 00:33:38,574.478458
Be careful, not everything purported on the internet to work, to solve all sorts of mysterious stuff.
367
00:33:38,634.478458 --> 00:33:39,594.478458
Actually work.
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Just be knowledgeable of the things that you are doing.
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Talk to your primary care physician okay.
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Well, we have covered a lot today.
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So if this podcast was informative and you enjoyed it.
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Please share with others that may benefit and consider a five-star rating on your platform of choice so that others may find this useful information and benefit from it as well.
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Again, Remember when it comes to erectile dysfunction.
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Keeping communication open ensures.
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You're always on the same page.
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Ready to tackle, whatever comes your way.
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Hand-in-hand.
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And heart to heart with your mate.
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Stay connected.
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And keep exploring with love.
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Well, sister, friend, I know you have choices, so I thank you for tuning into Intimacy After podcast.
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You may subscribe for bimonthly alerts or stay in the know by visiting my website@queenquanta.com.
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That's Queen Q-U-A-N-T a.com.
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Until next time, remember, a life without Intimacy is like your favorite meal without salt.
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Ladies, let's spice it up.
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Life is beautiful, and God is awesome.
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This is Queen, signing out.