August 16, 2023 • 21 mins
In this episode, Dr. Mistry and Donna Lee are joined by NAU Urology Specialists’ own Dr. Christopher Yang to discuss the underlying causes of erectile dysfunction and how responses to ED symptoms and treatments vary amongst their patients. For men who want to know why ED is happening to them, we offer in-depth evaluations such as blood work panels to check hormones, ultrasound imaging that tests blood flow, and physical evaluations to measure any build up of scar tissue. Our holistic approach also includes screening for conditions like hypothyroidism, sleep apnea, and mental health issues. Finally, our providers work to ensure that patients are taking their medications properly and that drug interactions aren't at the root of unwanted symptoms. Whether your ED is new or you’ve suffered for years without knowing why, our team at NAU Urology Specialists can help you find both answers and effective treatment today!
Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot
Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.
We enjoy hearing from you! Email us at armormenshealth@gmail.com and we’ll answer your question in an upcoming episode.
Phone: (512) 238-0762
Email: Armormenshealth@gmail.com
Website: Armormenshealth.com
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Speaker 2 (00:09):
Welcome back to the Armor Men's Health Show with
Dr. Mystery and Donna Lee.
Speaker 3 (00:15):
Hello and welcome to the Armor Men's Health Show.
This is Dr. Mystery , yourhost, board certified urologist
all around. Great guyhere with my awesome, great
gal, Donnel Lee .
Speaker 4 (00:26):
I'm gonna get you an , an actual horn so you can
toot
Speaker 3 (00:28):
It. I'm going to toot my own horn.
Speaker 4 (00:31):
. Thanks for
listening to the show,
everybody.
Speaker 3 (00:32):
Well, I'm married, so I'm gonna have to do that
myself. Hey, , this isMen's Health Show. I'm a board
certified urologist, and thisshow is brought to you by the
practice I started in 2007 N au Urology specialist. Donna, we
are really growing showing. Whydon't you tell people about our
practice?
Speaker 4 (00:50):
We are all over the place in central Texas. If
you're on the other side of thecountry , um, you can still fly
to see us. We're in Round Rock,north Austin, south Austin, and
Dripping Springs , Texas. Ourphone number, as you've
probably memorized by now, 5 12 2 3 8 0 7 6 2 . See how I
slowed that down? And ourwebsite, armor men's
health.com, where you can seeour shiny faces and send your
(01:10):
questions that will answeranonymously. Due to
Speaker 3 (01:12):
Having some excellent new providers, our
wait times have decreasedsubstantially. So if you're out
there waiting to get avasectomy, waiting to get your
testosterone checked, waitingto get your erectile
dysfunction fully evaluated, wewould love to see you as a
patient. You can feel free tocall us, email us. Uh, and we
would love to give you , uh,answers about , uh, your
(01:34):
questions here on the radio.
We'd love to engage with our ,uh, patients and give you a
holistic type of experiencewhen it comes to your urologic
care. We are joined today byone of my favorite people, Dr.
Christopher Yang, one of thepartners at N A U Urology
Specialists, Chris Yang, thankyou for joining us today, and
Speaker 5 (01:50):
Thanks again for having me. We
Speaker 4 (01:51):
Never get to see him.
Speaker 3 (01:52):
So I know ,
he practice South Austin . We
practice all pro other places.
So , uh, Dr. Yang practices atour South Austin clinic
predominantly, although it doescome up north. And , uh, Dr.
Yang, maybe you could tell ourlisteners kind of a little bit
about where you train and whatthe nature of your fellowship
was. Yeah ,
Speaker 5 (02:06):
Sure. So I did my medical school in the great
city of Galveston, Texas. Oh .
Uh , pre , uh, hurricane,knocking down the great city.
Oh. After that, I did myresidency in urology in Chicago
at University of Illinois. Andthen after that, I did a sexual
medicine fellowship inUniversity of South Florida,
helping the great people ofTampa, Florida.
Speaker 4 (02:27):
The retired people be
Speaker 3 (02:28):
Great again. Yeah.
You
Speaker 4 (02:29):
Know, there's a whole documentary about retired
people in the Floridacommunity, and it's like really
dirty. Oh
Speaker 5 (02:35):
Boy . Yeah . And they, you know, all of them,
they, they want , uh, theirerections fixed and that's,
that's how I trained. So
Speaker 4 (02:41):
It's the s t d capital or something of the
country. Yeah . Yeah.
Speaker 3 (02:44):
So, you know what , uh, I've been really fascinated
by , uh, over the years, Chris, is how men are different in
how they respond to erectiledysfunction. Sometimes you'll
find a young guy that's notbothered at all, and sometimes
you'll find an old guy thatwakes up one day and is like
(03:04):
completely befuddled that hiserections don't work, and he's
like 82 years old. And those,those are some of my favorite
ones. The young guy who doesn'tcare about erectile
dysfunction, those guys arehard to convince that they
should care. But the 70, 82year old guy that's like Dr .
Misery's an emergency, I , Idon't know what happened. I
tried to have sex, it didn'twork. And I'm like, are you
sure you have a properunderstanding of, of like, of
(03:25):
like aine physiology, how sexworks?
Speaker 5 (03:27):
Who are you to tell an 82 year old that they
shouldn't have?
Speaker 3 (03:30):
I'm , I'm no one.
I'm , I told you they're myfavorite patient. I'm here .
I'm here, I'm here to makeAmerica great again, .
So , uh, maybe you could gimmesome insight into like why you
think, you know, different menrespond to, you know , or, or
value their erectionsdifferently. Um, you know,
Speaker 5 (03:46):
I think it's kind of , uh, it goes into a little bit
what, what you were talkingabout earlier is, is there
there situation, you know, somemen that are married for 20, 30
years, they, they could careless. Mm-hmm . ,
some people , some men that aremarried for, you know, 20, 30
years, they still have sexevery day and they mm-hmm.
. And if they'renot able to get an erection,
then , uh, then it's the end ofthe world. So I think a lot of
(04:07):
it goes into what we , uh,another condition that we treat
is low testosterone, meaning,you know, men need to have that
drive, that that urge, thelibido to want to have
intercourse. Mm-hmm.
. So, you know,we definitely see a lot of
young men who have low libido,who have low testosterone, who
aren't interested. You know, wesee old men who have like great
(04:28):
libidos , um, and we can help,you know, evaluate if they have
any issues with testosterone,if they have low libido.
Speaker 3 (04:36):
So in the same way that men are, you know,
differently affected byerectile dysfunction, we get
men who have a different levelof interest in figuring out
what's wrong. That's theunderlying condition for their
erectile dysfunction. And soanyone can treat erectile
dysfunction, and a lot ofpeople , uh, can even go online
(04:57):
and speak to a teledoc to getmedicine for erectile
dysfunction. But , uh, toooften men actually want a next
level kind of evaluation. So,you know, if, if, if you had a,
let's say a 30 year old guy whocame to you with softening
erections and loss of rigidity,what are some next level ? What
, what would be your evaluationfor that patient? What should
(05:18):
they expect from their doctor?
Speaker 5 (05:19):
Yeah, definitely. I think , um, you know, like,
like we were just talking aboutlike hormones, libido,
testosterone, that has a goodamount to do with it. Uh, we
definitely are seeing more andmore younger patients who have,
you know, poor hormones. So,you know, it's, it's pretty
standard. If we don't have likea, you know , definite cause of
their erectile dysfunction thatwe, you know, we check a
(05:41):
hormone panel, make sure thatthere's nothing else , uh,
physiologic going on,
Speaker 3 (05:45):
What hormones should be in that panel. Yeah .
Speaker 5 (05:47):
Typically we would check a testosterone and an
estrogen just because both ofthose affect libido. Then we
check a couple of other onesfrom their brain, you know,
typically the luteinizinghormone , uh, follicle
stimulating hormone, thoseaffect testosterone production
in men. And then prolactin isanother one that definitely
affects libido as well. And
Speaker 4 (06:07):
These are labs that are probably not being checked
at like low T centers, correct?
Speaker 3 (06:10):
Probably not. And probably not , uh, by a primary
care doctor either. Uh, becauseit's so easy just to write a
prescription for a pill , uh,when really what the, what the
patient wants is an answer towhy they're having the erectile
dysfunction in the first place.
So, so you'll do a hormoneevaluation? Uh, I mean, I like
to add a blood pressure and aweight because I think that,
(06:31):
you know, your overall healthcan have a real significant
impact. Um,
Speaker 5 (06:35):
Yeah, definitely.
And then, you know, there'ssome others that, you know, we
as urologists don't treatprimarily, but we can
definitely help evaluate for asfar as, you know , uh,
hypothyroidism, low thyroidlevels , um, sleep apnea. I
know you're really , uh, intolooking into. And then other
things affect erections as faras , uh, other mental health
(06:55):
issues like depression,anxiety, stress, like all of
those can affect it as well.
Speaker 3 (07:00):
There are , there are medicines that patients
take frequently that cancontribute to erectile
dysfunction too . What, whatare some of the more common
ones that you see? Correct.
Speaker 5 (07:08):
Yeah, definitely.
Um, so antidepressants canaffect it , um, for one way or
another. Now, now , that's notto say all antidepressants are
bad, you know, we actually usesome for a different condition
called premature. Patients whohave , um, high blood pressure,
who take medications aimed athigh blood pressure, like all
of those do affect erection.
(07:30):
Now, I'm not saying you shouldstop taking your high blood
pressure medications, 'causehaving high blood pressure can
also cause erectiledysfunction, but that's
definitely something that playsinto it.
Speaker 3 (07:39):
So the most common medicine that I see men taking
that can lead to it are betablockers. Yeah . Like
metoprolol. So if you have afast heart rate , uh, that
could be contributing to it ,uh, I see more and more men
that are taking propanolol Yeah. For anxiety. Yeah,
definitely. And for a nervousstomach. And then they're
surprised that it's causingtheir erectile dysfunction. So
(07:59):
understanding the impact thatyour medicine may be having is
, uh, really important. Sobesides that, what are some
other next level diagnostic edevaluations?
Speaker 5 (08:09):
Yeah, so, you know, one thing that's important to
do that, that we woulddefinitely do in the office is
a physical exam. You know,that's not something you can
get for some of these, theseonline , um, you know,
evaluation clinics. Um, it'spretty important to, to
actually take a feel, make surethat there's no issues with,
you know, structurally thepenis or, you know, testicles.
(08:30):
Um, there's conditions called ,uh, peroni's disease, which is
a scarring disease that canaffect erections. Um, and
that's actually something thata lot of men have , uh, is just
that you don't go out and tellyour buddy about it.
Speaker 3 (08:43):
So when it comes to , um, uh, ultrasounds and other
kinds of tests, what kinds ofpatients are best suited to get
kind of , uh, imaging tests ifthey need it?
Speaker 5 (08:53):
Yeah, so, you know , the , that next level
evaluation is typically a ,it's , it's called a penile
duplex ultrasound. Basically,we do a couple of things. You
know, we take a normalultrasound, images of the
penis, we're looking for scartissue, anything that could
cause pones disease. Um, andthen we actually evaluate the
blood flow. So that doesinvolve getting an erection.
(09:15):
Typically it's an artificialerection that we induce using
medication. It's beneficial forpatients who we think that
might have blood flow issues toactually diagnose it. Um, you
know, and that , and orpatients who have , um,
structural issues that we candefinitely , uh, uh, quantify
the amount of scar tissuethat's there.
Speaker 3 (09:34):
You know, I think that , uh, far too many
doctors, even urologists willroll their eyes when their
erectile dysfunction patientswill kind of ask them, why is
this happening to me? And Ithink that's , uh, you know, a
level of service that , uh,patients deserve to have. So ,
uh, you know , uh, I think aspart of our practice, having an
erectile dysfunction fellowshiptrained expert like yourself is
(09:57):
, um, is an amazing , uh, giftthat we have and a gift that we
want to share , uh, with, withour patients , uh, in this
community. And even for thoselistening from away. So if, if
you ask why you're havingerectile dysfunction and , and
your doctor is rolling his eyesand doesn't seem very
interested about doing a nextlevel evaluation, you know, we
would encourage you to seek out, uh, another opinion. So
(10:20):
Donna, how do people makeappointments with us and how do
they get that second opinion?
Get
Speaker 4 (10:23):
Your second opinion right here at armor men's
health.com. That's our website.
And our phone number is (512)238-0762 . We're in Round Rock,
north Austin, south Austin, andDripping Springs, Texas.
Speaker 3 (10:35):
Hello and welcome to the Armand's Health Show. This
is Dr . Mystery , your host,board certified urologist,
joined by my co-host Donnel Lee. Hey everybody.
Speaker 4 (10:43):
Welcome to the show.
Speaker 3 (10:45):
This show is brought to you by N a u Urology
Specialist. That's the groupthat I started in 2007. We've
now grown to four urologists,one interventional radiologist,
six advanced practiceproviders, two pelvic floor
physical therapists, sextherapist, nutritionists, and a
commitment to taking care ofthe whole you when it comes
from the nipples to the knees.
Speaker 4 (11:05):
Yes. Thank you so much for joining us . .
You normally keep going. He'llcut this out anyway. Yeah, that
sounds great. .
Speaker 5 (11:15):
Thank you.
Speaker 3 (11:16):
This is like making love to my wife, . It
would be really nice if you gota little bit involved.
Speaker 4 (11:20):
Normally you say , Donna, tell us how to get ahold
of her . Anyway, you can reachout to us at 5 1 2 2 3 8 0 7 6
2 . Our website is armor men'shealth.com. I'd like to take
this moment to thank everybodyfor Whitney being in our life.
.
Speaker 3 (11:35):
Now , uh, we are joined by , uh, one of our
fellow partners , uh, Dr.
Christopher Yang. Uh, he's aurologist. Uh, he trained at
the University of Illinois inChicago and did a , uh,
fellowship in men's health anderectile dysfunction. Uh, Dr.
Yang, thank you so much forjoining us today, and
Speaker 5 (11:50):
Thanks for having me again. So ,
Speaker 3 (11:52):
Um, when it comes to erectile dysfunction , uh, you
know, any Tom, Dick and Harrycan , uh, uh, uh, prescribe
pills, but the pills don'talways work. Uh, so when
somebody comes to you and saysthat the pills aren't working ,
uh, why don't you go throughlike , uh, kind of the stepwise
approach of how you advisepatients on advanced treatments
for erectile dysfunction? Sure.
Speaker 5 (12:14):
Well, first of all, you know, we, we definitely
talk more about the pills andmake sure that they're taking
it the correct way. 'cause youknow , uh, some patients just
aren't, and that's somethingthat we can evaluate.
Speaker 3 (12:24):
What are some common errors that patients make?
Well,
Speaker 5 (12:26):
For patients that are taking pills like Viagra
and or Cialis , uh, it'stypically best done about an
hour before they plan to haveintercourse. And it's typically
best done with an emptystomach. So some patients
aren't quite doing it Right.
Speaker 3 (12:40):
So if you're like eating a big steak meal Yeah .
Uh , and then expecting her topay for it in the bedroom. Uh ,
oh . And you , uh, wow,
Speaker 4 (12:47):
That sounded aggressive. . Yeah,
Speaker 3 (12:48):
I did it. Yeah.
Speaker 4 (12:50):
Okay . I got scared.
Speaker 3 (12:50):
Let's delete that part. Okay. No . So, so
if you're ,
Speaker 4 (12:54):
Don't delete that, Whitney,
Speaker 3 (12:56):
If you're, if you're eating a big steak meal , uh,
and then you pop your Viagrathinking that you're gonna get
lucky and then it doesn't work, uh, that would be an example
of doing it the wrong way,right?
Speaker 5 (13:04):
Yeah, that that's correct. Why
Speaker 4 (13:06):
Don't they say that on the commercial? Because you
would think that they wouldbenefit from people using the
medication correctly.
Speaker 5 (13:11):
No, they benefit from using people buying it,
Speaker 3 (13:14):
Buying , buying more,
Speaker 4 (13:14):
Just keep buying it and not working. And
Speaker 3 (13:16):
They're so cheap now. Nobody's making any money
out here . And that's somethingalso people need to remember
that the pills are much cheapertoday than they were five or
seven years ago . Yeah.
Speaker 5 (13:24):
They , they are generic. And you know, another
thing that we do quite a bit isthe, the daily Cialis or Talil
. Um, that's something that didnot used to be cost effective ,
but now it works effectivelyfor a lot of
Speaker 3 (13:37):
Patients and the timing issue goes away.
Speaker 5 (13:38):
Exactly. Exactly.
Speaker 3 (13:40):
Alright , so what if the pills really aren't
working?
Speaker 5 (13:41):
Yeah. So then, then we're looking at other more,
you know, more advanced,potentially more invasive types
of treatments. Um, there are ,uh, suppositories or gels that
you can put into the urethra.
Uh, but you know , that is alittle bit more in invasive.
Uh, there are injections thatyou can perform into the side
of the penis, and that worksabout five minutes later.
Speaker 3 (14:04):
So , uh, you have , uh, that intraurethral
alprostadil, it used to beknown , uh, commercially as
muse, m u s e . How
Speaker 4 (14:12):
Do you put it in
Speaker 3 (14:13):
You? There used to be a little inserter that would
shove the little capsule inthere. Yeah. Does it hurt rub?
It
Speaker 4 (14:20):
Sounds like it hurts.
Speaker 5 (14:21):
It's not the most pleasant thing in the world,
but you know, it's notterrible. It's, it may be worth
it for some people,
Speaker 4 (14:26):
But the end result is good. Okay.
Speaker 3 (14:27):
Yes . And nowadays we get the , uh, that that same
drug compounded into a gel.
Correct. And you kind of stickthe syringe , uh, which is no
needle. So just a, a syringeand then over the hole in your
penis and you squirt it in,right? Yeah,
Speaker 5 (14:41):
Exactly. You squirt it right in.
Speaker 4 (14:43):
made me hold
my Titi and I don't have a tee
tee .
Speaker 3 (14:45):
So what are some side effects that , uh,
patients report from theintraurethral alprostadil?
Speaker 5 (14:49):
Well , uh, the main one is like, some patients have
a small percentage of patientshave a reaction to the
medication about, you know, 5%of people have a burning
sensation. But , uh, short ofthat, you know, the other main
side effect is, is just it notworking. So that's something we
would try, make sure it helpsbefore prescribing it.
Speaker 3 (15:09):
Well, that's great.
And , uh, you know, I'll use itoften in men who get , uh, a
near perfect response from thepills, but not a perfect
response. So let's say they get80% of an erection with pills,
then , uh, uh, I will often addthat intraurethral alprostadil.
Uh, what's your experience withusing , um, the vacuum erection
device? What are some of thepros and cons of that device?
Speaker 5 (15:31):
Yeah , so the vacuum device, it basically creates a
seal against your skin and ituses physics to draw blood into
the penis. So it creates avacuum inside of a cylinder and
, um, that physically drawsblood into the penis to keep
the erection. A lot of patientshave to use a constricting ring
at the base of the penis tokeep the blood in. And , and ,
Speaker 3 (15:52):
And the ring is the key, like , uh, definitely. And
, and the problem is , uh, youknow, one size does not fit all
. Yeah. You
Speaker 5 (16:00):
Have ring have to be sure you use their Correct.
There's regular
Speaker 4 (16:02):
Size and Indian size
Speaker 3 (16:04):
, and that's
right. Right . Got it . So if
you need the extra big ring ,uh, you ,
Speaker 5 (16:10):
I thought you had extra small
Speaker 3 (16:12):
if
you need the , uh, and , and so
there are a variety of rings.
And so when I advise mypatients about the benefits of
the vacuum erection device, Italk about no medication
related side effects, the factthat it can be traveled with
fairly easily. Um, the factthat it, it works, meaning that
if you can, if you can navigatethe ring issue, it'll work.
(16:34):
It'll , it's reliable. Yeah.
But you have to like, not getyour skin sucked into it. You
have to learn how to use it.
Yeah . What are some othertips? Yeah.
Speaker 5 (16:40):
And then, and then for some people that it causes
discomfort or pain just whenit's creating the vacuum. So ,
um, and then some people don'tlike the way that it feels with
the blood trapped in there withthe ring at the base of the
penis.
Speaker 3 (16:53):
I gotcha . And then some people don't like the fact
that the ring may constricttheir. Yeah.
Speaker 5 (16:57):
Yeah. So
Speaker 3 (16:58):
If you're trying to have a baby, the constriction
ring's not gonna work so
Speaker 5 (17:01):
Well. Yeah. One thing we definitely tell 'em is
make sure they don't fallasleep with the ring on that
they take it off when they'redone.
Speaker 3 (17:06):
Yes. Because that ends up becoming another kind
of story on this radio show.
Yeah. . And then youmentioned injections into the
side of the penis , uh, that'smore commonly known as trimix .
Now , uh, there used to bethese , uh, Boston medical
groups are , do you remember
Speaker 5 (17:21):
That? Yeah.
Speaker 3 (17:22):
Yeah. And, and , and that they would use the trimix
injection for the cure forevery erectile problem. Yeah .
Speaker 5 (17:27):
They guarantee on the radio that you get an
erection
Speaker 3 (17:30):
Guarantee, an erection, you can't
Speaker 4 (17:31):
Guarantee anything in
Speaker 3 (17:32):
Medicine. So how does that medicine work? What ,
what are we injecting? Yeah ,
Speaker 5 (17:36):
So it's basically a combination of different
medications. One is called ,uh, alprostadil, and then there
are two, two additional ones.
Three , there's
Speaker 4 (17:45):
Three. Yeah . Yeah .
That's the try. Yeah .
Speaker 5 (17:48):
Yeah . Sometimes, sometimes we do a compounded
quad mix where there's fourdifferent medications, but
basic
Speaker 3 (17:52):
And all and all of them dilate the artery.
Speaker 5 (17:54):
Yeah, exactly. They , they work and bring blood
flow. Yeah. They work differentways to, to in combination to
dilate the arteries. Mm-hmm.
. And basicallyit's similar to Viagra, but you
know, basically what I, what Itell patients is getting the
medication to the tissue thatneeds it directly, you're ,
you're putting an injectioninto the part of the penis that
needs it.
Speaker 3 (18:13):
So , uh, in the patients that it works great
in, they're very happy. Butthose patients that are unhappy
with it, what are some commoncomplaints they'll have? Yeah.
Speaker 5 (18:20):
Well, number one, you know, you do have to put a
needle into the side of thepenis, and that's probably not
the idea of fun for most men.
Right . But it , but it's atiny needle. It's a tiny, tiny
needle. It's the same that weuse for insulin injections. So
you're
Speaker 4 (18:32):
Just pricking
Speaker 5 (18:33):
Your prick. Yeah.
Yeah. Most people don't evenfeel like, like it's painful,
but it's just the idea of it.
Hmm .
Speaker 3 (18:39):
There's a spontaneity issue as well, you
know, so if you're like , uh,dating someone , um, that's
regular, then it's easier topop it in. But if you're kind
of , you know, with somebodywho may not be too familiar or
somebody that's far youngerthan you, yeah. It may feel a
little awkward to, to stickthat in there.
Speaker 5 (18:56):
Yeah. I've definitely had patients tell me
they, they, you know, excludeexcuse themselves to the
bathroom and do a quickinjection before going back
Speaker 3 (19:04):
Mm-hmm .
. And , um, thismedication is often not covered
by insurance. Uh , did , do youhave a relative idea of how
much this costs our patients?
Speaker 5 (19:11):
Yeah, it's not terribly expensive. Like
typically we get it throughcompounding pharmacies and it
ends up being somewhere likethree to $5 per dose.
Speaker 3 (19:19):
And , uh, you know , if, if you've taken it and
you've had variable responsesto it working or not working, I
think that , uh, a lot ofpatients don't understand how
fragile the medicine is, so you really have to take
really good temperature care ofthe medication. Um, there used
to be a commercially availableone called Caverject. Have you
seen that on the market anytimerecently? Yeah, it
Speaker 5 (19:38):
Still is available.
Um, and , and one of thebenefits of that one is you
don't have to worry about thetemperature control as much.
You don't have to keep itrefrigerated. Um, but it is
definitely more expensive outof pocket , uh, compared to
compounded trimm mixes .
Speaker 3 (19:54):
Uh, there are some compounding companies that will
get an auto-injector. So youdon't have to drop the medicine
or worry about looking at theneedle, you just kind of put it
on the side of your penis andthen press a button, and then
the, the , the needle will ,uh, you know, inject the
medicine and retract , uh, allat once. So there are ways that
we can make it easier , uh, andmore reliable for you. Um, and
so , uh, those are kind of thenon kind of, you know, expert
(20:18):
level kind of therapies thatpatients can get almost
anywhere. Chris , uh, if youwere to , um, uh, to talk about
, uh, in our next segment,things that patients should
consider when , uh, whenthinking about an inflatable
penile prosthesis or why thatmay be a good option for them ,
uh, that's , uh, kind of the ,the , the juxt of what we're
(20:39):
gonna be talking about. Uh ,Donna, how do people get ahold
of us? How do people get toknow where we are?
Speaker 4 (20:43):
You can call us at (512) 238-0762 Monday through
Friday, and our website, armormen's health.com. Don't forget
to listen to our podcastswherever you listen to free
podcasts.
Speaker 2 (20:54):
The Armor Men's Health Show is brought to you
by N a U Urology Specialist.
For questions or to schedule anappointment, please call 5 1 2
2 3 8 0 7 6 2 or online atarmor men's health.com.
Speaker 2 (00:09):
Welcome back to the Armor Men's Health Show with
Dr. Mystery and Donna Lee.
Speaker 3 (00:15):
Hello and welcome to the Armor Men's Health Show.
This is Dr. Mystery , yourhost, board certified urologist
all around. Great guy
gal, Donnel Lee .
Speaker 4 (00:26):
I'm gonna get you an , an actual horn so you can
toot
Speaker 3 (00:28):
It. I'm going to toot my own horn.
Speaker 4 (00:31):
everybody.
Speaker 3 (00:32):
Well, I'm married, so I'm gonna have to do that
myself. Hey,
certified urologist, and thisshow is brought to you by the
practice I started in 2007 N au Urology specialist. Donna, we
are really growing showing. Whydon't you tell people about our
practice?
Speaker 4 (00:50):
We are all over the place in central Texas. If
you're on the other side of thecountry , um, you can still fly
to see us. We're in Round Rock,north Austin, south Austin, and
Dripping Springs , Texas. Ourphone number, as you've
probably memorized by now, 5 12 2 3 8 0 7 6 2 . See how I
slowed that down? And ourwebsite, armor men's
health.com, where you can seeour shiny faces and send your
(01:10):
questions that will answeranonymously. Due to
Speaker 3 (01:12):
Having some excellent new providers, our
wait times have decreasedsubstantially. So if you're out
there waiting to get avasectomy, waiting to get your
testosterone checked, waitingto get your erectile
dysfunction fully evaluated, wewould love to see you as a
patient. You can feel free tocall us, email us. Uh, and we
would love to give you , uh,answers about , uh, your
(01:34):
questions here on the radio.
We'd love to engage with our ,uh, patients and give you a
holistic type of experiencewhen it comes to your urologic
care. We are joined today byone of my favorite people, Dr.
Christopher Yang, one of thepartners at N A U Urology
Specialists, Chris Yang, thankyou for joining us today, and
Speaker 5 (01:50):
Thanks again for having me. We
Speaker 4 (01:51):
Never get to see him.
Speaker 3 (01:52):
So I know
practice all pro other places.
So , uh, Dr. Yang practices atour South Austin clinic
predominantly, although it doescome up north. And , uh, Dr.
Yang, maybe you could tell ourlisteners kind of a little bit
about where you train and whatthe nature of your fellowship
was. Yeah ,
Speaker 5 (02:06):
Sure. So I did my medical school in the great
city of Galveston, Texas. Oh .
Uh , pre , uh, hurricane,knocking down the great city.
Oh. After that, I did myresidency in urology in Chicago
at University of Illinois. Andthen after that, I did a sexual
medicine fellowship inUniversity of South Florida,
helping the great people ofTampa, Florida.
Speaker 4 (02:27):
The retired people be
Speaker 3 (02:28):
Great again. Yeah.
You
Speaker 4 (02:29):
Know, there's a whole documentary about retired
people in the Floridacommunity, and it's like really
dirty. Oh
Speaker 5 (02:35):
Boy . Yeah . And they, you know, all of them,
they, they want , uh, theirerections fixed and that's,
that's how I trained. So
Speaker 4 (02:41):
It's the s t d capital or something of the
country. Yeah . Yeah.
Speaker 3 (02:44):
So, you know what , uh, I've been really fascinated
by , uh, over the years, Chris, is how men are different in
how they respond to erectiledysfunction. Sometimes you'll
find a young guy that's notbothered at all, and sometimes
you'll find an old guy thatwakes up one day and is like
(03:04):
completely befuddled that hiserections don't work, and he's
like 82 years old. And those,those are some of my favorite
ones. The young guy who doesn'tcare about erectile
dysfunction, those guys arehard to convince that they
should care. But the 70, 82year old guy that's like Dr .
Misery's an emergency, I , Idon't know what happened. I
tried to have sex, it didn'twork. And I'm like, are you
sure you have a properunderstanding of, of like, of
(03:25):
like aine physiology, how sexworks?
Speaker 5 (03:27):
Who are you to tell an 82 year old that they
shouldn't have?
Speaker 3 (03:30):
I'm , I'm no one.
I'm , I told you they're myfavorite patient. I'm here .
I'm here, I'm here to makeAmerica great again,
So , uh, maybe you could gimmesome insight into like why you
think, you know, different menrespond to, you know , or, or
value their erectionsdifferently. Um, you know,
Speaker 5 (03:46):
I think it's kind of , uh, it goes into a little bit
what, what you were talkingabout earlier is, is there
there situation, you know, somemen that are married for 20, 30
years, they, they could careless. Mm-hmm .
some people , some men that aremarried for, you know, 20, 30
years, they still have sexevery day and they mm-hmm.
then , uh, then it's the end ofthe world. So I think a lot of
(04:07):
it goes into what we , uh,another condition that we treat
is low testosterone, meaning,you know, men need to have that
drive, that that urge, thelibido to want to have
intercourse. Mm-hmm.
young men who have low libido,who have low testosterone, who
aren't interested. You know, wesee old men who have like great
(04:28):
libidos , um, and we can help,you know, evaluate if they have
any issues with testosterone,if they have low libido.
Speaker 3 (04:36):
So in the same way that men are, you know,
differently affected byerectile dysfunction, we get
men who have a different levelof interest in figuring out
what's wrong. That's theunderlying condition for their
erectile dysfunction. And soanyone can treat erectile
dysfunction, and a lot ofpeople , uh, can even go online
(04:57):
and speak to a teledoc to getmedicine for erectile
dysfunction. But , uh, toooften men actually want a next
level kind of evaluation. So,you know, if, if, if you had a,
let's say a 30 year old guy whocame to you with softening
erections and loss of rigidity,what are some next level ? What
, what would be your evaluationfor that patient? What should
(05:18):
they expect from their doctor?
Speaker 5 (05:19):
Yeah, definitely. I think , um, you know, like,
like we were just talking aboutlike hormones, libido,
testosterone, that has a goodamount to do with it. Uh, we
definitely are seeing more andmore younger patients who have,
you know, poor hormones. So,you know, it's, it's pretty
standard. If we don't have likea, you know , definite cause of
their erectile dysfunction thatwe, you know, we check a
(05:41):
hormone panel, make sure thatthere's nothing else , uh,
physiologic going on,
Speaker 3 (05:45):
What hormones should be in that panel. Yeah .
Speaker 5 (05:47):
Typically we would check a testosterone and an
estrogen just because both ofthose affect libido. Then we
check a couple of other onesfrom their brain, you know,
typically the luteinizinghormone , uh, follicle
stimulating hormone, thoseaffect testosterone production
in men. And then prolactin isanother one that definitely
affects libido as well. And
Speaker 4 (06:07):
These are labs that are probably not being checked
at like low T centers, correct?
Speaker 3 (06:10):
Probably not. And probably not , uh, by a primary
care doctor either. Uh, becauseit's so easy just to write a
prescription for a pill , uh,when really what the, what the
patient wants is an answer towhy they're having the erectile
dysfunction in the first place.
So, so you'll do a hormoneevaluation? Uh, I mean, I like
to add a blood pressure and aweight because I think that,
(06:31):
you know, your overall healthcan have a real significant
impact. Um,
Speaker 5 (06:35):
Yeah, definitely.
And then, you know, there'ssome others that, you know, we
as urologists don't treatprimarily, but we can
definitely help evaluate for asfar as, you know , uh,
hypothyroidism, low thyroidlevels , um, sleep apnea. I
know you're really , uh, intolooking into. And then other
things affect erections as faras , uh, other mental health
(06:55):
issues like depression,anxiety, stress, like all of
those can affect it as well.
Speaker 3 (07:00):
There are , there are medicines that patients
take frequently that cancontribute to erectile
dysfunction too . What, whatare some of the more common
ones that you see? Correct.
Speaker 5 (07:08):
Yeah, definitely.
Um, so antidepressants canaffect it , um, for one way or
another. Now, now , that's notto say all antidepressants are
bad, you know, we actually usesome for a different condition
called premature. Patients whohave , um, high blood pressure,
who take medications aimed athigh blood pressure, like all
of those do affect erection.
(07:30):
Now, I'm not saying you shouldstop taking your high blood
pressure medications, 'causehaving high blood pressure can
also cause erectiledysfunction, but that's
definitely something that playsinto it.
Speaker 3 (07:39):
So the most common medicine that I see men taking
that can lead to it are betablockers. Yeah . Like
metoprolol. So if you have afast heart rate , uh, that
could be contributing to it ,uh, I see more and more men
that are taking propanolol Yeah. For anxiety. Yeah,
definitely. And for a nervousstomach. And then they're
surprised that it's causingtheir erectile dysfunction. So
(07:59):
understanding the impact thatyour medicine may be having is
, uh, really important. Sobesides that, what are some
other next level diagnostic edevaluations?
Speaker 5 (08:09):
Yeah, so, you know, one thing that's important to
do that, that we woulddefinitely do in the office is
a physical exam. You know,that's not something you can
get for some of these, theseonline , um, you know,
evaluation clinics. Um, it'spretty important to, to
actually take a feel, make surethat there's no issues with,
you know, structurally thepenis or, you know, testicles.
(08:30):
Um, there's conditions called ,uh, peroni's disease, which is
a scarring disease that canaffect erections. Um, and
that's actually something thata lot of men have , uh, is just
that you don't go out and tellyour buddy about it.
Speaker 3 (08:43):
So when it comes to , um, uh, ultrasounds and other
kinds of tests, what kinds ofpatients are best suited to get
kind of , uh, imaging tests ifthey need it?
Speaker 5 (08:53):
Yeah, so, you know , the , that next level
evaluation is typically a ,it's , it's called a penile
duplex ultrasound. Basically,we do a couple of things. You
know, we take a normalultrasound, images of the
penis, we're looking for scartissue, anything that could
cause pones disease. Um, andthen we actually evaluate the
blood flow. So that doesinvolve getting an erection.
(09:15):
Typically it's an artificialerection that we induce using
medication. It's beneficial forpatients who we think that
might have blood flow issues toactually diagnose it. Um, you
know, and that , and orpatients who have , um,
structural issues that we candefinitely , uh, uh, quantify
the amount of scar tissuethat's there.
Speaker 3 (09:34):
You know, I think that , uh, far too many
doctors, even urologists willroll their eyes when their
erectile dysfunction patientswill kind of ask them, why is
this happening to me? And Ithink that's , uh, you know, a
level of service that , uh,patients deserve to have. So ,
uh, you know , uh, I think aspart of our practice, having an
erectile dysfunction fellowshiptrained expert like yourself is
(09:57):
, um, is an amazing , uh, giftthat we have and a gift that we
want to share , uh, with, withour patients , uh, in this
community. And even for thoselistening from away. So if, if
you ask why you're havingerectile dysfunction and , and
your doctor is rolling his eyesand doesn't seem very
interested about doing a nextlevel evaluation, you know, we
would encourage you to seek out, uh, another opinion. So
(10:20):
Donna, how do people makeappointments with us and how do
they get that second opinion?
Get
Speaker 4 (10:23):
Your second opinion right here at armor men's
health.com. That's our website.
And our phone number is (512)238-0762 . We're in Round Rock,
north Austin, south Austin, andDripping Springs, Texas.
Speaker 3 (10:35):
Hello and welcome to the Armand's Health Show. This
is Dr . Mystery , your host,board certified urologist,
joined by my co-host Donnel Lee. Hey everybody.
Speaker 4 (10:43):
Welcome to the show.
Speaker 3 (10:45):
This show is brought to you by N a u Urology
Specialist. That's the groupthat I started in 2007. We've
now grown to four urologists,one interventional radiologist,
six advanced practiceproviders, two pelvic floor
physical therapists, sextherapist, nutritionists, and a
commitment to taking care ofthe whole you when it comes
from the nipples to the knees.
Speaker 4 (11:05):
Yes. Thank you so much for joining us .
You normally keep going. He'llcut this out anyway. Yeah, that
sounds great.
Speaker 5 (11:15):
Thank you.
Speaker 3 (11:16):
This is like making love to my wife,
would be really nice if you gota little bit involved.
Speaker 4 (11:20):
Normally you say , Donna, tell us how to get ahold
of her . Anyway, you can reachout to us at 5 1 2 2 3 8 0 7 6
2 . Our website is armor men'shealth.com. I'd like to take
this moment to thank everybodyfor Whitney being in our life.
Speaker 3 (11:35):
Now , uh, we are joined by , uh, one of our
fellow partners , uh, Dr.
Christopher Yang. Uh, he's aurologist. Uh, he trained at
the University of Illinois inChicago and did a , uh,
fellowship in men's health anderectile dysfunction. Uh, Dr.
Yang, thank you so much forjoining us today, and
Speaker 5 (11:50):
Thanks for having me again. So ,
Speaker 3 (11:52):
Um, when it comes to erectile dysfunction , uh, you
know, any Tom, Dick and Harrycan , uh, uh, uh, prescribe
pills, but the pills don'talways work. Uh, so when
somebody comes to you and saysthat the pills aren't working ,
uh, why don't you go throughlike , uh, kind of the stepwise
approach of how you advisepatients on advanced treatments
for erectile dysfunction? Sure.
Speaker 5 (12:14):
Well, first of all, you know, we, we definitely
talk more about the pills andmake sure that they're taking
it the correct way. 'cause youknow , uh, some patients just
aren't, and that's somethingthat we can evaluate.
Speaker 3 (12:24):
What are some common errors that patients make?
Well,
Speaker 5 (12:26):
For patients that are taking pills like Viagra
and or Cialis , uh, it'stypically best done about an
hour before they plan to haveintercourse. And it's typically
best done with an emptystomach. So some patients
aren't quite doing it Right.
Speaker 3 (12:40):
So if you're like eating a big steak meal Yeah .
Uh , and then expecting her topay for it in the bedroom. Uh ,
oh . And you , uh, wow,
Speaker 4 (12:47):
That sounded aggressive.
Speaker 3 (12:48):
I did it. Yeah.
Speaker 4 (12:50):
Okay . I got scared.
Speaker 3 (12:50):
Let's delete that part. Okay. No
if you're ,
Speaker 4 (12:54):
Don't delete that, Whitney,
Speaker 3 (12:56):
If you're, if you're eating a big steak meal , uh,
and then you pop your Viagrathinking that you're gonna get
lucky and then it doesn't work, uh, that would be an example
of doing it the wrong way,right?
Speaker 5 (13:04):
Yeah, that that's correct. Why
Speaker 4 (13:06):
Don't they say that on the commercial? Because you
would think that they wouldbenefit from people using the
medication correctly.
Speaker 5 (13:11):
No, they benefit from using people buying it,
Speaker 3 (13:14):
Buying , buying more,
Speaker 4 (13:14):
Just keep buying it and not working. And
Speaker 3 (13:16):
They're so cheap now. Nobody's making any money
out here . And that's somethingalso people need to remember
that the pills are much cheapertoday than they were five or
seven years ago . Yeah.
Speaker 5 (13:24):
They , they are generic. And you know, another
thing that we do quite a bit isthe, the daily Cialis or Talil
. Um, that's something that didnot used to be cost effective ,
but now it works effectivelyfor a lot of
Speaker 3 (13:37):
Patients and the timing issue goes away.
Speaker 5 (13:38):
Exactly. Exactly.
Speaker 3 (13:40):
Alright , so what if the pills really aren't
working?
Speaker 5 (13:41):
Yeah. So then, then we're looking at other more,
you know, more advanced,potentially more invasive types
of treatments. Um, there are ,uh, suppositories or gels that
you can put into the urethra.
Uh, but you know , that is alittle bit more in invasive.
Uh, there are injections thatyou can perform into the side
of the penis, and that worksabout five minutes later.
Speaker 3 (14:04):
So , uh, you have , uh, that intraurethral
alprostadil, it used to beknown , uh, commercially as
muse, m u s e . How
Speaker 4 (14:12):
Do you put it in
Speaker 3 (14:13):
You? There used to be a little inserter that would
shove the little capsule inthere. Yeah. Does it hurt rub?
It
Speaker 4 (14:20):
Sounds like it hurts.
Speaker 5 (14:21):
It's not the most pleasant thing in the world,
but you know, it's notterrible. It's, it may be worth
it for some people,
Speaker 4 (14:26):
But the end result is good. Okay.
Speaker 3 (14:27):
Yes . And nowadays we get the , uh, that that same
drug compounded into a gel.
Correct. And you kind of stickthe syringe , uh, which is no
needle. So just a, a syringeand then over the hole in your
penis and you squirt it in,right? Yeah,
Speaker 5 (14:41):
Exactly. You squirt it right in.
Speaker 4 (14:43):
tee .
Speaker 3 (14:45):
So what are some side effects that , uh,
patients report from theintraurethral alprostadil?
Speaker 5 (14:49):
Well , uh, the main one is like, some patients have
a small percentage of patientshave a reaction to the
medication about, you know, 5%of people have a burning
sensation. But , uh, short ofthat, you know, the other main
side effect is, is just it notworking. So that's something we
would try, make sure it helpsbefore prescribing it.
Speaker 3 (15:09):
Well, that's great.
And , uh, you know, I'll use itoften in men who get , uh, a
near perfect response from thepills, but not a perfect
response. So let's say they get80% of an erection with pills,
then , uh, uh, I will often addthat intraurethral alprostadil.
Uh, what's your experience withusing , um, the vacuum erection
device? What are some of thepros and cons of that device?
Speaker 5 (15:31):
Yeah , so the vacuum device, it basically creates a
seal against your skin and ituses physics to draw blood into
the penis. So it creates avacuum inside of a cylinder and
, um, that physically drawsblood into the penis to keep
the erection. A lot of patientshave to use a constricting ring
at the base of the penis tokeep the blood in. And , and ,
Speaker 3 (15:52):
And the ring is the key, like , uh, definitely. And
, and the problem is , uh, youknow, one size does not fit all
Speaker 5 (16:00):
Have ring have to be sure you use their Correct.
There's regular
Speaker 4 (16:02):
Size and Indian size
Speaker 3 (16:04):
you need the extra big ring ,uh, you
Speaker 5 (16:10):
I thought you had extra small
Speaker 3 (16:12):
there are a variety of rings.
And so when I advise mypatients about the benefits of
the vacuum erection device, Italk about no medication
related side effects, the factthat it can be traveled with
fairly easily. Um, the factthat it, it works, meaning that
if you can, if you can navigatethe ring issue, it'll work.
(16:34):
It'll , it's reliable. Yeah.
But you have to like, not getyour skin sucked into it. You
have to learn how to use it.
Yeah . What are some othertips? Yeah.
Speaker 5 (16:40):
And then, and then for some people that it causes
discomfort or pain just whenit's creating the vacuum. So ,
um, and then some people don'tlike the way that it feels with
the blood trapped in there withthe ring at the base of the
penis.
Speaker 3 (16:53):
I gotcha . And then some people don't like the fact
that the ring may constricttheir. Yeah.
Speaker 5 (16:57):
Yeah. So
Speaker 3 (16:58):
If you're trying to have a baby, the constriction
ring's not gonna work so
Speaker 5 (17:01):
Well. Yeah. One thing we definitely tell 'em is
make sure they don't fallasleep with the ring on that
they take it off when they'redone.
Speaker 3 (17:06):
Yes. Because that ends up becoming another kind
of story on this radio show.
Yeah.
side of the penis , uh, that'smore commonly known as trimix .
Now , uh, there used to bethese , uh, Boston medical
groups are , do you remember
Speaker 5 (17:21):
That? Yeah.
Speaker 3 (17:22):
Yeah. And, and , and that they would use the trimix
injection for the cure forevery erectile problem. Yeah .
Speaker 5 (17:27):
They guarantee on the radio that you get an
erection
Speaker 3 (17:30):
Guarantee, an erection, you can't
Speaker 4 (17:31):
Guarantee anything in
Speaker 3 (17:32):
Medicine. So how does that medicine work? What ,
what are we injecting? Yeah ,
Speaker 5 (17:36):
So it's basically a combination of different
medications. One is called ,uh, alprostadil, and then there
are two, two additional ones.
Three , there's
Speaker 4 (17:45):
Three. Yeah . Yeah .
That's the try. Yeah .
Speaker 5 (17:48):
Yeah . Sometimes, sometimes we do a compounded
quad mix where there's fourdifferent medications, but
basic
Speaker 3 (17:52):
And all and all of them dilate the artery.
Speaker 5 (17:54):
Yeah, exactly. They , they work and bring blood
flow. Yeah. They work differentways to, to in combination to
dilate the arteries. Mm-hmm.
know, basically what I, what Itell patients is getting the
medication to the tissue thatneeds it directly, you're ,
you're putting an injectioninto the part of the penis that
needs it.
Speaker 3 (18:13):
So , uh, in the patients that it works great
in, they're very happy. Butthose patients that are unhappy
with it, what are some commoncomplaints they'll have? Yeah.
Speaker 5 (18:20):
Well, number one, you know, you do have to put a
needle into the side of thepenis, and that's probably not
the idea of fun for most men.
Right . But it , but it's atiny needle. It's a tiny, tiny
needle. It's the same that weuse for insulin injections. So
you're
Speaker 4 (18:32):
Just pricking
Speaker 5 (18:33):
Your prick. Yeah.
Yeah. Most people don't evenfeel like, like it's painful,
but it's just the idea of it.
Hmm .
Speaker 3 (18:39):
There's a spontaneity issue as well, you
know, so if you're like , uh,dating someone , um, that's
regular, then it's easier topop it in. But if you're kind
of , you know, with somebodywho may not be too familiar or
somebody that's far youngerthan you, yeah. It may feel a
little awkward to, to stickthat in there.
Speaker 5 (18:56):
Yeah. I've definitely had patients tell me
they, they, you know, excludeexcuse themselves to the
bathroom and do a quickinjection before going back
Speaker 3 (19:04):
Mm-hmm .
by insurance. Uh , did , do youhave a relative idea of how
much this costs our patients?
Speaker 5 (19:11):
Yeah, it's not terribly expensive. Like
typically we get it throughcompounding pharmacies and it
ends up being somewhere likethree to $5 per dose.
Speaker 3 (19:19):
And , uh, you know , if, if you've taken it and
you've had variable responsesto it working or not working, I
think that , uh, a lot ofpatients don't understand how
fragile the medicine is
really good temperature care ofthe medication. Um, there used
to be a commercially availableone called Caverject. Have you
seen that on the market anytimerecently? Yeah, it
Speaker 5 (19:38):
Still is available.
Um, and , and one of thebenefits of that one is you
don't have to worry about thetemperature control as much.
You don't have to keep itrefrigerated. Um, but it is
definitely more expensive outof pocket , uh, compared to
compounded trimm mixes .
Speaker 3 (19:54):
Uh, there are some compounding companies that will
get an auto-injector. So youdon't have to drop the medicine
or worry about looking at theneedle, you just kind of put it
on the side of your penis andthen press a button, and then
the, the , the needle will ,uh, you know, inject the
medicine and retract , uh, allat once. So there are ways that
we can make it easier , uh, andmore reliable for you. Um, and
so , uh, those are kind of thenon kind of, you know, expert
(20:18):
level kind of therapies thatpatients can get almost
anywhere. Chris , uh, if youwere to , um, uh, to talk about
, uh, in our next segment,things that patients should
consider when , uh, whenthinking about an inflatable
penile prosthesis or why thatmay be a good option for them ,
uh, that's , uh, kind of the ,the , the juxt of what we're
(20:39):
gonna be talking about. Uh ,Donna, how do people get ahold
of us? How do people get toknow where we are?
Speaker 4 (20:43):
You can call us at (512) 238-0762 Monday through
Friday, and our website, armormen's health.com. Don't forget
to listen to our podcastswherever you listen to free
podcasts.
Speaker 2 (20:54):
The Armor Men's Health Show is brought to you
by N a U Urology Specialist.
For questions or to schedule anappointment, please call 5 1 2
2 3 8 0 7 6 2 or online atarmor men's health.com.
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Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Special Summer Offer: Exclusively on Apple Podcasts, try our Dateline Premium subscription completely free for one month! With Dateline Premium, you get every episode ad-free plus exclusive bonus content.
On Purpose with Jay Shetty
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!