August 5, 2025 • 61 mins
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What if you could reclaim the sexual confidence of your 30s – without the blue pill? Feeling like your best days are behind you? Frustrated with temporary fixes that don't address the root cause? This episode reveals breakthrough research that's helping men transform their sexual health, confidence, and overall vitality using cutting-edge regenerative medicine. Meet Dr. Judson Brandeis, award-winning urologist and sexual medicine pioneer who's revolutionizing men's wellness with natural, science-backed solutions. Discover his game-changing research that delivers permanent results – safely and effectively.
🎯 EPISODE HIGHLIGHTS:
- The Confidence Protocol: Dr. Brandeis' 6-month study that enhanced masculine vitality with zero negative side effects
- Nitric Oxide Breakthrough: How one supplement is getting men off blood pressure meds while boosting performance by 33%
- Regenerative Medicine Secrets: Why PRP therapy is transforming men's sexual wellness (hint: it's not just about circulation)
- PT-141 Game-Changer: The FDA-approved peptide giving older men the spontaneous vitality of their younger selves
- Natural Performance Enhancement: The truth about supplements vs. pharmaceuticals for long-term results
- Prostate Health Mastery: Essential knowledge every man over 40 needs (including the twice-weekly rule)
- Life Transformation: How addressing sexual health creates a ripple effect in confidence, relationships, and career success
LINKS & RESOURCES MENTIONED IN THE EPISODE CAN BE FOUND ON THE WEBSITE
LAST 10x LONGER. If you suffer from premature ejaculation, you are not alone, master 5 techniques to cure this stressful & embarrassing issue once and for all. Save 20% Coupon: PODCAST20.
THE VAGINAL ORGASM MASTERCLASS. Discover how to activate the female Gspot, clitoris, & cervical orgasms. Save 20% Coupon: PODCAST 20
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Willow (00:05):
What if everything you've been told about aging and
sexual health is scientificallyincorrect?
Today's guest has discoveredbreakthrough approaches that are
helping men in their sixtiesreclaim the sexual vitality of
their thirties without the bluepill.
We are here today with just Dr.
Judson Brandeis, award-winningurologist and sexual medicine
(00:26):
pioneer, and we are thrilled.
I'm Dr.
Willow Brown.
I'm here with my amazingco-host.
To Leah Piper, and we are sograteful for all your wonderful
likes, shares, and subscribes.
Leah (00:37):
Okay, friends, you know what to do.
The time has come.
Let's tune in.
Let's turn on and let's fall inlove with Dr.
Brandeis.
Announcer (00:46):
Welcome to the Sex Reimagined Podcast, where sex is
shame-free and pleasure forward.
Let's get into the show.
Willow (00:55):
Welcome to the show.
We're
Jud (00:57):
Oh, thank you for having me here.
This is such an honor to behere.
Willow (01:00):
Yeah.
Yeah.
So you've been in the world ofsexual medicine and helping men
with their virility for quite along time now, and have studied
extensively.
You've written a book, you'vegot a podcast coming out.
So many good things to sharewith us.
Why don't we start with, um,where this all began for you?
(01:20):
What kind of got you on thissort of track with medicine?
Leah (01:25):
Yeah, the world of sexual medicine.
Jud (01:28):
Yeah.
So as a urologist, I've been aurologist for 25 years.
Uh, sexual medicine was alwayssort of part of what we did, but
I started out, uh, firstinterested in kidney
transplantation and then, uh,became really interested in
prostate cancer.
Was a pioneer in surgicalrobotics for prostate cancer.
And then I built a kidney stonecenter, and then MRI guided it
(01:48):
prostate biopsies.
But about six or seven yearsago, I became really interested
in the use of regenerativemedicine to help men who no
longer were able to get adequateerections for intercourse to get
them back on track.
So using low intensity shockwavetherapy or PRP or even stem
cells and supplements to helpmen turn the clock back 5, 10,
(02:13):
15, 20 years.
Leah (02:14):
Wow.
To, to turn the clock by twodecades.
That is very significant.
I just imagine that you've gotpatients just filling up your
calendar.
Um, so many men that I see, uh,noticing that they can get hard,
but they're having a hard timestaying hard as they get into
(02:34):
their fifties and sixties.
And we've just been, um, we'vehad a couple guests on talking
about stem cell therapy, whichwas new to me.
Um, what can you say about stemcells?
Jud (02:48):
Yeah, so stem cells, it is kind of a generic category for.
Uh, a type of treatment thatutilizes either a growth factor
or the actual cells.
But, uh, a lot of people thinkwhen they think stem cells,
okay, they're gonna inject thesecells and these cells are gonna
start growing in my body.
(03:08):
But as it turns out, most of thedata points to the fact that
stem cells contain, um, what arecalled growth factors.
So, um, chemical messages thatcells send.
To other cells to make thosecells grow.
So.
Within our own body, we we'reloaded with stem cells.
(03:30):
That's how our hair grows.
That's why our intestines grow.
That's how the cells inside ourmouth grow.
Really anything in your body hasstem cells and so it's more of a
function of stimulating the stemcells that are, um.
That are our own stems.
Endos, I'm, I was going to usethe word endogenous, but I
didn't know if anyone knew whatthat meant, but obviously Yeah,
(03:53):
there you go.
The stem cells that are alreadyinside your body, uh, to, to
grow into the tissues thatthey're supposed to be, whether
it's blood vessels or, orconnective tissue.
Leah (04:03):
You know, I can't remember if it was, um, Dr.
Elliot, Justin or Dr.
Gittens, who we've had on theshow, who described the process
as, it's like the stem cellsare, are the chicken and the
chicken soup, but it's not likeit's the chicken that is going
to.
Um, make the stem cells work.
The stem cells are really aboutthe broth, and so it's, it's
(04:26):
like the broth is coming intoyour tissue and it's working
with your own stem cells.
Is that an adequate explanation?
If I was going to give you ametaphor,
Jud (04:34):
Yeah, I mean, I think that's a pretty good
explanation.
It's, it's, uh, they've, um,radio labeled, um, stem cells
that they put into animals.
To see how long they stickaround and they stick around
anywhere from one to fourregenerations, and then those
(04:54):
cells are gone.
And so it's really the growthfactors that the stem cells are
releasing that are causing thegrowth of the native tissue.
Leah (05:05):
And so when you say growing the native tissue, how
is that helping with erectiledysfunction?
What is the actual function ofthis, uh, intervention?
And can you explain that to me?
Jud (05:18):
Yeah, well, the erectile function really is
physiologically, it's, it's afunction of circulation, right?
So we all know, and you guysknow better than I, that there's
a whole psychological aspect toit.
Um, but I'm, I'm speaking purelyphysiologically.
It's the ability to pump bloodinto the penis and expand what
we call the corporate caber,Noosa, or the erectile body, to
(05:41):
the point where it.
Occludes, the veins that emptyout the corporate caber Noosa.
So there's an artery called thedeep cerno artery that pumps
blood through the middle of theerectile body, and then the
blood drains on the periphery,and as the pressure increases,
it blocks.
The venous return back to thebody and traps the blood in the
(06:04):
penis.
And that's how you get a penisthat's rigid enough for, uh,
penetration.
And so it's, it's all aboutraising the blood pressure in
the penis.
And so you can do that byboosting the signal.
And so there's a molecule calledcyclic GMP, which starts a
cascade of events that leads to.
Blood vessels opening, and soyou can use nitric oxide or your
(06:28):
body uses nitric oxide toincrease the amount of CGMP.
And so I have a supplementcalled Affirm, which is a nitric
oxide booster.
And last year at the SexualMedicine Society meeting, I
presented data that affirm alonetaken before you go to bed using
Elliot Justin's firm tech ringshowed that you can increase
(06:49):
erectile function 33% at night
Willow (06:52):
Wow.
Jud (06:52):
by taking.
Willow (06:53):
Wait.
Okay.
So what's in Affirm?
Jud (06:56):
Affirm.
So there's two ways you canboost nitric oxide.
One is the citruline argininepathway, and so Affirm has a lot
of citruline in it.
And then the other is thenitrate nitrate nitric oxide
pathway.
And beats have a lot of nitratein them, so there's beats,
ginseng and miama.
So you wanna be activating boththe Citraline arginine pathway
(07:19):
and the nitrate nitrate nitricoxide
Willow (07:21):
So is it working on, um, like proteins amino acid?
Is that, is that
Jud (07:27):
No, it's, it's, it's creating nitric oxide.
And nitric oxide is the secondmessenger that nerves release
onto blood vessels to causeblood vessels to dilate, to open
up.
And that's true, that's true allthroughout the body.
What?
Willow (07:43):
The Affirm is your own formulation.
Jud (07:45):
is my own formulation.
And I was actually at UCLA when,um, when Lou Iro won the Nobel
Prize for discovering nitricoxide as the second messenger.
And then he and one of myprofessors, Jake Rafer, actually
wrote the, the paper in the NewEngland Journal of Medicine
describing the mechanism ofaction of Viagra.
Leah (08:03):
Now.
Now my understanding of nitricoxide is that it also brings a
flush to the body,
Jud (08:08):
Well, it's a,
Leah (08:08):
people get a pretty intense flush?
Jud (08:10):
well it's a vasodilator, so it opens up blood vessels so it
improves people's bloodpressure.
So, you know, I'm constantlygetting men off their blood
pressure medication.
'cause for the most part, bloodpressure medications are bad for
erectile function.
So if I can get them on anatural blood pressure
medication, like a nitric oxidebooster, like a firm, then it
(08:33):
helps improve circulation in thepenis and it reduces their blood
pressure.
Willow (08:38):
Is that what you're using then to get them off of
blood pressure medication is theAffirm
Jud (08:42):
I am, and you know, it's, it's, it's really ama.
I had a patient the other dayhis, he had elevated blood
pressure and he was seeing acardiologist at Stanford and I
said, do me a favor before thecardiologist put you on a blood
pressure medication, I want youto take two Affirm pills twice a
day and monitor your bloodpressure.
And his blood pressure went downto 1 20 80
Willow (09:01):
That's amazing.
Jud (09:02):
Yeah.
And the, the Stanfordcardiologist was flabbergasted.
Like he had never, he had neverheard of this.
And you know, the reason noone's ever heard of it is'cause
you really can't patent it.
So there's no real reason fordrug companies to sink a hundred
million dollars into a study.
If they're not gonna make anymoney off the, the, you know,
and there are a lot ofsupplements out there that are
(09:24):
kind of useless, but, uh, nitricoxide is not one of them.
It's very, very, very wellresearched and very well
established.
Uh, and it's, it's been shown inathletes to improve athletic
performance three to 5%.
It's been shown to improve, uh,cognition.
It's been shown to improve bloodpressure and also, of course,
it's improves erectile function.
Leah (09:45):
You know, I remember my husband used to take it before
workouts.
Um, I don't know if he stilltakes it, but I've got a couple
questions.
One, how does someone orderAffirm?
Jud (09:54):
Uh, if you go to www.AffirmScience.com,
A-F-F-I-R-M science.com, it'ssuper easy to to order.
Leah (10:02):
We'll have that in the show notes.
And then what about women takingthis product?
I mean, we've got a lot oferectile tissue we wanna get
fluffed up and turned-on.
Jud (10:11):
Any mammal?
Leah (10:15):
Yeah.
Jud (10:17):
you know, I mean, um, vaginal and clitoral blood
supply is really important, youknow, for lubrication, for
sensation.
Um.
For sort of clinical clitoral,um, erectile tissue.
Uh, so it's, it's criticallyimportant in women and not just
for sexual function, but alsofor physical fun, physical
(10:37):
function, for blood pressure,cognitive function.
Willow (10:41):
What.
Leah (10:41):
can women take affirm?
Jud (10:43):
Yeah.
Yeah, absolutely.
Leah (10:44):
No.
I had a friend give me ni um,nitric oxide.
Is that what it is?
And I got so hot, I got soflushed.
My skin felt like it was onfire.
I actually really hated it.
Um, I'm just assuming she gaveme too much.
Jud (11:00):
either.
Either too much or, um, you cando that, arginine will do that.
Leah (11:05):
Yeah.
L- arginine.
Yeah, I think that's
Jud (11:07):
so a better thing to take is citraline, and then citruline
is better absorbed by theintestines, and then it's
converted into arginine in thekidneys, and then it's recycled
back to, there's a citralinearginine cycle.
Leah (11:21):
Okay, so Citraline.
Now your supplement can womentake that too, or is it really
designed for men?
Jud (11:27):
No, no, both.
Leah (11:28):
Both.
Okay.
I'm so excited.
Jud (11:32):
yeah.
There's actually a, a, a pinklabeled, uh, affirm, but you
know,
Willow (11:37):
What, what would you say about, um, what about the
peptide, PT 1 41 for sexualfunction and health?
Jud (11:44):
Yeah, that, you know, that's a great, uh, peptide.
I have a lot of my patients onthat.
Um, it, it gives peoplespontaneous erections.
So, and the other thing is it'sa little bit less predictable
than say, Viagra or Cialis.
So Viagra and Cialis, you takeit and you can pretty much set
you're, you're watched by it,you know, 30 to 45 minutes
(12:06):
later, uh, it kicks in.
Whereas the PT 1 41, there's twoways you can take it either as
a, a nasal or, uh, ansubcutaneous injection.
The nasal has fewer of the sideeffects, which are mostly like
nausea or, or kind of upsetstomach.
But it's a little bit lesseffective.
And then the injectable, it's alittle bit more effective, but
(12:29):
it does give a, about a third offolks, um, pretty bad nausea.
I had a patient, uh, the coupletook it and, uh, it wasn't New
Year's, and she was saying thatlike she was basically out
throwing up for the New Year's.
Leah (12:41):
Yeah,
Jud (12:42):
yeah,
Leah (12:42):
tried it
Willow (12:43):
It very dose specific like you
Jud (12:45):
it, it is dose specific.
And you know, the thing is, it'sFDA approved for women.
It's called vii.
Uh, and so it's a very, verysafe drug.
You know, it's got FDA approval.
It isn't f FDA approved in men,but it, that's just because it's
hard to compete against$1Viagra,
Leah (13:01):
Now is this the peptide that also increases melatonin in
one's skin?
So a lot of people's skin colorchanging.
Jud (13:07):
Yeah, so it was being developed in Australia as a
sunless tanning agent, um,because so many people there get
skin cancer.
And so they were giving people,uh, this peptide every day.
Uh, and so they were starting toget darker skin, but they were
also like horny as hell.
And so, you know, cornier thanthe average Australian anyway.
Leah (13:30):
I love this idea of everyone just getting hornier.
I am very, um, sex positive inthat direction.
Let's get
Jud (13:37):
Yeah, but it's, it's a little unpredictable in terms of
when it works.
So if you take it at like noon,you, it may start working at one
o'clock, it may start working atfour o'clock.
And so it's, it's more of likea, like a weekend away kind of
drug
Willow (13:51):
But it isn't it also like an ongoing treatment, like
where you would do it kind oflike once a week for several
weeks?
Jud (13:59):
um,
Leah (14:00):
it was as needed, though.
You
Jud (14:01):
yeah, it's, it's more kind of as needed.
Willow (14:03):
As needed.
Okay?
Leah (14:04):
Like you know you're gonna be on a hot
Jud (14:05):
it every week, then you take it every week.
Leah (14:07):
Yeah.
Right, right.
How long does it last in thesystem?
Jud (14:11):
Yeah, it, that's also pretty variable.
I've had patients tell me, youknow, two, three hours, I've had
patients tell me, you know, 12hours, I've had a couple
patients who were kind ofyounger and healthier, tell me
that they had an erection thatlasted almost like six hours.
Willow (14:25):
Wow.
Leah (14:26):
Yeah, my, um, my former, um, business partner who is 75,
has been taking it on a prettyregular basis, and he's like,
I'm getting spontaneouserections while I'm driving my
car.
It's amazing.
He is like, I feel like I'm 30years old again.
He goes, it's awesome.
Jud (14:45):
Yeah, I mean, you certainly like don't necessarily have a
lot of control.
I mean, you could be watchinglike a Margaret Thatcher
documentary and all of a suddenget an erection.
Leah (14:58):
Yeah, so you know, I'm sure that there's a lot of guys
who are actually missing thosevolunteer erections and are
missing the, the hardness oftheir erections.
I.
Willow (15:09):
is that gonna work?
Well also for people who've hadproses um, or prostate
Leah (15:15):
Yeah, good question.
Jud (15:16):
Yeah, so if you've had prostate cancer and you had a
non nerve sparing prostatecancer surgery, then it's, it's
not gonna work because it, itrelies on nerves to send a
signal to the penis.
And so in those patients, youreally have to do something
like, uh, injection therapy or apenile implant.
(15:37):
Um.
Leah (15:39):
Um, okay.
I really want to get into yourwork with expanding girth and
length, um, for men who areinsecure or subconscious or just
long for having a bigger cock.
Jud (15:54):
You know, and it's really interesting.
It's really interesting becausewhen we did the P long study, I
was kind of expecting all theparticipants to be sort of below
average length for, for men.
In the United States, theaverage length of the erect
penis is 5.1 inches, so Ifigured everyone would be below
5.1 inches, but it wasn't, youknow, we had about a third of
(16:16):
the pa, the study participantswere below that.
About a third were around thatand about a third were, were
larger than that.
So
Willow (16:24):
How many participants in the
Jud (16:26):
we had a 30 participants.
Willow (16:27):
Oh, okay.
Jud (16:29):
Yeah, I.
Leah (16:29):
Wow.
Yeah, that's interesting.
That's actually not surprising.
Um, people who I've been workingwith for years, men and, and I
would say a lot of them.
Uh, this might surprise women,or maybe not, but a lot of men,
a high percentage of the men whocome through my office have
insecurities about their cocksize.
And I've seen a lot of penisesfolks, and I'm proud to say that
(16:52):
I've had the privilege of that.
And I'm looking at some ofthese, we call them Lingham and
Tantra, um, and going, you areperfectly beautiful.
You have a lovely size.
Yeah.
You're not giant, but you're notteeny.
Like, it kind of boggles my mindat how much men are insecure
about their size.
I, I don't, women don't thinkabout it nearly as often as men
(17:15):
do.
And do you think that that'sjust a result of porn, this
Jud (17:18):
Yeah.
I, I, I think that you're right.
I think men care more aboutpenile size than women do.
Uh, and yeah, it's, it may besecondary to porn.
It may be just like, uh, onemore thing that guys use to
compare with each other.
Willow (17:34):
Yeah.
Jud (17:34):
And to be honest, like I don't really care how big guy's
penises are.
That's not my thing.
But, uh, what I do care is thatmen don't do stupid things to
hurt themselves in the, in thepursuit of enlarged penis.
And so as a urologist, a surgeonand a sexual medicine expert, I
would see men come to my officewho've had surgeries, who've had
fillers, who've had fattransfers, who've had ligament
(17:57):
ligations, uh, with reallydisastrous consequences, like
guys who with like a, like yousaid, a perfectly normal
functional penis.
The function of the penis is toprocreate and to urinate, and so
if you can urinate andprocreate, your penis is fine.
Uh, but that's not what societytells us.
And so guys do things and spendlots of money, uh, on making
(18:18):
their penis bigger.
And so I wanted, what I wantedto do was to create something, a
study that would figure out away to increase the length and
the girth of the penis in a waythat was totally 1%, 100%
healthy.
And so I put together a study,I've done research at, at
Harvard.
I've done research at UCLA.
I've done research at AmericanRed Cross, so I know how to do
research studies.
(18:38):
Um, we got institutional reviewboard approval.
We had it listed by the NIHIpresented the data at the
International Society of SexualMedicine and the Sexual Medicine
Society of North America.
It's written up in andrology,uh, which is a reviewed journal.
And what we found was that inthe 30 men in the study, we
increased the length of thepenis, about eight tenths of an
(19:00):
inch, and increased the girth ofthe penis about a half an inch
over a period of six months.
Uh, and the most important thingis there wasn't anyone that had
any negative side effects, andeveryone in the study had felt
like they had better erectilefunction.
Leah (19:16):
Really.
Willow (19:17):
Did they feel like they had more sensation as well?
Jud (19:22):
You know, subjectively, yes.
Um, but we don't really haveanything that we can measure
sensation with.
And so, you know, it's, it'spurely a subjective thing.
Also, you know, the, theimprovement in erectile function
was also purely subjectivebecause these are by definition
men that have normal erectilefunction.
So we don't have a surveyinstrument to measure.
(19:43):
Um.
An improvement over what'salready normal, other than, you
know, guys know when things workbetter.
Leah (19:52):
Yeah, I'd be curious to know if, if there was a group of
men who, um, was frustratedwith, with, I mean, their
ability to get hard was fine,but their frustration of being
able to stay hard waschallenging, and if that helped
them stay hard to the point ofbeing able to finish, I.
Jud (20:10):
So, you know, PRP and Shockwave therapy will help men
do that.
But in this study we weeded outanyone that wasn't, uh, didn't
have
Leah (20:19):
Having normal
Jud (20:20):
good erectile function.
'cause the thing is, you know,men get 30 to 60 minutes of
erections every night.
That's, you know, that's one ofthe things that I, I discovered.
In, in a real way.
When we did the, the, um,confirm study, which is the use
of Affirm, um, to improvenighttime erections and to the
really, really, really, reallyexciting study is the confirm
(20:42):
two study, which I just likeliterally got data on, uh,
yesterday for my statistician,which combines Viagra, a small
dose of Viagra, 40 milligramswith Affirm.
And, uh, I can't spill all thebeans, but, um, but the, the
data is really exciting.
(21:04):
And the great thing is a lot ofmen will have side effects from
taking a dose of Viagra.
Cialis, that's too high.
They'll get facial flushing,they'll get headaches, they'll
get reflux, they'll get stuffynose, they'll get muscle aches.
And so if you can use a nitricoxide booster like a firm.
To augment the effectiveness ofViagra, then you can take a a
(21:28):
dose that's effective, but itwon't give you that level of
side effect.
Willow (21:31):
Oh, that's cool.
That's a good combo.
I like that.
Leah (21:35):
Yeah.
What's the, what is P long?
Like what?
What are men actually doing toincrease the length in the
girth?
Jud (21:42):
Yeah, so there's a, a stretching device called the
Restore X Device that wasdeveloped by a friend of mine at
the Mayo Clinic, and that's,that's used mostly, it was
developed for Peyronie'sdisease, which is a curvature of
the penis, but it, it stretchesand improves length.
Um, and then a penis pump by theDr.
Joel Kaplan people, which willimprove girth and then the
(22:05):
Affirm nitric oxide booster toimprove erectile function and
especially nighttime erections.
And then the secret sauce is aPRP injection.
So platelet rich plasmainjection.
So what we do is we draw blood,we spin the blood down, the red
blood cells go to the bottom.
The plasma goes to the top.
We take those off, and in themiddle there's a layer of
(22:25):
platelets, and those plateletsare resuspended in plasma and
injected into the penis.
Leah (22:30):
Okay.
Jud (22:31):
And platelets have two functions.
One function of platelets are tocause a clot, but the other
function of platelets is toregenerate tissue, to cause
tissue to regrow.
And so PRP is used in hairgrowth.
It's used in, uh, didn't workfor me, but, but it's used in,
in hair growth.
It's used in orthopedics, it'sused in dental surgery, uh, and
(22:53):
it's used in penises.
As the p shot and, uh, and, andvaginas as the, or clitoris as
the OShot.
Leah (23:01):
Okay.
Okay.
That's good to know.
I didn't know that.
Um, what's the treatment like ifsomeone really wants to do this?
Are they using the pump and theum, thing that stretches the
penis?
Are they doing
Jud (23:15):
know, I wanted it, I wanted the study to be doable, the
protocol to be doable by men.
So there was a study out like 20years ago on a stretching device
that you had to wear like ninehours a day for six to nine
months, and that got you aboutan inch in length.
But most people don't have jobswhere they can wear a penile
extender for
Leah (23:36):
Yeah, like what does it look like?
What does it feel like?
Jud (23:39):
And so, and so the, uh, the penile protocol is the using the
Restore X device, 20 minutes inthe morning, 20 minutes in the
evening, and using the pumpingdiet device, 12 minutes in the
morning, 12 minutes in theevening.
Leah (23:52):
Okay.
Jud (23:52):
So it's about 30 minutes in the morning, 30 minutes in the
evening.
Leah (23:55):
Okay.
Willow (23:56):
Plus the, how often are the PPRP
Jud (23:59):
Yeah.
PRP is once a month for sixmonths,
Willow (24:02):
Once a month.
Leah (24:03):
And then how long does this extra girth and link last?
Jud (24:07):
uh, as long as you're getting adequate erections, uh,
it should last forever.
Leah (24:10):
Really?
Okay.
So it, it has
Willow (24:13):
30 person study, you had these guys doing this 30 minute
protocol in the morning, 30minutes in the evening, and
getting PRP injection once amonth.
And how many months in totalwere
Jud (24:25):
six months.
Willow (24:26):
Six months for the study.
Okay.
Jud (24:28):
you know, we, we ended the study at six months because we
were able to achieve a highlevel of statistical
significance.
Yeah.
But I mean, we, I, we haveplenty of guys that, that have
aspirations to be bigger and sothey continue to, to go and they
continue to
Willow (24:46):
do the protocol.
Jud (24:48):
Although I had a patient the other, uh, a couple months
ago and he's like, doc, youknow, this is gonna be my last
visit here.
And I'm like, you know, how comeyou know, like, you're, you're,
you're doing so great.
And he is like, well, I wastalking with my wife and now I'm
too big for oral and I'm too bigfor anal, and I, I need to leave
at least one orifice open.
Willow (25:08):
Oh my God.
That's amazing.
Leah (25:10):
I, I am very sympathetic to her plight.
I'm not one of these women whoreally loves giant penises.
I find them to be painful.
Um, so yes.
Interesting.
You had to press pause on theprotocol.
Um, now do people have to cometo the Bay Area?
I know that your, um, office isin San Ramon, or are there
(25:33):
clinics across the
Jud (25:34):
Yeah.
No, we have, we have a networkof about 50 or 60 offices around
the country that offer P Long,that are
Willow (25:41):
So you're training other practitioners in this
Jud (25:43):
Yeah.
Yeah.
Leah (25:44):
And, and what kind of, um, who's, who can get certified to
do this treatment?
Jud (25:52):
Uh, you know, physicians that are, um, that have a
capability of, of injectingpenises, which,
Leah (25:59):
Okay.
Jud (25:59):
uh,
Willow (26:00):
You have to be a medical doctor or a nurse practitioner.
Could a nurse practitioner do
Jud (26:04):
yeah, we have nurse practitioners that do it.
Willow (26:06):
Cool.
Awesome.
Jud (26:08):
Yeah, I mean, technically it's not, it's not prostate
cancer surgery, so.
Leah (26:14):
Right.
But it is something that really,that really shakes the
confidence of so many men outthere.
And I think people don't knowabout this.
Um, I think the otheralternatives seem really
invasive, and so that scares alot of people and
Jud (26:29):
Yeah, I mean the, the alternatives are really lousy.
A lot of people do what's calleda ligament ligation, uh, and so
the penis hangs lower.
Willow (26:38):
Mm.
Jud (26:38):
but when you get an erection, it points down towards
your toes and it doesn'tactually increase the length of
the penis.
What, uh, if you, if you look ata penis anatomically about half
the penis is on the inside andhalf the penis is on the
outside.
Uh, and so when you cut theligament, it just hangs lower,
but it's actually not bigger.
So like if you're with a guy andthe guy's like, well, I have a
(26:59):
six inch penis, and then you'rein bed with him, and you're
like, no, you only have sixinches.
He'll say, well, no, I have sixon the inside and six on the
outside.
Willow (27:09):
Mm-hmm.
Leah (27:11):
Which is why women are such terrible judges of
distance.
Um.
Willow (27:18):
so I have a question for you.
Do, do you get any intel or doyou talk to your patients about,
um, like how this changes othersectors of their life, like
their confidence at work?
Like when they're, when they'vegot more confidence in their
cock, how is it changing otherareas of their life, their
Jud (27:36):
Yeah, I mean, we don't, we didn't really,
Willow (27:39):
I don't talk about that much.
Jud (27:41):
put questionnaires out there.
There are some actuallyvalidated sort of quality of
life.
And, and confidence typequestionnaires that we could
have used.
Um, but I think in general, uh,I notice that that men are sort
of happier and more confidentwhen things are working much
better down there.
Leah (28:00):
So I knew about like the li the ligament, um, the cutting
of the ligament.
Yeah.
And I knew about fat injections.
Can you say more about thefiller, what your
Jud (28:13):
Yeah.
So.
Um, there's collagen, there'shyaluronic acid, there's uh,
PMMA.
So, um, a lot of those are, um,just bulking agents that, like
people get put in their lips orget people get put in their
face.
The thing is that they have tobe suspended in fluid in order
(28:33):
to be viscous enough to beinjected through a small needle.
And so basically if you're 50%,um, suspended in water.
Then within a couple of months,you're gonna lose 50% of the
bulking almost immediately asthat water gets reabsorbed.
And typically the fillers lastmaybe a year or two.
(28:54):
And then you end up with thiskind of dry, lumpy, bumpy penis,
almost feels like sand underthe, the skin of the penis.
And then you have to go back andget more fillers placed.
Um, and they're not cheap.
You know, it's usually 10,000bucks for the initial injections
and then, uh, two,$3,000 everycouple of years for additional
(29:16):
injections.
And so it's expensive, it'stemporary.
Willow (29:21):
That's a good
Jud (29:22):
and the other thing is it gives you girth.
It doesn't give you length andit doesn't do anything to the
head of the penis, right?
So now if
Leah (29:31):
Mm
Jud (29:31):
big girth and a little, uh, head of the penis, uh, what I
call that, you know,scientifically we call that a
pig in a blanket, penis.
Leah (29:40):
scientifically.
Jud (29:41):
And so, yeah, I mean, pig in a blanket is great at a
cocktail party, but it's not notgreat in a bedroom.
Leah (29:50):
Wow,
Jud (29:50):
you know, and the other thing is, I mean, and you guys
tell me, but I don't think womenare looking in particular for
the size of the penis.
It's more like the confidence ofthe man who owns the penis.
And so if you're in bed with aguy and you're like, you know,
why does your penis look like apig in a blanket?
Or, you know, why is, why can Ifeel this, uh, you know,
(30:13):
silicone implant under the skinof your penis?
I think they'll, that willreflect more poorly on the guy
than actually having a, a penisthat's on the smaller side.
Willow (30:26):
Well, yeah.
Leah (30:27):
What we try to do sort of energetically, emotionally and
psychologically for men is tohelp them connect too.
It's not how big you are thatmakes you a great lover.
It's how much love andconsciousness and power you can
put out that penis, and so it'smuch more a mind body connection
to go.
How big do you wanna be?
And using the power of your mindto, you know, bring that
(30:49):
forward.
And, and that leads to a lot ofsuccess in terms of how magnetic
and attractive and potent thatman feels when inside of you.
Um, but you know, again, one hasto use very specifically the
power of their mind to be ableto own that.
And sometimes people can't digthat deep to be able to feel
(31:12):
their versatility.
In that way.
Okay.
Jud (31:14):
Yeah.
Yeah, I, I totally agree withyou and, you know, you said mind
body connection.
It just made me think ofsomething totally off the
subject.
But, um, my, my book the 21stCentury Man, it's the, it's the
most comprehensive medic men'shealth book.
Ever written.
And, uh, so I, I started apodcast using artificial
intelligence to create podcastepisodes, and I thought it would
(31:38):
just like, basically take the,the chapter, synthesize it and
kick out a summary.
But the really, really spookything is it read the whole book.
Then the podcast, I waslistening to the podcast to make
sure it was okay.
Because you have to, like, wespent a lot of time working on
the prompts to figure out how toget it just right and AI was
(32:01):
like, this is the first men'shealth book to emphasize not
just men's physical and sexualhealth, but also the mind body
connection.
Leah (32:10):
Mm-hmm.
Jud (32:12):
So like AI has like insight.
was crazy.
I'm listening to this,
Willow (32:21):
The MINDBODY connection in your book.
Jud (32:23):
not like using those words, like there's a whole section on
relationships.
There's a whole section onmental health.
There's a whole section onlifestyle.
There's a whole section onaesthetics.
Um, and so there are, there arelarge parts of the book that
relate to that, but I never hadanyone kind of synthesize the
(32:45):
book to me and say, wow, youknow, this is really an amazing
book.
Emphasizing not just likephysical health, but also sexual
health, the mind bodyconnection.
So it's really like
Willow (32:57):
Pretty professional
Jud (32:58):
out there is, is it's crazy.
It,
Willow (33:00):
is doing.
we're going in this world prettywild.
Well, who knows what the penisis gonna experience?
Jud (33:07):
yeah, exactly.
Leah (33:12):
So, yeah,
Jud (33:13):
Well, you know, they're, they're, they're trying to
achieve artificial generalintelligence, but maybe they'll
also achieve artificial penileintelligence, right?
Because everyone says the penisis the second brain,
Leah (33:27):
Yeah.
Jud (33:28):
I don't think the IQ that they'd have to hit would be
quite as high as for the, uh.
Willow (33:31):
Probably not.
It's more simplifi simplified.
Thank you.
Yeah.
Leah (33:35):
You know, I don't know if you would have an answer to this
question, but I've heard, um,that as men age, their oxytocin
levels go up.
Um, where women, as they go intomenopause, their oxytocin levels
go down.
And there's one theory thatit's, it's why there's a lot of
men, older men and younger womenwho tend to be attracted to each
(33:56):
other because their oxytocinlevels are starting to match up.
It's one theory.
And um, and so intimacy, likefeeling really connected.
To a person, as men are older,like that connection becomes
more valuable.
It's more important than maybesome of that more exciting or
(34:16):
shallower, um, sex where they'rejust going from one partner to
another partner, whereconnection isn't as vital.
It's really like the desire andthe friction.
That's the big turn on.
And as men age, that need forconnection is greater.
And um, and emotionally there'sa connection between that and
(34:36):
their penis responding.
Have you heard of anything likethat?
Do you know if that's true?
Jud (34:42):
know, I.
Willow (34:42):
I would think of it more as like their testosterone
levels and then the, you know,their testosterone levels coming
down and then the estrogenlevels.
Also in women coming down andthat sort of connecting
Leah (34:54):
The interplay.
Willow (34:55):
being why?
Jud (34:56):
I, what, what both of you're saying makes, makes a lot
of sense to me.
Um, I, I think that, you know,from my own sort of patience
perspective, you know, as youhit your sixties and seventies
and eighties.
Um, your erectile function,erectile stiffness isn't what it
used to be.
And so you have to become morecreative in terms of, um, the
(35:18):
way that you pleasure a woman.
And so, you know, connectingwith them physically in a non
penile penetrative way, um,becomes more important and
oxytocin may help with that.
Willow (35:35):
Is that true?
Do you know?
Does do oxytocin levels, um,rise as men age and
Jud (35:41):
That, that I don't know.
Willow (35:43):
as women age?
Leah (35:45):
Um, I, I wanna segue to the prostate and ask you about
prostate massage as anintervention to help with
prostates that it get swollen.
To help milk the prostate forjust greater health.
Of course there's a lot ofsexual benefit for men who get
turned on by prostate massage.
There's a hypogastric nerve, um,and that part of the body that
(36:06):
can carry orgasmic energy up tothe brain.
Is there anything you can shareor enlighten us when it comes to
that, either as a preventativemedicine process for keeping the
prostate young or just from apleasure standpoint?
Jud (36:18):
Yeah, well, I mean, clearly the best thing you can do for
the prostate is to ejaculate.
Leah (36:22):
Okay.
Jud (36:23):
Um, so the prostate, the only function of the prostate is
to make semen.
And so you have seminal vesiclethat makes semen in the prostate
that makes prostate secretionsand, and semen.
And so it's a gland.
Just think of like the salivarygland makes saliva, the prostate
gland makes semen.
And so, and the semen obviouslyis like a very thick, viscous,
(36:45):
um, fluid.
And so if it sits around for along period of time, then the,
the channels that it, it comesout through will get clogged.
And so we see this when we doprostate surgery like a turp,
where you're scraping awayprostate tissue, and a lot of
men will have a lot of prostatecalcifications.
(37:07):
So that's where those ducts orchannels get blocked.
The, the semen just sits aroundand eventually it gets
calcified.
And so definitely, um, cleaningout the tubes is important.
I
Willow (37:23):
Does that cause if it's calcified, is that then painful
when they ejaculate?
Jud (37:28):
No.
'cause it just, it's justblocking.
Well, I don't know.
That's a good question.
I don't think anyone's everstudied that.
Um, because it would be, be achallenging study to do.
I, I would imagine that wouldcause some discomfort if the,
the glands were contracting and,and, and being blocked.
(37:49):
And certain, certainly that canlead to enlarged prostate.
That also can lead to a prostatethat gets infected.
And so before some of thestronger antibiotics that we
have, that was the treatment forchronic prostate titis or
prostate infection was wasprostate massage, basically
pushing out the infectedprostate secretions.
Willow (38:10):
Mm-hmm.
And
Leah (38:12):
So.
Willow (38:13):
that's like milking the prostate basically.
So, so, so ca could milking theprostate, could be and feel
different for a man than anormal ejaculatory orgasm.
Jud (38:24):
Yeah.
Well, you know when, when you'remilking the prostate in a
pleasureful way.
It's a lot different than comingto a urologist like me who's got
big fingers and 12 patients inthe waiting room, and I'm just
trying to get you better and getthe prostate secretions out.
So
Leah (38:43):
Right.
Very different
Jud (38:45):
it's a, it's a relatively uncomfortable experience.
Leah (38:49):
There's no soft music.
There's
Jud (38:51):
there's, yeah.
I don't send flowers the nextday.
Leah (38:54):
woman half dressed.
Jud (38:55):
Yeah.
No.
You get an old, bald, pissed offurologist.
Leah (39:04):
Yeah.
Willow (39:05):
I actually have a, a young client right now who's,
who's having issues with that.
So it really can happen at anyage.
This, uh, sort of pooling ofsemen or calcification could
take place if it pulls for toolong.
Leah (39:20):
is it semen or is it prostate fluid?
I thought the semen was held inthe balls and the prostate fluid
was in the prostate.
And in order to release semen,the prosthetic fluid has to go
into, uh, the testicles and itdoes its chemical reaction.
And then you have anEjaculation.
Do I have that wrong?
Jud (39:36):
it's a close.
Close.
So the testicle makes sperm.
The sperm swim through theepididymus.
And the epididymus is where thesperm actually matures.
So from the day you make a spermin the testicle, it takes about
75 days for it to mature and tobe released.
And so the sperm swim up throughthe, the epididymus and then
(39:59):
into the VAs deference.
And then the VAs deference joinsthe prostate and seminal vesicle
in what's called the prostaticurethra.
So the part of the urethraltube, um, that's at the prostate
level.
And so during Ejaculation youget contraction of the semial
vesicle, contraction of theprostate, and that pushes the
(40:20):
fluid, which is really high infructose, fructose type of
sugar, uh, that the sperm kindof need that sugar to because,
you know, they're, they'rewhipping that tail around.
They're swimming a long, longdistance.
You know, they're swimmingbasically across the English
channel to get to the to theegg.
And so that's the purpose ofsemen.
(40:42):
Uh, and the sperm really onlymake up about one or 2% of the
total Ejaculation.
Willow (40:48):
Oh, that's a lot less than I thought.
Hmm, interesting.
Jud (40:52):
So like when you, when we do vasectomies, um,
Willow (40:55):
it's prostate fluid.
Jud (40:56):
yeah.
So when I do vasectomies, uh,you know, prostate.
Ejaculation, you know, orEjaculation looks and feels the
same because the semen, thesperm are only, you know, one or
2% of the
Leah (41:07):
Wow, that's interesting.
Now, how often should a man beejaculating in order to maintain
prostate health and avoid this
Jud (41:15):
Yeah.
You know, I, there again, I, Idon't think anyone's ever done
a, a, a real study on that, butyou know, at least twice a week
maybe.
Willow (41:23):
Well, would you say it's different for different ages of
men or maybe different sort ofbiological, physical, like if
they're really healthy andthey're in their sixties versus,
you know, not healthy in theirtwenties.
Jud (41:34):
Uh, I mean, I think in general to keep the, the fluid
flowing at least twice a week isprobably healthy.
Leah (41:42):
Okay.
I know there was an Oh, oh, wellwe're, oh, I had something.
No, no, no, no, no.
We talked about the prostate.
There was another
Jud (41:52):
chat GPT of urology.
Leah (41:56):
I put my arms out here and it's like me giving wonderful
prompts to the universe.
Unfortunately, this doesn'talways work.
Willow (42:08):
Well, I wanna hear about, um, maybe some success
stories.
Like, you know, like a guy comesin and he is just all down and
out, really not having a goodtime with his penis
Jud (42:19):
Yeah.
So you know what, what I do, um,I just, for me, the penis is a
way to see a man's sort ofgeneral overall health.
There's like a, for me, there'slike this Maslow's pyramid of,
of health for men over the ageof 50.
So for men, you know, in theirtwenties, erectile function's
(42:40):
easy.
Um, but for men over 50 to havea, a fulfilling sex life, you
know, at the very bottom at thefoundation, you need to have
good physical health.
Then you have to have goodmental health and you have to
have good emotional health andfinancial health.
And then at the top is reallysexual health.
Leah (43:01):
Mm-hmm.
Jud (43:01):
and so men, men come into my office, you know, for me to
treat their erectile function,but I also treat their physical
function.
I also treat their mentalhealth.
I also, you know, refer them totherapists for relationship
issues and those kind of things.
And so what's really gratifyingto me is I see a man who comes
(43:23):
in six and then, you know, Italk to them about their
physical health and I get themon, uh, eating better.
I get them to stop drinking.
I get them to stop smoking.
I get them to lose 20 or 30pounds.
Um, I get them into an exerciseroutine.
I get them on good supplements.
Um.
Then I get them, uh, ontestosterone replacement, and
(43:44):
then I'll get them on Affirm.
I'll get them on some dailytadalafil.
We'll do shockwave therapy.
We'll get them with a penispump.
We'll do PRP and six monthslater they look like a million
bucks.
They're, you know.
Everything in their life isbetter and they're having be the
best sex that they've ever hadin their life.
And that, you know,
Leah (44:04):
Oh, I love
Jud (44:05):
and yeah.
And that, you know, that'sreally, really gratifying to me,
and that that happens fairlyfrequently in my office.
And, you know, the, the sadthing is, um, the way that our
medical se system is these days,you just don't, as a physician,
you don't have enough time tospend with patients.
Leah (44:24):
Mm-hmm.
Jud (44:25):
So, I mean, I had a patient who came in to see me for a
circumcision, but he was 80pounds overweight and drinking
eight beers a day.
And I looked at him, I said,dude, you know, I'll do your
circumcision.
That's fine.
But you know, if you don't stopdoing what you're going to,
you're doing, you're gonnafucking die in five years.
(44:46):
He looked at me and he startedcrying,
Leah (44:48):
Oh
Jud (44:48):
I'm like, yeah.
And I was like, you know, what'sgoing on, dude?
He's like, you know, I've beengoing to doctors for 25 years,
and no one's ever said that tome in a way that, that it just
landed for me.
Leah (45:00):
wow.
Jud (45:01):
And I saw him back, you know, two, three months after a
circumcision.
He had stopped drinking eightbeers a day.
He had already lost like 20, 25pounds.
And you know.
His, his whole life was turnedaround and, and so sometimes it
doesn't take someone with likeextraordinary knowledge.
Sometimes it just takes someone
Willow (45:20):
up.
Jud (45:21):
to who's a professional,
Willow (45:24):
Yeah.
Jud (45:26):
that that cares enough to just pause and, and tell someone
what they see.
Leah (45:31):
Yeah.
To like compassionately tell thetruth in a, in a way that a like
for this person lands.
Jud (45:38):
I mean, I'm sure like people in this guy's life, were
telling him, dude, you gottastop drinking.
You gotta lose weight.
Uh, and it, it, it didn't reallyland.
So some, sometimes, you know,that's the privilege of wearing,
uh, a white coat
Leah (45:50):
Mm-hmm.
Jud (45:50):
and having fancy diplomas up on your wall is that
sometimes people will listen toyou in a way that they don't
listen to other people in theirlife.
And so, to me, you know, I, Iconsider it really a, a, a honor
and a privilege.
And I, I try to use that sort ofpedestal to get people to see
things that they don't wannasee.
Leah (46:12):
Yeah.
Wow.
That's a lot of responsibilitytoo.
Willow (46:15):
and to look more closely at their lifestyle.
Leah (46:19):
Do, do you treat people with, um, who come?
Do people come in.
Wanting help with, uh,ejaculatory control or delayed
Ejaculation where they're justhaving a hard time getting over
that climax hill.
Jud (46:33):
You know, so I treat people with premature Ejaculation.
They tend to be youngerpatients, and I treat patients
with delayed Ejaculation, tendto be older.
So for guys with prematureEjaculation, you know, the, the
delay sprays like PROEs, uh, arereally useful.
Um, I also have a supplementcalled Pre Prolong
Willow (46:54):
what's PROEs?
Jud (46:55):
PROEs.
It's like basically a topicalnumbing cream.
Willow (46:58):
Mm.
Jud (46:59):
You know, they're wipes, there's creams, there's sprays.
I find that pubescent sticks tothe penis a little bit better,
Leah (47:04):
Over the counter or
Jud (47:06):
over the counter.
Leah (47:06):
Yeah.
Jud (47:07):
then I have a supplement called Pre Prolong, which is an
extract of St.
John's Wort.
St.
John's Word is a naturalselective serotonin reuptake
inhibitor.
Willow (47:16):
Mm-hmm.
Jud (47:17):
Uh, and so what we found is that the antidepressant
medications in the class ofselective serotonin reuptake
inhibitors, SSRIs, delayEjaculation.
Um, but you don't, some peopledon't wanna be on an
antidepressant.
Um.
Leah (47:31):
Yeah.
But
Jud (47:32):
a lot of stigmas and side effects of those.
So pre prolong, which you canalso pick www.affirmscience.com,
uh, works really well.
Or you can go on onantidepressant or there's, um,
there's one called Priligy,which unfortunately is not
available in the United States,but it's a short acting one to
three hour, uh, window.
And so, uh, I have patients whoget it from India, they get it
(47:56):
from England.
you can take that one to threehours before, and that will
delay Ejaculation.
Now on the, on the flip side,you have guys that, uh, take a
long time to ejaculate.
Uh, and so sometimestestosterone is good for that.
Uh, if you have low testosteronelevels, boosting testosterone
will boost libido, which thenwill, um, increase excitation
(48:19):
and guys will be able toejaculate.
Um, there's a medication calledCabergoline, um, which works on
the dopamine, uh, supplies inthe brain.
Uh, and then there's a devicecalled the Emsella chair.
Uh, and so I actually did theoriginal research, which showed
that it improves ejaculatoryfunction, 10 treatments.
(48:42):
So the Emsella was actuallydeveloped for women for treating
stress incontinence.
And then, uh, Kim Evans, afriend of mine, did research on
women that showed that itimproved sexual function by
improving the, the strength ofthe, uh, the vaginal tissue.
Willow (48:56):
Did you say Emsella chair?
Is it a chair that you sit in?
Jud (49:01):
Yeah, it's a chair that you sit on, uh, but it's basically
you're sitting on a giant magnet
Willow (49:06):
Okay.
Jud (49:07):
and when you run electricity through a coil, it
creates a magnetic field andthat magnetic field contracts
the pelvic floor.
Kinda like you're doing a Kegelexercise,
Willow (49:18):
it's for you, it's
Jud (49:19):
but it's, yeah, but it's, it's 20 fold stronger than you
could ever do on your own.
Leah (49:24):
Oh, does it hurt?
Willow (49:26):
that sounds interesting.
Jud (49:27):
It feels actually.
Leah (49:28):
Yeah, I was gonna say, that might feel nice.
Jud (49:30):
No, it feels, feels good.
Leah (49:32):
Yeah.
Jud (49:33):
Um, you know, when I have paperwork on the weekend, I come
in, I sit on that chair, I, Iget a pelvic floor workout, and
I get my paperwork done.
Leah (49:41):
Nice.
Jud (49:44):
I'm in efficiency.
I, I have four kids, threecompanies, two houses, and one
wife.
So I have to be super efficientwith my time.
Leah (49:51):
Yeah, evidently.
Wow.
Well, this has been sofascinating.
Um, Dr.
Willow, do you have any finalquestions?
Willow (50:00):
I don't Thank you so much for coming on the show, Dr.
Brandeis.
It was such a pleasure to justpick your brain for an hour and
learn about all this amazingstuff.
And the 21st century, man, it isall in the book, soon to be
coming out in podcast form.
Jud (50:16):
No, we're already out.
If you go to, yeah, if you goto, it's the 21st century, man,
so if you go to Spotify
Willow (50:21):
okay.
Jud (50:22):
and just put in the 21st Century man, or we're
Willow (50:24):
We don't have to read.
We can just listen to thepodcast now.
Jud (50:28):
Yeah.
Well, you know, like, do both.
It's, I don't know.
I'm old fashioned.
I like to have a, like a book,like yeah, a book
Willow (50:35):
I actually like to read a book and listen to the book at
the same time.
If I
Jud (50:39):
Ooh, that's good.
Willow (50:40):
yeah.
Leah (50:41):
Yeah, well, we'll have all those links in the show notes,
friends, uh, remember to pleasestay tuned because up next
you've got me and Dr.
Willow dishing it up and we lookforward to that.
And, um, have a beautiful day.
Thanks so much for joining us.
Jud (50:55):
Oh, thanks for having me.
I
Leah (50:57):
Mm-hmm.
Jud (50:57):
it.
Announcer (51:00):
Now our favorite part, the dish.
Leah (51:04):
Well, well, well, you know, we've had so many great,
interesting sexual healthdoctors recently.
Willow (51:11):
We have.
It's been fun.
I love it.
'cause we get such a goodeducation.
I mean, that was fast.
I didn't realize that only oneto 2% of an Ejaculation is
semen.
How?
How did I not know that?
Leah (51:22):
I know that's fascinating.
I had no idea either.
I thought there would be a muchbigger volume.
Willow (51:27):
It's mostly prostate fluid.
So, and this is something thatI've actually been wanting to
talk to you about privately, butsince we're here privately
talking, um,
Leah (51:37):
Yeah.
Willow (51:38):
uh, with, with milking the prostate, what is coming out
is primarily prostate fluid.
Leah (51:47):
My understanding was that it was prosthetic fluid.
Yeah.
Willow (51:51):
'cause I was totally not confi.
I was a little.
Leah (51:53):
But it sounds like that it's also semen.
Willow (51:57):
One to 2%
Leah (51:58):
And what I thought of as semen, I was equating with
sperm.
But it sounds like there areactually three different things.
You have sperm, semen andprosthetic fluid.
And the prostate is what createsthe semen and the prosthetic
fluid.
Willow (52:12):
Okay.
And we're gonna have to listento that little portion again.
'cause that was really goodeducation.
Yeah.
So, Dr.
Brandeis, what a, what anamazing urologist to know about
y'all.
What an incredible guy like gayfor the penis man.
It's like making everyone havebetter relationship with their
cock.
I love it.
Leah (52:33):
And for those of you who are in California or near the
Bay Area, um, he would be inyour backyard.
Uh, but it sounds like he's gotother clinicians that he's
trained who can also, um, helpwith some of the things that
he's created.
Really great, that there's amore natural way to have
permanent
Willow (52:51):
yes.
Leah (52:54):
Extra girth, extra length.
I mean,
Willow (52:57):
Yeah, exactly.
Leah (52:58):
you know, I can just see how many men would invest in
that if they had the chance tojust up their confidence by
another inch.
Willow (53:07):
Well.
Leah (53:08):
I can't tell you how many people I know would say yes.
Willow (53:10):
mean, I know exactly, but I, I imagine too, if we're
increasing length and we'reincreasing growth, we've gotta
be increasing sensitivity aswell because there's just,
there's that much more cellulartissue for blood to be flowing
through.
So that's gonna be increasingsensitivity.
So.
Leah (53:26):
Oh, I never thought of it that way.
Willow (53:27):
Gonna be feeling better too.
Not only are you gonna have moreconfidence in the way that it
looks, but also in the way thatit feels and probably in your
control as well.
I mean, I, I do, I do know thatLeah and I are, are experts in
teaching control, but, um, youknow, I think if you, yeah, the
confidence is a huge part of, ofbeing able to be in choice.
(53:50):
I like the word choice a littlebit better than control.
Leah (53:53):
Yeah.
You know, if I do go down and.
Get on that magnet chair he wastalking about.
I, I wanna, I wanna talk to himif I could have a few more
minutes of his time and explainthe interventions that we have
so much success with when itcomes to teaching men
ejaculatory choice by workingwith muscular contractions,
(54:14):
pressure points, and breathcontrol because again, it's a
non-invasive way of actuallygetting some really great
results.
I would much rather teachsomebody that than give'em a
spray.
God knows what that spray tasteslike.
Willow (54:30):
Just so y'all know, if you don't know, Leah is not into
yucky tasting medicine.
Leah (54:35):
I don't like yucky, tastes
Willow (54:37):
like the taste of.
Leah (54:38):
nothing bitter, especially.
Willow (54:43):
Well, yeah, I actually wanted to ask him that and I
just didn't, but, um, you know,do you ever refer to Dakini, do
you ever refer to, to Tantikaswho, who teach men like hands-on
how to, um, how to use theirown, their own systems?
Sound, breath.
You know, body control, runningenergy through your meridians.
(55:03):
I mean, it would be interesting,I think I did ask one of our
doctors at one point that we hadon the show, that question, and
they were like, huh, neverthought of it before.
Leah (55:11):
Yeah, right.
I think that was Dr.
Gittens and um.
Yeah.
You know, I, I've, and I got thevibe from him too.
This is not something he
Willow (55:19):
I, yeah, that's.
Leah (55:19):
typically refer.
It's like I think some of thosephysicians are like, you know, I
don't wanna sound judgy, butthere is a certain academic
thing that they feel like that'sthe only thing that has
credibility because they knowthey've been through so many
(55:40):
years at a university andthey've have.
You know, clinical measurementsand things.
So there, there's a status izingwhen it comes to, um, the type
of education that you've had,
Willow (55:50):
Yeah, definitely some of them, some of them can.
Although I will say for Dr.
Brandeis, he was, he was veryreceptive and very open and
pretty, pretty playful Ithought.
And like when, when he
Leah (56:01):
And so was Dr.
Gettin's, honestly, he
Willow (56:03):
afraid to admit it, you
Leah (56:05):
Mm-hmm.
Yeah, and I think, um, I thinkwe asked the same question to
Dr.
Elliot Justin, who I wasthrilled that he mentioned
because he loves, um, Dr.
Uh, Justin's cocking that wewere so impressed
Willow (56:24):
it's an amazing fucking ing.
Leah (56:26):
Yeah, I really, if you haven't listened to either of
those episodes, go back.
I'll put the links in the shownotes because it would be really
interesting to get some feedbackfrom you, um, listeners about
what landed with you, becauseeach one of these doctors
touches on many of the samethemes.
For instance, Dr.
Gittens is really all about the,um the, uh, injections for
(56:52):
increased girth, the fillerinjections, and has had great
success in his office.
So it's really interesting, um,uh, what Brandeis had to say,
uh, and his alternative thathe's getting a lot of success
with.
So, and then not to mention Dr.
Anne
Willow (57:10):
Yeah.
Leah (57:10):
Yeah.
Who spoke a in depth about the
Willow (57:13):
can get a whole education on prostate and penile
health by those three episodesalone.
Leah (57:19):
Yes.
And you know, I think one of thethings that might if be a
turnoff, if I was considering,um, the p long treatment that he
has is just, although he did sayit's just a half hour in the
morning and a half hour in theevening, but it does feel like a
lot of steps.
But then again, it's permanent.
Willow (57:39):
Yeah.
Leah (57:40):
So maybe, you know, it's six months and you get a
permanent result and it, ittakes an hour a day of an
investment and you gotta go intothe office to get those
injections.
I don't know how important is itto you?
Yeah.
Well this was fun.
Okay.
Love, love, love.
Announcer (58:00):
Thanks for tuning in.
This episode was hosted byTantric Sex Master Coach and
positive psychology facilitator,Leah Piper, as well as by
Chinese and Functional Medicinedoctor and Taoist Taxology
teacher, Dr.
Willow Brown.
Don't forget your comments, likesubscribes and suggestions
matter.
Let's realize this new worldtogether.
What if everything you've been told about aging and
sexual health is scientificallyincorrect?
Today's guest has discoveredbreakthrough approaches that are
helping men in their sixtiesreclaim the sexual vitality of
their thirties without the bluepill.
We are here today with just Dr.
Judson Brandeis, award-winningurologist and sexual medicine
(00:26):
pioneer, and we are thrilled.
I'm Dr.
Willow Brown.
I'm here with my amazingco-host.
To Leah Piper, and we are sograteful for all your wonderful
likes, shares, and subscribes.
Leah (00:37):
Okay, friends, you know what to do.
The time has come.
Let's tune in.
Let's turn on and let's fall inlove with Dr.
Brandeis.
Announcer (00:46):
Welcome to the Sex Reimagined Podcast, where sex is
shame-free and pleasure forward.
Let's get into the show.
Willow (00:55):
Welcome to the show.
We're
Jud (00:57):
Oh, thank you for having me here.
This is such an honor to behere.
Willow (01:00):
Yeah.
Yeah.
So you've been in the world ofsexual medicine and helping men
with their virility for quite along time now, and have studied
extensively.
You've written a book, you'vegot a podcast coming out.
So many good things to sharewith us.
Why don't we start with, um,where this all began for you?
(01:20):
What kind of got you on thissort of track with medicine?
Leah (01:25):
Yeah, the world of sexual medicine.
Jud (01:28):
Yeah.
So as a urologist, I've been aurologist for 25 years.
Uh, sexual medicine was alwayssort of part of what we did, but
I started out, uh, firstinterested in kidney
transplantation and then, uh,became really interested in
prostate cancer.
Was a pioneer in surgicalrobotics for prostate cancer.
And then I built a kidney stonecenter, and then MRI guided it
(01:48):
prostate biopsies.
But about six or seven yearsago, I became really interested
in the use of regenerativemedicine to help men who no
longer were able to get adequateerections for intercourse to get
them back on track.
So using low intensity shockwavetherapy or PRP or even stem
cells and supplements to helpmen turn the clock back 5, 10,
(02:13):
15, 20 years.
Leah (02:14):
Wow.
To, to turn the clock by twodecades.
That is very significant.
I just imagine that you've gotpatients just filling up your
calendar.
Um, so many men that I see, uh,noticing that they can get hard,
but they're having a hard timestaying hard as they get into
(02:34):
their fifties and sixties.
And we've just been, um, we'vehad a couple guests on talking
about stem cell therapy, whichwas new to me.
Um, what can you say about stemcells?
Jud (02:48):
Yeah, so stem cells, it is kind of a generic category for.
Uh, a type of treatment thatutilizes either a growth factor
or the actual cells.
But, uh, a lot of people thinkwhen they think stem cells,
okay, they're gonna inject thesecells and these cells are gonna
start growing in my body.
(03:08):
But as it turns out, most of thedata points to the fact that
stem cells contain, um, what arecalled growth factors.
So, um, chemical messages thatcells send.
To other cells to make thosecells grow.
So.
Within our own body, we we'reloaded with stem cells.
(03:30):
That's how our hair grows.
That's why our intestines grow.
That's how the cells inside ourmouth grow.
Really anything in your body hasstem cells and so it's more of a
function of stimulating the stemcells that are, um.
That are our own stems.
Endos, I'm, I was going to usethe word endogenous, but I
didn't know if anyone knew whatthat meant, but obviously Yeah,
(03:53):
there you go.
The stem cells that are alreadyinside your body, uh, to, to
grow into the tissues thatthey're supposed to be, whether
it's blood vessels or, orconnective tissue.
Leah (04:03):
You know, I can't remember if it was, um, Dr.
Elliot, Justin or Dr.
Gittens, who we've had on theshow, who described the process
as, it's like the stem cellsare, are the chicken and the
chicken soup, but it's not likeit's the chicken that is going
to.
Um, make the stem cells work.
The stem cells are really aboutthe broth, and so it's, it's
(04:26):
like the broth is coming intoyour tissue and it's working
with your own stem cells.
Is that an adequate explanation?
If I was going to give you ametaphor,
Jud (04:34):
Yeah, I mean, I think that's a pretty good
explanation.
It's, it's, uh, they've, um,radio labeled, um, stem cells
that they put into animals.
To see how long they stickaround and they stick around
anywhere from one to fourregenerations, and then those
(04:54):
cells are gone.
And so it's really the growthfactors that the stem cells are
releasing that are causing thegrowth of the native tissue.
Leah (05:05):
And so when you say growing the native tissue, how
is that helping with erectiledysfunction?
What is the actual function ofthis, uh, intervention?
And can you explain that to me?
Jud (05:18):
Yeah, well, the erectile function really is
physiologically, it's, it's afunction of circulation, right?
So we all know, and you guysknow better than I, that there's
a whole psychological aspect toit.
Um, but I'm, I'm speaking purelyphysiologically.
It's the ability to pump bloodinto the penis and expand what
we call the corporate caber,Noosa, or the erectile body, to
(05:41):
the point where it.
Occludes, the veins that emptyout the corporate caber Noosa.
So there's an artery called thedeep cerno artery that pumps
blood through the middle of theerectile body, and then the
blood drains on the periphery,and as the pressure increases,
it blocks.
The venous return back to thebody and traps the blood in the
(06:04):
penis.
And that's how you get a penisthat's rigid enough for, uh,
penetration.
And so it's, it's all aboutraising the blood pressure in
the penis.
And so you can do that byboosting the signal.
And so there's a molecule calledcyclic GMP, which starts a
cascade of events that leads to.
Blood vessels opening, and soyou can use nitric oxide or your
(06:28):
body uses nitric oxide toincrease the amount of CGMP.
And so I have a supplementcalled Affirm, which is a nitric
oxide booster.
And last year at the SexualMedicine Society meeting, I
presented data that affirm alonetaken before you go to bed using
Elliot Justin's firm tech ringshowed that you can increase
(06:49):
erectile function 33% at night
Willow (06:52):
Wow.
Jud (06:52):
by taking.
Willow (06:53):
Wait.
Okay.
So what's in Affirm?
Jud (06:56):
Affirm.
So there's two ways you canboost nitric oxide.
One is the citruline argininepathway, and so Affirm has a lot
of citruline in it.
And then the other is thenitrate nitrate nitric oxide
pathway.
And beats have a lot of nitratein them, so there's beats,
ginseng and miama.
So you wanna be activating boththe Citraline arginine pathway
(07:19):
and the nitrate nitrate nitricoxide
Willow (07:21):
So is it working on, um, like proteins amino acid?
Is that, is that
Jud (07:27):
No, it's, it's, it's creating nitric oxide.
And nitric oxide is the secondmessenger that nerves release
onto blood vessels to causeblood vessels to dilate, to open
up.
And that's true, that's true allthroughout the body.
What?
Willow (07:43):
The Affirm is your own formulation.
Jud (07:45):
is my own formulation.
And I was actually at UCLA when,um, when Lou Iro won the Nobel
Prize for discovering nitricoxide as the second messenger.
And then he and one of myprofessors, Jake Rafer, actually
wrote the, the paper in the NewEngland Journal of Medicine
describing the mechanism ofaction of Viagra.
Leah (08:03):
Now.
Now my understanding of nitricoxide is that it also brings a
flush to the body,
Jud (08:08):
Well, it's a,
Leah (08:08):
people get a pretty intense flush?
Jud (08:10):
well it's a vasodilator, so it opens up blood vessels so it
improves people's bloodpressure.
So, you know, I'm constantlygetting men off their blood
pressure medication.
'cause for the most part, bloodpressure medications are bad for
erectile function.
So if I can get them on anatural blood pressure
medication, like a nitric oxidebooster, like a firm, then it
(08:33):
helps improve circulation in thepenis and it reduces their blood
pressure.
Willow (08:38):
Is that what you're using then to get them off of
blood pressure medication is theAffirm
Jud (08:42):
I am, and you know, it's, it's, it's really ama.
I had a patient the other dayhis, he had elevated blood
pressure and he was seeing acardiologist at Stanford and I
said, do me a favor before thecardiologist put you on a blood
pressure medication, I want youto take two Affirm pills twice a
day and monitor your bloodpressure.
And his blood pressure went downto 1 20 80
Willow (09:01):
That's amazing.
Jud (09:02):
Yeah.
And the, the Stanfordcardiologist was flabbergasted.
Like he had never, he had neverheard of this.
And you know, the reason noone's ever heard of it is'cause
you really can't patent it.
So there's no real reason fordrug companies to sink a hundred
million dollars into a study.
If they're not gonna make anymoney off the, the, you know,
and there are a lot ofsupplements out there that are
(09:24):
kind of useless, but, uh, nitricoxide is not one of them.
It's very, very, very wellresearched and very well
established.
Uh, and it's, it's been shown inathletes to improve athletic
performance three to 5%.
It's been shown to improve, uh,cognition.
It's been shown to improve bloodpressure and also, of course,
it's improves erectile function.
Leah (09:45):
You know, I remember my husband used to take it before
workouts.
Um, I don't know if he stilltakes it, but I've got a couple
questions.
One, how does someone orderAffirm?
Jud (09:54):
Uh, if you go to www.AffirmScience.com,
A-F-F-I-R-M science.com, it'ssuper easy to to order.
Leah (10:02):
We'll have that in the show notes.
And then what about women takingthis product?
I mean, we've got a lot oferectile tissue we wanna get
fluffed up and turned-on.
Jud (10:11):
Any mammal?
Leah (10:15):
Yeah.
Jud (10:17):
you know, I mean, um, vaginal and clitoral blood
supply is really important, youknow, for lubrication, for
sensation.
Um.
For sort of clinical clitoral,um, erectile tissue.
Uh, so it's, it's criticallyimportant in women and not just
for sexual function, but alsofor physical fun, physical
(10:37):
function, for blood pressure,cognitive function.
Willow (10:41):
What.
Leah (10:41):
can women take affirm?
Jud (10:43):
Yeah.
Yeah, absolutely.
Leah (10:44):
No.
I had a friend give me ni um,nitric oxide.
Is that what it is?
And I got so hot, I got soflushed.
My skin felt like it was onfire.
I actually really hated it.
Um, I'm just assuming she gaveme too much.
Jud (11:00):
either.
Either too much or, um, you cando that, arginine will do that.
Leah (11:05):
Yeah.
L- arginine.
Yeah, I think that's
Jud (11:07):
so a better thing to take is citraline, and then citruline
is better absorbed by theintestines, and then it's
converted into arginine in thekidneys, and then it's recycled
back to, there's a citralinearginine cycle.
Leah (11:21):
Okay, so Citraline.
Now your supplement can womentake that too, or is it really
designed for men?
Jud (11:27):
No, no, both.
Leah (11:28):
Both.
Okay.
I'm so excited.
Jud (11:32):
yeah.
There's actually a, a, a pinklabeled, uh, affirm, but you
know,
Willow (11:37):
What, what would you say about, um, what about the
peptide, PT 1 41 for sexualfunction and health?
Jud (11:44):
Yeah, that, you know, that's a great, uh, peptide.
I have a lot of my patients onthat.
Um, it, it gives peoplespontaneous erections.
So, and the other thing is it'sa little bit less predictable
than say, Viagra or Cialis.
So Viagra and Cialis, you takeit and you can pretty much set
you're, you're watched by it,you know, 30 to 45 minutes
(12:06):
later, uh, it kicks in.
Whereas the PT 1 41, there's twoways you can take it either as
a, a nasal or, uh, ansubcutaneous injection.
The nasal has fewer of the sideeffects, which are mostly like
nausea or, or kind of upsetstomach.
But it's a little bit lesseffective.
And then the injectable, it's alittle bit more effective, but
(12:29):
it does give a, about a third offolks, um, pretty bad nausea.
I had a patient, uh, the coupletook it and, uh, it wasn't New
Year's, and she was saying thatlike she was basically out
throwing up for the New Year's.
Leah (12:41):
Yeah,
Jud (12:42):
yeah,
Leah (12:42):
tried it
Willow (12:43):
It very dose specific like you
Jud (12:45):
it, it is dose specific.
And you know, the thing is, it'sFDA approved for women.
It's called vii.
Uh, and so it's a very, verysafe drug.
You know, it's got FDA approval.
It isn't f FDA approved in men,but it, that's just because it's
hard to compete against$1Viagra,
Leah (13:01):
Now is this the peptide that also increases melatonin in
one's skin?
So a lot of people's skin colorchanging.
Jud (13:07):
Yeah, so it was being developed in Australia as a
sunless tanning agent, um,because so many people there get
skin cancer.
And so they were giving people,uh, this peptide every day.
Uh, and so they were starting toget darker skin, but they were
also like horny as hell.
And so, you know, cornier thanthe average Australian anyway.
Leah (13:30):
I love this idea of everyone just getting hornier.
I am very, um, sex positive inthat direction.
Let's get
Jud (13:37):
Yeah, but it's, it's a little unpredictable in terms of
when it works.
So if you take it at like noon,you, it may start working at one
o'clock, it may start working atfour o'clock.
And so it's, it's more of likea, like a weekend away kind of
drug
Willow (13:51):
But it isn't it also like an ongoing treatment, like
where you would do it kind oflike once a week for several
weeks?
Jud (13:59):
um,
Leah (14:00):
it was as needed, though.
You
Jud (14:01):
yeah, it's, it's more kind of as needed.
Willow (14:03):
As needed.
Okay?
Leah (14:04):
Like you know you're gonna be on a hot
Jud (14:05):
it every week, then you take it every week.
Leah (14:07):
Yeah.
Right, right.
How long does it last in thesystem?
Jud (14:11):
Yeah, it, that's also pretty variable.
I've had patients tell me, youknow, two, three hours, I've had
patients tell me, you know, 12hours, I've had a couple
patients who were kind ofyounger and healthier, tell me
that they had an erection thatlasted almost like six hours.
Willow (14:25):
Wow.
Leah (14:26):
Yeah, my, um, my former, um, business partner who is 75,
has been taking it on a prettyregular basis, and he's like,
I'm getting spontaneouserections while I'm driving my
car.
It's amazing.
He is like, I feel like I'm 30years old again.
He goes, it's awesome.
Jud (14:45):
Yeah, I mean, you certainly like don't necessarily have a
lot of control.
I mean, you could be watchinglike a Margaret Thatcher
documentary and all of a suddenget an erection.
Leah (14:58):
Yeah, so you know, I'm sure that there's a lot of guys
who are actually missing thosevolunteer erections and are
missing the, the hardness oftheir erections.
I.
Willow (15:09):
is that gonna work?
Well also for people who've hadproses um, or prostate
Leah (15:15):
Yeah, good question.
Jud (15:16):
Yeah, so if you've had prostate cancer and you had a
non nerve sparing prostatecancer surgery, then it's, it's
not gonna work because it, itrelies on nerves to send a
signal to the penis.
And so in those patients, youreally have to do something
like, uh, injection therapy or apenile implant.
(15:37):
Um.
Leah (15:39):
Um, okay.
I really want to get into yourwork with expanding girth and
length, um, for men who areinsecure or subconscious or just
long for having a bigger cock.
Jud (15:54):
You know, and it's really interesting.
It's really interesting becausewhen we did the P long study, I
was kind of expecting all theparticipants to be sort of below
average length for, for men.
In the United States, theaverage length of the erect
penis is 5.1 inches, so Ifigured everyone would be below
5.1 inches, but it wasn't, youknow, we had about a third of
(16:16):
the pa, the study participantswere below that.
About a third were around thatand about a third were, were
larger than that.
So
Willow (16:24):
How many participants in the
Jud (16:26):
we had a 30 participants.
Willow (16:27):
Oh, okay.
Jud (16:29):
Yeah, I.
Leah (16:29):
Wow.
Yeah, that's interesting.
That's actually not surprising.
Um, people who I've been workingwith for years, men and, and I
would say a lot of them.
Uh, this might surprise women,or maybe not, but a lot of men,
a high percentage of the men whocome through my office have
insecurities about their cocksize.
And I've seen a lot of penisesfolks, and I'm proud to say that
(16:52):
I've had the privilege of that.
And I'm looking at some ofthese, we call them Lingham and
Tantra, um, and going, you areperfectly beautiful.
You have a lovely size.
Yeah.
You're not giant, but you're notteeny.
Like, it kind of boggles my mindat how much men are insecure
about their size.
I, I don't, women don't thinkabout it nearly as often as men
(17:15):
do.
And do you think that that'sjust a result of porn, this
Jud (17:18):
Yeah.
I, I, I think that you're right.
I think men care more aboutpenile size than women do.
Uh, and yeah, it's, it may besecondary to porn.
It may be just like, uh, onemore thing that guys use to
compare with each other.
Willow (17:34):
Yeah.
Jud (17:34):
And to be honest, like I don't really care how big guy's
penises are.
That's not my thing.
But, uh, what I do care is thatmen don't do stupid things to
hurt themselves in the, in thepursuit of enlarged penis.
And so as a urologist, a surgeonand a sexual medicine expert, I
would see men come to my officewho've had surgeries, who've had
fillers, who've had fattransfers, who've had ligament
(17:57):
ligations, uh, with reallydisastrous consequences, like
guys who with like a, like yousaid, a perfectly normal
functional penis.
The function of the penis is toprocreate and to urinate, and so
if you can urinate andprocreate, your penis is fine.
Uh, but that's not what societytells us.
And so guys do things and spendlots of money, uh, on making
(18:18):
their penis bigger.
And so I wanted, what I wantedto do was to create something, a
study that would figure out away to increase the length and
the girth of the penis in a waythat was totally 1%, 100%
healthy.
And so I put together a study,I've done research at, at
Harvard.
I've done research at UCLA.
I've done research at AmericanRed Cross, so I know how to do
research studies.
(18:38):
Um, we got institutional reviewboard approval.
We had it listed by the NIHIpresented the data at the
International Society of SexualMedicine and the Sexual Medicine
Society of North America.
It's written up in andrology,uh, which is a reviewed journal.
And what we found was that inthe 30 men in the study, we
increased the length of thepenis, about eight tenths of an
(19:00):
inch, and increased the girth ofthe penis about a half an inch
over a period of six months.
Uh, and the most important thingis there wasn't anyone that had
any negative side effects, andeveryone in the study had felt
like they had better erectilefunction.
Leah (19:16):
Really.
Willow (19:17):
Did they feel like they had more sensation as well?
Jud (19:22):
You know, subjectively, yes.
Um, but we don't really haveanything that we can measure
sensation with.
And so, you know, it's, it'spurely a subjective thing.
Also, you know, the, theimprovement in erectile function
was also purely subjectivebecause these are by definition
men that have normal erectilefunction.
So we don't have a surveyinstrument to measure.
(19:43):
Um.
An improvement over what'salready normal, other than, you
know, guys know when things workbetter.
Leah (19:52):
Yeah, I'd be curious to know if, if there was a group of
men who, um, was frustratedwith, with, I mean, their
ability to get hard was fine,but their frustration of being
able to stay hard waschallenging, and if that helped
them stay hard to the point ofbeing able to finish, I.
Jud (20:10):
So, you know, PRP and Shockwave therapy will help men
do that.
But in this study we weeded outanyone that wasn't, uh, didn't
have
Leah (20:19):
Having normal
Jud (20:20):
good erectile function.
'cause the thing is, you know,men get 30 to 60 minutes of
erections every night.
That's, you know, that's one ofthe things that I, I discovered.
In, in a real way.
When we did the, the, um,confirm study, which is the use
of Affirm, um, to improvenighttime erections and to the
really, really, really, reallyexciting study is the confirm
(20:42):
two study, which I just likeliterally got data on, uh,
yesterday for my statistician,which combines Viagra, a small
dose of Viagra, 40 milligramswith Affirm.
And, uh, I can't spill all thebeans, but, um, but the, the
data is really exciting.
(21:04):
And the great thing is a lot ofmen will have side effects from
taking a dose of Viagra.
Cialis, that's too high.
They'll get facial flushing,they'll get headaches, they'll
get reflux, they'll get stuffynose, they'll get muscle aches.
And so if you can use a nitricoxide booster like a firm.
To augment the effectiveness ofViagra, then you can take a a
(21:28):
dose that's effective, but itwon't give you that level of
side effect.
Willow (21:31):
Oh, that's cool.
That's a good combo.
I like that.
Leah (21:35):
Yeah.
What's the, what is P long?
Like what?
What are men actually doing toincrease the length in the
girth?
Jud (21:42):
Yeah, so there's a, a stretching device called the
Restore X Device that wasdeveloped by a friend of mine at
the Mayo Clinic, and that's,that's used mostly, it was
developed for Peyronie'sdisease, which is a curvature of
the penis, but it, it stretchesand improves length.
Um, and then a penis pump by theDr.
Joel Kaplan people, which willimprove girth and then the
(22:05):
Affirm nitric oxide booster toimprove erectile function and
especially nighttime erections.
And then the secret sauce is aPRP injection.
So platelet rich plasmainjection.
So what we do is we draw blood,we spin the blood down, the red
blood cells go to the bottom.
The plasma goes to the top.
We take those off, and in themiddle there's a layer of
(22:25):
platelets, and those plateletsare resuspended in plasma and
injected into the penis.
Leah (22:30):
Okay.
Jud (22:31):
And platelets have two functions.
One function of platelets are tocause a clot, but the other
function of platelets is toregenerate tissue, to cause
tissue to regrow.
And so PRP is used in hairgrowth.
It's used in, uh, didn't workfor me, but, but it's used in,
in hair growth.
It's used in orthopedics, it'sused in dental surgery, uh, and
(22:53):
it's used in penises.
As the p shot and, uh, and, andvaginas as the, or clitoris as
the OShot.
Leah (23:01):
Okay.
Okay.
That's good to know.
I didn't know that.
Um, what's the treatment like ifsomeone really wants to do this?
Are they using the pump and theum, thing that stretches the
penis?
Are they doing
Jud (23:15):
know, I wanted it, I wanted the study to be doable, the
protocol to be doable by men.
So there was a study out like 20years ago on a stretching device
that you had to wear like ninehours a day for six to nine
months, and that got you aboutan inch in length.
But most people don't have jobswhere they can wear a penile
extender for
Leah (23:36):
Yeah, like what does it look like?
What does it feel like?
Jud (23:39):
And so, and so the, uh, the penile protocol is the using the
Restore X device, 20 minutes inthe morning, 20 minutes in the
evening, and using the pumpingdiet device, 12 minutes in the
morning, 12 minutes in theevening.
Leah (23:52):
Okay.
Jud (23:52):
So it's about 30 minutes in the morning, 30 minutes in the
evening.
Leah (23:55):
Okay.
Willow (23:56):
Plus the, how often are the PPRP
Jud (23:59):
Yeah.
PRP is once a month for sixmonths,
Willow (24:02):
Once a month.
Leah (24:03):
And then how long does this extra girth and link last?
Jud (24:07):
uh, as long as you're getting adequate erections, uh,
it should last forever.
Leah (24:10):
Really?
Okay.
So it, it has
Willow (24:13):
30 person study, you had these guys doing this 30 minute
protocol in the morning, 30minutes in the evening, and
getting PRP injection once amonth.
And how many months in totalwere
Jud (24:25):
six months.
Willow (24:26):
Six months for the study.
Okay.
Jud (24:28):
you know, we, we ended the study at six months because we
were able to achieve a highlevel of statistical
significance.
Yeah.
But I mean, we, I, we haveplenty of guys that, that have
aspirations to be bigger and sothey continue to, to go and they
continue to
Willow (24:46):
do the protocol.
Jud (24:48):
Although I had a patient the other, uh, a couple months
ago and he's like, doc, youknow, this is gonna be my last
visit here.
And I'm like, you know, how comeyou know, like, you're, you're,
you're doing so great.
And he is like, well, I wastalking with my wife and now I'm
too big for oral and I'm too bigfor anal, and I, I need to leave
at least one orifice open.
Willow (25:08):
Oh my God.
That's amazing.
Leah (25:10):
I, I am very sympathetic to her plight.
I'm not one of these women whoreally loves giant penises.
I find them to be painful.
Um, so yes.
Interesting.
You had to press pause on theprotocol.
Um, now do people have to cometo the Bay Area?
I know that your, um, office isin San Ramon, or are there
(25:33):
clinics across the
Jud (25:34):
Yeah.
No, we have, we have a networkof about 50 or 60 offices around
the country that offer P Long,that are
Willow (25:41):
So you're training other practitioners in this
Jud (25:43):
Yeah.
Yeah.
Leah (25:44):
And, and what kind of, um, who's, who can get certified to
do this treatment?
Jud (25:52):
Uh, you know, physicians that are, um, that have a
capability of, of injectingpenises, which,
Leah (25:59):
Okay.
Jud (25:59):
uh,
Willow (26:00):
You have to be a medical doctor or a nurse practitioner.
Could a nurse practitioner do
Jud (26:04):
yeah, we have nurse practitioners that do it.
Willow (26:06):
Cool.
Awesome.
Jud (26:08):
Yeah, I mean, technically it's not, it's not prostate
cancer surgery, so.
Leah (26:14):
Right.
But it is something that really,that really shakes the
confidence of so many men outthere.
And I think people don't knowabout this.
Um, I think the otheralternatives seem really
invasive, and so that scares alot of people and
Jud (26:29):
Yeah, I mean the, the alternatives are really lousy.
A lot of people do what's calleda ligament ligation, uh, and so
the penis hangs lower.
Willow (26:38):
Mm.
Jud (26:38):
but when you get an erection, it points down towards
your toes and it doesn'tactually increase the length of
the penis.
What, uh, if you, if you look ata penis anatomically about half
the penis is on the inside andhalf the penis is on the
outside.
Uh, and so when you cut theligament, it just hangs lower,
but it's actually not bigger.
So like if you're with a guy andthe guy's like, well, I have a
(26:59):
six inch penis, and then you'rein bed with him, and you're
like, no, you only have sixinches.
He'll say, well, no, I have sixon the inside and six on the
outside.
Willow (27:09):
Mm-hmm.
Leah (27:11):
Which is why women are such terrible judges of
distance.
Um.
Willow (27:18):
so I have a question for you.
Do, do you get any intel or doyou talk to your patients about,
um, like how this changes othersectors of their life, like
their confidence at work?
Like when they're, when they'vegot more confidence in their
cock, how is it changing otherareas of their life, their
Jud (27:36):
Yeah, I mean, we don't, we didn't really,
Willow (27:39):
I don't talk about that much.
Jud (27:41):
put questionnaires out there.
There are some actuallyvalidated sort of quality of
life.
And, and confidence typequestionnaires that we could
have used.
Um, but I think in general, uh,I notice that that men are sort
of happier and more confidentwhen things are working much
better down there.
Leah (28:00):
So I knew about like the li the ligament, um, the cutting
of the ligament.
Yeah.
And I knew about fat injections.
Can you say more about thefiller, what your
Jud (28:13):
Yeah.
So.
Um, there's collagen, there'shyaluronic acid, there's uh,
PMMA.
So, um, a lot of those are, um,just bulking agents that, like
people get put in their lips orget people get put in their
face.
The thing is that they have tobe suspended in fluid in order
(28:33):
to be viscous enough to beinjected through a small needle.
And so basically if you're 50%,um, suspended in water.
Then within a couple of months,you're gonna lose 50% of the
bulking almost immediately asthat water gets reabsorbed.
And typically the fillers lastmaybe a year or two.
(28:54):
And then you end up with thiskind of dry, lumpy, bumpy penis,
almost feels like sand underthe, the skin of the penis.
And then you have to go back andget more fillers placed.
Um, and they're not cheap.
You know, it's usually 10,000bucks for the initial injections
and then, uh, two,$3,000 everycouple of years for additional
(29:16):
injections.
And so it's expensive, it'stemporary.
Willow (29:21):
That's a good
Jud (29:22):
and the other thing is it gives you girth.
It doesn't give you length andit doesn't do anything to the
head of the penis, right?
So now if
Leah (29:31):
Mm
Jud (29:31):
big girth and a little, uh, head of the penis, uh, what I
call that, you know,scientifically we call that a
pig in a blanket, penis.
Leah (29:40):
scientifically.
Jud (29:41):
And so, yeah, I mean, pig in a blanket is great at a
cocktail party, but it's not notgreat in a bedroom.
Leah (29:50):
Wow,
Jud (29:50):
you know, and the other thing is, I mean, and you guys
tell me, but I don't think womenare looking in particular for
the size of the penis.
It's more like the confidence ofthe man who owns the penis.
And so if you're in bed with aguy and you're like, you know,
why does your penis look like apig in a blanket?
Or, you know, why is, why can Ifeel this, uh, you know,
(30:13):
silicone implant under the skinof your penis?
I think they'll, that willreflect more poorly on the guy
than actually having a, a penisthat's on the smaller side.
Willow (30:26):
Well, yeah.
Leah (30:27):
What we try to do sort of energetically, emotionally and
psychologically for men is tohelp them connect too.
It's not how big you are thatmakes you a great lover.
It's how much love andconsciousness and power you can
put out that penis, and so it'smuch more a mind body connection
to go.
How big do you wanna be?
And using the power of your mindto, you know, bring that
(30:49):
forward.
And, and that leads to a lot ofsuccess in terms of how magnetic
and attractive and potent thatman feels when inside of you.
Um, but you know, again, one hasto use very specifically the
power of their mind to be ableto own that.
And sometimes people can't digthat deep to be able to feel
(31:12):
their versatility.
In that way.
Okay.
Jud (31:14):
Yeah.
Yeah, I, I totally agree withyou and, you know, you said mind
body connection.
It just made me think ofsomething totally off the
subject.
But, um, my, my book the 21stCentury Man, it's the, it's the
most comprehensive medic men'shealth book.
Ever written.
And, uh, so I, I started apodcast using artificial
intelligence to create podcastepisodes, and I thought it would
(31:38):
just like, basically take the,the chapter, synthesize it and
kick out a summary.
But the really, really spookything is it read the whole book.
Then the podcast, I waslistening to the podcast to make
sure it was okay.
Because you have to, like, wespent a lot of time working on
the prompts to figure out how toget it just right and AI was
(32:01):
like, this is the first men'shealth book to emphasize not
just men's physical and sexualhealth, but also the mind body
connection.
Leah (32:10):
Mm-hmm.
Jud (32:12):
So like AI has like insight.
was crazy.
I'm listening to this,
Willow (32:21):
The MINDBODY connection in your book.
Jud (32:23):
not like using those words, like there's a whole section on
relationships.
There's a whole section onmental health.
There's a whole section onlifestyle.
There's a whole section onaesthetics.
Um, and so there are, there arelarge parts of the book that
relate to that, but I never hadanyone kind of synthesize the
(32:45):
book to me and say, wow, youknow, this is really an amazing
book.
Emphasizing not just likephysical health, but also sexual
health, the mind bodyconnection.
So it's really like
Willow (32:57):
Pretty professional
Jud (32:58):
out there is, is it's crazy.
It,
Willow (33:00):
is doing.
we're going in this world prettywild.
Well, who knows what the penisis gonna experience?
Jud (33:07):
yeah, exactly.
Leah (33:12):
So, yeah,
Jud (33:13):
Well, you know, they're, they're, they're trying to
achieve artificial generalintelligence, but maybe they'll
also achieve artificial penileintelligence, right?
Because everyone says the penisis the second brain,
Leah (33:27):
Yeah.
Jud (33:28):
I don't think the IQ that they'd have to hit would be
quite as high as for the, uh.
Willow (33:31):
Probably not.
It's more simplifi simplified.
Thank you.
Yeah.
Leah (33:35):
You know, I don't know if you would have an answer to this
question, but I've heard, um,that as men age, their oxytocin
levels go up.
Um, where women, as they go intomenopause, their oxytocin levels
go down.
And there's one theory thatit's, it's why there's a lot of
men, older men and younger womenwho tend to be attracted to each
(33:56):
other because their oxytocinlevels are starting to match up.
It's one theory.
And um, and so intimacy, likefeeling really connected.
To a person, as men are older,like that connection becomes
more valuable.
It's more important than maybesome of that more exciting or
(34:16):
shallower, um, sex where they'rejust going from one partner to
another partner, whereconnection isn't as vital.
It's really like the desire andthe friction.
That's the big turn on.
And as men age, that need forconnection is greater.
And um, and emotionally there'sa connection between that and
(34:36):
their penis responding.
Have you heard of anything likethat?
Do you know if that's true?
Jud (34:42):
know, I.
Willow (34:42):
I would think of it more as like their testosterone
levels and then the, you know,their testosterone levels coming
down and then the estrogenlevels.
Also in women coming down andthat sort of connecting
Leah (34:54):
The interplay.
Willow (34:55):
being why?
Jud (34:56):
I, what, what both of you're saying makes, makes a lot
of sense to me.
Um, I, I think that, you know,from my own sort of patience
perspective, you know, as youhit your sixties and seventies
and eighties.
Um, your erectile function,erectile stiffness isn't what it
used to be.
And so you have to become morecreative in terms of, um, the
(35:18):
way that you pleasure a woman.
And so, you know, connectingwith them physically in a non
penile penetrative way, um,becomes more important and
oxytocin may help with that.
Willow (35:35):
Is that true?
Do you know?
Does do oxytocin levels, um,rise as men age and
Jud (35:41):
That, that I don't know.
Willow (35:43):
as women age?
Leah (35:45):
Um, I, I wanna segue to the prostate and ask you about
prostate massage as anintervention to help with
prostates that it get swollen.
To help milk the prostate forjust greater health.
Of course there's a lot ofsexual benefit for men who get
turned on by prostate massage.
There's a hypogastric nerve, um,and that part of the body that
(36:06):
can carry orgasmic energy up tothe brain.
Is there anything you can shareor enlighten us when it comes to
that, either as a preventativemedicine process for keeping the
prostate young or just from apleasure standpoint?
Jud (36:18):
Yeah, well, I mean, clearly the best thing you can do for
the prostate is to ejaculate.
Leah (36:22):
Okay.
Jud (36:23):
Um, so the prostate, the only function of the prostate is
to make semen.
And so you have seminal vesiclethat makes semen in the prostate
that makes prostate secretionsand, and semen.
And so it's a gland.
Just think of like the salivarygland makes saliva, the prostate
gland makes semen.
And so, and the semen obviouslyis like a very thick, viscous,
(36:45):
um, fluid.
And so if it sits around for along period of time, then the,
the channels that it, it comesout through will get clogged.
And so we see this when we doprostate surgery like a turp,
where you're scraping awayprostate tissue, and a lot of
men will have a lot of prostatecalcifications.
(37:07):
So that's where those ducts orchannels get blocked.
The, the semen just sits aroundand eventually it gets
calcified.
And so definitely, um, cleaningout the tubes is important.
I
Willow (37:23):
Does that cause if it's calcified, is that then painful
when they ejaculate?
Jud (37:28):
No.
'cause it just, it's justblocking.
Well, I don't know.
That's a good question.
I don't think anyone's everstudied that.
Um, because it would be, be achallenging study to do.
I, I would imagine that wouldcause some discomfort if the,
the glands were contracting and,and, and being blocked.
(37:49):
And certain, certainly that canlead to enlarged prostate.
That also can lead to a prostatethat gets infected.
And so before some of thestronger antibiotics that we
have, that was the treatment forchronic prostate titis or
prostate infection was wasprostate massage, basically
pushing out the infectedprostate secretions.
Willow (38:10):
Mm-hmm.
And
Leah (38:12):
So.
Willow (38:13):
that's like milking the prostate basically.
So, so, so ca could milking theprostate, could be and feel
different for a man than anormal ejaculatory orgasm.
Jud (38:24):
Yeah.
Well, you know when, when you'remilking the prostate in a
pleasureful way.
It's a lot different than comingto a urologist like me who's got
big fingers and 12 patients inthe waiting room, and I'm just
trying to get you better and getthe prostate secretions out.
So
Leah (38:43):
Right.
Very different
Jud (38:45):
it's a, it's a relatively uncomfortable experience.
Leah (38:49):
There's no soft music.
There's
Jud (38:51):
there's, yeah.
I don't send flowers the nextday.
Leah (38:54):
woman half dressed.
Jud (38:55):
Yeah.
No.
You get an old, bald, pissed offurologist.
Leah (39:04):
Yeah.
Willow (39:05):
I actually have a, a young client right now who's,
who's having issues with that.
So it really can happen at anyage.
This, uh, sort of pooling ofsemen or calcification could
take place if it pulls for toolong.
Leah (39:20):
is it semen or is it prostate fluid?
I thought the semen was held inthe balls and the prostate fluid
was in the prostate.
And in order to release semen,the prosthetic fluid has to go
into, uh, the testicles and itdoes its chemical reaction.
And then you have anEjaculation.
Do I have that wrong?
Jud (39:36):
it's a close.
Close.
So the testicle makes sperm.
The sperm swim through theepididymus.
And the epididymus is where thesperm actually matures.
So from the day you make a spermin the testicle, it takes about
75 days for it to mature and tobe released.
And so the sperm swim up throughthe, the epididymus and then
(39:59):
into the VAs deference.
And then the VAs deference joinsthe prostate and seminal vesicle
in what's called the prostaticurethra.
So the part of the urethraltube, um, that's at the prostate
level.
And so during Ejaculation youget contraction of the semial
vesicle, contraction of theprostate, and that pushes the
(40:20):
fluid, which is really high infructose, fructose type of
sugar, uh, that the sperm kindof need that sugar to because,
you know, they're, they'rewhipping that tail around.
They're swimming a long, longdistance.
You know, they're swimmingbasically across the English
channel to get to the to theegg.
And so that's the purpose ofsemen.
(40:42):
Uh, and the sperm really onlymake up about one or 2% of the
total Ejaculation.
Willow (40:48):
Oh, that's a lot less than I thought.
Hmm, interesting.
Jud (40:52):
So like when you, when we do vasectomies, um,
Willow (40:55):
it's prostate fluid.
Jud (40:56):
yeah.
So when I do vasectomies, uh,you know, prostate.
Ejaculation, you know, orEjaculation looks and feels the
same because the semen, thesperm are only, you know, one or
2% of the
Leah (41:07):
Wow, that's interesting.
Now, how often should a man beejaculating in order to maintain
prostate health and avoid this
Jud (41:15):
Yeah.
You know, I, there again, I, Idon't think anyone's ever done
a, a, a real study on that, butyou know, at least twice a week
maybe.
Willow (41:23):
Well, would you say it's different for different ages of
men or maybe different sort ofbiological, physical, like if
they're really healthy andthey're in their sixties versus,
you know, not healthy in theirtwenties.
Jud (41:34):
Uh, I mean, I think in general to keep the, the fluid
flowing at least twice a week isprobably healthy.
Leah (41:42):
Okay.
I know there was an Oh, oh, wellwe're, oh, I had something.
No, no, no, no, no.
We talked about the prostate.
There was another
Jud (41:52):
chat GPT of urology.
Leah (41:56):
I put my arms out here and it's like me giving wonderful
prompts to the universe.
Unfortunately, this doesn'talways work.
Willow (42:08):
Well, I wanna hear about, um, maybe some success
stories.
Like, you know, like a guy comesin and he is just all down and
out, really not having a goodtime with his penis
Jud (42:19):
Yeah.
So you know what, what I do, um,I just, for me, the penis is a
way to see a man's sort ofgeneral overall health.
There's like a, for me, there'slike this Maslow's pyramid of,
of health for men over the ageof 50.
So for men, you know, in theirtwenties, erectile function's
(42:40):
easy.
Um, but for men over 50 to havea, a fulfilling sex life, you
know, at the very bottom at thefoundation, you need to have
good physical health.
Then you have to have goodmental health and you have to
have good emotional health andfinancial health.
And then at the top is reallysexual health.
Leah (43:01):
Mm-hmm.
Jud (43:01):
and so men, men come into my office, you know, for me to
treat their erectile function,but I also treat their physical
function.
I also treat their mentalhealth.
I also, you know, refer them totherapists for relationship
issues and those kind of things.
And so what's really gratifyingto me is I see a man who comes
(43:23):
in six and then, you know, Italk to them about their
physical health and I get themon, uh, eating better.
I get them to stop drinking.
I get them to stop smoking.
I get them to lose 20 or 30pounds.
Um, I get them into an exerciseroutine.
I get them on good supplements.
Um.
Then I get them, uh, ontestosterone replacement, and
(43:44):
then I'll get them on Affirm.
I'll get them on some dailytadalafil.
We'll do shockwave therapy.
We'll get them with a penispump.
We'll do PRP and six monthslater they look like a million
bucks.
They're, you know.
Everything in their life isbetter and they're having be the
best sex that they've ever hadin their life.
And that, you know,
Leah (44:04):
Oh, I love
Jud (44:05):
and yeah.
And that, you know, that'sreally, really gratifying to me,
and that that happens fairlyfrequently in my office.
And, you know, the, the sadthing is, um, the way that our
medical se system is these days,you just don't, as a physician,
you don't have enough time tospend with patients.
Leah (44:24):
Mm-hmm.
Jud (44:25):
So, I mean, I had a patient who came in to see me for a
circumcision, but he was 80pounds overweight and drinking
eight beers a day.
And I looked at him, I said,dude, you know, I'll do your
circumcision.
That's fine.
But you know, if you don't stopdoing what you're going to,
you're doing, you're gonnafucking die in five years.
(44:46):
He looked at me and he startedcrying,
Leah (44:48):
Oh
Jud (44:48):
I'm like, yeah.
And I was like, you know, what'sgoing on, dude?
He's like, you know, I've beengoing to doctors for 25 years,
and no one's ever said that tome in a way that, that it just
landed for me.
Leah (45:00):
wow.
Jud (45:01):
And I saw him back, you know, two, three months after a
circumcision.
He had stopped drinking eightbeers a day.
He had already lost like 20, 25pounds.
And you know.
His, his whole life was turnedaround and, and so sometimes it
doesn't take someone with likeextraordinary knowledge.
Sometimes it just takes someone
Willow (45:20):
up.
Jud (45:21):
to who's a professional,
Willow (45:24):
Yeah.
Jud (45:26):
that that cares enough to just pause and, and tell someone
what they see.
Leah (45:31):
Yeah.
To like compassionately tell thetruth in a, in a way that a like
for this person lands.
Jud (45:38):
I mean, I'm sure like people in this guy's life, were
telling him, dude, you gottastop drinking.
You gotta lose weight.
Uh, and it, it, it didn't reallyland.
So some, sometimes, you know,that's the privilege of wearing,
uh, a white coat
Leah (45:50):
Mm-hmm.
Jud (45:50):
and having fancy diplomas up on your wall is that
sometimes people will listen toyou in a way that they don't
listen to other people in theirlife.
And so, to me, you know, I, Iconsider it really a, a, a honor
and a privilege.
And I, I try to use that sort ofpedestal to get people to see
things that they don't wannasee.
Leah (46:12):
Yeah.
Wow.
That's a lot of responsibilitytoo.
Willow (46:15):
and to look more closely at their lifestyle.
Leah (46:19):
Do, do you treat people with, um, who come?
Do people come in.
Wanting help with, uh,ejaculatory control or delayed
Ejaculation where they're justhaving a hard time getting over
that climax hill.
Jud (46:33):
You know, so I treat people with premature Ejaculation.
They tend to be youngerpatients, and I treat patients
with delayed Ejaculation, tendto be older.
So for guys with prematureEjaculation, you know, the, the
delay sprays like PROEs, uh, arereally useful.
Um, I also have a supplementcalled Pre Prolong
Willow (46:54):
what's PROEs?
Jud (46:55):
PROEs.
It's like basically a topicalnumbing cream.
Willow (46:58):
Mm.
Jud (46:59):
You know, they're wipes, there's creams, there's sprays.
I find that pubescent sticks tothe penis a little bit better,
Leah (47:04):
Over the counter or
Jud (47:06):
over the counter.
Leah (47:06):
Yeah.
Jud (47:07):
then I have a supplement called Pre Prolong, which is an
extract of St.
John's Wort.
St.
John's Word is a naturalselective serotonin reuptake
inhibitor.
Willow (47:16):
Mm-hmm.
Jud (47:17):
Uh, and so what we found is that the antidepressant
medications in the class ofselective serotonin reuptake
inhibitors, SSRIs, delayEjaculation.
Um, but you don't, some peopledon't wanna be on an
antidepressant.
Um.
Leah (47:31):
Yeah.
But
Jud (47:32):
a lot of stigmas and side effects of those.
So pre prolong, which you canalso pick www.affirmscience.com,
uh, works really well.
Or you can go on onantidepressant or there's, um,
there's one called Priligy,which unfortunately is not
available in the United States,but it's a short acting one to
three hour, uh, window.
And so, uh, I have patients whoget it from India, they get it
(47:56):
from England.
you can take that one to threehours before, and that will
delay Ejaculation.
Now on the, on the flip side,you have guys that, uh, take a
long time to ejaculate.
Uh, and so sometimestestosterone is good for that.
Uh, if you have low testosteronelevels, boosting testosterone
will boost libido, which thenwill, um, increase excitation
(48:19):
and guys will be able toejaculate.
Um, there's a medication calledCabergoline, um, which works on
the dopamine, uh, supplies inthe brain.
Uh, and then there's a devicecalled the Emsella chair.
Uh, and so I actually did theoriginal research, which showed
that it improves ejaculatoryfunction, 10 treatments.
(48:42):
So the Emsella was actuallydeveloped for women for treating
stress incontinence.
And then, uh, Kim Evans, afriend of mine, did research on
women that showed that itimproved sexual function by
improving the, the strength ofthe, uh, the vaginal tissue.
Willow (48:56):
Did you say Emsella chair?
Is it a chair that you sit in?
Jud (49:01):
Yeah, it's a chair that you sit on, uh, but it's basically
you're sitting on a giant magnet
Willow (49:06):
Okay.
Jud (49:07):
and when you run electricity through a coil, it
creates a magnetic field andthat magnetic field contracts
the pelvic floor.
Kinda like you're doing a Kegelexercise,
Willow (49:18):
it's for you, it's
Jud (49:19):
but it's, yeah, but it's, it's 20 fold stronger than you
could ever do on your own.
Leah (49:24):
Oh, does it hurt?
Willow (49:26):
that sounds interesting.
Jud (49:27):
It feels actually.
Leah (49:28):
Yeah, I was gonna say, that might feel nice.
Jud (49:30):
No, it feels, feels good.
Leah (49:32):
Yeah.
Jud (49:33):
Um, you know, when I have paperwork on the weekend, I come
in, I sit on that chair, I, Iget a pelvic floor workout, and
I get my paperwork done.
Leah (49:41):
Nice.
Jud (49:44):
I'm in efficiency.
I, I have four kids, threecompanies, two houses, and one
wife.
So I have to be super efficientwith my time.
Leah (49:51):
Yeah, evidently.
Wow.
Well, this has been sofascinating.
Um, Dr.
Willow, do you have any finalquestions?
Willow (50:00):
I don't Thank you so much for coming on the show, Dr.
Brandeis.
It was such a pleasure to justpick your brain for an hour and
learn about all this amazingstuff.
And the 21st century, man, it isall in the book, soon to be
coming out in podcast form.
Jud (50:16):
No, we're already out.
If you go to, yeah, if you goto, it's the 21st century, man,
so if you go to Spotify
Willow (50:21):
okay.
Jud (50:22):
and just put in the 21st Century man, or we're
Willow (50:24):
We don't have to read.
We can just listen to thepodcast now.
Jud (50:28):
Yeah.
Well, you know, like, do both.
It's, I don't know.
I'm old fashioned.
I like to have a, like a book,like yeah, a book
Willow (50:35):
I actually like to read a book and listen to the book at
the same time.
If I
Jud (50:39):
Ooh, that's good.
Willow (50:40):
yeah.
Leah (50:41):
Yeah, well, we'll have all those links in the show notes,
friends, uh, remember to pleasestay tuned because up next
you've got me and Dr.
Willow dishing it up and we lookforward to that.
And, um, have a beautiful day.
Thanks so much for joining us.
Jud (50:55):
Oh, thanks for having me.
I
Leah (50:57):
Mm-hmm.
Jud (50:57):
it.
Announcer (51:00):
Now our favorite part, the dish.
Leah (51:04):
Well, well, well, you know, we've had so many great,
interesting sexual healthdoctors recently.
Willow (51:11):
We have.
It's been fun.
I love it.
'cause we get such a goodeducation.
I mean, that was fast.
I didn't realize that only oneto 2% of an Ejaculation is
semen.
How?
How did I not know that?
Leah (51:22):
I know that's fascinating.
I had no idea either.
I thought there would be a muchbigger volume.
Willow (51:27):
It's mostly prostate fluid.
So, and this is something thatI've actually been wanting to
talk to you about privately, butsince we're here privately
talking, um,
Leah (51:37):
Yeah.
Willow (51:38):
uh, with, with milking the prostate, what is coming out
is primarily prostate fluid.
Leah (51:47):
My understanding was that it was prosthetic fluid.
Yeah.
Willow (51:51):
'cause I was totally not confi.
I was a little.
Leah (51:53):
But it sounds like that it's also semen.
Willow (51:57):
One to 2%
Leah (51:58):
And what I thought of as semen, I was equating with
sperm.
But it sounds like there areactually three different things.
You have sperm, semen andprosthetic fluid.
And the prostate is what createsthe semen and the prosthetic
fluid.
Willow (52:12):
Okay.
And we're gonna have to listento that little portion again.
'cause that was really goodeducation.
Yeah.
So, Dr.
Brandeis, what a, what anamazing urologist to know about
y'all.
What an incredible guy like gayfor the penis man.
It's like making everyone havebetter relationship with their
cock.
I love it.
Leah (52:33):
And for those of you who are in California or near the
Bay Area, um, he would be inyour backyard.
Uh, but it sounds like he's gotother clinicians that he's
trained who can also, um, helpwith some of the things that
he's created.
Really great, that there's amore natural way to have
permanent
Willow (52:51):
yes.
Leah (52:54):
Extra girth, extra length.
I mean,
Willow (52:57):
Yeah, exactly.
Leah (52:58):
you know, I can just see how many men would invest in
that if they had the chance tojust up their confidence by
another inch.
Willow (53:07):
Well.
Leah (53:08):
I can't tell you how many people I know would say yes.
Willow (53:10):
mean, I know exactly, but I, I imagine too, if we're
increasing length and we'reincreasing growth, we've gotta
be increasing sensitivity aswell because there's just,
there's that much more cellulartissue for blood to be flowing
through.
So that's gonna be increasingsensitivity.
So.
Leah (53:26):
Oh, I never thought of it that way.
Willow (53:27):
Gonna be feeling better too.
Not only are you gonna have moreconfidence in the way that it
looks, but also in the way thatit feels and probably in your
control as well.
I mean, I, I do, I do know thatLeah and I are, are experts in
teaching control, but, um, youknow, I think if you, yeah, the
confidence is a huge part of, ofbeing able to be in choice.
(53:50):
I like the word choice a littlebit better than control.
Leah (53:53):
Yeah.
You know, if I do go down and.
Get on that magnet chair he wastalking about.
I, I wanna, I wanna talk to himif I could have a few more
minutes of his time and explainthe interventions that we have
so much success with when itcomes to teaching men
ejaculatory choice by workingwith muscular contractions,
(54:14):
pressure points, and breathcontrol because again, it's a
non-invasive way of actuallygetting some really great
results.
I would much rather teachsomebody that than give'em a
spray.
God knows what that spray tasteslike.
Willow (54:30):
Just so y'all know, if you don't know, Leah is not into
yucky tasting medicine.
Leah (54:35):
I don't like yucky, tastes
Willow (54:37):
like the taste of.
Leah (54:38):
nothing bitter, especially.
Willow (54:43):
Well, yeah, I actually wanted to ask him that and I
just didn't, but, um, you know,do you ever refer to Dakini, do
you ever refer to, to Tantikaswho, who teach men like hands-on
how to, um, how to use theirown, their own systems?
Sound, breath.
You know, body control, runningenergy through your meridians.
(55:03):
I mean, it would be interesting,I think I did ask one of our
doctors at one point that we hadon the show, that question, and
they were like, huh, neverthought of it before.
Leah (55:11):
Yeah, right.
I think that was Dr.
Gittens and um.
Yeah.
You know, I, I've, and I got thevibe from him too.
This is not something he
Willow (55:19):
I, yeah, that's.
Leah (55:19):
typically refer.
It's like I think some of thosephysicians are like, you know, I
don't wanna sound judgy, butthere is a certain academic
thing that they feel like that'sthe only thing that has
credibility because they knowthey've been through so many
(55:40):
years at a university andthey've have.
You know, clinical measurementsand things.
So there, there's a status izingwhen it comes to, um, the type
of education that you've had,
Willow (55:50):
Yeah, definitely some of them, some of them can.
Although I will say for Dr.
Brandeis, he was, he was veryreceptive and very open and
pretty, pretty playful Ithought.
And like when, when he
Leah (56:01):
And so was Dr.
Gettin's, honestly, he
Willow (56:03):
afraid to admit it, you
Leah (56:05):
Mm-hmm.
Yeah, and I think, um, I thinkwe asked the same question to
Dr.
Elliot Justin, who I wasthrilled that he mentioned
because he loves, um, Dr.
Uh, Justin's cocking that wewere so impressed
Willow (56:24):
it's an amazing fucking ing.
Leah (56:26):
Yeah, I really, if you haven't listened to either of
those episodes, go back.
I'll put the links in the shownotes because it would be really
interesting to get some feedbackfrom you, um, listeners about
what landed with you, becauseeach one of these doctors
touches on many of the samethemes.
For instance, Dr.
Gittens is really all about the,um the, uh, injections for
(56:52):
increased girth, the fillerinjections, and has had great
success in his office.
So it's really interesting, um,uh, what Brandeis had to say,
uh, and his alternative thathe's getting a lot of success
with.
So, and then not to mention Dr.
Anne
Willow (57:10):
Yeah.
Leah (57:10):
Yeah.
Who spoke a in depth about the
Willow (57:13):
can get a whole education on prostate and penile
health by those three episodesalone.
Leah (57:19):
Yes.
And you know, I think one of thethings that might if be a
turnoff, if I was considering,um, the p long treatment that he
has is just, although he did sayit's just a half hour in the
morning and a half hour in theevening, but it does feel like a
lot of steps.
But then again, it's permanent.
Willow (57:39):
Yeah.
Leah (57:40):
So maybe, you know, it's six months and you get a
permanent result and it, ittakes an hour a day of an
investment and you gotta go intothe office to get those
injections.
I don't know how important is itto you?
Yeah.
Well this was fun.
Okay.
Love, love, love.
Announcer (58:00):
Thanks for tuning in.
This episode was hosted byTantric Sex Master Coach and
positive psychology facilitator,Leah Piper, as well as by
Chinese and Functional Medicinedoctor and Taoist Taxology
teacher, Dr.
Willow Brown.
Don't forget your comments, likesubscribes and suggestions
matter.
Let's realize this new worldtogether.
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