Survival of the Firmest: Erectile Dysfunction and Death

[Music] erectile dysfunction is defined as the recurrent or persistent inability to attain and/or maintain an erection in order for satisfactory sexual performance it is president and up to 30 million men in the US and approximately 100 million men worldwide wait a second the US has less than 8% of the world’s population yet up to 30% of the impotence were number one who cares though we’ve got red white and blue pills like viagra the problem though is the pills just cover up these symptoms a vascular disease and don’t do anything for the underlying pathology erectile dysfunction in our number one killer coronary artery disease are just two manifestations of the same disease inflamed clogged and crippled arteries regardless of which organ atherosclerosis is considered a systemic disorder that uniformly affects all major blood vessels in the body hardening of the arteries can lead to softening of the penis because stiffened arteries can’t relax normally open wide and let the blood flow so wrecked-tile dysfunction may just be the flaccid tip of an iceberg in terms of a systemic disorder in two-thirds of men showing up to emergency rooms for the first time with crushing chest pain their penis have been trying to warn them for years that something was wrong with their circulation why does it tend to hit the penis first because the penile arteries and the penis are half the size of the coronary arteries in our heart that particular artery is the so called Widowmaker so the same amount of plaque in the heart that you wouldn’t even feel could have clogged the penile artery causing a symptomatic restriction in blood flow you may not feel chest pain until about here that’s why erectile dysfunction has been called penile angina in fact by measuring blood flow in a man’s penis you can predict the results of his cardiac stress test with an accuracy of 80% male sexual function is like a penile stress test a window to the hearts of man 40% of men over 40 have erectile dysfunction 40 over 40 men getting erection difficulties in their 40s have a 50 fold increased risk of having a cardiac event like sudden death you’ve heard me say various things you know increased heart disease risk 20% 30% that’s nearly 5,000 percent leaving the latest review to ask is there any risk greater that’s because it’s not so much a risk factor for atherosclerosis it is atherosclerosis a man with erectile dysfunction even if he has no cardiac symptoms should be considered a cardiac patient until proven otherwise it’s considered to be a cardiac equivalent and it’s a marker of the coronary artery disease you likely already have there’s therefore more to treating erectile dysfunction than just establishing an erect penis it offers an opportunity for reducing cardiovascular risk the reason that even young men should care about their cholesterol is because it predicts erectile dysfunction later in life and that predicts heart attack strokes and a shortened lifespan just gonna keep eating crap because you can pop some pills all the viagra in the world may not help your sex life after a stroke the take home message is a simple equation e d stands for early death [Music] you

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