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A Urologist’s Guide to Sexual Superpowers

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Sexual health is a crucial aspect of overall wellness, but sometimes, even the fittest among us can experience difficulties in this area. If you’re facing problems in the bedroom, don’t worry, you’re not alone!

As an award-winning urologist trained at UCLA, Harvard, and Vanderbilt, I constantly push the envelope of what is possible. Twenty years ago, I helped to pioneer robotics for prostate cancer surgery. Five years ago, I began focusing my clinic and research efforts on assisting men to regain and optimize their sexual health. I learned that strong blood circulation is the key to male and female sexual health, but this article will go way beyond the basics of cardio exercise, a clean diet, healthy habits, and adequate hydration.

What follows are the best treatments I use in my sexual medicine and urology office in Northern California.

Oral Medications:

2: PDE-5 Inhibitors like Viagra and Cialis: When I was a surgical resident at UCLA in the 90s, my professors discovered the mechanism of action of PDE-5 inhibitors like Viagra and Cialis. Since then, hundreds of millions of men have tried these wonder drugs, which have proven very safe. In fact, beyond helping erectile function, studies show that Cialis improves urinary function, Viagra reduces the risk of dementia, and Cialis decreases the incidence of heart attacks.

The minor side effects of these medications include:

Other tips on using PDE-5 inhibitors include:


3: Bremelanotide or PT-141: PT-141 is a peptide initially tested to darken skin naturally, but researchers discovered that it increased libido as a side effect. Injected under the skin or used as a nasal spray, men experience a temporary increase in sex drive and spontaneous erections. In women, PT-141 was FDA-approved as Vyleesi, a prescription medicine used to treat hypoactive (low) sexual desire disorder (HSDD) in women who have not gone through menopause.  PT-141 is a safe and effective drug for both men and women, although about a quarter of users experience nausea.

5: Oxytocin:
Oxytocin is a peptide hormone produced in the body. In women, it plays a crucial role in childbirth and nursing. In men and women, taking Oxytocin before or during sex has been shown to increase overall sexual satisfaction with growing feelings of connection with a partner and enhancing the sensation of orgasm. Numerous studies have shown Oxytocin to be safe. The most common and quickest application route is an intranasal spray with plasma oxytocin levels rising within 20 minutes and lasting for about an hour. Another form is oral drops applied beneath the tongue about ten minutes before intercourse.


Building New Blood Vessels: 90% of erectile dysfunction is related to reduced blood flow to the penis due to clogged arteries. Two technologies stimulate new blood vessels’ growth – low-intensity shockwave therapy and platelet-rich plasma (PRP).

6: Low-intensity Shockwave Therapy is applied directly to the penis by a medical provider. The waves stimulate an acute inflammatory response that activates local stem cells and releases growth factors that result in the growth of new blood vessels. Some practitioners claim that the waves knock plaque off blood vessels, but this has not been demonstrated by medical research.

What you should know about Low-intensity shockwaves:



8: Botox Injections in the Penis: In a flaccid penis, the vascular smooth muscle is contracted so that blood does not enter the penis. During an erection, nerve impulses signal blood vessels to relax and open to increase penis size. If a qualified physician injects Botox into the penis with a tiny needle, within a week, a man will notice a larger flaccid penis and better erections. Depending on the dose, the effects of Botox for ED will last three to six months. Now that is a real Botox party!’!

9: Penile Injection Therapy: For men with damage to the nerves that supply the penis, creating an erection through sexual stimulation is not possible. However, injecting medication (Trimix) directly into the penis can artificially dilate the arteries leading to a rigid erection. The duration and firmness of the erection depend on the medication dose and the quality of a man’s blood circulation.  Typically, erections can last between 30 minutes and four hours. If an erection lasts more than four hours, injecting the penis with an antidote is necessary to reverse the initial therapy’s effects. Some men with normal erectile function inject Trimix for recreational purposes to prolong their erection, but I would not recommend this. Sometimes the enemy of good is perfect.


Other Miscellaneous Technologies:

Treatments to avoid!
Truckstop supplements such as Yohimbine, Tribulus, Fenugreek, and Ginkgo biloba have not been found to be effective. Maca and Horny Goat Weed have limited data and avoid Rhino pills (manufactured by a man sentenced to 46 months in federal prison.) Many clinics offer stem cells for ED, but their benefit has not been adequately researched, and the cost and standardization have not been established. Finally, despite claims to the contrary, the Phoenix home device has never been adequately tested for the treatment of ED.


What does the development of ED mean? Important! Read This!

It is essential to understand that ED represents a decline in penile circulation and is an early warning sign for other blood vessel blockages that can occur in the future. Therefore, if you develop ED in your 30s, 40s, or 50s, strongly consider alterations in diet, exercise, sleep, stress management, and habits to prevent more severe changes to your health in the future.


If you’ve found this helpful, subscribe to my YouTube channel at and follow me on Instagram at .


If you want to become a patient, you can find me at in Northern California.

This is sponsored content. M&F is not endorsing the websites or products listed in this article.


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