“40% Of Young Men Need Erectile Retraining” - Dr K HealthyGamer
CChris Williamson
ExerciseMental Health
Transcript
00:00:00I've heard you talk about the need for young men to retrain their penis.
00:00:03Yes.
00:00:03What's going on there?
00:00:05So here's the basic problem.
00:00:08I'm a teenage boy, and I discover pornography, and I have an erection, and at some point,
00:00:14I start masturbating.
00:00:15And then this is becoming a problem now because my access to pornography is at an all-time
00:00:22high.
00:00:23My access to a healthy sexual relationship is at an all-time low.
00:00:28So whereas, you know, so now what's happening is for maybe 15 years, I am using a certain
00:00:39kind of stimulation for my penis.
00:00:42And just to give you, okay, so I'm using a certain kind of stimulation for my penis.
00:00:47And then the body gets used to that, right?
00:00:50So in the same way that, like, if I eat spicy food starting when I'm 13, like, I can handle
00:00:54spicy food when I'm 15.
00:00:56So the body gets used to caffeine.
00:00:59It gets, the whole point of the body is that it adapts to whatever you give it.
00:01:02So we are literally, we're training our body to tolerate spicy food.
00:01:06We're training our body to run a marathon.
00:01:09We're training our genitals and our penis to ejaculate in certain circumstances.
00:01:15So we see a shockingly high level of erectile dysfunction.
00:01:21I'd learn from you, 40% of men are dealing with erectile dysfunction.
00:01:25Yeah.
00:01:26So I think it's 30% of people under the age of 30, which erectile dysfunction, maybe I
00:01:30said 40%.
00:01:30I don't remember the exact statistic, but erectile dysfunction used to be an old man's disease.
00:01:34It's not anymore.
00:01:36And what a lot of people don't realize, do you know what erectile dysfunction is?
00:01:39No.
00:01:39Okay.
00:01:40So this is-
00:01:41Obviously.
00:01:44Okay.
00:01:48Too easy.
00:01:50Yeah, that's a good one.
00:01:51So erectile dysfunction is defined as the inability to maintain an erection through the completion
00:01:58of the sexual act.
00:01:59Okay.
00:02:00Okay.
00:02:01So the interesting thing about the young men, 30% of people under the age of 30 who have
00:02:05erectile dysfunction, it's not that they can't get hard.
00:02:08It's that they can't stay hard enough to finish if they're having intercourse, let's say.
00:02:12Okay.
00:02:13And there's a really simple reason for that.
00:02:16The-
00:02:17I was going to ask a couple of questions, but I doubt you have the answer.
00:02:20So the PSI, the pounds per square inch of your hand, okay, the amount of force that you can
00:02:29exert with your fist is about 130.
00:02:33Now, there's some problems with that because you're actually, you measure hand grip strength
00:02:39not by force, but by Newtons, but sorry, not by PSI, but by Newtons, but there's a rough
00:02:43conversion, okay?
00:02:44It's about 130.
00:02:46The PSI of the vagina is like 30.
00:02:49So if you just, if you just, in this, you may not know, but you know, the vagina exerts
00:02:57a certain amount of pressure and tightness.
00:03:00And then the hand exerts a different level of tightness and they're not even in the same
00:03:04vein.
00:03:05So basically what happens with a lot of dudes who spend 15 years of their life watching
00:03:09pornography and masturbating, it's not just about gender stuff or the jiggliness or the
00:03:14angles of porn.
00:03:15There's all that stuff too.
00:03:16There's a very simple physiologic thing where this is what you need to finish.
00:03:20You need a very high level of stuff.
00:03:23And I mean, I've worked with men in their 60s who will not be able to climax through oral
00:03:29sex or vaginal intercourse.
00:03:31And so when they have, when they engage in sexual intercourse, either they have to finish
00:03:36using their hand or they have to engage in anal sex.
00:03:39Those are the two things that work.
00:03:42And so this, it's just physiology.
00:03:44It's just what you've trained your penis to respond to.
00:03:47What's the pounds per square inch of an asshole?
00:03:51I don't know, but I...
00:03:53This is important research.
00:03:54I imagine it's probably north of a hundred.
00:03:57Really?
00:03:58Yeah.
00:03:58Wow.
00:03:59Yeah.
00:03:59Especially if you...
00:04:01Yeah.
00:04:02You know?
00:04:03Yeah.
00:04:05So, I mean, it's got to be high.
00:04:07I mean, it's certainly way higher than...
00:04:09I mean, there's a...
00:04:11Anyway, a couple sphincters in there, but they're quite strong.
00:04:14Right.
00:04:15But so this is what's going on.
00:04:17So men have basically...
00:04:18And there's all kinds of other issues, like cardiovascular issues, sedentary lifestyle.
00:04:23That's a good question here, because I think when people hear erectile dysfunction in
00:04:27men, what they probably go to is like an uninformed person or even a well-informed person.
00:04:35They go, well, that is low testosterone.
00:04:40That is obesity.
00:04:44That is mental stimulus desensitization due to extreme fishery and runaway acts in porn and
00:04:56seeing unrealistic or tail-end representations of women in porn.
00:05:02That is due to psychological nervousness.
00:05:07Far fewer will go to how much nitric oxide are you consuming from your fucking leafy greens
00:05:14and your beetroots.
00:05:15What's the level of cardiac health that you've got?
00:05:19What's the death grip comparison between your right hand and a vagina?
00:05:25Of the culprits causing erectile dysfunction among men, young men, how would you sort of partition
00:05:33off that pie?
00:05:34So this is something that I've been dragged kicking and screaming into becoming an expert
00:05:41in.
00:05:42So let's start with testosterone.
00:05:44Specialist subject.
00:05:44Let's fucking go.
00:05:45This is the biggest scam that is being perpetrated against men.
00:05:48Okay.
00:05:49So around the year 2000, the average testosterone for a man was about 612 to 690 nanograms per
00:05:59deciliter.
00:05:59Okay.
00:06:01So 20 years later, the average testosterone for a man has dropped to about 400.
00:06:07Okay.
00:06:07That's significant in a short space of time.
00:06:09It is significant in a short space of time and it is well within the acceptable limits.
00:06:15Right.
00:06:15So it, so, so has testosterone dropped?
00:06:19Yes.
00:06:19Has it dropped by a third?
00:06:21Yes.
00:06:22Does this cause physiologic problems?
00:06:24Almost certainly not.
00:06:27Second thing.
00:06:28So what's the testosterone drop due to?
00:06:30There is an effect from obesity, but it is, even if you factor out obesity, there's still
00:06:35a testosterone drop.
00:06:38Next thing.
00:06:39I have a theory on that.
00:06:40Okay.
00:06:40Do you want to hear my theory?
00:06:40Sure.
00:06:41Do you want to keep going?
00:06:41Sure.
00:06:41Okay.
00:06:42So this is my theory.
00:06:44Men's testosterone is mediated by their environment.
00:06:46If we had a bunch of weapons around here now, our testosterone would be higher.
00:06:50And if we started picking them up and waving them around, our testosterone would be higher.
00:06:52Not much, but like a little bit.
00:06:53Another thing that mediates male testosterone is the fertility of the women that they're near.
00:06:59But if you're spending a lot of time around women who are giving off the cues, largely pheromones,
00:07:04but also visual cues of being fertile, that will increase testosterone.
00:07:09Not by an insignificant amount.
00:07:10But if you were a man that somehow was stranded on a desert island, some hunter-gatherer man,
00:07:16stranded on a desert island with a bunch of children, a bunch of grandmothers, your
00:07:19testosterone would be less.
00:07:20Okay.
00:07:21I think, and I've spoken to Dr. Shana Swan about this, et cetera, et cetera.
00:07:27One of the X factors, my like tinfoil hat X factor thing, is the artificial suppression
00:07:32of fertility by women increasing their use of hormonal birth control is causing, and the
00:07:38solitude of men spending less time around women is a contributor that hasn't been fully factored
00:07:45in to the decrease in testosterone.
00:07:47That's a fascinating, especially the birth control.
00:07:49Don't fucking test me, dude, on this tinfoil hat stuff.
00:07:53That's what I'm about.
00:07:53Yes.
00:07:54That's what I'm about.
00:07:54Dr. fucking K.
00:07:55Giving me-
00:07:56So I know we have a lot of important things that matter to people to talk about, but one
00:08:00day we have to put our tinfoil hats on and just go off the rails.
00:08:03I have a hat that says-
00:08:06Make autism great again?
00:08:07Yes.
00:08:07Okay.
00:08:07Interesting.
00:08:08Cool.
00:08:09So first one was testosterone scam.
00:08:11Doesn't really seem to, is there a level, but question, is there a level of testosterone
00:08:14that it gets below where erectile function begins to be impacted?
00:08:18Yes.
00:08:18That's where I'm going next.
00:08:19So 5% of erectile dysfunction is due to testosterone deficiency.
00:08:25Specifically, we call that hypogonadism.
00:08:27So basically 95% of erectile dysfunction is not due to testosterone.
00:08:31Don't worry about your testosterone.
00:08:32Okay.
00:08:34And I think that the things that you said are certainly factors for lowering testosterone.
00:08:39I think there's also really other simple little things like sedentary lifestyle.
00:08:43We've become more sedentary.
00:08:45I think the largest, don't skip leg day, right?
00:08:47So one of the greatest endogenous signals that stimulate testosterone production is like
00:08:54stressing your quadriceps muscles.
00:08:56Big muscles.
00:08:56Yeah.
00:08:57So the bigger your muscles and quads are about as big as they get.
00:09:00Yep.
00:09:00So don't skip leg day.
00:09:02Huge.
00:09:03The other thing that you touched on, which I think a lot of people forget, the penis is
00:09:07not like a endocrine organ.
00:09:11It's a vascular organ, right?
00:09:13So testosterone is a hormone.
00:09:15It travels in very small quantities all throughout your body and does all kinds of things everywhere
00:09:20in your body.
00:09:21The penis is first and foremost a vascular organ.
00:09:24It's basically a tube that fills up with blood.
00:09:27So the number one thing that improves, actually, I don't know if this is true, but if-
00:09:33One of the things.
00:09:34Yeah.
00:09:35So one of the things that is very, very, very important for penile retraining and penis
00:09:38health is cardiovascular health.
00:09:40The stronger your heart is, the stronger your cardiovascular system is, the healthier your
00:09:44penis will be, the longer you will be able to maintain an erection.
00:09:47Even the size of your erection depends on how much blood goes into the corpus cavernosum
00:09:53and the corpus spongiosum, which are anatomical parts.
00:09:56There's also valves that become really important.
00:09:58And this is where you mentioned nitrous oxide.
00:10:00So if we look at sildenafil, which is Viagra, it's a nitrous oxide.
00:10:06It increases the levels of nitrous oxide, basically.
00:10:08It's a phosphodiesterase 5 inhibitor.
00:10:11So it prevents the breakdown of nitrous oxide.
00:10:13And nitrous oxide is what causes the penis to swell.
00:10:17So cardiovascular health is huge.
00:10:20And then there are, so if we're talking about this penile retraining regimen, there are a
00:10:25couple of things that you have to do.
00:10:27The first is it takes about 10 days to two weeks for things in your body to start shifting.
00:10:35Okay.
00:10:36So first thing is, if we look at about 50% of men will have a nocturnal emission after
00:10:43seven days without any ejaculation.
00:10:4650%?
00:10:46Yeah.
00:10:47No way.
00:10:48I think it's ballpark 50%.
00:10:49I'm not 100% sure.
00:10:50I love the term nocturnal emission as well.
00:10:52It's my fucking favorite.
00:10:53So what that means is if you don't have intercourse and you don't tug one out, the body starts to
00:10:57recalibrate and will say 50% of men is like, okay, like we got to get rid of some of this
00:11:02stuff.
00:11:02So that'll happen.
00:11:03So once you hit two weeks, then, you know, the likelihood of nocturnal emission goes up.
00:11:08And this two-week number is like magical in the body.
00:11:12So even if you look at the hypertrophy of muscles, so if you stop working out, if you don't
00:11:19lift weights, after about 10 days is when you really start to see a loss of the mass of your
00:11:26muscles.
00:11:27So this two-week period is really important.
00:11:29So I think if you're like retraining your penis, you got to do it.
00:11:31You got to give yourself two weeks.
00:11:33Okay.
00:11:35So don't skip penis day.
00:11:39So penis day is leg day.
00:11:41So you want to work out your legs.
00:11:42You want to improve your cardiovascular health.
00:11:44The more that you work out, like the healthier your penis will become.
00:11:47Second thing is you need to abstain.
00:11:50I think it's probably a good idea to abstain from if you really want to retrain your penis.
00:11:55And usually the situation in which this becomes acutely important is if you start a sexual
00:12:01relationship.
00:12:02We'll get to the anxiety and stuff at the end because that's a whole conversation.
00:12:06But so when you're, you know, if you're going to get laid for like 10 days, like don't tug
00:12:13one out.
00:12:13We'll get to some other conspiracy tinfoil hat stuff about, you know, premature ejaculation
00:12:18and stuff like that.
00:12:18But so give yourself about two weeks and then, and then, you know, as dudes know, like if
00:12:24you haven't tugged one out, you're going to not fast, which is like the goal.
00:12:27Okay.
00:12:27So that's what we don't want to avoid nutting fast.
00:12:30Get to that in a second.
00:12:33But it's okay to not fast.
00:12:34That's actually like a good thing to do.
00:12:36And then if your penis is, if you're able to complete a sexual act, um, then, you know,
00:12:43you're on the right path because the problem with erectile dysfunction is you can't maintain
00:12:46an erection through the completion of the sexual act.
00:12:50So next thing that we want to do is loose grip and lots of lube.
00:12:56So we want to mimic the 30 PSI.
00:12:59Okay.
00:12:59So this is something that is very, very difficult and frustrating for dudes to do, which is why
00:13:05I recommend the buddy system, right?
00:13:07So if you have trouble doing, doing a loose grip, you can ask a friend of yours to use some
00:13:13lube and, and make sure that the grip stays loosened.
00:13:18Such a left turn, such a left turn.
00:13:21Hey, dude, sit in the, sit in the cut chair in the corner and warn me if I get above 30 PSI.
00:13:25Yeah.
00:13:26So, so, so it's, it's hard, right?
00:13:28So it's, I mean, it's not hard.
00:13:29Or not, which is the issue.
00:13:30Yeah.
00:13:31All right.
00:13:31So penis jokes galore.
00:13:32Let's go.
00:13:32All right.
00:13:33So, um.
00:13:35But yeah, so, so you have to loosen your group grip and use lots of lube.
00:13:39Yep.
00:13:40Um, that'll, that'll do pretty well.
00:13:41Then there's the pornography stuff where I think the, the more you, if you're waiting a
00:13:47week, right.
00:13:48And then you are engaging in masturbation best.
00:13:51If you don't use porn and let your thoughts do the work for you.
00:13:55And that opens up a whole other really interesting thing, which is like addressing premature
00:13:59ejaculation or inability to ejaculate is your mind is like an incredibly important organ to
00:14:07control your sex.
00:14:10Point and shoot.
00:14:11I don't understand.
00:14:13Oh, point and shoots.
00:14:13The, uh, parasympathetic sympathetic.
00:14:16Yeah.
00:14:16Seesaw.
00:14:17That's the way that they get taught at med school in the UK.
00:14:19Yeah.
00:14:19Yeah.
00:14:19So point and shoot, we get taught the same thing.
00:14:21Oh.
00:14:22So like, so when I have patients who struggle with premature ejaculation, one of the things
00:14:27that I'll tell them to do is like, think non-sexual thoughts.
00:14:29So math problems is really well, like do like factors, like prime factor analysis, things
00:14:33like that.
00:14:34Okay.
00:14:34And cause if you, if you think about like, if you're a dude who's had, you know, good sex
00:14:39before, you know, like getting into it is like a big part of it.
00:14:43Yeah.
00:14:43So, so even when I talk to, um, you know, partners or people who are engaged or want to
00:14:50do some certain kinds of sexual exploration with things like anal intercourse and stuff like
00:14:54that, the mentality becomes really important for sex.
00:14:58Like, so what, what is going on in your head, right?
00:15:01So you said point and shoot, which means parasympathetic and then sympathetic.
00:15:05Parasympathetic is relaxation.
00:15:06So this is why for, if you, if you're trying to engage in, in sex, you're trying to engage
00:15:12in the sex, right?
00:15:13So especially, I mean, this is really true for women, but it's also true for men, especially
00:15:17if they have anxiety induced issues, you want to be really, really, really relaxed.
00:15:21Right.
00:15:22Um, and so if you're relaxed, blood flow increases to your genital organs, and then you start
00:15:26to have thoughts and those thoughts will excite you.
00:15:29And that excitement in your mind, the dirty thoughts that you have will help you climax.
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