The Armor Men's Health Show

EP 658: Do You Need a Prescription for More Sex? Dr. Mistry Answers Listener Questions about Ejaculation, Prostate Health, and Sexual Satisfaction

• Dr. Sandeep Mistry and Donna Lee

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In this episode, Dr. Mistry and Donna Lee answer listener questions about the links between ejaculation and prostate health as well as sexual satisfaction between partners. Because the prostate is a reproductive organ, ejaculation through sexual intercourse and/or masturbation can help keep the prostate healthy. The concept of “use it or lose it” applies to prostate and sexual health in more ways than one. For some patients, loss of penile length due to weight gain or infrequent erections can impact partner satisfaction. If you need a boost in the bedroom, tune in to learn how to increase penile length and girth through cutting-edge plastic surgery.

Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

We enjoy hearing from you! Email us at armormenshealth@gmail.com and we’ll answer your question in an upcoming episode.

Phone: (512) 238-0762

Email: Armormenshealth@gmail.com

Website: Armormenshealth.com

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Speaker 1:

<silence> Welcome to the Armor Men's Health Show with Dr. Mystery and Donna Lee.

Speaker 2:

Hello and welcome to the Armor Men's Health

Speaker 1:

Show. This

Speaker 2:

Is Dr. Mystery , your host joined always with my fabulous co-host, Donna Lee.

Speaker 3:

Hi, good morning, good afternoon, good evening.

Speaker 2:

Depends on when you're listening, depending on when you're listening to the show. <laugh> . Um, we , uh, have been doing this show for , uh, almost three and a half years now. Donna, you're

Speaker 3:

Trying to keep that number so low . It's been like four . It's

Speaker 2:

Been so long. Yeah . Anyway, we've really enjoyed providing , uh, a broad perspective to men's health and even a lot of things when it comes to female health over the years. Uh, we enjoy your , answering your questions and giving you advice. We, of course, like seeing you as a patient too. This show is brought to you by NAU Urology Specialist. That is the group that I started in 2007. We are year 16, ready to drive.

Speaker 3:

Hmm . Old man walking ,

Speaker 2:

Old man walking <laugh> . Uh, they call me a mid-career physician. Now,

Speaker 3:

You've been saying that for a long time too.

Speaker 2:

I'm an old man now. <laugh> Donna, how do people get ahold of us? How do people come see us, call

Speaker 3:

Us before he retires at 5 1 2 2 3 8 0 7 6 2. Our website, as you well know, is armor men's health.com. You can submit your questions there , um, and we'll answer them anonymously. We're located, as you all know, in Round Rock, north Austin, south Austin, and Dripping Springs, Texas, where they still love dripping.

Speaker 2:

Uh, in this city. There are , uh, urology groups that are larger than us. Just one, at least

Speaker 3:

Just one.

Speaker 2:

And , uh, we get a lot of feedback that getting phones answered is difficult

Speaker 3:

A lot,

Speaker 2:

And that may be somewhere else too. Uh , I would like to announce to , uh, our listeners that our answer rate is 90% is That's

Speaker 3:

Right .

Speaker 2:

Which is amazing.

Speaker 3:

I think every specialist in Austin is having problems with their phones . They are but us now, they

Speaker 2:

Are . 90% is our answer rate, and we have availability, ASAP . So we would love to see you as a client and as a patient in our practice. Mm-Hmm.

Speaker 3:

<affirmative> .

Speaker 2:

Donna , we love the questions. Why don't you go through a question.

Speaker 3:

I have two little bits of housekeeping. First, new listener. I listen every now and again on Saturdays on KLBJ, but sometimes I can't catch it. Is there a podcast available? So I wanted to let people know. Yes, there's a podcast available wherever you listen to podcasts. Free .

Speaker 2:

Just look up Armor . A-R-M-O-R , misspelled Men's Health

Speaker 3:

Health Sure . Or Armor Men's Health Hour as we were known previously. And then this other gentleman was very funny. I thought this was cute. The subject lines read hands in my experience, larger hands have longer fingers after an exam by a lady surgeon with small hands. She reported that I had a good prostate. I replied to her that she had a good wristwatch. Okay, there we're gonna move on. <laugh>. All right . Here's an actual question. Dr. Mystery . Hi, Dr . Mystery . Great show and great information. I'm a 45 year old man with no issues and just curious to know if regular sex helps maintain the health of your prostate. For real. Really just asking you if sex helps prevent prostate cancer. Oh, dear Lord, Dr . Mystery , don't answer this. 'cause my husband's always reminding me that we should have more sex for his prostate.

Speaker 2:

I think that when he dies Mm-Hmm . I'm going to, I'm gonna encourage the probate

Speaker 3:

Mm .

Speaker 2:

Office

Speaker 3:

Nope.

Speaker 2:

To accuse you

Speaker 3:

Of, of

Speaker 2:

Murder.

Speaker 3:

Oh my goodness. Of ,

Speaker 2:

For denying him sex

Speaker 3:

Of sexual denial. If

Speaker 2:

He dies of prostate cancer , I swear to you,

Speaker 3:

There's

Speaker 2:

Going , there's going to be a motion for him .

Speaker 3:

We check his number all the time. Isn't that enough, <laugh> ?

Speaker 2:

No.

Speaker 3:

Can't you just give him a digital exam and be done with it? That's that's enough sex.

Speaker 2:

I mean, he can digitally examine himself, if you know what I mean. <laugh> . So the, the question , uh, you know , this is a very interesting one. And so there is data to suggest that the more frequent you have intercourse or Mm-Hmm. <affirmative> . So it's either yourself or with a friend , uh, or your wife or a friend, <laugh>, <laugh> . Uh , the more often that you, the lower your risk for developing prostate cancer and the lower your risk of dying from prostate cancer that we know. I guess the question would be why

Speaker 3:

Exhausting?

Speaker 2:

Like why would we care?

Speaker 3:

Why?

Speaker 2:

And so the prostate and the breast, for example, are two organs that we have as human beings that play a role in reproduction.

Speaker 3:

Right. The

Speaker 2:

Breast, of course, to feed a brand new baby. Mm-Hmm.

Speaker 3:

<affirmative> . And

Speaker 2:

For the prostate, it's to provide nutrition for sperm as they make the journey, the three day journey for the sperm to go and to fertilize an egg. Our bodies, if you think of us as cavemen or just like anthropologic animals, we are here to procreate. We are here to, you know , it's nice to think that we're here to buy nice cars and nice watches and to watch television and to gossip. But really

Speaker 3:

That's why I'm here. You

Speaker 2:

Know , as animals, we are here to procreate.

Speaker 3:

Right?

Speaker 2:

They want the strongest of us to procreate. We are able to procreate at the age of 16 or 15 mm-Hmm .

Speaker 3:

<affirmative> , you

Speaker 2:

Know, this is kind of , this is what our bodies are built for. And once our procreation years are gone, once we are no longer meant to be here to reproduce Mm-Hmm ,

Speaker 3:

<affirmative> ,

Speaker 2:

Then everything starts breaking down.

Speaker 3:

Right?

Speaker 2:

Post-menopausal women get breast cancer. That's when you get uterine cancer, ovary cancer. You can almost think of us like as a, like a building. And when the useful parts of the building are, you know, their usefulness is gone, they , they start corroding.

Speaker 3:

They're

Speaker 2:

Dilapidating, the body doesn't care. When we get older, the body's gonna spend a lot more energy on making sure that our bad eating habits are, are not corroding our heart

Speaker 3:

And our

Speaker 2:

Alcohol and cigarette smoking and marijuana doesn't erode our brain. So a lot more energy, a lot more of our immune system goes. A lot of our reparative systems go towards those things just to keep the generator and the lights on. Right?

Speaker 3:

Your

Speaker 2:

Brain and your heart and your gut and your reproductive system isn't gonna get that attention anymore. So the idea that these reproductive organs are more likely to develop cancer as you get older. Now, the testicles are a, are a dramatic example against this common , but the prostate and breast for sure.

Speaker 3:

Hmm . Why are testicles against that ?

Speaker 2:

We don't see a lot more testicle cancer, even though that's a reproductive organ. Mm-Hmm .

Speaker 3:

<affirmative>

Speaker 2:

In older people, but , oh , that's because, or if you , if you look at the anatomy of how the testicle works, the testicle has to produce lots of sperm all the time. So, Mm-Hmm . So they have , so there's rapidly, rapidly reproducing cells in the, in the testicle.

Speaker 3:

Okay.

Speaker 2:

And so that's how it is. It , it's rapidly reproducing. And when you have testis cancer, most of the time these are also rapidly reproducing cells. Mm-Hmm . The prostate is a slow growing organ. So even prostate cancer, even cancer of the prostate is still slow growing . And you get more cancer in older men.

Speaker 3:

Is it always slow growing , growing ? Or does it sometimes grow fast if there's another cancer inflammation in the body? That's

Speaker 2:

A great question. You know, you, for the most part, almost all prostate cancer is slow growing when compared to, say, leukemia or lymphoma

Speaker 3:

Or ,

Speaker 2:

Or even like

Speaker 3:

Pancreatic

Speaker 2:

Or pancreatic or something like that. Gotcha . It takes a lot of years for it to cause a problem. Mm-Hmm.

Speaker 3:

<affirmative> .

Speaker 2:

But , uh, when I explain this to patients, I tell them that all prostate cancers are turtles. There's just some turtles that are a little faster than others. <laugh> . And so, but that doesn't mean that even even a really bad cancer , um, if it's still confined to the prostate, is not eminently eminent, eminently life-threatening.

Speaker 3:

Okay.

Speaker 2:

Uh , but, but some cancers demand a more aggressive approach than others. But getting back to this listener's question, does help prevent prostate cancer? So I'm telling you, the data says yes. And I , as I continue to go through my explanation of why, I think it's because if you keep

Speaker 3:

Mm-Hmm. <affirmative> ,

Speaker 2:

Oh , your prostate thinks that you're still trying to have a baby,

Speaker 3:

You're producing. I , I get it. I'm

Speaker 2:

Around. That

Speaker 3:

Makes sense. If

Speaker 2:

You're healthy, if you're skinny, you also get less prostate cancer.

Speaker 3:

Mm .

Speaker 2:

Because your body thinks that you're trying to have a baby.

Speaker 3:

Wow. And

Speaker 2:

It wants to, so it will still dedicate a lot of energy. Now, maybe that's why when you have a lot of sex, maybe we're not that smart. Maybe there's, maybe there's , maybe there's not a lot of blood flow going to the brain. Well,

Speaker 3:

My husband and I are incredibly intelligent, smart

Speaker 2:

People. They do a lot of reading. Yes . <laugh> The New Yorker is something that's frequently read in your house. That's right. I do understand that. We're

Speaker 3:

Smart

Speaker 2:

People. <laugh> . So you, you know , um, regular does lubricate the system, and I always tell my patients that if you don't use it, you're gonna lose it. I think that people that have long periods of time in which they're not having intercourse mm-Hmm.

Speaker 3:

<affirmative>

Speaker 2:

Or masturbating or do , uh, are more likely to develop erectile dysfunction. I see it myself when I see patients that come in, it's that famous loving patient that I love so much. The 79 year old

Speaker 3:

Who

Speaker 2:

Comes in in a panic because he has started having loss of rigidity of his erections.

Speaker 3:

I'm like, all of a sudden <laugh>

Speaker 2:

79 , that's amazing. And you're surprised, do you not know that this is like common. So, but he didn't. And the reason that it comes up is because he's having sex three or four times a week, and it never was a problem for him. And now all of a sudden it's a problem. But the guy was having sex once a month. He's not terribly surprised when his erection starts softening, even if he's in his fifties. Oh . Or, or , or early sixties. So if you don't use it, you're gonna lose it. And if you don't use it often, then your risk for prostate cancer goes up.

Speaker 3:

I'm sorry, Michael.

Speaker 2:

So , uh, we will provide you a prescription

Speaker 3:

Or regular

Speaker 2:

Intercourse to prevent prostate cancer along with AIDS do Palmetto supplement if that is what you're interested in. And , um, you know, if you can't , uh, you know, be with the one you love, then you know, masturbating also counts as a form of.

Speaker 3:

I keep saying just do that. I won't know you're in the shower. There you go.

Speaker 2:

The Armor Men's Health Show brought to you by Fleshlight <laugh> <laugh> Donna, how do people get ahold of us? And , uh, how do people send us questions?

Speaker 3:

Call us during the week at 5 1 2 2 3 8 0 7 6 2 or send us your questions to our website, armor men's health.com. Hello

Speaker 2:

And welcome to the Armor Men's Health Show. This is Dr. Mystery, your host hosts joined as always by my indispensable co-host and partner in crime, Donnel Lee .

Speaker 3:

Indispensable. I like that. Can I hold that over your head at work?

Speaker 2:

<laugh> ? You can try. <laugh> our listeners wouldn't allow you to leave. I think you'd do this show sometimes without me, but I could never do it without you. You

Speaker 3:

Tried twice and it failed miserably both times. <laugh>, I love that for

Speaker 2:

Me. Yes, that's good for you. So this show is brought to you by my urology practice, NAU urology specialist. We have a total of seven doctors that work at the practice, including an interventional radiologist, five , uh, PA and nurse practitioners. We have two pelvic floor physical therapists. We have a health coach and we have a sex therapist on staff. So,

Speaker 3:

Mm-Hmm . <affirmative>

Speaker 2:

Really a holistic brand of therapy for you. Donna. How do people get ahold of us? Where are we located?

Speaker 3:

You know, we need some more questions. We already started answering a bunch in a row, so we're so happy to get them at armor men's health.com where you could submit your question. Embarrassing or not, we will answer it anonymously. And our website, again, armor men's health.com. You can call us at (512) 238-0762. We're located in Round Rock, north Austin, south Austin , and Dripping Springs, Texas. Doctor Mystery , I've got some questions.

Speaker 2:

Let's do it.

Speaker 3:

All right . This gentleman's , uh, subject line is called My Penis Doctor. I have a 7.5 inch and a little over three inch in diameter penis. Is that bracking

Speaker 2:

<laugh>? That's, that's how I introduce myself too . <laugh>

Speaker 3:

<laugh> sounds really big anyway. Is this an average size that should satisfy my wife also. I have a slight curve to the left, but not always. This is of course, when it's erect. Is this common or considered a PD diagnosis? Peonies disease? I do take testosterone intramuscular. I also take five milligrams daily of tadalafil . Do you think this is a good regimen?

Speaker 2:

Well, that's a great question because, you know, unless you're in the business of measuring things,

Speaker 3:

Apparently he is,

Speaker 2:

Or seeing things often, then you may not know whether or not , uh, your penile size and girth is normal.

Speaker 3:

Hmm . Uh,

Speaker 2:

I'm assuming that his three inches circumferences with the erect penis, because a flacid penis at three and a half inches would be pretty impressive.

Speaker 3:

Wow. I just, I just saw that visually I was scared .

Speaker 2:

Also , also , I'm also thinking that a seven and a half inch penis , uh, flacid is different than a seven and a half inch penis

Speaker 3:

Erect,

Speaker 2:

Erect , uh, the real question is, is is that enough to satisfy my wife? Do you know what we , what we know already

Speaker 3:

<laugh> that he hasn't asked her yet?

Speaker 2:

<laugh>, or, or that she's suggestive that somehow she's not being satisfied. Right.

Speaker 3:

Oh, I

Speaker 2:

Mean, a guy whose wife is like ecstatically enjoying intercourse, he's, he's probably not saying, huh? I wonder if she's having a good time. <laugh>.

Speaker 3:

Oh my.

Speaker 2:

So, you know, first I'm gonna talk about penile size, and then we're just gonna do a small little primer,

Speaker 3:

Primer pump,

Speaker 2:

A little primer on, on, on, on things that can be done perhaps to make , uh, the active intercourse more enjoyable for you Both.

Speaker 3:

Okay.

Speaker 2:

So , uh, first comes to penile size . So generally we would say that six inches or larger , uh, is probably , uh, you know, it , it's really two and a half inches are , are enough to reach the clitoris. So that's it. Six inches <laugh> six inches or greater should be perfectly acceptable in terms of a penile length , uh, sufficient enough to , uh, successfully have intercourse in a way that stimulates both partners. When it comes to girth, that's a hard one because you're <laugh> as it would Yay .

Speaker 3:

Uh,

Speaker 2:

That , that's a difficult question because some of it has to do with the laxity and size of the female partner.

Speaker 3:

And if your wife has a giant vagina

Speaker 2:

Yes. A capacious one, we say

Speaker 3:

Capacious

Speaker 2:

Capacious. So , uh, childbirth can certainly cause things to stretch out.

Speaker 3:

Mm-Hmm. <affirmative> ,

Speaker 2:

But not in the way that you might think because the vagina's actually quite, you know, flexible. It can get bigger and smaller and , uh, it's not just the skin of the vagina, it's the musculature of the vagina. But both play a role.

Speaker 3:

Okay .

Speaker 2:

So we can make you girth here . We can try to make you longer. Mm-Hmm. <affirmative> . Or we can work on her end and try to make her

Speaker 3:

Tighter. Tighter.

Speaker 2:

Hmm . So those are two ways that we can help resolve any kind of mismatch

Speaker 3:

Between

Speaker 2:

The two sizes. Is

Speaker 3:

It , is it weird that I started doing Kegels right when you said that?

Speaker 2:

Oh boy, <laugh> for no reason,

Speaker 3:

No reason.

Speaker 2:

It's not like you're gonna have sex anything ,

Speaker 3:

So No, I just, all of a sudden, poor Michael , you know, instead of my butt hole clenching up my vagina clenched up <laugh> <laugh> ,

Speaker 2:

We have several options to make you longer, but none of them are great. Mm-Hmm .

Speaker 3:

So

Speaker 2:

You will see kind of listed on different websites that you can do fillers for the head of the penis, which our partner, Dr. David Dellinger does. Mm-Hmm. <affirmative> ,

Speaker 3:

Which

Speaker 2:

Can make you maybe half a centimeter or centimeter longer. Mm-Hmm . Then we have cutting of the suspensory ligament, which might add, depending on your anatomy, an inch or two, but you'll hang down. So when you get an erection, it won't go up anymore.

Speaker 3:

Like peonies hang down.

Speaker 2:

No, hang down. Like really like droop as opposed to

Speaker 3:

Down , but it's ect ,

Speaker 2:

It's erect, but it droops because the, the , the ligament that's keeping it

Speaker 3:

Up

Speaker 2:

Is gonna get cut.

Speaker 3:

But it's, the sensation's the same. Like everything's the same. It's just

Speaker 2:

Different . Yeah. But different . But she's gonna help guide you in, if you know what I mean.

Speaker 3:

Oh ,

Speaker 2:

So , uh, like ,

Speaker 3:

Like an airplane

Speaker 2:

<laugh> , then the third. That's right. Then if you have a large, you know, a bunch of fat above where your penis and the base of your penis are, okay ,

Speaker 3:

Then

Speaker 2:

We can do liposuction and a special kind of procedure. Dr. Dellinger and I work together, it's called buried penis.

Speaker 3:

Hmm . That's such a hard word.

Speaker 2:

Buried , penis buried . And so , um, you know, especially if, if you're a little bit bigger and she's a little bit bigger, then your length is gonna be shortened just because the two body parts aren't getting close enough together. And so we can do things to help , uh, reduce the distance from the base of your penis to that man's pubis fat pad. It's called an ectomy. Sometimes it's even covered by insurance, believe it or not. And although you might be doing it out there for cosmetic reasons , uh, it is often done because the penis can be so buried that it's way into your body and you have to dig it out just to pee.

Speaker 3:

Hmm .

Speaker 2:

And so it makes it difficult to pee while standing and , uh, we definitely treat this buried penis quite frequently.

Speaker 3:

Mm-Hmm. <affirmative> , when

Speaker 2:

It comes to girth issues, we have penile fillers that Dr. Dellinger will do with a silicone-based filler. Um, some , uh, doctors out there will do fat, trans fat transference. Uh, I think that if you want something to last a while , then a silicone filler with Dr. Dellinger probably works pretty well.

Speaker 3:

Well , they last for a year, right?

Speaker 2:

Yeah. I , it actually causes permanent changes, so it kind of stays there for a while .

Speaker 3:

Nice.

Speaker 2:

A lot longer. More , more than fillers, like for your lips, for example. Not that you get fillers for your lips.

Speaker 3:

I don't ,

Speaker 2:

Uh,

Speaker 3:

I don't need them. Ooh ,

Speaker 2:

Okay. Excellent. Very good. Maybe

Speaker 3:

For my cheeks, <laugh> .

Speaker 2:

And then , um, uh, the, the fillers work, well, I think he says he can get a , a good centimeter to centimeter and a half of ga girth every installation. Mm-Hmm.

Speaker 3:

<affirmative> . And

Speaker 2:

They cost about $5,500 , uh, for an in-office , uh, uh, you know, penile filler. Then let's talk about on the female side. So if she's not sexually satisfied, there can be ultimate. There are many reasons and as a urology clinic, we are happy to see those patients and try to help you with that issue if you have , uh, orgasmic dysfunction or pain during intercourse or lack of lubrication or lack of desire. So those are the four main areas where women will have sexual complaints and problems. The most common reason for things to happen as women age is hormonal issues. Low testosterone, estrogen deficiency certainly can lead to diminished sexual satisfaction. When it comes to lubrication. We offer treatment with hormone based and non-hormone based lubricants. Mm-Hmm.

Speaker 3:

<affirmative>

Speaker 2:

As well as ti, which is a radio frequency way of kind of rejuvenating the vagina. It costs $900. It helps thicken the vagina helps strengthen or or to, to , to , to narrow the introitus to make intercourse more enjoyable. Mm-Hmm.

Speaker 3:

<affirmative> .

Speaker 2:

And then the increased lubrication makes it easier to orgasm.

Speaker 3:

And I'd like to point out other offices like OBGYN offices, Motiva procedures are similar. Ones are upwards of $3,000 and hours is only about 900.

Speaker 2:

Well that's because we do it. We're not doing it for like Right.

Speaker 3:

You

Speaker 2:

Know, we we're, we're doing it as part of a sexual dysfunction program. Mm-Hmm . <affirmative> . So , although you get the exact same treatment, we charge substantially less. That's

Speaker 3:

Right. Right .

Speaker 2:

Pelvic floor physical therapy can, can strengthen the lator muscles that surround the vagina to help the woman grasp the penis a little bit more aggressively. And uh, that can also help with mutual, with

Speaker 3:

Hand sexual

Speaker 2:

Satisfaction. With your hand ? No, with her

Speaker 3:

Who ? Who ?

Speaker 2:

Vagina hand. <laugh> vagina hand. And then we have medications that can improve libido. There are two FDA approved libido enhancing drugs. Mm-Hmm.

Speaker 3:

<affirmative> . If

Speaker 2:

She's not into it, then VII might work. It's a little injection that's given subcutaneously about an hour before intercourse. It improves her libido and will help her with her sexual satisfaction.

Speaker 3:

Okay.

Speaker 2:

Addie or Baner is used daily and you may not even know out there that there are treatments for this kind of stuff. Right.

Speaker 3:

And

Speaker 2:

We even have medicines to make it easier to orgasm.

Speaker 3:

Hey,

Speaker 2:

This is a full service place, <laugh> , if you are looking to improve things in the bedroom, it's not all about size men.

Speaker 3:

Hmm . Yes it is .

Speaker 2:

Well it does help, you know, the motion of the ocean these

Speaker 3:

Day . Mm-Hmm . <affirmative> ,

Speaker 2:

We would love to help make your motion the ocean better as well as if you are interested in penile girth kind of improvements. We are happy to help you. Donna. How do people get hold of us and how do they make an appointment?

Speaker 3:

You can call us about your emotion in the ocean at 5 1 2 2 3 8 0 7 6 2 . Please visit our website. You can see our smiley shining faces there at armor men's health.com. You can also submit your questions there as well. There's a little button that says submit question. We'll answer them anonymously. And check out our podcasts wherever you check out podcasts. Thanks Dr. Mystery .

Speaker 1:

The Armor Men's Health Show is brought to you by NAU Urology Specialist. For questions or to schedule an appointment, please call 5 1 2 2 3 8 0 7 6 2 or online at armor men's health.com .