The Armor Men's Health Show

Which Came First? The ED -OR- the Low Libido? Dr. Mistry Weighs In On This Classic Urology Debate

• Dr. Sandeep Mistry and Donna Lee

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Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee answer a listener's question about ED without low Testosterone: "Dr. Mistry, I've listened to several of your podcasts and like your holistic approach to men's health issues. I have struggled with ED and sexual desire off and on for several years. My PCP (primary care physician) says my testosterone is normal. Do you know any providers in the Dallas area who have a similar approach to yours?" Dr. Mistry reminds listeners of the chicken-and-egg problem with ED and low libido: do I have ED because my libido is low, or is my libido low because I have ED? An important consideration is making sure Testosterone levels are normal, that diet is optimized, and that a moderate exercise regime is already in place. These tend to increase self-esteem and, consequently, libido increases and ED decreases. In addition, there are many medications that can be used to increase libido, including Vyleesi and Addyi, which are FDA approved to increase sexual desire in women and can be used in an off-label way for men as well. Finally, Dr. Mistry reminds all of his Texan listeners that he can treat anyone living within the state via telehealth--no need to drive to Austin! NAU Urology Specialists also can work with your urologist or Primary Care Provider to treat you in a more holistic manner consistent with our approach. If you or a loved one is interested in learning more about our treatment modalities, give us a call or visit our website today!

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.

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Phone: (512) 238-0762

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Speaker 1:

Welcome back to the Armour men's health hour with dr. Mystery and Donna Lee. Hello and welcome to the armament health hour. I'm dr. Mr.

Speaker 2:

Your host here as always with my cohost Donnelley.

Speaker 3:

I'm brilliant. I learned that

Speaker 2:

That's a throwback from a previous episode. Excellent, excellent

Speaker 3:

Memory, good memory.

Speaker 2:

I am a board certified urologist. My name really is dr. Mystery, M I S T R Y. We started a practice in 2007 here in Austin, first in round rock. And now all throughout the city called NAU urology specialists. We are a special brand of urologic care. I'd like to think that we provide more holistic care. We really think about what is the next step to your, your logic and whole body care, and just absolutely love bringing you this show, enjoy our listenership and the great following that we've built, uh, around town. Donna.

Speaker 3:

No, we are famous in our own minds and that's kind of cool.

Speaker 2:

That's right. You know, it'd be nice if there was an award show for a self produced radio content. Well,

Speaker 3:

We do have awards. Doesn't that count? Yes.

Speaker 2:

They're self provided w but you know what, you know, it's called self-love. It is. And if you don't love yourself, nobody's gonna to

Speaker 3:

That's right. And we've seen several bull billboards around town that say, Oh, award-winning neighborhood. And I'm like, who gave him that award?

Speaker 2:

And they got, they got the same award. Our practice, uh, is all throughout town. As I mentioned, we have four physicians. We have five physician assistant and nurse practitioners. We have two pelvic floor, physical therapists. We really focus a lot on making sure that your sleep patterns are normal. We make sure that your attrition is optimized and we even have sex therapy for those sexual issues and really personal issues that may have a strong medical impact, but something that, you know, isn't purely physiological. That's r ight.

Speaker 3:

We have a new friend Sally, who actually reached out to us to get the sex therapy information for someone she knows. So I thought that was interesting because where else do you turn? If you don't know if you're new to Austin, you don't know where to,

Speaker 2:

It reminds me of a very interesting lesson that I learned years ago when I went to speak to the Austin area, family therapist association about sex therapy. And I asked a question, which was, how many of you talk about sexual issues as part of your family therapy counseling? And it wasn't very many. And that surprised me because in our minds, sexual issues make up a big part of what, you know, may cause strife in a couples relationship. But if you're not trained to talk about it, or you don't know how to bring it up, or if you don't want to really bring it up, or if you have this really sensitive topic that you think is going to be a trigger for a couple, you may not bring it up. And so if you have issues that are predominantly sexual, now we've had couples in the past that had couples that had problems with, you know, different kind of sadomasochism rights. We had different, you know, uh, a lot of people with different varying levels of libido or sex drive, uh, boundary issues, things of that nature. And then more increasingly now is going to be pornography addiction just to the addiction and wide availability of pornography has created it so that, you know, many people, men in particular have difficulty enjoying intimacy with a real person and

Speaker 3:

The pandemic didn't help anything.

Speaker 2:

Sure. And, and, and virtual reality, Oh, that's right. We got one of those, not the porn part. W e got that Oculus s tory. That's f unny. Well, at least i t's not g oing t o be p ulling at you anymore. Thank God your questions and your participation on the show is really important to us. And we love seeing you as a patient. Donna, how do people see us as a patient?

Speaker 3:

Call us at five one two two three eight zero seven six do to make an appointment during the week, Monday through Friday, you can also reach out to us through our website, which is arm or me n's health.com. And you can send your questions to arm or me n's health@gmail.com. That's armor men's health@gmail.com. We will take your questions and we will answer them anonymously and we hav e

Speaker 2:

Awesome. Excellent. Uh, Donna, why don't you hit us up the question

Speaker 3:

This particular one is from last week, h e listened to the show over the weekend. U m, dr. Mystery, I've listened to several of your podcasts and like your holistic approach to men's health issues. I have struggled with e d and sexual desire off and on for several years. My PCP primary care physician says my testosterone is normal. Do you know any providers in the Dallas area who have a similar approach to yours? But I know the answer might be no, but I thought we could talk about his sexual desire a nd his testosterone being normal. Or do you have a friend like you a nd a re in Dallas,

Speaker 2:

The ministry there ain't nobody like me that, that raised four interesting things. The first one I'll say that's easy is that you call us. If you have a primary care physician, w e'll just take care of you by t elehealth. As long as you're a Texas resident, my medical license covers it. And we can certainly take care of so many of your different issues. At least give you guidance that you can kind of follow through. Number two is, u h, w e work frequently with primary care physicians in other, in o ther localities and make sure that they kind of kind of Institute whatever program we have, because they're interested in doing what's best for you as well. And if we can give them the guidance and you agree to it, then that can be a way that you can get what you need and not have to come see us here in Austin. And then this question of the chicken and egg phenomenon of low libido versus erectile dysfunction, right? And I've said it on the show. I don't play golf. You're a terrible golfer. I'm a terrible golfer. I slice it. I don't know what I'm doing out there. So my desire I'm just whacking whacking balls. Okay. So my desire to play golf is zero. I F if I could take a pill today, that would make it so I could hit the golf ball straight and I would love golf to enhance, and I would hit my pu tts i n whatever else they do. I don't even know the wo rd. You know what I'm saying? Is t h at r i ght? That's right. If I, I think that, I think, I think that vernacular from a vernacular standpoint is accurate. And so I think that it I'm telling you that if I could take a pill that would make me play, play really good golf. I'd want to play golf all the time. I have no doubt about that pill popping golf player. That's right. And so that's what it comes down to sex. If your desire to have sex is low, because your ability to get and maintain an erection is low. Then I think that there is an understanding that the erectile dysfunction proceeded the low desire, but other men there, the other way, their low sexual desire causes them to have poor sexual performance things that we do to enhance desire. You hit on one, which is testosterone. We have other medications, sex therapy, there are medicines like[ inaudible] and A ddie that are actually FDA approved for women. But we use them in an off-label way for men to enhance, to enhance libido because b io p hysically it's the same biochemically. It's the same kind of thing t hat, that, that helps, u h, u h, increase, u h, desire in a man.

Speaker 3:

Lacy rep told me that she injected her via Lacey and her husband did to off-label and Nate, she said they just had sex all night long, like the first time in 10 years that they had that much.

Speaker 2:

Yes. I feel that was an incredible endorsement. And I'm going to both give that both to you and Michael, as a gift later this year, it'll be, it'll be in, in the clothing that I give you. So when you hear that little feel, that little prick, it'll be probably your husband. So we have medicines that will work beyond testosterone to help give you more desire. And that might help you give you more, more sexual performance. Don't underestimate the importance of self-esteem and all of this too. I mean, sexual desire and sexual performance increases. When you start a moderate exercise regimen, this is no joke. Do it take 10 days and go walk two miles each day at a moderate pace. And then at the end, judge, how good your sexual desire is. And it will be higher, really get on a diet for 10 days. It will increase your sexual desire. When you feel good about yourself, it naturally increases your sexual desire. You know, it's k ind o f like, you know, you feel good about yourself and I can become a H unter out there and g oing,

Speaker 3:

It's like when a woman gets a boob job or she's like, Hey, I

Speaker 2:

Was unaware of that.

Speaker 3:

All the friends I've had in life, when they get a book, these are amazing. And then they go have a bunch of sex. So

Speaker 2:

That's a very interesting if that really what it was, it was it be covered by insurance.

Speaker 3:

That's true. Only man related things were covered by insurance. Certainly not women

Speaker 2:

That should, that should be the argument. We give people why they should be covered by insurance because you know, it helps everyone.

Speaker 3:

It helps everywhere. You men can get your penis and large through insurance, but women have to pay out-of-pocket for their boots.

Speaker 2:

That's right. Well, there we go. The last part I want to make a mention too, for this listener is the issue of normal quote unquote normal testosterone levels. The level or range that testosterone is reported at is a range of normals that have nothing to do with whether or not those people were symptomatic or not. What I mean by that is that normal may not be normal for you. And I say that all over all the time, it's important that we measure your level. So we know where you're starting from, but oftentimes we'll put men on the low end of the normal range on a course of testosterone. I feel like there's very little risk in a short 12 week course. As long as you understand what the potential side effects could be of these of these medications. And if we monitor it and take care of you and dose you properly, I feel very good that we're going to be, uh, safely increasing your testosterone in a way that lets you see if that's the primary problem you're having. Don't take testosterone just to treat a number. If you're not treating a symptom, you're not doing yourself any favors and you don't have any idea when to get off the mat.

Speaker 3:

Good point. That's what the[inaudible] centers.

Speaker 2:

Don't don't don't go. Don't go in it just to, just to street a number. Okay. Go in there with a symptom in place. You're really going to get in trouble. Thank God nobody listens. So Donna, how do people get ahold of us?

Speaker 3:

You can call us during the week, anywhere at(512) 238-0762. I'll respond to that listener. That's a great idea. We can certainly treat you by tele-health Dell medicine. Our website is armor men's health.com and our email address for these incredible questions that we will answer anonymously and at no charge to you is farmer men's health@gmail.com and listen to our podcasts. They're free.

Speaker 1:

The armor men's health hour is brought to you by urology specialist for questions or to schedule an appointment, please call(512) 238-0762 or online at Armour men's health.com.