Uncovering the Latest on Shockwave Therapy for ED: What You Need to Know in 2023
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- čas přidán 27. 07. 2024
- Are you tired of relying on pills and medications or other quick fixes to treat erectile dysfunction? Shockwave therapy offers a long-lasting solution that can improve your sexual performance and boost your confidence. Discover the benefits today!
Watch the video till the end and let me know your thoughts in the comments.
Thanks for watching!!
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References:
Restorative Therapies for Erectile Dysfunction: Position Statement From the Sexual Medicine Society of North America (SMSNA)
academic.oup.com/smoa/article...
A state-of-art review of low intensity extracorporeal shock wave therapy and lithotripter machines for the treatment of erectile dysfunction
www.tandfonline.com/doi/abs/1...
Reviewing the evidence for shockwave- and cell-based regenerative therapies in the treatment of erectile dysfunction
journals.sagepub.com/doi/pdf/...
Energy-Based Therapies for Erectile Dysfunction Current and Future Directions
www.urologic.theclinics.com/a...
Low-intensity shock wave therapy for the treatment of vasculogenic erectile dysfunction: a narrative review of technical considerations and treatment outcomes www.ncbi.nlm.nih.gov/pmc/arti...
The Effect of Low-Intensity Shock Wave Therapy on Moderate Erectile Dysfunction: A Double-Blind, Randomized, Sham-Controlled Clinical Trial
www.auajournals.org/doi/abs/1...
Low-intensity shock wave therapy for the treatment of vasculogenic erectile dysfunction: a narrative review of technical considerations and treatment outcomeswww.ncbi.nlm.nih.gov/pmc/arti...
▶️Chapters:
00:00 Intro
00:08 Shockwave therapy: 2023 Updates
00:28 What shockwaves are?
01:07 3 Types of shockwave generators
02:32 How do radial shockwaves differ from focused shockwaves?
03:52 How do shockwaves work?
05:00 What do we know about shockwave therapy?
09:28 Why isn’t shockwave therapy for ED not being recommended?
13:41 Conclusion
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Rena Malik, MD is a urologist and pelvic surgeon on CZcams to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.
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▶️Check out these playlists:
• A Urologist explains what is edging and is it SAFE: • A Urologist explains w...
• Penis Problems?! Erectile Dysfunction, Premature Ejaculation & More: bit.ly/3wwivzS
• Overactive Bladder Treatment: bit.ly/3hMzBoP
• How to Increase Testosterone: bit.ly/2T9QJKV
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▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
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![How to CURE ED! [5 KEY Pillars] in 2024](http://i.ytimg.com/vi/QCN6PtJHh6w/mqdefault.jpg)
Video's got it covered, but 'Titan Rod' ebook is the answer for ED. Trust me, it's a game-changer
I got it a month ago a friend suggested it and its just amazing
BS.
Does it work for people with priapism problems?
Kindly send me the e-book
REALLY well prepared and presented. No fluff, just facts well presented. Thank you
Thank you so much for taking the time to keep the community informed about the recent trends and development on sexual health topics, Dr. Rena!
@RenaMalikMD382 That's kind of you, Dr. Rena! One of the things that I admire and envy is about your specialization as this subject is still a taboo to be discussed by a woman in many parts of the world and especially India. Hat's off you, ma'am!
Though I don’t require this treatment I have had shockwave treatment on a shoulder and after 3 treatments I’ve been pain free. 18months ago. Interesting research and I swear by it
Im glad someone is open and honest about all this. In my opinion, you're better than going to a clinic. Im 47, with watching your videos........................
Really appreciate the kind of comprehensive information you present here, Doctor. Thank you.
Thanks Dr you help to clear the fog in all you tell us about. Good health and happiness to you. ❤️
I love the way Rena explains everything.
Thank you doctor. You always share your knowledge both pro and con on so many topics. Deeply appreciated!
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
Why people are crazy for sex.
I have the phoenix, and I've used from 10/15/2021 to 10/15/2022, my protocol was sessions one month on , one month off. right now I'm doing maintenance every other month. I can say confidently say that sound wave tech works!
good to hear..im on my second week first month.. I also started with daily 5 MG tadalafil. also L-Citruline 3g daily..... Are you doing anything esle?? Thank you and congrats!
Also happy to hear it. Just starting my 3rd week of the 1st month.
@@bottanoog9545 my nitric oxide numbers are pretty good already, but I also cycled Tadalafil (which you can take every three days) to open blood vessels. I also took black ginger powder to help with hormones and blood flow, and that destroyed my ED for sure.
@@bottanoog9545 I forgot to mention that I really don't need to take Tadalafil anymore.. I do take sometimes but only for fun lol
Weird question….did your dick get all veiny after this much usage?
One more data point is that I did go to a local clinic that specialized in "Men's Health" and they did offer the LiSWT... the cost for a 6-week trial was around $2,500... by comparison they also offered Testosterone injection therapy - which I tried for 4 weeks (4 weekly injections) for a cost of $200 ($50 per injection). In the week following the first injection, I was "on the fence" whether I could notice any results, but I was told not to expect immediate results. The week following the 2nd injection seemed to produce an improved response to ED medications (I still used and was encouraged to continue using Viagra and Cialis), and it also seemed that I was able to have more orgasms with the normal amount of sexual encounters/opportunities (4 in one week, up from an average of 2 orgasms per week - I am 62 years old). The 3rd and 4th weeks seemed to be more like the 1st week, where I didn't seem to notice much difference (again about 2 orgasms each week, with the same respective accompanying amount of desire. I hope this is helpful! Thank you for your ongoing informative videos!
The problem is that doctors are being overcharged for machines , the technology itself is very cheap to make and been used in other industries. However the equipment prices skyrockets with medical applications
True! A Storz shockwave generator was estimated for me to put into practice and 2-3 years ago, the sales rep wanted approximately $30,000 for a shock wave generator! Obscene pricing and profits for medical devices! Dr Rocket 🚀
Got myself a machine from China. 21hz 10bar pneumatic shockwave. Was $885 after shipping and taxes.
@@Tampainianis it worth it ?
@@ObeytheRussianBlue😅
@@Tampainianmore information please
You're amazing, Dr. Reena .Thank you
Thank you for the detailed information you provide to help have educated discussions with our doctors and knowing what factors we may need to take into consideration when having those discussions.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
This woman is super smart❤
All her researches and difficult detailed explanation just to keep folks going and happy.
Hope you always sets your man to cloud 9? 😊
In July of 1991 I was diagnosed with stage 4 Non Hodgkins Lymphoma and had surgery and six and a half months of intensive chemo therapy. Celebrating nearly 12 years cancer free! However, I have had significant ED since the chemo. I took the 9 week shock wave therapy (don't know which one it was) with no benefit. I'm greatful that I'm still here but would like to get my sex life back. The clinic where I took my treatments seemed legit but in talking with other patients in the waiting room hardly anyone seemed satisfied with the program. I'm sure my problem is severe nerve damage from the chemo. I haven't tried the oral medications because I'm sensative to side effects. I'm 76 but going strong. It would be nice to be able to get frisky once in a while. Just sharing my results.
@ Al Paras. I hope God blesses you with a full healing.
Have you thought about a prosthetic ?
@@tampanativesonOmgosh 😳
😁😁
I have not had chemo or cancer, but I did have spinal issues, for which I had a superb operation that restored my ability to walk. However, I was left with a legacy of poor erection capability and some issues differentiating between bladder and other urgency. It no longer troubles my wife, as she died from her melanoma four months ago, but I know it was a source of disappointment to her. The side effects of recent medications have increased my issue in the sexual function area, but I guess at 77 it is something with which I must now live.
Never heard so much good, solid and greatly informative info on Shock Wave therapy like you've given here Doctor Malik. You've cleared up a lot of mud for me and helped me make my decision.
This video was very thorough and informative. Thank you Dr.!!
DR THANK YOU VERY MUCH FOR DETAILED INFORMATIONS & ANALYSIS ABOUT SHOCK WAVES THERAPY. ❤❤❤❤❤
As always Doc, very informative!!!! Thanks for being the outstanding voice of knowledge!!!!!❤
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
Good information. I am still searching for recovery from prostatectomy 29 months pass by
and the best hope it looks is quimestry ....but the one interfering and not helping is the mental psychological . But working on it. Must know your body can do it. Thanks for the video.
Thank you for this update Dr Malik. I've been on the fence about getting one of the home shockwave devices. Now i will waite until futher studies are conducted. Please continue to keep us informed on this modality.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
Wow! What an intense and professionally astute analysis! Genius at work on informing us of developments in therapies for a number of different diseases and dysfunctions! Thank you for your excellent and comprehensive review!!! Amazing that you even are spot on on research design and subtleties of statistical analysis! Dr Rocket 🚀
She is so awesome she’s talks. Such a word salad I lose her during the conversation but I love it. Keep up the great work. You are awesome.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
I don't love you mutch inwhat about if plague block's the arteries what happens with peace of plag when brake if brake at all?
thank you for information and please keep on giving advice.
I'd be very curious to see one of your fabulous videos on shockwave therapy for Peyronie's disease.
This info is extremely helpful.
Thanks for continuing to make content
Such a brilliant good speaker and very informative ❤️
Hello. Thanks for watching. You can send a personal message for questions, consultations and advice. ❤
❤ You are a 10 very informative thank goodness I found you I've learned so much
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
Dr. Malik. I think just listening to your videos is more effective than shockwave therapy!
😂😂😂
Interesting. In 2005 I sold/leased the first ESWT device in Canada, to a prominent athletic physician in Toronto, for the treatment of plantar facietis. Up till then it had been used for the treatment of kidney stones. From what I learned from your video, the science hasn't advanced much in 18 years. Plantar facetious patients had to return every 6 months for more treatement, although they did experience some pain relief. Even then the explanation for relief was increased blood flow and an increase in platelets.lets hope the next 18 years produce more exact clinical evidence through well controlled studies.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
Thank you for this update. My concern/question would be about treatment options for older Type II diabetics.
Good information Dr Malik, you are looking amazing in new attire .👌👌👌👌👌🌹🌹🌹🌹🌹
DR Malik; 1st Thanks for another great video that peaks clearly without hype. Now a question: What is/are the tissue/tendons that can cause a shortening of the penis during a hernia surgery?
I am about to go in for hernia repair #4 and during # 3 I went to half-length. I want to mention this to my surgeon so he can be attentive to this possibly being an issue in my case. Thanks for all you do.
What a beautiful doctor.
Thank you for the information. I am considering low intensity shock wave therapy
Thanks for the update, great information as always! 😊
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
Great video. You should do one for post Finasteride disorder. It caused me ED I’m 2 weeks and I know a ton of men that the same happened to them.
Do a video on how to fix this.
How are you now ? I'm in the middle of it. Not going well.
Wow I just looked it up. Of course it’s fda approved but shockwave isn’t
A full head of hair but screwed for life. A crime
Great information thank you so much
After less than a minute of watching, I just realized that you appear to be wearing what might a dress for an evening out...and if so, then you came back and filmed while you were still looking good. If so, then I hope that you had a great time at the event!
My sensitivity went way up and ed was helped a bit. I'd like to try it again it is hard to get a good cost effective clinic.
Great information. Thanks for providing it.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
Lots of information to look over. Thanks Doctor.
I've mentioned it once before but have you covered ED and gut/ bowl/ colon issues? Like gut bacteria imbalance and issues like IBS/ IBD. I think that would be a great video to make to educate men on how gut issues can GREATLY impact erections and seem like ED due to them. I mention because Ive personally experienced it for the last decade.
she has a video out about that already
I have made serious attempts along these lines. I Lost 80 lbs and reduced the amount of sugar in my blood, I am a diabetic, and walk three times a day. Eat healthy food, I don't drink. Was never an everyday drinker. Glass of wine 3 or four times a year. I have gone from having no interest, and no erection to having a morning erection. It's important to understand that being with someone that one is attracted to is important. I didn't really have a good result with vigra.
@@Mutlap Glad you lost weight and got better and things started working but I get the feeling the guy was mainly talking about your gut microbiome like good gut bacteria vs bad good bacteria and taking probiotics and stuff but yeah, losing 80 lbs and a gut will definitely help with better erections
@@Mutlapdoes your ed gone
So, what we need are studies to know which which type machine, which dosing, which setting, frequency of use, duration of treatment, etc. did the best and lower the price significantly ($50/treatment so more people can try it without insurance), the true efficacy rate, whether maintenance treatments are needed, and make it legal per informed decision (determined by patient). Edit: and like Captain Picard would say: Make it so! Now.
I have an appointment in an hour and it's a relief to hear that. I should be good. I'm 51 but I don't smoke and I work out regularly. My issue is that it works when it wants to. Just a 1/4 of a pill works for me. My one issue is that I have MS.
I was hoping you would have more information about how well it works in men that have gone through a prostatectomy which I had about two years ago and still not where I need to be. But you did bring up a good point that technology is changing and advancing more and more each year. Just trying to avoid the injections as that's the only thing I haven't done. Was hoping more advances in that type of therapy would have come further for prostate cancer patients that have gone through a prostatectomy.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
I'm not a doctor, but my understanding is that the shock wave therapy works on the tissue of the penis. The presence or removal of the prostate would seem unrelated. The NIH, Mayo Clinic, Johns Hopkins and other fairly respectable online sources should discuss this.
On the injection... I hope you don't mean the widely advertised one for Peyrone's disease. That can cause irreversible damage, according to the manufacturer's own data sheets.
Finding a competent urologist means asking for a lot of referrals, and probably paying for a consult and exam (bring you records) with several before you find one that treats you as an adult. Shows up on time. And gives you more information than you knew to ask for. Good luck. It is possible, just not easy.
I had a prostatectomy in August of 2019 and have not had much recovery of function. Have tried the injections and it does work, although the sensation is not like a natural erection and is rather disappointing in my opinion. The shot is not painful, you just have to get past the idea of stabbing yourself there. Worth trying in my opinion, perhaps your outcome will be different.
Wow - so well explained ❤
I think this would be present a problem with people that have suffered a heart attack and/or have a stint(s). Reduced blood flow is also caused by the calcification of the arteries and I would think that this type of treatment could cause some of the plaque to break free in the arteries which could then find it's way back to the heart possibly clogging up the the stint(s) and causing another heart attack.
Thank you for this information.
Awesome video and information ❤
Hi thank you for bringen ESWT to the attention of men with ED:-) I have treated men i Denmark fore ED for 10 years, And I just want to underline that FSW/ESWT cannot stand alone. If you have diabetes a balanced sugar level is so importent to a longterm result. Medicin kan only do so much. Diet and physical aktivities should always be included.
It's the same with atherosclerosis. Pilles will only bring an extenssion in time before an even bigger crash. The longterm effekt by ESWT alone is not glamoures. Sexual activities, physical activities , work load, relation with the partner, medicin and so on, have to be a part of the equation. If you seek af more longterm succesfull treatment.
Thanks for this video. Could you make one about the Phoenix hand held portable at home shockwave device for ED please?
Rena Malika thanks you lady for everything for helping me
New try! We will be wait and see the benefits!
How about the Phoenix? Hand held, proven (to some extent), and around $800! Sadly, I'm not going to spend that kind of money and find out that it "didn't work for me" , but it's there!
"Under medical supervision" means that the supervising MD can't be playing golf on a course over 100 miles away and ) or must always be within the same time zone that the procedure is being performed in.
Thanks for an excellent follow up to your first video on shockwave therapy. I've seen that a focussed wave home-use device is available, do you know anything about it? I suspect it's probably overpriced snake oil, but it would be great to get an expert opinion. Fortunately, I only have mild ED, but like many people, taking medications is bothersome. And then there's planning, not easy when I'm single. To be able to skip medications until the condition worsens would greatly reduce my anxiety if I should be able to meet someone. I'm in Australia BTW.
Your knowledge is impressive and I think this could've been said in 45 seconds. . . with a lot more efficacy: "It sometimes works but talk with your doctor" 🤦♂️
u r amazing. the best. thanks for all you do!
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
@@Athanasios001
I don’t know if this is you Doc. But I need to know.
I sent a question about a month or so and can’t remember what video I posted it. So now I don’t know if you read it and answered it.
Do you think there is a short-term? (say 6 months) improvement for diabetic ED?
Rena, would you do a follow up to this?
A long while ago, I watched a video about how trauma to a part of a man's skin near a balding scalp resulted in natural hair growth. There are now micro needles that bring about this result. I wonder if applying that exact shock to the scalp can bring about the same response.
Hello Dr Rena,
Thank you so much for your best advice and information🙏I always following your videos and advice💐
Could you let me know how can I book for shockwave and get treatment? Regards
Thank you, extremely informative. I’m interested, but need an “at home” option. During an in office session, I know I would have an embarrassing accident. Several times.
Thanks for this helpful video! Would you consider doing a video on the "Vertica" RF device for ED by OhhMed? It seems to be a new approach to ED treatment - using RF waves to stimulate collagen repair in the tunica albuginea. The creators seem to have done their own clinic study on it, and they've got positive customer testimonials on their website - but it would be good to get an independent view on whether these devices are worth spending money on (they cost £1500 here in the UK).
Unfortunately the Vertica is not available in the USA.
@@MrDavezebrais that bc the FDA has not approved it?
Wow the editing and sound were a mess on this one, but great comprehensive coverage of - we don't know yet. Thanks for the info.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
I've tried the generic ali baba and phoenix. Phoenix cheap plastic broke the 4th time just screwing it on slightly tight. Some electrical tape temp fixed it. Too dang loud if you live in an apartment and respect others. The generic was quieter, more powerful cheaper and can be used for other areas that actually benefit better I would assume. I think there is potential for effectiveness. However, there's a lot of variables to factor. Just my assessment; proper technique. Full contact with constant pressure moving but slower is better. Phoenix directions are so specific to go straight line back and forth at the exact time I feel it distracts you from focusing on delivering proper energy to be effective. Personally, I felt shorter back and forth motions along the shaft end to end was better. Similar to scratching a lotto ticket perhaps. Also semi erect or mostly erect felt like it would be better and makes sense scientificly. Like comparing knocking on a piece of hardwood oak vs. balsa wood. The oak is louder because the sound waves are able to move through and not dispersed and muffled like a lesser dense balsa for example. Only my thoughts to be sensible. I don't know the specifics but I am intuitive and fairly educated. Also it's difficult to say how much is enough for 1 treatment. If you have efficient technique the time allowed by the phoenix could be enough but I doubt most have good technique. Even professional psycisians could have flawed technical. To be good ,like anything else takes practice and time. Assessing technique and adjusting to ensure optimal effectiveness. The machine automatically locks up and if you didn't do it very well you're not going to get a chance for 36 hours and by then you're starting over from scratch again because minute difference was made and nothing to build on so to speak. Which i think is logical. You are working small and slow gradually affecting the cells and building them to regenerate stronger. Hard to say how much time per session or time between because there's many variables the will decide this. Human error, skills of ability, psychological, mechanical, power of device and form of wave created that is needed to hit the precise area. It's more less a crap shoot maybe compare it to say a shot in the dark or pin the tail on the donkey. Lol ok not perfect comparison but it would be better if we could see the cells as the treatments progress. Maybe translucent penises with cell structure that's color differentiated to easily see contrast. Make necessary adjustments and apply to area in need.... While It's absolutely feasible to be possible logically speaking. It's minutely unsure with many variables for possible failure of complete success. I suppose is one way to think of it perhaps... Has potential lacks practical.
Know your man's bruh
@@stolenlav-97 I know my mans. Bruh. Thank you. Love to you and happy thoughts to you... for free! Please share with others. You are welcome. 🙏
Blessings to you big man
Can you use it on shoulder ?
Thanks for the review. I didn't know that there is a generic. I'll definitely look into it.
Wow, thanks for the video.
If only the medical community would evaluate all prescription drugs with the same skepticism and concern for “safety & efficiency”! I guess when you take out the immediate & long-term earning potential of drugs as a motivational factor, we see a proportional disinterest in approving restorative treatments. Meanwhile it’s totally fine to FDA approve a drug or treatment so long as you tell the public of all the terrible side effects they may experience while taking them. I really struggle to understand the logic being used by those in possessions of “authority”.
Seems like money speaks and talk,Fda approves every damn chemical with all the side effects ,even death for people to take but have issues with non invasive safe no side effect tratment.
Regarding the different wave depths, why would you opt for 4-8 inches of depth with focused waves instead of up to 3 inches with radial?
Maybe I’m making assumptions, but I though the therapy would be applied laterally, not starting at the tip.
Come on grow up she is here to help such people who needs these information that's it!
Dr Malik, what are your thoughts on the Pheonix device for use at home?
I know I'm very late to this presentation. But, I have an obvious question that I didn't see covered by listeners (sorry if I just missed it).
How would the use of a 'vibrator' work, as a low cost version of this therapy?
Thanks ❤
More stuff on ED please
Doctor Rachel here on YT said unless we change diet and stop smoking, it's not going to last. What should Diabetics do?
Wow wow!! Sign me up!!! I’m in😮😮😮
Good video and you say the treatment is about 6 weeks but you didn’t say how many treatments are in that 6 week period. How often does a person have to go for shock wave treatment?
Hi Dr. Malik - do you know of any clinical trials for LiSWT that we can volunteer for? It seems that for a therapy that seemingly has such potential, there would would more sponsored clinical trial studies across the country that volunteers can participate in... I would be happy to be a test pilot!
Doctor Rena, here many people's are benefited from U Doctor, ... & here people's TRUST American Doctors for their great perfection,... thanks all the best.
My urologist says, "ehhh ... they are not there yet." Most offices do NOT have the highest-end machine. The University of Miami is on the cutting edge of trails, so you should look to see what they've found.
Is it possible to put a survey for the people who have the shockwave therapy and their feedback here? This will help
Great info Doc !! But can you research Li-SWT for diabetics? Also, did the past research differentiate between Type 1 Diabetes and Type 2 Diabetes (ED)?
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations..
Hey Doc. why aren't Doctors using this to treat Periferal Nueropathy? Seems like it might be appropriate for that?
Is electro shock therapy being used to repair nerve damage for Neuropathy ? This caught my ear. How about those personal units you can buy for home use? What are the risks of self treatment without professional skills? Love your channel.
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Beautiful and lovely!!❤🙏
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
I'm unclear if you are saying the RADIAL wave therapy is not as good as the Focused types. I treat back, neck, joint pain patients. Heels spurs are difficult to treat, etc. I thought the Radial wave type would be a good choice and affordable to purchase. Should I expect NOT to get good results for ED with the Radial wave machines (eg. Chattanooga brand).? TIA
VEGF - that's fascinating. My elderly mother would get the injections in her eyes to block it in her macular degeneration.
Always good.
Very informative
Thank you doctor I’m learning something…. Does Medicare cover this? I love to go get checked out and see about Male help
great video
Can you also do a video about circumcissions for women and why it’s bad?
Thanks!
Would you use the acoustic Class I device in your practice? Would love your thoughts on this. Thank you, Rena!
thank you for all the info. i still have the same question as all other men do on the subject of e.d., what will cure mine?
What's your opinion on the Phoenix at home shock wave therapy?
Hi, great video. I'm thinking if it has arrived in Spain..
Gainswave works , lt create new blood vessel and it works for diebatic and high blood pressure, errection without no medication , along with exercise running or walking and bike cycling helps even more , that is hope.
On the subject of ED, I would love to hear your views on Dutasteride and the apparent fact that it causes ED that can last years.
Thanks for watching. You can send a personal message for questions, consultations and healthy conversations.
Never heard of that. From multiple good docs and pharmacists.
@@lyfandeth You apparently don't get informed until it is too late. I was was on it, caused ED, stopped taking it the ED went away it seems as some people are not so lucky
I have had shock wave therapy. How do you know if they are doing it right?? One Doctor’s video suggests that pump first. Mine was for Peyronies and light ED