Sex therapist Jessa Zimmerman interviews Johns Hopkins urologic surgeon and researcher Dr. Arthur Burnett about erectile dysfunction from a holistic biopsychosocial perspective. Burnett explains how erections work as a vascular function regulated by the nervous system, and how physical factors like hypertension, atherosclerosis, diabetes, cardiovascular disease, and nerve or hormone issues can interfere. They discuss how stress and performance anxiety can biologically affect erections via adrenaline, and how oral medications like Viagra and Cialis work by reducing a “brake” in the erection pathway, though effectiveness can change as overall health changes. Burnett emphasizes thorough assessment beyond quick prescriptions, including counseling when appropriate, and reviews a treatment ladder from lifestyle changes to oral meds, vacuum devices, penile injections, and penile implants, noting implants typically preserve sensation and can reduce anxiety when expectations are realistic.00:00 Show Introduction00:43 Meet Dr Arthur Burnett01:43 Why Study Erectile Dysfunction03:30 How Erections Work05:43 Physical Causes of ED06:56 Nerves Orgasm and Erection08:03 Holistic Assessment Approach10:56 Stress Anxiety and Viagra13:07 Mid Episode Substack Break13:47 When Therapy Helps15:12 Lifestyle Changes That Improve ED17:42 When to Use Medical Treatments18:55 When Pills Stop Working20:08 Second Line Treatment Options22:44 Considering Penile Implants24:09 Implant Sensation and Expectations26:52 Choosing the Right Urologist28:54 Where to Find Dr Burnett30:14 Closing and CreditsVisit Jessa's substack: https://www.intimacywithease.com/substackBio:Arthur L. “Bud” Burnett II, MD, MBA, FACS, is a globally recognized Johns Hopkins urologist, researcher, Viagra Pioneer and educator whose pioneering work in men’s health and erectile function has transformed care worldwide.
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