Dr. George Shapiro

Scope of the problem is significant, and it just is not in the older population. We're seeing problems age 30. Age 30, 40, 50, men and women. 80% of erections in men is vasculogenic. It's due to blood flow. 20% is hormones. So a lot of the younger patients come in and say, listen, my testosterone must be low because I can't get an erection. But that's not the case.

Scope of the problem is significant, and it just is not in the older population. We're seeing problems age 30. Age 30, 40, 50, men and women. 80% of erections in men is vasculogenic. It's due to blood flow. 20% is hormones. So a lot of the younger patients come in and say, listen, my testosterone must be low because I can't get an erection. But that's not the case.

Scope of the problem is significant, and it just is not in the older population. We're seeing problems age 30. Age 30, 40, 50, men and women. 80% of erections in men is vasculogenic. It's due to blood flow. 20% is hormones. So a lot of the younger patients come in and say, listen, my testosterone must be low because I can't get an erection. But that's not the case.

It's other things that are involved. Vessels, blood vessel flow. Blood flow is a big problem. Now, why do people have lack of blood flow? It turns out that, you know, atherosclerosis starts at age five. You can start having plaque in your blood vessels. Yeah. And the first sign of of erectile dysfunction is endothelial dysfunction. The endothelium is the inside lining of blood vessels.

It's other things that are involved. Vessels, blood vessel flow. Blood flow is a big problem. Now, why do people have lack of blood flow? It turns out that, you know, atherosclerosis starts at age five. You can start having plaque in your blood vessels. Yeah. And the first sign of of erectile dysfunction is endothelial dysfunction. The endothelium is the inside lining of blood vessels.

It's other things that are involved. Vessels, blood vessel flow. Blood flow is a big problem. Now, why do people have lack of blood flow? It turns out that, you know, atherosclerosis starts at age five. You can start having plaque in your blood vessels. Yeah. And the first sign of of erectile dysfunction is endothelial dysfunction. The endothelium is the inside lining of blood vessels.

We have 60,000 miles of blood vessels in our body.

We have 60,000 miles of blood vessels in our body.

We have 60,000 miles of blood vessels in our body.

Well, so it turns out that it's one organ, not multiple organs, the endothelial system. So people often ask, as a cardiologist, why are you dealing with erectile dysfunction? Because the first sign of endothelial dysfunction is erectile dysfunction. The first presentation that someone has a blockage in an artery is lack of early morning erections or erectile dysfunction.

Well, so it turns out that it's one organ, not multiple organs, the endothelial system. So people often ask, as a cardiologist, why are you dealing with erectile dysfunction? Because the first sign of endothelial dysfunction is erectile dysfunction. The first presentation that someone has a blockage in an artery is lack of early morning erections or erectile dysfunction.

Well, so it turns out that it's one organ, not multiple organs, the endothelial system. So people often ask, as a cardiologist, why are you dealing with erectile dysfunction? Because the first sign of endothelial dysfunction is erectile dysfunction. The first presentation that someone has a blockage in an artery is lack of early morning erections or erectile dysfunction.

So when we see that- Can be a sign of heart disease, diabetes, right?

So when we see that- Can be a sign of heart disease, diabetes, right?

So when we see that- Can be a sign of heart disease, diabetes, right?

Diabetes is a big thing. Hypertension is a big problem.

Diabetes is a big thing. Hypertension is a big problem.

Diabetes is a big thing. Hypertension is a big problem.

alcohol is a huge problem when you have alcohol you have an acute inflammatory reaction in the blood vessel wall but the most the most that we see is sugar sugar sugar is extremely inflammatory if you have a coca-cola with basically the donut or a coke or an erection you gotta choose right within two hours right within two hours of having sugar we can actually measure in the urine an inflammatory mediator

alcohol is a huge problem when you have alcohol you have an acute inflammatory reaction in the blood vessel wall but the most the most that we see is sugar sugar sugar is extremely inflammatory if you have a coca-cola with basically the donut or a coke or an erection you gotta choose right within two hours right within two hours of having sugar we can actually measure in the urine an inflammatory mediator