The Penis Is a Check Engine Light: What ED Says About Your Heart | Dr. Tobias Kohler
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Why is erectile dysfunction considered the body’s “check‑engine light” for men’s heart health?
We have a problem with men's health overall in the United States and in the world. Longevity for men is 50 years behind the times.
Men die earlier than women.
If you compare how long men live now, it's identical as to what it was in women 50 years ago. If you look at the top 10 leading causes of death in the United States. The men are winning in nine of the ten. I want people to be proactive, not reactive. You gotta take command of your own health. The human body is amazing. We do have this incredible marker, which men are very sensitive to.
Dr. Tobias Kohler, welcome back to the show. And I have to say, your episode was one of our most watched episodes.
Thank you for having me back. It's it's quite an honor.
You said that the penis is the most sensitive biomarker a man has.
Yeah, I still believe it's true. The penis is uh the check engine light, the canary in the coal mine, whatever uh saying you want to utilize, because in order for it to function on all cylinders, your body has to be willing to give resources there. As you know, if you're sick, if you're not feeling well, if you're stressed, the body shunts resources towards the brain, right? So, first of all, it means you're overall healthy. You have to have excellent blood supply, you have to have normal nerves, their hormones have to be uh on point. And if any of these things are missing. It
won't work. We are hearing a lot of information on the women's health space right now, which is long overdue. But You and I were talking about before the camera started and you had mentioned something in terms of number one, men die earlier than women, but also you had mentioned something about the way in which we look at men's health.
You know, it's just a fact that the average man in the United States lives to age seventy six, and the average age a woman dies is eighty one. Women, yay, they get to live five years longer. If we were to look back in time If you compare how long men live now. at age sixty five, what their mortality is at age sixty five is identical as to what it was in women. Fifty years ago. Meaning that essentially longevity for men is fifty years behind the times. If you look at the top ten leading causes of death in the United States, the men are winning in nine of the ten, and the only one that women are winning in Yes, can you guess?
Well, you told me, so it's Alzheimer's. Uh I'm not I'm not so sure if I I'm supposed to act dumb because I don't need any help with that. But when you say winning, you're talking about chronic disease.
It's the bad type of winning. Right. You don't want to win at that. Yeah, you know you do definitely don't want to win at at at dying earlier. We have a problem with men's health overall in the United States and in the world. It's something that I think needs to be addressed. It comes from a variety of reasons. Number one, men are a lot less likely to seek healthcare than women. They're 33% less likely to just even go to the doctor in the first place. Number two, men are much less likely to talk to their friends or family. About any medical problems that they maybe having, you know, this I you know the phrase, I'm healthy as a horse, I haven't seen a doctor in so long, that's not a good thing. It's a bad thing.
The other thing that's different is when Kids go to pediatricians, girls get handed off to the object doctors. And boys get handed off to most often no one. So there's this period of time where men learn not to go to the doctor, 10, 20 years. And these are the the prime years where we can do screening, we can do education, we can prevent things like suicide, which is four times higher. You're much more likely to to die from suicide because men typically choose much more aggressive. Uh aggressive movements, yes. Of solutions, so to speak. There's a difference in mental health acquisition. You know, that's why I think it's something that needs to be worked on, and I'm very Excited? to see that currently there's a a bill on the floor which is for an office of men's health.
Which I didn't know that they didn't have an office of men's health.
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Chapters
6 chapters
1
Why is erectile dysfunction considered the body’s “check‑engine light” for men’s heart health?
0:00–13:04
2
How does men’s longevity compare to women’s and what does that mean for preventive care?
13:04–25:04
3
What are the Princeton IV consensus guidelines and why do they recommend coronary calcium scans for men with ED?
25:04–35:57
4
How does the 0‑12 ceramide blood test predict cardiovascular risk better than traditional cholesterol panels?
35:57–47:51
5
What testosterone levels are optimal (≈500 ng/dL) and why do 1,000 ng/dL and above become dangerous for the heart?
47:51–58:51
6
What did the 1980s randomized trial reveal about lifting without steroids versus high‑dose testosterone with no exercise?
58:51–1:06:35
Speakers
1 identifiedMore from The Dr. Gabrielle Lyon Show
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