Get Your Sex Life Back! What Everyone Gets Wrong About Sex, Libido & Erectile Dysfunction - Dr Khera

TL;DR

Sexual dysfunction (ED, low libido) is common (40% of men at 40, 43-48% of women) and is often the first sign of cardiovascular disease (15% of men with ED will have a heart attack or stroke within 7 years). The core framework for prolonging "sex span" is the four pillars: diet, exercise, sleep, and stress reduction.

Key insights

• ED is the first sign of occult cardiovascular disease; the penile arteries (1-2mm) occlude before coronary (3-4mm) or carotid (6-7mm) arteries, making ED a 39-month average early warning for heart att
• Psychogenic ED creates a vicious cycle: one failure leads to performance anxiety, which causes further failures. Daily Cialis (5mg) breaks this cycle by guaranteeing an erection, reducing anxiety, and
• Obesity directly lowers testosterone via aromatase (converts T to estrogen) and cortisol/leptin secretion; losing 10% body weight raises serum testosterone by ~85 ng/dL, 15% by ~250 ng/dL.