My Total Health MD

My Total Health MD Ayudar a hombres de cualquier edad, a sentirse bien consigo mismos, y llevar una vida saludable y plena

09/15/2024

Have you ever stopped to think about your health while watching others push their physical limits?

I did while watching the Olympics, but what struck me wasn’t the athletes—it was something closer and more silent: “Firmness loss”

As a doctor, I’ve seen many men, especially those over 40, silently struggle with this challenge.

And you? Have you noticed any warning signs in your health that you’ve chosen to ignore?

Today, I invite you to reflect and take action. Don’t wait any longer. Your well-being deserves attention.

Dr. Joe

Exercise can help with erectile dysfunction in several ways. First, it improves blood circulation, which is crucial for ...
09/02/2024

Exercise can help with erectile dysfunction in several ways. First, it improves blood circulation, which is crucial for achieving and maintaining an er****on.

Additionally, regular exercise can increase testosterone levels, improve cardiovascular health, and reduce stress all of which contribute to better erectile function. It also helps maintain a healthy weight, which is important because being overweight or obese is linked to a higher risk of erectile dysfunction.

Here are some types of exercises that can be particularly beneficial for erectile dysfunction:

Cardiovascular exercises: Activities like running, swimming, cycling, or brisk walking improve cardiovascular health and increase blood flow, which is essential for good erectile function.

Strength training: Lifting weights or doing resistance exercises helps increase testosterone levels and improve muscle mass, which can positively influence s*xual function.

Kegels: These specific exercises strengthen the pelvic floor muscles, which are key for maintaining an er****on and controlling ej*******on.

Yoga: Yoga not only improves flexibility and reduces stress but also can increase circulation and strengthen muscles involved in s*xual function.

HIIT (High-Intensity Interval Training): This type of exercise improves cardiovascular capacity and endurance, and it's effective for burning fat, which can help reduce the risk of erectile dysfunction.

Are you ready to start incorporating more exercise into your routine?

Your Friend.,

Dr. Joe...

Kegel exercises:Kegel exercises focus on deliberately contracting and relaxing the pelvic floor muscles to improve both ...
09/01/2024

Kegel exercises:

Kegel exercises focus on deliberately contracting and relaxing the pelvic floor muscles to improve both control in the area and s*xual performance.
The male pelvic floor can weaken due to prostate surgeries, other pelvic organ surgeries, trauma, chronic constipation, obesity, heavy lifting, or lack of physical exercise, among other causes. Therefore, a good way to keep this part of the body healthy is through some very simple and easy-to-practice exercises, as we will see below.

The Pubococcygeus Muscle and the Benefits of Kegel Exercises for Men

The male pelvic floor consists of a series of muscles arranged in three layers at different depths. Among these muscles, the pubococcygeus muscle is very important for performing Kegel exercises. This muscle, located at the base of the pelvis, is part of the levator ani and extends from the p***c bone to the lower spine. Repeated voluntary contraction—through Kegel exercises—helps strengthen it, aiding in sphincter control (both urinary and a**l), as well as addressing erectile dysfunction and premature ej*******on.
To locate the pubococcygeus muscle, imagine you are trying to stop urination and contract it, while trying to relax the abdominal muscles at the same time. To verify that the muscle is contracting, observe if the p***s retracts with the contraction or palpate the area between the testicles and the a**s (the "perineal hammock" is the pubococcygeus muscle) and check if this area is contracting.

How to Perform Kegel Exercises for Men and How Often?
Kegel exercises involve training the pelvic floor muscles in various ways. The most common exercises are:

Pumps: These are contractions performed in slow or rapid series (holding the contraction for five seconds in the first case or one second in the second case), while sitting with legs slightly apart and hands on the knees, torso leaning forward, and back straight.

Reverse Kegel: Sitting in the same position as the previous exercise, the goal here is to relax the pubococcygeus muscle as much as possible. To do this, perform the same movement as if you were going to defecate, pushing the muscles outward.

Kegel with Er****on: Place a small towel over the erect p***s, try to lift the towel, hold this position for a few seconds, and then relax. Ideally, perform Kegel exercises in repetitions of 10 times daily, without holding your breath during muscle contraction. As you establish a routine, it’s good to increase to 20 repetitions.

Kegel Exercise Routine for Men

Using various positions for Kegel exercises helps strengthen the muscles. Start doing these exercises lying on your back, with legs bent and apart, until you master them. Then, progress to doing them seated with hands on your legs, back straight, and torso slightly leaning forward. Finally, perform them standing, integrating them into daily life. The benefit is that standing Kegel exercises can be done anytime and anywhere.
An example of a Kegel exercise routine could be as follows (three times a day):

* Quick contractions for one second. 10 repetitions.
* Rest for half a minute, then repeat with slow contractions, another 10 repetitions.
* In the second week, try to increase the repetitions to 20 per set.

By dedicating around 15 minutes a day to Kegel exercises and establishing a routine, you may notice benefits in about a month and a half or two months. However, everyone is different, and times may vary, so it’s important to be consistent and not become discouraged.

Safety Guidelines for Kegel Exercises for Men
Pelvic floor muscles, like other muscles, can experience soreness. If you feel tense or sore, it’s necessary to take a few days off until the muscles recover. Remember to relax well between sets.
Additionally, there are certain conditions that contraindicate Kegel exercises. The most common contraindications are:

* Prostate issues: Symptoms of benign prostatic hyperplasia may worsen with these exercises.
* Inguinal hernia: It can worsen with Kegel exercises due to increased abdominal pressure.
* Spinal problems: Issues with spinal discs (such as lumbar hernias) can worsen with Kegel exercises for the same reason as above.
* Heart problems: Kegel exercises can increase venous return pressure to the heart, which may adversely affect men with severe heart issues.

The separation or death of a partner can be a deeply painful and emotionally devastating experience. This type of loss n...
09/01/2024

The separation or death of a partner can be a deeply painful and emotionally devastating experience.

This type of loss not only affects your emotional and psychological state but can also have a significant impact on your s*xual health, including erectile dysfunction (ED).

Emotional Impact: The sadness, pain, and stress from a partner's separation or loss can severely disrupt your libido and ability to maintain an er****on. Prolonged grief can lead to decreased testosterone levels and increased stress, contributing to ED.

A study published in The Journal of Sexual Medicine shows that the emotional impact of grief can negatively affect s*xual function by interfering with erectile response.

Stress and Anxiety: The emotional stress and anxiety that accompany a partner's separation or death can lead to increased cortisol levels.

Excess cortisol can diminish your body’s ability to maintain an er****on and negatively affect s*xual desire. The American Psychological Association highlights that prolonged stress can have significant adverse effects on s*xual function.

Isolation and Loneliness: Losing a partner can lead to feelings of loneliness and isolation, which can exacerbate erectile dysfunction.

The lack of emotional support and the sense of being alone can heighten stress and anxiety, impacting your s*xual health. An article in Sexual Medicine Reviews suggests that seeking social support and therapy can be crucial in managing emotional impact and restoring s*xual function.

Seeking Professional Help: It is essential to recognize that ED related to separation or loss of a partner is a serious issue that deserves professional attention.

Consulting a s*xual therapist or counselor can provide strategies to cope with grief and improve your s*xual well-being.

Losing a partner can be a tremendous challenge, but addressing it with appropriate support can help you regain your s*xual health.

Question: How have you managed erectile dysfunction related to the separation or death of a partner? What strategies have you found useful in overcoming the emotional impact on your s*xual life?

Your Friend.,

Dr. Joe....

Diabetes and cancer significantly impact male s*xual health. Diabetes can damage nerves and blood vessels, interfere wit...
08/31/2024

Diabetes and cancer significantly impact male s*xual health.

Diabetes can damage nerves and blood vessels, interfere with the blood flow needed for a firm er****on, and alter hormonal levels, contributing to erectile dysfunction.

Similarly, cancer and its treatments, such as radiation therapy or surgery, can affect s*xual organs, disrupt hormonal function, and cause changes in libido and erectile function.

Addressing erectile dysfunction in the context of these diseases is crucial for a comprehensive health approach.

Men with diabetes need to manage their blood sugar levels and follow appropriate medical treatment.

For those affected by cancer, discussing the side effects of treatment with their medical team and exploring s*xual therapy options can be important steps towards improving s*xual and emotional health.

Don’t ignore signs of erectile dysfunction if you have diabetes or cancer. These issues may indicate that an adjustment in your treatment is needed or that underlying health problems need to be addressed.

Question: How have you managed erectile dysfunction in the context of a chronic illness or cancer? What strategies have helped you improve your s*xual and emotional health?

Your Friend.,

Dr. Joe...

When an accident results in the loss of organs or significant damage to the pelvic region, the effects can extend beyond...
08/31/2024

When an accident results in the loss of organs or significant damage to the pelvic region, the effects can extend beyond physical recovery.

Erectile dysfunction is one of the lesser-discussed but significant complications that can arise.

The loss of s*xual organs or injury to the nerves and tissues responsible for erectile function can lead to persistent difficulties in achieving er****ons.

The emotional impact of these injuries can also contribute to erectile dysfunction. Rejection and self-esteem issues due to changes in the body can exacerbate s*xual problems. It is crucial to address these challenges from both a medical and emotional perspective.

Treatments and rehabilitation can be effective, but they require a comprehensive approach that considers both physical recovery and emotional well-being.

If you have experienced an accident that has affected your s*xual health, it is important to seek specialized medical and psychological help.

Professionals can offer personalized treatment that helps restore erectile function and improve your quality of life.

Question: How have you managed the emotional and physical impact of an accident on your s*x life? What resources do you think could help you overcome these challenges?

Your Friend.,

Dr. Joe....

My friend Greg's brother, 51, was frustrated trying new solutions for his erectile dysfunction. Every time I found a tre...
08/30/2024

My friend Greg's brother, 51, was frustrated trying new solutions for his erectile dysfunction.

Every time I found a treatment that seemed promising, the expectations were not met. Adaptability and patience became his biggest challenges.

Determined not to give up, Greg worked with his doctor to adjust his treatment approach, combining lifestyle changes with recommended therapies.

Over time, Greg found a regimen that worked for him and learned that perseverance and a willingness to try different approaches were key to finding the right solution.

Question: How do you handle frustration when facing health challenges that require ongoing adaptations and adjustments? What helps you stay motivated?

Your friend,

Dr Joe...

Hello Friends, today it is the turn of my good friend Richard, a 50-year-old man, who had been a heavy smoker for most o...
08/30/2024

Hello Friends, today it is the turn of my good friend Richard, a 50-year-old man, who had been a heavy smoker for most of his life. Although he had stopped smoking years ago, he began to experience er****on problems.

He felt guilty, thinking that his past decisions were taking a toll on him now. This feeling of guilt led him to avoid intimacy with his partner and focus on his failures, instead of looking for solutions.

After a long period of suffering and frustration, Richard decided to talk to a doctor. The doctor explained that although the harm of to***co may have contributed, there were many ways to improve your health and erectile function.

Richard realized that continuing to complain would not help him. Instead, he took proactive steps: he adopted a balanced diet, began exercising regularly, and began using therapies to improve circulation.

The support of his partner was also essential in his recovery. Together they addressed the problem openly and committedly, and their relationship grew stronger.

Richard learned that although he couldn't change the past, he could make positive decisions to improve his present and future.

Question: How have you handled feelings of guilt about past decisions related to your health? What measures have you taken to improve your current situation?

your friend,

Dr. Joe....

Erectile dysfunction (ED) is a problem that affects millions of men worldwide, but few talk about it openly. One of the ...
08/30/2024

Erectile dysfunction (ED) is a problem that affects millions of men worldwide, but few talk about it openly. One of the biggest obstacles to seeking help is the fear that friends might find out and make fun of the situation.

This fear, while understandable, can lead to silent suffering that worsens the condition and deeply affects self-esteem and personal relationships.

It’s important to understand that ED is a medical condition with multiple causes, ranging from underlying health issues to emotional factors. It is not a reflection of masculinity or personal worth.

In fact, most men facing this problem feel immense pressure to meet social expectations, which only increases stress and anxiety.

Talking about ED isn’t easy, but it’s a crucial step toward recovery. Consulting a healthcare professional and seeking support in a safe environment can make all the difference.

Additionally, breaking the stigma surrounding ED starts with understanding that you’re not alone and that sharing your experience can help others going through the same thing.

Your health and well-being are more important than the fear of being judged by others. Don’t let the fear of mockery stop you from seeking the help you need.

Question for you: Have you ever avoided talking about a health issue because you were afraid of how your friends might react? How did you handle that situation?

Your Friend.,

Dr Joe....

Hello my friends... on this occasion, I would like to share with you the story of Andrew, 60 years old, he had begun to ...
08/29/2024

Hello my friends... on this occasion, I would like to share with you the story of Andrew, 60 years old, he had begun to notice changes in his s*xual life as he aged.

This caused him a lot of fear, since he had always been very s*xually active. He thought that his s*x life was coming to an end and this caused him great sadness and despair.

After speaking with a close friend, Andrew decided to consult with a doctor specializing in s*xual health... He learned that erectile dysfunction was not the end of his s*xual life, but rather an opportunity to explore new forms of intimacy and connection with your partner.

Through therapies and a positive approach, Andrew found a new perspective on s*xuality and life.

How have you handled the changes in your s*x life with aging? What advice would you give to others?

Your Friend.,

Dr. Joe....

Being overweight and obese not only affects physical appearance but also has a profound impact on men’s s*xual and emoti...
08/29/2024

Being overweight and obese not only affects physical appearance but also has a profound impact on men’s s*xual and emotional health.

Erectile dysfunction (ED) is one of the most common issues associated with being overweight, and its connection to cardiovascular and metabolic health is undeniable.

Studies have shown that men with a higher body mass index (BMI) have a significantly increased risk of developing ED.

Excess body fat can cause hormonal imbalances, increasing estrogen levels and decreasing testosterone, the key hormone for male s*xual desire.

Additionally, being overweight contributes to insulin resistance, which can lead to type 2 diabetes, a condition that damages blood vessels and nerves, essential components for proper erectile function.

It’s not just the physical function that suffers. Erectile dysfunction caused by being overweight can also have a devastating emotional impact.

Low self-esteem, anxiety, and depression are common among men struggling with ED, which can deteriorate the quality of life and intimate relationships.

A study published in The Journal of Sexual Medicine found that moderate weight loss and increased physical activity can significantly improve erectile function in overweight men. T

his highlights the importance of maintaining a healthy weight not only for overall health but also to preserve and enhance s*xual quality of life.

Taking steps to reduce weight will not only improve your overall health but can also revitalize your s*xual and emotional life. It’s crucial to recognize that erectile dysfunction is not an inevitable fate but a treatable issue that can be addressed with lifestyle changes.

Your Friend.,

Dr. Joe...

Smoking is a habit that not only damages your overall health but also has a profound impact on your s*xual life. To***co...
08/29/2024

Smoking is a habit that not only damages your overall health but also has a profound impact on your s*xual life.

To***co harms blood vessels, reducing blood flow to the p***s and significantly increasing the risk of erectile dysfunction.

This isn't just a short-term issue; over time, the cumulative effects of smoking can make erectile dysfunction more frequent and severe.

The damage doesn’t stop there. The toxins in to***co also interfere with the production of key hormones, like testosterone, which is essential for maintaining a healthy s*x drive.

This means that you might not only face physical difficulties but also experience a decrease in s*xual desire, affecting your confidence and relationships.

It’s important to remember that the impact of to***co on s*xual health is preventable.

Quitting smoking not only improves your erectile function and boosts your libido but also contributes to better cardiovascular, lung, and overall health. Making the decision to quit smoking can be challenging, but the benefits for your s*xual life and overall well-being are immense.

Don’t let to***co steal your vitality and your ability to enjoy a fulfilling s*xual life. Your health and happiness depend on the choices you make today.

Your Friend.,

Dr. Joe....

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