Think back to junior high. Your body was running on a new set of instructions, and your mind couldn’t stop thinking about sex. You probably felt embarrassed about a lot of it, but nobody treated you like you were sick. Everyone understood it was puberty. Now fast forward. You’re 35 or 45 or 55, 65 … Continued

Viagra and Cialis are genuinely effective medications. For a lot of men, they solve the immediate mechanical problem – blood flow, in the moment, on demand. That’s real, and it’s not nothing. But I regularly talk to men who are taking one of these medications, getting a physiologically functional erection, and still dreading sex. Still … Continued

A lot of men start TRT expecting it to be the fix. Blood work comes back low, testosterone gets corrected, and the assumption is that everything downstream — desire, erections, confidence in bed — will follow along automatically. For some men, it does help, at least partially. For a lot of men, it doesn’t fix … Continued

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