Dr. Joshua Gonzalez, a board-certified urologist and co-founder of Popstar Labs, delves into intimate penis health topics with host Matt. They break down the stigma surrounding erectile dysfunction and discuss treatments. The conversation covers circumcision, revealing its cultural implications. They explore safe methods for penis enlargement and the significance of pelvic health, including innovative Botox therapy for dysfunction. Lastly, they tackle myths about semen volume and the benefits of regular ejaculation, encouraging openness in discussions about sexual wellness.
Dr. Joshua Gonzalez emphasizes the importance of addressing both physiological and psychological factors in managing erectile dysfunction for effective treatment.
The podcast discusses circumcision from a medical perspective, highlighting its necessity for specific conditions and the sociocultural implications surrounding the procedure.
Pelvic floor physical therapy is presented as a crucial intervention for improving various sexual dysfunctions, including erectile dysfunction and premature ejaculation.
Deep dives
Dr. Joshua Gonzalez's Expertise in Sexual Health
Dr. Joshua Gonzalez is a highly qualified expert in sexual health, specializing in both male and female sexual dysfunctions. He is a board-certified urologist with extensive training in sexual medicine, having completed his medical education at Columbia University. With a strong commitment to enhancing sexual wellness, he co-founded Popstar Labs, which advocates for sexual health awareness, particularly in the LGBTQ+ community. His diverse contributions to sexual health are recognized through his advisory role with AstroGlide Lubricants and features in major media outlets, positioning him as a leading voice in addressing sexual health issues.
Understanding Circumcision: Medical Perspectives and Cultural Impacts
The podcast explores the complexities of circumcision from a medical standpoint, noting that adult circumcision is often performed for specific medical reasons rather than cosmetic ones. Dr. Gonzalez explains that while neonatal circumcision can reduce the risk of urinary tract infections, it remains a contentious cultural and ethical issue. He emphasizes that many adult circumcisions are medically necessary and that he encourages men to consider their individual needs before making decisions about this procedure. The discussion also touches on the various sociocultural influences that shape attitudes toward circumcision in different parts of the world.
Erectile Dysfunction: Definition and Causes
Erectile dysfunction (ED) is defined as the consistent inability to achieve or maintain an erection sufficient for sexual activity. Dr. Gonzalez explains that it's important to distinguish between physiological and psychological factors contributing to ED, mentioning that hormonal and vascular issues are common culprits. Testing for testosterone levels and conducting penile Doppler ultrasound are crucial for identifying underlying causes of erectile dysfunction. The conversation also highlights how psychological factors, such as anxiety or trauma, can greatly influence erectile performance, emphasizing the necessity of a comprehensive evaluation for effective treatment.
Premature Ejaculation: Understanding and Treatment Options
Premature ejaculation (PE) affects a significant portion of men and can stem from both physiological and psychological factors. Dr. Gonzalez explains that while there's no FDA-approved treatment specifically for PE, off-label use of certain antidepressants can help delay ejaculation. He highlights that physical therapy can be effective for men experiencing pelvic floor dysfunction related to their ejaculation issues. The discussion encourages men to consider various treatment modalities and emphasizes that PE can be managed effectively with the right approach.
Pelvic Health and the Importance of Physical Therapy
Pelvic health plays a critical role in sexual function, and Dr. Gonzalez strongly advocates for the benefits of pelvic floor physical therapy. He notes that many sexual dysfunction issues, including erectile dysfunction and premature ejaculation, can be improved through targeted physical therapy that addresses muscle coordination and tension. For individuals with chronic pelvic floor dysfunction, therapies like Botox may serve as adjunctive treatments if initial physical therapy does not yield satisfactory results. The podcast emphasizes the need for individuals to seek professional help and explore pelvic floor therapy as a valuable resource for enhancing sexual health.
On this week’s episode of Gay Men Going Deeper, Matt interviews the “dick doctor” Urologist Dr. Joshua Gonzalez. They candidly explore some of the most taboo topics related to the penis. From erectile dysfunction to circumcision, increasing your size to foreskin, we got you covered.
Topics we discuss in this episode:
Circumcision
Foreskin
Erectile dysfunction
Premature ejaculation
Masturbation
All things cum
Penis size
Pelvic health
Peyronie's disease
This episode is filled with tons of great information on the causes and treatments of sexual dysfunctions many of us struggle with, as well as how to take care of your penis to obtain optimal health. Our hope is this conversation helps you feel like you are not alone if you have sexual dysfunction or shame about your penis. It is important to have these conversations so we heal penis shame and learn to love the one and only penis we are given.
