Rena Malik, M.D. - How Often Should You REALLY Ejaculate? | Cialis vs. Viagra | AMA
Dr. Reena Malik addresses common questions about erectile dysfunction medications, specifically Cialis (tadalafil) and Viagra (sildenafil). Both medications work similarly by increasing blood flow to the penis, but they have different durations and side effects. Cialis lasts longer, up to 36 hours, allowing for more spontaneity, while Viagra works faster but lasts about 4 hours. Side effects vary, with Cialis potentially causing muscle aches and Viagra causing vision changes. Dr. Malik suggests trying both to see which works better for the individual. Additionally, she discusses a study suggesting frequent ejaculation (21 times or more per month) may reduce prostate cancer risk. The theory is that frequent ejaculation prevents fluid stagnation in the prostate, potentially reducing cancer risk. However, this is based on retrospective data and not definitive. Dr. Malik encourages ejaculation as safe and potentially beneficial. She also touches on alternative lubricants like coconut and olive oil for sexual activity and discusses the impact of finasteride on prostate and sexual health, noting its benefits for prostate size reduction and potential sexual side effects.
Key Points:
- Cialis and Viagra both treat erectile dysfunction but differ in duration and side effects.
- Frequent ejaculation may lower prostate cancer risk, but evidence is not definitive.
- Coconut and olive oil can be safe alternatives to commercial lubricants.
- Finasteride reduces prostate size but may have sexual side effects.
- Tadalafil can help with both erectile dysfunction and enlarged prostate symptoms.
Details:
1. 🎙️ Podcast Introduction & Membership Benefits
- Ejaculating more might reduce the risk for prostate cancer.
- The podcast is hosted by Dr. Reena Malik, a urologist and pelvic surgeon.
- Listeners can participate in a monthly AMA (Ask Me Anything) session.
- Membership offers access to full-length AMA episodes.
- Members receive early access to all podcast episodes.
- Transcripts of podcast episodes are available for members.
- Membership allows subscribers to ask questions directly to Dr. Malik.
2. 💊 Cialis vs Viagra: Understanding ED Treatments
2.1. Effectiveness and Duration
2.2. Usage Instructions
2.3. Side Effects
2.4. Alternatives and Considerations
3. 🔍 Ejaculation Frequency & Prostate Cancer Risk
- A study categorized men based on ejaculation frequency: 0-7, 7-14, 14-21, and 21+ times per month, controlling for factors like diabetes and heart disease.
- Men ejaculating 21+ times per month had a significantly lower risk of being diagnosed with prostate cancer compared to those ejaculating less than 7 times per month.
- The study suggests that frequent ejaculation may help 'clean the pipes,' potentially preventing fluid stagnation and inflammation, which could lead to prostate cancer.
- This was a retrospective study, not a randomized trial, indicating some limitations in establishing causation.
- The recommendation is that ejaculation, whether through intercourse or masturbation, is safe and may have potential protective benefits against prostate cancer.
- The study does not establish 21 times as a strict benchmark for protective effects, but suggests frequent ejaculation may be beneficial.
- Consultation with Dr. Stacy Lobe, a prostate cancer expert, affirmed the safety and potential benefits of frequent ejaculation.
4. 🧴 Kitchen Alternatives for Lube: Safe Options
- Coconut oil is a safe kitchen alternative for lube, offering antibacterial and anti-inflammatory benefits, making it gentle on the genitals.
- Olive oil is another viable option for lubrication, generally safe for genital use, though individual reactions can vary.
- Lubrication needs can vary due to factors such as hormonal changes or medications, and using lube can enhance comfort and pleasure during sex.
- Vaseline is not recommended as a lubricant alternative due to its composition, which can lead to potential issues with condom effectiveness and irritation.
5. 📉 Finasteride's Effects on Prostate and Sexual Health
- Finasteride is commonly used to treat enlarged prostate and hair loss, functioning by inhibiting the conversion of testosterone to dihydrotestosterone (DHT). This mechanism leads to a reduction in prostate size by up to 50% and decreases PSA levels by 50%.
- The 'mtop study' indicates that while finasteride does not increase the overall incidence of prostate cancer, it may lead to higher-grade cancers when they occur, due to the suppression of PSA levels that mask cancer detection.
- Finasteride, when used in conjunction with alpha blockers such as Flomax, significantly improves urinary symptoms associated with BPH, including weak urinary stream, stop-and-go flow, and nocturia.
- Potential sexual side effects of finasteride include decreased ejaculation volume and reduced sexual desire, with a small percentage of patients experiencing persistent low libido, referred to as post-finasteride syndrome.
- Tadalafil, administered at a low dose of 5 mg daily, is effective in addressing both prostate symptoms and erectile dysfunction, offering a comprehensive treatment option for men suffering from both BPH and erectile issues.