Why 40% Of Young Men Need Erectile Retraining

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**Alok Kanojia** (1:05)
Hey chat, welcome to the HealthyGamerGG podcast.
I'm Dr. Olo Konojo, but you can call me Dr. K.
I'm a psychiatrist gamer and co-founder of HealthyGamer.
On this podcast, we explore mental health and life in the digital age, breaking down big ideas to help you better understand yourself and the world around you. So let's dive right in.
All right, chat, today we are going to drop Dr. K's Penile Retraining Regimen. Words that I had never thought would come out of my mouth, but here we are. So I made a YouTube video about erectile dysfunction, kind of blew up, and at the end, I made this joke about, oh yeah, like, you know, here's, you can sign up for Dr. K's OnlyFans where you can get Dr. K's Penile Retraining Regimen. So in order to help y'all with this problem, I'd love to tell y'all about a new guide we've made, which is Dr. K's Guide to Penile Retraining. And I kind of said it as a joke, everyone was like, hey, Dr. K, can you drop your Penile Retraining Regimen? And so the answer is yes, and we're gonna be doing that today. A couple of quick disclaimers. So the stuff that I'm gonna teach you guys today is stuff that I've sort of used clinically. So I've worked with people with pornography addiction who have had difficulty with premature ejaculation, erectile dysfunction, and pornography addiction. So I've used some of this stuff clinically, some of it works. But then we're also doing a literature search on other things that we're gonna include in today's video, which I think would be part of a penile retraining regimen. But just to be clear, this is not something that is a clinical protocol. It's never, there's never been an RCT of Dr. K's penile retraining regimen.
There's a part of it that involves physical therapy exercises, which we'll explain to y'all. If y'all have erectile dysfunction, please go see a licensed professional, and especially for the exercise portion, which is basically don't skip dick day. We would strongly recommend that you see a physical therapist, but we'll explain the principles behind the exercises. And then on my OnlyFans, I have demonstrations of me walking through all of the exercises, which you can pay X amount of money for. It's not a real thing. First thing to understand, if you wanna take care of your dick, chances are testosterone is a red herring. So a lot of people have been freaked out about testosterone, low testosterone levels. So in about around the year 2000, testosterone levels used to be about 605 nanograms per deciliter for the average person. That has dropped in around 2016 to 411 nanograms per deciliter. So that is absolutely a big drop. But testosterone deficiency doesn't start until about 300 nanograms per deciliter. So testosterone has dropped. A big part of that drop is obesity. As you become more obese, the amount of testosterone that you have floating through your system actually reduces. And a big reason for that that a lot of people don't realize is that fat tissue, adipocytes, adipose tissue, is not just energy storage. It's actually endocrinologically active. Fat cells will be involved in the conversion of testosterone to other things. Okay? So even though testosterone has dropped, most research suggests that only 5% of erectile dysfunction, that's the number that I kind of go with. It's 2 to 23%.
But about 5% of erectile dysfunction is due to testosterone. So if you have erectile dysfunction, if you have difficulties with premature ejaculation, or inability to ejaculate, there's a good chance 95% of y'all ballpark don't need more testosterone. Okay? So what do y'all need to do? What does the penile retraining involve? So we're going to start with the first thing, which is cardiovascular health. So the penis is a cardiovascular organ. So sure, we need some amount of testosterone to activate the penis. But if we look at what an erection actually is, it is a discrepancy between the blood going into the penis and the blood coming out of the penis.