WEBVTT - Biohacking in the Bedroom 0:00:01.280 --> 0:00:04.920 Hey, viewers, Sniffy's Cruising Confessions is an explicit podcast about 0:00:04.960 --> 0:00:09.240 queer sex, filter dirty words and unfiltered descriptions of sexual activities. 0:00:09.520 --> 0:00:13.480 If hearing about orgies, anonymous sex, kink, fetish, and more 0:00:13.560 --> 0:00:17.080 offends your sensibilities, you might want to skip this. Viewer 0:00:17.079 --> 0:00:22.080 discretion is advised. It's definitely not for kids. So, Chris, 0:00:22.239 --> 0:00:23.280 so this is a bit personal. 0:00:23.480 --> 0:00:23.800 Okay. 0:00:24.720 --> 0:00:26.560 Have you ever had to go to the doctor for 0:00:26.840 --> 0:00:29.240 a problem or concern you were having with your sexual health? 0:00:29.680 --> 0:00:31.720 Are you talking about STIs. 0:00:31.040 --> 0:00:36.360 Like Sti's any cosmetic stuff or cosmetic me? No, I 0:00:36.400 --> 0:00:39.360 know you, I know it's all natural. I would not 0:00:39.440 --> 0:00:40.320 judge if you had I. 0:00:40.320 --> 0:00:46.360 Don't know what I yeah, I have. What about you? You? 0:00:46.560 --> 0:00:48.440 I mean certainly, I think having sex as a queer 0:00:48.520 --> 0:00:52.160 person means you're gonna go to the doctor several times. 0:00:51.960 --> 0:00:53.920 For a lot of things, right, Yeah. 0:00:53.920 --> 0:00:56.200 And I had a lot of questions, especially in college, 0:00:56.240 --> 0:00:59.680 that I never had answered during sexual education in high school. 0:01:00.280 --> 0:01:01.880 And I learned a lot of stuf about my health 0:01:01.920 --> 0:01:04.800 anecdotally through friends. But I think going to a doctor 0:01:05.080 --> 0:01:06.720 really helped kind of like put my mind at ease 0:01:06.760 --> 0:01:07.520 regarding some things. 0:01:08.520 --> 0:01:10.319 Let's say, it's a perfect world and you can have 0:01:10.480 --> 0:01:13.520 anything done to your body. Yeah, and there. 0:01:13.440 --> 0:01:15.399 Was a doctor who could do it, what would you fix? 0:01:15.800 --> 0:01:18.839 I think I'm very happy with my body. Like obviously, 0:01:19.880 --> 0:01:22.119 there are moments where I compare myself to other people. 0:01:23.480 --> 0:01:26.480 I wish I could maybe look like them. Okay, but 0:01:26.680 --> 0:01:30.080 I think I would rather do it through like altering 0:01:30.080 --> 0:01:32.800 my work and diet than like getting an implant or 0:01:32.800 --> 0:01:36.399 anything like that. That type of like permanent medical procedure 0:01:36.720 --> 0:01:38.000 seems like a big commitment for me. 0:01:38.720 --> 0:01:40.880 In this episode, we're exploring the wild new world of 0:01:41.200 --> 0:01:44.600 hacking in the bedroom through conversations with two renowned medical professionals. 0:01:44.720 --> 0:01:47.240 We specialize in helping men have better sex and feel 0:01:47.240 --> 0:01:48.240 better about themselves. 0:01:48.360 --> 0:01:52.280 We've all seen online advertisements for pills or procedures promising 0:01:52.280 --> 0:01:57.320 to enhance your erotic adventures. Right spunk supplements, bussy botas, 0:01:57.840 --> 0:02:01.600 We've got recreational eed meds, and yeah us penis fillers. 0:02:02.120 --> 0:02:03.640 We'll find out all the new ways that you can 0:02:03.640 --> 0:02:05.720 take your sex game to the next level, and how 0:02:05.720 --> 0:02:08.639 to decide if these biohacks are right and safe for you. 0:02:09.120 --> 0:02:12.040 Welcome to Stiffy's Cruising Confessions. I am Gabe Gonzils. 0:02:12.160 --> 0:02:16.600 I'm Chris Patterson Rosso Each week weeks for the Sublime 0:02:16.639 --> 0:02:18.960 World of Queer Sex, Cruising and Relationship. 0:02:19.000 --> 0:02:20.840 We'll be talking to queer folks of all kinds. Ask 0:02:20.919 --> 0:02:24.320 them questions, swap sex stories, share intimate revelations. 0:02:24.400 --> 0:02:27.160 A lot of us are discovering ourselves in cruising spaces. 0:02:27.240 --> 0:02:29.320 This happened to me at this toilet stall, in the 0:02:29.360 --> 0:02:30.600 library or the airport. 0:02:30.680 --> 0:02:32.720 I feel like everybody's gonna fuck a little harder here. 0:02:32.919 --> 0:02:33.320 Damn. 0:02:33.720 --> 0:02:35.760 So I've been like the neighborhood slot, and I took 0:02:35.840 --> 0:02:36.560 pride in that. 0:02:36.840 --> 0:02:40.240 I was so afraid but yet so intrigued, And the 0:02:40.280 --> 0:02:41.919 more I gave him, the more he could take. 0:02:43.440 --> 0:02:46.280 If you're having sex on Sniffy's, you already have a 0:02:46.320 --> 0:02:47.160 moral deficit. 0:02:50.800 --> 0:02:53.880 Our first guest is the most famous dick doctor in 0:02:53.960 --> 0:02:57.480 West Hollywood. Doctor Joshua Gonzalez is a Board certified gay 0:02:57.520 --> 0:03:01.760 urologist specializing and inclusive sexual health for all. Doctor Gonzalez 0:03:01.760 --> 0:03:05.000 focuses on managing sexual dyspunctionions and members of the LGBTQUI 0:03:05.160 --> 0:03:05.959 plus community. 0:03:06.280 --> 0:03:09.079 Doctor Gonzalez is also the founder of pop Star Supplements, 0:03:09.240 --> 0:03:11.920 a medical supplement which promises to improve the volume and 0:03:12.080 --> 0:03:13.560 taste of your semen. 0:03:14.240 --> 0:03:17.320 All right, let's welcome doctor Gonzalez. So let's start at 0:03:17.320 --> 0:03:19.280 the beginning. How did you get into this work? 0:03:20.080 --> 0:03:23.000 Well, I followed my passion for DIX. I said, how 0:03:23.040 --> 0:03:23.880 can I monetize this? 0:03:24.240 --> 0:03:28.160 Yeah, we asked ourselves. You chose this. 0:03:30.080 --> 0:03:30.520 Exactly. 0:03:30.760 --> 0:03:32.400 When I went to medical school, I wasn't really sure 0:03:32.440 --> 0:03:34.280 what kind of physician I wanted to be. I was 0:03:34.360 --> 0:03:37.520 kind of drawn to urology. I just really liked working 0:03:37.520 --> 0:03:39.560 in the sexual health space. It was a way to 0:03:39.640 --> 0:03:40.640 kind of make a big difference. 0:03:41.080 --> 0:03:43.120 I think a lot of what I learned about queer 0:03:43.160 --> 0:03:46.520 sexual health was sort of anecdotal through friends. Having not 0:03:46.560 --> 0:03:49.240 just doctors that specialize in these fields, but queer doctors 0:03:49.240 --> 0:03:51.120 that also have the lived experience to kind of understand 0:03:51.120 --> 0:03:53.280 where you're coming from and approach to work without stigma 0:03:53.400 --> 0:03:54.520 is really really important. 0:03:54.600 --> 0:03:57.440 The total number of hours dedicated to LGBTQ plus topics 0:03:57.720 --> 0:04:00.680 in four years of medical school was five hours. WHOA, 0:04:01.120 --> 0:04:03.480 And so I wanted to make sure that when I 0:04:03.520 --> 0:04:06.040 started my practice that I could be a resource for 0:04:06.160 --> 0:04:09.920 people who needed guidance from somebody in their own community. 0:04:10.080 --> 0:04:12.280 What do you find is the most common sexual health 0:04:12.280 --> 0:04:14.520 problem that people come to you with questions about or 0:04:14.560 --> 0:04:15.480 seeking treatment for. 0:04:15.760 --> 0:04:18.520 The big ones are things like a rectile dysfunction. 0:04:18.920 --> 0:04:22.800 We do testosterone replacement therapy for people with low testosterone 0:04:23.040 --> 0:04:26.359 see a lot of low libido, low sexual desire, steroid 0:04:26.360 --> 0:04:28.440 induced sexual dysfunction, which is a real thing. 0:04:28.800 --> 0:04:31.839 I honestly don't know the answer to this question. What 0:04:32.000 --> 0:04:34.600 is the rectile dysfunction and what causes it? 0:04:35.000 --> 0:04:35.799 That's a great question. 0:04:35.920 --> 0:04:39.400 Yeah, a rectil dysfunction, like textbook definition, is the inability 0:04:39.760 --> 0:04:43.320 to achieve or maintain an erection long enough to complete 0:04:43.320 --> 0:04:44.039 textual activity. 0:04:44.240 --> 0:04:49.440 What is that length of time? Also, like, so what's 0:04:49.480 --> 0:04:51.000 the average just so I. 0:04:50.920 --> 0:04:55.200 Know, Yeah, yeah, it's probably shorter than you think. The 0:04:55.240 --> 0:04:58.640 average time to ejaculation in the US, and this is 0:04:58.680 --> 0:05:02.200 again mostly based off you know, heterosexual data, is about 0:05:02.200 --> 0:05:03.080 five to seven minutes. 0:05:03.160 --> 0:05:06.440 Oh that's a very heterosexual. Oh and that's a heterosexual 0:05:06.520 --> 0:05:07.120 length for sure. 0:05:07.200 --> 0:05:09.080 Wow, about seven minutes. Okay. 0:05:09.600 --> 0:05:11.800 I get a lot of patients coming to see me, 0:05:12.200 --> 0:05:15.360 you know, thinking that they have premature ejaculation because they 0:05:15.400 --> 0:05:17.479 come in like ten to fifteen minutes, and I have 0:05:17.520 --> 0:05:22.239 to kind of reset their expectations to help them understand 0:05:22.240 --> 0:05:25.080 that doesn't necessarily mean that there's something wrong with them. 0:05:25.279 --> 0:05:27.359 But here's some techniques that maybe you could do to 0:05:27.440 --> 0:05:29.600 kind of prolong this experience for yourself. 0:05:29.960 --> 0:05:32.880 So I'm curious what does treating erectile dysfunction look like today. 0:05:33.600 --> 0:05:36.800 I want to kind of normalize this as a medical issue, right, 0:05:36.839 --> 0:05:41.000 So a lot of work in a rectil dysfunction historically 0:05:41.080 --> 0:05:44.720 has has labeled it incorrectly like a condition that happens 0:05:44.720 --> 0:05:47.440 to older men. And the reality is is that ED 0:05:47.560 --> 0:05:49.479 can happen to somebody at any point in their life, 0:05:49.800 --> 0:05:53.480 and the risk of that increases as you get older. 0:05:53.480 --> 0:05:55.960 So the statistics show that like thirty percent of guys 0:05:56.000 --> 0:05:59.159 in their thirties experience ED at some point, forty percent 0:05:59.160 --> 0:06:01.040 in their forties, two percent in their fifties, so it 0:06:01.040 --> 0:06:03.400 goes up by about ten percent with each decade of life. 0:06:03.520 --> 0:06:05.000 So if you are somebody that happens to be in 0:06:05.040 --> 0:06:07.359 their twenties or thirties and has a problem, you know, 0:06:07.440 --> 0:06:09.400 performing if you're a young person, that doesn't mean that 0:06:09.400 --> 0:06:12.480 there aren't solutions for you. What I do in my 0:06:12.600 --> 0:06:14.440 practice is try to figure out why a person is 0:06:14.480 --> 0:06:15.200 having that problem. 0:06:15.279 --> 0:06:17.520 So, you know, we do a hormonal evaluation. 0:06:17.680 --> 0:06:20.240 There are like certain hormonal issues that can come up 0:06:20.240 --> 0:06:23.479 that can cause problems with your erections. We do an 0:06:23.520 --> 0:06:27.080 assessment of someone's erection blood flow. People can have you know, 0:06:27.240 --> 0:06:30.640 neurological diseases that can affect their erectile dysfunction. People can 0:06:30.680 --> 0:06:36.320 have you know, psychological factors performance, anxiety, stress, grief. You 0:06:36.400 --> 0:06:38.000 kind of have to be comprehensive when you're trying to 0:06:38.040 --> 0:06:40.640 figure out a solution for someone and and a little 0:06:40.640 --> 0:06:44.040 bit of time figuring out what exactly is causing the problem. 0:06:44.200 --> 0:06:46.679 Once we know that, there's a lot of different options, 0:06:46.680 --> 0:06:49.479 so we can put people on different hormonal treatments. We 0:06:49.520 --> 0:06:53.760 can offer them viagracils and the like. There's injection therapy 0:06:53.839 --> 0:06:57.400 like tri mix or by mix. There's regenerative therapies that 0:06:57.440 --> 0:07:01.600 we do here in the office where we energy based 0:07:02.160 --> 0:07:07.640 shockwave therapy or substances like platelet rich plasma to restore 0:07:07.680 --> 0:07:11.760 the function and help regenerate the erectile tissue to improve performance. 0:07:12.120 --> 0:07:13.800 Can you talk to me more about this PRP. 0:07:14.200 --> 0:07:16.840 It was described to us as the Kim Kardashian blood thing, 0:07:16.960 --> 0:07:18.240 the vampire facial. 0:07:18.720 --> 0:07:23.120 So the vampire facial basically just refer to people like 0:07:23.240 --> 0:07:26.680 Kim doing micro needling on their face, right, and then 0:07:27.040 --> 0:07:29.760 they use PRP and like rub it on the face 0:07:29.800 --> 0:07:32.080 so it gets into the pores from like the microtrauma 0:07:32.120 --> 0:07:34.520 that's created from the micro needling, literally your. 0:07:34.360 --> 0:07:35.600 Own blood spun. 0:07:36.040 --> 0:07:40.000 And then we extract the plasma portion of it, which 0:07:40.040 --> 0:07:43.160 has platelets and growth factors in it, and then use 0:07:43.240 --> 0:07:46.840 it to help regenerate some part of your body. Right, 0:07:46.960 --> 0:07:49.880 So in the vampire facial it's to promote collagen and 0:07:49.920 --> 0:07:52.040 a last in production in your face, which makes you 0:07:52.120 --> 0:07:54.720 look tighter and brighter. In the penis, we injected into 0:07:54.760 --> 0:07:58.280 the corporal tissue, the erectile tissue to help improve blood 0:07:58.320 --> 0:08:00.920 flow to that area and help improve the function of 0:08:00.920 --> 0:08:01.840 that direction tissue. 0:08:01.880 --> 0:08:03.040 So it's a very safe treatment. 0:08:03.040 --> 0:08:06.440 There's really other than like the injections themselves, which are 0:08:06.520 --> 0:08:07.640 minimally uncomfortable. 0:08:08.360 --> 0:08:10.720 There's really not any risk associated with it. 0:08:10.960 --> 0:08:11.200 Yeah. 0:08:11.240 --> 0:08:13.840 Wow, Yeah, I think up until very recently, I was like, Oh, 0:08:13.840 --> 0:08:15.120 people can take a pill and that's about it, and 0:08:15.200 --> 0:08:17.440 that's it. Yeah, those were the options. I wanted to 0:08:17.440 --> 0:08:19.280 shift gears here a bit because you talked earlier about 0:08:19.440 --> 0:08:23.080 testosterone replacement therapy. How and when should somebody go about 0:08:23.120 --> 0:08:26.160 diagnosing if they're having testosterone loss and what does this 0:08:26.200 --> 0:08:27.240 treatment hope to achieve. 0:08:27.680 --> 0:08:31.560 Low t is something that historically in medicine has been 0:08:31.560 --> 0:08:33.920 thought of, like as something that only impacts older men, 0:08:34.040 --> 0:08:37.640 and as with a retel dysfunction, it is more common 0:08:37.720 --> 0:08:41.160 in older men, but it can happen to anybody at 0:08:41.160 --> 0:08:43.079 any age, and there's sometimes reasons. 0:08:43.080 --> 0:08:44.040 We don't know why. 0:08:44.480 --> 0:08:47.160 You know, a twenty five year old guy walks through 0:08:47.160 --> 0:08:50.560 my door and we measure his blood and it shows 0:08:50.559 --> 0:08:55.439 low testosterone. But we do know that globally testosterone levels 0:08:55.440 --> 0:08:58.959 have been declining for the last fifty years, so there 0:08:59.040 --> 0:09:02.560 must be environmental factors that even if you're somebody that 0:09:02.679 --> 0:09:05.559 like leads a healthy lifestyle and you know, is exercising 0:09:05.640 --> 0:09:08.200 and eating well and sleeping, there are certain things in 0:09:08.200 --> 0:09:11.000 our environment we cannot control. When we see somebody who 0:09:11.040 --> 0:09:14.960 has symptoms of low testosterone, which can be everything from 0:09:15.080 --> 0:09:19.360 you know, low energy or chronic fatigue to low sexual desire. 0:09:20.000 --> 0:09:24.920 Sometimes men will describe brain fog or trouble with cognitive. 0:09:24.520 --> 0:09:26.720 Function remembering words, memory that kind. 0:09:26.600 --> 0:09:31.760 Of stuff, depressed mood, increased anxiety, trouble kind of building 0:09:31.880 --> 0:09:35.520 muscle or keeping off body fat or losing weights despite 0:09:35.600 --> 0:09:39.280 you know, exercising regularly and eating healthy, to erectile dysfunction. 0:09:39.320 --> 0:09:41.679 All of those things can be associated with low testosterone. 0:09:41.679 --> 0:09:45.120 So anytime I'm seeing somebody with those symptoms, it's a 0:09:45.160 --> 0:09:46.240 pretty easy thing to screen for. 0:09:46.320 --> 0:09:47.640 It's just a blood test. I think. 0:09:47.760 --> 0:09:51.000 The other problem with how testosterone replacement therapy and other 0:09:51.040 --> 0:09:54.679 hormonal treatments are offered to patients is that practitioners are 0:09:54.760 --> 0:09:57.720 very stringent about what is normal and abnormal. And the 0:09:57.880 --> 0:10:00.440 range of normal of testosterone is pretty wide because it 0:10:00.520 --> 0:10:03.360 covers men from adolescents until death, right. 0:10:03.480 --> 0:10:04.280 But if you're a. 0:10:04.200 --> 0:10:07.520 Young man and you have a low normal testosterone, there's 0:10:07.559 --> 0:10:09.560 a pretty good chance that if you were able to 0:10:09.600 --> 0:10:11.720 get that number in the middle to the higher part 0:10:11.720 --> 0:10:13.560 of that normal range, you would feel better, a lot 0:10:13.600 --> 0:10:16.760 of your symptoms would get better. We very routinely offer 0:10:16.840 --> 0:10:22.960 patients in a low normal range treatments to improve that number, 0:10:23.080 --> 0:10:25.320 and a lot of those men will end up feeling better. 0:10:25.679 --> 0:10:27.000 I was just going to ask about some of the 0:10:27.000 --> 0:10:28.240 side effects of TRT. 0:10:28.640 --> 0:10:31.640 Testosterone replacement therapy is very safe. 0:10:31.679 --> 0:10:34.560 We have like decades, I'm talking seventy eighty years of 0:10:34.600 --> 0:10:39.200 data showing that testosterone replacement therapy again when monitored, is 0:10:39.360 --> 0:10:40.160 a safe treatment. 0:10:40.600 --> 0:10:41.680 It is a. 0:10:41.600 --> 0:10:45.520 Treatment that involves gels or creams that are applied transdermally 0:10:45.559 --> 0:10:46.640 they could absorb through the skin. 0:10:47.080 --> 0:10:48.600 Those are generally done every day. 0:10:49.240 --> 0:10:53.440 There is an injectable testosterone that you can inject either 0:10:53.440 --> 0:10:56.800 subcutaneously or intramuscularly, and those are generally done once a 0:10:56.800 --> 0:10:59.440 week or sometimes twice week. There are pellets that we 0:10:59.440 --> 0:11:02.280 can implant in the office here that go under the 0:11:02.320 --> 0:11:06.080 skin through like a tall in office procedure that lasts 0:11:06.120 --> 0:11:09.040 for three months. And then the newest form of testosterone 0:11:09.080 --> 0:11:11.640 that we've actually been prescribing a lot more recently is 0:11:11.760 --> 0:11:14.600 an oral form. It is a short acting testosterone and 0:11:14.640 --> 0:11:16.480 the reason that we like it, especially for a lot 0:11:16.520 --> 0:11:18.800 of our younger patients, is that one of the side 0:11:18.800 --> 0:11:23.440 effects is that your testicles can sometimes shrink in size 0:11:23.760 --> 0:11:29.400 our testicular atrophy. And that happens because your testicular volume 0:11:29.720 --> 0:11:32.320 is made up of cells that make testosterone and they 0:11:32.320 --> 0:11:35.560 make sperm, and when you are supplying your body with 0:11:35.679 --> 0:11:39.600 an external form of testosterone, your testicle sort of sees 0:11:39.679 --> 0:11:41.439 that and is like, well, we don't really have to 0:11:41.559 --> 0:11:45.240 do work right now, so your balls literally shrink, and 0:11:45.440 --> 0:11:48.520 as you can imagine, that is distressing to a lot 0:11:48.520 --> 0:11:51.360 of people. This new form of oral testosterone doesn't seem 0:11:51.360 --> 0:11:54.280 to have as much of an effect on testicular size. 0:11:54.320 --> 0:11:57.320 In some men, certain forms of testosterone replacement therapy can 0:11:57.400 --> 0:12:01.320 cause their blood to thicken. It's a bone marrow stimulant 0:12:01.880 --> 0:12:06.559 and that if left untreated, can theoretically result in blood clots. 0:12:06.679 --> 0:12:08.720 So we have to monitor patients who are on testosterone 0:12:08.760 --> 0:12:10.840 replacement therapy to make sure their blood doesn't get too thick. 0:12:10.960 --> 0:12:13.840 Some men will, you know, experience some acne if they're 0:12:13.920 --> 0:12:17.200 using too much. They might start to see like thinning 0:12:17.200 --> 0:12:19.720 of their hair if their testosterone gets to be too high, 0:12:19.800 --> 0:12:21.960 but we treat it as a, you know, a real 0:12:22.000 --> 0:12:22.720 medical issue. 0:12:22.760 --> 0:12:24.280 We monitor our patients pretty closely. 0:12:24.320 --> 0:12:26.960 They're seeing us every few weeks when we first start 0:12:26.960 --> 0:12:29.040 them on a treatment to make sure that their hormone 0:12:29.120 --> 0:12:31.760 levels are optimal, and then we start to spread out 0:12:31.800 --> 0:12:34.240 their visits. But most people are seeing us at least 0:12:34.280 --> 0:12:36.600 twice a year, just to make sure they're doing well 0:12:36.640 --> 0:12:38.160 and stable on their regimen. 0:12:38.480 --> 0:12:41.559 I think another area that we see talked about a 0:12:41.600 --> 0:12:44.360 lot is a topic of penis size, right, I think 0:12:44.400 --> 0:12:47.440 there's a certain preoccupation surrounding that. We all know the 0:12:47.480 --> 0:12:50.160 size queens, we love them, we respect their interests. Could 0:12:50.160 --> 0:12:52.440 you walk us through what options maybe do exist to 0:12:52.679 --> 0:12:55.880 addressing anxiety people might have over penis size. You know, 0:12:55.880 --> 0:12:58.760 in the US, the average erect length is five and 0:12:58.800 --> 0:13:01.080 a half inches, which which is not what we're used 0:13:01.120 --> 0:13:03.840 to seeing important and may not be used to what 0:13:03.840 --> 0:13:06.719 we're seeing in real life depending on who you're sleeping with, 0:13:06.800 --> 0:13:11.520 but that is the reality. Helping men understand what technically 0:13:11.800 --> 0:13:14.520 you know qualifies as like a below advertised penis I 0:13:14.520 --> 0:13:18.480 think is important. There are cosmetic procedures, as I mentioned, 0:13:18.480 --> 0:13:20.920 that are done. The only one that I really think 0:13:21.240 --> 0:13:25.200 is safe and reliable is a substance called hyaluronic acid. 0:13:25.320 --> 0:13:28.400 It's what most people are using to inject their face 0:13:28.440 --> 0:13:31.480 and lips. It's a substance that occurs in our connective 0:13:31.480 --> 0:13:35.599 tissue already, so when used for penile enhancement, provides like 0:13:35.640 --> 0:13:40.080 a very natural looking enhancement with very little risk. One 0:13:40.080 --> 0:13:44.040 of the tricky parts about doing cosmetic filler in the penis, 0:13:44.200 --> 0:13:46.480 unlike injecting the lips or in the face, is that 0:13:46.520 --> 0:13:47.360 the penis. 0:13:47.040 --> 0:13:49.120 Is kind of a dynamic part of the body, right, 0:13:49.120 --> 0:13:50.080 it changes. 0:13:49.880 --> 0:13:52.559 Shape, it gets bigger, it gets harder, You get retraction 0:13:52.679 --> 0:13:54.800 when you're cold or you're working out right, so you 0:13:54.840 --> 0:13:57.120 have to account for that when you're doing the treatments 0:13:57.120 --> 0:13:59.040 here in the office. And one of the best parts 0:13:59.040 --> 0:14:01.719 I think about using hyaluronic acid filler is that if 0:14:01.720 --> 0:14:03.680 you get an area where the filler kind of settles 0:14:03.679 --> 0:14:06.880 and looks uneven, you can easily correct that by adding 0:14:06.920 --> 0:14:09.319 more filler nearby to make it look more even, or 0:14:09.360 --> 0:14:11.480 you can actually inject it with a solvent agent that 0:14:11.640 --> 0:14:15.080 dissolves the filler so that you can customize it to 0:14:15.080 --> 0:14:18.800 make it look even and natural. If you're using silicone, 0:14:18.800 --> 0:14:21.400 if you're using PMMA, if you're using some of these 0:14:21.440 --> 0:14:27.120 collagen stimulating permanent fillers, if something goes wrong, you can't 0:14:27.120 --> 0:14:29.200 fix that unless you're going to undergo some sort of 0:14:29.200 --> 0:14:33.440 surgical intervention. So I try to counsel patients that are 0:14:33.440 --> 0:14:37.320 interested in these treatments to not go the permanent route, 0:14:37.360 --> 0:14:41.240 even though that sounds more appealing for some patients, because 0:14:41.720 --> 0:14:45.680 with haluronic acid filler, we're finding that it's lasting three, 0:14:45.840 --> 0:14:48.680 four or five years sometimes, so it's a semi permanent 0:14:48.720 --> 0:14:51.880 solution that many guys will ultimately be happy with and 0:14:51.920 --> 0:14:52.920 carries very little risk. 0:14:53.200 --> 0:14:54.920 I just wanted some clarity for our audience, Like, this 0:14:54.960 --> 0:14:56.920 is stuff that you should be doing with a doctor, 0:14:56.960 --> 0:14:58.000 not necessarily at home. 0:14:58.080 --> 0:14:58.440 Correct. 0:14:59.280 --> 0:15:03.280 Yeah, I think if you're thinking about altering the shape 0:15:03.360 --> 0:15:05.600 or size of your penis, you really should be doing 0:15:05.640 --> 0:15:08.920 that in the context of a healthcare provider who knows 0:15:08.920 --> 0:15:10.760 what they're doing, who has a lot of experience doing it. 0:15:11.000 --> 0:15:13.040 You know, I wouldn't go to have filler in my 0:15:13.080 --> 0:15:18.720 face done by, you know, a gynecologist, and I wouldn't 0:15:18.760 --> 0:15:21.240 want and vice versa, right, Like I want to go 0:15:21.280 --> 0:15:24.520 to a plastics person or a dermatologist who is familiar 0:15:24.520 --> 0:15:26.680 with facial anatomy and does these kinds of injections all 0:15:26.680 --> 0:15:27.040 the time. 0:15:27.200 --> 0:15:30.520 And I think the same should be true for penile filler, right, Like, I. 0:15:30.480 --> 0:15:33.360 Don't know that the same dermatologists that's like great at 0:15:33.440 --> 0:15:36.400 doing lips is the right person to be doing penises. 0:15:37.320 --> 0:15:40.000 Yeah, they're very different. It's not the same thing. 0:15:40.120 --> 0:15:42.000 I might be biased when I'm saying this because I'm 0:15:42.000 --> 0:15:45.760 a urologist, but like, we literally spent years of our 0:15:45.800 --> 0:15:48.720 life studying the penis anatomy. We know all of the 0:15:48.760 --> 0:15:51.800 vital structures, we know how it works, we know how 0:15:51.800 --> 0:15:54.640 to avoid causing damage. Like, that's the kind of person 0:15:54.680 --> 0:15:57.160 that I want injecting my dick if I'm going to 0:15:57.160 --> 0:15:57.840 get an enhancement. 0:15:58.200 --> 0:15:58.840 So I'm curious. 0:15:58.880 --> 0:16:01.160 I wanted to move on to something we addressed earlier 0:16:01.160 --> 0:16:04.480 in the episode pop Star Supplements, I think I've heard about. 0:16:04.560 --> 0:16:07.160 I'm truly so intrigued. A lot of folks are very 0:16:07.160 --> 0:16:10.360 fixated on like big loads. I'm curious what sort of 0:16:10.520 --> 0:16:13.240 need Popstar Supplements addresses that you've seen as a doctor, 0:16:13.640 --> 0:16:16.440 and how this might be different than other things we've 0:16:16.440 --> 0:16:17.000 seen before. 0:16:17.400 --> 0:16:19.440 The pop Star story is unique. 0:16:19.520 --> 0:16:23.880 So it is a company that my business partner and 0:16:23.920 --> 0:16:26.400 I started. I had just been seeing a lot of 0:16:26.480 --> 0:16:30.000 you guys who would ask me if there was anything 0:16:30.000 --> 0:16:31.960 that they could do to make their loads bigger, And 0:16:32.000 --> 0:16:34.560 when we were kind of formulating this plan, thought well, 0:16:34.600 --> 0:16:37.840 why don't we create a supplement that kind of hits 0:16:37.920 --> 0:16:40.760 all of the aspects of seamen health. So we wanted 0:16:40.800 --> 0:16:43.720 to make volume bigger. We wanted to put ingredients in 0:16:43.720 --> 0:16:46.520 there that supported sperm health in case someone was interested 0:16:46.560 --> 0:16:49.480 in maximizing their fertility potential. And then we were like, 0:16:49.560 --> 0:16:52.440 wouldn't it be cool if we could like affect the taste, right. 0:16:52.560 --> 0:16:55.320 This is why we need a queer doctors. Yes, please, 0:16:55.600 --> 0:16:56.040 thank you. 0:16:56.280 --> 0:16:58.680 Yeah, so you know, I mean that's one of the 0:16:58.680 --> 0:17:00.960 other complaints that people have, even if they like com 0:17:01.080 --> 0:17:04.040 is like, well that that particular load didn't taste the greatest, 0:17:04.080 --> 0:17:06.520 So like, what could we do to like sweeten the 0:17:06.560 --> 0:17:09.480 taste as much as possible. We wanted to approach this problem, 0:17:09.560 --> 0:17:11.960 which we feel is a real medical issue from a 0:17:11.960 --> 0:17:15.600 pleasure standpoint, because even if you're just like into big loads, 0:17:15.720 --> 0:17:18.800 what we do know is that larger ejaculatory volume often 0:17:18.840 --> 0:17:21.520 translates to more intense orgasms. Right, you have to have 0:17:21.920 --> 0:17:25.840 more contraction to get all that fluid out. We wanted 0:17:25.840 --> 0:17:28.600 to create a product that could change all these various 0:17:28.640 --> 0:17:32.720 aspects of semen health and improve sex and orgasm for people. 0:17:33.080 --> 0:17:35.640 That is truly amazing. It's like not something I knew 0:17:35.760 --> 0:17:37.439 was available or thought of, And I'm like, now, I 0:17:37.440 --> 0:17:39.520 think I need to definitely want to give it a No, 0:17:39.560 --> 0:17:41.359 I definitely need Okay, So if we could ask you 0:17:41.359 --> 0:17:46.600 a personal and very subjective question, what is your favorite. 0:17:46.320 --> 0:17:50.000 Part of your job being able to provide solutions for 0:17:50.000 --> 0:17:52.200 patients to just have better sex in general. Like, it's 0:17:52.240 --> 0:17:56.040 such an important part of our lives. There's a lot 0:17:56.040 --> 0:17:58.719 of people that just like give up because they think 0:17:59.080 --> 0:18:01.880 there's something wrong with them, there's something wrong with their relationship. 0:18:02.400 --> 0:18:05.320 They've reached a certain age in which like they need 0:18:05.320 --> 0:18:07.920 to like ride off into the sunset and forget about sex. 0:18:07.960 --> 0:18:11.159 But the reality is is, like it improves mood, it 0:18:11.200 --> 0:18:15.439 helps people sleep, it decreases stress, it lowers blood pressure. Like, 0:18:15.480 --> 0:18:19.480 there are so many benefits to sex. Why should anybody 0:18:19.560 --> 0:18:20.960 kind of give up on that. You know, I've seen 0:18:21.000 --> 0:18:25.480 people's marriages saved. I've seen them get off an antidepressant 0:18:26.040 --> 0:18:29.200 because we like provide them with, you know, the hormone 0:18:29.240 --> 0:18:32.840 that they were deficient in, or provide them an ability 0:18:32.920 --> 0:18:36.040 to like have better and more fulfilling sex, and suddenly 0:18:36.080 --> 0:18:38.359 they're not depressed anymore. So, like, being able to have 0:18:38.440 --> 0:18:41.480 those like remarkable impacts on someone's. 0:18:41.119 --> 0:18:44.440 Life is what keeps me coming to the office every day. 0:18:44.720 --> 0:18:47.800 It's fascinating stuff. Well, thank you so much, doctor Gonzalez 0:18:47.840 --> 0:18:52.000 for joining us today. This has been yeah, one of them, Yeah, 0:18:52.119 --> 0:18:55.560 most informative interviews we've got where can people find you 0:18:55.640 --> 0:18:58.639 online or in person if they'd like to sign up 0:18:58.640 --> 0:18:59.240 for an appointment. 0:18:59.400 --> 0:19:04.240 I'm on on Instagram and TikTok and YouTube at Joshua 0:19:04.240 --> 0:19:07.879 Gonzalez MD. I do a lot of like content creation 0:19:08.200 --> 0:19:11.600