Is erectile dysfunction a symptom—or an early warning sign? with Dr. Peter Bajic

Dr. Geo welcomes Dr. Peter Bajic , Medical Director for Urology at Cleveland Clinic Main Campus and Director of Men's Health at the Glickman Urological Institute, for an evidence-based conversation about erectile dysfunction, testosterone, Peyronie's disease, and the biggest myths in men's sexual medicine. They explore why erections reflect cardiovascular health, why "venous leak" is often misunderstood, how GLP-1 medications may temporarily influence testosterone during weight loss, and when testosterone replacement therapy is actually appropriate. The episode also covers Peyronie's disease, treatment options including daily tadalafil and traction therapy, and practical lifestyle changes that can improve both sexual function and long-term health. If you've ever wondered whether ED is psychological, physical, hormonal—or all three—this episode delivers clear answers backed by today's science. In this episode you'll learn: Why erectile dysfunction often predicts cardiovascular disease The truth about "venous leak" How erections actually work Psychological vs. physical causes of ED GLP-1 medications and testosterone explained When testosterone replacement is appropriate The biggest myths about Peyronie's disease Daily Cialis beyond erectile dysfunction Lifestyle strategies that improve sexual health The latest treatments available for men Timestamps 00:00 Introduction: ED may be your first warning sign 02:45 Why erections are a window into overall health 06:20 Psychological vs. physical erectile dysfunction 13:15 GLP-1 medications, weight loss & testosterone 18:30 Combining GLP-1 therapy with testosterone replacement 28:45 The truth about "venous leak" explained 40:05 Why most men do NOT have true venous leak 43:10 The best approach to treating erectile dysfunction 49:20 Understanding Peyronie's disease 54:20 Can Peyronie's disease be prevented? 58:00 Why daily Cialis may be one of men's most useful medications 1:01:00 Xiaflex, surgery & future Peyronie's treatments ___________________________________ 💪 Exclusive Membership Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect 📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags #DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________ ⚠️ Disclaimer This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.