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

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___________________________________⚠️ 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.

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