Strictly Anonymous Confessions - 1403 - Erectile Dysfunction Causes, Treatment and More with Dr.Arthur Burnett

Episode Date: March 21, 2026

Dr. Arthur Burnett called in to discuss erectile dysfunction causes, treatments and more. Tune in to hear all the details including how Dr. Arthur Burnett helped bring Viagra to market, what can causes erectile dysfunction and how it can be physical and/or psychological, how and why ED can be an early warning sign of cardiovascular disease and diabetes, why men shouldn’t be embarrassed to talk about it, how testosterone affects libido vs. erections, what Trimix is and when it’s used, how lifestyle changes like diet, sleep and weight loss can improve erections, how GLP-1 receptor agonists may impact sexual function, whether you can become dependent on Viagra or Cialis, the side effects of ED meds, all the treatment options from pills to pumps to penile implants and how they work, what a venous leak is and why it’s hard to fix, how to know if your ED is normal aging or something more serious plus a whole lot more. Check out his book Manhood Rx GET A COPY OF THE STRICTLY ANONYMOUS BOOK! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY HERE: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/4i7hBCd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To see HOT pics of my female guests + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/StrictlyAnonymousPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and when you join, I'll throw in a complimentary link to my private Discord! To join SDC and get a FREE Trial! click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.sdc.com/?ref=37712⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to SDC.com and use my code 37712   Want to be on the show? Email me at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠[e-mail]⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and click on "Be on the Show." Want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. All voices are changed.   Sponsors: ⁠https://inda.shop/STRICTLY!⁠⁠ If you’re 21 or older, get 40% OFF your first order @IndaCloud with code STRICTLY ⁠⁠⁠⁠https://beducate.me/pd2610-anonymous⁠⁠⁠⁠⁠⁠ — Click here to take the quiz and  get your personalized roadmap to sexual happiness ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.quince.com/strictlyanon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — For premium quality Quince clothing plus FREE shipping and 365 day returns! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bluechew.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — Get 10% OFF your first month of Bluechew GOLD! Use code: STRICTLYANON⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://LoadBoost.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — To get 10% off LOAD BOOST by VB Health use code: STRICTLY Follow me! Instagram  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/strictanonymous/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ X  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/strictanonymous?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Everything else: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Strictlyanonymouspodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

If you want to be on the show, it's called strictly anonymous because I change everybody's voices and everyone's name. So if you have an interesting, naughty secret life or even just regular not so naughty life that you want to talk about while remaining anonymous or not anonymous, if you're out and proud, that's cool too. You can be on the show. I also look for like health related stories now. I have a sexual health Saturdays. So if you have any kind of interesting health story, I love stuff like that, health and fitness story. You could send me an email at Strictly Anonymous Podcast at gmail.com or just go to my website, Strictly anonymouspodcast.com, and click on Be on the Show. If you have a naughty confession that you want to leave on my confessions hotline, you could do that 247. The numbers 347,

4203579. That's 347-47037579. Some of those confessions make it on to a confession episode. And I talk about them. The rest of them all go up on my page. My Patreon. My Patreon is a great place. Listen, if you're annoyed with these beginning intros and you don't want to hear effing ads, and you want to see hot picks of all the females who have called into my show, plus take part in all of the polls and questions and contests we have over on my Patreon. Join my Patreon for just $7 a month. That's like super cheap. I also throw in a complimentary link to my private Discord. My Discord is great. We're having the annual Dick Pick Contest coming up in April, so you want to join so you could take part in The infamous dick pick contest. Last year, we did the dick pick contos. We got like 250 dick picks. Okay, winner is going to get 300 bucks. Okay. So if you want to join that, you got to get into my discord. I do throw in complimentary access to my private discord. If you join my Patreon, like I said, it's just $7 a month. And you could cancel it anytime. Or you could buy my book. I have a book. It's called Strictly non-mis confession. Secret Sex Lives of Total Strangers. It's like 17 stories from my show told in the third person. They're quick, short stories. Think like Penthouse. forum letters or naughty true stories all in one book. If you get my buck on Amazon or wherever you buy books, you could get it. Send me a screenshot of your order and I'll also give you complimentary access to my private discor. My Discord is effing great. That's where you could go in and

post your own stuff. My Discord is super fun. People get very naughty on there. We have lots of contests, tons of different channels with all kinds of content. But it is private and I only give links to either my guests, if you call into the show. You get a link to my Discord or get my book or join my Patreon. You get it from all that. Last thing I want to tell you about is, if you are looking to get into the lifestyle, the site I recommend to everybody is SDC.com. SDC.com is like the world's largest online adult dating site, but it's so much more than a dating site. It's more than a pickup place, okay? You go on there, you're going to learn everything about the lifestyle. They have live events. They have educational stuff that you can learn on there.

They also will tell you where all the gangbangs and swinger clubs and orgies and parties that are going on in your area and your neighborhood, or if you're traveling, you can find out what's going on there, too. That's what's great about SDC. It's like a one-stop shop for the lifestyle. And if you use my code 377-1-2, you're going to get a free trial so you could check it out. So go to SDC.com, use code 371-2, or just go to the description and click on the link. All the links, everything I told you about, including my Patreon, is in the description. So anyway, today I have a great doctor. He's very well-known Dr. Arthur Bud Burnett. I call him Bud. He told me to call him Bud. He's a very big urologist and researcher at John Hopkins Madison. He's an influential scientist in the field of male sexual medicine. He talks a lot

about erectile dysfunction. And that's what I focused a lot on this call. I asked him every question you'd want to know about E.D. He talked a lot about it. He was one of the guys that was like responsible for the research that was done that got Viagra out to guys. I think I said that properly, but you'll hear all about it. He explains it all. He definitely is an expert. He's super smart. He talks about ED. He talks about the pills and trimax and the pumps and the penile implant pumps and all that kind of stuff. You're going to learn a lot. You're going to want to listen to him because he knows what he's talking about. He's a big urologist. He wrote a book called The Manhood R-X. He tells me that at the end. It's super interesting. If you want to get it, I'm going to put the link to it in the the description if you want to learn more, but you're going to learn a lot on this episode. So I'm going to get right to it and be right back on with Dr. Burnett. Hi, Dr. Arthur Bud Burnett. For the rest of the call, I'm going to call you Bud.

You said I could call you Bud, but your formal name is Dr. Arthur Bud Burnett. And I like your formal name because you are like a very well-known. You're a well-known urologist and research at John Hopkins Medicine. And you are very like influential in the male sexual medicine world. particularly when it comes to ED, and you had something to do with the research or, you know, that had to do with like Viagra coming into play, correct? Like, that's pretty major. Well, thank you for welcoming me.

It's my delight to join you. And yes, I've had a career that spans a few decades. I hate to say how long it's been. But, you know, I'm on both the research and academic side of sexual health and direction discoveries as well as a clinician and surgeon. So I can speak to how we've made discoveries about all of those. I all means. Yeah. I mean, let's just start off real quick, though, with the whole Viagra thing, if you can, real quick.

And then we'll get really deep into ED because I think that that's a, you know, guys have a lot of questions about that. And you can answer them. Sure. But I think, like, every guy should, like, kneel down to you if you were one of those people that, you know, brought Viagra to the men. Well, thank you. Well, thank you for your wonderful remarks. But know that, you know, I guess I was very timely back in residence. back in the 80s, recognizing that we weren't taking care of men as well as we should.

We were our management options for what we called in impotence. And I think we've now used a word erectile dysfunction, which is less offensive, I think, as a term. Yeah. And basically back then we'd write for herbal supplements and then if not just give a guy kind of one of the primitive peanut prosthetic devices we had back in that era. And I realized we just didn't understand the science. Right. Of erections well enough.

And so I embarked upon that and worked collaboratively with the neuroscience team here. We figured out the chemical messenger pathways that are really new to science and brought that to erection. And nitric oxide is this gaseous molecule. If anybody hears about it, we discovered that it's kind of a neurotransmitter and works in the nerve tissue coming down to the penile area. And actually it governs and regulates the blood flow mechanism of how erections happen. And that was then exploited with the work that company Pfizer was doing for a drug. they were studying for the heart. Yeah.

And then they kind of backed into saying, wow, now that we understand a little bit more about the science of erections, it turned out that the way that drug worked to open up blood vessels really had a greater impact into blood vessels in the penile area and some serendipity there than based on some of our foundational scientific work and it was where it was. Wasn't it a nurse that was like I noticed that all my patients are getting hard on or something or is that like an urban legend? Well, well, I think it may have been. embellished, but I think there was some, some truth to the fact that guys were, you know, just being

monitored. And they said, you know what, don't take me off this trial, I guess. Well, listen, isn't that how Botox happened? It wasn't. They just noticed they were giving it for headaches, and they noticed that the forehead was looking a lot better. I mean, you know, sometimes that happens with medicine. It's like the best thing that was ever invented. There you go. Yeah. Sometimes make some good observations and back into another area, maybe. Yeah. Now, I have had doctors on before that, have talked about how direct, like erectile dysfunction and everything can like be a symptom of like some sort of like cardiovascular health issues and everything. I think that that is like super important for guys to know, correct?

Oh, absolutely, absolutely. And I think that's certainly as much as discovery of the mechanism of penile erection and discovery of these new erectile as far as medications is just the enlightenment. Yeah. From where we were, you know, back in the Masters in Johnson era, which was, you know, commendable back then, accepting that relationship issues and variety of other kind of emotional and maybe even mental health issues are related to erectile dysfunction. But we also came to understand that there really are truly physical and health issues and that relate to erectile dysfunction. Because after all, erections has to do with vascular functioning in the penis. We talk

about cardiovascular disease. Well, there's penovascular disease, which is what erectile dysfunction is. And in fact, it could be an early warning sign having erection difficulties that you are having some vascular. issues elsewhere in the body that might lead to heart attack or stroke or other problems. Now, if you had to break it up, is there some sort of analysis of like, oh, typically when we look at guys with ED issues that this amount of percentage is typically physical and this is typically like mental? Well, you know, I think the reality is that sexual performance is a mind, body kind of experience.

and may not be exclusively one or the other. And I think that both of these may play some role in terms of having your optimal ability to perform in the bedroom. And if you're, you know, certainly there's stories of even young men who are getting erections in certain situations, but then with a certain partner or with a certain environment or maybe just, you know, they get this performance of anxiety and their own body pumps adrenaline and that's anti-erectile, if you will. Yeah. And that can be problematic, not to mention just any other kinds of, just interpersonal situations that are either conducive or not conducive to performing while in the bedroom. Right. Now, but is like, are typically guys that are older or the ones that are having ED issues? I know it could happen to guys that are younger, but is it typically like the guys that are older that you're seeing in your office? Well, that's true. I mean, we use this for

word epidemiology to refer to population-based studies. And it's just, well known that there's with each desal of life every 10 years, there's almost a drop-off of perhaps, like, another 10% of guys having good erectile function. Right. So, you know, no doubt guys in the 30s and 40s do well, go to 50s and another drop-off. So many men lose erections, 60s, another drop-off and so forth.

It's thought that as much as 50% of men above age 40 have some degree of erectile dysfunction. Interesting. What's changing in the body that, or like, as you grow older, that's affecting erections every 10 years? You know, interesting thought. You know, you might just say, is it just aging and of itself? And certainly that's so.

I'm not dunking basketballs that's 40-5 years ago. I don't think. I don't think. You can't even go on roller coasters anymore. You get sick. So our bodies start to break down. It's just not quite the way they use of me, including your sexual organs. But I think that there's also just a greater prevalence of what we call comorbidities,

that is other conditions, diabetes, heart disease, hypertension, to the metabolic syndrome, various other kinds of things that just happen in the body. more commonly as folks get older. I mean, but how do you know if it's normal aging versus like a medical issue or some sort of cardiovascular issue that's happening? Is it you just go to your doctor and most guys do at a certain age? And I would assume, well, this is a separate question. Would be like, you know, do a lot of guys feel comfortable going to their doctor and talking

about this? Yeah, well, you know, I think that, you know, a two-part question. Exactly. Sorry. So it should suggest that, you know, getting a health checkup, make sense. It may relate to having challenges with your overall bodywide health system if you're having erection difficulty. So I wouldn't just blame it on aging alone. Yeah. You know, go get your health checkup. And I guess that's the second part of question. How much do we support guys getting

checked out? And I would say, you know, we don't do enough for this. I think there's a lot of conditions that men can encounter in life that are not necessarily going to be symptomatic even. Right. You know, so get your health checkups. And we need to screen for your cholesterol and your weight, and your blood pressure and your PSA for your prostate and all these things, that all have to do with preserving your best health long term. And aren't, I mean, just let guys know that doctors aren't judging you if you're telling them that you have ED. I mean, you hear it all.

You know what I mean? Like, they shouldn't feel embarrassed to bring it up. I mean, and they should be bringing it up because it's important. Well, it's absolutely so. And I just think we're even challenged more and more in this current era where I think we're perhaps misrepresenting what manliness should be. You know, virility is not measured in the size of one's genital organ or their palace in the bedroom. And I think there's normal levels of functioning.

And maybe there's not even enough understanding out there that, you know, men should be able to have an erection and be able to perform in the bedroom, but not for hours, you know, things of that sort. And so that's just not biologically the truth. So we need to be talking more authenticity, truthfulness, and just reassuring men that, you know, get checked up. You know, there's no less of a man that can go get a good health checkup. You know, addressing your health issues, I think, is perhaps for the sake of yourself and your family and your partner, the right thing to do to make sure you stay alive and live life properly. How much do, like, does testosterone levels affect your erections and anything to do with ED? Well, testosterone is related. But it has more perhaps to do with a man's sexual.

libido and desire. Okay. Then really, then then, then necessarily creating erections. So if there's a thought somehow that, you know, check my testosterone, my erections are for, meanwhile, I'm a bad diabetic and I, you know, he's been McDonald's cheeseburgers every day and smoke cigarettes. Well, I mean, you got to do some health optimization and do some other things that are more likely critical to erection functioning. Yeah. Test testosterone may optimize your sexual interest and sex drive. And it certainly does have some relationship to some of the chemicals that have to go into how erections occur. But that's not where it's predominant feature is. It really has more to do with libido. Okay, guys, you know what I've learned as I've gotten older? The key to actually enjoying

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That's dot CO. When you use code strictly at checkout, that's Indicloud. Dotco code strictly 35% off and get free shipping on orders over $50 shipped discreetly to your door. Or just go to the description and click on the link and use code strictly. And don't forget to fill out the quick survey when you order to support my show. likely critical to erection functioning. Yeah. Testosterone may optimize your sexual interest and sex drive. And it certainly does have some relationship to some of the chemicals that have to go

into how erections occur. But that's not where it's predominant feature is. It really has more to do with libido. Yeah, I did have a guy who, I mean, he was, this was a listener question. It was like, I can't get erection at all, even with 90 units of trimex. I have type two diabetes and take Manjuro for like a Monjuro. Is that how you say it? A1C, what could cause that? Like, he's not even, it's not even Trimix isn't working. And that's more hardcore, I would assume, than Viagra. Oh, absolutely.

So Try Mix us for your audience. Yeah, explain, please. A three drug mixture that's a fluid medication that's injected into the penis with diabetic syringe. And the delivery medication that's thought to be very potent chemicals that are even more likely to be beneficial than Cigin and Or. pill because you're delivering the medication directly in the penis. And if you're using three drugs together, that's like high-octane stuff right there. Because usually we do one drug that may be enough to open up to blood vessels

to create erections. So the reality is this gentleman likely has just more severe erectile dysfunction. And, you know, continue to optimize his health and try to follow the best lifestyle. Make sure your diabetes is well controlled. But he may have had some changes in his peanut tissue from diabetes and related factors there that just are not going to be responsive to some of the medication therapies. And so if a guy goes to his urologist or comes to you, like, is there one guy that's going

to give Viagra and you're going to say that's going to work? And somebody like this guy who's got diabetes, it's a little bit more heart. Or that's when you're going to give trimex, correct? So it's worse? Well, it's certainly possible. I mean, just by way of background, we know about 80% of men with diabetes do have erectile dysfunction. And so just to acknowledge that. And diabetes is a phenomenal health disorder because it impacts both blood vessels and blood and nerve tissue and just even tissues in general in the body and a variety of other kind of metabolic and hormone-related effects as well. So get your diabetes in order, first of all, but do all men have to end up on injections or even have to get a penile prosthetic surgery device put in the penis? Maybe, maybe not if they get their health in order and hemoglobin A1C is back to kind of a normal range. then follow good lifestyle, it's possible they can still respond to the oral medication.

And we try to be at least aggressive or invasive if we can if you can just try and maintain your best health. Yeah. And unfortunately, I'm like very into health and fitness and always have taken very good care of myself. But unfortunately, the majority of people don't, they're not like really into it. You know what I mean? Until it's almost like too late.

And you're like, what the fuck were you thinking? Like it's like a car. Like if you don't take care of your car every year and do all those things, you know, what's going to happen after over time. But it's never too late to like get back in health and do the things that could help you, correct? Like for a guy that comes in that maybe didn't take care of himself. His whole life, he's a little bit overweight.

He's pre-diabetic. He's having issues. Like what are the top three things that he could do before he goes on any kind of drugs that could change his life and help him, his sexual health? Well, you're absolutely correct. I mean, there's no reason to say it's too late to do anything. Exactly. I think no matter where you are in life, you know, preserve your best health, even if you've been poorly controlled with your diabetes or overweight or been a bad.

Yeah. The diet kind of person or smoke cigarettes, you know, these things, if you can address these, I think there are going to be some potential benefits. Obviously, there's earlier in life you do take corrective action, the better, obviously. Yeah. But there's no reason to just say give up. But all these sort of things, I think, that it has to do with lifestyle, that we know this. have to just eating right, maintaining a good level of fitness, maintaining a certain proper weight, getting your health checkups and following your primary care doctor recommendations. All these

things, I think, really do imply that you're doing your best to try and preserve your best health long term. And my recommendations there are pretty much all I just said. I don't know whether one supersedes one or the other. All these things, I think, are important. Another one that sometimes gets overlooked is just getting your rest, getting your proper sleep. Oh my God, I know. Recharging your batteries properly. I mean, some of us, I think, you know, I'm probably guilty of that myself as a surgeon, just say, okay, I got my five hours.

I'm good to go. But sometimes you need little more sleep hours than that, and you need to make sure you recognize what your body needs and do the right thing. Yeah, me and my friends used to brag about, and we were all working out, people help people brag about how much little sleep we needed, as if that was like, you know, your claim to fame was not needing sleep. And then you sort of, you know, over time, and it's just like the past 10 years, you realize like, oh, my God, that's like the exact opposite what you want to do.

The best thing for anti-aging, longevity, health fitness is to get your fucking sleep. I mean, it's very important, right? Oh, absolutely. I think you just recharge your bodies, get properly, your batteries, that is, and getting your rest, restoring your your your body's best circulation and functioning and all these kinds of things are really key things to be doing. How do you feel as a urologist about the GLP ones? Like have you guys been studying it's a fact for your area of expertise at all?

Like how does it sort of trickle down to erections? Yeah, good point. And certainly that has been a hot button topic. Yeah. I mentioned Mungaro a little while ago. that's one of the GLP one agonists. So these medications are kind of, you know, transformational, I guess, in terms of what's going out there in the general public.

But I guess the answer to your question is how does it impact sexual function? And the answer is there are reports that are going both ways. And even most recent conferences and discussions I've been part of. Some will say that it's harmful. Others say there's really no harm. And I can see how at least it could be little harm. If you get a little more fit and your health is improving and you're losing some weight and you're getting your strengths back and you're following a better lifestyle management plan, it may fit hand in hand with just having better outcomes with regard to your erection abilities.

Now, some of the also kind of said, well, there's some suggestion that may have some harmful effects. So I would just have to say just for your audience right now that we just don't have a sense that it necessarily is harmful. It may be beneficial, but we just need more studies. And we always say that. We always need more studies, but I think that that is so here. Yeah, no, and so many people are on it nowadays. But you're saying that it hasn't been studied long enough to know like long-term effects. Well, yeah, certainly with enough, really critically well-done evaluations

without just, you know, some brief observations and not critically evaluating how patients are doing on that. We need more of these kind of studies to really judge whether it's adverse in any way. And what about Viagra and Cialis? I had a couple of people ask questions like, you know, can you take it too much? And if you do, does it lose

it's put, like, does anyone ever get like, oh, it doesn't work anymore because they're using it all the time? Like, is there overuse of those kinds of drugs for people, for guys? Well, I mean, I think there could be to the extent that it may just create some sort of habit form

kind of tendencies. Yeah, of course. The question is, does it really cause, in a biological way, some of the pendants or some other kind of change in the mechanisms of erection? And the evidence is not really clear that that's so. But yes, people may feel that I can't perform in the bedroom unless I have a pill. I think there's even, you know, I hate to say it, these kind of advertisements out there, even 30-olds need to be taking.

Even if their performance is fine. So I think it's creating perhaps a misdirection about what they think they need to be doing with that. But does it really create dependence per se or you really change your biological ability to get erections? No. I think over time, just to make this remark, that over time, guys may say, well, I've been taking it for five years now and it's not as good as it was five years ago. Well, it's not that the medications becoming ineffective or you're developing kind of some sort of body response that makes it less effective. like, you know, drink enough beers every day, you don't get drunk anymore. Yeah.

But the real answer is, is people's bodies may change. Oh, that makes sense. Yeah. And just the efficacy and how well these drugs work just reflects just that the reserve in your body is less to where the medication may not be quite as effective as they used to be. And that's just the reality of living, I think. And are there any side effects that could happen? Like, one of my guy friends was like, oh, I feel like it gives me a headache for

some reason the next day. I mean, is that like one of the possible side effects of like taking a Viagra or Cialis or what are those side effects that typically can happen sometimes to guys? Well, it can happen to a little headache. You know, as we talked about a little while back there, you know, these medications work to make blood vessels open up. We call it dilation. Yeah. And then that's how erections occur, making the blood vessels that generally in a kind of constrictive mode, a little bit more open and the blood flow into the penis create an erection. ability. Well, blood vessels elsewhere in the body also under the influence of these medications can mesodilate, open up, and too much blood flow pumping the head all of a sudden, as

these drugs work in the body, can lead to headache sensations. And we know that probably about one in six men or so can't have these kind of headache sensations. Fortunately, they're transient, meaning that just within a couple hours in general, these medications just have their metabolism and the side effects go away. But, you know, they can't, they can be there along with various other kinds of phenomena that have to do with blood vessels opening, like nasal congestion for something. How do you feel about younger guys taking all these pills and stuff just to, like, have that confidence and know just for like the security of it?

Well, as we've touched on a little bit, I think that it can be habit forming. It can fall into the, you know, the unfortunate kind of, acceptance that you need to have this. Like a placebo kind of making you think and then when you don't have it, you get issues and you think it's because you don't have it, but it's all in your head. Exactly. So all this is there. And then, of course, the bigger picture that we touched on a while it goes is I think, unfortunately, I think our society is creating some new norms that are just not that accurate. Okay, guys, I have good news. Blue Chew has just raised the bar when it comes to performance in the

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Visit Blu.com for more details and important safety information. And I thank Blue Chew for sponsoring the podcast. You think it's because you don't have it, but it's all in your head. Exactly. So all this is there. And then, of course, the bigger picture that we've touched on a while goes is, I think, unfortunately, I think our society is creating some new norms that are just not that accurate. Right. Even for y'all, young guys. That's the only reason why young guys would be taking it, right? Because, I mean, like, there might be those occasional guys, you know, that don't fall into the norm that do have difficulties, right? But typically, guys in their 30s are not having erectile dysfunction,

right? Arrectile dysfunction. More commonly than that, yeah, if you're in that age range, you're generally pretty good health now. There may be some other reasons. Rare causes that that erections are problematic that age, that maybe, you know, like the certain health conditions that are occurring in that age, unfortunately, or prior trauma or this or that. But more commonly, you should be pretty healthy if you're in general good health at that age to be able to have erections. But walk me through, like, you know, I'm not a guy. I've never been to a urologist. I don't know what goes down inside your office. But like for the typical guy, if he comes in and he's having just like regular mild erectile dysfunction, it's starting to happen, you know, what kind of questions

do you ask him? Because are you trying to look for in the beginning? Like, could this be, you know, in his head or like an emotional thing or a physical thing. Do you go right to checking all the physical stuff first? Like how does that all go down? Well, you know, certainly I get a handle on what are we talking about to be for. You know, is it an erection issue? Is it more libido issues? Interesting. Maybe orgasmic issues. There are different aspects of the sexual response cycle as it is for women. And so it's a matter of understanding really what is the sexual function condition. And what kind of questions would you ask to make sure that? they actually even have it correct?

Well, I just ask, you know, to help me, you know, Mr. Smith here? Yeah. Is it trouble with the penis getting firm with sexual stimulation? Is it more of a matter of just sexual interest and not being interested in having a desire for sexual activity? Is it difficulty with truly having the orgasmic experience and how that feels?

And how, so I mean, very direct, not judgmental, not too crude or anything, but just, but just, you know, trying to be a little more specific about what bodily function we're talking about to begin with. Right. So we start with that. And then we carry out the basic clinical history, get a handle on any other health issues that conceivably might be related to dysfunction. Get a handle on the person's just personal and social history and just, you know, a sense of, you know, what kind of relationships they're involved in and how they're trying to behave and perform sexually.

Right. And then we can may then move forward with a brief examination to make sure that body. organs are where they should be. We're not going to be quite as extensive as a primary care doctor doing everything from the head to tell. But certainly, you know, anything that's in the abdomen, in pelvic area, and specifically if there's thought to be a true deformity or a change in the penis, I'll make sure that that patient lets me help him examine the situation and give them some feedback on that.

And then we kind of move forward with, you know, making some recommendations after that. And what is, does it go from like pills to Trimax to surgery, like with the pumps? or anything like after like pills what comes next and what are the different options? Well there are different options out there and then I think fortunately we're in an era of time now we do have some options in our arsenal from where when I trained in the in the 1980s and we didn't have a whole lot that we were really offering them I think was really sound but we do have a variety of options that range from from least invasive like pills to intermediate invasiveness like doing penile injections or even using an external vacuum pump on the penis.

And then the more invasive would be going through a surgery to have a surgical device put in the penis called a penile prosthesis. So all of these are options and it may come down a little bit to patient preference. You know, it may come down to whether the patient explored one or another option in the past or even just say, you know, that one option or another just doesn't appeal to me and I just can't conceive with doing injections or using an external vacuum pump. And so let me just say, you know, move forward. And then also getting a handle on really what's likely to be effective. You know, certainly, as you touched on a moment ago, a man who's a who's, who's a very poorly controlled diabetic for years, he may find that it's very frustrating that to tell him he's definitely

going to respond to oral pills now. Is it worth giving him a trial of it to see what you think? Absolutely. It's so, it's so, you know, minimally invasive, obviously and reversible. But at the same time, you know, you were thinking here, you know, you may want to hear options that are likely to be most effective in your scenario compared to somebody else who may come in who says as transiently good erections, sometimes poor, some relationship issues, pretty good health in general may likely respond to oral medication more than the other patient. But the person not responding to oral, you may try trimex first if they don't want to go right to surgery. Like that could be the next step and the next try?

Sure. So injection therapy like this, you're. we use fancier terms here, but I'll just leave it at that. Yeah. To say that this is an option that may be somewhere between taking pills and going on to surgery. In fact, we have other injectables, too. Trimix is three drugs together, which is, you know, high-octane injectable. Right. There are some other options that involve just one drug or even two drugs, which may be enough.

It's almost like going to the gas pump, and we have different gauges to explore. TriMex is superior. Well, a try mix is three drugs, but it's got as pros and cons. And the issue here is that the three drugs, some of the additional drugs may have additional scarring effects in the penis or make cause for long directions. So things of that sort. It could be a little disruptive to the tissue. It could be mechanical, many just the physical effect of traumatizing the area.

And I can tell you even just being a surgeon all these years. Yeah. And I can tell you, in the emergency room, I've seen, unfortunately, those who have been addicted the medications and injecting their bodies here and there and their arms or legs here and there, you could just see skin pox and scars and things from repeated injections. So traumatizing your body with repeated kind of things

can cause just tissues just to misbehave. Yeah, because it's not once a month. I mean, if they're using that for that issue, it's like every time and that could like add up to a lot of times you're injecting, right? Yeah. I mean, and even though you may use a tiny diabetic syringe, a diabetic needle, and not be the exact same place every time. You know, move around

or onto the side of the penis, toward the base, and not the exact same location every time, but just over time, some guys may get some scarring effects from doing the injection. So tell me a little bit about the pumps, because they do work, right? But it is something that you have to take the time to do, and it has to be consistent, correct? Is that what typically is maybe the reason why some people don't choose that? And is there a pump that you recommend? Well, you're talking about the external vacuum pumps. Yeah. Just make you the distinction between the pumps of the peanut prosthesis,

because that also gets misunderstood. Yeah. It involves some sort of hand action to transfer fluid by pumping with a penile prosthesis device as well, which is different now. This external vacuum pump refers to a vacuum system. Right. Putting a cylinder over the penis, creating a bit of a seal at the base of the penis with the skin area, and then using kind of a, this external,

vacuum system to suck the air out of the cylinder and then lengthen the penis and create engorgement that way. And then a constriction ban is then released from the base of the cylinder to the base of the penis. The whole apparatus is then removed, but the constriction ban is left in place. And therefore, you have kind of an erection-like state that you can use. So that's basically how it works. And, you know, I think it's an option.

It's very effective. It's safe in general. It's non-invasive because it's not a survey. at the same time, it is a little disruptive maybe for spontaneity. Yeah. And the penis may not feel exactly the same way as a natural erection. And we have a bit of a hinge effect with the constriction ban on the base of the penis. So it's got his pros and cons, but it still can work and it's been very effective.

And then when you say penile prosthesis, you're talking about a penis pump, right? a penile pump. Is that the same thing? You're just using a different word? Well, a penile implant. Yeah. It's also the word used. But basically, it's a surgery where we put a device

inside the penis that provides a form of rigidity. It's an internal splint, if you will. Nothing is protruding out of the penis. Nothing looks obvious about a man's body because it's all internal. But you can manipulate the portion of it that's

within the scroll area that that can be manipulated with one's hand to create a fluid transfer that fills cylinders that are put on each side of the upper aspect of the penis. And they're like two long, thin balloons, like almost long hot dogs. And by transferring that fluid from a reservoir that we put up inside the adamant behind the pubic bone about the size of a tangerine, you can transfer a sterile fluid like you have for an IV. IV, you know, when you get IV solutions, intravenous solutions. That's all within this self-contained system.

And then you can transfer a pumping action to make the cylinders and the penis fill up and the penis becomes erect. And then you push it and goes down. That's right. There's a little button release that can allow the fluid to go back toward the reservoir and the penis go back to a deflated position. Yeah. Now, I had a guy on because I do sexual health Saturdays now and I think it's like super interesting. And I had a guy call in and talk about his whole, you know, experience getting one and everything. And I think it's like very extreme for some people, you know.

But for the right person, if they have tried. tried everything and nothing works. It's completely life-changing. I mean, I think it's amazing that they could do that for a guy that has tried everything else, and, you know, because it really works. Well, no doubt. I mean, it's transformative. For many men, I have heard that for many guys in my many decades of doing these surgeries. But, you know, out of all the options we talked about it, this one may be the one that affords the most spontaneity, which sometimes is very much part sexual activity that you're not sending time, oh, honey, I got to go do a needle shot or honey, I got to get a vacuum system or get to the pill and let's hang out for an hour until it really gets

in my system. So this may be one of the most spontaneous options that we can offer, at least with the current offerings of therapies that we have. Is a penis pump covered by insurance for men? Well, it is, at least for the Medicare age range, for sure. Medicare does cover it. Now some insurances that are private insurers may have different restrictions sometimes. And so for some men who are younger may have private insurers, that may be a tougher obstacle to overcome sometimes. Now, the certain health conditions, such as having prior treatments, such as prostate cancer treatments,

so we do know that some men have changes in their erections. And they may have a stipulation that says, okay, as long as that's justified, we can move forward. Yeah. So, so, so, so yes, it's is covered, but, uh, not entirely automatic in every case. Yeah, quick question because a, uh, a listener asks us, I don't even know if I'm pronouncing it. Like, this person is asking about a Venus? Is it called Venus leak? Venice, Venus, leak, be repaired. Okay, I don't even know what a Venus leak is, but he's saying is it can it be repaired if a man is in his 60s? And if so, what's the procedure? And can you please describe it? Sure, sure. So Venus, I guess, uh, that word sometimes, I guess, is, many different kind of interpretations.

I'm not maybe thinking about some sort of goddess. Not spelled that way, though. Yeah, the Venus refers to veins in this instance. And the reason that this has kind of been an understanding about erections as we've come to understand that erections involves blood flow, blood feeding the penis and being retained in the penis, the veins is what typically drains from organs, arteries feed organs, or at least is the blood supply getting into organs. So veins, if veins conceivably are not really occluding,

while that is tightening up and not letting blood drain away from the penis, then this understanding of Venus leak is what has to do with leaky veins that are not sustaining the erection. That's basically the concept. Now, as we have over the decades now thought about this, we have the idea that, well, find the leaky veins, and tie them off or find those veins and block them up or something. Oh, okay.

Don't let them drain from the penis too easily. And more easily said than done is basically the message here. I mean, the way that the erections work is just more complex than just leaky veins. It has to do with how the overall erectile tissue reacts properly and stays in a sustained kind of dilated mode and all these kinds of things with all the erectile tissue, the spongy network of tissue up inside the penis out while all that works. And so all of these factors are indicate a more complex scenario of how erections are. So just trying to go in and tie off veins and so forth has been explored and has not been very successful.

And for the man who may have a more severe degree of erectile dysfunction that comprises just the erectile tissue is not behaving right overall, blood muscles aren't working right. you know, maybe the, you know, with diabetes or bad cardiovascular disease, the tissue itself is not that responsive. And just tying off leaky veins alone will not succeed. So they've kind of been there, done that. I think we've got a, in our field, kind of said venous leak kind of surgeries just don't always really work. And so we've just kind of had to thought and think to move forward with how we can try to possibly make the help. the erectile tissue, the recover its health again. And there's interesting science of stem cells and other things we're trying to work on to rejuvenate

penile tissue. Oh, wow. Now, whether that can be something that, you know, we can say is going to be immediately here, my sense is these are exciting scientific directions, maybe being shown in laboratory studies and with tissue responses and animal work and things of that sort, how well it's being shown in humans may still be some decades away. but we're trying to figure out how we can make the overall tissue more healthy in addition to just preserving health as we talked about throughout our talk already.

Yeah, listen, I've never even heard of that. Is that something common that happens with, like, when guys get a little bit older? In terms of Venus Leak Disorder, do you mean? Yeah. Yeah, I think it is common because, but I think it's mis-misrepresented as to what it is. I think that when a guy says, I can't keep my erections well. I can get an erection. I get stimulated.

My partner will be ready to go, but then it just goes down too quickly. And so there must be leaky veins. And so a lot of guys have that kind of clinical presentation. But I think it's just more complex, as we're discussing it here, than just leaky veins. It may have to do with just how the overall erectile tissue is not that healthy anymore. And how that spongy network within those long corporal bodies within the penis that have to become erect with blood filling these areas, it's just not that responsive. It's gotten a little bit more, you know, less elastic, more like an old rubber band than the soft rubber band that you had, you know, decades earlier in life and things and that sort.

And so just trying to think of just a matter of it's not being sustained because veins are leaking. That is really underestimating the complexity of the problem. Wow. So that person needs to go to the doctor to get really figured out exactly what it is? Well, sorted out a little bit more, but also comes to. in terms of the fact that it's just not a matter of simply, yes, tie off some veins, Doc, I came in your office just for this Venus leak problem. It may just be that the overall erection mechanism is problematic,

and we have to talk about what our options are, and some of those men may have to go into injections, maybe even try mix among the injections, and maybe even have to go on the peanut prosthetic surgery. Last question, like, are there warning signs, like, because a lot of guys might have a little ED, they're getting a little older, like, this is normal. I'm just going to, you know, take some Viagra, Cialis.

Like, you know, are there any kind of warning signs that would go with that, that would make someone, a man, realize, like, oh, this might be something more serious, like cardiovascular disease or something related to something else? Well, I guess the answer is that, you know, certainly younger men, you say men getting in their 40s and, let's say, in that age range, if they're really having a lot of trouble with erection difficulties, then I really think that something more serious might be going on. Right. And the older guy getting in his 60s and 70s, it may be in the 50s.

He may even start to have some erection difficulties, but that may be a little bit of a less significant issue, although it may still be cardiovascular. It may relate to circulation and so forth, but it may just be a gradual change in that age range. but if you have profound difficulties in your 40s and it's really consistent you know you lost morning time erections is very clear that you're just not sustaining erections then something more serious may be going on and certainly get evaluated. A quick question because blue chew is one of my sponsors and they just came out with blue chew gold, you know, and it's like they're it's not just it's like they added in apomorphine and oxytocin. Do you know about that? And like you know, how is that different? Oh, these additional chemicals in the body. that, you know, may offer some additional effects on making blood vessels open up. Yeah. And even some of these brain centers where there are various chemicals, neurochemicals, as we call them,

that are active in the sexual response, they are still learning how to exploit that, how to develop drugs that can mimic some of these effects. so maybe these are things that are potentially going down that path. So as somebody, this is my last question, as somebody who was like a pioneer and getting like Viagra and this stuff out there to guys, like how do you feel about it now and where it's gone and, you know, how guys use it and everything? I mean, do you still love that it's out there for guys and believe in it?

Oh, I'm absolutely supportive of the medication. But just, but again, being a responsible physician and also trying to create proper expectations for patients. Yeah. I mean, one thing I've learned in my, I think, the 40-plus years of being a physician and surgeon is that I want patients not to be misguided. And I want them to be counseled whereby they feel that that they have my trust and that I'm really giving them the best correct information about how their bodies work and how they

should maintain their best health. And not just going by like what you said society is skewing sort of the way that people are looking at their erections and their performance in the bedroom and all that kind of stuff. Yeah, yeah, absolutely. All of that. Yeah, I told you before, like my 10-year-old son is already asking about his penis and how big it's going to get and everything. And I'm like, where the fuck is he getting this? You know, at such a young age and it's so sad that at that age, like, you know, maybe from the YouTubers he's watching or something that it's already getting in his head, you know, and it's such a big thing for God. guys already and it seems like it's worse if my 10 year old knows about it. Do you know what I'm

trouble because I think that's that's there's more to know what even 10 year old should be thinking about and getting at the right direction of where their sense of manliness needs to go. Yeah, yeah. No, I know it's crazy. You got to watch out for you know for sure. But anyway, so listen, do you have like any kind of I mean, you just are a guest on podcast? Do you have any kind of like socials or anything you want to promote or talk about? Do you want to. Do you want to Tell people where you're located if they want to use you. I don't know. Like give your shoutouts if you have any.

Yeah. Well, I mean, certainly in this modern age of social media, everybody can look each other up on, you know, Professor of Urology here at John Hopkins Hospital. Dr. Arthur Burnett. You can just look me up. I got multiple books out there.

You can look them up on Amazon.com. The Manhood RX is one I heard about two years ago. We're working on another one. Oh, explain what that's about for guys, because my audience always buys books. Yeah, so Manhood RX is playing off of Manhood prescription. Yeah. And I intentionally wrote it that way because it's really a prescription from somebody that I hope brings some credibility about advice.

Yeah, yeah, love it. And basically just tells about penal disorders and erectionability and just general health issues in men. a little bit on the side of just understanding the real clinical aspects of one's health. We're going to work on a new book that's going to come out that's going to really give some more societal guidance. But just for men who have anything from, you know, penile disorders, erection problems, post-prosate cancer treatment disorders, penal deformities like Paironi's, disease that's common out there. Yeah.

Pick up the book and it'll give you some truth about what it is and then how you go about trying to address the problem. Great. And so maybe I'll put the link to your book in the description. Sure. Yeah. Yeah. Yeah.

So they could get so much more information from you in that great book. The Manhood R. X. And then I'm assuming that your name on there will show all the rest of the books that you have. Just not just that book? Oh, sure. Absolutely.

Yeah. I said it'll be right there. I love it. Well, thank you so much, Bud, for coming on, Dr. Arthur, Bud, Bernard. I have a large male audience. They're going to love this episode. You're super interesting.

You've done amazing things I could tell you're super smart. And thanks for coming on the show. Well, you've been wonderful to have a great show with. And I hope your audience will gain something from our time together. They will. Thanks so much for calling in, Bud. Take care. All right.

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There's a hot wife. There's a cock. There's a bull. There's a bunch of swingers. There's a gang bang girl. There's a gilf porn star. There's a girl that fucked her best friend's mom from high school. All those stories are in the book and they're all true.

Think Penhouse Forum meets my show. That's the vibe of the book. I am giving anyone who buys my book. Okay, I just want to tell you before you go that my book, it's called Strictly Anonymous Confession, Secret Sex Lives of Total Strangers, is now available not only in paperback and ebook, but you can pre-order. the audio book. It's still not going to be out until August 25th, but you can pre-order it. The book is basically 17 different stories taken from my show. I kind of picked one story from each category

that I talk about on my show. Like there's a hot wife story. There's a cuck queen story. There's a cuck story. There's a gang being girl story. Like I said, 17 stories. And they're all told in the third person. And they're all true. I took the interview and re-roval. wrote it in the third person. And I wouldn't really call it like a total erotica book. Think like Penthouse letters. It's more direct. It's not so over the top like erotica. I don't really like that kind of vibe, right? But these are true stories. 17 of them. They're really short. Chapters, easy read. You could read, you know, one or two and then skip around. You could read the whole book. It's available in eback format, paperback format. And finally, the audiobook is available.

ball coming out August 25th, but you could pre-order it now. And if you buy my book in any format or pre-order it, I will throw in a complimentary link to my Discord. My Discord does not disappoint. Okay, there's no way you get into my Discord any other way than getting the link from me. Okay, I give it to people who buy my book. There's tons of people in there. Everybody shares content with each other, and that's what you get to do there. You could post your own pictures and videos. There's tons of channels. We have lots of contests where you can win a lot of money. It's a super fun place to be. It's a total strictly anonymous community and you will love it. I will be giving anyone who buys my book access to my Discord. It's private, like I said. All you got to do is email me a screenshot

of your purchase, whether you did the audiobook, the ebook or the paperback. Send it to me at Strictly Anonymous Podcast at gmail.com. That's strictly anonymous podcast at gmail.com. and I will send you the link to Discord. So anyway, thanks so much for tuning in. This is the Strictly Anonymous podcast. Complementary access to my private Discord, which is super fun.

The only way you get in is through me. If you purchase the book, send me a pick of your screenshot, email it to me at Strictly Anonymous podcast at gmail.com, and I'll send you a private link to my Discord. So if you want to buy the book, just go to the description and click on the link.