SHOW / EPISODE

434: Your erection is about more than just blood flow - this is a critical missing element (ft. Dr. Luke Adler) [replay]

1h 31m | Oct 9, 2026

First some stats on premature ejaculation, delayed ejaculation, and erectile dysfunction:

  • Close to 33% of men don’t respond to Viagra or Cialis, and a full 50% of men who start on them quit within a year or less of use
  • Premature ejaculation (PE) is the most common sexual dysfunction in men on the planet
  • The NIH estimates that erectile dysfunction (ED) affects as many as 30M men in the U.S. alone.
  • According to the International Society for Sexual Medicine, 1-4% of men struggle with delayed ejaculation (DE). One man in a sexual health forum said DE has “lost me relationships and destroyed my sexual confidence,” even though he feels confident in every other part of his life.

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So likely hundreds of millions of men are dealing with these issues worldwide ... yet most feel deeply alone. It's easy to feel stuck, powerless, and anxious or depressed (or both) when you don't feel like you have control over your own body. It can feel like, “What is wrong with me??”

There's nothing wrong with you -- and we need to talk about more than just the physical, mechanistic components of the solution.

Enter Dr. Luke Adler. As a doctor of Chinese medicine, Luke sees what most Western approaches miss. As he puts it, “Western medicine has reduced it to it being all about blood flow...” -- and he’s here to show you the rest of the picture.

In this episode, Luke reveals the one overlooked thread that runs through ALL sexual dysfunction. He also gets into why a childhood message like “Be a good boy; we have to take care of mom” might be showing up in your bedroom decades later, and what it means when your body is carrying “an energy of oppression.”

Plus, hear from one man who’d tried naturopaths, Western doctors, and every supplement out there with zero results -- until something finally shifted. In his words: “I would have paid $100,000 for that result!”

Come to the upcoming masterclass: From Stuck to Satisfied

On Sunday, October 18th from 1-3p PT / 4-6p ET I'm teaching a masterclass all about the #1 pattern I see in the men that get UN-stuck in love, and get into sexually & emotionally rewarding relationships. Register for that at www.melaniecurtin.com/satisfied. It's $55, but if you use code DEARMEN it'll drop to $33.

Memorable quotes from this episode:

  • “Like many things in this field, men tend to not come forward around it.”
  • “I developed a fear of having sex.”
  • “The core of its energy is that it has no heart for me.”
  • “My tissues could finally receive the medicine.”
  • “It was a miracle in a lot of ways.”
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Dear Men: How to Rock Sex, Dating, and Relationships With Women
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