Does Erectile Dysfunction Take the Spontaneity Out of Sex?

Many people think sex should just “happen.” But for men with erectile dysfunction (ED), it often needs planning. This study looked at 1,575 men ages 30 to 70 from eight countries. All were using ED medications like sildenafil. Researchers asked how ED affects their sex lives, including how often they plan sex and why.

The results were very clear. About 87% of men said they plan sex ahead of time. Around 1 in 3 planned specific days, and 4 in 10 planned exact times. The main reason was medication. About 48% needed time to take their pill, and 43% had to wait for it to start working. Others planned based on convenience or their partner’s schedule.

Even more interesting, this was true no matter what type of ED medication they used—short-acting or long-acting. So what does this mean? ED is not just about erections. It can change how sex happens. Planning can take away some spontaneity and add pressure. Bottom line: ED really sucks.

If you’re looking to learn more about erections and how to improve them naturally, with medications and other treatments check out my erectile mastery course. One time purchase that’s gets you access to a self-paced course and all updates for life.

Can Pelvic Floor Muscle Therapy & Electrical Stimulation Help Women Feel Better During Sex?

This study looked at women who have an overactive bladder and also struggle with sexual problems. It tested two treatments: pelvic floor exercises (to strengthen muscles) and gentle electrical stimulation (to help activate nerves). The goal was to see if using both together works better than exercises alone.

The results were clear. Women who used both treatments together had better sexual function. They reported improved arousal, better natural lubrication, and more overall satisfaction. This likely happened because the treatment helped both the muscles and the nerves that play a role in sexual response. The most helpful approach was the combination of pelvic floor training plus electrical stimulation, not just one by itself. This means doing both may give better results than doing exercises alone.

This week, someone asked me, “Dr. Malik, I am 82 years old. I have ED. I have read about the side effects of Ed medication and I don’t want anything to do with them. Is there any natural remedies For Ed? How can I get them.”. There are natural approaches that can make a real difference, like regular exercise (>150 minutes a day), good sleep, and a heart-healthy Mediterranean-style diet rich in fruits, vegetables, whole grains, and nuts, which can improve blood flow and support erections over time. Additionally, managing blood pressure, cholesterol, and blood sugar is also key. Be cautious with supplements, as many aren’t well-regulated, and consider a vacuum erection device as a safe, non-drug option.

Watch this YouTube Video to learn more.

I love hearing from you, so if there’s a question you’ve been wanting to ask, just let me know. Who knows? Your question might be the one I dive into next!

I’m about to head on vacation for Spring Break and I’ll be speaking at the American Academy of Anti Aging Medicine Longevity SpringFest 2026. I’l be speaking alongside leading experts in longevity science as we explore transformative content covering precision medicine, regenerative therapies, and innovative strategies that redefine aging and wellness. Wish me luck!

Here’s a quick, easy-to-understand recap from my chat about whether sex or masturbation before exercise is actually bad for your performance. “The evidence does not support the idea that this is going to hurt you or hurt your performance. If anything, the data may trend in the other direction."

Here are your fast takeaways:

Bottom line, don’t stress about this pre-game myth and just do what feels right for you. Check out the whole episode if you want to learn more!

My latest conversation with Dr. Irwin Goldstein, a leader in sexual medicine, is about orgasms, medications, and why sexual health matters for everyone. Dr. Goldstein shared some thought-provoking wisdom, including “Providing oxygen to your brain is good. Dementia is bad. There’s reasonable information that the more orgasms you have, the more brain oxygenation you provide, the less brain dementia you’re going to have.”

We dove into topics like:

Dr. Goldstein’s passion shows there’s real hope and expert care for sexual concerns. Don’t miss this episode if you want honest answers and fresh perspectives on sexual health!

Curious if the “little pink pill” can really boost female libido? Check out my new Substack: Is the “Little Pink Pill” Right for You? A Urologist’s Guide to Female Libido Solutions.

In this article, I break down how flibanserin actually works, what the research shows, and what every woman should know before considering it—so you can make informed, confident decisions about your sexual health.