Sex therapist Jessa Zimmerman interviews Johns Hopkins urologic surgeon and researcher Dr. Arthur Burnett about erectile dysfunction from a holistic biopsychosocial perspective. Burnett explains how erections work as a vascular function regulated by the nervous system, and how physical factors like hypertension, atherosclerosis, diabetes, cardiovascular disease, and nerve or hormone issues can interfere. They discuss how stress and performance anxiety can biologically affect erections via adrenaline, and how oral medications like Viagra and Cialis work by reducing a “brake” in the erection pathway, though effectiveness can change as overall health changes. Burnett emphasizes thorough assessment beyond quick prescriptions, including counseling when appropriate, and reviews a treatment ladder from lifestyle changes to oral meds, vacuum devices, penile injections, and penile implants, noting implants typically preserve sensation and can reduce anxiety when expectations are realistic.
00:00 Show Introduction
00:43 Meet Dr Arthur Burnett
01:43 Why Study Erectile Dysfunction
03:30 How Erections Work
05:43 Physical Causes of ED
06:56 Nerves Orgasm and Erection
08:03 Holistic Assessment Approach
10:56 Stress Anxiety and Viagra
13:07 Mid Episode Substack Break
13:47 When Therapy Helps
15:12 Lifestyle Changes That Improve ED
17:42 When to Use Medical Treatments
18:55 When Pills Stop Working
20:08 Second Line Treatment Options
22:44 Considering Penile Implants
24:09 Implant Sensation and Expectations
26:52 Choosing the Right Urologist
28:54 Where to Find Dr Burnett
30:14 Closing and Credits
Visit Jessa’s substack: https://www.intimacywithease.com/substack
Bio:
Arthur L. “Bud” Burnett II, MD, MBA, FACS, is a globally recognized Johns Hopkins urologist, researcher, Viagra Pioneer and educator whose pioneering work in men’s health and erectile function has transformed care worldwide.
