Episode 458: How Erections Really Work (And Why They Fail)

What actually has to happen inside the body for an erection to occur? And what is the most common cause of erectile dysfunction (ED)? In today’s show, we’re diving into the science of how erections work, as well as why men sometimes struggle to get or maintain them. We’ll also unpack some common misconceptions about ED and discuss why the standard “just take a pill approach” overlooks a bigger issue. My guest is Dr. Elliot Justin, the CEO and founder of FirmTech , a sextech company focused on keeping men fit and firm for a lifetime of lovemaking. He is an Emergency Medicine specialist and healthcare technology consultant who has spent 25 years practicing emergency medicine and directing ERs. Some of the specific topics we explore in this episode include: What are the biggest things people get wrong about erectile dysfunction? What is venous leak, and why is it such an under-diagnosed contributor to ED? Why do nighttime erections happen, and what do they tell us about men’s health? What’s the problem with using pills as a one-size-fits-all solution to ED? Check out FirmTech’s website to learn more and use code JUSTIN15 to save 15% off your purchase. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors! The Kinsey Institute is where the world turns to understand sex and relationships. You can help continue its expert-led research by donating to the Kinsey Institute Research Fund. Learn more and make a donation here: https://give.myiu.org/centers-institutes/I380010749.html Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook , Twitter , or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram . Listen and stream all episodes on Apple , Spotify , or Amazon . Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.