Erectile dysfunction (ED) and performance anxiety affect countless men, yet many suffer in silence—feeling ashamed, confused, or alone. As a certified sex therapist, I frequently hear the same core concerns: “Is this normal?”, “Is it in my head or my body?”, “Can I talk to my partner about this?”, and “Will I ever feel like myself again?”   The truth is, ED is incredibly common and often caused by a mix of physical and psychological factors. Even when a doctor says everything looks fine physically, stress, shame, and fear can disrupt sexual function. That’s where therapy comes in—not just to talk, but to understand the root causes and offer real, evidence-based tools for healing. Opening up to a partner can be tough, but silence only adds to the tension. Therapy can also help with communication strategies that bring couples closer together. The good news: ED is treatable. With the right support, men can rebuild confidence, restore intimacy, and redefine what "normal" means in their sex lives. For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

In this special episode of the Erectile Dysfunction Radio Podcast, host and certified sex therapist Mark Goldberg opens up about how he began helping men with psychogenic erectile dysfunction (ED) and premature ejaculation. Originally trained as a couples therapist, Mark began to notice a recurring, often unspoken pattern in his sessions—men quietly struggling with sexual performance, not due to a physical issue, but because of anxiety, pressure, and disconnection.   These conversations revealed a critical gap in support: while many men had seen doctors and tried medication, they still felt lost and ashamed. Mark realized that the traditional medical approach wasn’t enough. What was needed was a space where men could talk openly and safely about their experiences, and where emotional, psychological, and relational factors could be explored without judgment.   For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Today we are joined by Dr. Robinson, a naturopathic doctor specializing in longevity and sexual wellness, shared insights on how hormones impact men’s s*xual health. With 36 years of experience, he highlighted the importance of key hormones like testosterone and estradiol in maintaining sexual function and overall vitality. Hormonal imbalances can lead to s*xual performance issues, fatigue, mood swings, and metabolic disorders like weight gain and high cholesterol. Dr. Robinson also explained how stress, caused by elevated cortisol, can block testosterone’s effectiveness. For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/    

Today we are joined once again by Dr. Shy Krug, a psychologist and certified sex therapist with a group practice in New York and New Jersey. Having spent nearly eight years at the VA in the Bronx, Dr. Krug has extensive experience working with veterans across the continuum of generational and combat experiences. His expertise in understanding how military culture, trauma responses, and mental health challenges impact sexual function has made him a valuable voice in this often overlooked area of veteran wellness.   For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

Today we are joined by Dr. Elliot Justin, an emergency medical specialist, entrepreneur, and the founder of FirmTech, a company specializing in biofeedback devices for sexual health. With a background in telehealth and remote patient monitoring, he has spent years exploring innovative ways to track and improve men's wellness. Today, his work is revolutionizing how we diagnose and treat erectile dysfunction (ED). For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/    

Today we are joined once again by Dr. Ariel Moradzadeh, a board-certified urologist practicing in Beverly Hills, California, who specializes in men's sexual health, explains that Peyronie's disease affects approximately 1 in 10 men in America and is characterized by acquired penile curvature due to plaque formation in the tunica albuginea (the lining of the corporal bodies). This condition is distinct from natural penile curvatures such as congenital chordee or corporal mismatch that are present from birth. For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

Dr. Justin Dubin is a board-certified urologist and passionate advocate for men's health education. After completing his training at institutions including Johns Hopkins, University of Miami, and Northwestern, he now practices at Memorial Health Care Systems in South Florida. As the host of the "Man Up: A Doctor's Guide to Men's Health" podcast, Dr. Dubin works to destigmatize men's health conversations and provide accurate medical information.   For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Sexual satisfaction is vital in relationships, but differing expectations can create challenges. Certified sex therapist Mark Goldberg discusses two key approaches: Good Enough S*x and Expansive S*x. Understanding these can enhance intimacy and address sexual dysfunction.   Good Enough Sex This approach emphasizes routine and predictability. Individuals who prefer good enough sex find comfort in familiar experiences, leading to reliability and efficiency in intimacy. While this can strengthen a couple’s bond over time, it may also lead to sexual stagnation, boredom, and decreased arousal if variety is lacking.   Expansive Sex In contrast, expansive sex involves exploration and novelty. Those with an expansive approach seek new experiences to maintain excitement and psychological engagement. While this can enhance pleasure and connection, it may also create pressure, especially if one partner struggles to keep up with evolving desires. This pressure can contribute to performance anxiety and even erectile dysfunction. For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

Today, we are joined by Rafi Billick, a couples therapist based in Baltimore and author of "Couples Communication Handbook: The Skills You Never Learned for the Marriage You Always Wanted." With years of experience helping couples at every stage of their relationships, from newly engaged to decades-married, Billick emphasizes that the foundation of all successful relationships lies in empathy. Many relationship experts believe that empathy lies at the heart of every successful relationship. Through years of clinical observation, therapists have discovered that the ability to truly understand and feel what a partner is experiencing creates the foundation for lasting connections. As a sex therapist, I’ve seen how political differences can create stress between couples. When partners don’t agree on politics, it can lead to arguments and distance. That’s why empathy—being able to understand and respect how someone else feels—is so important. Even if you don’t agree, showing kindness and care can help keep your connection strong. For more free erectile dysfunction education and resources, please visit: https://eiqmen.com/   Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

The 2024 election was one of the most heated in history, ending with Donald Trump’s win. No matter which side you’re on, the emotions are strong. Some people feel happy and relieved, while others feel upset and worried. This mix of feelings can cause tension not just in communities but also in families and relationships.   As a sex therapist, I’ve seen how political differences can create stress between couples. When partners don’t agree on politics, it can lead to arguments and distance. That’s why empathy—being able to understand and respect how someone else feels—is so important. Even if you don’t agree, showing kindness and care can help keep your connection strong. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

We are delighted to have Dr. Josh Schammel back with us. Dr. Josh Schammel is a fourth-year urology resident at Albany Medical Center specializing in infertility, sexual medicine, and andrology. He will be joining us today to discuss testosterone levels and who may benefit from testosterone treatment. Testosterone is often called the "male hormone" for a reason—it plays a crucial role in overall health, sexual function, and well-being. Produced primarily in the testicles, testosterone is responsible for puberty changes, maintaining energy, muscle growth, libido, and even mental health.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/    

Mental health is deeply connected to s*xual health. Challenges like anxiety and depression can directly impact s*xual function, while unresolved s*xual health issues often exacerbate mental health struggles. The quicker individuals seek help, the better their prognosis. Prioritizing mental well-being is not just about avoiding catastrophic outcomes but enhancing overall quality of life.Globally, healthcare systems face challenges in providing affordable, accessible, and comprehensive s*xual health support. For example, treatments for erectile dysfunction (ED) like PDE5 inhibitors (e.g., Viagra) are rarely covered by insurance, despite being widely recognized as essential for many. This lack of coverage creates barriers for individuals seeking treatment and highlights systemic inequities.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Today, we are joined by Patrick Alonso and Cameron Carrothers, pharmacists and hosts of the Men's Health Unscripted podcast. Patrick and Cameron are passionate about empowering men to explore their health and wellness beyond prescriptions and diagnoses. Together, they delve into the critical connection between mental health and sexual function, offering unique insights and actionable advice.   Mental health is deeply intertwined with s*xual well-being, particularly for men. The unresolved mental health issues such as depression, anxiety, and even stress from daily life can significantly impact not only a man’s ability to perform but also his overall desire and connection during intimacy. Today’s digital world can dull emotional and physical responses, making it harder for men to fully engage with their partners. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Today, we are joined by Dr. Jenn Bossio, a highly regarded clinical and health psychologist based in Ontario, Canada. Dr. Bossio joins us today to discuss cognitive behavioral therapy as a treatment for psychogenic er*ctile dysfunction.   Er*ctile dysfunction (ED) can have various origins, including psychological and physical factors, yet many treatments tend to focus on the physical aspect alone. In clinical practice, shifting focus from achieving a “perfect” er*ction to enjoying intimacy can relieve performance anxiety and often leads to better s*xual experiences for both individuals and couples.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

In this episode, we dive into Seasonal Affective Disorder (SAD), a form of depression that many experience, particularly during the winter months. This condition can bring on low moods, irritability, fatigue, and changes in sleep or appetite due to decreased sunlight and shorter days. For those affected, SAD often leads to a feeling of "hibernation," where energy levels drop, and motivation wanes.   The consequences of SAD are not limited to mood; they can also extend to sexual health. Depression and fatigue can significantly impact libido, lowering sexual interest and activity. It’s common for men to experience a decline in libido or even erectile dysfunction as energy and mood diminish. Furthermore, SAD doesn’t just affect individuals—it can impact relationships too. Partners may notice changes in sexual routine or emotional responsiveness, and this shift can strain intimacy.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Today, we are joined by Dr. Josh Walters, a physical therapist from Fort Worth, Texas, who will share a unique view on the connection between physical fitness and sexual health. He specializes in male pelvic health and sports therapy, and as a USA weightlifting coach, Dr. Walters knows how exercise affects both our mind and body.Recent research has shown strong connections between regular exercise and improved mental health. Whether it's cardiovascular exercise, resistance training, or even tai chi, physical activity helps regulate stress, boost mood, and enhance overall wellbeing. Dr. Walters emphasizes that consistency matters more than perfection when starting an exercise routine. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

Today, we are joined by Dr. Petar Bajic, a board-certified urologist and director of the Cleveland Clinic Center for Men's Health. With his expertise in men's s*xual health, Dr. Bajic offers valuable insights into Peyronie's disease, a condition that affects up to 1 in 10 men.   Peyronie's disease, which affects up to 1 in 10 men, is often misunderstood and underdiagnosed. This condition causes penile curvature and deformity, but its impact goes far beyond the physical. Many men feel shame or inadequacy, even with mild cases. Interestingly, partners are usually less concerned than the affected individuals.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

A growth mindset helps people see challenges as opportunities to learn and grow, even in difficult times. Instead of feeling defeated, those with this mindset look for ways to adapt and solve problems. This is especially important for men dealing with erectile dysfunction (ED), as it can prevent feelings of helplessness and frustration.   In contrast, a fixed mindset can lead to negative emotions like self-doubt and hopelessness. Men with ED who have a fixed mindset may believe nothing can improve their situation, which only adds to their anxiety and stress. This cycle of stress can make ED even harder to manage.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

We're excited to bring back one of our most popular episodes on the Erectile Dysfunction Radio podcast! This discussion dives deep into body image, penis size, and how these factors affect sexual performance.    Let’s break down misconceptions, anxieties, and facts surrounding penis size and its impact in the bedroom. Whether you're dealing with performance concerns or just curious about the topic, this episode is packed with valuable insights and advice.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Today we are joined by Dr. Joel Hillelsohn, a board-certified urologist at New York University Medical Center. He also serves as a clinical assistant professor at the New York University Grossman School of Medicine. Dr. Hillelsohn joins us to discuss the BPH treatment options and which ones are best suited to facilitate good er*ctile function.   Benign prostatic hyperplasia (BPH) is a common condition affecting many men as they age, causing urinary symptoms and potentially impacting s*xual function. While medications like Flomax and finasteride are often prescribed as initial treatments, they can have side effects such as retrograde ejaculation or decreased libido.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It’s 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/