In this refreshingly honest episode, Melissa chats with the inspiring and trailblazing Dr. Amy Pearlman—a US-based female urologist, twin, and co-founder of the Prime Institute in Florida. Known for her progressive and patient-first approach, Amy opens up about her journey into men’s health, the procedures she performs (including penile girth enhancement), and the power of confidence in sexual wellbeing.  This episode dives deep into:  Why Amy chose a career in urology  How penile enhancement treatments like hyaluronic acid fillers are helping men regain confidence  The rise of penile retraction as a commonly ignored concern—and what can be done about it  Using tools like Restorex and vacuum erection devices for rehabilitation and enhancement  Why Botox for the penis (Bocox) might be the next frontier in treating ED and penile retraction  The role of filler sleeves in preserving shape post-injection  Her concierge model of care and how it allows for more personalised, holistic men’s health treatment.  Dr. Pearlman also busts myths and shares real-world insight from her clinical experience. Melissa shares a fascinating case of six men from Papua New Guinea searching for penis enlargement in Perth!  Key Topics Covered:  Penile girth enhancement with hyaluronic acid filler  Filler safety, reversibility, and realistic expectations  Why sexual confidence matters in treating premature ejaculation  Treating penile retraction and post-surgical shrinkage  Erectile dysfunction therapies: PDE5 inhibitors, daily tadalafil vs. on-demand Spontan spray  How Dr. Pearlman learned procedures after formal training—and why that matters  The difference between snake oil and real innovation in men’s health  Cosmetic urology vs. functional outcomes: bridging the gap    About Dr. Amy Pearlman: Amy is a board-certified urologist, medical educator, and co-founder of the Prime Institute. Her career spans academic medicine, transgender surgery, male sexual health, hormone therapy, and now cosmetic urology with a focus on confidence, body image, and function. Known for her progressive mindset, Amy trains other professionals and speaks globally on men’s health and innovation in urological care.  Prime Institute: www.theprimeinstitute.com  Follow Amy on Instagram: @amypearlmanmd  Resources & Links:  Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic  For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au   Listen & Subscribe  If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app.  Connect With Us  We love hearing from real people navigating penile health—just like Amy If you’d like to share your journey or ask a question, get in touch.  Email: admin@melissahadleybarrett.com Website: www.rshealth.com.au  Websites:  https://rshealth.com.au/    https://makehardeasy.com.au   https://melissahadleybarrett.com   http://prost.com.au/  Facebook:  https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/  https://www.facebook.com/profile.php?id=100085146627814  Instagram:  https://www.instagram.com/melissahadleybarrett/  https://www.instagram.com/restorativehealth.clinic/  TikTok: @melissahadleybarrett  YouTube: Melissa Hadley Barrett  Linkedin:  https://www.linkedin.com/in/melissa-hadley-barrett/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA