Kat on the Loose: THE TROPHY AKA THE PENIS
Host: Kat Zammuto
Guests: Dr. Fenwa Milhouse (Board-certified urologist, TLC’s “Dr. Down Below”) & William (Bill) Moore (Founder of Advanced You & Phallofill)
Date: July 10, 2024
Episode Overview
Kat Zammuto leads a candid discussion on men's sexual health, focusing on the critical—yet often stigmatized—role of the penis in men's self-esteem, relationships, and quality of life. The episode brings together medical expertise and real-life biohacking insights to demystify male sexual health, discuss erectile dysfunction (ED), penile enhancement, and break down the shame and taboo around these topics for both men and women.
Key Discussion Points & Insights
Breaking Taboos Around Sexual Health
- Stigma & Shame: Dr. Milhouse and Kat explore why open conversation about sex, and specifically men’s sexual issues, remains difficult. Historically, anatomical terms were even given names rooted in shame (e.g., the "pudendal nerve" translates to "shame nerve").
- [07:56] Dr. Milhouse: “It is weird. Why is this part of our body attached to shame? It has a purpose. Yes, it has a purpose.”
- Impact on Seeking Help: Many men are embarrassed to discuss or seek help for sexual issues, even among close friends or partners.
Representation in Urology & Medicine
- Dr. Milhouse’s Journey: As a Black woman in a male-dominated medical field, Dr. Milhouse was inspired by seeing representation in her field.
- [04:17] Dr. Milhouse: “I googled it, I saw men…older white men, being like for men by men. And so I immediately cropped [urology] off my list…And then a Black woman, Dr. Westney, gave a lecture, and I thought, who is this urologist and why does she look like me?”
Normalizing Conversations & Encouraging Help
- You’re Not Alone: ED, leaky bladders, and difficulty with sex are common, but not “normal” or something to silently accept.
- [08:47] Dr. Milhouse: “What you are dealing with is far more common than you probably think it is. Now, common doesn’t make it normal... Let's normalize the conversation, but let's not make it like an exception.”
- Quality of Life: Addressing sexual health isn’t “frivolous”—it's about improving daily life and relationships.
Erectile Dysfunction: Beyond the Blue Pill
- Root Cause Analysis: A good specialist goes beyond a quick prescription, looking at lifestyle, psychological, and relational factors.
- [11:20] Dr. Milhouse: “A good urologist…is taking a health inventory. Do you smoke? Do you exercise? Do you like the person you have? All of these things…Maybe you have body image issues. Maybe you have performance anxiety.”
- Treatment Options: While Viagra and similar meds are common, there are multiple treatment avenues, including new restorative therapies.
Age, Sex, and Vitality
- Never Too Old: Men (and women) often wrongly write off their sex lives in their 40s or 50s.
- [13:22] Dr. Milhouse: “Even 78-year-olds, 80-plus-year-olds…[can have healthy sex lives]. Just because you're older doesn't mean you have to live without an important part of human behavior.”
Testosterone Replacement: Safety & Stigma
- Misconceptions: There’s less to fear if done and monitored correctly. Untreated low testosterone can harm mental and physical health in both men and women.
- [15:34] Dr. Milhouse: “Untreated low testosterone in men is associated with increased risk of depression and actually decreased life expectancy.”
- [17:04] Dr. Milhouse: “Testosterone is extremely important…for both men and women. For brain function, bone function, muscle function, and it's the key hormone for sexual desire.”
The Power of Media & Representation (Dr. Down Below)
- Destigmatizing via TV & Social Media: Dr. Milhouse uses her platform to be frank and approachable with language about sex and bodies, making information accessible for all.
- [20:35] Dr. Milhouse: “I'm not afraid to say dick…Not afraid to make myself the butt of the jokes in a way to help not joke about a patient but to bring levity…”
Biohacking & Male Enhancement (with William "Bill" Moore)
- Biohacking Defined: Using advanced technologies to reduce inflammation, boost mitochondrial activity, enhance performance and longevity not possible in a typical gym or home setting ([27:13]).
- Phallofill & Girth Enhancement:
- Focuses on increasing penile girth—not length—using fillers (lasts 3-4 years; regular maintenance recommended every 12 months).
- Procedures are handled by male team members who’ve undergone the process, making the experience less intimidating ([29:12], [30:36]).
- Candidates are most men, barring specific medical issues (bleeding disorders, prior reconstructive surgery).
- Erectile Dysfunction Solutions:
- Biohacking approaches include:
- Acoustic Shockwave Therapy: Sound waves loosen plaque, promote blood flow; described as pain-free, akin to a back massager ([36:54]).
- Stem Cell/Exosome Injections: Encourage tissue rejuvenation; minimally painful thanks to topical numbing ([36:54]).
- Hyperbaric Oxygen Therapy: Increases tissue oxygenation for healing and sexual health—applicable to both men and women ([39:25]).
- Biohacking approaches include:
- Societal Double Standards:
- Women openly discuss cosmetic enhancements, men face shame for seeking sexual or penile enhancement.
- [43:34] Bill Moore: “It's almost like it demasculizes a man…But most men want to have a larger sized penis. Sometimes it's not just about aesthetics, especially after childbirth in long-term relationships.”
- Women openly discuss cosmetic enhancements, men face shame for seeking sexual or penile enhancement.
Self-Esteem & Relationship Impact
- Penis as ‘The Trophy’: A man’s confidence in his penis significantly influences his mood, relationships, work, and self-worth.
- [42:59] Kat: “We need to normalize these conversations…We are labeled as perverts…when it’s the exact opposite…”
- [46:39] Bill Moore: “I'm going to steal from you what you just said about a man's trophy…It's to a man one of the most important things in his life.”
Memorable Quotes & Moments
- [07:15] Dr. Milhouse: “People don't even say the word. We aren’t taught the proper anatomic parts. Another part of it is there is a like dirtiness to penis vagina...Historically attaching shame to some of these things.”
- [11:20] Dr. Milhouse: “A good specialist thinks about the function, not just gives a prescription in five minutes.”
- [13:22] Dr. Milhouse: “You got 40 years to live. You gonna live the rest without an important part of human behavior?”
- [33:53] Bill Moore: “We like the energy that men exude when they perceive themselves better in the mirror in the mornings. Their relationships are better…they get promotions at work…So many things can happen when a man perceives himself different in the morning.”
- [42:59] Kat: “We need to normalize these conversations. When we talk about healthy sex lives, penis, vagina—these are super natural and healthy things…and we are labeled as perverts or doing something wrong...”
- [46:39] Bill Moore: “I'm going to steal from you what you just said about a man's trophy…It's to a man one of the most important things in his life.”
Timestamps for Key Segments
- 03:44 Dr. Milhouse’s introduction & journey into urology
- 07:15 Stigma around discussing sexual health
- 08:47 Dr. Milhouse: “You are not alone”—encouraging help
- 11:20 ED: More than a prescription, holistic evaluation
- 13:22 Sex isn’t for the young only
- 15:34 Testosterone therapy demystified
- 19:09 The power of media and “Dr. Down Below”
- 27:13 Bill Moore: What is biohacking?
- 29:12 How Phallofill makes seeking help easier for men
- 33:33 Girth vs. erectile issues—what Phallofill does
- 36:54 Biohacking treatments for ED explained
- 42:59 Self-esteem, sexuality, and “the trophy”
- 46:39 Societal double standards and the importance of safe, informed procedures
Final Thoughts
- Seek Help, Lose the Shame: Both guests emphasize not suffering in silence—for men and partners, there are more options than ever for sexual health, and no shame in exploring them.
- Quality Resources: Both Dr. Milhouse and Bill Moore have educational and supportive online presences to help people learn and take the first steps.
- Find Dr. Milhouse: Instagram & YouTube at “Dr. Milhouse” / “your favorite urologist”
- Find Bill Moore: phallofill.com | advanced-you.com
- [49:11] Bill Moore: “There’s many things to try before you go down the road of medication…doctors have so much on them…They just know they have this medication and can call it in, but there are other things to explore.”
Overall Tone:
Open, empowering, positive, with a focus on de-stigmatizing conversations about sex, men’s health, and self-care—mixed with candid humor and real talk.
For more resources and to contact the guests, visit katontheloose.com.