Your erections are a vital sign, and almost nobody is reading them. In this episode of The Hole Shebang, pelvic health physiotherapist Kristen Parise talks with Dr. Elliot Justin, an emergency medicine physician who spent 40 years and roughly 180,000 patient encounters in trauma and cardiac care before founding FirmTech and inventing the TechRing, the first wearable that measures erectile fitness during sleep and during sex. They unpack why nocturnal erections are a canary in the coal mine for cardiovascular disease, why most men who think they have erectile dysfunction actually do not, how erection rings and tracking are changing penile rehabilitation after prostate surgery, and what testosterone, HRT and the new Clitique clitoral health device mean for women. This is sexual health as preventative medicine, with zero shame and a lot of data.

In This Episode

[00:00] From 40 years in emergency medicine to the penis as the most under measured vital sign
[02:00] The horse accident, spinal research and Project O
[05:00] Why nocturnal erections matter and reinventing the erection ring with a bra hook
[08:45] How many erections a healthy man should have at night
[09:30] Erections as a cardiac early warning, and the data that changed marriages
[10:30] Does the same hold for women and clitoral blood flow
[13:00] One size fits all medicine, dosing, testosterone and HRT
[17:00] Why most men who think they have ED do not, and "Viagra is Vicodin"
[21:30] Why erection rings work, and who figured it out first
[24:30] Prostate surgery, penile rehabilitation and real recovery stories
[30:00] The June Orgasm a Day Challenge and why orgasms are healthcare
[33:00] HRT and testosterone for women
[36:00] The Clitique, the first clitoral health monitor
[39:30] Theme song and where to find Elliot

What You Will Learn

You will learn what a healthy night of erections actually looks like and why three to five of them are keeping the tissue alive. You will learn why a drop in that number can predict a cardiac event years before the heart shows symptoms, why a pill is sometimes a band aid on a serious problem, and why erection rings, long dismissed as novelties, are now part of real penile rehabilitation after prostate surgery. You will also hear why the same vascular logic applies to women and the clitoris, and why testosterone and HRT belong in the conversation for both sexes.

About Dr. Elliot Justin

Dr. Elliot Justin, MD, FACEP, is the CEO, inventor and founder of FirmTech. He completed his emergency medicine residency at Hennepin in Minneapolis, earned his MD at Boston University School of Medicine and holds a BA cum laude in Slavic Languages and Literature from Harvard. Over four decades in emergency medicine he logged roughly 180,000 patient encounters with a perfect malpractice record, founded SwiftMD, the second oldest telemedicine provider in the United States, and built Pegasus Emergency Group into the fastest growing company in its sector before selling it. He has presented sexual health research at ISSM, ESSM, SSMNA and SHA, appeared on more than 200 podcasts, funds anti slavery rescue work through the Pegasus Liberty Foundation and wrote the historical novel The Chastity of Honor.

Theme Song: I Won't Back Down by Tom Petty

Key Topics Covered

Nocturnal erections as a vital sign, erectile dysfunction versus normal aging, cardiovascular early warning signs, erection rings and how they work, penile rehabilitation after prostatectomy, testosterone optimization, hormone replacement therapy for women, clitoral health and the Clitique, the health benefits of orgasms.

Resources and References Mentioned

FirmTech and the TechRing, and the FirmTech science and research page
The TechRing product page, and the MaxPR constriction ring for penile rehabilitation
Dr. Mohit Khera, Baylor College of Medicine, the andrologist who said "Viagra is Vicodin"
Melissa Hadley Barrett, Prostate Cancer Penile Rehabilitation Program, Restorative Health Clinic, Perth
Dr. Rachel Rubin, urologist and primary investigator for the Clitique research
The Chastity of Honor by Elliot Justin on Kindle

Listen to More Episodes Like This

Connect

Find Dr. Elliot Justin and FirmTech at myfirmtech.com and on Instagram at @doctorelliotjustin and @myfirmtech.

Book a free fifteen minute discovery call at blueberrytherapy.ca. We offer virtual pelvic health consultations across Ontario.

Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth. The only awkward conversation is the one we are not having.