men bedroom struggles are really heart struggles
- Mary, Lifestyle NP

- Nov 11
- 3 min read
I didn't realize how much of a widespread issue ED was until I started working in remote urgent care. There are so many men, young and old, that suffer silently with ED.
When I first started my urgent care position, I admit, I would get so irritated when a patient would come see me to request a medication (like Viagra or Cialis) for this condition. I had a challenging time empathizing.
I would think “man, you are only 23 years old, what is the problem? Why do we need this?”
Sorry for judging. I repented for that.
I now understand that the condition is not a mere concern to feed sexual exhibition, it is a wake-up call.
Instead of looking surface level at health conditions, I now find myself going so much deeper. Not just looking at lifestyle choice, we are going deeper than that, too.
Stay with me.
We have made an easy fix for every health condition and packaged it into a capsule or packed in tightly into a mound of powdered fillers, and we pressed it together, put it in a plastic bottle or aluminum packaging, and called it treatment.
When we started doing this, I’d like to say in colloquial terms,” we thought we ate”. We thought we were really going to help our people…by shutting up the very symptoms that were actually not the enemy at all. They were the friend trying to alert us that we need to pay greater attention to what is going on in our body.
For my main point. ED is deeper than the phallus. It is deeper than the bedroom. It is a gentle (but painful, for some) warning that our body needs assistance that not a single month supply of chewyblues can fill.
It is a shame that we have had to resort to, as a collective, of seeing our patients health condition as a problem that can be fixed with glue.
I apologies for all of it because deep down, we know this is not what really works. But we do it anyway because it is the direction of our scope of practice (it is what we are taught in school). In that, we have created a system where we thrive and profit off the sickness and insecurities of others.
This will only get deeper in the rabbit hole as AI starts to take our place.
Back on topic.
ED is a matter of the heart.
It is no secret in the medical field that ED is linked to cardiovascular health. Hence, the reason we took old heart medications originally created for chest pain and pulmonary hypertension and marketed them as the common ED meds we see advertised today.
For any part of the body to function properly, it needs blood flow. In order to get proper blood flow with need our heart and all of its transit systems (arteries, arterioles, veins,etc) to help the heart work efficiently. Because once there is congestion in a single aspect of the transit system, you are going to hold up traffic. Traffic in this case is the blood flow. Like the congested interstates of New York, Houston, Atlanta and Miami, you aint going no wea.
But even deeper than that the heart is a symbol of the emotional and spiritual core of our existence. It represents the connection of our mind, body, and spirit.
When the heart is riddled with stress, overthinking, unresolved emotional trauma, pain, disconnection from yourself or your partner, or even a spiritual misalignment, it can have a chain reaction in your body and create physical symptoms.
And even being in a state of carrying fear and guilt or having performance anxiety will literally activate your body’s stress response(its called sympathetic nervous system) and when that happens, our brain will tell our body to constrict the blood vessel, which will reduce blood flow and block your rest and release.
So just remember, if you have ED, instead of asking yourself what is blocking me from being able to get it up, reapproach it by trying to understand what is blocking my closed heart.
Do i feel unsafe?
Do i feel unseen or misunderstood?
Do i feel vulnerable?
Why am i fearing judgment?
Do i feel purposeful?
Or even so (in regards to lifestyle):
Am I eating, drinking or smoking something that is not only affecting my mental, but is also causing micro endothelial damage to my transit system..my veins and arteries.. which is then blocking my blood flow?
I am so convinced that for most men, the answer lies in reflecting on one of those questions, and a chewyblue will not help that.
Give Thanks!
