She’s taking a soft approach to a tough issue.
A female urologist says she’s found the right method to get men to discuss their erections — and while it could appear deceptively easy, it’s surprisingly effective in helping flaccid fellas get some stiffness back.
Dr. Rachel Rubin, a urologist with fellowship training in sexual medicine, shared her advice in an internet talk titled “The Easy Solution to Talk About Penises,” which was posted to Medscape on Friday.
The Washington, D.C. doc admitted many medics found it difficult to talk over with patients about penises, despite their skilled training.
“It doesn’t come naturally for a lot of us,” Rubin declared. “If a 20-year-old is available in to my office along with his 85-year-old grandfather they usually each say their penises aren’t working, how do you determine what’s occurring? Do they even have the identical thing unsuitable with them?”
The urologist said she uses the Erection Hardness Rating (EHS), described by the National Institutes of Health as a “easy, validated, semi-quantitative, self-reported tool that scores erection hardness on a 4-point scale.”
The tool was developed back in 1998 by a team of urologists looking into the results of the then-newly released drug, Viagra.
Rubin attached a visible of the four-point rating for viewers at home, before explaining what each of the 4 points meant.
“A ‘1’ isn’t any erection in any respect,” she described. “A ‘2’ is when it gets harder and bigger, but it surely’s not going to penetrate. A ‘3’ will penetrate, but it surely’s pretty wobbly. A ‘4’ is that perfect cucumber–porn star erection that everyone seems to be in search of.”
The doc declared that she has her male patients “talk in numbers” in an effort to effectively described their erection.
“I even have the patient tell me a story,” she said. “They could say, ‘After I get up within the morning, I’m at a 2. After I stimulate myself, I can rise up to a 3. After I’m with my partner, sometimes I can rise up to a 4.’”
If one in every of her patients is unable to succeed in optimal erection, Rubin prescribes treatments depending on their specific situation. These can include lifestyle changes and sex therapy, in addition to testosterone or Viagra.
She then asks them to return to her practice to present an update to see if their numbers on the four-point scale have modified.
“I even have an objective measure that shows me how the treatment is affecting their erections,” she declared.
Erectile dysfunction impacts 40% of men by the point they’re 40 and 70% of men who’re 70, in accordance with Cleveland Clinic. Over 50% of men will suffer from some type of ED.