welcome to in good shape coming up. hearing loss why more and more young people are affected. our main topic today male impotence how to treat erectile dysfunction but 1st sports trends how to make your workouts more fun. and here's our host dr kasten. hello and welcome to in good shape prevention is the best medicine and to live a healthy lifestyle it's important for you to work out and exercise like me i'm riding my bike through berlin and if you don't own a bike and if you don't live in berlin you can try things.

if you lose a few people who are the idea behind parks or is that there's no road map you find your own way and technicians all. get killed if you got caught in theory at least there are no rules you just propel yourself from point a to point b. and. the fussing at me that fascinates me because i feel free and i don't have to think about anything else there's nothing else just me. it's not the counters like all with the circuit training you do traditional exercises like sprints push ups whatever gets your heart pumping no equipment just whatever makes a fitter. behind the scenes high intensity exercise in short bursts which gets your heart rate up. it's all the

things you want to have sort of come i'm working out as a group is motivating we're all trying to push ourselves and of course the trainer also motivates us to keep going i've lost a fair bit of weight and i look slimmer to on some i'm all. for more ball is like ice hockey without the ice there are different versions like when using a wide goal we're playing an amateur version with a small goal when both men and women are it's a fast paced game where you run a lot and have lots of fun but. i discovered when my daughter starts playing. when this amateur team is great because my girls come along and we can all play together. i'm fine. in the beginning i was scared of playing with the men. there's a physical. it's

a big difference. but now i really enjoy it and it's got me to push my own boundaries a bit. and the great thing is you're not alone they're nice people and that's what i like most. something new for me jumping means enjoying exercise to the point where i'm now almost an addicted to it i come here all the time so i can just go wild on the trampoline. helps me cope with the everyday stress we all have to deal with when i come here and it just washes away. it will stamina so i end up having more energy to be active at other times too. that's really great and when i leave here i'm tired and happy i'm.

college there is a new kind of workout that combines cardio training with strength training stick you use rip sticks which are kind of drumstick. is another and what i like about pound is the music and it's really good for your waistline legs and backside i by now i can last through the entire workout without taking a break between songs it's a basic. exercise not only protects you from diabetes or cancer it protects you from erectile dysfunction as well that's what a study from the german society for sports medicine and prevention says. impotence is a catastrophe for men and it's wrong to only ignore it you should talk about it like

i will do this dr partick here in the heart of. it. it's not embarrassing to talk about impotence. dr partic we live in a society where success is mandatory but a man's penis is not always sharing this opinion so when do you have to see a doctor when you think that you're getting impotent the penis is a very complex organ and. it depends from a lot of different influences of your body hormonal influences nerve influence as vascular influences and so on function and erectile dysfunction may be an early some time off severe diseases so one should be aware if something doesn't doesn't if it doesn't function like one wants to have it but not every. not everything is

a real problem so one should take a good awareness for this problem and one should go to the doctor if one has bove or balls and does irritate dysfunction just by the older man not only so you're the older you get. the worse some functions of the body work but that's the truth but also in young people and young men erectile disfunction kind of cure we'll continue our talk in just a moment and there are lot of causes for dysfunctions and impotence and one cause might be the consumption of pawn movies it could be that pawn movies just mess around with your fantasy a little bit and when it comes to real life sex they get disturbed and a little bit bart but most of the cases it is just physical problems or emotional problems. this couple have been married for over 20 years they love each other very much and their sex life is still important to them but for the past 6 months thomas

has been suffering from erectile dysfunction and that's a problem for both partners. as vying to needs who doesn't like the problem wasn't that i couldn't get an erection i just wasn't able to maintain it for long it lasted for about half a minute not enough to have intercourse and if it doesn't work down there anymore then you start to get the feeling that you're only half a man. does happen here oh it was very depressing. it lowered my confidence and my self esteem that it was a cycle of negativity and i ended up wondering if i did something wrong. which service they try to find their own solution. the things didn't prove. a reptile this function has increased by 30 percent and we're also seeing more men

asking for a prescription for vioxx or a similar medication and there's been a dramatic increase over the last 10 years seen young bands and artists who were numb many yes definitely there are more men experiencing problems and more men asking for medication to hear from i forgot i'm 6 is an ever present factor in modern society with no room for failure but we know that stress and the pressure to perform contribute to impotence. of the. give us men feel the pressure to perform at any time also from the media in the expectations are too high and they don't want to fail that often men on won't do much mr. kind of therefore finding it hard to relax which is crucial for achieving an erection once the brain detects an erotic stimulus that causes nerves to relax the muscles in the penis this causes the blood vessels to dilate and the erectile tissue to fill with blood. of the same time the blood flow slows down the penis becomes erect. in order to

have a reliable erection and a fulfilled love life again thomas started looking for help on the internet as do many men. but half of all drugs available online or counterfeit that's according to an investigation by german pharmacists a major health risk for customers who avoid going to the doctor and pharmacist due to embarrass them and or because they can't afford the prescriptions. there's no such thing as a good counterfeit there's no standardized or regulation there are 2 kinds of fakes to watch out for. some of them are similar to the original and contain the meds but often in smaller doses so you would expect a smaller effect. but other counterfeits made say in someone's garage where

they even might have paint mixed in with them and a potentially lethal. means but. thomas decided to buy the pills abroad. not taking them. i was concerned about any undesirable side effects or good happens or side effects that i didn't want to have masses of what if your blood pressure goes out of control or your heart suddenly start. or something else really awful happens after. thomas summoned up his courage and went to a urologist to find the cause of his impotence perhaps it was due to a serious illness. a lot of men with impotence issues who don't go to a doctor or have undetected diseases a man who thinks he has a problem with his potency might actually have coronary heart disease. in the worst case scenario that means a danger of a heart attack thomas had

a complete checkup his blood work was fine so was his testosterone level a scan of the blood vessels in the abdomen growing and penis so that everything is also fine physically. so it's safe for him to take medication the dilates the blood vessels and 1st an erection the doctor encourages thomas to try it out and it works. as is and of course it's a big relief it still works and i can imagine perhaps not needing the medication after a while and then everything will get back to normal so the scans and facts we don't legally it. through this knowing that makes it easier to be together knowing that we have a solution and that it's going to be our. well i don't have personal experience with him pretends but what's the right doctor i could send my patients

to abuse as a part of the your agenda tracts of your journal to tract. our business off the garage just right there are some specialized you are just called and drawl are just internationally i think it's important to go to a doctor was a lot of experience with a special organ penis and with erectile dysfunction also and in what sufficient do . the physician to do some physical examinations 1st is ultrasound today arduous on the so-called color coded feel you can make the vessels and the blood stream inside visible and you can see exactly how the blood flows in and i would flows out and see the difference between this ball for flaws before emerging in some cases not all cases but in some cases you have to do hormone or examinations also to look for the hormones like testosterone and so on and what causes reduced blood flow into the penis the penis is influenced by 3 systems the

hormone the system the nervous system and the best of the system and most important for vascular system the vessels can get influenced by different diseases number one disease is diaby just the diabetes mellitus is the number one. producer of let's say for skin. diseases overall and the 2nd one is hypertension these both diseases can cause damage as a result of the heart and the penis also so if you see a patient who has some impaired blood flow into the penis does it mean that you could also have heart disease then yes of course there's a very important everyone who comes to me into my. practice will be sent to a cardiologist the cardiologist looks for the vessels in the heart if they are functioning the right way or not and if we think about younger men you are not very

likely to get a heart attack or healthy i think so what's a main cause for. younger men psychologically it's a deterioration kind of cure this may be fear this may be. may be you depression all sources there are a lot of influences were not good for the actor function. ok and what you sent those men to a psychiatrist yes i think we have a lot of experience with this younger people but if i see a. psychological disease or psychological i would send them away to a psychologist course but even if the man is very young he could still have physical problems could. be just can start very young with 1718 years and also hypertension and there are some neurological diseases like modules for all those

which can start in the youth and it's possible. neurological diseases may make only erectile dysfunction and no other so it's possible we'll continue our talk about treatment of erectile dysfunction in just a moment and the 1st thing you think about treating erectile dysfunction is by agra this was introduced me to 20 years ago and it was a given utian in treating erectile dysfunction. the blue pill that still generates huge sales for its manufacturer today it was launched in the us 20 years ago it became the best selling drug in history although my aggro required a prescription and a single tablet cost between $8.00 and $10.00 suddenly more and more men wanted to increase their potency. the active substance sildenafil was originally being tested as medication for high blood pressure and heart complaints but it caused a surprising side effect among male test participants they got erections by actress

stimulates the blood circulation in the a reptile tissue in addition it inhibits an enzyme so that the penis doesn't soften too soon. from the outset the blue pill was also in big demand elsewhere but until official approval 6 months later in germany for example it had to be ordered at great expense from the us. via a grade is not prescribed in over 120 countries more than 3000000000 tablets have been sold since its launch. so how many men can be helped with those potency pills the pills only influence the vertical inflow into the venous if something is wrong with a nerve. steering them they want her soul there was one group one important group of. rectal dysfunction these men had had prostate operations or operations in the

lower abdomen and the nerves were steering directions are destroyed so for these patients. the previous 5 inhibitors will not help so what about side effects of those potency pills it's their danger i mean there are even reports that some men have died after taking viagra. the question if they have died of. died of after sex so we don't know that exactly there is a small group. of men who should not take on a fear these are men who have to take my traipse. drugs because of their heart disease so this is berlin and this is the plays in germany to potty and many men are taking vagrant as a lifestyle truck so it's a suitable. gears that is no also in young men you can. increase the blood flow of the penis reverse it enough to yield and. also young men can profit by having longer erections and repeated erections also i think there are other drugs more

dangerous than a few what we have to warn for as a party drugs the party drugs speed or whatever you can get the. one thing i'm wanting for if you if you buy in a pharmacy it's ok if you buy a deal on a party you location just do not know what he gives you sometimes there are dangerous drugs mixed into this builds so this should not be done as a lifestyle what role does testosterone play in dysfunction this is what all of us . from tunisia wants to know testosterone as the male hormone which is orgasm we need that if you have no good we. don't work really you get to get depressive you have no. more normal sexual interests and so on so it's very important to look for the testosterone in every man who has an

erector just function and how about natural remedies even something called horny goat wheat. i think the most known as you hear that. america. is proven by our studies that the works but not in severe erectile dysfunction if you have a mild or moderate form you can contrive it and if i don't want to buy any pills or one. try out honey go tweet and you can even perform surgery on patients with potency problems if the do not work then you can have surgery vascular surgery is a type of. implanting devices into the penis to have a process of prosthetic surgery and you've got one implant with you yes there's a typical. implant 2 cylinders which are implanted into the penis and the corporate

body is a pump which is implanted into. space. to pump just to take the food in his fingers it's everything is inside the body you can see it from outside and if you promise you transports the water from the reserve to the rods and you can see how they gets bigger and now they are not bend over this is an artificial erection thank you so much and you've got a great technical advisor talking about your computer and you can fire it up and send me all the questions. on an upcoming show we'll be looking at food supplements canned fruit and vegetables give us enough nutrients or are tablets the answer if you have a question about send it in good shape d w dot com don't forget to write nutritional supplements in the subject line we look forward to hearing from you.

there are medical conditions pills all remedies can help for instance when your hearing gets better and almost fine mechanisms in your ears dettori 8 the best and most gifted g.p. can help you so it's very important to take good care of your ears. wide. in. the past doctors warned of the harm to our hearing from discotheques and rock concerts now in the age of small airports that people used to constantly listen to music pose a new risk. even children use them we decided to ask some young people on the street how loudly they turn up the volume when they listen to their favorite. do you have 5 minutes for us sure no problem philip miller listens to electro techno music. for the

test hearing a consultant. fastens approach microphone to his ear and covers it with headphones experts say listening to noise levels of 80 decibels for several hours a day is already a problem. here we have an average level of around $85.00 decibels that puts us in a range where industry for example if you work for a whole week or 8 hours a day then you probably really have to wear hearing protection. i wasn't so where of this problem i worry about a lot of other things but not explicitly about we're hearing experts. and the other participants in our test don't seem to worry about their hearing either they all listen to loud music for several hours a day experts recommend 2 hours at most. i

didn't realize that it could lead to such damage long term. most new if phones indicate the volume range that's considered safe. to display on the phone as color coded so once it shows red you're in an area where it's not so good to wear earphones for an extended period of time. max could still listen to music loud music. and when i was younger i downloaded programs. into my headphones so i could make the sound on my laptop even louder. today he has problems with his hearing. a much much been a couple of my friends in a bar oh somewhere i usually stand like this looking to the floor of the table trying to hear better with one ear of a lie still don't understand everything. but if i was what 1st of the 21 year old wants to get an expert opinion on whether he's hard of hearing and takes a hearing test at the doctor's he's exposed to

a series of sounds increasing in pitch and has to press the button as soon as he his them. another test checks whether the sensory receptors in the in the ear are sustained damage when sound waves enter the hearing canal they're transmitted to the in the ear via the ear drum in the middle east the hair like receptors that convert the waves into electrical impulses the to relate to the brain via the order train or if there has cells are damaged by excessive stimuli your hearing is impaired. and woman is basically there are 2 factors the level of sound pressure or how loud the noises either in the workplace or when i hear loud music and then the duration of exposure every day and that adds up when to assume your duty. couldn't have some hearing loss but his inner ear is not damaged now he only listens to music for one or 2 hours a day on headphones and he takes breaks. anyone who wants to listen to more music

than not should listen at a moderate volume and without headphones the shorter the distance from the source of the sound to the ear the stronger the effect on the it drum. once you have noise induced hearing loss there is no treatment that will reverse it . because basically the only thing that will help you as a hearing aid most of all but remember that not even the best model will restore your hearing 100 percent. the best thing is to avoid loud noise from high. that's it for sunday see you next week and until then let's all try to stay in good shape.

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