Evidence Base
Grounded in clinical research
Each component of the Method is drawn from published controlled trials, cohort studies and systematic reviews.
| Area | Result | Finding | Source |
|---|---|---|---|
| Cardiovascular health | ×1.44 | Men with erectile dysfunction had a higher risk of cardiovascular events (14 cohort studies, 92,757 men). | Vlachopoulos et al., 2013 |
| Cardiovascular health | ×1.45 | The association remained after adjustment for age, body mass index, blood pressure, lipids, diabetes and smoking (9,457 men). | Thompson et al., 2005 |
| Pelvic floor | 40% | Regained normal erectile function after six months of pelvic floor muscle training; a further 34.5% improved (55 men, controlled trial). | Dorey et al., 2004 |
| Aerobic exercise | ×2.1 | Improvement in erectile function in men with severe dysfunction compared with mild dysfunction (11 controlled trials). | Khera et al., 2023 |
| Weight and diet | 31% | Of men with obesity regained normal erectile function through weight loss and dietary change, without medication (110 men, two years). | Esposito et al., 2004 |
| Smoking | 54% | Of men who stopped smoking improved within six months, compared with 28% of those who continued. | Review, 2023 |
| The mind | ≈ | Cognitive behavioral sex therapy improved erectile function in young men as much as sildenafil, with no significant difference between them, and also reduced depression scores (137 men, randomized placebo-controlled trial). | Bilal and Abbasi, 2022 |
| The mind | 6 mo | Improvement from internet-delivered cognitive behavioral therapy was maintained six months later (78 men). | Andersson et al., 2011 |
| Mindfulness | 0.65 | Effect size of mindfulness-based interventions on sexual function in controlled trials (meta-analysis). | Banbury et al., 2021 |
Figures describe study populations and do not predict individual outcomes. The Method is educational and does not replace medical diagnosis or treatment.