Your Dick Has Data: Dr. Elliot Justin on Sex Tech, Nocturnal Erections & Why Most Men Don't Actually Have ED

We've covered a lot of ground on this show. Threesomes, jealousy, rules for the lifestyle, swinger parties, opening your marriage, all of it. But this week? We entered territory neither of us expected: the world of sexual health data, wearable technology, and the most fascinating doctor we have ever had in our recording chairs.

His name is Dr. Elliot Justin, and he is the founder of Firm Tech — a company on a mission to give men (and soon women) real, data-driven insight into their sexual health. Before you picture a robotic dick, let Pris explain: "That's the first thing I thought of. Like, is that what we're talking about? And he's like, nope."

Good guess, babe. But no.

The Man Behind the Ring

Dr. Justin's origin story alone is worth the price of admission. His mom took him to a urologist as a teenager — twice — because she was worried about his masturbation frequency. (Six or seven times a day, for the record. He was fine.) He went to medical school, immediately felt like an outsider, and spent his first day in the medical library looking up aphrodisiacs in the research index. He broke six ribs and six vertebrae in a horse riding accident in Montana, which led him to research sexual rehabilitation for spinal cord injuries. And then — and this is where it gets truly legendary — he had an electrode implanted near his own pubic nerve to test a theory about arousal and neuromodulation.

His wife's parting words before the procedure: "If you fry your dick, we're getting divorced."

He did not fry his dick. The procedure didn't work the way he hoped, but the man's willingness to use himself as a test subject is genuinely unmatched. As Adam put it: "You are epic."

So What Is the Firm Tech Ring, Exactly?

It's a wearable cock ring with embedded sensors that tracks two incredibly important things: nocturnal erections (the ones that happen while you sleep) and firmness during sex. The data syncs to an app via Bluetooth, giving you a real sexual health dashboard — something that has literally never existed before for consumers.

Here's why nocturnal erections matter so much. Healthy men have two to five of them per night. When that number drops significantly — say, to two or fewer — it's one of the strongest predictors of an upcoming cardiovascular event. Three men wearing the Firm Tech ring went on to get cardiac catheterizations because the data flagged a problem before they had symptoms. The device has tracked over 220,000 erections on nearly 4,000 men. That's the world's largest erection database, and Dr. Justin is very proud of it.

"You don't put tape over your dashboard and then try to drive to Texas," he said, and honestly? That's the most Texas-adjacent analogy we've ever heard from a Montana doctor and we are here for it.

The Big Reveal: Most Men Don't Have ED

This one stopped us both cold. Dr. Justin's data shows that most men who report erectile dysfunction — or who have been diagnosed with it — don't actually have it in the clinical sense. True ED (the inability to get an erection at all, or extreme difficulty) is usually tied to serious cardiovascular or metabolic conditions like diabetes, atherosclerosis, or heart failure. That's about 12-13% of men.

The vast majority of guys? They get just as hard. They just lose it.

That's a venous issue, not an arterial one. Blood gets in fine. It just doesn't stay. And that's where the ring changes everything — because Viagra and Cialis put more blood in. They don't keep it there. Only a ring can do that. In a clinical study, the Firm Tech ring kept an erection firm for nearly three minutes after climax with no stimulation, versus 25-35 seconds with nothing. Combined with tadalafil? Over four minutes. "Put a ring on it," Dr. Justin said, approximately six hundred times, and every single time he was right.

Pris had a field day with this. "Being in the lifestyle, I've had many men just not... work. And I'm understanding of that." Adam added that a lot of the time, it's mental. Overstimulation. Performance anxiety. Being in your head. And Dr. Justin confirmed it — especially in the lifestyle context, where the novelty and pressure of a new partner can absolutely be a factor that has nothing to do with your cardiovascular system.

What About Women?

Dr. Justin didn't leave Pris out of this one. He mentioned that 54% of women over 50 report female sexual dysfunction — a number that matches or exceeds what men report. And the plan at Firm Tech is to measure clitoral engorgement using sensors built into a wearable designed for women, which can track blood flow to the bulbs of the clitoris (yes, those exist and are larger than most people realize) and give women the same kind of personalized health data men will have with the ring.

He also introduced the Ring Mate — a vibrator attachment invented by his wife that slides onto the ring and sits anatomically in exactly the right place for clitoral stimulation during penetrative sex. Hands-free. Anchored to the balls so it doesn't rotate. Pris had thoughts. Many of them. Positive.

"I want all of that," she said. And honestly, same.

The Stuff That Will Make You Think Twice

Some of the most valuable moments in this conversation were Dr. Justin's takes on things the medical establishment gets wrong:

• SSRIs: He called them "dick and clit killers" and said they shouldn't be prescribed without serious discussion of the sexual side effects. He's not a fan.
• Supplements: They've tested twelve of the most popular men's sexual health supplements. Not a single one showed measurable improvement in their data. "There are dopes because the biohacking world hasn't found a single one that works."
• Porn addiction: A patient told him his therapist diagnosed him with porn addiction. Dr. Justin asked how much he was watching. "About an hour, hour and a half a week." The man's response: "That's addiction? That's kind of low."
• Death grip: "How come my wife's hand is a love grip? My hand's a death grip? Explain that to me."

Where to Find Dr. Justin and Firm Tech

The Firm Tech ring is available now for men at myfirmtech.com. You can also reach Dr. Justin directly at elliott@myfirmtech.com. The women's device is on track for commercial release in the first quarter of next year, with a research/lab version available by end of this year.

Disclosure: Beyond Monogamy is an affiliate partner of Firm Tech. We earn a commission on purchases made through our code — and we're good with that because we actually believe in what he's building.

Use code BEYOMONO at myfirmtech.com for 15% off any order.

And as always, all of our episodes, clips, guest bios, merch, events, blog posts, and the anonymous confessional where you can spill your secrets without anyone knowing it's you — all of it lives at www.beyond-monogamy.com.

This one's worth sending to your group chat. Trust us.