228. GOAT - Dr. Irwin Goldstein
You Are Not Broken10 Syys 2023

228. GOAT - Dr. Irwin Goldstein

GOAT - Dr. Irwin Goldstein He is the director of San Diego Sexual Medicine. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s. Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training. How do urologists not know who Irwin Goldstein is? He started out in men’s sexual health. Dr. Goldstein tells us his story. Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. He created ISSWSH. https://www.isswsh.org/ He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). Thoughts on DHEA vaginally. Women and Sildenafil – oral versus topical and his thoughts on arousal. Orgasm guidelines are coming!! The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA Other drugs for orgasm The role of testosterone for orgasm issues Sexual side effects of birth control pills Depression side effects of birth control pills Testosterone in women! It is a thing! Estradiol in men – needed for bones and erections. We wrap up with discussing hard flaccid. A hypogastric nerve dysfunction. Any advice for me, for other physicians, for the women and their partners? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Jaksot(390)

390. Vulvar Dermatology, Red Angry Vulvas, and Why Exams Matter

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389. Vaginal Estrogen and DHEA: What Works, Who It Helps, and Why the Myths Need to Die

389. Vaginal Estrogen and DHEA: What Works, Who It Helps, and Why the Myths Need to Die

In this episode, I walk through the basics of vaginal estrogen and vaginal DHEA for genitourinary syndrome of menopause, recurrent UTIs, painful sex, urinary urgency, and vulvar tissue changes. I also...

20 Syys 1h

388. Sexuality is How You Exist in the World - with Dr. Lexx

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In this episode, I talk with Dr. Lexx about how to have honest conversations about sex with kids, why sexual shame still shapes adult relationships, and how to think more clearly about desire, consent...

13 Syys 37min

387. Beyond the Prescription with Dr. McBride

387. Beyond the Prescription with Dr. McBride

In this episode 387, I sit down with Dr. Lucy McBride to talk about the widening gap between the traditional medical system and the wellness industry, and how patients can find solid ground in between...

6 Syys 56min

386. Nuances and Myths of Menopause with Dr. Shepherd

386. Nuances and Myths of Menopause with Dr. Shepherd

The longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.Dr. Shepherd is an OB-GYN, and we use menopause as the entry ...

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385. 500k on IG Celebration - Ask Me Anything

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Half a million of you on Instagram. I still can't quite get over that number.To celebrate, this episode is all you — an open Ask Me Anything where I answer the questions you've actually been sending m...

23 Elo 50min

384. The Myth of Aging with Dr. Gilberg

384. The Myth of Aging with Dr. Gilberg

Age is just a number. We say it all the time. Do we actually believe it?This week I sit down with Dr. Arnold Gilberg, MD, PhD — a psychiatrist with over 60 years of clinical experience and author of T...

16 Elo 44min

383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage

383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage

Menopause conversations center on women. For good reason.But what about the guy standing next to her?Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause writte...

9 Elo 58min

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