Moment: They Took This Medication… and Lost Pleasure During Orgasm (PSSD?)

In this episode, Dr. Rena Malik sits down with Dr. Irwin Goldstein to explore the complex effects of commonly prescribed medications—like SSRIs and finasteride—on sexual function. They break down the science behind persistent sexual side effects, new diagnostic ultrasound techniques, and the challenges patients face in navigating these risks. Listeners gain crucial insights into medication-induced sexual dysfunction and the importance of thoughtful, informed healthcare decisions. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 SSRIs and sexual dysfunction00:23: Irreversible neuronal changes01:13: Risks vs. benefits of SSRIs02:23: PSSD timing and presentation05:12: 5-alpha reductase inhibitors06:13: PFS and comparison to PSSD09:01: Penile fibrosis and ultrasound12:42: Erection hardness scale14:11: Viagra study and publication18:06: Sexual medicine gaps in gynecology Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Episoder(351)

Moment: Is Porn Quietly Rewriting What Young People Think Sex Should Look Like?

In this episode, Dr, Nicole McNichols explores the evolving landscape of sexual behavior and relationships among Gen Z, highlighting trends like the rise of rougher sex, the influence of porn, and the...

9 Sep 23min

Want Great Sex When You’re 70? What You Do NOW Matters

Join The Hard Truth Masterclass Live FREE October 2nd. https://www.renamalikmd.com/hardtruthlive Pre-order my new book The Hard Truth and get over $600 in FREE bonuses https://www.renamalikmd.com/ha...

4 Sep 12min

Moment: Think More Chores Will Get You More Sex? Here’s What Actually Builds Desire

In this episode, Dr. Maria Sophocles joins the conversation to discuss reigniting intimacy and overcoming sexual burnout in long-term relationships. The discussion explores strategies for rediscoverin...

2 Sep 25min

Why Men Care So Much About Squirting — And What Actually Matters

What does a “normal” testosterone result really mean, can every woman squirt, and can you actually prevent prostate problems as you age? In this Ask Me Anything episode, Dr. Rena Malik answers real qu...

28 Aug 15min

Is Emotional Connection Required for Female Desire? A Doctor Explains

In this episode, Dr. Tami Rowen explores the complexities of female sexual desire, debunking common myths about arousal and emotional connection. She discusses the science behind sexual concordance, t...

26 Aug 26min

3 Peptides Doctors Won't Prescribe (And Why That Matters)

In this episode, Dr. Rena Malik, MD explores the evolving landscape of anabolic peptides and their impact on men’s health, hormone optimization, and overall well-being. Joined by Dr. Mohit Khera, Dr. ...

21 Aug 1h 5min

Why Testosterone May Matter for Women Far More Than You’ve Been Told

In this episode, Dr. Rena Malik is joined by Dr. Rachel Rubin to unpack the complexities of menopause management, hormone therapy, and sexual health. They discuss the major gaps in medical training ar...

19 Aug 35min

What Actually Makes Someone Good in Bed? It’s Not How Long They Last

Dr. Alan Shindel, Dr. Christian Nelson, and Dr. Justin Dubin—leaders in sexual medicine and men's health—join Rena Malik, MD to break down the realities of premature ejaculation. The group challenges ...

14 Aug 1h 53min