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13% of People Take a Pill that Might Permanently Destroy their Sex Life ft. Dr. Irwin Goldstein

Rena Malik, M.D.

109,420 views

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In this episode, Dr. Rena Malik, MD sits down with Dr. Irwin Goldstein, a pioneer in sexual medicine, to unravel the complexities of orgasm, erectile dysfunction, and the impact of common medications on sexual health. They explore cutting-edge research on orgasm phases, discuss medication-induced sexual dysfunction, and highlight practical solutions and therapies for both men and women. Listeners will walk away with actionable knowledge about optimizing sexual health, understanding new treatment options, and the importance of seeking expert care for sexual concerns.

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▶️Chapters:
00:00:00 Introduction
00:02:48 Phases of orgasm
00:10:25 Differences in orgasm disorders
00:18:06 Treatments and therapies
00:30:54 Medication-induced sexual dysfunction
00:42:18 Erectile dysfunction causes
00:51:59 Hard flaccid syndrome
01:03:48 Shockwave and PRP therapy
01:13:34 Female sexual function misconceptions
01:21:00 Hormonal birth control effects
01:28:34 Long-term use of ED medications

Watch the video till the end and let me know your thoughts in the comments.
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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.

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▶️Check out these playlists:
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▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video 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 the information contained in this video including but not limited to economic loss, injury, illness, or death.
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20 Comments

@WDnation9 6 months ago

I got PFS 5 years ago and it took everything from me. My physical, emotional, spiritual, and mental health have suffered immensely. Basic human functions were stolen from me forever. PFS and PSSD deserve more funding than half of what i see medication commercials for. It has become an endemic that no one was given informed consent about.

@christopherp.8868 6 months ago

As someone with PSSD! Thank you for talking about this. Mirtazapine ruined me

@totalchips6547 6 months ago (edited)

50:30 "There is a lot of evil when you put a sling across the urethra as if the urethra does not matter". It hit me hard this one...I'm a person with prostatectomy...on one side Dr. Is telling that "there are some things that the patient do not want to know'". But is part of your right to know, so you can take an inform decision...

@melgibbs1458 6 months ago

Finasteride absolutely ruined my life with developing PFS at age 29. PSSD is just as real and just as devastating. It is absolutely insane. These drugs should be HIGHLY regulated.

@vesselforsoul 6 months ago

Thank you for raising awareness. The last year and a half of my life have been a living hell because of PSSD. Wish my doctor told me this could happen. I would have never taken SSRIs.

@neilallen2144 6 months ago

Just listened to the pod cast..... OFF THE HOOK CONVERSATION!!!!!!!! Thank You so much Dr Malik and Dr Goldstein!!!!!!

@juniormoraes14 1 month ago

I went through a rough phase dealing with low testosterone and almost no libido 🔥, and nothing I tried made a difference. The only thing that actually worked was a method I found in a video called “How Thompson Fixed ED” thanks, now I can last way longer and feel like myself again

@bangelo8067 6 months ago

I like this guy. Not because he's telling me what I want/like to hear but because he's discovered and telling the truth 😅😅

@ghostrider-z7t 6 months ago

My Wife needs to watch this video.🤠

@L37777 6 months ago

PSSD from Paroxetine... it's been 10 years now... it is not only a sexual condition but also cognitive with anedhonia memory issue ect ....

@Themix274 5 months ago

If only my urologist was as compassionate and knowledgeable as these 2 doctors.
Unfortunately he was very dismissive and made me feel like I was making everything up.
Nothing left to do than suffer in silence I guess

@jamesbinns8528 4 months ago

A partner of mine (female) used Marijuana to help her not think about her lists and concerns, and it worked well.

@etamlous 1 month ago

We need Dr. Goldstein back for more topics. If he sees SSRI related sexual dysfunction in patients, how does he treat premature ejaculation in men when SSRI are commonly prescribed by urologists for P.E.?

@luckyduck9568 6 months ago

Thank you for all your hard work and efforts in helping us know more and understanding about are bodies.

@EdgeView25 5 months ago

You have been the most helpful voice on this subject. I had quit many other things without trouble but quitting Kratom specifically feel free and supplementing with powder has been the most daunting task for me. I quit drinking after drinking for years and years and I quit smoking and even caffeine and sugar for a period but those were easy to quit cold turkey but with Kratom the sleeplessness and sweats and all the other symptoms make it the most terrifying thing I’ve ever faced.

@hojo70 6 months ago

This was a great interview. I'm not a doctor but I mostly followed along and found the topics fascinating. Dr Goldstein really knows his stuff!

@williambruce1998 6 months ago

Rena, I really appreciate your work! Thank you for giving so much important information freely!!

@musiclaw1486 6 months ago (edited)

Outstanding!!! Been taking Tadalafil 5mg Once Daily for several years w/o any adverse side effects. Talk to your Dr

@I_n_t_P_r_o 5 months ago

It sounds absolutely CRIMINAL what the Big Pharma companies are passing off on people with these devastating KNOWN but downplayed side effects. Sounds like they need a massive class action lawsuit over this Post Finasteride situation!!