In this episode, my guest is Dr. Rena Malik, M.D., a board-certified urologist and pelvic surgeon, male and female pelvic medicine expert, and public health educator. We discuss the major causes of and treatments for sexual and urologic dysfunction, including how to restore, maintain and enhance pelvic floor function and proper neural and vascular (blood) supply to the genitals. We also discuss what controls and can enhance desire and arousal, how to assess and treat erectile dysfunction, and challenges with vaginal lubrication and/or orgasm. We also discuss vaginal and penile health, including preventing urinary tract infections (UTIs) and which common prescription drugs can cause sexual dysfunction in males and females. This episode covers a range of topics: oral contraception, masturbation, pornography, prostate health, and male and female hormone health.

Note: This episode covers topics related to sexual and reproductive health. Some content might not be suitable for all audiences and ages.

For the full show notes, including articles, books, and other resources, visit https://hubermanlab.com/dr-rena-improving-sexual-and-urological-health-in-males-and-females

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Dr. Rena Malik
Clinical Practice: https://renamalikmd.com
Research papers: https://www.ncbi.nlm.nih.gov/myncbi/rena.malik.1/bibliography/public
YouTube: https://www.youtube.com/c/RenaMalikMD
Blog: https://renamalikmd.com/blog
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Timestamps
00:00:00 Rena Malik
00:04:04 Sponsors: ROKA & Helix Sleep; HLP Survey
00:07:45 Pelvic Floor: Urination & Sexual Function
00:14:13 What is a Healthy Pelvic Floor?
00:19:44 Kegels, Benefits & Risks, Urinary Incontinence
00:24:08 Pelvic Floor Relaxation; Exercise & Pelvic Floor
00:28:03 Desire vs. Arousal, Erections: Psychology, Hormones, Blood Flow & Nerves
00:36:10 Sponsor: AG1
00:37:07 Pelvic Floor: Medical Professionals & Physical Therapy
00:40:15 Sexual Dysfunction, Erectile Dysfunction, Orgasm Difficulty
00:43:13 Desire & Arousal Issues; Erectile Dysfunction, Viagra, Cialis (Tadalafil)
00:52:20 L-Citrulline, Supplements
00:54:09 Erectile Dysfunction & Cialis; Prostate Health; Females
00:58:58 Erectile Dysfunction in Young Men
01:01:37 Pornography, Masturbation & Ejaculation; Healthy Sexual Behavior
01:07:16 Sponsor: InsideTracker
01:08:22 Arousal Habituation, Masturbation, Addiction
01:12:57 Female Arousal Response, Orgasm, Coolidge Effect
01:17:22 Priapism, Melanocyte Stimulating Hormone; Women & Low Libido Medications
01:22:25 Libido & Individuality
01:26:18 Female Arousal, Vaginal Lubrication; Discharge, Odors & Douching
01:33:09 Vaginal Infections, Discharge; Vaginal Microbiome
01:35:45 Female Orgasm, Vaginal Penetration, Stimulation, Clitoris, G-Spot
01:42:31 Erection & Orgasm, Pelvic Floor Muscles
01:46:32 Dopamine-Enhancing Medication & Arousal Arc
01:51:18 Menstrual Cycle & Libido
01:52:49 Vaginal Penetration, Variation & Communication
01:55:24 Sexual Interaction Communication, Sex Therapists
01:58:45 Urinary Tract Infections (UTIs) in Male & Females; Prevention, Vaginal Estrogen
02:04:04 Male Urination Sitting; Spermicide, Cranberry, D-Mannose & UTIs
02:11:33 Testosterone, Post-Menopausal Women & Libido
02:14:56 Kidney Stones: Prevention & Treatment
02:19:14 Oral Contraception, Libido, Individuality, Intrauterine Device (IUDs)
02:26:52 Anti-Depressants, SSRIs & Low Libido
02:29:32 Prostate Health, Cialis, Urination Difficulty
02:34:22 Bicycling, Genital Numbness, Erectile Dysfunction
02:37:48 Anal Sex, Females, Sexually Transmitted Infections (STIs), Lubricants
02:44:14 Libido, Behavioral Interventions, Supplements
02:49:15 Supplements for Libido
02:52:14 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter

Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com

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