Optimizing Pelvic and Sexual Health: Advice from Dr. Rena Malik
Dr. Rena Malik discusses the importance of pelvic floor and sexual health in males and females, including treatments and exercises. Learn about arousal, orgasm, and preventing UTIs.
00:00:00 Dr. Rena Malik discusses the importance of a healthy pelvic floor and the symptoms and treatments for pelvic floor dysfunction in males and females. She emphasizes the benefits of kegel exercises for urinary incontinence and pelvic organ prolapse, but cautions against overdoing them. Additionally, she highlights the need for relaxation exercises for a tense pelvic floor and recommends working with a pelvic floor physical therapist for proper guidance.
Dr. Rena Malik is an expert in sexual and urological health for both males and females.
Pelvic floor plays a crucial role in urinary, sexual, and gastrointestinal functions.
Pelvic floor dysfunction can lead to symptoms like urinary incontinence, pain during sex, and back pain.
00:24:59 Dr. Rena Malik discusses the importance of pelvic floor health, breathing techniques, and the role of hormones, blood flow, and neural influences in sexual and urological health.
🔑 Pelvic floor exercises can help with urological health but be cautious with certain movements to avoid discomfort or pain.
🧘♀️ Proper breathing techniques during exercise can help stabilize the pelvic floor and prevent issues.
🔬 Blood flow, hormones, and neural influences play a significant role in sexual function and dysfunction.
💡 Assessing specific symptoms and seeking specialized healthcare professionals can help identify and address sexual health issues.
00:49:59 Dr. Rena Malik discusses sexual and urological health in males and females. Intracavernosal injections are an effective non-surgical treatment for erectile dysfunction. Low dosage Cialis may benefit prostate health. Pornography and masturbation can impact sexual relationships and healthy arousal patterns.
Intracavernosal injections are a highly effective non-surgical treatment for erectile dysfunction.
Medications like Viagra and Cialis work by preventing the breakdown of cgmp, leading to longer-lasting erections.
Low-dose Cialis can be used to improve erectile function in men and potentially in women as well.
There is a growing concern about problematic pornography use, but it only affects a small percentage of people.
Pelvic floor dysfunction and psychological stress can contribute to erectile issues in young men.
Female sexual response and arousal are complex and can vary greatly between individuals.
There is limited data on the effectiveness of medications like Cialis in improving female sexual function.
01:14:59 Dr. Rena Malik discusses sexual and urological health in males and females, including the physiology of arousal, lubrication, and orgasm. She emphasizes the importance of clitoral stimulation for female orgasm and addresses common misconceptions.
🔑 Orgasm is a bodily response characterized by increased sympathetic response and rhythmic pelvic floor muscle contractions.
💡 The Coolidge effect can override the refractory period in both males and females, allowing for another erection or orgasm.
✨ Centrally acting medications, melanocyte stimulating hormone (MSH) and bremelanotide, can help with low libido in both men and pre-menopausal women.
🌟 Phlebanserin and bremelanotide are FDA-approved medications that can help with hypoactive sexual desire disorder, and they work on serotonin and dopaminergic pathways of the brain.
⚠️ Douching and other feminine hygiene practices can disrupt the vaginal microbiome and cause issues like UTIs or bacterial vaginosis.
🌺 The vagina is a self-cleaning organ and does not require douching. Normal vaginal discharge is also healthy and should not be seen as dirty.
🚺 Clitoral stimulation is the most reliable way for women to achieve orgasm, and there is a significant orgasm gap between genders.
01:39:58 Dr. Rena Malik explains the anatomy of female pleasure, the importance of communication in sexual relationships, and strategies to prevent UTIs.
Stimulation of the clitoris and G-spot can lead to pleasure and orgasm in both men and women.
Communication with your partner about sexual preferences and desires is crucial for a satisfying sexual relationship.
Preventing urinary tract infections (UTIs) in women can be done through hydration, vaginal estrogen, and ensuring complete bladder emptying.
02:04:56 Dr. Rena Malik discusses improving sexual and urological health in males and females, covering topics such as bladder issues, UTIs, kidney stones, oral contraception, and the impact of medications on sexual function.
🌍 Sitting or standing while peeing depends on individual circumstances.
🍒 Cranberry supplements with soluble form of cranberry extract are effective at reducing UTI risk.
💧 Preventing kidney stones with increased fluid intake, reduced oxalate and protein intake, and increased citrate intake.
🌱 Individual responses to oral contraception vary, with some experiencing sexual dysfunction and others benefiting from sexual freedom.
❗ SSRIs can cause sexual dysfunction, but dosage adjustments and alternative medications can help mitigate the issue.
🚹 A growing trend among male physicians is to prescribe low-dose testosterone therapy for various health benefits.
02:29:52 Dr. Rena Malik discusses the use of low-dose Cialis for both erectile dysfunction and prostate health. She also talks about the effects of cycling on prostate health and the reasons why people engage in anal sex. Additionally, she mentions the use of supplements for sexual desire and function.
Low-dose tadalafel is effective for erectile dysfunction.
Tadalafel can help improve prostate health and reduce symptoms of an enlarged prostate.
Cycling can lead to genital numbness and erectile dysfunction, and using proper seats and posture can help prevent these issues.
Anal sex can be safe and pleasurable if proper protection and lubrication are used, and there are various reasons why people engage in it.
Diet, exercise, and managing comorbidities are key for sexual health, and using supplements like Tonga Ali, maca root, and shilaji may have positive effects.
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