Sexual Dysfunction: GOAT - Dr. Irwin Goldstein

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madman

Super Moderator

Great interview with one of the all time greats!

Fellow Canadian.




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.


*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. Home

*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?
 
Defy Medical TRT clinic doctor

madman

Super Moderator
3:17-8:20

*Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them

*UK92480 (Viagra)




 

madman

Super Moderator
14:00-17:34

*Thoughts on DHEA vaginally.



Huge statement!

*The home run for menopause is not vaginal estrogen. The home run is the substrate dehydroepiandrosterone (DHEA), DHEA suppositories are like the home run
 

madman

Super Moderator
22:30-27:44

*The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA

*Other drugs for orgasm













 

madman

Super Moderator
29:44-34:00

*Sexual side effects of birth control pills

*Depression side effects of birth control pills


*It has huge negative context to have sex hormone binding globulin elevated because in all users I'm not saying 80%, or 50% or even 90% I'm saying 100% of all users will have elevated sex hormone binding globulin and provide to the body a very low calculated free testosterone
 

madman

Super Moderator
34:00-36:44

*Testosterone in women! It is a thing!



Many are still confused.

He has been preaching this for years!

*if you convert testosterone into the same units as estrogen there is five times more testosterone in women all the time throughout their entire life, five times more testosterone than estrogen is way more important than estrogen in fact every estrogen molecule that makes you a woman comes from testosterone







 

madman

Super Moderator
35:45-41:00

*Estradiol in men – needed for bones and erections.



Yes he treats some men with estradiol when it is too low!





 

madman

Super Moderator


 

madman

Super Moderator
 
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