Female Sexual Dysfunction

madman

Super Moderator

On this episode of the Urology Care Podcast, we sat down with two guests on the topic of female sexual dysfunction.

Our first guest is Dr. Suzette Sutherland, the director of female urology at the University of Washington in Seattle. She has focused her 20-year career on women’s pelvic health including urinary incontinence, bladder dysfunction, pelvic prolapse surgery, and female sexual health.

Our second guest is Dr. Maria Uloko, a urologist with a focus on comprehensive sexual medicine, prosthesis, and reconstruction. She is an assistant professor at the University of California, San Diego. She currently serves as the Director of Vulvar Health in the Department of Urology and is a researcher with a focus on sexual health.

Short on time? Use the below timestamps to jump to any section:

1:15
- Introduction
3:41 – The four categories of sexual health
8:51 – How to help with desire?
17:43 – What is the vulva?
19:20 – Importance of the clitoris
23:10 – Orgasm: Clitoral vs. Vaginal
28:01 – Painful sex
35:34 – Where do we go from here?
38:25 – Final thoughts
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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