Improving Sexual & Urological Health in Males and Females

madman

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Summary

Dr. Rena Malik discusses urinary, pelvic, and sexual health in both males and females. She explains the importance of a healthy pelvic floor and the symptoms of pelvic floor dysfunction. Dr. Malik also emphasizes the distinction between psychological desire and physical arousal.


Highlights

  • Dr. Malik explains that a healthy pelvic floor is crucial for normal urinary, bowel, and sexual function.
  • Pelvic floor dysfunction can result in symptoms such as urinary urgency, frequency, pain during sex, and back pain.
  • Kegel exercises can help strengthen the pelvic floor, but it’s essential to avoid overdoing it to prevent further dysfunction.
  • Dr. Malik emphasizes the role of blood flow in sexual function and how issues with blood flow can contribute to sexual dysfunction.
  • The discussion touches on the impact of stress, anxiety, and pornography on sexual health, as well as the need for open conversations and accurate information.
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

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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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