Unravelling the complexities of orgasm, erectile dysfunction, and the impact of common medications on sexual health

madman · 2026-03-15T13:29:36-0500

Dr. Goldstein!

00:42:18 Erectile dysfunction causes

01:28:34 Long-term use of ED medications

In this episode, Dr. Rena Malik, MD sits down with Dr. Irwin Goldstein, a pioneer in sexual medicine, to unravel the complexities of orgasm, erectile dysfunction, and the impact of common medications on sexual health. They explore cutting-edge research on orgasm phases, discuss medication-induced sexual dysfunction, and highlight practical solutions and therapies for both men and women. Listeners will walk away with actionable knowledge about optimizing sexual health, understanding new treatment options, and the importance of seeking expert care for sexual concerns.

Chapters:

00:00:00 Introduction
00:02:48 Phases of orgasm
00:10:25 Differences in orgasm disorders
00:18:06 Treatments and therapies
00:30:54 Medication-induced sexual dysfunction
00:42:18 Erectile dysfunction causes
00:51:59 Hard flaccid syndrome
01:03:48 Shockwave and PRP therapy
01:13:34 Female sexual function misconceptions
01:21:00 Hormonal birth control effects
01:28:34 Long-term use of ED medications

madman · 2026-03-15T13:47:11-0500

Thread 'Sexual Dysfunction: GOAT - Dr. Irwin Goldstein'

Sep 17, 2023

228. GOAT - Dr. Irwin Goldstein

Podcast Episode · You Are Not Broken · 10 September 2023 · 52m

podcasts.apple.com

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...

Thread 'Permanent Sexual Side Effects From Commonly Prescribed Medications'

Apr 22, 2025

In this enlightening episode, Dr. Irwin Goldstein discusses the often-overlooked sexual side effects of common medications such as birth control pills, SSRIs, and Finasteride. Dr. G elaborates on how these medications can lead to significant issues like sexual dysfunction, low libido, and even permanent conditions such as persistent SSRI-associated sexual dysfunction (PSSD) and permanent erectile dysfunction (ED) from Finasteride. The conversation highlights the critical need for awareness and informed decision-making regarding these medications...