Podcasts about Sexual function

*DISCLAIMER* This episode covers adult topics that are not intended for young ears.   260. Sex After Cancer with Dr. Kris Christiansen   James 1:19 (NIV) My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry,   **Transcription Below**   Questions We Discuss: What is common mis-information that you want to set straight as it relates to cancer and sex? If someone is walking their own cancer journey right now, what would you advise them to both do and avoid doing so that they can still enjoy the healthiest sex life possible with their spouse? What hope do you have to share with people who have battled cancer and still desire to connect intimately with their spouse?   Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.   Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life. Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being. In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Dr. Kris Christiansen's Website   Previous Episodes featuring Dr. Kris Christiansen on The Savvy Sauce: 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen   Additional Place to Find More Episodes from The Savvy Sauce Related to This Topic: One-Stop Shop for Marriage and Intimacy Resources   Dr. Kris Christiansen's Recommended Websites for Sexual Health: The Menopause Society Mayo Clinic National Institutes of Health International Society for the Study of Women's Sexual Health American Urological Association International Society of Sexual Medicine Sexual Medicine Society of North America American Cancer Society ISSWSH International Society for the Study of Women's Sexual Health SMSNA Sexual Medicine Society of North America  ISSM International Society of Sexual Medicine The Menopause Society   Find a provider: For a women's sexual health provider, pelvic floor physical therapist, (non-Christian) sex therapist ABCST American Board of Christian Sex Therapists (for a Christian sex therapist)   Thank You to Our Sponsor: Leman Property Management Company   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Please help us out by sharing this episode with a friend, leaving a 5-star rating and review on Apple Podcasts, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   **Transcription**   Music: (0:00 – 0:09)   Laura Dugger: (0:10 - 1:22) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.    Leman Property Management Co. has the apartment you will be able to call home, with over 1,700 apartment units available in Central Illinois.   Visit them today at lemanproperties.com or connect with them on Facebook.    Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Not many people specialize in the same thing as our returning guest for today, Dr. Kris Christiansen. She specializes in sexual medicine, and today she's going to provide clarity, information, and direction for how to maximize sexual pleasure with our spouse after one receives a cancer diagnosis. Here's our chat.   Welcome back to The Savvy Sauce, Dr. Christiansen.   Dr. Kris Christiansen: (1:23 - 1:30) Well, thank you so much, Laura. We had so much fun last time, and I'm looking forward to this conversation again today.   Laura Dugger: (1:31 - 1:57) Likewise. I feel the same way. And it really wasn't that long ago that you were on The Savvy Sauce two times, so I'll make sure and link to both of those episodes in the show notes for today.   But hopefully everybody's already well acquainted with you, and that's why we're just kind of diving right into our topic today. So, for starters, how did this topic of sex after cancer become an interest of yours to study?   Dr. Kris Christiansen: (2:00 - 2:32) Well, so Laura, my job as a sexual medicine physician is that I work with both men and women and helping them with their sexual lives when they have problems or whatever. So, cancer is often a big part of that. So, through my journey with work, I've just developed a significant interest in learning how to really care for people to help restore this important part of life.   Laura Dugger: (2:33 - 2:52) Absolutely, because a lot is taken away when somebody gets that awful diagnosis, and so I'm very grateful for people like you who are experts. But is there any common misinformation that you would like to set straight as it relates to cancer and sex?   Dr. Kris Christiansen: (2:55 - 6:42) Well, interesting you say that, because there is so much misinformation out there just about sex in general. And then when we throw cancer in on top of that, it just makes it even more complicated. So, I think a common fear that people experience when they get that diagnosis that they hope they never hear, the C word, is that it's going to have a significant impact on their sexual intimacy.   And you know what, it can, but that doesn't mean that that chapter in life is closed. We just have to remember that sexual intimacy is much, much broader than just intercourse. So, if we can refer to this as PIV sex, penis in vagina sex, many people view it as kind of an all or none thing.   If they can't have vaginal intercourse or that PIV sex, then they don't want anything at all. Unfortunately, that just rules out or shuts out so much of sexual intimacy that God has intended for us. We may not be able to engage in the same activities for a time or even long term, but that doesn't mean that we can't connect.   So, if we try to remember that intimacy, sexual intimacy is all about giving and receiving pleasure, then there are so many more opportunities. So, we have to get beyond the fact that sexual intimacy, sexual intercourse is just vaginal intercourse because it's not. It's giving and receiving pleasure.   And however people want to connect or comfortable connecting, that they can still enjoy a very fruitful sex life. The other thing that is misunderstood and misconceptions is estrogen, vaginal estrogen, especially. Because, well, all women who enter menopause and you're in menopause for the rest of your life do experience some changes.   And it's so common that women experience the genital urinary syndrome of menopause. That's vaginal atrophy, or when the tissues get drier and thinner and there can be tearing and pain as well as bleeding and decreased sensation, decreased sensitivity. These things are common with aging, but oftentimes cancer treatments emphasize that or accelerate it or make it even worse.   And vaginal estrogen is really, really safe. It does not cause cancer. And most of the studies show that even in women who have breast cancer, that it doesn't cause recurrence.   So vaginal estrogen, being so safe, can really save our vaginas. And we're talking about vaginal health and bladder health. It's not just about sex, but it helps keep our bodies functioning properly and minimizing pain and discomfort.   So, if a woman is diagnosed with breast cancer and she's on treatment, then obviously we have to talk to the oncologist, make sure they're okay with that. But we get more and more studies showing it's safety and it's definitely effective and can help keep our tissues young.   Laura Dugger: (6:42 - 7:25) This is really helpful and brand new information to me. So someone, like you used that example, if they have breast cancer diagnosis and there's different types, but if they're doing the treatment where perhaps they go into early menopause or they have a hysterectomy or remove their ovaries and they even have an estrogen blocker so that they're not producing estrogen, for that type, you're still saying as long as you're working with the oncologist for that personal client, even in those situations, vaginal estrogen, which would be, I'm assuming, more of a cream or something you insert to the vagina, is that right? That that would be safe?   Dr. Kris Christiansen: (7:25 - 10:55) So, where it gets a little gray is if the woman is taking an aromatase inhibitor, which is the estrogen blocker. So, it pretty much wipes all estrogen out of her system. There's a little more risk there.   So most definitely we need to double check with the oncologist. But it often comes down to quality of life. I have a patient who, she was diagnosed with breast cancer, I believe, in her early 60s.   And she came to me at the sexual medicine clinic and she was just miserable. I mean, when we think of vaginal dryness, you think of, okay, it's annoying. You use a lubricant, right, and it's going to be just fine.   In the beginning, yes, that's the case. But this genital urinary syndrome of menopause, GSM, gets worse with time, especially with those anti-estrogen treatments. And for this poor woman, she couldn't exercise.   She loved to go hiking. She loved to go skiing. And just any kind of movement was painful.   And we don't think of that. We kind of take it for granted. But for some women who really experience severe side effects of the breast cancer treatments and causing dryness and irritation, it affects everything.   And for her, we tried all the non-hormonal things first. They didn't work. And her oncologist gave us the blessing saying, you know, we tried it.   This is really important to you. Let's give it a try. And so, we've monitored her, and the vaginal estrogen hasn't caused any problems.   So, a couple points on that. With the vaginal estrogen, yes, it comes as a cream. There's a tablet, which is like a little pill with an applicator that you insert in the vagina.   There are vaginal inserts. They look like little caplets that you just insert with the finger. There's a vaginal ring.   But with the localized treatment, it's meant to just act locally, meaning just on the vaginal tissues. And, oh, package insert. So, you know, here we tell patients, vaginal estrogen is safe.   Don't worry. It's not going to cause cancer, heart attack, strokes, or blood clots. But then they go home.   They get their prescription. They open up the patient insert, package insert, and it talks about risks and bad things that can happen and side effects. Unfortunately, the FDA says we have to use the class labeling or the side effects that are associated with systemic estrogen.   And it automatically gets applied to the localized or vaginal estrogen treatments. So, patients go home, they read that, and they think we're lying to them. But, unfortunately, it's just very misleading because we have plenty of studies to show that vaginal estrogen doesn't cause those terrible things.   And it's very safe. So, they just have to trust us. And there are groups and people out there trying to work with the FDA to get that class labeling effect removed because it just scares everybody away from using estrogen, which can be so helpful.   Laura Dugger: (10:57 - 11:04) Wow, that is helpful. Is there any other common misinformation you want to make sure we don't overlook before we continue on?   Dr. Kris Christiansen: (11:05 - 11:29) Well, I made a few notes here. No, I don't think so. Except that media, television, and all that other stuff that we see out there is so misleading when it comes to sexual intimacy.   Because sex in real life doesn't look like what you see in the movies. Yeah.   Laura Dugger: (11:30 - 11:45) Great, great point. And so, when somebody does get, like you said, that dreaded C-word diagnosis, what's a common path that they may experience as it affects them sexually?   Dr. Kris Christiansen: (11:48 - 14:00) Well, so, the different cancers are so different and treatments are so different that it's hard to generalize for everybody. But, you know, first thing most people experience is fear. What's this mean for me?   What's this mean for my life, my family? Am I going to be around in five years? So, it's that fear.   And the initial part of that journey is often involved with meeting with lots of doctors, having all the tests, trying to figure out what's going on, what we're going to do. And sexual intimacy often isn't part of that first steps that they take. So, but when things kind of finally settle down, then those questions start popping up.   What does this mean? It's important to talk with your cancer journey, your cancer team, the oncology team to find out what's going on. And it's important to ask all these questions because doctors really aren't very good about asking about sexual health and what that means to you.   Oncologists, generally speaking, they want to treat the cancer and their job is done when the cancer is treated, under control, gone, whatever. And they've done a good job. However, so many of us are just left afterwards saying, okay, thanks, cancer's gone, but now what?   And so, it's a matter of really trying to figure out what's important over time, learning what's going to work and what's not. And know that there are people out there to help you and that want to help you if it's not going as planned. You know, I just want to reiterate that people really need to advocate for themselves and they need to ask questions.   And if they're not getting the answers that they want, don't give up because there are people, organizations, information out there that can be helpful. So rather than just worrying about what's next, seek help.   Laura Dugger: (14:02 - 14:18) That's really great advice. And I think this may be an appropriate place to pause and just get some of those recommended places. Because if somebody, this is new to them and they don't know where to turn, do you have any places or websites off the top of your mind that you would recommend?   Dr. Kris Christiansen: (14:20 - 15:41) Well, so cancer.org, the American Cancer Society has a lot of resources on there. When it comes to menopause-type symptoms and such, menopause.org is the Menopause Society, which has a lot of information. And a website called PROSAYLA, it's P-R-O-S-A-Y-L-A.com, is a website that's managed by ISHWISH.   We've got all these acronyms. The International Society for the Study of Women's Sexual Health. So that is my go-to.   Okay, so that's the organization where there's so much research and science and such happening. And the PROSAYLA.org or prosayla.com, either one works, is a website where there are several articles written by experts in the field. So, these are articles backed by science.   It's not just somebody's opinion or somebody's blog. And I know there's an article on there about sex or cancer and sexuality. So, some generalities and some other references on that site too.   Laura Dugger: (15:42 - 15:51) Okay, that is super helpful information. We'll make sure and add links to those places as well. Anything else that you want to make sure we don't miss?   Dr. Kris Christiansen: (15:52 - 17:36) Well, when we talk about sexual concerns or sexual problems, we always try to approach it from a biopsychosocial aspect. Because those three different entities all play a big role in what works well and what doesn't. So, from the biological section, that's pain, medications, nerve problems, chronic medical problems.   So obviously cancer plays a big role in that. And with cancer treatments and such, pain may be part of that, nausea, fatigue. And so, we just don't feel the same going through these treatments because it's really hard.   As far as the psych bubble, I'm usually referencing a Venn diagram here. Psychological, so when we experience anxiety or depression or performance anxiety, that plays a big role. So, we need to take a step back and realize that what happens up here in our brain has a huge impact on how our bodies function physically.   And then as far as the social aspect, that's our relationships, our interpersonal relationships with our partner, our spouse, with our family and how things are going on at work. A cancer diagnosis and treatment can affect all of those. And so, it's not just a magic pill to improve your libido because if we don't treat all these other things, people continue to struggle with their sexual function.   Laura Dugger: (18:01 - 19:46) Duplexes, studios and garden style options located in many areas throughout Pekin. In Peoria, a historic downtown location and apartments adjacent to the OSF Medical Center provide excellent choices. 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Check them out on Facebook today or email their friendly staff at Leasing@LemanProps.com. You can also stop by their website at lemanproperties.com.   That's LEMANproperties.com. Check them out and find your place to call home today.    Also, Dr. Kris, are there any certain cancers or treatments that have the most detrimental impact on a person's sex life?   Dr. Kris Christiansen: (19:48 - 23:15) We know that cancers that affect the breast, for women, but men too get breast cancer, and also the genital area have the biggest impact. We've talked a fair amount about breast cancer. Many of the treatments for breast cancer result in early menopause.   If a woman is premenopausal when this happens, menopause can have a definite impact. The treatments can cause the pain and dryness and decrease sensitivity. Also, if surgery is involved in a mastectomy, it can affect our own body self-image.   From a more physical standpoint too, when we have the mastectomy and those nerves are cut, it decreases the sensitivity. For a lot of women, breast stimulation is really important as part of their sexual play. If now her breasts are gone and she can't feel anything when her husband is touching her breasts, that can be a really hard adjustment.   Any cancers that affect the genital area, uterine cancer, ovarian cancer, or anal rectal cancer for both men and women, and prostate cancer for men, those all have a huge impact. In addition to working with a lot of women who have breast cancer and overcoming and improving those areas, I work with a lot of men who have prostate cancer. Those treatments usually result in erection problems and urinary incontinence, which can be hard to deal with.   Men who have a prostatectomy, so if they have their prostate removed, then 100% of them are going to have erectile dysfunction in the beginning. It's going to take time for those nerves to recover, and it may take up to two years to see that full recovery. In those first few months when I'm working with men, I'm trying to be their cheerleader, saying, don't lose hope, don't give up, because this is going to get better.   It just takes time for those nerves to regrow. In the process, though, it is important to do whatever we can to make sure that that tissue stays healthy. Remember that the penis is actually muscle, muscle tissue, smooth muscle.   If we don't use a muscle for several months, atrophy sets in, which is a bad thing. With atrophy, the penis can shrink in size, and scar tissue potentially can set in, and it just makes that recovery less optimal than what it would have been. Trying to maintain the blood flow during those first few months or first year is really helpful.   Just to help maintain the blood flow and the oxygen to help keep the tissues healthy, so when the tenders do recover as best as they're going to, we get the best outcome.   Laura Dugger: (23:16 - 23:36) This may be an ignorant question, but then if erectile issues are present during that first time period, but it's crucial to have the blood flow to that area, what can men do to increase blood flow there, even if erection is difficult or impossible?   Dr. Kris Christiansen: (23:36 - 25:01) That's a great question. Taking a medication like Viagra or Cialis. Cialis is my favorite because it stays in the system for a good 36 to 48 hours every time you take it.   If you're just taking a low dose every day, it just encourages a little bit of that blood flow every day. Using a vacuum device, which I just happen to have one right here, looks like this. A penis goes inside the cylinder, we create a vacuum or suction, and it pulls the blood flow in.   It's not the most sexy thing, but using it and using the vacuum device several times a week just to get that blood flow going is a very helpful way to keep the tissues healthy. Getting an erection with the vacuum doesn't get those arousal-type feelings, so it looks a little weird, but it does work. For men who want to use this for sexual activity, you can get the erection within the tube, and then it comes with these tight rings that are stretched over the edge of the cylinder.   Once you get the full erection within the tube, you slide that ring off to maintain the erection.   Laura Dugger: (25:04 - 25:14) That's incredible just to pause and think of God's grace and these inventions and how incredible that there are solutions. Please continue, but I find that encouraging.   Dr. Kris Christiansen: (25:16 - 27:39) There are all kinds of encouraging things, but if you're in the middle of this journey, it can be sometimes hard to keep going when you're not getting the results that you want to. But we believe in a big God, and he created sexual intimacy, and it's a gift. Other ways to help manage erectile dysfunction and a couple other show-and-tell things here.   This medication is called Muse. The actual medication is a pellet that comes preloaded in this applicator. You insert it in the tip of the penis, the medication gets absorbed, and 10 minutes later, magic happens.   I don't prescribe this very often because it's really, really expensive, a little harder to find. But the advantage to this medication is that it doesn't need the nerves to work, whereas the medications like Viagra and Cialis, they need the nerves. Guys usually kind of turn white when I pull this out.   For our listeners, I'm holding an insulin syringe and needle. There is such a treatment where you can actually inject a tiny amount of medicine directly into the penis, and it will give you an erection. I tell men that with the pills like Viagra and Cialis, just in general with ED, it works in about 60% of men.   We can get this to work, the injections to work, in 90-95%. It's such a tiny needle that men say it feels like a poke or a pinch once they get past that initial shock that they think is going to hurt. The usual response is, oh, that wasn't so bad, and it's very effective.   This can work within four to six weeks, so whenever your surgeon says it's okay to engage in sexual activity again, this will work. Then last but not least is a penile implant. That's surgery, and that you have to wait at least a year, if not two, after the prostate surgery.   That works in 99.99%. Wow.   Laura Dugger: (27:40 - 27:56) We were focusing a lot on men for that one. Is there any medication or any other injections or anything like that for women, other than the vaginal cream or different ways to get estrogen in the vagina?   Dr. Kris Christiansen: (27:58 - 31:15) Yes, we've got all kinds of treatments. If a woman has breast cancer, or for whatever reason we want to avoid hormones as much as possible, then generally we're starting with a vaginal moisturizer, which is different than a lubricant. A lubricant is just for sexual activity and just to make things slipperier and feel better.   That often helps in the beginning, but as the GSM or the atrophy continues, the lubricant isn't enough. A moisturizer, think of like a facial moisturizer or a moisturizer for your hand, in order for it to work, you have to use it regularly, which is probably at least three times a week. These moisturizers can come in forms of a liquid that gets injected.   They're little capsules that you can insert. Reveri is a hyaluronic acid suppository, which you insert in the vagina and over time that can be really helpful. One of my favorites is this Rosebud Everyday Balm.   It's a really nice balm that you can put on the tissues inside the lips and inside the vagina. It's just really, really soothing. Again, you've got to use these things regularly.   It will take a good two months at least to see the full effect, so it doesn't work right away. Just like with the guys where they've got to be patient with the nerves, we have to be persistent and patient with things that can work. A vaginal moisturizer is really helpful.   A lubricant for sexual activity. There are over-the-counter and prescription medications that can help with arousal and orgasm. There are two approved medications for the treatment of low libido in premenopausal women.   One is Addi, which is a pill that you take every day, also known as the pink pill. Another treatment is Vilece, which is an injection. It comes in a pen, so you never see the needle and really don't feel the needle.   You give it to yourself about 45 minutes to an hour before sexual activity. Both of these medications are working on the brain chemistry because the brain is the biggest sex organ in the body. It's the most important sex organ.   It works on the brain chemistry and improving the dopamine and norepinephrine and the good sex positive hormones. Like I said, it's only approved for premenopausal women, but many of us do prescribe it for postmenopausal women. We have studies to show that it's safe and it's effective.   The drug companies didn't go through with all the rigmarole they had to do to get the FDA-approved indication for that. We've got all kinds of tricks up our sleeve.   Laura Dugger: (31:16 - 31:26) Absolutely. Just piggybacking on that, they wouldn't oftentimes follow through on all those studies, would you say primarily because of financial restraints?   Dr. Kris Christiansen: (31:27 - 31:41) Totally. To get a medication approved for female sexual function, it's multi-million, if not a billion dollars. Studies and everything that needs to be done, it's crazy.   That's why these meds are so expensive.   Laura Dugger: (31:42 - 32:14) Then you also mentioned earlier bringing in the quality of life. There are so many options to consider, but such a personal basis. I had another question that arose.   You kind of were answering that because this one works with the brain chemistry. I'm thinking the body parts may be functioning and you can do different things to have an erection or be aroused with your genitalia, but how is desire affected with cancer?   Dr. Kris Christiansen: (32:16 - 35:03) It's huge, unfortunately. Again, if we go back to that biopsychosocial model and for everything to work well, everything's got to be working well. If we have pain, of course that drives down desire.   We use the analogy of putting your hand on a hot stove. Pain with sex can hurt just as badly as that. I have women tell me it's 10 out of 10 pain feels like shards of glass.   Obviously, that's not pleasant. If we compare that to putting your hand on a hot stove, why in the world would you want to do that? We've got to take care of the pain.   When it comes to pain, it becomes imprinted in the brain and the body responds by just amplifying that pain. You've got more pain and you have less desire. Part of GSM or surgery or chemotherapy and other treatments, radiation, can affect the nerves.   We don't get those positive sensations and the arousal anymore. There's arousal in the brain as well as arousal in the genital area. If we're not getting that positive feedback that this just isn't fun anymore, it's hard to get enthused about engaging in that.   Sex therapy can be really helpful. Sex therapy isn't going to fix thin tissues, but a sex therapist is very skilled and trained at working with people and working with couples on trying to process this, working through the process and the changes that are happening. Sometimes it is a permanent change in sexual function, so there's grief involved.   Helping to process through some of that is really important. But again, if we take a step back and remember that sexual intimacy is more than just PIV sex, that there are all kinds of ways to be able to give and receive pleasure, as long as each person is comfortable with this. And moving beyond the thinking that, well, if I can't have intercourse, I'm not going to have anything at all, then that may mean you might not have anything at all for the rest of your life.   That makes me sad. We just have to take a step back, work through some of this, because it's a journey, it's a cancer journey, it's an aging journey, and try to make the most of it.   Laura Dugger: (35:04 - 36:32) I want to make sure that you're up to date with our latest news. We have a new website. You can visit thesavvysauce.com and see all of the latest updates. You may remember Francie Hinrichsen from episode 132, where we talked about pursuing our God-given dreams. She is the amazing businesswoman who has carefully designed a brand-new website for Savvy Sauce Charities, and we are thrilled with the final product. So, I hope you check it out.   There you're going to find all of our podcasts, now with show notes and transcriptions listed, a scrapbook of various previous guests, and an easy place to join our email list to receive monthly encouragement and questions to ask your loved ones so that you can have your own practical chats for intentional living. You will also be able to access our donation button or our mailing address for sending checks that are tax deductible so that you can support the work of Savvy Sauce Charities and help us continue to reach the nations with the good news of Jesus Christ. So, make sure you visit thesavvysauce.com.   What are some of those examples for someone if they can't have PIV sex anymore? What are ways that you encourage continuing to build intimacy and a knowing of one another and offering and receiving pleasure?   Dr. Kris Christiansen: (36:34 - 41:17) Well, starting with making sure each person is on the same page as far as what they're comfortable with. Okay? Communication is key.   To be able to talk about what you want, what you desire, what your needs are, and listening to your partner say that same thing, trying to make no judgments and not forcing anybody into anything, but just so that we can help understand each other. And when it comes to actual giving and receiving pleasure, whether that's with manual stimulation, with your hands, with your fingers, or if you have a massager, oral stimulation, using a vibrator. And a vibrator can be really helpful for women in menopause, women dealing with cancer treatments, and also for men if they need a little extra help with the stimulation because their nerves aren't working so well.   A vibrator, using it together in the context of giving and receiving pleasure can help, just help with the response, help with the enjoyment, and make it a little more fun, as long as everybody's okay with that. Using a lubricant is really important. And a good lubricant, you want to use a good lubricant because some of the more common ones, unfortunately, have ingredients in them that can actually hurt or irritate.   And like KY and Astroglide, sorry to name names here, but they're basic water-based lubricants, have either glycerin, parabens, or propylene glycol in them, and those can irritate, so we want to try to avoid those. A silicone-based lubricant doesn't have those preservatives, and it stays slippery longer. Where we have to be careful with that is that if you're using a silicone tool, otherwise known as a vibrator, you don't want to use those together because it can ruin the tool.   And if the man is struggling with ED, using too much, especially of a silicone lubricant, can make it too slippery. And too slippery is not so good for him. Oil-based lubricants, they're very nice, except if you're using condoms, it will degrade the condom and create other problems, potentially.   Other ways to stimulate, manually, orally, and when women have pain with intercourse, I'm going to bring in another show-and-tell here, the pain is often coming from the vulva, not so much in the vagina. We talk about vaginal dryness and vaginal atrophy, but the part that's most sensitive is often just right inside the little lips here. And so, if we have terrible pain with penetration, we want to avoid that.   However, the whole surrounding vulvar area is very rich in nerves, can be very much stimulated, and it can feel really good, however each person is comfortable stimulating that area. And another fun fact is that this entire structure is the clitoris. You know, when we think of the clitoris, we think of the glands, this tiny little magic button right here, which, by the way, has 10,000 nerve endings in it.   It's incredible. But the legs, the legs are the cruise of the clitoris, as well as the bulbs. They come down on either side of the vagina.   So, the vagina is here. However, this part of the clitoris can easily be stimulated, so the legs of the clitoris can be easily stimulated, just inside the labia majora, or the outer lips. So, using a vibrator here can be really pleasurable, and you're avoiding the part that hurts.   So, stimulating externally the clitoris, the labia, and wherever else feels good can be very fun. And so, if you try to approach it may be like a game, making it fun and exploring each other's bodies so that you can really figure out ways to make the other person feel good or experience pleasure without causing pain.   Laura Dugger: (41:18 - 41:43) That's so great. And like you had mentioned, if they go see a Christian sex therapist, they would say the same thing as you to stop when there is pain, because it just makes it worse over time. And so, I love that you've given us other options, if that is the case.   Is there ever a time where orgasm is no longer possible after cancer?   Dr. Kris Christiansen: (41:46 - 43:14) It's possible. Yes. Depending on the cancer and the treatment, that it can make it really difficult or even impossible to get there.   But that's where we want to not focus on orgasm as the ultimate goal, because if we engage in sexual activity with orgasm as the ultimate goal, your brain's not going to let you go there, whether it's the male or the female, either one, the brain is the biggest sex organ in the body. Just trying to go for the gold just won't let you get there. So, you have to relax and enjoy the journey regardless.   So even if the cancer or the treatment didn't necessarily affect orgasm or if it's just our brains, my encouragement is to approach a sexual encounter as an experience. Enjoy the experience. It's not a performance.   We don't want to perform because then we get in our head, and we get nervous and our muscles all tighten up. So, we don't want to perform. We want to enjoy the experience, and it can be very pleasurable.   Even if orgasm isn't part of the picture anymore, it doesn't mean you can't have fun and can't connect because you can.   Laura Dugger: (43:15 - 43:25) But then I guess also to offer the hope, if I ask it a different way, are there times that orgasm is still possible after a cancer diagnosis?   Dr. Kris Christiansen: (43:27 - 44:01) Absolutely. We always have hope. We always have hope.   Just because you're diagnosed with cancer doesn't mean you're not going to be able to engage in PIV sex or be able to experience an orgasm because that's always a possibility. Don't focus on just getting to the big orgasm. You want to slow down, enjoy the journey, and oftentimes it will come.   There are medications that help with blood flow, that help with arousal and orgasm, and sometimes they can be helpful. Sometimes they're not, but usually it doesn't hurt to try them.   Laura Dugger: (44:02 - 44:26) There you go. That's a very helpful reminder. It's a piece of the puzzle, not the whole thing.   But if someone right now is walking through their own cancer journey, what else would you advise them both to do and to avoid doing so that they can still enjoy the healthiest sex life possible with their spouse?   Dr. Kris Christiansen: (44:29 - 47:19) That's going to involve several pieces. One, first and foremost, maintain the communication about wants and desires, what hurts, what doesn't, what can we do, what do you want to try tonight? Maintaining the communication.   It's much better to prevent problems like the vaginal dryness and pain than to try to treat it after you've been dealing with it for years sometimes, or even months. If you have, say, breast cancer, just getting in the habit of using one of those vaginal moisturizers from the get-go even before the dryness starts can help prevent problems. Seeing a pelvic floor physical therapist can be really, really helpful.   A pelvic floor physical therapist is a physical therapist who specializes in these pelvic floor muscles that help support everything on the inside. And so if these muscles are too tight, causes pain, and if they're already too tight, doing tangles is the last thing that you want to do, because sometimes it means being able to relax them. Or women who have, who need pelvic radiation, say for uterine cancer, the gynecologic oncologist is usually really good about giving you a vaginal dilator and to use it, but they're not always really good at telling you exactly how to use it, how frequently and how long, so be sure and ask.   Because again, we want to maintain the integrity of the tissues, because it's better to maintain them than try to get it back. That's often quite hard. For guys, especially with prostate cancer, it means participating in that, we call it penile rehabilitation.   So, it's basically physical therapy for the penis. You know, its muscle, so we want to keep that muscle healthy and to help maintain healthy tissues. And just trying to be as good to ourselves as we can, giving ourselves and our partners grace when we need it, because it's a journey and it's not an easy one.   But we believe in a big God and he's there to help us through this and he delights when husband and wife can unite as one, whatever that looks like. And it makes him happy and he's there to try to keep this going for us.   Laura Dugger: (47:21 - 47:40) And you may have already answered this question with that, but I love how you're always encouraging and gentle and full of hope. So, any other hope that you want to share with anyone who's battled cancer or is in the midst of their journey, but they're still desiring to connect intimately with their spouse?   Dr. Kris Christiansen: (47:47 - 48:33) Sometimes it means asking for help. So, for finding a provider, whether that's a therapist, a gynecologist, a sexual medicine provider, or even your pastor counselor to help you through this. In the show notes, we'll put in websites where you can find a provider because not everybody is educated.   Hardly anybody's educated on this, unfortunately. But there are people out there throughout the country, throughout the world, where you can find to help guide you on this journey. Don't suffer in silence.   We're here to help. So be sure to reach out so we can help you.   Laura Dugger: (48:33 - 48:50) That's so good, Dr. Christiansen. And are there any other proactive measures that all of us can take to set us up for a healthy sex life into aging or any diagnoses that we may get in the future?   Dr. Kris Christiansen: (48:53 - 50:38) Well, treating our body like a temple, like God says. We have to take good care of ourselves. And just in general, going for your preventative visits and checking your cholesterol and your blood sugar and your blood pressure and screening for cancer so we can prevent them or catch them really early.   And it's so much easier to treat. But things like smoking and diabetes and being overweight and high blood pressure, high cholesterol, they impact sexual function very negatively, especially smoking. Guys are still surprised when I tell them, or I show them a picture of a cigarette with ashes that are kind of wilting off the end.   This is your penis. This is what happens with smoking. Okay.   So quitting smoking. And in women, we have those same little blood vessels and nerves that men do. And so not taking care of ourselves as far as weight, exercise and diabetes and all that stuff, that affects our sexual function, too.   So just making sure that we take a proactive stance on just taking really good care of our medical and our mental health because that's so important. And our spiritual health. Can't forget that, too.   Yeah. Just, you know, taking care of ourselves because aging does impact sexual function. As we get older, our endurance isn't quite what it used to be.   Certainly not as flexible as we used to be. Things kind of hurt. Achy joints and whatever.   So, the more we can take care of ourselves, the more we can enjoy that sexual intimacy, which does involve a little bit of physical exertion.   Laura Dugger: (50:39 - 51:03) Absolutely. Well, you've shared a lot of places where we can go to seek help. But I would love to know where we can continue to learn from you or a website where people can find out more of your offerings because you mentioned not many people are educated in this field or on this topic, but you are a great resource.   So where would you direct all of us after this chat?   Dr. Kris Christiansen: (51:05 - 52:23) Well, I started my own business called Intimate Focus, Intimate-Focus.com. Where my goal is to offer education and quality products that people can use to help equip them and enhance sexual intimacy. As part of my clinical career where I see patients, we'd often talk about using a good lubricant or getting a vibrator to help with those nerves that just aren't quite as effective anymore.   And so many times they told me they were just not comfortable going to an adult store or they didn't want to purchase them on Amazon because it could be a shared account and kids or whatever may see what they're ordering. So, this is a private and secure site and I don't even know how to sell your email so don't worry, that's not going to happen. Where you can purchase good quality products, I vet them out myself to make sure that they don't contain the ingredients that I encourage women to avoid and no pictures with nudity or anything like that because I want it to be a comfortable space or at least as comfortable as we can make it for everybody.   Laura Dugger: (52:24 - 52:43) Wonderful. Well, I'll certainly link that in the show notes as well. And Dr. Christiansen, you are already a friend of The Savvy Sauce, so you know that we're called The Savvy Sauce because savvy is synonymous with practical knowledge. And so, as my final question for you today, what is your Savvy Sauce?   Dr. Kris Christiansen: (52:46 - 53:15) Well, you know, James in the Bible is a very practical kind of guy and I love his advice that we should all be quick to listen, slow to speak and slow to become angry. And if we were all able to do that or at least just a little more of that, I think our world would be a much better place to live.   Laura Dugger: (53:16 - 53:42) This is so good. I cannot hear that verse enough and I just truly look so forward to the times that I get to spend with you. You are such a calming presence full of wisdom.   That's what we prayed for before we had the recording begin for today. And I am just overflowing with gratitude. So, thank you, Dr. Christiansen, for all that you've shared. Thank you so much for being my returning guest.   Dr. Kris Christiansen: (53:43 - 53:48) Well, thank you, Laura. This has been great. It's an honor to be on your show.   Laura Dugger: (53:50 - 57:32) One more thing before you go. Have you heard the term gospel before?   It simply means good news. And I want to share the best news with you. But it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death and we can never pay back the sacrifice we owe to be saved.   We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus.   We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now?   Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life?   We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen.   If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason.   We want to give you practical tools to implement the knowledge you have learned. So, you ready to get started? First, tell someone.   Say it out loud. Get a Bible. The first day I made this decision, my parents took me to Barnes & Noble and let me choose my own Bible.   I selected the Quest NIV Bible and I love it. You can start by reading the book of John. Also, get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ.   I'm assuming they will be thrilled to talk with you about further steps, such as going to church and getting connected to other believers to encourage you. We want to celebrate with you too, so feel free to leave a comment for us here if you did make a decision to follow Christ. We also have show notes included where you can read scripture that describes this process.   And finally, be encouraged. Luke 15:10 says, “In the same way I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today.   And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.

Hey there, Longevity Podcast listeners! It's just me, Nathalie Niddam, in today's episode, diving into a subject that's often overlooked but super important—testosterone in women. Yes, you heard that right! While most people think of testosterone as a "male" hormone, it plays a crucial role in women's health, especially as we navigate through menopause.   What we discuss: Testosterone in Women ... 00:00:37 Muscle Challenges ... 00:02:10 Sexual Function ... 00:04:33 Energy Levels ... 00:05:14 Cognitive Function ... 00:05:56 Mood and Bone Health ... 00:05:56 Muscle and Cardiovascular Health ... 00:07:02 Somatic Symptoms ... 00:09:01 Sleep and Motivation ... 00:10:14 Cautions with Therapy ... 00:11:13 Administration Methods ... 00:14:38 Transdermal vs. Injectable ... 00:16:47   Our Amazing Sponsor: BiOptimizers - MassZymes is the most complete, most potent digestive enzyme with over 102% MORE PROTEASE than the nearest competitor. That's crucial because protein is the most complex macronutrient to break down. Try MassZymes at bioptimizers.com/bionat and enter the coupon code BIONAT to get 10% off your order.   Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

Sonja arbeitet in der Praxis mit Beckenbodenpatient:innen und speziell auch mit Menschen, die Schmerzen im Kontext der Sexualität haben.In diesem Bereich ist es enorm wichtig, differenziert über Sexualität sprechen zu können und sich die eigene Haltung gegenüber dem Thema bewusst zu machen. Patient:innen dabei zu unterstützen, das Thema Sexualität auf den Tisch zu bringen, kann gerade bei Schmerzpatient:innen besonders relevant sein.Sexualität ist viel mehr als der sexuelle Akt selbst. Sie kann auch für Intimität, Beziehung, Selbstwert, Identität, Leistungsdruck uvm stehen.Auch in dieser Folge haben wir über ein Nocebo der Woche gesprochen.Wir konnten wieder einmal unglaublich viel lernen - diese Folge lohnt sich sehr!Mehr zu unserer Gästin und zum weiterlesen:Sonja Pauli auf Instagram:https://www.instagram.com/physiopauli_urogyn/Sonjas Homepage:https://physio-pauli.at/Quellen:Eine Broschüre vom österreichischen Behindertenrat (am Ende der Seite):https://www.behindertenrat.at/2022/09/sexualitaet-bei-chronischen-erkrankungen-2/Buch "Sexual Function & Pelvic Floor Dysfunction" über Uro/Gyn Themen und weibliche Sexualfunktion:https://www.morawa.at/detail/ISBN-9783030638429/Rantell-Angie/Sexual-Function-and-Pelvic-Floor-DysfunctionPrävalenz von sexueller Dysfunktion bei Schmerzpatient:innen:https://journals.lww.com/clinicalpain/abstract/2001/06000/sexual_difficulties_of_chronic_pain_patients.6.aspxPersönliche Empfehlung von Sonja:"Not giving a fuck" von Beate Absalon. Ein Buch, das sich mit dem Diktat des 'Sex haben wollen Sollen' und dem lustvollen Potential erotischen "Scheiterns" beschäftigt und somit die normative Komponente der 'sexuellen Dysfunktion' kritisch hinterfragt:https://www.kremayr-scheriau.at/bucher-e-books/titel/not-giving-a-fuck/Jede einzelne Folge von "Autsch - der Schmerztalk" als Podcast findet ihr auf den gängigen Plattformen wie Spotify, Apple Podcasts etc.Reserviere dir direkt einen Platz in einem unserer Kurse:www.best-therapie.com/kurseOder lass dich unverbindlich auf die Warteliste setzen, um nichts mehr zu verpassen:www.bestliste.de#BEST #basiseffektiverschmerztherapie #schmerz #autsch #schmerzen #schmerztherapie #physiotherapie #ergotherapie

“Fifteen or 16 percent of the population [is] now taking antidepressants … When they've gone out and asked people who actually use these medications whether they're experiencing sexual dysfunction, approximately 60 percent of people will [affirm] it.”Dr. Josef Witt-Doerring is a board certified psychiatrist, former FDA medical officer, and director of the Taper Clinic. He treats patients suffering from post-SSRI sexual dysfunction (PSSD), and protracted withdrawal—two conditions becoming more common, and in some cases permanent, in people who have stopped taking antidepressants.“SSRIs and antidepressants are really popular drugs. Some people just don't want to believe that they could potentially cause something so catastrophic,” he says. “We should only be using these medications after we've done everything else.”In this episode, we discuss how patients can safely discontinue psychiatric medications and regain control of their mental health, and why there needs to be more awareness about conditions that arise after people stop taking their drugs.“What I saw going through all of that ... as a drug safety officer ... was essentially that we really were practicing outside of what the psychiatric clinical trials and the evidence showed,” says Witt-Doerring. “Doctors have been led astray about the drugs to the point where they overestimate the benefits and minimize the harm.”Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.

Today, Cathy Eason, MS, BCHN and Clinical Education Director at Berkeley Life, fills us in on the MANY functional benefits of nitric oxide. We're diving deep into the fascinating world of nitric oxide—a tiny yet mighty molecule that's essential for a myriad of bodily functions such as blood flow, energy production, and hormone regulation.    Offer for NEW and EXISTING Customers: New customers - visit berkeleylifeprofessional.com/NAT and enter code SAVE20 to save $20 off your first order. Existing customers of Berkeley Life Pro - email info@berkeleylife.com and tell them Nathalie sent you and you will get a free pack of the Prebiotic Nitrate Chewing Gum we talk about in the episode.   What We discuss: Importance and functions of nitric oxide ... 00:00:45 Decline of nitric oxide production with age and dietary sources ... 00:08:23 Challenges with nitric oxide production: genetics, age, and lifestyle ... 00:17:55 Impacts of lifestyle choices on nitric oxide levels ... 00:22:10 Role of nitric oxide in digestion, sexual health, and immune regulation ... 00:29:09 Relevance of mitochondria and energy production with nitric oxide ... 00:38:12 Link between nitric oxide and metabolic balance ... 00:49:05 Supplementation options and Berkeley Life's approach ... 00:54:06 Using the Berkeley Life gum to support oral biome ... 01:08:55 Details on special offers for listeners ... 01:13:08   Our Amazing Sponsors: Wizard Sciences (Neural Rx) - Neural Rx isn't just about a quick boost. It's designed to protect your brain long-term. With C60 (an antioxidant) and anti-inflammatory benefits, it combats oxidative stress and helps keep those brain cells healthy and happy. Plus, it supports mitochondrial efficiency, meaning more energy and focus for the long haul. Use code NAT15 at checkout to get 15% off your purchase. Visit wizardsciences.com.   BEAM Minerals - These minerals come from humate, a natural substance formed over millions of years as freshwater plants broke down and deposited their nutrients into the soil. Over time, those minerals concentrated into this black, crystalline material that's now one of the most mineral-dense substances on earth. That's what's going into your body—and your cells absorb it within minutes. Visit beamminerals.com/NAT20 and use code NAT20 for 20% off.   Young Goose L.A.D.R. Serum -  Powered by light-activated DNA repair enzymes, NAD+, and collagen peptides, it reverses damage while you go about your life. Sunlight? Red light therapy? It all helps this serum work smarter, not harder. Visit YoungGoose.com—use code NAT10 to get started, or 5NAT if you're an existing customer. Future-proof your face.   Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

Ever wonder if those wild fantasies in your head are helping or hurting your performance in the bedroom? Let's talk about something real, erectile dysfunction. It's more common than you think, and your mind plays a huge role.In this podcast episode we're diving deep into the surprising link between fantasy and your sex life. Can those steamy daydreams actually improve things, or are they secretly sabotaging you? We'll break down how your mental images can either supercharge your arousal or send it crashing down, and give you simple, actionable tips to take control.Tune in now to unlock the secrets to a more fulfilling and confident sex life.--------------If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!--------------If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/how-fantasy-affects-erectile-dysfunction--------------Ready to empower your health journey? Secure your FREE PDF copy of the “5 Natural Solutions to Overcome ED” today! Dive into knowledge that could transform your life. Click the link below to claim your copy

Did you know your eyebrows, jawline, and even posture could be revealing your age? What about your testosterone levels?

Did you know your eyebrows, jawline, and even posture could be revealing your age? What about your testosterone levels?

Send us a textIn this episode, Kaitlin interviews Natalie Toshkoff, a pelvic floor PT in Forest Hills, Queens. Natalie offers holistic pelvic floor care and wants to help more people get the care they need.Start your BeHerVillage RegistryFREE resources on BeHerVillageFollow BeHerVillage on InstagramContact Natalie 

Un nouvel épisode du Pharmascope est disponible… Et on aborde encore l'andropause et son traitement! Dans cette deuxième partie, Nicolas, Isabelle et Olivier discutent des données d'efficacité et d'innocuité de la testostérone en contexte d'andropause. Les objectifs pour cet épisode sont les suivants: Discuter de la prise en charge pharmacologique de l'andropause Discuter des données d'efficacité de la testostérone en contexte d'andropause Discuter des données d'innocuité de la testostérone en contexte d'andropause Ressources pertinentes en lien avec l'épisode  Série documentaire « L'andropause sans tabou ». Disponible sur l'EXTRA d'ICI TOU.TV TTrialsSnyder PJ, et coll.; Testosterone Trials Investigators. Effects of Testosterone Treatment in Older Men. N Engl J Med. 2016 Feb 18;374(7):611-24. Resnick SM, et coll. Testosterone Treatment and Cognitive Function in Older Men With Low Testosterone and Age-Associated Memory Impairment. JAMA. 2017 Feb 21;317(7):717-727. Roy CN, et coll. Association of Testosterone Levels With Anemia in Older Men: A Controlled Clinical Trial. JAMA Intern Med. 2017 Apr 1;177(4):480-490. TRAVERSELincoff AM, et coll; TRAVERSE Study Investigators. Cardiovascular Safety of Testosterone-Replacement Therapy. N Engl J Med. 2023 Jul 13;389(2):107-117. Pencina KM, et coll. Effect of Testosterone Replacement Therapy on Sexual Function and Hypogonadal Symptoms in Men with Hypogonadism. J Clin Endocrinol Metab. 2024 Jan 18;109(2):569-580. Bhasin S, et coll. Depressive Syndromes in Men With Hypogonadism in the TRAVERSE Trial: Response to Testosterone-Replacement Therapy. J Clin Endocrinol Metab. 2024 Jun 17;109(7):1814-1826. Pencina KM, et coll. Efficacy of Testosterone Replacement Therapy in Correcting Anemia in Men With Hypogonadism: A Randomized Clinical Trial. JAMA Netw Open. 2023 Oct 2;6(10):e2340030. Snyder PJ, Bauer DC, Ellenberg SS, Cauley JA, Buhr KA, Bhasin S, Miller MG, Khan NS, Li X, Nissen SE. Testosterone Treatment and Fractures in Men with Hypogonadism. N Engl J Med. 2024 Jan 18;390(3):203-211. Autres référencesLee H, et coll. Testosterone replacement in men with sexual dysfunction. Cochrane Database Syst Rev. 2024 Jan 15;1(1):CD013071. Domes T, et coll. Canadian Urological Association guideline: Erectile dysfunction. Can Urol Assoc J. 2021 Oct;15(10):310-322. Buvat J, et coll. Hypogonadal men nonresponders to the PDE5 inhibitor tadalafil benefit from normalization of testosterone levels with a 1% hydroalcoholic testosterone gel in the treatment of erectile dysfunction (TADTEST study). J Sex Med. 2011 Jan;8(1):284-93. Walther A, Breidenstein J, Miller R. Association of Testosterone Treatment With Alleviation of Depressive Symptoms in Men: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2019 Jan 1;76(1):31-40. Wittert G, et coll. Testosterone treatment to prevent or revert type 2 diabetes in men enrolled in a lifestyle programme (T4DM): a randomised, double-blind, placebo-controlled, 2-year, phase 3b trial. Lancet Diabetes Endocrinol. 2021 Jan;9(1):32-45. Bhasin S, et coll. Effect of Testosterone on Progression From Prediabetes to Diabetes in Men With Hypogonadism: A Substudy of the TRAVERSE Randomized Clinical Trial. JAMA Intern Med. 2024 Apr 1;184(4):353-362.

*DISCLAIMER* This episode is intended for adults   252. Maximizing Sexual Connection as Newlyweds to Long Term Marriages and Recovering from a Sexless Marriage with Dr. Clifford & Joyce Penner   Ephesians 5:21 (NIV) Submit to one another out of reverence for Christ.   Questions and Topics We Cover: What are a couple of your most important tips for newlyweds? What are your favorite recommendations to share with couples who want to be proactive and enhance their sexual intimacy, even if things are currently going pretty well? Will you define what constitutes a sexless marriage and share  any trends you've seen over the years?   Thank You to Our Sponsor:  Sam Leman Eureka   Dr. Clifford and Joyce Penner are best known for their pioneer work in encouraging people of all faiths to connect their sexuality with their belief system ─ helping them embrace sex as good and of God. Dr. Clifford is a licensed clinical psychologist and Joyce is a registered nurse and clinical nurse specialist. They are highly respected authors and speakers, in addition to being parents and grandparents.    Dr. Clifford and Joyce Penner's Website   At The Savvy Sauce, we will only recommend resources we believe in! We want you to be aware: We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.    Books By Dr. Clifford and Joyce Penner: Enjoy! The Gift of Sexual Pleasure for Women The Married Guy's Guide to Great Sex Restoring the Pleasure The Gift of Sex: A Guide to Sexual Fulfillment Sex FAQ We Didn't Have Time to Cover Today  Information on Pelvic Pain    Previous Savvy Sauce Episodes with Dr. Clifford & Joyce Penner: Easy Changes to Enhance Your Sexual Intimacy in Marriage with Dr. Clifford and Joyce Penner    Maximizing Sexual Intimacy During the Three Most Challenging Phases of Marriage with Christian Sex Therapist Pioneers, Dr. Clifford and Joyce Penner   Additional Previous Episodes on Sexual Intimacy on The Savvy Sauce: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen  Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau  Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna  Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma 222 Pornography: Protecting Children and Personal Healing, Victory, and Recovery in Christ with Sam Black Special Patreon Release: Holy Sex: An Interview with Dr. Juli Slattery Special Patreon Release: His Desires and Her Desires in the Bedroom with Dr. Jennifer Konzen 224 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn 227 Resolving Conflict in Marriage with Tony and Alisa DiLorenzo  Patreon 28 Re-Release: Protecting Your Marriage Against Unfaithfulness with Dave Carder Patreon 23 Her Desires and His Desires in the Bedroom with Dr. Jennifer Konzen Patreon 26 Holy Sex with Dr. Juli Slattery Patreon 28 Protecting Your Marriage Against Unfaithfulness with Dave Carder Patreon 29 Remaining Sexually Engaged Through The Years with Dr. Michael Sytsma Patreon 49: Story of Healing from Sexual Betrayal in Marriage: An Interview with Bonny Burns Patreon 52 God, Sex, and Your Marriage with Dr. Juli Slattery   Connect with The Savvy Sauce Our Website, Instagram or Facebook    Please help us out by sharing this episode with a friend, leaving a 5-star rating and review, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”

Shawn & Janet will be talking about drugs that impact sexual function. Health Solutions Facebook | https://www.facebook.com/HealthSolutionsPodcast Instagram | https://www.instagram.com/health_solutions_shawn_needham/ Moses Lake Professional Pharmacy Website | http://mlrx.com.com/ Shawn Needham X | https://x.com/ShawnNeedham2 Shawn's Book | http://mybook.to/Sickened_The_Book Additional Links https://linktr.ee/mlrx

Who else remembers their first day on the job? Dr. Durst and Farideh take you behind the scenes of medicine with raw, hilarious stories from their early careers.

Who else remembers their first day on the job? Dr. Durst and Farideh take you behind the scenes of medicine with raw, hilarious stories from their early careers.

Rebroadcast: Don't let the title of this show make you think this episode is mainly for male listeners: you will learn a lot about sexual function and libido that is relevant for women as well.  I've really been diving deep into research as I work on writing my new book about testosterone function and delaying the aging process, and I have already discovered so many compelling insights that I'll be sharing some of them with you today. You will learn what it is about visceral fat that makes it so harmful to the body, and also why it becomes a slippery slope that is hard to escape once you add a little bit of this kind of fat to your body. Did you know belly fat is actually classified as an endocrine organ of its own because of the inflammatory chemicals it secretes? This also puts your system in a constant state of inflammation, which inhibits testosterone production and a whole host of other issues relating to metabolic health. And, this all leads to even more belly fat accumulation! And when you have too much belly fat, any testosterone your body is making (or receiving through supplementation) will actually be converted into estrogen.  You'll also learn about the connection between working out too much and libido levels and the importance of napping. Training yourself to unplug and actually shut your brain down is such an important practice to commit to making daily. Remember the goal is not to fall asleep but to rest and check out. If you have trouble falling asleep or feeling really rested, use a blindfold to help your body relax, and your mind will follow.  I also share the Taoist theory that posits that (for males) orgasms deplete your essential life force and the importance of preserving them. The idea is to have sex frequently, but not ejaculate frequently. But interestingly, Taoists believe frequent orgasms have the opposite effect on females! Read The Tao of Health, Sex, and Longevity: A Modern Practical Guide to the Ancient Way for more info. My previous episodes with Dr. Wendy Walsh (click here for the first and here for the second) are also a great resource to check out on this topic.   TIMESTAMPS: Both women and men, let's talk about testosterone libido and sexual health. Is there something we can do besides taking medications? [01:49] The first and foremost symptom of trouble is the spare tire. Belly fat is inflammatory and puts you in a state of chronic or systemic inflammation. [04:15] Surprisingly libido and testosterone do not have a direct relationship that we've always assumed. [08:09] Teach yourself how to relax, and then you will optimize your sexual health. [09:36] Taoism believes women should have as many orgasms as possible. This is the opposite for the male. [14:46] There are three energy sources: Qi, Shen, and Jing. [15:36] It is a much different story for females in the society of thousands of years ago. [16:32] It takes about 72 hours for sperm and seminal fluid to regenerate. [19:24] In modern society, the female is in a different role and can easily deplete her hormone balance. [21:41] The Taoists want males to withhold their orgasms frequently. [22:28] Science differs from the Taoist theory. Many studies talk about frequency of once a week as being the maximum. [27:44] Pornography is a real problem leading people to believe they are having real sex and interfering with their hormone stabilization. [29:12] Testosterone is not directly connected to libido. [30:59] We must get that life stress and balance and give yourself a fighting chance at being a good lover here with your partner. Develop a sense of humor. [33:26] Supplements: A lot of these products are actually targeting libido rather than testosterone. [38:34] The topic of testosterone replacement therapy has produced some highly disturbing statistics. Look at lifestyle changes first. [42:09]   LINKS: Brad Kearns.com Brad's Shopping page B.rad Whey Protein Isolate Superfuel - The Best Protein on The Planet! Available in Two Delicious Flavors: Vanilla Bean and Cocoa Bean NEW: B.rad Superfruits - Organic Freeze-Dried Exotic Fruit Powder! Natural Electrolyte Hydration & Energy Powder   Join Brad for more fun on: Instagram: @bradkearns1 Facebook: @bradkearnsjumphigh Twitter: @bradleykearns YouTube: @brad.kearns TikTok: @bradkearns   We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn't occupy this revered space. Seriously, I won't promote anything that I don't absolutely love and use in daily life: Peluva: Comfortable, functional, stylish five-toe minimalist shoe to reawaken optimal foot function. 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Today, we are joined by Patrick Alonso and Cameron Carrothers, pharmacists and hosts of the Men's Health Unscripted podcast. Patrick and Cameron are passionate about empowering men to explore their health and wellness beyond prescriptions and diagnoses. Together, they delve into the critical connection between mental health and sexual function, offering unique insights and actionable advice.   Mental health is deeply intertwined with s*xual well-being, particularly for men. The unresolved mental health issues such as depression, anxiety, and even stress from daily life can significantly impact not only a man's ability to perform but also his overall desire and connection during intimacy. Today's digital world can dull emotional and physical responses, making it harder for men to fully engage with their partners. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Dr. Charles Brantly is a General Practitioner in Hong Kong who specializes in men's health. With a passion for linking physical performance with  general health, Dr. Brantly joins us for a deep dive into the most common and least-discussed men's health topics. Covering everything from the stigma of seeking medical help to sexual health, sports performance, and redefining manliness, Dr. Brantley provides insights grounded in science and empathy to equip listeners with actionable steps toward living a healthier, stronger life. THIS PODCAST IS SPONSORED BY TODAY WELL SPENT todaywellspent.com  Save 10% on your purchase with offer code THEPROCESS THIS PODCAST IS BROUGHT TO YOU BY THE PROCESS PROGRAMMING Website: theprocessprogramming.com  Instagram:  instagram.com/theprocessprogramming  Education: theprocessprogramming.com/coaching-education 

Dr. Gillett, James O'Hara, & Jake Fantus MD discuss Testosterone, Sexual Function, & fertility. 00:00 Intro01:47 Secret Shopper Study06:58 Dr. Fantas TRT patients 09:16 Are podcast responsible for popularizing TRT? Subcutaneous TRT.12:38 Coming off TRT 16:22 Testicular fibrosis/fertility with long term use21:56 Varicocele 28:31 Venous leak30:34 Guidlines 34:33 Lifestyle changes to improve ED37:25 Epigenetics and Fertility 39:56 SSRIs 41:18 Clomid 45:30 Lab work overestimating free T52:40 Traverse trial 56:31 Aspirin57:03 FSH and fertility in men 01:00:37 Gonadorelin01:03:05 Male Birth Control 01:06:29 How many people have tried TRT?01:09:49 Did TRT create the Red Wave? 01:12:07 Outro Link to Health Update: https://youtu.be/Fe9_vNE2RgQLink to The Longevity Clinic Movement?: https://youtu.be/QKjMujVZLcULink to calculate your free testosterone: https://www.issam.ch/freetesto.htmFor High-quality labs:► https://gilletthealth.com/order-lab-panels/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#testosteron #erectiledysfunction #hormones #podcastAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

With Prostate Cancer rates touching many families, the movement around support and education offers models for us to consider in thinking about erectile health specifically. In this conversation, Erica Leroye invites Billy Hatzichristos, support group facilitator at Man Cave Health to discuss the multifaceted challenges faced by men dealing with prostate cancer, particularly focusing on the impact on relationships, intimacy, and self-advocacy. This conversation gives insights into how Man Cave support groups work and also: Billy's personal story with Prostate Cancer and his path to becoming a facilitator and guide for other men Balancing the focus of the “stats” during health recovery with the emotional components What men are talking about together in open and authentic ways when given the space to do so The important role of partners and peers in recovery How hemp based products, like Native Ceuticals, can support well-being and sexual function For More Information and to Connect With Billy Hatzichristos Mancavehealth.org https://longislandhemp.com/ For More Information and to Connect With Erica Leroye https://www.flowcode.com/page/creativebodyrelease.com For More Information and to Connect With Soft Cock Appreciation Week https://www.softcockweek.com/ We have MERCH! Check out our storewww.softcockweek.com/store and support both Soft Cock Week and this year's, once we make a profit, partner SELFED (getselfed.org) Other References Made in this Episode: https://www.health.harvard.edu/blog/the-endocannabinoid-system-essential-and-mysterious-202108112569 Prostate Cancer Research Institute https://pcri.org/ Takeaways Soft Cock Appreciation Week encourages open conversations about men's health. Support groups provide a safe space for men to share their experiences. Prostate cancer can affect men at a younger age than commonly thought. Men often struggle to find support during their health journeys. Communication with partners is crucial for navigating sexual health issues. Body acceptance is an important aspect of recovery after prostate cancer. Cannabis and hemp products can aid in managing health issues. Men need to be proactive in their health care and screenings. The endocannabinoid system plays a role in regulating health and wellness. It's essential to educate men about their health options and resources. Chapters 00:00 Introduction to Softcock Appreciation Week 03:43 The Importance of Support Groups for Men 08:24 Billy's Personal Journey with Prostate Cancer 12:50 Understanding Prostate Cancer Awareness 17:39 Breaking Barriers to Support 22:27 Navigating Treatment Options 30:10 Sexual Function and Intimacy Post-Cancer 32:52 Navigating Relationships During Health Challenges 34:27 Understanding the Impact of Medical Trauma 36:29 Rebuilding Intimacy Post-Surgery 39:58 Acceptance and Body Image After Prostate Cancer 46:21 Transitioning to a New Career in Health 52:51 The Role of Hemp in Health and Wellness prostate cancer, men's health, support groups, sexual health, body acceptance, cannabis, hemp products, erectile dysfunction, intimacy, health awareness

Ever felt like your bathroom breaks are more frequent than they used to be? Or maybe you've noticed a change in your sex life? It might be time to pay attention to your prostate.Join me and Dr. Geo Espinosa as he reveals the hidden link between BPH and erectile dysfunction—two issues that often go hand-in-hand. Discover why prostate health is crucial for both your urinary and sexual well-being. Plus, learn about natural solutions that could help you avoid medications and side effects.Don't let prostate problems steal your quality of life. Tune in now to get the information you need to take control of your health.--------------About Dr. Geo EspinosaDr. Geo Espinosa is a leading naturopathic functional medicine doctor specializing in urology and men's health. With expertise in prostate cancer, benign prostatic hyperplasia (BPH), and male sexual dysfunction, Dr. Geo holds faculty positions at NYU Langone Health and the Institute for Functional Medicine. As the Chief Medical Officer of XY Wellness and a co-founder of DrGeo.com, he is dedicated to providing integrative and holistic approaches to men's health. Dr. Geo is also the author of the best-selling book Thrive, Don't Only Survive on prostate cancer.Connect with Dr. GeoStay connected with Dr. Geo for the latest insights on men's health and prostate care! Follow him on Instagram @drgeond, subscribe to his YouTube channel here, and visit his website at drgeo.com.--------------If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/prostate-health-tips--------------Ready to empower your health journey? Secure your FREE PDF copy of the “5 Natural Solutions to Overcome ED” today! Dive into knowledge that could transform your life. Click the link below to claim your copy

Dr. Kelly Casperson is a world-renowned urologist and host of the 'You Are Not Broken' podcast. In this episode, we dive deep into distinguishing between good and bad sex, faking orgasms, and finding (or refinding) your body confidence. Dr. Casperson sheds light on genital urinary shifts in perimenopause, urinary incontinence, and the impact of hormonal changes. This essential discussion aims to remove shame and promote pleasure for all women and the men who love them. Don't miss this chance to enhance your knowledge of female sexual health and body autonomy.Episode Overview:0:00 Intro/Teaser3:20 Unlocking the Secrets of Great Sex11:10 Redefining Pleasure17:28 Overcoming the Orgasm Gap27:35 Understanding Female Anatomy and Pleasure35:23 Navigating Female Anatomy and Hormones43:30 Hormones and Menopause50:02 Vaginal Care and Health Education55:30 Understanding Bladder Leakage and HSDD1:01:23 Challenging Uninformed Medication Use in Women1:08:57 Dispelling Myths About Hormone Therapy1:18:51 Optimal Testosterone Levels in Women1:27:47 Smart Information on Healthcare AdviceResources mentioned in this episode:You are Not Broken podcast - https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329Dr. Kelly's book - https://kellycaspersonmd.com/you-are-not-broken-book/Women's Health Initiative - https://www.nhlbi.nih.gov/science/womens-health-initiative-whiVulvovaginal Atrophy - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800285/The use of antidepressants is linked to bone loss: A systematic review and metanalysis - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568413/Differences in Orgasm Frequency Among Gay, Lesbian, Bisexual, and Heterosexual Men and Women in a U.S. National Sample - https://pubmed.ncbi.nlm.nih.gov/28213723/Dr. Kelly's website - https://kellycaspersonmd.comBio:Dr. Kelly Casperson is a renowned urologist dedicated to empowering women to lead fulfilling lives, especially around topics like sex, hormones, midlife, and communication. She hosts the popular podcast *You Are Not Broken*, which has garnered over 2 million downloads, and actively engages her 143k Instagram followers. In July 2023, her TEDx talk, "Why We Need Adult Sex Ed," gained over 230k views. Her forthcoming book, *You Are Not Broken: Stop ‘Should-ing' All Over Your Sex Life*, will be published in September 2024 by Sheldon Press, and has received praise from leading experts. Kelly has been featured in *BuzzFeed*, *Oprah Daily*, *Goop*, and *Scary Mommy*.We are grateful to our sponsors:BON CHARGEI am doubling down on this year for my best skin ever. The Bon Charge Red Light Face Mask helps with glowing, younger, firmer-looking skin with minimal effort or time AND without really changing your usual day or night routine. Head over to https://boncharge.com/better and use the discount code BETTER at checkout to get 15% off your entire cart.TIMELINEFeeling tired and having no energy does not have to be your fate. Mitopure is a supplement and skin health line that helps improve energy at the level of the mitochondria so that you can continue to engage in the activities you love. Go to https://timelinenutrition.com/better and use code BETTER to get 10% off your order.BEAM MINERALSIt is almost impossible to get all of your minerals from food alone, as much as we would like it to be so. And because of that, many of us are experiencing chronic health issues like fatigue, muscle cramping, hair loss, anxiety, and imbalances with our adrenals, our hormones, and our blood sugar. If you want to try Beam Minerals, head over to https://beamminerals.com/better for 20% off of the entire store.NOW OPEN! EVEN BETTER! PREMIUM MEMBERSHIP: When you join Dr. Stephanie Estima's EVEN BETTER! Premium Membership, you'll join a community of women focused on actionable health goals, performance, and a well-lived life. You'll get early and ad-free access to the weekly Better! podcasts; action guides; "Ask Me Anything," solo, and bonus episodes; insights from the guest discussions coupled with recommendations you can use to build habits and routines; bonus content; and exclusive discounts. Subscribe at  https://estima.supercast.com/.

Dr. Anna Cabeca has served over 10,000 women in her private practice— and millions more through her books, online videos and articles -- for 20+ years. With an understanding that modern medicine and time-tested natural remedies are not at odds, she is on a personal and professional mission to give proven pragmatic solutions to women dealing with menopausal health challenges so they can lead the life they want, need, and deserve. A partial list of credentials includes:  Triple board certified and a Fellow of Gynecology and Obstetrics, Integrative Medicine, Anti-aging and Regenerative Medicine Special certifications in Functional medicine, Sexual health, Bioidentical hormone replacement therapyAuthor of:USA Today bestseller The Hormone Fix, Keto-Green 16, MenuPause  Frequent media resource, Forbes, People, Mind Body Green, ABC, NBC, CBS It's a pleasure to have Dr. Anna Cabeca on the show today. Welcome! Get 10% off Dr. Anna Cabeca products like Julva and Mighty Maca at drannacabeca.com with code ZORA Breeze Through Menopause courses https://drannacabeca.com/pages/breeze-through-menopause Sexual CPR https://drannacabeca.com/pages/offers-sexualcpr Contact Dr. Anna Cabeca: https://drannacabeca.com https://www.facebook.com/DrAnnaCabeca https://www.instagram.com/thegirlfrienddoctor Get Primeadine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure by Timeline. 10% discount with code ZORA at timeline.com/zora Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before November 1, 2024 to win a bottle of Oxford Healthspan's Primeadine spermidine valued at ($90). 15% off with code ZORA here. Join the Hack My Age community on: Facebook Page : ⁠⁠⁠⁠⁠@⁠Hack My Age⁠ Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠ Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠ ⁠Biohacking Menopause⁠ membership group Email: zora@hackmyage.com This podcast is edited by ⁠⁠⁠⁠⁠jonathanjk@gmail.com We cover: Common sexual complaints of menopause Is low libido physical, sociological or psychological? How to improve sexual function, libido, UTIs, dryness and vaginal atrophy Is it ok to live with low libido? How to have optimal vaginal health without a partner Does menopause mean the loss of our sexual function and sexuality? The difference between DHEA and testosterone Oral DHEA vs transdermal DHEA Optimal DHEA levels Best places to absorb DHEA Irreversible side effects of testosterone Does maca really relieve hot flashes and fatigue? The single most important thing a woman needs to know about menopause --- Support this podcast: https://podcasters.spotify.com/pod/show/hackmyage/support

On this episode of #mensexpleasure, I chat with Melissa Hadley Barrett. Melissa is a Nurse Practitioner and Sexologist from Western Australia with over 20 years of experience. She is the Principal, Director and lead clinician of Restoring Men's Intimate Health (RMIH) Pty and Restorative Sexual Health Clinic (RSHC) Pty Ltd. Melissa is an advocate for sexual health and regularly engages in public speaking and education regarding sexual health, particularly prostate cancer for both health professions and community members. Melissa has co-founded the Penis Project Podcast, which shares real-life stories to support learning and offer support, gaining a worldwide audience. Key points: Melissa's background and expertise Melissa introduced herself as a nurse practitioner and sexologist who runs the Restorative Health Clinic. She specializes in helping couples and men navigate intimacy, relationships, and sexual function, taking a holistic approach that addresses both the physical and psychological aspects. Treating dysfunction in cancer patients Melissa explained that about two-thirds of her clients are prostate or bladder cancer patients, as the treatments for these cancers can significantly impact sexual function. She described how the nerves that control erections can be damaged, leading to issues like erectile dysfunction and Peyronie's disease. Melissa emphasized the importance of rehabilitation to maintain penile health and function during this recovery period. Overcoming stigma and shame around sexual health Melissa discussed how many cancer patients feel guilty or ashamed about wanting to maintain their sex life, believing they should just be grateful to be alive. She works to reframe this mindset, emphasizing that quality of life and intimacy are important, and that positive outcomes can come from adversity. Melissa also highlighted the need to involve partners in these conversations to address misconceptions and provide support. Educating healthcare providers Melissa shared how she works to upskill other healthcare providers, like GPs and urologists, to have open conversations about sexual health with their patients. Even if they don't have the expertise to provide comprehensive treatment, she encourages them to at least ask about it and provide referrals to appropriate specialists. Melissa's resources and programs Melissa described the various online programs and resources she offers, including rehabilitation programs for issues like erectile dysfunction, Peyronie's disease, and premature ejaculation. She also highlighted her podcast, The Penis Project, which features real stories from clients about their experiences. Relevant links: Melissa's Instagram: https://www.instagram.com/melissahadleybarrett/ Melissa's website: https://melissahadleybarrett.com/

Struggling with weight gain during menopause or curious about how cannabis can ease your symptoms? You're not alone. Today on Gyno Girl Presents: Sex, Drugs, and Hormones, join us as we unpack these topics with Dr. Becky Lynn, a leading gynecologist and menopause expert from Evora Health. Discover groundbreaking treatments and real talk on women's health that you won't want to miss.Dr. Lynn shares her journey into the specialized field of sex med, revealing the gaps in medical training that drove her to become a leading voice in women's sexual health. She discusses her innovative approaches to treating menopausal symptoms and sexual health problems, integrating her deep medical expertise with practical advice.Our conversation today covers a range of topics, from the challenges of obesity medicine in menopausal women to groundbreaking research on cannabis use for sexual enhancement. Dr. Lynn's insights are not only informative but also deeply empowering, offering hope and new possibilities for women struggling with these complex issues.HighlightsInnovative Approaches: Dr. Lynn discusses how she uses her expertise in obesity medicine to address weight management in menopausal women, integrating treatments like GLP-1 agonists.Sexual Medicine Insights: Explore how Dr. Lynn helps her patients navigate sexual health challenges during menopause, using both medical and counseling strategies.Cannabis Research: Dr. Lynn shares fascinating insights into her research on the effects of cannabis on sexual function, providing a nuanced view of its benefits.Educational Empowerment: Dr. Lynn emphasizes the importance of education and advocacy in overcoming the stigmas associated with sexual and reproductive health.Do you have questions about menopause or sexual health you're hesitant to ask? Join our conversation and empower yourself with knowledge. Subscribe to our podcast, leave a review, and follow us on social media to stay updated with expert insights and supportive community discussions. Let's change the way we talk about women's health together!Guest Bio:Dr. Becky Lynn is the Founder and CEO of the Evora Women's Health as well as an AdjunctAssociate Professor of Obstetrics and Gynecology at Saint Louis University.Dr. Lynn is a leader in the women's health and cannabis space. Her research focuses on theeffects of cannabis on sexual function in women. She has published papers in the scientificliterature and has presented her research both nationally and internationally. Dr. Lynn has beenfeatured in numerous podcasts and several articles in the cannabis space. Her The Relationshipbetween Marijuana Use Prior to Sex and Sexual Function in Women and Effects of Cannabinoidson Female Sexual Function can be found online.Dr. Lynn completed medical school at Georgetown University School of Medicine inWashington, DC, completed her residency at Washington University in St. Louis, and practicedat the University of Missouri, Columbia before joining the faculty at Saint Louis University in2015 where she was full time faculty until 2020. After leaving SLU, she founded the EvoraWomen's Health in February 2020. In addition, she completed her sexual counselor training atSexual Medicine Associates in Florida and she completed her MBA at Saint Louis University. Dr.Lynn enjoys running, foreign language and travel. She once rode her bicycle from London toParis to raise money for Breast Cancer Care.Get in Touch with Dr. LynnWebsite

In this candid and empowering episode, healthcare professional Kimberly Berry opens up about her journey to prioritize sexual health and overall well-being. She shares how the REGENmax protocol for women transformed her life and highlights the importance of Bioidentical Hormone Replacement Therapy (BHRT) for comprehensive health. Kimberly explores the impact of hormone health on libido and mental clarity, reducing brain fog, stabilizing mood swings, boosting confidence, and supporting mental health. Not afraid to speak openly, Kimberly reveals her enjoyment of sex and encourages women to be more outspoken about their needs to ensure lasting intimacy and keep things spicy in the bedroom. She also emphasizes the benefits of healthy sexual function and the importance of communicating with your partner about how you're feeling each day. This episode is a must-listen for anyone looking to take charge of their wellness and relationship with expert advice and real-life insights.

Join Dr. Geo as he sits down with Dr. Valery Raup, a top urologist specializing in male sexual health, to uncover the pros and cons of erectile dysfunction treatments, particularly after prostate cancer. In this episode, they discuss everything from penile implants and urinary incontinence solutions to the importance of patient-centered care. Dr. Raup shares her expert insights on the latest advancements and what men need to know to make informed decisions about their sexual health. Whether you're exploring treatment options or want to stay informed, this episode offers valuable takeaways to help you live better with age.Key Points:Erectile dysfunction post-prostate cancer.Penile implants vs. other treatments.Managing urinary incontinence.Patient-centered decision-making.Latest advancements in male sexual health.Tune in for an informative and engaging discussion that could change your approach to prostate journey.----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it's important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo's Health Community.Improve your urological health with Dr. Geo's formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition:

In this rebroadcast episode, Dr. Geo Espinosa hosts a discussion with Dr. Robert Valenzuela, a leading expert in penile implants and reconstructive urology, about the journey to restoring sexual function after prostate cancer treatment. They delve into penile rehabilitation, exploring both non-invasive treatments like medications and devices, as well as more advanced solutions such as penile implants. Dr. Valenzuela provides valuable insights into the entire process, from pre-surgery preparation to post-surgery recovery, while also addressing the psychological impact of prostate cancer and the importance of early intervention for better outcomes.The conversation delves into topics such as:Penile Rehabilitation: The importance of prehabilitation and rehabilitation for regaining sexual function post-treatment.Surgical Vs. Non-Surgical Treatments: Various treatment options from medications, injections, and devices to surgical implants.Psychological Impact: Addressing the initial psychological trauma following a prostate cancer diagnosis and the subsequent impact on sexual health.Technological Advances: The advancements in robotic prostate surgery and its benefits over traditional----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it's important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click

This video covers the crucial aspects of hormone tracking, offering insights on how to effectively monitor both physical and mental changes during hormone therapy. Key areas of focus include tracking energy levels, mental clarity, emotional stability, sexual function, and physical changes such as hair growth and muscle gain. The discussion also addresses the potential risks associated with elevated hemoglobin levels due to testosterone therapy and emphasizes the importance of personalized hormone dosages tailored to individual needs.Viewers are cautioned against self-medicating or adjusting hormone doses without professional guidance, highlighting the need for close collaboration with healthcare providers to ensure safe hormone management. The video also underscores the importance of supporting the liver and overall body nutrition during hormone therapy to prevent complications. The session wraps up with a preview of an upcoming discussion on a powerful peptide, exploring its benefits and associated risks.Highlights of the Podcast00:04 - Introduction and Technical Issues00:45 - Importance of Hormone Tracking01:38 - Tracking Energy Levels02:44 - Mental Clarity and Emotional Stability03:10 - Sexual Function and Strength Tracking04:30 - Monitoring Physical Changes04:47 - Risks of Increased Hemoglobin Levels07:59 - Personalized Hormone Dosage09:17 - Testosterone Conversion to Estrogen10:32 - Safe Hormone Management11:36 - Risks of Self-Medication12:34 - Nutritional Support for Hormone Therapy13:29 - Final Thoughts and Teaser for Next Topic

Today we are joined by Dr. Rahul Mehan, a renowned urologist, who sheds light on the impact of Ozempic on sexual function, particularly in relation to erectile dysfunction. He is also the founder of Snip City, which specializes in vasectomy procedures.   Ozempic, a semaglutide-based GLP-1 agonist, is widely recognized for its effectiveness in managing blood sugar and promoting weight loss, making it a popular choice among those battling obesity and diabetes. However, as its usage expands, there's growing interest in understanding its broader impacts, particularly on sexual function. Recent studies, though limited, have begun to shed light on potential side effects, including a modest increase in the incidence of erectile dysfunction and lower testosterone levels in some men using the medication. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

*DISCLAIMER* This episode includes adult content and is not intended for young ears.   Bonus Re-Release: Enriching Sexual Function, Part Two with Dr. Kris Christiansen   1 Corinthians 6:12 (NIV) “I have the right to do anything,” you say—but not everything is beneficial. “I have the right to do anything”—but I will not be mastered by anything.   Questions We Discuss:   What are a few benefits of orgasm? What is the treatment plan for clients who have never experienced an orgasm? What is Perimenopause?   Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.  Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life.    Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being.       In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Dr. Kris Christiansen's Website North American Menopause Society Women's Sexual Health Information ISSWSH Website   Thank You to Our Sponsor: Savvy Sauce Charities   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”

*DISCLAIMER* This episode includes adult content and is not intended for young ears.   Top Ten from 2023 #7 Enriching Sexual Function, Part One with Dr. Kris Christiansen   Hosea 4:6a (KJV) "My people are destroyed for lack of knowledge: because thou hast rejected knowledge,"   Questions We Discuss:   What type of sexual dysfunctions are common for your clients to experience? What all can you teach us about hormones? Will you educate us on hormone therapy?     Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.  Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life.    Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being.       In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Websites Mentioned: Dr. Kris Christiansen's Website North American Menopause Society Women's Sexual Health Information   Thank You to Our Sponsor: Ring Bandits (Use code SAVVY at checkout to receive 20% off your order!)   Other Episode Mentioned from The Savvy Sauce: 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen   Connect with The Savvy Sauce through Our Website   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”

As Eric notes at the end of today's podcast, we talk about many difficult issues with our patients.  How long they might have to live. Their declining cognitive abilities. What makes their lives meaningful, brings them joy, a sense of purpose.  But one issue we're not as good at discussing with our patients is sexual health. On today's podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors.  Clearly this issue is important to patients.  Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don't ask, then have increased anxiety about not asking.  Like any other conversation, you have to start, and through experience learn what language is comfortable for you.  Don Dizon, oncologist specializing in pelvic malignancies at Brown, suggests speaking in plain language, starting by normalizing sexual health issues, to paraphrase, “Many of my patients experience issues with intimacy and sexual health. Is that an issue for you? I'm happy to talk about it at any time.”  All guests agree that clinicians feel they need to have something they can do if they open Pandora's box.  To that end, we talk about practical advice, including: The importance of intimacy over and above physical sexual function for many patients Common causes and differential diagnoses of sexual concerns in patients with cancer and survivors Treatments for erectile dysfunction - first time the words “cock ring” have been uttered on the GeriPal Podcast - and discuss daily phosphodiesterase 5 inhibitor therapy vs prn The importance of a pelvic exam for women experiencing pain What is “pelvic physical therapy?” Treatments for vaginal dryness and atrophy ACS links, NCCN links, Cancersexnetwork, and a great handout that Areej created And I get to sing Lady Gaga, also a first for GeriPal!  And let me tell you, there's nothing like the first time (sorry, I couldn't help it!).

Today, we have the pleasure of speaking with Dr. Marah Hehemann, an assistant professor of urology and the Associate Program Director of Andrology at the University of Washington in Seattle. Dr. Hehemann specializes in male sexual function and fertility and also practices clinically at the university.   Hair loss can be a distressing experience for many men, leading them to seek out treatments like minoxidil (Rogaine) and finasteride (Propecia). However, these popular medications may come with potential side effects that impact sexual function. Minoxidil is unlikely to significantly affect erectile function when applied topically, as only about 1% of the medication is absorbed into the bloodstream. On the other hand, finasteride, which blocks the conversion of testosterone into dihydrotestosterone (DHT), has been associated with a 5-10% chance of negatively impacting sexual function, including reduced libido, erectile dysfunction, ejaculatory problems, and decreased sexual pleasure. These effects have been reported with both the higher 5mg dose used for benign prostatic hyperplasia (BPH) and the lower 1mg dose for male pattern baldness.     For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

https://passionstruck.com/passion-struck-book/—Order a copy of my new book, "Passion Struck: Twelve Powerful Principles to Unlock Your Purpose and Ignite Your Most Intentional Life," today! The book was picked by the Next Big Idea Club as a must-read for 2024, the winner of the Business Business Minds Best Book 2024, and a finalist for the Eric Hoffer First Horizon Award for best debut novel.In this episode of Passion Struck, host John R. Miles interviews Dr. Michael Greger, a renowned physician and author who shares valuable insights on preventing diseases, improving health, and promoting longevity through lifestyle interventions. The episode covers a wide range of topics, including the impact of diet on heart disease, strategies for preserving bone health, tips for maintaining cognitive function and enhancing sexual health. Full show notes and resources can be found here:  https://passionstruck.com/dr-michael-greger-on-blueprint-for-healthy-aging/In this episode, you will learn:The importance of lifestyle interventions and promoting health and longevity based on his personal experience with his grandmother's recovery from heart disease.The impact of nutrition on preventing diseases like heart disease and cancer.Insights on the Mediterranean and Okinawan diets, emphasizing the benefits of whole plant foods for overall health.Strategies for preserving bone strength, cognitive health, and sexual function as part of an anti-aging approach.Xenohormesis and microRNA manipulation as potential mechanisms for improving health and longevity through plant-based diets and exercise.All things Dr. Michael Greger: https://nutritionfacts.org/SponsorsBrought to you by Indeed. Head to https://www.indeed.com/passionstruck, where you can receive a $75 credit to attract, interview, and hire in one place.Brought to you by Nom Nom: Go Right Now for 50% off your no-risk two week trial at https://trynom.com/passionstruck.Brought to you by Cozy Earth. Cozy Earth provided an exclusive offer for my listeners. 35% off site-wide when you use the code “PASSIONSTRUCK” at https://cozyearth.com/This episode is brought to you by BetterHelp. Give online therapy a try at https://www.betterhelp.com/PASSIONSTRUCK, and get on your way to being your best self.This episode is brought to you By Constant Contact:  Helping the Small Stand Tall. Just go to Constant Contact dot com right now. So get going, and start GROWING your business today with a free trial at Constant Contact dot com.--► For information about advertisers and promo codes, go to:https://passionstruck.com/deals/Catch More of Passion StruckWatch my interview with Dr. Lucia Aronica On The Impact Of Personalized Nutrition On EpigeneticsMy solo episode on how to heal from the consequences of abuseCan't miss my episode with Dr. Will Cole On How To Restore Your Gut-Feelings ConnectionListen to my interview with Dr. Kara Fitzgerald On How To Become A Younger You By Reversing Your Biological AgeMy solo episode on The Science Of Healthy HabitsCheck Out my episode with Dr. Mark Hyman On The Secrets To Living Young ForeverLike this show? Please leave us a review here-- even one sentence helps! Consider including your Twitter or Instagram handle so we can thank you personally!How to Connect with JohnConnect with John on Twitter at @John_RMiles and on Instagram at @john_R_Miles.Subscribe to our main YouTube Channel Here: https://www.youtube.com/c/JohnRMilesSubscribe to our YouTube Clips Channel: https://www.youtube.com/@passionstruckclips

Are the blues hitting you below the belt? Stop trying to push a rope or relying on the little blue pill. Learn how to get your manhood back in the game! Dr. Skip & Dr. Julie Wyss get into the sensitive topic of male impotence and erectile dysfunction. The hosts discuss the impact of lifestyle, diet, and hormonal imbalances on sexual health and emphasize that issues such as estrogen dominance and testosterone deficiency play significant roles in sexual dysfunction. With a focus on holistic well-being, they explore how chiropractic care, proper nutrition, weight management, and physical exercise can resolve these the root causes instead of depending on quick fixes like medication. The aim is to educate and encourage open conversation about male sexual health, providing hope and practical advice for improvement. SIGN UP FOR OUR FREE 4-DAY SLEEP CHALLENGE: https://pfcpages.com/sleep-challenge 00:00 Introduction to Sexual Health and Male Impotence 01:00 Welcome to the Prime Podcast with Dr. Skip and Dr. Julie Weiss 01:56 Addressing the Taboo: A Deep Dive into Male Sexual Health 06:30 The Impact of Lifestyle and Medication on Sexual Function 12:29 Chiropractic Care and Lifestyle Changes as Solutions 24:50 Empathy, Support, and Taking Action for Better Health https://theprimepediatricpodcast.libsyn.com =============================================== Order Standard Process Here: https://primefamilycenters.standardprocess.com ================================= Download our App Here: Apple Play Store: https://apps.apple.com/us/app/prime-family-chiropractic-app/id6474149243Android: https://play.google.com/store/apps/details?id=com.ub378e75245a.app&pcampaignid=web_share ================================= Please like, subscribe, comment, and share this video! //Dr. Julie Wyss  - Prime Family Chiropractic Centers// Dr. Julie Wyss DC is a highly respected chiropractor with a special focus on pediatric and pregnancy care. Her extensive training and experience in these areas has made her a trusted advisor to families seeking a tailored and personalized type of care focused on the body's ability to heal itself. As a mother herself, Dr. Wyss understands the unique challenges that come with pregnancy and postpartum recovery. She believes that chiropractic care can play a vital role in supporting the health and wellbeing of both mother and child during these transformative stages of life. In addition to prenatal care, Dr. Wyss specializes in postpartum care to help new mothers recover and regain their strength and vitality. She provides gentle adjustments and breathing exercises to address issues such as diastasis recti, pelvic floor dysfunction, and breastfeeding difficulties. //Dr. Skip Wyss - Prime Family Chiropractic Centers// “When you get the chance to change lives from their first days of existence, you do not take it lightly. But you can take it with a dash of light-hearted joy!” That's how Dr. Skip Wyss chooses to manage Prime Family Chiropractic Centers, a 15-year staple in his Green Bay Community. He decided to take that experience and developed the internationally recognized educational program, The Prime Coaching Company, focused on pediatric, prenatal, and family health. Dr. Skip is an internationally recognized speaker, ICPA certified pediatric chiropractor and host of The Prime Podcast. The show is a platform for his wife, Dr. Julie Wyss, and himself to provide incredible education and resources on having an incredible marriage, business, family, faith, and health for service providers and their community! // Prime Family Chiropractic Centers // Certified Prenatal and Pediatric Family Chiropractic Healthcare. Get Primed for life and success with healthcare re-imagined. Website: https://primefamilycenters.com/ Follow us on Social Media! Instagram: https://www.instagram.com/primefamilycenters/ Instagram: https://www.instagram.com/drjuliewyss/ Instagram: https://www.instagram.com/skip_wyss_dc/ Instagram: https://www.instagram.com/primepediatrics/ Facebook: https://www.facebook.com/PrimeFamilyCenters Facebook: https://www.facebook.com/profile.php?id=100094650643408 Facebook: https://www.facebook.com/DrJulieWyss YouTube: https://www.youtube.com/@PrimeFamilyChiropracticCenters #primefamilycenter #primefamilychiropracticcenters #primepodcast #adversity #winning #losing #chiropractic #chiropractor #neckpain #shoulderpain #nervoussystem #spinehealth #headacherelief #pediatricchiropractor #familychiropractor #childwellness #healthyhabits #nutritionandwellness #sportschiropractor #chiropractornearme #pregnancychiropractor #prenatalchiropractor #prenatalcare #babychiropractor #greenbaywi #greenbaywisconsin #greenbaychiro #drskipwyss #drjuliewyss Green Bay, WI Chiropractors Best Chiropractor in Green Bay, WI Prime Family Centers Green Bay, WI Prime Family Chiropractic Centers Green Bay, WI Pediatric Chiropractors Webster Technique Pediatric Certified Chiropractor Dr. Skip Wyss Dr. Julie Wyss

In this "That's What She Said" episode, Dr. Mistry and Donna Lee are joined by Dr. Larissa O'Neill of Bespoke Medical Aesthetics and Wellness in Georgetown, TX to discuss the importance of hormone replacement therapy in peri- and post-menopausal women. Despite the myths surrounding the use of estrogen and other hormones, supplementation improves overall health and maximizes sexual function in women. Hormone replacement has been shown to lower the risks associated with bone mineral density loss,  heart attacks, and Alzheimer's disease. If hormonal changes associated with aging have left you feeling "crazy," tune in to learn the pros and cons of each therapy. To schedule your consultation with Bespoke Medical Aesthetics and Wellness, call 737-275-0725 or visit them online today! Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpotDr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode.Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Today we are joined once again by Dr. Shy Krug. He is a psychologist and a certified sex therapist. Running a group practice in New York and New Jersey. In addition to his general therapy work, he helps people address and resolve the psychological barriers to better sexual function. Today, we want to lean on Dr. Krug's expertise to learn more about what it takes to develop a good, healthy mindset for better erections and better overall sexual function.   Developing a healthy mindset is crucial for achieving and maintaining better erections and overall sexual function. Dr. Krug emphasizes the importance of understanding that the brain is the primary sex organ. Most of the sexual experience happens in the mind, not just the genitals. Therefore, how we think about sex, relationships, and pleasure greatly impacts our sexual function.   For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Recent research reveals just how effectively probiotics improve inflammation, cognition, and depression. Tune in to hear the details of the latest in health science. Watch/Read Next… Can You Use Probiotics for Brain Health: https://drruscio.com/probiotics-for-brain-health/  What are the Signs You Need Probiotics? https://drruscio.com/what-are-the-signs-you-need-probiotics/  The Best Probiotics Protocol? The Triple Therapy Approach: https://drruscio.com/triple-therapy-probiotic-protocol/  The Best Probiotics for Anxiety & How to Use Them: https://drruscio.com/best-probiotic-for-anxiety/  Depression is More Than Serotonin. So What is it? https://drruscio.com/serotonin-theory-of-depression/  How to Improve Depression & Anxiety Without Medication: https://drruscio.com/natural-mood-enhancers/  Leaky Gut Supplements to Target Inflammation:  ​https://drruscio.com/leakygut-supplements/  Reduce Stress Inflammation in 5 Steps: https://drruscio.com/reduce-stress-inflammation/  How to Reduce Brain Inflammation: 4 Actions You Can Take Today: https://drruscio.com/reduce-brain-inflammation/    Timestamps 00:00 Intro  00:42 How to Determine Evidence Quality 02:52 The Science Behind Depression is Evolving 05:52 “Microbiota Diversity as a New Target to Improve Mood” 08:05 The Effect of Probiotics & Fiber in Cognitive Function  10:50 Probiotics for Premature Infant Neurodevelopment  13:12 Probiotics for Alcohol Use Disorder  14:40 Probiotics for Inflammation 17:48 Probiotics for MS  19:22 “Probiotic Effects on Sexual Function in Depressant Women” Featured Studies  Microbiota Diversity and Inflammation as a New Target to Improve Mood: Probiotic Use in Depressive Disorder: https://pubmed.ncbi.nlm.nih.gov/37800206/  The effect and safety of probiotics on depression: a systematic review and meta-analysis of randomized controlled trials: https://pubmed.ncbi.nlm.nih.gov/37247076/  Effect of Continuous Ingestion of Bifidobacteria and Dietary Fiber on Improvement in Cognitive Function: A Randomized, Double-Blind, Placebo-Controlled Trial: https://pubmed.ncbi.nlm.nih.gov/37836458/  Probiotic supplements are effective in people with cognitive impairment: a meta-analysis of randomized controlled trials: https://pubmed.ncbi.nlm.nih.gov/36629438/  Effectiveness of a probiotic combination on the neurodevelopment of the very premature infant: https://pubmed.ncbi.nlm.nih.gov/37365274/  The Beneficial Effects of Lactobacillus GG Therapy on Liver and Drinking Assessments in Patients with Moderate Alcohol-Associated Hepatitis: https://pubmed.ncbi.nlm.nih.gov/37040544/  The role of probiotic supplementation in inflammatory biomarkers in adults: an umbrella meta-analysis of randomized controlled trials: https://pubmed.ncbi.nlm.nih.gov/37698776/  The effect of probiotic supplementation on the clinical and para-clinical findings of multiple sclerosis: a randomized clinical trial: https://pubmed.ncbi.nlm.nih.gov/37903945/  Effects of Microecological Regulators on Rheumatoid Arthritis: A Systematic Review and Meta-Analysis of Randomized, Controlled Trials: https://pubmed.ncbi.nlm.nih.gov/36904103/  Adjuvant administration of probiotic effects on sexual function in depressant women undergoing SSRIs treatment: a double-blinded randomized controlled trial: https://pubmed.ncbi.nlm.nih.gov/38216917/   Get the Latest Updates Facebook - https://www.facebook.com/DrRusciodc Instagram - https://www.instagram.com/drrusciodc/ Pinterest - https://www.pinterest.com/drmichaelrusciodc    DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Music featured in this video: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g  *Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.

Trigger warning! This episode is about genital mutilation, female (and male) and circumcision, healing after physiological trauma in and around the genitals, and most importantly how to repair sexual function. Repeat guests and sexual health specialists Dr. Castillo and Remy Paille, NP teach us about the modern day medical technology and tools that can help just about anyone reclaim their pleasure. About our guests: Dr. Castillo is a Fellowship-trained Female Pelvic Medicine specialist. As founder and director of Swan Medical Intimate Wellness in Los Gatos, CA, he is dedicated to improving common quality of life conditions that affect millions of women. Dr Castillo completed his OB/GYN residency at St Barnabas Medical Center in NJ then went on to complete a three year Fellowship in Reconstructive Pelvic Surgery and Female Pelvic Medicine at the Cleveland Clinic Foundation. After 5 years of clinical practice at Kaiser Permanente where his duties involved overseeing resident research and education and teaching medical students as Assistant Clinical Professor of Stanford University, Dr Castillo created the first private Intimate Wellness Center in the San Francisco Bay Area. Dr Castillo is actively involved in clinical research and is on several women's health advisory boards to help shape new emerging therapies and advanced treatment protocols that address commonly experienced conditions that occur as a consequence of childbirth, aging, and menopause that impact intimacy and quality of life. Dr Castillo aims to optimize health through root-cause treatments for the common symptoms associated with aging. He is committed to empowering women to embrace their vitality and erase the stigma of Female Sexual Health through educational events, seminars and compassionate care. Remy Paille is an Adult Gerontology Nurse Practitioner working alongside Dr. Castillo at Swan Medical Intimate Wellness in Los Gatos. Remy has years of experience working as a Primary Care Provider (PCP) as well as in acute care and integrative therapy related environments, and has a deep passion for Functional Medicine, as well as pelvic health and intimate wellness. To learn more visit swanmd.com Join us April 24th-29th, 2024 for The Shameless Sex Retreat: Unleash Your Shameless Self - in Tulum! Spaces are limited to reserve your spot ASAP here Do you love us? Do you REALLY love us? Then order our book now! Go to shamelesssex.com to snag your copy Support Shameless Sex by sending us gifts via our Amazon Wish List Sign up for the Pleasure Attitudes 4-week course here Other links: Get 10% off + free shipping with code SHAMELESS10 on Uberlube AKA our favorite lubricant at http://uberlube.com Get 10% off while mastering the art of pleasure at  http://OMGyes.com/shameless Get 20% off Shameless Sex Fav's with code SHAMELESSLOVE24 or 15% off all other sex toys with code SHAMELESSSEX at http://purepleasureshop.com

*DISCLAIMER* This episode is intended for adults   224 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn   Deuteronomy 29:29a (NKJV) "The secret things belong to the LORD our God, but those things which are revealed belong to us"   Questions and Topics We Cover: Are there any specific questions you recommend we ask our spouse periodically? Will you elaborate on your finding that "men and women tend to have different insecurities that the process of sex can help heal or hurt"? You write "Having a comfortable way to signal (and receive) openness or interest will create connection and prevent much pain." So, how can couples begin to develop their own private language or signals to communicate effectively in a healthy manner?   Thank you to Our Sponsor: Leman Property Management Company   Shaunti Feldhahn received her graduate degree from Harvard University and was an analyst on Wall Street before unexpectedly becoming a social researcher, best-selling author, and popular speaker.   Today, Shaunti applies her analytical skills to investigate eye-opening, life-changing truths about relationships, both at home and in the workplace. Her groundbreaking research-based books, such as For Women Only, The Kindness Challenge, and Thriving in Love & Money, have sold more than 3 million copies in 25 languages. Her books and studies are popular in homes, counseling centers, and corporations worldwide.   Shaunti (often with her husband, Jeff) has spoken around the world, sharing her findings with audiences ranging from churches to women's and marriage conferences to arena events to youth camps and cruises (yes, those are particularly painful…). Her research and commentary are regularly featured in media as diverse as The Today Show, Focus on the Family, The New York Times and MomLife Today. Shaunti, Jeff, and their two children live in Atlanta and enjoy every minute of living life at warp speed.   Secrets of Sex and Marriage Website   Previous Episodes on Sexual Intimacy on The Savvy Sauce: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen  Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau  Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Easy Changes to Enhance Your Sexual Intimacy in Marriage with Dr. Clifford and Joyce Penner  Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen 63 Maximizing Sexual Intimacy During the Three Most Challenging Phases of Marriage with Christian Sex Therapist Pioneers, Dr. Clifford and Joyce Penner Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna  Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma     Patreon 23 Her Desires and His Desires in the Bedroom with Dr. Jennifer Konzen Patreon 26 Holy Sex with Dr. Juli Slattery Patreon 28 Protecting Your Marriage Against Unfaithfulness with Dave Carder Patreon 29 Remaining Sexually Engaged Through The Years with Dr. Michael Sytsma Patreon 49: Story of Healing from Sexual Betrayal in Marriage: An Interview with Bonny Burns Patreon 52 God, Sex, and Your Marriage with Dr. Juli Slattery   Shaunti's Previous Episode on The Savvy Sauce: Understanding Men and Women Better with Shaunti Feldhahn   Shaunti's Co-Author's Most Recent Episode on The Savvy Sauce: Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Also, check out our Patreon Page to find out how to gain access to additional podcasts and goodies!   Please help us out by sharing this episode with a friend, leaving a 5-star rating and review, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”

Maybe you've learned a thing or two about nitric oxide over the years - particularly within the contexts of erectile function, or athletic performance… This gas plays a pivotal role in our overall well-being, and is produced in ALL of our cells to facilitate the dilation of blood vessels. The dilation of these vessels is fundamental to the proper functioning of EVERY cell in our bodies. Whether you're aiming to enhance cognitive function, maintain a healthy heart, optimize muscle performance, or ensure the vitality of your intimate relationships, understanding and sustaining nitric oxide production is paramount. This episode is your golden ticket to unlocking the secrets behind this essential gas. Joining me for this enlightening conversation is none other than Dr. Nathan S. Bryan, a globally recognized authority on nitric oxide production. In our conversation, we dive deep into the intricacies of nitric oxide, providing you with insights that are not only scientifically informative, but also highly actionable. You'll discover some common habits that may be hindering your natural nitric oxide production, and why most pre-workout supplements are NOT effective for increasing nitric oxide. Dr. Bryan shares invaluable information that could potentially revolutionize the way you approach your health and well-being.

You might have heard of one or two of these herbs, but probably not all three. And you, or someone you care about could likely benefit from one or more of them! Understanding when and how to utilize herbs can be tricky but Jared helps break them down for you. On this episode of Vitality Radio, you'll learn how to use Icelandic Angelica, Boswellia, and Red Ginseng! You'll also hear about the huge variety of clean culinary spices and herbs that you can find at Vitality Nutrition and VitalityNutrition.com.Jared also shares another Homeopathic Minute from his series of quick, easy to digest information on single homeopathic remedies. Today's remedy is Allium Cepa.Products:Terry Naturally SagaPro® Bladder HealthTerry Naturally BosMedTerry Naturally HRG80™ Red GinsengN.O. Cardio BoostL-Citrulline PowderMan-Up!Man-Up! Combo PackRedmond Real Salt SeasoningsFeast Mode SeasoningsHeath's Blends SeasoningsAdditional Information:#325: Boswellia's Incredible Impact on Lung and Gut Inflammation, and the Powerhouse Antioxidant that is Grape Seed Extract, with Cheryl Myers***Emotional Vitality episodes for stress reduction***Be sure to listen to Wednesday's podcasts this year for Jared's Homeopathic Minute to learn more about specific remedies.Visit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Latest study shows all of these are good for male fertility (this systematic review included 50 studies that used the following supplements as fertility interventions): vitamin E, vitamin C, carnitines, coenzyme Q10 (CoQ10), N-acetylcysteine (NAC), zinc, folic acid, selenium, and lycopene: Antioxidant Supplementation on Male Fertility-A Systematic Review...05:32 Wine for better sex? Interesting: This review aimed to evaluate the effects of moderate consumption of red wine on erectile function. Study databases were searched to retrieve the most relevant research, and evidence collected that shows that red wine, consumed in moderation, can be beneficial for patients with erectile dysfunction and positively influence reproductive function through mechanisms of vasorelaxant properties of red wine and its antioxidants: Red Wine and Sexual Function in Men: An Original Point of View ...13:07 Contrary to popular belief, having high cholesterol levels across the board is not correlated positively with higher testosterone levels. In fact, only HDL is, LDL/triglyceride/total cholesterol appears to be inversely correlated: The relationship between endogenous testosterone and lipid profile in middle-aged and elderly Chinese men...21:49 Great comprehensive article on some of the best nootropics (translated: “mind directors” and their mechanism of action): Cognitive Impairment and Nootropic Drugs: Mechanism of Action and Spectrum of Effects - anybody take any of these, and if so, what's your experience been like?...30:40 What's up with "Natural Flavors" used in the ingredients list...42:34 Can you comment on nitric oxide production from red light therapy, now we are hearing that stimulating nitric oxide production could be more harmful than helpful?...58:55 For the full show notes, visit: https://bengreenfieldlife.com/460 Episode sponsors: LMNT: Consider Grapefruit your ultimate summer salt companion.Receive a free LMNT Sample Pack with any order drinklmnt.com/BenGreenfield. Organifi: Get the restful sleep you need with the most soothing ingredients! Go to Organifi.com/Ben for 20% off your order. Lucy Gum: If you are looking for a cleaner and tastier alternative to other nicotine products, Lucy is for you. To save 20% on any order, head over to lucy.co use discount code BEN20. Big Bold Health: Get 10% off Microbiome Rejuvenate, Himalayan Tartary Buckwheat Flour or any other single product. BigBoldHealth.com and use code BEN10 for 10% off. House of Macadamias: Free box of Namibian Sea Salted Macadamia Nuts worth $35 when you visit houseofmacadamias.com/ben plus 20% off your entire order with code BEN.See omnystudio.com/listener for privacy information.

In this episode, my guest is Dr. Rena Malik, M.D., a board-certified urologist and pelvic surgeon, male and female pelvic medicine expert, and public health educator. We discuss the major causes of and treatments for sexual ad urologic dysfunction, including how to restore, maintain and enhance pelvic floor function and proper neural and vascular (blood) supply to the genitals. We also discuss what controls and can enhance desire and arousal, how to assess and treat erectile dysfunction, and challenges with vaginal lubrication and/or orgasm. We also discuss vaginal and penile health, including preventing urinary tract infections (UTIs) and which common prescription drugs can cause sexual dysfunction in males and females. This episode covers a range of topics: oral contraception, masturbation, pornography, prostate health, and male and female hormone health.  Note: This episode covers topics related to sexual and reproductive health. Some content might not be suitable for all audiences and ages. For the full show notes, including articles, books, and other resources, visit hubermanlab.com. Take our survey and get 2 months of Huberman Lab Premium for free Thank you to our sponsors AG1: https://drinkag1.com/huberman ROKA: https://roka.com/huberman Helix Sleep: https://helixsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Rena Malik (00:04:04) Sponsors: ROKA & Helix Sleep; HLP Survey (00:07:45) Pelvic Floor: Urination & Sexual Function (00:14:13) What is a Healthy Pelvic Floor? (00:19:44) Kegels, Benefits & Risks, Urinary Incontinence (00:24:08) Pelvic Floor Relaxation; Exercise & Pelvic Floor (00:28:03) Desire vs. Arousal, Erections: Psychology, Hormones, Blood Flow & Nerves (00:36:10) Sponsor: AG1 (00:37:07) Pelvic Floor: Medical Professionals & Physical Therapy (00:40:15) Sexual Dysfunction, Erectile Dysfunction, Orgasm Difficulty (00:43:13) Desire & Arousal Issues; Erectile Dysfunction, Viagra, Cialis (Tadalafil)  (00:52:20) L-Citrulline, Supplements (00:54:09) Erectile Dysfunction & Cialis; Prostate Health; Females  (00:58:58) Erectile Dysfunction in Young Men (01:01:37) Pornography, Masturbation & Ejaculation; Healthy Sexual Behavior  (01:07:16) Sponsor: InsideTracker (01:08:22) Arousal Habituation, Masturbation, Addiction (01:12:57) Female Arousal Response, Orgasm, Coolidge Effect (01:17:22) Priapism, Melanocyte Stimulating Hormone; Women & Low Libido Medications (01:22:25) Libido & Individuality (01:26:18) Female Arousal, Vaginal Lubrication; Discharge, Odors & Douching (01:33:09) Vaginal Infections, Discharge; Vaginal Microbiome (01:35:45) Female Orgasm, Vaginal Penetration, Stimulation, Clitoris, G-Spot (01:42:31) Erection & Orgasm, Pelvic Floor Muscles (01:46:32) Dopamine-Enhancing Medication & Arousal Arc (01:51:18) Menstrual Cycle & Libido (01:52:49) Vaginal Penetration, Variation & Communication  (01:55:24) Sexual Interaction Communication, Sex Therapists (01:58:45) Urinary Tract Infections (UTIs) in Male & Females; Prevention, Vaginal Estrogen (02:04:04) Male Urination Sitting; Spermicide, Cranberry, D-Mannose & UTIs (02:11:33) Testosterone, Post-Menopausal Women & Libido (02:14:56) Kidney Stones: Prevention & Treatment (02:19:14) Oral Contraception, Libido, Individuality, Intrauterine Device (IUDs) (02:26:52) Anti-Depressants, SSRIs & Low Libido (02:29:32) Prostate Health, Cialis, Urination Difficulty (02:34:22) Bicycling, Genital Numbness, Erectile Dysfunction (02:37:48) Anal Sex, Females, Sexually Transmitted Infections (STIs), Lubricants (02:44:14) Libido, Behavioral Interventions, Supplements (02:49:15) Supplements for Libido (02:52:14) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Title Card Photo Credit: Mike Blabac Disclaimer

You might think that keeping tabs on your blood sugar levels is only important for folks who have been diagnosed with diabetes. But the truth is, metabolic health is important for all humans. Our metabolic health can have far-reaching impacts on our fertility, body composition, immunity, and so much more. The good news is, there are a lot of effective, accessible tools and strategies you can use to make a positive impact on your metabolic health. Simple behaviors like creating a balanced meal, utilizing your muscles, and getting adequate rest can significantly move the needle when it comes to stabilizing blood sugar. On today's show, you're going to learn about the effects your blood sugar levels have on your overall health, plus realistic tips to stabilize them. On this compilation episode of The Model Health Show, you're going to hear some of the best insights from Dr. Casey Means. She is a Stanford-trained physician and the cofounder of Levels. Dr. Means is a wealth of resources in the realm of metabolic health, and in this episode, you're going to hear her best tips for optimizing blood sugar levels. Enjoy! In this episode you'll discover: What your blood sugar levels can tell you about your overall health. The connection between stress and metabolic health. Which major illnesses are related to dysregulated blood sugar. How to create a breakfast that supports healthy glucose levels. Why sleep is an overlooked factor in metabolic health. The bidirectional relationship between metabolic health and mental health. How elevated blood sugar levels can impair the immune system. The role magnesium plays in your body. How adequate sunlight exposure can improve your health. Why obesity and low sperm count are linked. What cardiometabolic health is. The link between erectile dysfunction and depression. What polycystic ovarian syndrome is, and how it's connected to insulin resistance. How improving your metabolic health can balance sex hormones. Join TMHS Facebook community - Model Nation  Items mentioned in this episode include: PaleoValley.com/model -- Use code MODEL for 15% off! DrinkLMNT.com/model -- Get a FREE sample pack with any order! How to Improve Your Metabolic Fitness with Dr. Casey Means – Episode 548 How Metabolic Health Controls Sexual Function with Dr. Casey Means – Episode 599 Why We Get Sick by Dr. Benjamin Bikman Dr. Casey Means on Instagram Be sure you are subscribed to this podcast to automatically receive your episodes:  Apple Podcasts Stitcher Spotify Soundcloud Download Transcript