Orgasms as Medicine: De-Stigmatizing Sex & Pelvic Wellness in Perimenopause with Dr. Rena Malik

Dr. Rena Malik, board-certified urologist and sexual medicine
expert, has the most frank conversation about female sexual
health you'll hear anywhere. She covers pelvic floor dysfunction
(incontinence affects 1 in 3 women), the genital urinary syndrome
of menopause (80% of women will experience changes), and the
orgasm gap—plus why same-sex couples don't have this problem. Dr.
Malik breaks down low desire in midlife with actual treatment
options, explains responsive vs. spontaneous desire, and tackles
the hard conversations about pornography's impact on our kids.
Whether you're dealing with changes yourself or supporting
someone who is, this episode removes the shame and gives you
actionable solutions for better sexual and pelvic health.


Episode Overview (timestamps are approximate):
(0:00) Intro/Teaser
(4:00) Pelvic Floor 101: Anatomy and Function
(8:00) Urinary Incontinence
(14:00) Tight Pelvic Floor & Pelvic Floor Dysfunction
(18:00) Strengthening Weak Pelvic Floor
(21:00) Pelvic Organ Prolapse (POP)
(29:00) Menopause & Genito-Urinary Changes
(33:00) Female Arousal & Clitoral Anatomy
(37:00) Responsive Desire & Maintaining Sexual
Connection
(44:00) The Orgasm Gap
(49:00) Pornography & Realistic Expectations
(55:00) Pornography Use & Sexual Function
(1:00:00) Types of Orgasms
(1:03:00) Semen Retention & Orgasm Frequency
(1:08:00) Low Desire in Women
(1:16:00) Arousal vs. Desire
(1:19:00) UTIs & Bladder Health
(1:23:00) BONUS: After-Party with Dr. Stephanie


Resources mentioned in this episode can be found at
https://drstephanieestima.com/podcasts/ep447


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P.S. When you're ready, here are two ways Dr. Stephanie can help
you:


Subscribe: The Mini
Pause — My weekly newsletter packed with the most
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