Dr. Rena Malik: Improving Sexual & Urological Health in Males and Females
Welcome to the Huberman Hub/Import May 1, 2023/Dr. Rena Malik: Improving Sexual & Urological Health in Males and Females

Dr. Rena Malik: Improving Sexual & Urological Health in Males and Females

3 Actionable Takeaways

  1. Manage Comorbidities for Better Sexual Health:
    1. Comorbid conditions like high blood pressure and diabetes often play a significant role in sexual dysfunction. Managing these health issues through a balanced diet (like the Mediterranean diet), regular exercise including strength training and cardio, and getting exposure to morning light to regulate testosterone can contribute to improved sexual health.
  1. Pelvic Floor Relaxation and Proper Kegel Exercises:
    1. Contrary to the popular belief of always strengthening the pelvic floor, sometimes relaxation is necessary to prevent or alleviate dysfunction. Properly performed Kegels can be beneficial but overdoing it can lead to a tense pelvic floor. It's advisable to start with Kegels in a lying down position, moving to seated, and then standing as proficiency increases. Consulting a pelvic floor specialist can provide personalized guidance.
  1. Effective Communication for Fulfilling Sexual Relationships:
    1. Understanding and communicating sexual preferences and desires with your partner is crucial for a fulfilling sexual relationship. It’s advisable to have such conversations in a neutral setting, using “I” statements to express likes and dislikes. Seeking professional help through organizations like the American Association of Sexuality Educators, Counselors and Therapists (AASECT) can also be beneficial.

Lessons Learned

  1. Understanding the Pelvic Floor:
    1. The pelvic floor is a crucial muscle group affecting urination, defecation, and sexual function. Both men and women can experience pelvic floor dysfunction leading to urinary urgency, frequency, and potentially pain during sex. Regular examination and consultation with a specialist can help in maintaining pelvic floor health.
  1. Exercise and Pelvic Floor Health:
    1. Correct breathing during exercise and avoiding exercises that could strain the pelvic floor like heavy squats and deadlifts can prevent sexual dysfunction. It's also important to address any comorbid conditions like diabetes and high blood pressure that might affect pelvic floor health.
  1. Understanding Sexual Dysfunction:
    1. Sexual dysfunction could be due to various factors including vascular, hormonal, psychological issues, or medications. It's essential to identify the root cause to get the appropriate treatment. Medications like Cialis and Viagra could help some individuals, but not all.
  1. Awareness About Pornography and Its Effects:
    1. Understanding the potential impacts of pornography, especially when it leads to unrealistic expectations or habitual preferences, is necessary. Varying sexual experiences and having open discussions about sex can contribute to healthier real-world relationships.
  1. Understanding Female Sexual Arousal and Orgasm:
    1. Female sexual arousal involves multiple steps leading to vaginal lubrication and preparation for penetration. Clitoral stimulation is the most reliable method for female orgasm, and communication with a partner is key to exploring different stimulation techniques for a fulfilling sexual experience.
  1. Maintenance of Urogenital Health:
    1. Proper hygiene practices, avoiding over-cleaning, and understanding normal physiological changes like vaginal discharge can contribute to better urogenital health. It's important to get regular check-ups and address any new or unusual symptoms with a healthcare professional.
  1. Preventing UTIs and Kidney Stones:
    1. Good hydration, proper urinary hygiene, and dietary modifications can help in preventing urinary tract infections and kidney stones. Individuals with recurrent UTIs or kidney stones should consult with healthcare professionals for personalized advice.
  1. Understanding Contraceptives and Their Effects:
    1. The effects of contraceptives can vary greatly among individuals. Some women might experience low libido or other sexual dysfunctions due to oral contraceptives. It's important to discuss any concerns with healthcare providers to find suitable contraceptive methods.
  1. Prostate Health and Its Impact on Urination:
    1. An enlarged prostate can affect urination and sexual health in men. Although genetics play a significant role, lifestyle modifications like reducing caffeine and alcohol intake can help manage symptoms.
  1. Safe Practices for Anal Sex:
    1. Ensuring safety through the use of protection and appropriate lubricants, along with preparation and communication with the partner, can lead to a safer and more enjoyable experience during anal sex.