In this episode, Dr. Rena Malik sits down with Dr. Irwin Goldstein to explore the complex effects of commonly prescribed medications—like SSRIs and finasteride—on sexual function. They break down the science behind persistent sexual side effects, new diagnostic ultrasound techniques, and the challenges patients face in navigating these risks. Listeners gain crucial insights into medication-induced sexual dysfunction and the importance of thoughtful, informed healthcare decisions.
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▶️Chapters:
00:00 SSRIs and sexual dysfunction
00:23: Irreversible neuronal changes
01:13: Risks vs. benefits of SSRIs
02:23: PSSD timing and presentation
05:12: 5-alpha reductase inhibitors
06:13: PFS and comparison to PSSD
09:01: Penile fibrosis and ultrasound
12:42: Erection hardness scale
14:11: Viagra study and publication
18:06: Sexual medicine gaps in gynecology
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DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.
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