#118 Female Sexual Problems with Stacy Lindau MD

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 8 October 2018

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

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Summary

Houston, we have a female sexual dysfunction problem. Female sexual problems, which can affect women of all ages, are underdiagnosed and undertreated--in part because clinicians are not the best at asking about sex in primary care visits. In the course of this episode, learn about how to have that sex talk you’ve (maybe) been avoiding, what to ask when working up sexual problems in women, and find the words to talk to patients about sex. Today, we’re lucky to have the female sexual health expert of experts, Dr. Stacy Lindau, MD, MA, Professor of Obstetrics and Gynecology and Medicine-Geriatrics at the University of Chicago Medicine, on the show to teach us the best “sex talk” language, the differential for female sexual problems, and explore therapies. Sadly, there’s no sildenafil-like magic bullet, but a multidisciplinary team can make real impact on female sexual problems. Don’t forget to check out http://womanlab.org

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].

Credits

Written and produced by: Nora Taranto MS4

Hosts: Leah Witt MD and Matthew Watto MD

Infographic: Leah Witt MD

Editor: Matthew Watto MD

Guest: Stacy Lindau MD

Time Stamps

00:00 Disclaimer
00:35 Intro and guest bio
03:30 Guest one liner, book recommendations, favorite failure, career advice and picks of the week
12:57 Clinical Case of female sexual dysfunction and some definitions
15:08 Are sexual problems a normal part of aging?; How to take a sexual history; Etiology of sexual dysfunction; “Diagnostic sex”; Red flags
27:54 Medications that contribute to sexual dysfunction
31:00 Labs
34:45 Treatment: pelvic PT, medications, counseling, flibanserin, herbal supplements
49:05 Screening for female sexual problems
51:58 Take home points; WomanLab.org
55:19 Outro

Transcript

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0:00.0	The term sire is podcasted with entertainment education and information process only.
0:09.2	As I've discussed, it should not be used only by industry, your orbit and industry is more
0:11.6	conditioned, but more than used in the same expressed on the podcast are soloed of those.
0:13.7	It should not be interpreted perfectly, but it should not be used for official positive
0:14.9	or position of any entity, the psychrom possibly, cash-like morons will end up in the outreach
0:17.0	programs, and indeed there are any in fact there are none.
0:18.8	Pretty much we are responsible for this throughout, but we should always do our homework and let's
0:20.7	know when we're ready.
0:30.2	Welcome back to the Curbsiders. This is your host, Dr. Matthew Wato, and since I wasn't
0:40.0	interrupted there, you probably know that Stewart is not here today, and actually neither is Paul
0:44.6	Williams. I am joined today by co-host Dr. Leo Wit. Hey, Leah, thank you for so much for coming
0:50.9	back on the show. Hi, I'm excited to be here. This is a great episode.
0:55.6	It is a fantastic episode. I'm really excited to get to it, but just first, can you just remind
1:00.4	the audience a little bit about who you are? Yes, so I am a geriatrician and pulmonologist at UCSF,
1:09.4	and really excited about being a part of the Curbsiders because I'm also helping delete our
1:14.8	Women in Medicine series. And I am so happy to have you leading that project because it has been
1:20.9	fantastic so far, and I'm really excited to see what else you and your team come up with for that.
1:26.4	So can you tell the audience a little bit about our guest for today?
1:30.8	Yes, so today we have the expert of experts, Dr. Linda, here to help us parse through female
1:38.2	sexual dysfunction. She is an engineer of solutions to injustice. We're taking a lot of her bio
1:46.5	from her Women Lab website, so I encourage you to go check it out. So Dr. Linda's interest in this
1:54.0	topic started as a medical student when she visited a witch in Salem, Massachusetts, who correctly
	...

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