228. GOAT - Dr. Irwin Goldstein

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 10 September 2023

⏱️ 52 minutes

🔗️ Recording | iTunes | RSS

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Summary

GOAT - Dr. Irwin Goldstein He is the director of San Diego Sexual Medicine. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s. Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training. How do urologists not know who Irwin Goldstein is? He started out in men’s sexual health. Dr. Goldstein tells us his story. Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. He created ISSWSH. https://www.isswsh.org/ He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). Thoughts on DHEA vaginally. Women and Sildenafil – oral versus topical and his thoughts on arousal. Orgasm guidelines are coming!! The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA Other drugs for orgasm The role of testosterone for orgasm issues Sexual side effects of birth control pills Depression side effects of birth control pills Testosterone in women! It is a thing! Estradiol in men – needed for bones and erections. We wrap up with discussing hard flaccid. A hypogastric nerve dysfunction. Any advice for me, for other physicians, for the women and their partners? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	You are listening to You Are Not Broken, the only podcast that combines science, medicine, and psychology to re-educate your brain and help you live your best love life.
0:11.4	And I'm your host, board certified female urologist, Dr. Kelly Casperson.
0:16.2	Hey friends, welcome back.
0:17.8	Today I am so thrilled to finally have my mentor, amazing Dr. Erwin Goldstein.
0:24.4	Thank you so much for coming today.
0:26.2	Kelly, we love you. Thank you for doing this. It's a great honor.
0:28.8	Thank you. It's embarrassing. I've done like hundreds of, I've been doing this for three and a half
0:32.4	years now. I haven't had you on yet. Like, it's getting embarrassing. There's no reason to be embarrassed.
0:39.0	Like, people need to know who you are. And to me, going back, to back up for the friends who don't
0:44.7	know, like, you are a urologist. I am a urologist. You're the director at San Diego
0:49.5	sexual medicine. You have had a long career helping people with sexual problems. You started doing research
0:54.8	in the 1970s, started out with men, transition to women. I don't know. That's not accurate.
1:00.3	Take care of all humans now. So I did urology. I've been out for 12 years from residency now,
1:08.2	and I don't think I knew who you were in residency. And you're like absolutely
1:14.4	huge in the urology world, in my urology world. But I think there's still urologists who don't know
1:20.2	what you do and who you are, and it blows my mind. Well, let me go way back, because it gets more simple.
1:27.4	So I'm from Canada.
1:29.3	So I played hockey all my life at a very high level and was recruited to play hockey in the US.
1:36.3	So that was cool.
1:38.3	But I love engineering.
1:40.3	I'm an electrical biomedical engineer.
1:42.3	I studied for four years at Brown University
	...

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