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259 – Women’s sexual health: Why it matters, what can go wrong, and how to fix it

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23 thoughts on “259 – Women’s sexual health: Why it matters, what can go wrong, and how to fix it”

  1. Peter Attia MD

    In this episode, we discuss:

    0:01:27-Sharon’s interest in sexual medicine and the current state of the field

    0:07:19-How hormones change in women over time and how that impacts sexual function

    0:10:30-Changes after childbirth and its impact on sexual function

    0:21:45-The role of metabolic health and systemic vascular health in sexual health

    0:28:48-Conditions associated with decreased sexual function and the importance of sexual health for overall wellbeing

    0:43:29–Sexual dysfunction case study #1: A 41-year-old mother of two, the sexual response cycle, and the difference between arousal and desire

    0:56:20-Medications that may reduce sexual desire

    1:04:35-The effect of birth control pills on sexual desire

    1:09:48-The importance of testosterone in women for sexual function and desire, and why the FDA hasn’t approved exogenous testosterone as a therapeutic

    1:25:17-Challenges faced by physicians who are open to prescribing off-label testosterone for women, and Sharon's approach in managing this aspect with her patients

    1:39:13-A hypothetical treatment plan for the patient in case study #1

    1:45:38-The role of DHEA (a precursor to testosterone) in female sexual health

    1:52:44-Case study #2: A 30-year-old woman with anorgasmia (inability to orgasm)

    2:08:40-Resources for helping women and their partners to enhance the pleasure experienced during sex, overcome anxiety, and increase desire

    2:17:32-Two drugs for premenopausal women with low desire

    2:32:36-Why treatments are potentially underutilized for both desire and genitourinary syndrome of menopause

    2:39:37-Case study #3: A menopausal woman with symptoms

    2:45:50-Addressing the misguided fears around hormone replacement therapy and cancer

    2:55:28-Symptoms and treatment of genitourinary syndrome of menopause

    3:01:00-Age 65 and beyond, and resources for finding a provider

  2. Diane McNutt

    Synthetic estrogen is really bad for you ,also it’s not progesterone it’s progestin which is not good for your body. Bio- Identical hormones the best! They are made exclusively for your body ,these physicians are very thorough.

  3. Ekaterina Krivosheeva

    Amazing channel, but this particular speaker is incredibly boring. Such interesting case studies and such insipid answers, none of them up to the point and hold so much water and digression. Would be great to hear smb else speak on the same topic

  6. Karen Spae

    This was fascinating and so informative. Thanks so much for the topic of discussion and the length and breadth of your discussion. Obviously medical insurance people should be more aware of this along with Medicare as women age. It would be wonderful if more treatment was available and at least partially paid for by insurance. Thank you both again.

  7. Linda Lembeck

    Diet and Exercise are hugely important for overall sexual health. Exit sugar, refined carbs, and processed foods; step up cardiovascular exercise and saunas. Doctors don't prescribe this enough or create a written plan with follow up phone calls for their patients. I learned about health from podcast's like Dr. Attia's and Dr. Huberman's, not from my PCP.

  12. Eva A.

    Dear doc peter ,

    Please doc interview Uk Doc Dr Louise Newson , i want to know more about perimenopause and menopause and hrt . Please please …

  13. Debra Williams

    I started HRT 3 months ago. Went to my doctor because I felt depressed. He said it was hormones. I started HRT, and 8m now off my antidepressant. Still waiting for libido to kick in but I have hope. There really is no support for post-menopausal women. We shouldn't have to seek it out, it should be a standard of care.yy

  15. Leah Landi

    I breastfed my son after a vaginal birth and I would have really bad hot flashes. This went on for a few months but eventually went away but I breastfed him for 18 months. Totally had some hormonal changes.

  18. A M

    This is the problem. It is hugely hugely important to a woman. However most women give up. Men are not very good at the whole intimacy, arousal, making a woman feel totally awesome. So women give up the whole sex thing and relied mostly on their own skills with a little bit of mail companionship. And it really honestly sucks

  19. denise m

    As previously stated Ah Ma Zing! Thank you Pete for bringing this into the public dialogue – I could weep for the untold suffering of our mothers and sisters! Still so taboo to even say menopause or periods but I am a warrior now ❤ At 64 I had most of the issues you mentioned and was assertive and lucky to get a local pill insert to start with and later estrodiaol gel. Also heard Trinny Woodall speak with Dr. Erica Schwartz podcast. Davina McCall ‘menopausing’ here in the UK. Sadly even tho the nhs is amazing for general health care it is rationed due to under funding and staff shortages due to stupid Brexit.

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