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

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Күн бұрын

In this episode, my guest is Dr. Rena Malik, M.D., a board-certified urologist and pelvic surgeon, male and female pelvic medicine expert, and public health educator. We discuss the major causes of and treatments for sexual and urologic dysfunction, including how to restore, maintain and enhance pelvic floor function and proper neural and vascular (blood) supply to the genitals. We also discuss what controls and can enhance desire and arousal, how to assess and treat erectile dysfunction, and challenges with vaginal lubrication and/or orgasm. We also discuss vaginal and penile health, including preventing urinary tract infections (UTIs) and which common prescription drugs can cause sexual dysfunction in males and females. This episode covers a range of topics: oral contraception, masturbation, pornography, prostate health, and male and female hormone health.
Note: This episode covers topics related to sexual and reproductive health. Some content might not be suitable for all audiences and ages.
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Timestamps
00:00:00 Rena Malik
00:04:04 Sponsors: ROKA & Helix Sleep; HLP Survey
00:07:45 Pelvic Floor: Urination & Sexual Function
00:14:13 What is a Healthy Pelvic Floor?
00:19:44 Kegels, Benefits & Risks, Urinary Incontinence
00:24:08 Pelvic Floor Relaxation; Exercise & Pelvic Floor
00:28:03 Desire vs. Arousal, Erections: Psychology, Hormones, Blood Flow & Nerves
00:36:10 Sponsor: AG1
00:37:07 Pelvic Floor: Medical Professionals & Physical Therapy
00:40:15 Sexual Dysfunction, Erectile Dysfunction, Orgasm Difficulty
00:43:13 Desire & Arousal Issues; Erectile Dysfunction, Viagra, Cialis (Tadalafil)
00:52:20 L-Citrulline, Supplements
00:54:09 Erectile Dysfunction & Cialis; Prostate Health; Females
00:58:58 Erectile Dysfunction in Young Men
01:01:37 Pornography, Masturbation & Ejaculation; Healthy Sexual Behavior
01:07:16 Sponsor: InsideTracker
01:08:22 Arousal Habituation, Masturbation, Addiction
01:12:57 Female Arousal Response, Orgasm, Coolidge Effect
01:17:22 Priapism, Melanocyte Stimulating Hormone; Women & Low Libido Medications
01:22:25 Libido & Individuality
01:26:18 Female Arousal, Vaginal Lubrication; Discharge, Odors & Douching
01:33:09 Vaginal Infections, Discharge; Vaginal Microbiome
01:35:45 Female Orgasm, Vaginal Penetration, Stimulation, Clitoris, G-Spot
01:42:31 Erection & Orgasm, Pelvic Floor Muscles
01:46:32 Dopamine-Enhancing Medication & Arousal Arc
01:51:18 Menstrual Cycle & Libido
01:52:49 Vaginal Penetration, Variation & Communication
01:55:24 Sexual Interaction Communication, Sex Therapists
01:58:45 Urinary Tract Infections (UTIs) in Male & Females; Prevention, Vaginal Estrogen
02:04:04 Male Urination Sitting; Spermicide, Cranberry, D-Mannose & UTIs
02:11:33 Testosterone, Post-Menopausal Women & Libido
02:14:56 Kidney Stones: Prevention & Treatment
02:19:14 Oral Contraception, Libido, Individuality, Intrauterine Device (IUDs)
02:26:52 Anti-Depressants, SSRIs & Low Libido
02:29:32 Prostate Health, Cialis, Urination Difficulty
02:34:22 Bicycling, Genital Numbness, Erectile Dysfunction
02:37:48 Anal Sex, Females, Sexually Transmitted Infections (STIs), Lubricants
02:44:14 Libido, Behavioral Interventions, Supplements
02:49:15 Supplements for Libido
02:52:14 Zero-Cost Support, KZfaq Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter
Title Card Photo Credit: Mike Blabac - www.blabacphoto.com
Disclaimer: hubermanlab.com/disclaimer

Пікірлер: 1 500

@dasboot109 9 ай бұрын

I came as fast as I could.

@randomradicalstorm8705 9 ай бұрын

🤨

@legitwhitebelt8353 9 ай бұрын

Good one 👍

@Alex-hc3ym 9 ай бұрын

That's damn good.

@Apeiron242 9 ай бұрын

Internet gold, sir.

@seanthetraveler 9 ай бұрын

I came too quick. But I’m here and not leaving

@tcggggg 9 ай бұрын

Not to sound cheesy or easily influenced but huberman really changed my life. Im 19. The changes arent mental they have manifested in my life.. and will continue to do so. Just one example- doing cold showers based on his information has done wonders for repairing my relationship with my mom and grandma. His bringing to light for me of the stress enhancing mindset has took me out of a 6 month depression. I could not face the work I had to face until I realized that I can utilize the stress instead of being debilitated by it. There are many more 🙏🙏🙏

@abhinandanmourya7831 9 ай бұрын

Will u help me

@bananacake79 9 ай бұрын

More power to you! How did you start cold showers. I catch cold😮 and suffer from body aches even if I take cold shower in summer. I would really love to incorporate this in my lifestyle. I have tried many times, but given up.

@sidb596 9 ай бұрын

@@bananacake79I find it much easier after working up a sweat. Try a quick workout to warm your body up and the cold shower will feel great.

@chazlon5061 9 ай бұрын

I've started doing it to. Hopefully when I'm your age in a few years I'll still be doing it but for now I'm gonna be as present as possible

@manolis.k 9 ай бұрын

I feel the same way brother! Dedicating all these hours to listening huberman's podcasts has absolutely changed my understanding and there for experience of my whole life. By inserting all these protocols in my life I've become a better, more focused and disciplined student, a better and more social person, a better boyfriend and lover. Also, i am more physically active than ever. This man is legit the reason i am going to be a doctor!

@victoryshieldtacticalllc3534 9 ай бұрын

Just had a 2-year checkup after Testicular Cancer. Still cancer free, thank God. I went in 2 years ago because I noticed a slow urine flow. It appears to have been unrelated, but that was the catalyst to me going in for further checks and finding the tumor in my testicle. During this checkup, my Urologist referred me to pelvic floor physical therapy (or something like that) to address the urine flow issue I originally went in for two years ago. Getting old sucks, but to anyone who is reading this - DO SELF CHECKS AND ASK YOUR DOCTOR IF SOMETHING ISN'T RIGHT! No amount of embarrassment is worth ignoring these issues. I'm still here for my kids, and hopefully will be for the foreseeable future because I asked. 40 yrs old yesterday.

@brendanhawkins9323 9 ай бұрын

Stay healthy bro. Just turned 38 and can confirm getting old sucks

@julieyoutu 9 ай бұрын

Hey! Happy belated 40th! I truly hope that you remain c-free and you’re right!!! Never be too shy or embarrassed/uncomfortable, to avoid digging deeper when it comes to health🤌❣️

@victoryshieldtacticalllc3534 9 ай бұрын

@@brendanhawkins9323 Thanks, bro! 🙏🏼

@victoryshieldtacticalllc3534 9 ай бұрын

@@julieyoutu Thank you so much! That means a lot! ❤️🙏🏼

@julieyoutu 9 ай бұрын

@@victoryshieldtacticalllc3534 I mean it ☺️ I’m supporting my dad who’s trying to defeat multiple myeloma by exercising more and by fasting!!!!! It has proven to change his blood test results. His doctor is quite excited and she encourages his desire/decision to fast because he feels better than ever since his initial diagnosis. He’s not imaging it! It shows in his blood tests so I fast along from a distance. My parents are both 87 and now my dad is looking into buying a near-infrared panel to try to help himself heal at home. I admire, and I’m learning from, his determination. Oh, and I also believe in miracles 🤗

@Congra 9 ай бұрын

Pelvic floor physical therapist here! So glad to see Dr. Malik bringing up how important it is to see a specialist like myself for pelvic floor issues. It's often not even something people are aware is an option available to them! I was especially glad to hear her talk about how kegel exercises can negatively impact symptoms if done either incorrectly or done in the wrong scenario. Many times when I've tried to tell people about pelvic floor PT online I get the question "can't I just look up some kegel exercises?" Which, I'm glad they're interested in doing exercise, but there are many scenarios where they can increase their symptoms and possibly bring on new symptoms as well so I'd never advise trying those exercises out on your own if you have access to other resources such as a pelvic floor PT. It's a very complex area of the body to teach people proper control of (I can't count the number of times I've asked people if they know how to do kegels, they say yes, and then it becomes apparent very quickly upon internal examination that they aren't doing a proper kegel or even kegeling at all). It's not impossible to learn, though! Side note, I'm only about 35 minutes into this video as of writing this comment (may update it later if I have more to say), but in case Dr. Malik doesn't mention it, bedwetting is an area where a pediatric pelvic floor PT can be of great assistance! If a child is wetting bed past a typical age (past 7 years old is usually when this stops though not in all cases) a pelvic floor PT who treats pediatric populations can help with this! It's often just habitual education to the child as well as strategies to help improve their bladder control. This was the topic that got me interested in learning more about pelvic floor PT during my schooling as I was a late bloomer in that regard and would have appreciated knowing earlier on strategies and education to help me stop doing that earlier. So, I always try to leave education where relevant about this specific subsect of pelvic floor physical therapy, hope this comment helps any parents out there with children struggling with this issue!

@Congra 9 ай бұрын

@@Sss-qz1cb are there truly none? Not even someone you could see via telehealth? Pelvic floor is an area that (while not 100% ideal) can be navigated via telehealth with good results according to the research on it so far.

@Congra 9 ай бұрын

@@Sss-qz1cb overseas could be dicey as usually countries don't like people practicing in their country if they're not certified/licensed to do so. There may be something but you'd have to check into local laws and laws of the country you're sourcing from

@Iamthepossum 9 ай бұрын

Thank you so very much for taking the time to express your feedback and insights, which are so helpful & illuminating to this convo ❤ take care ❤

@scotchbarrel4429 9 ай бұрын

The bedwetting portion of this comment is something i wish my parents knew about, im in the same about - late bloomer. Those excercises or specialist help would of saved a whole bunch of cleaning 😂

@Congra 9 ай бұрын

@@scotchbarrel4429 Yup! That's why I always try to spread knowledge about it when the opportunity presents itself! Younger me would have really appreciated a pelvic floor PT most likely.

@ninakovdance 9 ай бұрын

I just want to express my gratitude to Prof Huberman and hope you will see this. I finally sleep after 3 decades of insomnia(!! from childhood) just by following the morning light-cold shower/ dark at night, no work at night advices. I knew of these practices before but understanding WHY it was important and mainly HOW it worked gave me the agency I missed and made all the difference. I can’t thank you enough and now recommend your podcast to everyone. Sending you all the gratitude.

@artix86 9 ай бұрын

You may also like watching Jack Kruse - Vermont 2017.

@Deelitee 9 ай бұрын

I have a very similar story! ☀️❤ 🤗

@kawkebsadik838 8 ай бұрын

Will try your tips. I hope it works.

@asciiguy1 8 ай бұрын

I've had what I think is a similar experience -- I knew about dopamine and the growth mindset and focusing on the process -- but somehow, having it validated in neurological terms was extremely helpful for me in building confidence in my approach to mindset.

@EugeneSherman 4 ай бұрын

Did not help now what

@reedgallagher315 9 ай бұрын

Thank you for helping bring these under-discussed problems to light

@PoetOnTheRun 9 ай бұрын

This particular episode is being downloaded. As a woman in her 50s it's SO vital to have this discussion accessible to all folks..thank you Dr. Huberman for putting this content out there. You are a doctor/educator for the people, truly.

@matthewweimer5861 9 ай бұрын

This was a fantastic collab! Thanks Andrew for bringing Dr. Malik on the show!

@ashwin58336 9 ай бұрын

Dear Andrew, In this day and age this podcast is a godsend. I am grateful for this. god bless you!

@randomactsofhugs 9 ай бұрын

Ive heard of this it doesnt sound very safe " choking out?" I thought it was for the guy which made me feel not good but my friend thats a women said it was the only way she could orgasim

@balokurd17 9 ай бұрын

There's something much ancient and efficient : BOOKS

@thisiswikensendolin 5 ай бұрын

(God) bless you ^

@APerez89 3 ай бұрын

@@balokurd17I wonder how many ACTUAL FULL books HUBERMAN actually read other than the chapters and specific homework assignments required by his masters. And I wonder how much research these bum ass KZfaq gurus other the Google they've actually conducted while not sitting on their asses locked up in their state sponsored offices/library.

@annaneri8669 9 ай бұрын

Great episode, amazing guest! I’m a pelvic floor PT in Switzerland and it’s wonderful to know that some good evidence based information is being shared with so many people. Thanks Prof Huberman and Dr Malik.

@Jessica-mt1uh 9 ай бұрын

Thank you for this episode! I appreciate that you talked about pelvic floor dysfunction because I feel like it's still a quite unknown topic for most people

@georgettekolkman5622 9 ай бұрын

Blown away! Courage, truth and honesty about a topic that's so not spoken about. So much love gratitude and respect. ❤🙏

@user-xn6lh7vx6n 9 ай бұрын

As I person who has been suffering from many of these issues for 10 years, I can’t wait to learn something new from someone like Huberman!

@pkstiever 9 ай бұрын

Dr. Malik is great! She is a wonderful expert on subjects we all need to learn more about. And of course Dr. Huberman is stellar. I always learn so much. Thank you!

@banicata 2 ай бұрын

It would have been great if he had let her speak

@DEricKuhn 9 ай бұрын

Dr. Huberman, making Mondays tolerable. Love the science and appreciate all you do to make it understandable for the masses.

@victoriacaedo1626 7 ай бұрын

I genuinely envy teens who have info like this freely available to them. Having watched almost all of Dr.Andrew's videos since COVID. Just makes me wonder how diff it would've been for me being exposed to his research growing up.

@doggievideos1360 6 ай бұрын

Same

@musicartculture 5 ай бұрын

Totally agree 😊

@theresahope9759 9 ай бұрын

A very comprehensive and classy approach on this very delicate subject. Very professionally done. Thank you for your work, Professor Huberman. And for yet another free slice of science. I am so grateful I live in a time where you can basically get a lecture outside the auditorium through these podcasts (MD here).

@theresahope9759 9 ай бұрын

@@danymilll707 it depends on the question, of course! :)

@marinaclotilde6046 9 ай бұрын

I am a physio in the process of specialising in pelvic floor rehab. I am very gratefull for this podcast and can't wait to listen to it

@karolinal4357 9 ай бұрын

I would love for this podcast to be translated to other languages so it can be avaialble to more people. Not an easy topic but covered in such a informative and approachable way. Respect to both of you for what you did.

@jessicat297 9 ай бұрын

Dr. Huberman, you are a gift. Your balance of interest, enthusiasm, and professionalism are best in class. For you to make a conversation like this comfortable, informative, and enjoyable is a skill for which you should be lauded. Thank you so much, and thank you to Dr. Rena as well.

@drewmoon3000 9 ай бұрын

Thank you so much for the Huberman podcast; it's the gift that keeps on giving! I've learned so much, and it would be great to hear from Dr. Rena Malik again, specifically about the tools and exercises. Even I am looking forward to more insightful episodes I hope Dr Huberman you are taking breaks.

@rlord7053 9 ай бұрын

This is a valuable video! Thank you both so much for having the gumption to discuss this stuff because it is so important. I'm 45 and getting a medically necessary partial hysterectomy next month. I sent this to my husband and it helped us have a conversation on what things may look like in the future and what we can do.

@megandonnelly1028 9 ай бұрын

I love seeing medical professionals, and very educated people talk about pelvic floor health. After having a baby I didn’t get the info I needed to help me heal properly. Finding out what I needed on my own after almost 2 years postpartum was revolutionary. So grateful for the people who talk about this freely for others.

@Pompeii123 7 ай бұрын

Any pointers to what helped you?

@samjazayeri6048 9 ай бұрын

Dr Huberman, I have been a lawyer for many years and have worked with so many self-claimed activists, I am yet to see anyone who tackles and breaks damaging taboos appropriately as you do. Hats off to you and to your amazing guests. Respect. Sam.

@holliebingham1311 9 ай бұрын

This was the most fascinating & informative conversation I’ve heard in a long time! 👏👏👏 Thank you so much Professor Huberman, I’ve been studying this subject for a long time, and I STILL learned so much. I appreciate you; your dedication to detail is really helpful. 🙌

@EmeranceLN13 9 ай бұрын

I am two different anti-depressants (lexapro and remerton) and my libido is basically non-existent. Thank you for bring on such a knowledgeable guest and having a discussion about these topics!

@yogainnovations 9 ай бұрын

The truth is infant circumcision is the biggest cause of ED and sexual issues. Why not get into that conversation?! Break down the science of how it damages sexual function on every level. They got me and restoration is the only thing that helps as far as keeping the gland protected and increasing sensitivity losing 20k nerve endings, blood flow and no movable shaft skin. Keep it clean like any other body part. But guys like you wouldn’t touch the topic as it doesn’t fit the narrative of US culture.

@anonymousdude5550 7 ай бұрын

cold shower, stay in the sun, clean diet, retention,

@Nyorner 6 ай бұрын

Take cialis, pt-141 and hcg

@connorhaynes9961 4 ай бұрын

@@Nyornerwhat’s hcg?

@Ryan.G.Spalding 9 ай бұрын

The positive impact that you and this podcast have on society is immeasurable.

@josephfredbill 9 ай бұрын

Its great that both of you do this extremely valuable educational work on YT etc. Thank you. Its also great to see two pod/vod casters I respect coming (pun not intended) together.

@solomontruthlover5308 9 ай бұрын

Exactly what I needed in my journey of spiritual and emotional growth. Thank you for all that you do.

@jackmurphy8696 9 ай бұрын

Have had post void dribble and split stream urination since after I got covid. Pelvic floor physical therapy has reduced the frequency of the split stream but still get the dribbling. It definitely has helped. Huberman's perspective and expertise is really complementary in this video, great stuff!

@SukiThind 9 ай бұрын

I’ve been listening to many Huberman Lab podcasts since May but this is the first one I’ve listened to with a guest. It was a treat hearing Dr. Malik explain various topics just as clearly as Dr. Huberman does, and to hear their free-flowing conversation. Looking forward to even more podcasts like this one!

@YesAnd_ 8 ай бұрын

I'm so grateful we live in a world where this is all free to anyone

@bsackmcgee6587 9 ай бұрын

This is such an awkward but necessary conversation. Hats of to Dr. Huberman for sitting there stone faced through all this. That's a real G right there😆

@malarie_ 9 ай бұрын

As someone who has experienced cancer, pelvic radiation, surgeries. pvt and work in the medical field who's going into pelvic floor therapy. I am glad this episode has been created as I can share this with all the patiens I've treated and will continue to encourage all my patients to your channel! @hubermanlab I have seen the difference in my own health as well as patients from the education and awareness you have illuminated. It truly is a great tool for taking control of your health! 🙌 Never stop being amazing Andrew, thank you. 🤟💫 #diagphragmaticbreathing #pelvicfloortherapy for the win lol 😄

@sudakayoga 9 ай бұрын

That was an amazing conversation. Well done for keeping going nearly three hours. I have shared with my yoga students. Really appreciate your time and dedication. Both of you

@MsMarianMary 7 ай бұрын

This is the only channel Ive been subscribing and keep watching without any hesitation. What you are doing - totally incredible, thank you very much for this!

@katiebroadhurst1765 8 ай бұрын

As a former recurrent UTI sufferer, mine was a candida issue which was treated with a dietary cleanse, oregano oil and cranberry. Ive been UTI free for over 10 years since that cleanse. Another low risk ‘treatment’ to try if antibiotics don’t work for you, which was my case after being hospitalized with a kidney infection.

@satyamtraditionalyoga.2150 9 ай бұрын

Since I'm a traditional Yoga trainer from India. We are providing special practices based on the needs of the individuals, this topic is very relevant. We have traditional practices for "pelvic floor strengthening" I'm super excited on neuroscience and traditional yoga connections.🎉🎉

@garykos 8 ай бұрын

are there positions and exercises to “relax” the pelvic floor?

@schumannbeing 7 ай бұрын

Would you see any correlation between the pelvic floor and what is more esoterically referred to as the root chakra?

@0m13 4 ай бұрын

What they call Kegel exercises have been practiced for thousands of years. There are the three “bandhas”, one of which is essentially used for strengthening the pelvic floor which is considered the seat of “Kundalini”. The chakra associated with it called “mool-adhara” which literally means “root support” which is what was talked about.. the pelvic floor holds up all the other organs.

@satyamtraditionalyoga.2150 4 ай бұрын

@@schumannbeing in some of the cases like 'sense of smell " related issues been treated well and produced good result.

@yipperdeyip 9 ай бұрын

I love how Huberman is a bit shy in this episode lol. What an absolute chad! We're blessed with his content

@APerez89 3 ай бұрын

🤣🤣🤣🤣 u mean Dr Stanford woke?

@yipperdeyip 3 ай бұрын

@@APerez89 Woke?

@HoraceFoca 9 ай бұрын

What a beautiful session, thank you for hosting it Andrew!

@bartdaw6681 9 ай бұрын

Dr. Malik knows her stuff and is a pleasure to listen to. Thanks for having her on the channel!

@susie4045 9 ай бұрын

Excellent! Glad you brought up UTI. They are no joke. The silent ones, that don’t have pronounced symptoms can be a factor in psychosis! I had no idea what happened to me until I ultimately ended up in a psych hospital due largely to a uti (&what I think was low estrogen) hallucinations and all…Scary time. Learned a lot from this talk 😊

@danielle7729 9 ай бұрын

Thank you! It’s insane how little information there is about the female anatomy and different ways to improve sexual drive and such. I hope you continue conversations like this. She is my favorite woman so far that has discussed this topic! I hope you have her back again