228. GOAT - Dr. Irwin Goldstein

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
 
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 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?

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