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

Huberman Lab

The Huberman Lab podcast is hosted by Andrew Huberman, Ph.D., a neuroscientist and tenured professor in the department of neurobiology, and by courtesy, psychiatry and behavioral sciences at Stanford School of Medicine. The podcast discusses neuroscience and science-based tools, including how our brain and its connections with the organs of our body control our perceptions, our behaviors, and our health, as well as existing and emerging tools for measuring and changing how our nervous system works.
Huberman has made numerous significant contributions to the fields of brain development, brain function, and neural plasticity, which is the ability of our nervous system to rewire and learn new behaviors, skills, and cognitive functioning. He is a McKnight Foundation and Pew Foundation Fellow and was awarded the Cogan Award, given to the scientist making the most significant discoveries in the study of vision, in 2017. 
Work from the Huberman Laboratory at Stanford School of Medicine has been published in top journals, including Nature, Science, and Cell, and has been featured in TIME, BBC, Scientific American, Discover, and other top media outlets.
In 2021, Dr. Huberman launched the Huberman Lab podcast. The podcast is frequently ranked in the top 10 of all podcasts globally and is often ranked #1 in the categories of Science, Education, and Health & Fitness.

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.
For the full show notes, including articles, books, and other resources, visit hubermanlab.com.
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Supplements from Momentous
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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, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter
Title Card Photo Credit: Mike Blabac
Disclaimer

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.
For show notes, including referenced articles and additional resources, please visit hubermanlab.com.
Use Ask Huberman Lab, our new AI-powered platform, for a summary, clips, and insights from this episode.
Thank you to our sponsors
AG1: https://athleticgreens.com/huberman
LMNT: https://drinklmnt.com/hubermanlab
Waking Up: https://wakingup.com/huberman
Momentous: https://livemomentous.com/huberman
Timestamps
(00:00:00) Rena Malik
(00:04:21) Sponsors: LMNT & Waking Up
(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
(00:35:31) 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 
(01:08:22) 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, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter
Disclaimer
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