About this episode
Dr. Rena Malik, board-certified urologist and sexual medicine expert, has the most frank conversation about female sexual health you'll hear anywhere. She covers pelvic floor dysfunction (incontinence affects 1 in 3 women), the genital urinary syndrome of menopause (80% of women will experience changes), and the orgasm gap—plus why same-sex couples don't have this problem. Dr. Malik breaks down low desire in midlife with actual treatment options, explains responsive vs. spontaneous desire, and tackles the hard conversations about pornography's impact on our kids. Whether you're dealing with changes yourself or supporting someone who is, this episode removes the shame and gives you actionable solutions for better sexual and pelvic health.Episode Overview (timestamps are approximate):(0:00) Intro/Teaser(4:00) Pelvic Floor 101: Anatomy and Function(8:00) Urinary Incontinence(14:00) Tight Pelvic Floor & Pelvic Floor Dysfunction(18:00) Strengthening Weak Pelvic Floor(21:00) Pelvic Organ Prolapse (POP)(29:00) Menopause & Genito-Urinary Changes(33:00) Female Arousal & Clitoral Anatomy(37:00) Responsive Desire & Maintaining Sexual Connection(44:00) The Orgasm Gap(49:00) Pornography & Realistic Expectations(55:00) Pornography Use & Sexual Function(1:00:00) Types of Orgasms(1:03:00) Semen Retention & Orgasm Frequency(1:08:00) Low Desire in Women(1:16:00) Arousal vs. Desire(1:19:00) UTIs & Bladder Health(1:23:00) BONUS: After-Party with Dr. StephanieResources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep447We couldn’t do it without our sponsors:BIOPTIMIZERS - Magnesium Breakthrough contains multiple types of magnesium plus cofactors like B6 to enhance absorption. Visit https://bioptimizers.com/better and use code BETTER to save 15%.ONESKIN - Harness the power of peptides for fuller hair and glowing skin. Save 15% at
