Published Mar 1, 2024

Urologist Explains Retrograde Ejaculation, Vaginal Dryness and Tadalafil | AMA

Dr. Rena Malik demystifies retrograde ejaculation, debunks myths about vaginal dryness with practical advice, and offers insights on tadalafil and sildenafil's effectiveness in treating erectile dysfunction.
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Episode Highlights

  • Causes & Myths

    addresses common myths about vaginal dryness, emphasizing that lubrication levels do not always correlate with arousal. She explains that factors such as genetics, medications, and hydration can influence lubrication. Additionally, menopause and perimenopause naturally reduce lubrication due to hormonal changes.

    The biggest myth I see is that people assume the wetter you are, the more aroused you are, and the drier you are, the less aroused you are. Now, that's not always true.

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    Malik suggests checking medications and increasing fluid intake to improve lubrication naturally 1.

       

    Medical Treatments

    For those experiencing vaginal dryness, recommends medical treatments like vaginal estrogen, which is safe and minimally absorbed into the body. She also mentions alternatives such as intra rosa and various lubricants. Malik encourages experimenting with different types of lubricants to find what works best.

    There's never been a reported breast cancer, ovarian cancer, uterine cancer, as long as you're using it with. Actually none with uterine cancer, nothing like that.

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    She highlights the importance of choosing lubricants with appropriate pH levels for vaginal or anal use 2.

       

    Natural Remedies

    also discusses natural remedies for improving vaginal lubrication. She suggests increasing fluid intake and using vaginal moisturizers made with hyaluronic acid. Malik emphasizes the importance of assessing medications and supplements that might affect lubrication.

    The more fluids you drink, the more likely you are to make more lubrication.

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    Experimenting with different types of lubricants can also enhance comfort and enjoyment during sex 1 2.

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