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 https://hubermanlab.com/dr-rena-improving-sexual-and-urological-health-in-males-and-females Take our survey and get 2 months of Huberman Lab Premium: https://survey.hubermanlab.com/jfe/form/SV_0qZgwusCn66swWG #HubermanLab #Health Thank you to our sponsors AG1: https://drinkag1.com/huberman ROKA: https://roka.com/huberman Helix Sleep: https://helixsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Huberman Lab Social & Website Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://hubermanlab.com/ Newsletter: https://hubermanlab.com/neural-network Dr. Rena Malik Clinical Practice: https://renamalikmd.com/ Research papers: https://www.ncbi.nlm.nih.gov/myncbi/rena.malik.1/bibliography/public YouTube: null Blog: https://renamalikmd.com/blog Facebook: https://www.facebook.com/RenaMalikMD Twitter: https://twitter.com/RenaMalikMD Instagram: https://www.instagram.com/RenaMalikMD TikTok: https://www.tiktok.com/@renamalikmd LinkedIn: https://www.linkedin.com/in/renadmalik Pinterest: https://www.pinterest.com/RenaMalikMD 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 - https://www.blabacphoto.com/ Disclaimer: https://hubermanlab.com/disclaimer