258: Persistent Genital Arousal Disorder with Dr. Irwin Goldstein

In this episode of Better Sex with host Jessa Zimmerman, sex therapist Jessa Zimmerman interviews Dr. Irwin Goldstein to discuss Persistent Genital Arousal Disorder (PGAD). They explore the history, symptoms, and numerous potential causes of PGAD, ranging from physiological to neurological issues. They also delve into various diagnostic methods and treatment options available for managing this often misunderstood and debilitating condition.

00:00 Introduction

00:42 Interview with Dr. Irwin Goldstein

01:03 Understanding PGAD

05:17 Initial Approaches to Treatment

07:05 New Discoveries in PGAD Research

22:08 Success Stories and Challenges

30:13 Final Thoughts and Contact Information

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Irwin Goldstein, MD

Dr. Goldstein has been involved with sexual dysfunction research since the late 1970's. He has authored more than 350 publications as well as multiple book chapters and edited 6 textbooks in the field. His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post cancer treatment, genital dysesthesia/persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at University of California, San Diego and practices medicine at San Diego Sexual Medicine. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor of The Journal of Sexual Medicine. He is a Past President of the International Society for the Study of Women’s Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the International Society for the Study of Women’s Sexual Health Award for Distinguished Service in Women’s Sexual Health, in 2013 he received the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren.

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