245: Reverse Your Menopause Symptoms with Dr. Irwin Goldstein

In this episode of Better Sex, host Jessa Zimmerman welcomes Dr. Irwin Goldstein (Dr, G(, a pioneer in sexual medicine, to discuss the intricacies of menopause and women's sexual health. The conversation delves into the hormonal changes during menopause, common misconceptions, and the benefits of seeking treatment even though menopause is a natural phase. Dr. G emphasizes the importance of understanding the Genital Urinary Syndrome of Menopause (GSM) and its symptoms, and discusses various reversible treatment options including bioidentical hormones. The episode highlights the significant impact of monitored hormone management on improving women's health and the importance of educating women and medical professionals about the changes menopause brings. Jessa and Dr. G also touch on the societal tendency to overlook women's sexual health and the necessity for more comprehensive research and treatment guidelines. They conclude by discussing how women can find the right care in their areas through organizations like ISSWSH, and Jessa urges listeners to subscribe and rate the podcast for more insights.

00:00 Welcome to Better Sex with Jessa Zimmerman

00:45 Introduction to Dr. G and the Importance of Sexual Medicine

01:07 Understanding Menopause: Symptoms and Misconceptions

01:50 Dr. G's Personal Story and Approach to Menopause

04:20 Hormonal Changes and Their Impact on Women's Health

07:19 The Importance of Testosterone in Women

08:53 Challenges in Treating Menopause: FDA and Gender Bias

09:42 Natural vs. Treatable: The Debate on Menopause

12:04 Genitourinary Syndrome of Menopause (GSM)

16:31 The Role of ISSWSH and Urology in Women's Sexual Health

20:39 Treatment Options for Menopause

23:50 Monitoring and Administering Hormone Treatments

35:37 Finding the Right Provider and Conclusion

37:03 Closing Remarks and Listener Engagement

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Bio:

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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