Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

How Long Does It Really Take For Her To Get Turned On? | AMA

Jul 18, 2025
Dive into fascinating discussions about menopause and its early signs, as Dr. Malik unpacks symptoms and the role of hormone therapy. She addresses painful sex, emphasizing that discomfort shouldn't be normal and encourages seeking professional help. Listeners learn about the variations in vaginal canal dimensions and how arousal impacts comfort during intimacy. The podcast also investigates the causes of cloudy urine, stressing hydration and the need for medical consultation. Practical advice is offered to enhance sexual health and well-being.
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INSIGHT

Understanding Menopause and Perimenopause

  • Menopause typically occurs around age 51 but can start with perimenopause symptoms up to 10 years earlier.
  • Symptoms include irregular periods, irritability, sleep changes, and hot flashes that vary day to day.
ADVICE

Addressing Painful Sex

  • Ensure adequate arousal time as vaginal lengthening for penetration can take up to 25 minutes.
  • Get evaluated by a pelvic floor expert if pain persists; therapies like pelvic floor physical therapy can relieve pain from muscle dysfunction.
INSIGHT

Vaginal Size and Compatibility

  • Average vaginal canal length is about 3.7 inches but lengthens 1.5-2 inches during arousal to match average penile length.
  • Vaginal size varies naturally, and most couples fit, but options exist for comfort if a mismatch occurs.
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