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

Moment: How a Urologist Treated her Low Sex Drive (and it worked!) ft. Dr. Fenwa Milhouse

Jul 9, 2025
Guest
Fenwa Milhouse
Dr. Fenwa Milhouse, a urologist and expert in sexual health, shares her personal journey navigating low libido and intimacy mismatches. She dives into the significance of open communication and the challenges many couples face regarding differing desires. The conversation highlights actionable strategies like FDA-approved treatments, mindfulness, and the role of sex therapy in enhancing relationships. Together, they explore the evolving dynamics of intimacy, emphasizing the importance of ongoing dialogue to foster connection and satisfaction.
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INSIGHT

How a Urologist Reignited Her Low Libido and Saved Her Marriage

Dr. Fenwa Milhouse shares her personal journey of overcoming low libido despite being attracted to her husband, highlighting that desire mismatch is a common issue affecting many couples.

She emphasizes a multi-faceted approach including:

  • Open communication with her partner
  • Use of FDA-approved medications like flibanserin, bremelanotide, and off-label testosterone
  • Prioritizing quality sleep to improve sexual interest
  • Practicing mindfulness to stay in the moment during intimacy
  • Seeking sex therapy to address psychological and relational aspects

She stresses libido isn't a simple on/off switch but requires ongoing cultivation and effort, and validates both partners' feelings in the process.

ANECDOTE

Personal Journey with Low Libido

  • Dr. Fenwa Milhouse experienced low libido herself despite being attracted to her husband.
  • This caused marital discord, leading her to seek FDA-approved treatments and lifestyle changes.
ADVICE

Effective Libido Support Strategies

  • Use FDA-approved treatments like flibanserin, bremelanatide, or testosterone for low libido under medical supervision.
  • Prioritize sleep and mindfulness to cultivate desire rather than expecting instant results.
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