Understanding Orgasms: Science, Solutions, and Why Doctors Don't Ask with Dr. Lauren Streicher
About this episode
The episode discusses the science of orgasms, the lack of communication from doctors, and various solutions for orgasmic dysfunction in women.
We start with a frustrating reality: 70% of OB-GYNs never ask patients about orgasm. And when women finally get the courage to bring it up themselves, the answer is usually "I'm so sorry, this just happens when you age." I ask Dr. Streicher to break down what an orgasm actually is and why arousal has to happen first. We discuss the different types of orgasms clitoral, cervical, and the controversial G-spot. Dr. Streicher shares the fascinating Maria Bonaparte research from the 1920s that discovered the 2.5 centimeter rule and why anatomical distance matters for orgasm during intercourse. We dive into primary versus acquired orgasmic dysfunction. For women who've never had an orgasm, nine out of ten times they just need education and a map to their clitoris. For women who used to have orgasms and can't anymore, SSRIs are often the culprit not hormones. We discuss solutions including Viagra, topical sildenafil, CBD, and why local estrogen on the clitoris matters. Dr. Streicher walks me through the history of vibrators and why they become necessary as women age and nerve endings become less sensitive. We talk about how to bring up using a vibrator with a partner and why it's a tool…
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