Moment: They Took This Medication… and Lost Pleasure During Orgasm (PSSD?)

Moment: They Took This Medication… and Lost Pleasure During Orgasm (PSSD?)

May 20, 2026 · 24 min

About this episode

Dr. Rena Malik and Dr. Irwin Goldstein discuss the impact of medications on sexual function and the complexities of persistent sexual side effects.

In this episode, Dr. Rena Malik sits down with Dr. Irwin Goldstein to explore the complex effects of commonly prescribed medications—like SSRIs and finasteride—on sexual function. They break down the science behind persistent sexual side effects, new diagnostic ultrasound techniques, and the challenges patients face in navigating these risks. Listeners gain crucial insights into medication-induced sexual dysfunction and the importance of thoughtful, informed healthcare decisions. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 SSRIs and sexual dysfunction00:23: Irreversible neuronal changes01:13: Risks vs. benefits of SSRIs02:23: PSSD timing and presentation05:12: 5-alpha reductase inhibitors06:13: PFS and comparison to PSSD09:01: Penile fibrosis and ultrasound12:42: Erection hardness scale14:11: Viagra study and publication18:06: Sexual medicine gaps in gynecology Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK…

People in this episode

Host: Rena Malik, MD

Guest: Irwin Goldstein

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Keywords

Mentioned in this episode

Organizations: SSRIs, finasteride, Viagra

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