#259 - Women's sexual health: Why it matters, what can go wrong, and how to fix it | Sharon Parish, M.D.
Release Date: 06/19/2023
#280 ‒ Cultivating happiness, emotional self-management, and more | Arthur Brooks Ph.D.
The Peter Attia Drive
Arthur Brooks is a social scientist, professor at Harvard University, columnist for The Atlantic, and bestselling author. In this episode, Arthur returns to the podcast to discuss his new book, Build the Life You Want. He delves into the nuanced concept of happiness, differentiating between momentary feelings and overall wellbeing. He explains the importance of understanding one’s personality pattern with respect to positive and negative emotions in order to better self-manage emotions. He delves into the three key elements of happiness, offering practical strategies for enhancing those...
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The world’s most important doctor to millions in the war-torn and remote villages of Sudan | Tom Catena, M.D. (#40 rebroadcast)
The Peter Attia Drive
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#279 - AMA #53: Metabolic health & pharmacologic interventions: SGLT-2 inhibitors, metformin, GLP-1 agonists, and the impact of statins
The Peter Attia Drive
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#278 ‒ Breast cancer: how to catch, treat, and survive breast cancer | Harold Burstein, M.D., Ph.D.
The Peter Attia Drive
Harold (Hal) Burstein is an internationally renowned breast cancer expert. In this episode, Hal discusses a broad range of topics related to breast cancer, starting with the intricacies of breast anatomy and the endocrinological factors at play. He covers the spectrum of breast cancer, from precancerous lesions to invasive breast cancer, classifying these conditions into a helpful framework. He delves into various screening methods, including self-exams, mammograms, ultrasounds, and MRIs, and addresses the ongoing debate surrounding early screening and detection. Hal provides insights into...
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The Peter Attia Drive
Kari Nadeau is a physician scientist with expertise in treating food allergies. In this episode, Kari first explains the fascinating workings of the immune system, exploring how it adeptly defends against bacteria and viruses but how the same system can lead to food allergies. She proceeds to explore the complexities of food allergies, detailing their typical developmental patterns, underscoring the significance of preventative approaches like early exposure, and highlighting the potentially life-threatening nature of severe food allergies. Kari illuminates the latest advancements in...
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The Peter Attia Drive
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#275 - AMA #52: Hormone replacement therapy: practical applications and the role of compounding pharmacies
The Peter Attia Drive
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The Peter Attia Drive
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The Peter Attia Drive
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#272 ‒ Rapamycin: potential longevity benefits, surge in popularity, unanswered questions, and more | David Sabatini, M.D., Ph.D. and Matt Kaeberlein, Ph.D.
The Peter Attia Drive
In this episode of The Drive, Peter welcomes guests David Sabatini and Matt Kaeberlein, two world-leading experts on rapamycin and mTOR. David and Matt begin by telling the fascinating story of the discovery of rapamycin and its brief history as a pharmacological agent in humans. They then unravel the function of mTOR, a central regulator of numerous biological processes, and they discuss the pathways through which rapamycin exerts its potential benefits on lifespan. They touch upon initial studies that suggested rapamycin may have geroprotective effects and the ongoing research that...
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Sharon Parish is a Professor of Medicine in Clinical Medicine and Clinical Psychiatry at Weill Cornell Medical College and a prominent sexual medicine specialist who has been practicing for 30 years. In this episode, Sharon tackles the topic of women's sexual health, including the conditions associated with decreased sexual function and desire and available treatment options. She explores the influence of sexual health on overall well-being while also examining the potential effects of childbirth, birth control, metabolic health, and more on sexual function and desire. Through case studies, Sharon teases apart the differences between desire and arousal, explains the various factors that affect them, and walks through hypothetical treatment plans for the case study patients. In addition, she delves into the subject of menopause, addressing its impact on sexual health as well as the misguided fears around hormone replacement therapy. Stay tuned for next week's launch of our complementary podcast on men's sexual health.
We discuss:
- Sharon's interest in sexual medicine and the current state of the field [3:00];
- How hormones change in women over time and how that impacts sexual function [8:15];
- Changes after childbirth and its impact on sexual function [11:00];
- The role of metabolic health and systemic vascular health in sexual health [20:15];
- Conditions associated with decreased sexual function and the importance of sexual health for overall wellbeing [26:15];
- Sexual dysfunction case study #1: A 41-year-old mother of two, the sexual response cycle, and the difference between arousal and desire [38:45];
- Medications that may reduce sexual desire [49:45];
- The effect of birth control pills on sexual desire [56:30];
- The importance of testosterone in women for sexual function and desire, and why the FDA hasn't approved exogenous testosterone as a therapeutic [1:01:15];
- Challenges faced by physicians who are open to prescribing off-label testosterone for women, and Sharon's approach in managing this aspect with her patients [1:14:30];
- A hypothetical treatment plan for the patient in case study #1 [1:26:45];
- The role of DHEA (a precursor to testosterone) in female sexual health [1:32:15];
- Case study #2: A 30-year-old woman with anorgasmia (inability to orgasm) [1:38:30];
- Resources for helping women and their partners to enhance the pleasure experienced during sex, overcome anxiety, and increase desire [1:51:30];
- Two drugs for premenopausal women with low desire [1:59:30];
- Why treatments are potentially underutilized for both desire and genitourinary syndrome of menopause [2:13:15];
- Case study #3: A menopausal woman with symptoms [2:19:00];
- Addressing the misguided fears around hormone replacement therapy and cancer [2:24:15];
- Symptoms and treatment of genitourinary syndrome of menopause [2:32:45];
- Age 65 and beyond, and resources for finding a provider [2:37:30]; and
- More.
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