SEXUAL ENERGY SERIES-5: New Options for Women’s Sex Lives – Dr. Somi Javaid – #791

• You could’ve looked at any part of the either sex’s anatomy and specialize. Why OB/GYN? – 1:23
• There’s data even now to this day that women are more likely to die at the hands of their providers when they present with cardiovascular disease. – 3:43
• Women have to work three times as hard to get a diagnosis. And it’s not because women aren’t making the effort and aren’t starting the discussion. It’s because providers are dismissing them. – 5:03
• You also added vaginal laser therapy, which is life-changing, every woman I know who’s gotten it. – 9:13
• Sneeze peeing, vaginal dryness, these are serious problems, and I have had some conversations like, “Seriously, you can’t go on a trampoline? What’s going on? – 12:11
• Education, and empowering women to let them know that they have these choices. I’m not going away, the technology’s not going away, and these problems are not going away. – 15:58
• ‘I’m probably going to start getting menopause or getting into menopause, and all the sudden what worked last year nutritionally, exercise, sleep, whatever, and it just stops working,” what’s the first thing they should do? – 21:01
• If there are any deficiencies in hormones, specifically testosterone, I will make sure that they’re on testosterone so they have the appropriate muscle mass. – 23:55
• Let me ask you three questions in one. Give me the fasting schedule you like for women in their fertile years, women in perimenopause, and women in menopause. How does it change?  – 25:03
• We have this multidisciplinary approach. I have providers who specialize in weight loss, and I also work with nutritionists to make sure that we’re not seeing hair loss or we’re not seeing vitamin deficiency. – 28:28
  
• Do you ever use continuous glucose monitoring with patients? – 30:26
  
• So low libido is multifactorial. I tell people imagine walking into a cockpit of a plane and looking at all those buttons and dials. – 32:49
  
• These medications work on neurochemistry, and they’re non-hormonal, which is really nice for patients who can’t have hormones – 35:38
  
• If there is an offending agent, birth control, antidepressants, and we just remove that from the equation, a lot of times they get their sex drive back and they’re like, “Dr. Javaid, why did it take eight gynecologists to tell me that I just needed to stop that medication?”  – 39:11
  
• I stay on top of my patients. Like I don’t write the medicine and say goodbye. They’re in counseling. They’re seeing me at eight weeks and then three months and then six months. I’m checking in on them. – 40:08
  
• Do I think there are conditions where I do need to use birth control? Yes. Are there adverse effects with birth control? Absolutely. But sometimes it’s necessary, either because of finances, insurance, or medical conditions. – 41:50
  
• Right now, I’m a big fan of Phexxi, which is a non-hormonal contraceptive on demand gel. – 42:44
  
• One of the conditions that I know that you treat is one that isn’t talked about very much. It’s vulvodynia. Can you talk about what that is and how common it is? – 45:58
  
• One of the substantial causes that isn’t well known for it is a buildup of oxalic acid crystals in the vulva. Kale salads and a bunch of raw spinach, which are just packed with oxalic acid makes the condition much worse. – 49:54
  
• What happens when women put very low doses of testosterone in the right places? – 52:03
  
• We have to strengthen the pelvic floor, it leads to better orgasm. It prevents incontinence. – 56:15

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