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680 Sex After 50

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Our full podcast is available for 6 weeks. After 6 weeks you can purchase the program on CD or MP3 from our online store.

Dr. Ruth Westheimer is America’s most renowned sex expert. She shares her decades of experience answering questions on sex. What are the most common concerns facing couples?

The husband and wife team of Irwin and Sue Goldstein have blazed a trail for recognizing sexual medicine as a specialty. They share secrets about female sexual dysfunction and reveal some surprising new research about drug development for women. Pink Viagra may not be a pipe dream.

Guests: Dr. Ruth Westheimer is America’s best known sex expert. She has degrees in sociology and a doctorate in education from Columbia University. She completed post-doctoral work in human sexuality at New York Presbyterian. She hosted a radio show on WYNY called "Sexually Speaking" for many years. Some of her books include:
Sex for Dummies
Rekindling Romance for Dummies
Dr. Ruth’s Guide to Safer Sex
Sex and Morality: Who is Teaching our Sex Standards?
Dr. Ruth’s Guide to Good Sex
Sex After 50: Revving Up the Romance, Passion and Excitement

Her Web site is www.drruth.com 

Irwin Goldstein, MD, is editor-in-chief of The Journal of Sexual Medicine and Director of Sexual Medicine at Alvarado Hospital in San Diego, California. He is also Clinical Professor of Surgery at University of California at San Diego and Director of San Diego Sexual Medicine.

Sue Goldstein is sexual medicine education coordinator and co-author of the book, When Sex Isn’t Good: Stories and Solutions of Women with Sexual Dysfunction.

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Fantastic show this morning. I have already e-mailed a friend to be sure and get a copy. Thank you for addressing this in a biological manner. I am so sick of women being told to 'just deal' with sexual problems.

These drs.that address low sexual desire in women are making a bundle of money when the should be talking to the FDA about making testosterone a prescribed pill for women with low libido. You notice when the man has a problem there are all kinds are drugs to help him Hogwash to these sex therapists. It is a physical problem that causes a emotional problem.

Interesting discussion on Persistent Sexual Arousal Syndrome (PSAS) or what is now called PGAD.

There is a great support group of women with this condition at
http://health.groups.yahoo.com/group/psas_group/

They can tell you what physicians they have seen and what has and has not helped them.

We have been told the group is the best resource around.

The women at the PSAS/PGAD support group mentioned in the above comment often discuss solutions for the syndrome.

Although embolization was mentioned on the show by Dr. Goldstein, we have not found any women who suffer with PSAS/PGAD who have found this to be a long-term solution. It may or may not work initially, but ultimately it does not based on the comments at the support group. Plus, if it is really that effective, we would like to see it addressed in a peer-reviewed journal at a high level of evidence-based medicine. We just have not heard from any women who has indicated that it ultimately helped.

The discussion concerning ECT was interesting and although a couple of drs have recommended ECT for other patients who have PSAS/PGAD, based on the discussion at the support group, this has not been effective either for those members of the support group.

The same has been true for Chantix and Ultram. Ultimately it does not seem to work, but we would be open to seeing such solutions addressed in a well respected peer-review journal also.

So far we have not found any physician who has been able to come up with a consistent solution that works. However, there are researchers on the East coast who are working in this area of female health.

Thanks for having the topic of sexuality featured.

Two other excellent resources for women who are interested information on sexual health are:

The National Vulvodynia Association: www.NVA.org

The Women’s Sexual Health Foundation: www.TWSHF.org

Both have educational brochures and a wealth of resources for women and professionals.

Also the medications that Dr. Goldstein talked about on the show are either not approved to be used in women or for the purpose that he described. They are being used off-label and no one knows the long-term safety, the correct dose, or how they impact women.

which Dr. or clinic do you go to ? can we get a name or somewhere to start looking? NC will be nice place to start with.

I have had vulvodynia more acutely during the past two years and now that I'm educated about this, I realize I was experiencing the onset years ago but did not know what to label it. I do not take drugs so have been trying everything I can find via alternative medicine and have had no success whatsoever. Thank God I have an understanding husband because insertion is out of the question. I do seem to notice the symptoms more pronounced during stressful situations but then what isn't? If anyone has some suggestions, I'm listening!

ECT helped my PSAS. I was severely depressed and it did not help that as much. It helped the PSAS after two or three ECT Treatments. I had 7 treatments, RUL at 5 times the seizure threshold level. This was 1.5 years ago, and I think I need more ECT as the PSAS has come back, and is getting worse. I have documented cognitive impairments from ECT, though, and need my job. I am a professional and age 62.

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