Girls Gotta Eat - When the Dick is Dysfunctional feat. Dr. Rena Malik

Episode Date: August 15, 2022

Get excited, it's our ED episode! We're joined by urologist Dr. Rena Malik to discuss all things erectile dysfunction, including the different types (getting an erection, keeping an erection, prematur...e ejaculation, trouble climaxing), reasons why they occur, treatment, and how to handle in the bedroom. We're also discussing penis problem related to masturbation and porn addiction. Before Rena joins us, we're discussing hooking up with your neighbor, which one of us has dibs on Pete Davidson, some tea on a current Bachelorette contestant, and what we've been watching. Enjoy! Follow Dr. Malik on Instagram @renamalikmd and check out her Youtube channel. Follow us on Instagram @girlsgottaeatpodcast, Ashley @ashhess, and Rayna @rayna.greenberg. Visit our website for tour dates, merchandise, and more. Shop Vibes Only. Thank you to our partners this week: Babbel: Visit babbel.com/gge for up to 60% off your subscription. Hello Fresh: Go to hellofresh.com/gge16 and use code GGE16 for 16 free meals across 7 boxes + 3 free gifts. Living Proof: Go to livingproof.com/gge and use code GGELP to get 10% off your first purchase. Blueland: Visit blueland.com/gge to get 15% off your first order. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript
Discussion (0)
Starting point is 00:00:00 Any sexual performance problem is very likely not your fault, right? Like probably 99.9% of the time, not your fault. It's actually another episode of Girls Got to eat. It's fucking hot. I'm trying to actively not throw up or shit my pants during this. I think I have food poisoning, which is causing me to poop. And the heat isn't going to make me vomit. It's literally Thor.
Starting point is 00:00:38 I have not felt this since 2019. The good thing that New York did was like during the height of COVID, they didn't give us these T waves. So they were like, they can't handle it. They'll just, I mean, it's insane. People are just like passing out on the streets. You guys, is this just what our lives look like forever? Don't bring kids in this world.
Starting point is 00:00:53 I know, I hate to open complaining, but I'm hot. And I'm going to shoot my pants. It's, yes, Rana's covered in her own feces right now, you guys. Raina is actively shitting on the couch as we record. Do you ever really get to a point? You're like, how is there anything left in me? Yeah. In Lisbon, on our vacation.
Starting point is 00:01:15 Yeah, I get it. But I will say, as we record this, we're heading to Chicago this weekend. And this morning, as it was 90 degrees, feels like 101 in New York, 69 in Chicago. A crisp 69. I can't wait to get there. I cannot wait. I'm so excited. And we'll talk about it.
Starting point is 00:01:35 I mean, I get to my brother. I've seen him since December. I'm really excited. Yeah. Well, he stays on notice. You know, listen. Our brother is this week. It's fine.
Starting point is 00:01:44 You know what? Everyone's my little tiff with your family members. Your brother, he loves you too much. What? I can't exactly. I can't relate. We've had such a good episode today. We're so excited.
Starting point is 00:01:55 We're talking about I'm about dicks. Function. Porn addiction. You guys read the episode description. I'm talking about dicks. Yes. And we'll just plug a couple things up top. Of course, Vibes only is our other company.
Starting point is 00:02:06 And we sell sex toys and accoutrement like lubs and blowjob gels. And we have all three as we speak. Vibrator is in stock. The reina is going quick again. She won't be around. She's fast. She's a slut. Yeah.
Starting point is 00:02:20 She's a clit sucking slut. And then we have our app with erotic content and there's videos in there that's not erotic. They're helpful and they're great. You guys probably know it by at this point. But some new content in there, there is a female trainer. So we kind of took the trainer story and made it a female voice, which we love. It's really, really sexy. And then Sebastian is back.
Starting point is 00:02:41 Fan favorite. Fan favorite Sebastian. And the story. that's new in the app is designed to go with your vibrator. So it's like you will picture that you're wearing it out in public and he's controlling it. So it really works well with the Gigi Panty vibe. But you can obviously masturbate with any of them and it goes along with the story and it's like so, so sexy. Yes. And then a couple of cool videos this week. We have a Lillian Charles. She's a stylist that was on our show and a good friend of ours. She's talking about lingerie. And then we have a great,
Starting point is 00:03:07 we have a couple videos from her name's Haley. She's a photographer. She's a boudoir photographer. She's teaching you how to take better news. And she's unbelievable. So lots of content. like that, vibes only.com and the same in the app store. So we're going to Chicago. I'm so excited. So excited. Your best friend Kate's coming. Both of my best friend, Kate's coming. Both of my best friend, Kate's, you're going to be so triggered.
Starting point is 00:03:26 I am so triggered. I have shows there and rain is coming and we have such a fun weekend plan. I am really excited. We're going to a boat. We're never not on a boat. You're going to your first architecture tour in Chicago. I'm excited for you. We didn't rent a private boat, you guys. We're doing this with the masses. So my brother said it's not as fun as it looks and that the
Starting point is 00:03:44 swell in the lake has been really bad and it's like ocean waves and that it's like really not pleasant if you're on like a normal person-sized boats. Well, we're in there. We're going, oh, to do like a private one. He said a big ones better. Well, we're just doing like a tour. My vision that I've always wanted because the breakup is one of my favorite movies. Oh yeah.
Starting point is 00:04:00 Is to go down the river. Yeah. So I was trying to book a boat and I was looking at the, you know, the websites we use and trying to like book a charter, you know, book a private boat and they just kind of go out in the lake and they go in this like area called the playpen, which is like where boats just anchor it look like a spring break vibe. which nothing wrong with that. We love that.
Starting point is 00:04:15 But I want to go down the river. Like, this is what I'm picturing. I want a tour guide. I kind of want to feel like I'm on the breakup. You're a lot. Like you guys, when I'm favorite movies of all time. You're going to learn a lot.
Starting point is 00:04:22 And I really am so excited. That's what we're doing. I can't wait. I mean, it's not a hot tip. If you Google things to Chicago, it's like the number one of things to do it. I can't wait. And we have like good reservations.
Starting point is 00:04:32 And I'm excited to your show. Such good reservations. And I get to see my brother, which I'm excited about. Yeah. So I just like you something funny. I have a neighbor update for you. I think I've not heard about your neighbor.
Starting point is 00:04:42 It's so long. So if you guys have ever listened to the podcast, I started sleeping with one of my neighbors in my building at the inflection. Was it when we started the podcast? It was a year after we started the podcast. That was in 2019. March 2019, March Madness. You were supposed to come to Robbs to watch a March Madness game.
Starting point is 00:05:02 It was like Gonzaga, I think, because like Washington and Allison. Yeah, whatever it was. And you never came. I guess maybe you came, but in a different way. I didn't. You did it. And I never came again. You never showed up and it was fine.
Starting point is 00:05:16 But like we had this fun night. We ended up going out all night randomly. Like I remember you like out at these bars and like leggings and sneakers and like you just never showed. I don't know if you guys even know this story. I'll speak it very brief. Emily and I were on my roof and I just moved to the building. I named the furniture. I had a blow up mattress.
Starting point is 00:05:32 Oh my. Yes. Because you moved into March. Yes. Yes. Actually I had a mattress on the floor. And I just moved in and I went to my roof and I saw him across the roof playing guitar and his heart shaped sunglasses.
Starting point is 00:05:44 And I was like, that's what I'm doing tonight. And I was like, Emily, you have to leave. Like she's just, she's younger titties than I do. More on that later. But yeah, she left and we fucked all night. And then we just like fucked on it for so long. But I didn't even know where his apartment wise because he like just only only sex at mine.
Starting point is 00:06:01 And I never seen him in shoes before. I didn't have his phone number for a year. If I just ran into him on the roof. I mean, this story of Raina's neighbor, A, we've talked about on the podcast, but B, we were telling the story at live shows. And it's like, I feel like I can't remember all the details. But the way we would tell this story and like ping pong back and forth was like true elite girls got to eat live show content. It was really fun. If you came to one of those early shows, this was before we were doing like giant theaters. Like we did this at the Bell House. Like, we did this at the bell house. Like, we did this story for years. Like, it was so funny. I was on the roof and he was like playing guitar. and he opened his guitar case and took a harmonica out and like he slung it across his neck. It was crazy. What did I call it? I said it looked like headgear, like braces, but a strap onica.
Starting point is 00:06:48 The strap on. Not the strap on. Memories. And then I tried to repurpose him into my COVID boyfriend and that was terrible. So I had to ghost him during the pandemic. And then our last like interaction was Joe Biden day when Joe Biden got elected. And him and I spent the whole day together hanging out, nothing sexual at all but went to Washington Square Park and like bopped around. And I went to this bar with him and his feet.
Starting point is 00:07:08 and then out of the corner of my eye, I see this girl show up and sit in his lap and this other girl says to me that's his girlfriend. And I was like, what the fuck? And that was the end, right? That was the end of our relationship. Oh, and then you saw him with your ex.
Starting point is 00:07:20 Yes, last summer. So we ran into him a couple times. He's perfectly pleasant, but I've seen his ex a few times. So I was getting out of the elevator and I saw them the other day. And it's, our only interactions were in the building. I don't think I've ever seen him outside of the building
Starting point is 00:07:32 except for Joe Biden Day. Yeah. His girlfriend was in the elevator with him. And I was like, hello, I didn't look like total shit, which almost never happened. You remember for like so long I was trying to not look like shit in my building because I would like run into him.
Starting point is 00:07:42 It's so stressful. It's not worth it. So anyways I did run into him. He's a girlfriend. They're still going strong, I guess. Two years later. It's so crazy.
Starting point is 00:07:49 But I've decided I like a different neighbor. So there's this really hot guy that lives in the building and I sent you photos of him shirtless on the roof. I send you all the different angles of his body. Yeah, yeah. There was one day I was just popping off. I know his body pretty well.
Starting point is 00:08:01 I could recognize his body in a lineup at this point. Just like neck down. And he never talks to me. We wear the same Yankees cap on the roof all the time. and I was like, oh my God, he, like, maybe he'll say it. But I guess everybody in New York wears that Yankees cap, so it's like, not a thing. He doesn't care. I'm always just trying to get him to talk to me.
Starting point is 00:08:15 And so yesterday I got into the elevator with him, and we both had our laundry. And I looked, oh, my God, I looked so bad. It was the ugliest I've looked. I woke up, just bloated. I just, whatever. I didn't look fucking cute. And we're in the elevator and it's like silent. I'm like, how am I going to talk to me?
Starting point is 00:08:30 Like, what am I going to say? And we like, walk down to that. Laundering together. It's like, not sexy doing laundry or something. Bad lighting down there. terrible lighting. Like any sort of fluorescent lighting, like you couldn't,
Starting point is 00:08:39 I'm exiting the situation. You can't see me like this. And it's, the only thing in this bag is like mountains of workout clothing, underwear, socks and towels. I can smell it.
Starting point is 00:08:49 It's, it's, it's gross. Wet and pussy juice. It's so gross. Also, I have my period this week. I was just like,
Starting point is 00:09:05 I was like, okay, this would be like a cute, like me cute. Then it dawns in me that like, my laundry was very small and I'm like, I won't have to like use the,
Starting point is 00:09:11 washer right next to him, of course. But of course, there's two washers left. And so I'm like, how am I going to get my stuff, like, out of this bag next to this guy that's so cute? I get it almost all in. And I'm like, okay, thank God. We're safe. Everything's in the line, in like the machine. He's not going to see anything. And I like turn the laundry bag over to like make sure the very last thing came out of it. And my period underpants just hit the top of the washing machine. She said underpants. You said underpants at a work lunch day. Who says underpants? Raina. What do you say?
Starting point is 00:09:41 Just not underpants. What do you say? Pannies. Panties. Or underwear. Period. Pannies does make sense. Or period.
Starting point is 00:09:49 I say I have no problem saying panties. Some people don't like that word. Or underwear. You know that you like don't know stuff about yourself until somebody else tells you. I never knew how to list. I just, I lived blissful ignorance. This was weird. I didn't know that I said plutonic weird.
Starting point is 00:10:04 Also, do you think people are listening and being like, damn, I thought she'd have in-unit laundry? I actually thought. thought about that. I thought about this this morning. I thought she was as successful as Ashley. He brought that up because when I was thinking about how I wanted to tell the story this morning, I thought like, do I add a caveat that like some units in the building have it? Mine don't. It's old. Listen, it's old-ass plumbing. You have a giant apartment and it's great. You don't have in unit laundry. I don't. I thought about that this morning. I have a brand new kitchen though and a brand new bathroom. So it's great. No, I'm not like Ashley. I thought of it. No, really,
Starting point is 00:10:37 literally I thought of it. Anyways, it was just like this really awkward moment. So we did not click. I got out of there. I slammed the thing shut. I got out of there as fast as humanly possible. We've never spoken still. I'm waiting it out. This is so weird. You guys were in such close proximity.
Starting point is 00:10:52 I know, but you don't want to be in close proximity. Somebody's dirty out of your pants. I know. It's so funny because I do have in unit laundry, which I love. It is a luxury. But we have big industrial ones in the basement. So I use them for like,
Starting point is 00:11:09 I throw my rugable rug and rug in there. I throw, if I have all my bedding, I throw it in there. Because mine are small. Like, that's what it is. Like, it's so, it's such a luxury even when I go home and you're, my parents and you're like, oh, right, big ass washer dryer. Like, you just don't have that New York. They stock on each other.
Starting point is 00:11:23 And it's what it is. I'm lucky that I have both. And it's not just like one machine. So I just remember this one time, I was down there and I run into Rob. I think he was putting his bike down there. This is when Rob lived in the building. And he followed me into the laundry room. We're talking about some business stuff, whatever.
Starting point is 00:11:39 And like, we came out of the laundry room. and like the building manager was there. It looked so suss. And Rob, I talked to her all the time. She's like the building manager. Her name's Elizabeth. We email a bunch. And she just,
Starting point is 00:11:51 and Rob goes, we weren't fucking. And like, he just said it. It was, and she laughed. I think she was with the super. We had this,
Starting point is 00:11:58 like, funny moment as a building. Like, you know, I love my building. You guys, love when Ashley screams, like, God damn it, Raina.
Starting point is 00:12:03 It's so much worse with Rob. It's just whatever he could say to make it weird he does. I love it. And he's so loud. He's like, we're going to fuck it. You know, he's like all big and loud and she didn't see that coming.
Starting point is 00:12:14 That is so funny. I just, I love that. I love a person that just like says whatever else is thinking. I want to fuck in this building somewhere like public kind of like in the stairwell before I move out, which will be at the end of the year. Will you do the roof? I don't think I know where all the cameras are. I've asked to the doorman. Like I kind of want to fuck in the stairwell.
Starting point is 00:12:36 I just think it's like kind of hot. Like you could kind of fuck on the roof. but like, I don't know where I read or saw something about people fucking in the stairwell. And I was like, that's just hot. Can you fuck standing up really well? It just depends on the other person's height. But I'm pretty good to fucking standing up. You mean, you know me in the shower.
Starting point is 00:12:52 I know your fantasies. Also, it's like my top fantasy that somebody like walks in my front door and like pushes me up against a wall. We're facing each other and we fuck. But like in reality, it doesn't work out that well for me. Yeah. Anyway, I don't know why I just saw something recently about fucking in the stairwell. And I was like, I feel like I kind of want to do that. Okay.
Starting point is 00:13:09 before I move out. I feel like a building bucket list. I feel like in theory sounds really fun. But then you start thinking like, well, what are the two options? Am I going to be on all fours on the steps? I need to think about it. You also have a ledge. You have a railing.
Starting point is 00:13:23 You also have a lot of options. I also think I'm thinking of sex life a little bit on Netflix. Like they always were fucking in like hot places. Like the show opens. He's like going down on that bar. They fucking the subway. Like I just maybe I'll rewatch it and feel like logistically. But anyway.
Starting point is 00:13:39 That's one thing I want to do before I move out. I wish that for you. I fucking the stairwell that I tip all the dormant and then I'm like, bye. Until January 1st? Well, I'm... New time. Yeah. Okay.
Starting point is 00:13:48 Well, I think you can get it done in the next four months. That'll be like a nice goal for the rest of the year. Okay. Kim and Pete, listen, I'm not a big, like, Kardashian fan or even celebrity gossip fan, but this shook me. This one hurt. I'm devastated. I just was so shocked. I really like them as a con.
Starting point is 00:14:09 I thought he was like really good for her. I know there's like a crazy age disparity and I put, I think I love that though. I like I loved it because of that. Like she's in her 40s and he, you know what I mean? Like I love to see that. I'm like, see me you guys googling age gaps in couples. Because I just, I feel like a lot of people did not know he was 28. He's really young. So young. She's four kids and I just, I think they like broke the mold like in terms of women being like, like we get messages for women that are like, I'm just dating for the first time with kids and I'm 40 and I don't know how to do it. It's like, well, I mean, listen, we don't all look like Kim Kardashian, but or have the money in the resources. Yeah, but you know, whatever. You could do it too. I loved him as a couple. I liked what he did for her. She just seemed happier and lighter. And I just think he's awesome. Well, I have a question for you, but I have a couple. No, wait, let me get to it. I thought they were obsessed with each other. So I know what you've seen the internet isn't real. And I know the more a couple looks like they're obsessed with each other. Sometimes it means they're about to break up. But this really surprised me. This was shocking to me. And this was on a Friday, late afternoon, early evening. And I go to my I had four shows at the stand. I had the 8 o'clock, the 9 o'clock, the 10 o'clock, and the 11 o'clock show.
Starting point is 00:15:14 And I mean, I don't know. I think everyone's on their phone all the time. And it was my entire Instagram feed. I think, like, I think I saw it at like 6 p.m. So now it's, it's an 8 p.m. show. I know people hadn't been on their phone since 8 because they're in the show. I go on at 9 and break the news to, I would say 95 of the 110 people in the room. It's the most jealous I've ever been. Nothing feels better than being the first person to tell something. somebody gossip. Someone told me. I didn't even get to break the news. Rayna, I go up, I just try to get in my head for a second. I go up thinking everyone knows and I'm just going to be like, so, you know, Kim and Pete broke up and like make a couple jokes. People that gasps.
Starting point is 00:15:53 You are so. I know. I feel this in my vagina. And then turn on by this. I know. And then I'm like, surely by the nine o'clock people will know. And still, I go upstairs. I do the nine o'clock show. I bet 75, 80% of the room didn't know. It was insane. And then I was like, let me just keep doing this all night. 10 o'clock, half people knew, and then that's, I started making jokes about Martha Stewart. So I want to say when I started talking about Pete Davidson, Martha Stewart, I was the first person that had mentioned it. Now it's all of the internet. I made a TikTok about it. You guys can follow me on TikTok. Ash Hess. I'm very proud of this TikTok. And then I didn't even bring it up at 11 because I was like, people know. I put this TikTok up. I did this whole thing of like,
Starting point is 00:16:27 who's going to date Pete next? Like, who's confident and rich and can take a big dick and all the stuff? And I panned Martha and a picture of him and Martha Stewart. And everybody in the, in the comments, kind of like, whether they finish watching the TikTok or not, just thought I was saying, like, who should Pete Davidson date next? Who would date Pete Davidson? And everyone was like, I thought you were going to say Raina. And I think everybody goes, Raina, Rainer, Raina, all the comments are, I thought you were going to say Raina, Raina this, Raina that.
Starting point is 00:16:51 And I was like, Raina? Am I about to date Pete Davidson? But then I was like, do you even, do you, what do you think about people? Do I know this? First of all, I told you a couple days ago, I am recently very attractive. Oh, yeah. You said he was like, you said he was yoked up. His body is getting yoked up.
Starting point is 00:17:07 No. I love tattoos. Also, we should. a lot of things in common. First, always the same agent. Second of all, we have a lot of very good friends, Julia Golarotti, who came on our show, who was one of our best friends. He's not my best friend. Ricky. Ricky Veles? Yeah, Ricky Veles. We've lost. Chris Estefano is living at Pete Davidson's house right now. No, he's put on Instagram
Starting point is 00:17:24 today. It's a whole thing. I was like, are you doing? No, no. He's broadcasting from Pete Davidson's living room. Oh, didn't know. Okay. He said that he doesn't know Pete Davidson's coming home or not. I would like to break the Pete Davidson interview. I'd like him to come on this show and talk about the breakup. I would love. love that and then we're going to start dating. I could take a big dick. Listen, not like I can. No, I'm getting. We did that episode with that guy that we never aired and he said he had an enormous dick and I had no problem putting that whole thing in my mouth. I swallowed it a whole. All right. Listen, I think what I'm going to say, I think I'm about to make a true statement.
Starting point is 00:17:59 I can take a bigger dick in my vagina and Raina can take a bigger dick in her mouth. You can take a bigger dick. I have a longer vagina. I remember that girl called me that long vagina. on it's true. Also, I will say you are less willing to deal with discomfort than I am. If there is a bad smell, you will not be around it if you are hot. I can tolerate it like three more minutes longer than you, so I can choke a little longer.
Starting point is 00:18:29 Oh, for sucking it. Yeah. I mean, I just have slept with guys with huge dicks. I mean, the guy I lost my virginity too, I think about like what I thought was normal at that time. It was like the huge stick and you too. But I'm not out here even saying that's what I want, but I'm kind of making a joke. I think most things you can handle with the right amount of lube of juiced up loop, which is our loob, which does have the best sweetest little tropical scent. People love it. I will say. I thought that the blow-jub would be the best seller, but the lube is the best seller. Our lube is superior in every way. I have used so much lube. Like I said this before,
Starting point is 00:19:00 I'll reiterate it. I was so worried that our lube just would somehow not be as superior as the most superior loops. It is next level. I'm obsessed with the light scent. It is obviously totally like, it's totally natural, but it has a little bit of a fragrance. We don't even say it's fragrance because it's so subtle, obsessed with it. Like, I feel like you really get all juiced up. Like, you're going to have a little fragrance in the bedroom that's going to just make you even more turn on. But anyway, yeah, Raina, you can call dibs. Like, I'm not interested in this. Yeah. Thank you so much. You can call dibs because we fought over a guy last week. Oh, my God. But I just, you should
Starting point is 00:19:36 read the comments. Everybody was, the video didn't take off like I thought it would. But I still feel like I broke this and I called Martha Stewart before anyone else. I love his tattoos. I'll be here for him in his time of need. I just... Do you think I'm famous enough for him? Probably not. Well, maybe he's going to go less famous. Yeah, I'm ready for Pete Davis into dumpster dive with me. That's what I was like.
Starting point is 00:19:58 You have plenty of people that... I feel like he's got a good dick, not just long, thick. I feel like there's like a girth. Do you think our agent... I think there's a whole energy about it. Like, I believe it. Do you think like... Dick aside, dick size aside.
Starting point is 00:20:11 Do you think on his other collarbone, he'll get a... a tattoo that says my girl's a podcaster. Oh my God, absolutely. Maybe he'll just cover up lawyer with a podcaster. They'll just cross it out. Yeah. Yeah, that'll make me feel good. We can get tattoos together. I'm like really feeling this for myself. Okay. Pete, if you're listening. So I have been sort of flippantly discussing my breast reduction and how they're too big. But in all honesty, yeah, my breasts, I asked for a much smaller size. I wanted a C cup.
Starting point is 00:20:36 I woke up with double deuce. And they say you can't really get it redone for six months because your breasts do change quite a bit. The swelling goes down. and just the feeling changes. But all that has gone down and they're still a double D. I mean, I've been enormous boobs. I don't look like I had a breast reduction. And I was at the doctor yesterday
Starting point is 00:20:51 and he was showing me old photos old photos from before he did it. And he was like, they are significantly smaller. They are. So I will give that to him. They are smaller. Significantly. But not, I mean, I think I went under the knife
Starting point is 00:21:03 at like an E cup and I have a double D. Also, like, but like we've said this before, like cup sizes are like hard to gauge and they change even like country to country brand to brand. but like, so you just know what it looks like and what it feels like. And my clothing doesn't really fit that much differently. So I know what feels like like is. Like you shouldn't be able to wear your old bikinis. You just shouldn't. Totally. The change is not different. So I was waiting
Starting point is 00:21:26 and I'm going to redo the breast reduction. So I'm really excited. This has just been hanging over my head for so long. I talk about it constantly. It's just always bothering me. And I did do research. I know other people that have had to get it done twice. Some people, you just can't take out so much tissue every time. I would still recommend getting a breast reduction if you want it. The experience was good for me and the scars are not bad. So I'm doing it sooner than I really thought. I couldn't believe it. I was like looking at some dates and they were like, how about August 24th? So I was like, oh my God, can I really do this? So I scheduled it. So on Wednesday, August 24th, I'm going to get it done. And I'm so excited because we're going to be Dewey the whole weekend
Starting point is 00:21:59 with like our girlfriends the weekend before. We'll do a hurrah. Say goodbye to them. We drive back Tuesday morning and I'm going to get surgery Wednesday. I can't wait. I'm just, yeah, I just want you to get it over with. I'm so glad it happened like that. I feel like that's one of those things, I mean, that was when I did my nose, they were like, we have Monday available. I was like, okay. Like, it's crazy. It just, get it over with. And then, you know, we were going to be in L.A.
Starting point is 00:22:20 and mid-September. So you'll be totally fine by then. Like that, you know, you want to be sure you want to feel like you want to fly and be, you know, groups of people and stuff like that. I'm thrilled. And I don't like waiting for stuff like this because it's just an opportunity to panic more. So the other option was like end of October. No, no, no, no, no.
Starting point is 00:22:36 It's just like, why not get this done? I'll probably be able to go out for Labor Day. I don't know. We'll see. But I'm, like, thrilled. I know you guys have been along for the journey. People message me a lot. Can you talk about this more?
Starting point is 00:22:45 I will never say the guy's name who did it because, I mean, I've complained about him a lot. So I don't want to, I'm never, ever going to do that. But just do your research. That's all you can ever do. And that's it. So I'm really excited and we'll do a couple more episodes and I'll update you after the surgery. I'm so glad you're doing it. We recently went on two Barstle podcast, Chicks in Office, which is released,
Starting point is 00:23:08 which was so funny. and then KFC, I don't know when that's coming out, probably the same week as this comes out because it didn't come out today as we record. And we had the funniest conversation about this. Like, remember we were saying that he's a boob guy and he just didn't want to take much off? It's the hardest I've laughed in so long where we were like, I was like, I would like a smaller size. I forget him to make the jokes. I think Kevin said, I'm just going to do a little off the top. I'm doing a little off the top. I was like, I want them smaller and he was like, this won't come up again. We're going to do what I want.
Starting point is 00:23:35 Anyway, you guys should listen to that. When it comes out, it was really, really funny conversation. Yeah, you and I have been really making the rounds. It's been fun. I'm also on Remy Kassimir's podcast last week, Jared Freed's podcast. I know, you've been doing a lot. Yeah, that's too much. I'm doing too much. So that's it.
Starting point is 00:23:50 So that's my update. You guys have been asking. A lot of you been asking. So that's what I'm doing. Yay. Okay, round two. Okay. Oh, my God.
Starting point is 00:23:58 Okay, Rex. Bama Rush, TikTok. I was like, is it? Listen, Ashley was home most of the weekend. We were here this weekend. I was on TikTok all weekend. You hated it. I know you did.
Starting point is 00:24:11 I hated it? You hated being here all weekend. Oh, I don't know. I loved relaxing. That's why I have all these wrecks. I've been watching a lot. I just really relaxed. I mean, those four shows Friday night.
Starting point is 00:24:20 I really like expended a lot of energy. And then I just chilled all day Saturday and all day Sunday. I would never look at my screen time. I would never. I thought it was 17 hours a day. I stayed on TikTok. I got so invested in the Bama Rush. I was doing my own story about my sorority experience and all this stuff.
Starting point is 00:24:34 So I'm just, listen, I hate Alabama. I went to Clemson. It's what it is. Also, there are things about the system that are problematic. but it's fun to watch. And I was in a sorority. I rushed. And it's just, we're all invested in this.
Starting point is 00:24:46 Like, it's fucking fun to watch. The outfits of the day. And rumors HBO was doing a documentary. Some of the girls are like, miced up as they go through it. I'm like, oh my God. I mean, it's just funny when I did the story on my Instagram about it. And people like from other countries are like, what the fuck?
Starting point is 00:25:00 They don't even know what the word rush is. People were like, can you explain it first before you like go on this road? Uh-huh. But anyway, Bama Rush, TikTok, obviously, even though Rush is probably over at this point that the episode comes out. But whatever, go back and watch. Also, love on the spectrum, U.S. So, love in the spectrum is always Australia.
Starting point is 00:25:16 And this is the first U.S., I think. Yeah. I love it. I love the first season. The second season I didn't love as much. And this I love. Okay. And then rap shit is Issa Ray's new show.
Starting point is 00:25:28 It's on HBO Max. So it's about these two women that are starting like a rap group. Okay. I need you to watch it and see if they remind you of me and you. Like, one is taller. And one is kind of the one that's like, okay, we're going to do this thing and we have to stay on task and we have to record. And the other one's just like shorter.
Starting point is 00:25:46 She says more wild crazy stuff. Like, I don't know. We both do that. But there's a scene where they hear their spoiler, but they hear their song, their first single in 11 in Miami. So they hear it in the strip club and they go fucking crazy. It felt like the first time we heard our podcast on Apple. Oh my God. I'm not kidding.
Starting point is 00:26:04 I swear to God it's me and you if we were two women rappers in Miami. And you guys don't know this, but like every time Ashley and I go on a podcast with other female do is to like almost 30 and chicks in the office. And then we had the girls from cocktails on. We had horrible decisions. I'm always like, which one's the rain and which one's the Ashley. Always, always, always always. Yes. So if you loved Insecure, I think you'll like it. If you weren't thrilled with Insecure, I don't think that you'll like it. I mean, somebody once was like, I hate insecure. I hate all these characters. I was like, okay, Karen. Maybe this is whatever. You guys are crazy. So I started. There's four episodes there being released every Thursday. You can binge four. You can binge five now on HBO. Love rap shit. And then I, I, been into The Bachelorette. I'm watching Jared's recast, but I think I'm actually going to watch. I'm in. I'm in. And I, it's brutal. Like they, you know, they came out.
Starting point is 00:26:48 We're not going to put these women against each other. And it's like they're not trying to, but maybe they are. I mean, it's for a good TV, but they are competing. Now they're behavior. Now they split the guys down the middle, but it feels like the guys like Gabby Moore and Rachel's guys keep leaving. And she's like, I'm embarrassed. Like, why am I here?
Starting point is 00:27:03 Like, the guys are rejecting me. One guy. Did you see this right now? One guy left Rachel's team and went to Gabby's side. It's a really common theme that she doesn't feel as wanted as Gabby. And I hope that she will. And I do feel like she has one guy that I'm loving for her.
Starting point is 00:27:18 I mean, I feel like you said there and you're like, how could they not have expected this was going to happen? It's like they absolutely expected this was going to happen. It's like it's the best thing producers could ever hope for. It's drama. You can't stop talking about it. It's wild. Two teams, you know, like two women put it against each other.
Starting point is 00:27:32 That meme was like, we're not going to put them against each other. And then the thing said like team Gabby. Like they literally write that out. All right. Maybe I'll watch that tonight. Now that I've food poisoning. I do like it. And then we have this guy that we met in Cancun is on it.
Starting point is 00:27:45 It's on the show. Can you say? I don't always say it. You can say if you want. I guess, Eva. Yeah, let's say it. Nothing happened. We met this guy, Zach, in Cancun.
Starting point is 00:27:56 It's just in the pool. The pool. Slid in Ashley's DMs. Zach DM me late night. And we never, nothing happened. I had already taken my makeup off. It's a no for me. Absolutely not.
Starting point is 00:28:07 I'll never get back. We DMed a couple times after that. Nothing ever came of it. And then I saw he was going on The Bachelor. That is so funny. You said he does not look the same on television as he did in the poll at the day. I just think that everyone, I think he looks attractive on television. I think that everyone looks better in person than they look on TV.
Starting point is 00:28:21 You see someone in TV or you meet someone in person that you've seen on TV. You're like, you're so much hotter than I expected. I'm way hotter in person. Just you guys. I also started Love Island, some two episodes into that. Listen. It's what? I just like.
Starting point is 00:28:38 I'm just so sick of being pressured to watch a show. I'm not going to pressure you. I'm two episodes in, so I can't, I can't really evaluate it. I'll let you know what I think. I also, I too stayed here this weekend. I watched a lot of stuff. So on Netflix,
Starting point is 00:28:50 I feel that there's just like this trend in the world. I mean, whatever is how TV gets made. But like there's two documentary series that I watched and they're both three episodes an hour long and you could have windled both of them down to 20 minutes. They like keep teasing that this like crazy thing happened. And you're like, oh, is that it? So, D.B. Cooper, where are you?
Starting point is 00:29:09 I think you really like this. It's a three-part series. So D.B. Cooper is the only, like, aviation hijacking that has never been solved. This guy hijacked a plane with $200,000, which today is equivalent. I think this is like $1.5 million. Jumped out of the plane, and he has never been found, but the money has been found throughout the years. And no one knows D.B. Cooper is. There's, like, festivals about D.B. Cooper.
Starting point is 00:29:31 He also never, he didn't hurt anybody. Like, he wasn't in harmony of the passengers. What? No, I will lose sleep over this. That Malaysian flight, I couldn't grasp it. For so long I was losing sleep over it. I was like, I can't understand it how they can't find this fucking plane. They never found this guy.
Starting point is 00:29:48 I want to say it was in 1971. It was around then. So aviation was just, you know, different. You know, planes get better as the years go by. But really interesting story. He jumped out of a plane. Nobody knows who he is. They never found him, but they've found the money over the years.
Starting point is 00:30:01 So, like, he's probably still alive, like spending the money. That's wild. probably dead at this point. But that's three episodes. It could have been 20 minutes. That's okay. And then train wreck Woodstock 99. What?
Starting point is 00:30:14 You know I love a festival, like fire festival. Yeah. It's incredible. So it's a three episode about Woodstock 99. And it's like they talk, all the MTV VJs were there. Oh, and they redid it in 99. Yeah. Yeah.
Starting point is 00:30:26 It was just like a dumpster fire. They just didn't have enough like food. Are you serious? How did I know? No. I feel like my Netflix for you page is like not hidden. Just came out this weekend. Train wreck, Woodstock, 99.
Starting point is 00:30:35 It was just like a disaster. I mean, 99 iconic year. The 10 year, the decade right before 9-11, like these were, if you were lucky enough to be like a person in the world, like I, you know, teen. 99, man, I could think about it forever. Remember Y2K? I was thinking about it when I was watching this.
Starting point is 00:30:54 Remember we were like, what's going to happen? What's going to happen? I was at this New Year's party, like, kind of low-key hoping, like, the world ended and I didn't, and I didn't have to go to school. I know. That's what everybody was hoping. It's just, it's funny. So you watch it and you'll love it because it's so nostalgic.
Starting point is 00:31:09 I can't wait. The music is great. You watch all the sets. Like Cheryl Crows said, Jewel. Jules on stage. Bush, Gavin Rosdale, old school of David Rosdale. The red hot chili peppers are butt naked on stage. So it was really good.
Starting point is 00:31:21 But the whole, all episodes were like, and then the anxiety was mounting. You could tell that like all of the crowd, the energy was terrible. You could tell something was about to happen. And it goes on for three episodes. And then like, yeah, the past, an end in the best way. Like, there was like a fire
Starting point is 00:31:37 and they like broke a lot of the stuff. But it's not, it wasn't fire festival. I know. That's the thing. I feel like they're always trying to recreate it. And like there's a lot of, you know, stuff went down at lovers and friends. They probably could have exaggerated to make a documentary about the festival I went to that I fucking loved. Like there was a tomorrow world in Atlanta. It was pretty crazy. People were stranded on the street. It was this whole nightmare. But it's like nobody got scammed. Like I do feel like nothing has truly been firefest level. No. I mean, also this was in the middle of nowhere.
Starting point is 00:32:07 I think it was 150,000 people at this festival. Like, it's not going to be a luxury festival. It's going to be a bunch of dirt and disgusting. They were like, people were passed out. It's like, yeah, have you ever been to Lollapalooza? Have you ever been to any festival? I've been to Bonnaroo. Everybody's passed out. Not that that's good. I'm just saying, like,
Starting point is 00:32:23 it's not... Well, I can't wait to watch it. So there's that. My last track is industry on HBO. So somebody told me I would love this because I love Succession and I love shows where, like, there aren't characters that you necessarily root for. But the premise of this show is that there's a bunch of graduates, like, from different
Starting point is 00:32:38 walks of life, and they're competing for, like, a limited number of available slots at this financial firm. So, it's a lot of finance stuff that makes no sense, but a ton of sex. So much sex, and I will say, what I love about this show, there are so many scenes of women getting their pussies eat. So many.
Starting point is 00:32:55 Not guys getting blow jobs, just seen after scene, after scene, after seeing women getting their boxes eaten. And honestly, I love it. I feel like it's progress. Yeah. I love it. There's two seasons. The second one just came out. So I think that's why maybe the first one's getting a lot of hype. So I'm making me through the first.
Starting point is 00:33:10 Okay. None of these three things are the greatest TV I've ever watched my life, but really entertaining. Okay. A lot of wrecks for you guys. Those are my racks. All right, guys, we are so excited to have an all-dick-focused episode. We have a fantastic guest for you.
Starting point is 00:33:26 She is an associate professor, director of female pelvic medicine and reconstructive surgery for YouTube boasts over one million subscribers 1.2 as of this morning. And over 160 million views where she discusses urology, sexuality, bladder house so much. It's really so phenomenal. Please welcome to the show, Dr. Rina Malik. Oh my God. Thank you so much. I'm so excited to be here. I love your podcast and what you do is just so amazing. Oh my God. Thank you. Amazing. You're welcome. Work on the YouTube. Geez. Thank you. So impressive. So we loved diving in. Yeah. I was like, Ashley, her topics are so good. Now she's like, should we have her back?
Starting point is 00:34:06 Yeah, like, I guess we're having to doing all dick today, Rina, but we'll have you back for some pelvic stuff later. Absolutely. But we're so happy to have you. Tell us a little bit about yourself, what you do, what your focus is. Yeah, so I am a urologist. So what that is is essentially someone who studies the genituary tract, and we do both the medical and surgical management of that.
Starting point is 00:34:28 So we do surgeries. We take care of lots of different problems in that area, including your sex life. But I focus in my clinical practice on female pelvic medicine and sexual medicine. So things that problems like for women, prolapse incontinence, fistula's weird sort of reconstructive issues. And then for men, sexual function incontinence, bladder issues and for both like overactive bladder type things.
Starting point is 00:34:52 And then my YouTube is really just my service to the world providing your logic education. And it's been such an amazing journey for me. And I love trying to answer everyone's questions that people are like too nervous to ask their doctor about. And so that's been really fun. You go through a huge range of stuff, like how long should people be having sex for and is the G spot real? And I mean, it's just, it's fantastic. I really encourage people to look at it. Well, thank you so much. Yeah. Are you from Maryland originally? No, so I'm from Buffalo, New York originally. And then I trained in medical school in New York City at NYU. And then residency in Chicago, fellowship in Dallas. So I've really
Starting point is 00:35:29 been all over. All over. Yeah. Amazing. I am looking for a primary care doctor. If you know anyone hot in New York, just even if they're out of the network, just let me know. I'm looking to date a primary care doctor. That's what I'm saying. She was a hot doctor that like to be, you know, eligible, just something. Well, then you can't go see him as a patient because then he won't be able to date. He'll know too much. He'll know too much.
Starting point is 00:35:52 Well, what if he just like does the checkups at home? You guys like play doc, you know, like, can we play doctor and he'll think it's sex? And you're like, no, I need to like check my blood levels. Do some blood work? Yeah. Well, we have you here today to talk about erectile dysfunction. And I have been personally, like, obsessed with this topic for quite some time. The reason being is that I, I mean, I've, I've have a pretty actual active sex life.
Starting point is 00:36:14 I have for a long time. I don't know why I'm going down this road. But recently I've experienced this quite a bit with partners, either premature ejaculation or being able to stay hard for long periods of time, but not calm at all. So no climax whatsoever. And I've been seeing this more and more and hearing more and more from people that this is really something that's happening a lot. Not that it never used to, but I see a rise in it in my life and in other. So I was so curious about it. We just, we wanted to talk to you about it.
Starting point is 00:36:42 Yeah. And I would just start by saying those are all different things. Right. So like when you go see your doctor, if you do or your partner, you want to encourage them to see their doctor, it's important to differentiate those because there's a rectile dysfunction, which is the inability to get an erection that's sustainable for penetrative intercourse. And then there's premature ejaculation, which is when you ejaculate before you or your partner desires. And there's a whole fancy scientific definition, but really like if you're not happy, it's premature. And then lastly, it's delayed ejaculation, which you talked about, where it's difficult to climax. And all of those have different treatment options and different things available to help with those. So can we maybe
Starting point is 00:37:20 start with the two different types that there's, I just think of the sex in the city episode of like when they put the thing around Trey's Dick to see if he actually like couldn't get hard or it was like a mental thing. So can we just talk about the difference? I mean, I think physical versus mental versus mental. Yeah. Yeah, absolutely. So erectile dysfunction is if you think about as a whole, right, it has to have a bunch of different factors. So there's the medical side, which is you got to have good nerves, you got to have good blood flow and you got to have good hormones, right? But then there's a psychological component. And that's a huge component, right? And that that sex and the city episode where she puts the stamps on his case is actually like a real test. And so, yeah. And so like there's a
Starting point is 00:37:59 medical version of it, but essentially it's to see if you're having nocturnal erections, which by the way, is completely normal. So if you have wet dreams or nocturnal erections, that's completely normal. It's not weird. It's not like there's something wrong with somebody. That's normal physiological thing. And it's actually a good sign. It means your penis is functioning well. It has good blood flow and it's going to function well in the bedroom if all the psychological stuff is intact. So generally speaking, that psychological stuff can be really damaging, right? There's a lot of anxiety for for people, performance things. that can manifest in the bedroom. And so that can lead to poor performance, right? You can't get it up.
Starting point is 00:38:35 And then that cycles because you're stressed the next time about keeping it up. And then it's like this vicious cycle. You just keep not performing. You keep getting more anxiety. You keep not performing. And it just can be horrible and extremely debilitating for the partner who's trying to have erections. And so that is a real problem and cause true erectile dysfunction. But it's not that there's anything biologically wrong with the person. It's interesting that you talked about the anxiety about not performing. We have a good friend who talks about his erectile dysfunction. He talked
Starting point is 00:39:06 about it on our show. And he said, even the thought in his head that he might not get hard makes him not get hard. Absolutely. Yeah. I mean, we want to focus more on that. I feel like that's probably more of what we're seeing. But just in general, erectile dysfunction physically can't
Starting point is 00:39:22 get hard. Is that a prevalent thing? And how do you work through that? Yeah. So it depends on erectile dysfunction is very common. So if you think of the whole population of men with penises or people with penises, right, you're going to see erectile dysfunction about a third of people, right? And then if you see how many people are bothered by it, it's maybe a fraction of that, but like maybe half of that, right? And it's more common in older guys, right? 70 plus, it's almost half of guys have erectile dysfunction. But not all of them are bothered by it.
Starting point is 00:39:51 They find other ways to make them happy or they just don't care anymore. Their partners are not as well and sex is not a big priority, whatever. I hope I'm still very active at 70, but who knows? But in the middle age group, it's probably about 30%. And then when you look at younger guys, like 40 and younger, it's probably somewhere between 10 to 20% of people who have problems with erections. Okay. And is it a specific type?
Starting point is 00:40:14 I mean, there's a bunch of different types that we focused on, which is being able to get hard but not climax, being able to not get hard at all. Is there something that you're seeing that's more prevalent, more common? or is this sort of a mixed bag? And when we say erectile dysfunction, I mean, to be quite honest, I've definitely dealt with guys with performance anxiety,
Starting point is 00:40:31 but I've never dealt with a guy with actual rectal dysfunction, couldn't get hard, things like that. I mean, outside of, you know, you're drunk, whatever it is. Is there a world in which you can't ever get hard or when you say erectile dysfunction is just like sometimes you can, sometimes you can't? Or are there like dicks that just won't do it? Yeah, absolutely.
Starting point is 00:40:47 So there's a spectrum. So I'll answer both. We just ask like 10 questions. I'm sorry. I asked a question. Ashth is like, what I want to ask. You guys are so excited. I love it. So there's a spectrum of erectile dysfunction.
Starting point is 00:41:00 You can have mild erectile dysfunction, meaning that you're able to get an erection that's sufficient for intercourse, but sometimes you can't. It can be moderate where it's more than half the time you can. And then it can be severe where you can never get an erection, right? So it does happen. And it depends, again, on a number of factors. Usually the severe erectile dysfunction is in men who have high blood pressure,
Starting point is 00:41:23 diabetes, like really a lot of other medical issues that are causing blood flow to be really decreased to the penis. Got it. And then to the other question. So in terms of what's more common in my clinic, it's erectile dysfunction. But if you look overall like epidemiologically, it's probably premature ejaculation. It's just not as often reported or even those people probably don't go to the doctor quite as often, right, to discuss their premature ejaculation. Okay. I didn't even really consider it ED until I read something on it about it like recently. And then what do you do? Well, so it depends what you're dealing with, right? So like I said, for erectile dysfunction, difficulty getting erections, right? Or sustaining them. First of all, like I said, there's four components. Psychologic. That's not
Starting point is 00:42:07 going to be treated necessarily with medications. It's more like cognitive behavioral therapy, seeing a sex therapist, working on kind of sensate focus activities. So trying to do non-penetrative activities with your partner so that the stress is off when you're, having sex with them or sex can be other things, right, not just penetrative, but while you're being intimate that they're not feeling stressed about performance and as they get to really focus in on feeling like being mindful and knowing what they're feeling and appreciating that and enjoying that, then they can also be more mindful when having sex, right, and not be focused on the anxiety. So psychologically, that's usually, there's like a whole host of things, but seeing a sex
Starting point is 00:42:48 therapist or a psychologist or a psychiatrist can be helpful. You can take a low dose of to Dallifil, which is also known as Cialis, every day to help boost blood flow. And for some guys, I'll use that to be like, hey, try this. It may help increase your confidence enough so that the anxiety is gone. And then you can stop taking it. Interesting. Okay. Yeah. Yeah. And then for medical erectile dysfunction, The most common is vascular or neurogenic, and the vascular is by far the most common. And for that, you can try medications like sylidephyl to dalaful, which is Viagra, Cialis, Levitra, all those medications. You can take them either on demand, like right before sex or like an hour before sex,
Starting point is 00:43:30 or you can take them like a low dose daily, same thing, Cialis. And then there's other options. There are things that you can put in the urethra or p-tube that can help. There are vacuum erection devices, which you see, you know, advertising for, but they do work. Like, they really are helpful. And then lastly, there's injections that you can teach men to give themselves in the penis. And then those help with erections and those are a little bit quicker than the medications, a little bit more powerful. And then lastly, there's surgeries as well. Okay. So you also mentioned hormones. And I know, like, oh, as men
Starting point is 00:44:03 get older, as you said, this changes. So is testosterone a part of this? I guess that's sex drive too, but just kind of getting older, can't get as hard, can't sustain erection as long and they're just doing more testosterone. Is that? Absolutely. So the other cause of erectile is hormonal, you can have multiple different causes. You can have low testosterone and you can have vascular problems. And to be honest, just because you don't have diabetes or high blood pressure doesn't
Starting point is 00:44:28 mean you can't have a vascular problem. That's because the arteries to the penis are really, really tiny. And so you may not manifest other issues like heart disease or high blood pressure or diabetes. You'll first see problems with your sexual. function. And then you'll later develop other issues. So it can be like the first sign of something that's going wrong. And then the hormonal part, testosterone is absolutely, you need good testosterone levels to have good erections. And so just like women go through menopause, men also kind of go
Starting point is 00:45:00 through andropaas, if you want to say, like their testosterone slowly decreases over the course of their lifetime and that can affect their sexual function and their desire, as you mentioned, and a whole host of other things like they're cognitive. They can feel a little foggy in the brain. They can be harder to get muscle in the gym. And there's something to suggest that it may also help prevent heart disease with some testosterone supplementation. Okay.
Starting point is 00:45:24 I want to back up a little bit to physical versus mental causes because most of our audience, I hope all of our audience is spread all over the age, right? But they're probably not in their 70s. They're probably closer to 20s and 30s. So when somebody with a penis comes to you and says, I'm experiencing some type of rectile dysfunction. Either I can't get hard or I stay hard and I can't climax.
Starting point is 00:45:44 Is there like some tests that usually go through so that you can say, okay, this is definitely physical or this is definitely medical, like the stamp test? No, so I don't really do any testing because you can do a penile Doppler ultrasound, which a lot of people who specifically focus on sexual function offer that. But ultimately, it doesn't change the management. I usually just talk to the patient, right? Like, are you able to get nighttime erections? Are you able to masturbate and keep an erection during masturbation?
Starting point is 00:46:12 What are you doing at home? Are you watching a lot of pornography? How often are you masturbating and kind of really get a sense of what else is going on? And if they themselves feel some anxiety about performance. And then that tells me a little bit more about, you know, what's going on with their sexual function. And is it more likely to be behavioral or psychological versus medical? So I feel like most guys would know.
Starting point is 00:46:36 Like they know if they're getting hard and jerking off. I feel like it's probably pretty obvious to them. Yeah. I was talking to a friend recently and she was saying to me that she's been with her partner for a long time and she feels like his dick just doesn't get as rock hard as it used to. And I was like, because he's just getting older. I think sometimes you're like, it's hard. We're having sex. It's going in and out. But it's not as like hard hard.
Starting point is 00:46:58 Some dicks get harder than others. I've experienced a range of hardness over time. Like, you know, as he's getting into his 40s and am I right that that's a thing? It starts getting less hard. So the tissues, again, it's all. So what happens when you have an erection, right, is the muscles relax and the blood flows into the penis into the erectile bodies, very similar to a clitoris, right? The clitoris has erectile bodies, the exact same erectile bodies as the male penis.
Starting point is 00:47:23 So blood flows into those areas and it gets engorged. And then the muscles are like not allowing this because it's contracted, not allowing the blood flow to get out. And so it can depend on like, again, if the blood flow over time, right, you're going to build up, like maybe some little bit of plaque in your arteries or things like that, and that can reduce how much blood flow you're getting. And then, yes, over age, like, this is happening over age. Your arteries are just not as healthy as they used to be. So there's going to be less blood flow potentially. And then there's obviously variables, like how excited they are will make a difference,
Starting point is 00:47:57 how warm or cold the room is. Like, all those things will change how hard the penis is. It's a variation over time. It's not like every time it's going to be the same hardness. And is that something that, like, a little bit of Cialis or whatever could fix. Like if a man and his partner, like, it'd be cool if you're like a little harder, like, used to be, you know, could that medication enhance that a little bit too? So it certainly would. Would I recommend it off label for like just recreational use? Right?
Starting point is 00:48:23 If you're having good erections and you're having penetrative sex and you're enjoying sex, you know, it's kind of a gray zone, right? Like I think that it's probably fine to use. It's probably safe if you use a very low dose and probably be safe. But like generally speaking medically, it's recommended for people who are having issues. getting and sustaining erections. Okay.
Starting point is 00:48:39 You don't want to take a little bump before. Just get like extra, extra hard. Okay. Sorry. No, I've experienced two types of erectile this function. I've experienced what you described as performance anxiety with a partner in the beginning. They can't really get hard. And eventually after they get a little comfortable with you, it's fine.
Starting point is 00:48:57 We're rocking a bit. Yeah, we're going every time. It's fine. I was with somebody for years. The first like seven times we had sex, he couldn't get hard. I was like, oh, my God. This is like a lifetime of misery and then we were fine. But the other thing I experienced that I don't really understand and I would love you to explain it is I had a sexual partner and it was sort of recently who like could get hard all the time and stay hard and we can have sex a ton of times but like never climaxed.
Starting point is 00:49:24 So generally speaking, when you think of ejaculation, it's what happens in your body is your brain gets some sort of stimulus. it sends signals down to your spine, which then tells your brain like, okay, with certain stimulus, you know, you're going to ejaculate. When you're thinking about ejaculation, a lot of it is like a hormone balance. You've got excitatory things telling you to ejaculate and inhibitory things telling you not to ejaculate. So people who have delayed ejaculations because they're holding back, their inhibitory signals are higher than their excitatory signals.
Starting point is 00:49:55 So it's just kind of like an imbalance. And so you can work on those. And some people may be trying to not ejaculate. Like there's a whole host of the whole community of men who are really practicing to not ejaculate because they think it gives them better orgasms or whatever. So that may be part of it. That may be what that partner was all about. Okay. I mean,
Starting point is 00:50:13 my theory a little bit is that I think never really in history, except for men that are, I would say like 28 younger, have been raised to be told that like it is your job to make sure that your partner climaxes. I don't know the men are that are 35 and older since birth. It's been like, this is your job. You know, when I was having sex in my early 20s, I never had partners to care about a climax or not.
Starting point is 00:50:34 And hopefully, I think via podcast and your YouTube and things like that, people are being taught. It is both persons. It's everybody's responsibility in this situation, make sure everybody climaxes. So it probably is a lot of pressure on people who are a little bit younger today to feel like they're going to make their partner climax. And maybe they're like holding back the orgasm for so long. Yeah, I mean, I think they get focused on trying to like edge or do these activities to help postpone ejaculation, then it can become difficult, right? Your body gets used to a certain thing.
Starting point is 00:51:05 And then, you know, so if they're really trying to be like, I'm going to last forever, and they're pushing and pushing and their body keeps responding, then it can start becoming difficult to orgasm. Or they get used to a certain type of stimulation. So perhaps that person was really into a certain type of masturbation that was really aggressive and really a certain position where he masturbate. And then it's hard for him to masturbate in any other position or ejaculate, sorry, in any other position.
Starting point is 00:51:29 What would that like? should be. Yeah, let's talk about that. Yeah, so some guys will only ejaculate lying flat on their back. Some guys do, which is, I don't do not recommend, but they'll do like they're lying on their stomach and they're like pumping the bed sort of thing. And that can actually create damage so I don't really recommend it. But, you know, so then they get used to a certain thing or they're very aggressive with their hands during masturbation. And then they're not getting that from you necessarily. But I think that's a good tip of like, you know, your partner won't ejaculate to say like, show. me, show me how you like to masturbate and maybe you can, like, mimic it for them. Yeah, absolutely. And I think that's the key, right? Communication. It's like totally important to tell your partner what you want and also to find out what they want and make sure that you're trying to make each other reach climax or at least, and it's not always about climax, right? It's about the journey, the pleasure, like the whole, the whole experience should be pleasurable. I feel like that's a interesting thing to tackle a guy that's just been masturbating in a certain way
Starting point is 00:52:27 that can't seem to climax with a partner. Like, what do you say? Stop doing that? Well, I mean, so I think as a woman, right, if you have a partner who you're struggling with, I mean, it's important to be very sensitive around talking about those things, right? Like, you don't want to be like, ew, or like, you kind of want to be like totally open. And then just say, hey, babe, like, why don't we try, why don't you try skipping that for a couple days before we have sex?
Starting point is 00:52:52 And then let's see if that makes a difference, right? Like, just like, that would really turn me on or that would really make me, happy and just kind of making it really casual and not putting a lot of pressure on them. Okay. I think it caused a lot of pressure on you as the partner, whether it's man or woman, to feel like this is my fault, you know? And I mean, especially like in my specific situation with this person, I mean, he could stay hard, he just couldn't climax.
Starting point is 00:53:16 And so, of course, you sit there and you're like, if I was better at XYZ, maybe they could. And what is it about me? Are they not turned on? And of course, you know, I want to, I mean, you can debunk it. you know, is it my fault that somebody's not, you know, ejaculating? No, not at all, right? So like any problem in the bedroom, guys, any sexual performance problem is very likely not your fault, right?
Starting point is 00:53:38 Like probably 99.9% of the time not your fault. Unless you're doing some crazy stuff, right, that like maybe is actually painful or whatever or they're not into that, right? But like 99.9% of the time, it's not your fault. There's all these factors that go into erections, orgasm and climax and ejaculation. and like if one of those things doesn't work, there's just so many things that could be wrong and it's definitely, it's not you.
Starting point is 00:54:01 And if you start feeling bad about it, right? Like the best way to go about it is just like, like, so say for example, someone has a problem in the bedroom and they lose their erection. Like they can still orgasm, even if they don't have an erection. So don't stop.
Starting point is 00:54:15 Like keep going. Be intimate with them. It doesn't have to be penetrative sex, right? Sex encompasses so much more. So that will make them feel like it's not a big deal. So if there is any psychological component, you're not adding to that. That's the only thing that can kind of get worse based on the partner's reaction.
Starting point is 00:54:30 Yeah. We've talked about this with guys who have been really open with us on the show and just in conversation too. And I think that's such a great tip is just do other stuff. And penetrative sex could still be on the table. Like I had sex with the guy earlier this year. And I was like, this dick is never going to get hard. Like this is crazy.
Starting point is 00:54:47 There's no way. But I didn't express that. I'm thinking that in my head of just like, oh my gosh, it's been, you know, we've been putting in all this time and effort. and we just were doing other stuff. A lot of foreplay, a lot of other things. I was really turned on by him. I was into it.
Starting point is 00:55:01 It wasn't just like I have to be penetrated by this guy or nothing. And it was shocking to me to the point that he got so hard and we had a great sex. You know, from going from something, a penis that I was like, there's no way. But it's just, it's true. So I think sometimes a woman, for example, could get really frustrated. And like the worst thing you can do is, A, get frustrated, but B, express that to the partner. you're just doubling down on what's already making them not be able to get hard in the first place and just do other stuff.
Starting point is 00:55:32 Yeah. Yeah. And you can bring toys to the bedroom, right? Like, say, like, they're not feeling so great. They may get turned on by you stimulating yourself, like, whatever. Like, being open and doing other things is going to be, it's going to be great for your relationship. Yeah. Oh, I love that idea that, like, if somebody can't necessarily get hard or maintain an erection
Starting point is 00:55:50 that you would put on a little show for them, but not like, you can't do it. I'm going to do it myself. Just in general. That's usually not the route I take. No, I'm not saying, not you, but I'm saying, you're going to watch me do what I can, but you can't do to me. Yeah.
Starting point is 00:56:03 But no, that could be, that's a great thing to do. Yeah. Just grab a show. Yeah, just grab a toy. Do you have any other tips? I mean, I, I like the, you know, don't freak out. Don't put it on that because, I mean, also you, you mentioned that like next time they're going to have performance anxiety as well.
Starting point is 00:56:18 Right. You're just making it worse for the future. Yeah. And for the next girl. No, I'm just kidding. Any other tips? into what to do with your partner? You know, to have conversations about sex, not during sex, right?
Starting point is 00:56:30 Like, when you're in the passionate moment and you're, like, trying to be intimate, like, it's probably not the right time to be like, babe, I really don't like it when you do X, Y, Z. Or I really would like it. Like, yes, you can put it in there, like, I really like it when you do this, which is not penetrative, right, to make them feel good and give them something to do. But then if you really want to talk about something that's bothering you and you're just not sure how to bring it up, wait until it's far away from the sexual encounter and bring it up like very casually, you know, not accusatory and not victimizing yourself. It's one of the best tips I've ever
Starting point is 00:57:00 gone on this podcast. We had Emily Morris on this show, Dr. Lane Morris, a couple years ago. And we were talking about when to bring up things that you like want to do a bed. And I was like, I have an idea. You're both laying a bed naked. It's right after sex. And she was like, that's the worst thing you can do. And things about what you like sexually, I found that to be like a really good tip that it's just a little more casual. It's not this like, sit down serious conversation, time to pour a drink. Let's saddle up for like the meeting kind of conversation. Should we talk about porn? Fuck yeah. Okay. So what are you seeing in terms of like, is porn addiction a thing? How is it affecting people's erectile dysfunction? Absolutely. So porn addiction is a real
Starting point is 00:57:37 thing, although we don't know the exact numbers, right? There's no good data on how common it is. I think the last data I saw like 4%. So it's not huge, but I think it's probably more and more. It seems, it seems slow. But like how do you measure it? Right? Like what's porn in action? Yeah, like the studies will like interview people, right? Or survey people. And then in that study, they saw 4%. But whatever. So I think ultimately it's a real problem because now porn is everywhere. Right. It's on your phone. It's on your computer. Like you can access it anywhere. Twitter. Twitter. I saw some guy jerking off on Twitter yesterday. It was crazy. Which I, you're not supposed to. Like we were looking for something else on Twitter. And Rayna was like, look at this. Just full porn. Well, Ashley and I also own an erotic content app. So it sits literally everywhere. Yeah, but anyway, sorry, go ahead. So it's everywhere. And so people are used, it's a great dopamine rush, right? So people get really, when you think about any sort of addiction, it's all like the dopamine
Starting point is 00:58:31 system, right? So you get dopamine with whatever activity you're getting. Your brain's like, oh, I like that. You build pathways that say, hey, I want more of that. But you need more and more like novel and more like kind of wild experiences to get the same dopamine rush. So this is what happens to people who have an addiction. not because they're like bad people. It's like their brains get wired to need this to achieve the same
Starting point is 00:58:56 happiness, satisfaction, joy, whatever, right? And so they start watching porn like excessively where they're like choosing to not do other activities. Like, oh, I'd rather watch porn than go have sex with my person, right? Or I'd rather watch porn than go out to dinner with my friends. Or I'd rather watch porn than go to work. That's when it becomes a real problem. And then also it alters the way you perceive sex, right? Because a lot of porn is not ethical and they're using excessive force or things are not really actually desirable to women in porn, which can be bad. And then there's also this thing where you're watching porn and you're expecting like immediate pleasure when you're in a real relationship. Like you start having sex and the woman should climax within minutes, right?
Starting point is 00:59:42 That's not realistic. And so then that doesn't happen and they're like, oh, what's wrong with me? Right? And then, oh, this guy has like a 10 foot penis. And my. is a normal size five-inch penis and oh, I'm not big enough. There's something wrong with me. And so there's just definitely a problem in people. And I think that it's good to recognize it. And then there are certain things other that you can do to try to help yourself. Like you can go see a therapist to talk about porn addiction. There are online apps that can block porn from your phone and things like that if you're finding yourself in that situation. It's interesting because it's this thing that I'm trying to compare it to other things that would give you a dopamine or serotonin hit or rush. It seems like porn is one of those
Starting point is 01:00:24 things you keep having to do more. It's not just like a nice glass of wine or whatever that you're like, I had one. Now I have to have seven. Like it does feel like porn is this thing that you're like, I need the next level of it. It just keeps escalating. So I can see where that obviously becomes an issue. I wonder how people are moderating. Like are they like, I'm going to treat myself a little board like, you know, every, every Monday, Wednesday, Friday, you know, like, is moderation a thing? I mean, what do you tell someone that's like, I'm addicted to porn? Yeah, so I think it just depends on the, like, the approach you take. I think generally speaking, most people will, if they realize that it's affecting their day-to-day
Starting point is 01:01:04 activities, like they can't do their normal functioning things, then they have to just stop, right? But if it's like, I think I'm getting there, right? I might be watching it too much. Like, you can self-moderate. Again, everyone's different. it's variable person to person. But as far as your comment on it being like needing more and more, it's because like sex, right, is a biologic need, right,
Starting point is 01:01:25 to perpetuate our species. So it's like food. So you'll see people who have problems with obesity will eat, but they'll need to eat more to feel that. Like people who eat for emotions will find themselves binge eating, right? Because they need more and more food to feel that same dopamine search. It's the same thing. You need sex.
Starting point is 01:01:42 People who are sex addicted or porn addicted. and they're like, oh, this is triggering that same thing in my brain that sex would, which is necessary for our species to have sex and have babies. And I guess, I mean, we're talking about people that have more of that personality type. I mean, I'm sure there's probably a majority of people that just watch porn regularly. Like, they're like, yeah, I like what I like. I get off with this. I don't need to like take to the next level.
Starting point is 01:02:03 I had a nice orgasm. I'm going to put this on. It doesn't need to be constantly building blocks on top of the other to get to like the wildest top tier, right? Yeah, absolutely. I mean, probably the majority of people watching porn are just normal people who just watch it for enjoy this, right? But there is this small, like that's, I don't want to make a big deal of it. It shouldn't be ashamed for watching porn. Like, that's fine. If you enjoy it, it's not affecting your life in any way. You're giving you pleasure, you know, it's fine. I mean, I like porn. So as somebody who really enjoys it. I mean, I don't really have what I would call an addictive personality. But my tip would be to vary the different ways that you masturbate. So I probably, I mean, every week is completely different. I have weeks where I'm masturbate every day. And then I'll go two weeks and not do it. But if maybe four times I masturbate a week, maybe twice I'll use porn, if not just once. And I like to make sure that, like, I'm using my own thoughts, I'm using my hand or a toy.
Starting point is 01:02:52 And if you vary, which is another psychotherapist said this on our show as well, if you vary the types of stimulation that you have throughout the week to your body, that it will be easier to climax with a partner also as well. Exactly. 100%. Because, you know, your body can habituate. I mean, you do see how it can happen in terms of like the stimulation in your brain needing more and more.
Starting point is 01:03:10 And most of my life, I've liked lesbian porn. And I think something I really like about it is I feel, I have felt sometimes that male on female porn is sort of violent. And the way that men come all over you and the size of their penis and the fast quickness with which they thought it would, it all feels very violent. And so women on women has always felt less violent to me. And I can see how somebody's watching male on female porn and it's just so aggressive that that just sort of like depletes your ability to like get off from normal sex. because it's just, it's so crazy. Yeah. And that's what these young guys are bringing to the bedroom, right?
Starting point is 01:03:46 Because they grew up watching porn easily accessible, right? Kids are seeing porn as early as like age 10. And so like they grew up watching this violent type porn. Then they go to have sex with their first partner and they like, you know, that's how they want to have sex because that's what they've seen. So it's that was in that, uh, I don't watch that many episodes of Euphoria, but that wasn't one of the very first episodes that like that guy,
Starting point is 01:04:09 he just went in so hard and aggressive and she was, like, I think it wasn't Sidney and she was like, what the fuck? And it was like, well, that's what you think, what you thought you're supposed to do. I mean, it's wild. I mean, our age group, like elder millennial didn't have that type of access at all.
Starting point is 01:04:24 Like, I mean, guys, when I was in middle school, even high school, we're trying to catch a blurry titty on Cinemax. You know, so it's just now the younger generation, they have it in their pocket all the time. It's pretty crazy. I mean, I don't even know what Billy Eilis talks about this, seen porn as a kid. Like, I don't even know
Starting point is 01:04:44 what it would have done to me. Like, I didn't, I don't even know the first time. I was well as an adult. Do you remember? I was in high school. I was in a friend's house. We were 16 and my friend was like on his, he was using his parents' computer and like their credit card to log in.
Starting point is 01:04:57 I mean, I was a lot older. Yeah. I mean, I was like, you know, 35. It was like VHS. I mean, you had to like find a video and put it in a VHS player and like find a TV that was not in use. Like there was like all these steps, right? Or it was like a second.
Starting point is 01:05:11 tape, like it wasn't so aggressive. Like, really aggressive violent porn as a 10-year-old is really sad to me. I can't imagine the damage. And I think that is really commonplace. And when I say violent, I don't even mean just like physical violence. I just mean I feel that some porn
Starting point is 01:05:29 just looks kind of violent. Just rip her pants off and shove your hard cock in there and just start pounding away. I've never, ever, ever, ever been into it. And I think we've obviously come a long way. I mean, we had Eric Lust on our show and we've discussed ethical porn and various things like that. And obviously we created an app that is not a visual, but it is audio. And I feel like that's why I've never really been into it.
Starting point is 01:05:48 But I mean, again, I just can't reiterate enough like what I can't, the psychological damage that it must do. If any parents are listening, I strongly encourage you to talk to your kids about it, but not in a non-threatening way, but like actually explain to them like that, you know, they're probably going to watch it. They're going to see it, right? There's not, I mean, you can try to tell them not to, but realistically, you can't control every person they come in contact with who.
Starting point is 01:06:11 has a device or their own devices. I mean, yes, you can try. But it's important to talk about how this is not normal. And this doesn't depict normal sex. And I know it's a hard conversation to have with your kids. I've actually made a video about like how to, you know, what are some tips to like help you have that conversation? Because I think it is really important.
Starting point is 01:06:30 Yeah. I think that making it's forbidden and it makes even more attractive to a kid. But that conversation is so important that this is not accurate literally at all. Like, I feel like they should be having these conversations in schools and sex education. Like, that should be like the top thing that's being discussed. But yeah, that's a whole other top. It's like how to put a condom on. Okay, thank you.
Starting point is 01:06:51 Yeah. Yeah. Yeah. Yeah. Well, I mean, you kind of answer this. I just, I would love for you to maybe if you have anything else to say. Like the ED issues I've experienced with men are with men that were like 26 years old. It wasn't with anybody that was in their mid-30s.
Starting point is 01:07:07 The issues I was experiencing were with guys that were significantly younger than I am. So are you just, are you seeing this like explode upon the population? No pun intended. But like how much more common is this to you today than it was 10 years ago in terms of like ED caused by either porn addiction or, you know, performance anxiety or whatever? It's definitely more common. I mean, I can't give you the, like I said, the numbers are, the studies are not great on it. But I will say that, yes, it's definitely more common because it's just so much more readily
Starting point is 01:07:38 available. I mean, I think also, like, relationships are on the decline because people are just looking at devices and not knowing how to communicate. And so sex is part of that, right? Like, you're just, you're not having a real meaningful connection with anybody because you're too busy looking at devices or not really learning how to, how to connect. There's a whole process that we went through as young kids, right? Because we didn't, we had to learn how to talk to somebody and flirt with somebody and not just like swipe right on an app. Call their house. Talk to ask the parents. Like, guys are age, had to call a landline. and your dad could answer.
Starting point is 01:08:10 And you would have to be like, is Raina there? And like, it's insane. Like, just a different world. Yeah. Anyway, I can talk about it forever. That's why, you know, I'm trying to find his daddy in his 40s. No, I just, you know, like, I find it fast-stating because, like, I have not fucked a bunch of young guys. And recently I have.
Starting point is 01:08:24 And I just, I've never experienced this in my life with men that are in their mid-30s. It's just, it's happening a lot. Well, and also, I mean, just in general anxiety is like the younger generation has so much anxiety. and I understand why. Yeah, I mean, think about looking on Instagram, right? It's like one minute, like, oh, this person has a beautiful life. This person has this, like, amazing vacation. I'm sitting here in my bedroom, like, scrolling on Instagram, right?
Starting point is 01:08:49 And there's so many different reasons, even just like they were born into a different world. So it's like, of course, if younger people are just generally have more anxiety, that's going to come into the bedroom as well. Oh my God, of course. When I was in college, I never had to worry that after I slept with somebody, a person had a megaphone to the entire world about what my body looked like, what I looked like, what I was like sexually. I didn't have to worry about those things.
Starting point is 01:09:10 I'm so old. I'm just like really dating myself. But yeah, I mean, I just, I want to give credit to the fact that like, you know, it's a different world. There's probably a lot more anxiety. Yeah. Is there anything else that you see in terms of like patients coming to you to talk about
Starting point is 01:09:22 ED mentally or physically that's super common or that we didn't cover? Yeah. I think a lot of guys are frustrated because particularly as they age and they're with their partners for a long period of time, like how they, they're like, I want to have sex so many times that she doesn't want to have sex. And like, there's a lot of this and like realizing that like when you're younger, it's so normal to be like, I see you, you're hot.
Starting point is 01:09:45 I want to fuck you and you just, right? You just do it. Yeah. And you're like super excited. But as you, as like life hits you, right? You've got responsibilities. You may have kids. You may have other stuff.
Starting point is 01:09:54 Like it's just not there. And that's normal. That's not something wrong with you. You need to actually like lie together, be naked together, like actually touch each other. Like maybe get that desire. It's called responsive desire. Right. And to like really just like,
Starting point is 01:10:06 okay, that's normal. There's nothing wrong with that. It's still great. And you probably can even have better sex because you know each other. You know what you like. And people are more vocal about what they like as they age because they know more. In fact, when you look at studies, people who are older have better sex than people who are younger because of that. And so I think that that's important to know. Like it's not always normal to just like see each other and go bananas and like have sex. A spontaneous desire. When you see someone and just want to fuck them right there. And I think it's hard to grasp when that fades. But it's just, putting work into it and knowing that it's normal too.
Starting point is 01:10:40 Yeah, absolutely. Do people come to you medically about that? Do they say, like, I feel like there's something wrong with me physically because I don't want to sleep with my partner as much as I used to? Yeah, they're worried about their test. Like for men, it's like their testosterone and, you know, and for women, there's just so many things, right, that can be medically, like, it's simple as like adding lube to the equation or like having more time for
Starting point is 01:11:04 foreplay to make sex more pleasurable for them. But I think with women, they don't come in as much, but they'll be like complaining like, oh, sex has always been painful or I can't get, I've never had an orgasm. I've seen this, like, this is more on my social media that I hear about this. I've never had an orgasm, which is like so sad and like they've never, they didn't even know, they never explored or tried to or understood their bodies well enough to have an orgasm. And so those are kind of things I see more, not in my practice, because I don't think women really talk about it very much with their doctors. Okay. So I think I just want to make sure people kind of leave this episode with like actionable items. I mean, I think if it's like medical ED, it's like talk to your doctor,
Starting point is 01:11:42 obviously. If it's mental, emotional, we talked about different ways to react and things to do in the bedroom. We discussed not being able to ejaculate, but I don't think we really discuss premature ejaculation. I mean, if that is a really a chronic occurrence in your relationship and it's really frustrating, what can we do there? Yeah, so there's a few things you can do. So one is you can buy like over-the-counter delay sprays. And so those actually do work. You want to look for delay sprays that kind of are quickly absorbed into the skin
Starting point is 01:12:13 so that your partner doesn't transfer it to your vagina during sex, right? And those tend to work quite well because one of the theories is that the sensitivity of the glands or the head of the penis is why you get premature ejaculation. So you can buy those or you can get a prescription from your doctor for kind of an anesthetic cream that you can put on the penis as well. So those are options. And then there's also you can do like stop-start techniques. So there's, you know, you kind of have sex.
Starting point is 01:12:38 You get to the point of orgasm. And then your partner kind of squeezes the penis. You wait. And then you resume. You do that three times. And then finally the last time you let yourself ejaculate and then work your way up to the point where you, you want to get there. And then the other things are, there are a couple off-label medications you can try so you can see your doctor to talk about those. Okay.
Starting point is 01:12:57 You had a video on your Instagram or on your YouTube, but I did not watch. because I wanted to ask you on the show. But in terms of like premature ejaculation or not be able to climax, what are your videos that how long should we be having sex? How long should a sexual encounter take? So I didn't watch your video because I wanted to hear your answer.
Starting point is 01:13:14 But how long should we be having sex for before we expect to climax? Well, so should is a very... It depends on the time of day for me, actually. And it depends on what you define sex as. So in these studies, sex was defined as penetrative. from the beginning of penetration to the end of penetration.
Starting point is 01:13:35 And so the average duration was somewhere between five to ten minutes, depending on what country you're from and all this sort of stuff. So that's what is the true average. I need to last longer. And some people would be like, I had a patient the other day, like a few months ago who was like, my wife wants me to last longer.
Starting point is 01:13:51 And I'm like, how long do you last? Like 15 minutes. I said, that is plenty. Being penetrated for 15 minutes? It's a Peloton class. That's the longest I ever want to have penetrative sex.
Starting point is 01:14:01 I can't. I don't even, I'm going to, I do actually want to time this because I feel like you don't really have a grasp of time. 10 minutes for me to be on top, get off. You're moving around. You're going to three positions, three to four minutes each. 15 max. Yeah, that 12 is my sweet. So anything more than 12 is you're just showing off. 15 is ridiculous. Yeah. And I think the other thing about it, right, is like not all women climax from penetrative sex. So like it's, you know, it's not like, okay, if she wants more, Like, how about you do some oral or something else? Or something else? Or do something else, right? There's other ways to have pleasure that doesn't include penetration.
Starting point is 01:14:39 For sure. We talked about that already. But we could do a whole other episode with you about why people don't climax. I know. Pain during sex. I feel like people probably heard you say that. I'm like, what? I want to talk about that.
Starting point is 01:14:48 So we definitely want to cover that. I had sex with a guy on vacation we just went on. And it was so funny because I could tell that he wanted me to come. And when I told him, like, I wanted him to come. It was immediate. I was like, coming on demand? Immediate. I was just like, he's just been waiting for the, for the green light.
Starting point is 01:15:06 Bags for the cum, actually, why do I think I'd do it? It's like it was an automatic launch button. It was like, I just found that nice. It's sexy. He was waiting, yeah. And I was like, oh, it's that easy. It's so nice. I like to ask that question, how long should we have in sex?
Starting point is 01:15:19 Well, you talked about people who are canned of orgasms, which I could talk about for three hours. I really could. I think it's fascinating. Or people that can't have penetrative orgasms, which I can't relate. depending on the way you define penetrative orgasms, it's somewhere between 4 to 14% of people have penetrative orgasms. So it's like you're like one of the very few.
Starting point is 01:15:37 Oh my God. Yeah. You do. You have an orgasm during sex. Yeah, but it's because of my, it's because of clitoral simulation. I've always said that. Yeah, but your clitoris is like the nerve ending is just,
Starting point is 01:15:48 correct me from wrong, go like all around the hole, right? It's not just the little blood. It's like your clitoris is all around the whole. So yeah, but just from being like penetrated, no, not really. And not a lot. I mean, every once in a while. but I mean, I think that's how most women feel. Like there's, it's something else going on during sexual experience.
Starting point is 01:16:03 Yeah. Because you're like from pressure on to the, yeah, you know. For sure. For sure. So yeah, when I say I have penetrative organs, that's what I mean, probably. Whatever, it doesn't matter. Are you seeing a lot of couples or people in general overcome this with the problems that they're seen with different techniques in the bedrooms, medicines, things like that?
Starting point is 01:16:21 Like, we want to give people hope that it's not just like. Absolutely. And I think, you know, I think ultimately, if you like have a problem, the one thing about our generation and younger generations, like people are willing to like be more open, talk about these things. And that's so great, right?
Starting point is 01:16:37 Like keep doing that and things will get better, right? Psychogenic ED is completely treatable, right? So you can get better. And even medical ED, like you can get better. You can live a very fulfilling sex life. And I would tell everyone who's listening, like the key to having a long sustainable sex life is keeping your health overall good, right?
Starting point is 01:16:54 Keep yourself away from getting high blood pressure. heart disease, diabetes. So eat well, exercise well, and just like overall, all those things are going to mean you're going to have a better sex life. One thing I didn't bring up that I did deal with a partner that his Adderall medication affected his erection. So do you see that a lot or just other, like what are other medications that might be affecting sexual performance? Absolutely. So very commonly is antidepressant medications or antipsychotic medications very, very common. anti-hypertensive medications, but those are kind of tough, right? Because you want to control your blood pressure, but some of them do have the side effect of causing sexual dysfunction. And then for
Starting point is 01:17:34 guys, if they're taking finasteride for hair loss like propitia, that actually has some sexual side effects too. So something to consider like, that's probably not a good idea if you're having trouble in the bedroom. So those are the most common for men. For women, I would say same is antidepressants and antipsychotics, but also some women experience some sexual dysfunction with oral contraceptives or like hormonal contraceptives. Okay. I did all episode on that. Yeah.
Starting point is 01:18:01 Like how it affects your even libido and birth control and stuff like that. Because being a woman is just, oh, it's just a fun. It's a fun trick. But I do, I like the positivity of, yeah, I will say probably with people that are a little bit older that I've dated, if this would have happened, it would not have been a conversation and it's not this open, honest thing. But now today, I think it's so much more normal to like talk to your partner. and the person that I had this issue with was like, yeah, I have dick problems.
Starting point is 01:18:27 Like it was this open, honest thing. It wasn't this like, let me get mad and aggressive kind of thing. So it is nice at least for normalizing talking about this stuff. It's like, a seven-year-old man's not going to want to have this. Stubborn and like it is what it is. So that is, it's positive for sure. I told my destiny of a seven-year-old man, I told my dad we were doing this episode. He always wants to know everything we're doing on the show.
Starting point is 01:18:47 And I was like, we have this doctor. She doesn't talk about ED. And my dad was like, it gets worse as you get older. And I was like, please don't finish this sentence. And he was like, but you can just take Viagra. And I was like, oh. So I stopped. Anyways.
Starting point is 01:18:59 Well, thank you for being here. This was really fantastic. We can keep you here with so many more questions, but we won't. But your YouTube is such a wealth of information. So just tell everybody where they can find you. Yeah. So you could find me on anywhere online. Type in Rina Malik M-D, R-E-N-A-M-A-L-K.
Starting point is 01:19:16 And my YouTube is Rina-M-A-M-D. And that's my handle for every social media, Facebook, Instagram, TikTok, whatever. It's all there. amazing. Okay. Thank you so much. This was such a pleasure. Thank you. Thank you guys so much for having me. It was such an honor. Thanks. Bye. Bye. And you guys can find all of our stuff at, I'm trying to do this order. Raina told me. Vives only.com to get vibrators below gel, whatever you want, download the vibes only app on the app store and then vibes only on Instagram and on Twitter.
Starting point is 01:19:46 Girls Gottaeat Podcast.com for everything you need to know about the podcast. Girls got a podcast and Instagram. I am Ash Hess on Instagram. On Instagram, and TikTok, which I plugged heavily today. Raina is Raina. org. We are girls underscore got to eat on Twitter. And we'll see you next week. Have a good week, guys.
Starting point is 01:20:01 Bye.

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