If Part 1 was about the field of sexual medicine, Part 2 is about the marriage at the center of it. Dr. Jenni Skyler and Daniel Lebowitz return to their conversation with Dr. Irwin and Sue Goldstein, and this time, the questions get more personal. How do you stay married for fifty years? What does great sex actually look like across the decades? And what happens when a woman who has spent her career in sexual medicine starts experiencing low desire herself? Sue Goldstein opens up about her own journey through peri-menopause and the slow erosion of her libido- what she calls "duty sex", and the medications that brought not just her sex drive back, but a playfulness in her marriage she hadn't realized had gone missing. She walks listeners through her menopause toolbox of five treatments, explains why she's "76 and feels like she's in her 50s", and dismantles the lingering fears from the Women's Health Initiative that have kept generations of women in what she calls hormone prison. Dr. Irwin shares his own daily protocols for sexual health, why he believes most older men are leaving capacity on the table, and the surprising data from their own clinic- that more than half the Vyleesi prescriptions they write are off-label for men. They explore why dopamine is dopamine, regardless of gender. The reality of persistent genital arousal disorder. And a remarkable story of a teenage horseback rider whose chronic arousal turned out to be a herniated disc. This episode is full of practical wisdom, clinical innovation, and one of the most real conversations about long-term love you'll hear all year. The Goldsteins' secret to fifty years of marriage? Best friends, good sex, and the willingness to keep trying new things — including a chocolate sauce on the day before you change the sheets.

Irwin Goldstein, MD, IF (he/him/his).                                                                                                    Director, San Diego Sexual Medicine  5555 Reservoir Drive, Suite 300, San Diego, CA 92120,          Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA.                              Clinical Professor of Urology, University of California at San Diego.                                                     Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services                           Past President, International Society for the Study of Women’s Sexual Health.                                   Past President, Sexual Medicine Society of North America.                                                                 Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research.                              

Phone: 619 265-8865   -  Mobile: 619 987-7432.                                                                                   Email: dr.irwingoldstein@gmail.com.                                                                                                     http://www.sandiegosexualmedicine.com.                                                                                             Like us on Facebook: https://www.facebook.com/SDSexMed.                                                             X: http://twitter.com/SDSexualMed