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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

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 &mdash; including a chocolate sauce on the day before you change the sheets.
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Irwin Goldstein, MD, IF (he/him/his).&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, San Diego Sexual Medicine&nbsp; 5555 Reservoir Drive, Suite 300,&nbsp;San Diego, CA 92120,&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Clinical Professor of Urology, University of California at San Diego.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Past President, International Society for the Study of Women&rsquo;s Sexual Health.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Past President, Sexual Medicine Society of North America.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;
Phone: 619 265-8865 &nbsp; - &nbsp;Mobile: 619 987-7432.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Email: dr.irwingoldstein@gmail.com.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <a href="http://www.sandiegosexualmedicine.com">&nbsp;http://www.sandiegosexualmedicine.com</a>.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Like us on Facebook:<a href="https://www.facebook.com/SDSexMed"> https://www.facebook.com/SDSexMed. &nbsp;</a> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; X: <a href="http://twitter.com/SDSexualMed">http://twitter.com/SDSexualMed</a>

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

Links: 

drjenniskyler.substack.com

The Intimacy Institute Roadmap to Intimacy online courses

 

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
Links:&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com</a>
<a href="https://www.intimacyinstitute.org/roadmap">The Intimacy Institute Roadmap to Intimacy online courses</a>
&nbsp;

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology.

Sex and the Psyche

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

drjenniskyler.substack.com  

intimacyinstitute.org/roadmap

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com&nbsp; </a>
<a href="https://www.intimacyinstitute.org/roadmap">intimacyinstitute.org/roadmap</a>

Sex and the Psyche 

In Part 2 of our conversation with Dr. Irwin and Sue Goldstein, things get deeply personal. After 50 years of marriage, Sue shares her own journey through HSDD, the medications that brought her libido back, and the menopause management she says has been life-changing. Plus: the truth about hormones after breast cancer, why so many women are in "hormone prison" for no reason, and the future of Vyleesi for women, and the surprising population also benefiting from it.