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Moment: Why Your Erection Doesn't Last (Even When Desire Is There)

July 8, 2026 · 21 min

Show notes

In this episode, Dr. Rena Malik is joined by Dr. Irwin Goldstein to explore the complexities of erectile dysfunction, venous leak, and the role of therapies such as Shockwave and PRP. They discuss the latest evidence on treatment strategies, debunk myths about supplements, and shed light on how hormonal contraceptives impact sexual function. Listeners will gain actionable insights into regenerative therapies, the intersection of psychological and biological factors, and practical advice for optimizing sexual health.


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▶️Chapters:

00:00 Organ failure analogy
01:08 Connective tissue in ED
03:04 ED treatment strategies
04:48 Supplements and risks
05:18 Shockwave therapy explained
08:13 Regenerative therapy attitudes
10:55 Home shockwave use discussion
13:10 Female sexual dysfunction misconceptions
15:03 Hormonal contraceptives impact


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DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

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