2025-11-03
1 小时 52 分钟Hey, everyone.
Welcome to the Drive Podcast.
I'm your host, Peter Atia.
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My guest this week is Dr.
Sally Greenwald.
Sally is an OBGYN who specializes in women's sexual health from a hormonal and physiologic perspective with a clinical focus that spans desire, arousal, pelvic floor function, contraception, menopause, and perimenopause care and evidence-based strategies to improve sexual well-being.
In this episode, we discuss why sexual health is a core part of overall health and life quality for both men and women, a practical framework for desire, the accelerator and brake model, and how patterns change across life, anatomy for sexual function, the clitoral complex and vaginal anatomy, and why understanding it matters both for men and women.
Orgasm, realities and myths, and varied pathways to orgasm beyond penetrative sex, vaginal tissue health, lubrication, moisturizers, and when local estrogen is helpful, pain with sex, the common causes, evaluation, and a multidisciplinary approach to treating it, perimenopause and menopause, symptom patterns and the roles of estradiol, progesterone, progestins, and testosterone.
contraception across the reproductive ears and how different methods interact with hormones and sexual function, medications and adjuncts for low desire or arousal, including the FDA approved options and the realistic expectations around them, the use of vibrators and other devices as therapeutic tools both solo and with partners, when medications and substances help or hinder arousal and orgasm, such as cannabis, THC, SSRIs, and practical strategies for use, pregnancy and postpartum sexual health considerations, and safer sex practices and STI screening, plus communication and sexual health education around how to talk to your kids about sex.
This podcast will have an immediate and obvious application and interest to women, but I can tell you guys if you're listening, this is something you will want to understand greatly.
I learned an enormous amount during this interview.
with Sally.
And if you want to understand your partners better, this is definitely the podcast for you.
So without further delay, please enjoy my conversation with Dr.