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Dr Rena Malik

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2024-04-01
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2024-04-01
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  1. Absolutely, 100%. So your body, when it goes through a trauma, it will then sort of, your body remembers, even if you don't, right? So these people, very many people who have pelvic floor dysfunction, meaning their pelvic floors are too tight or too tense, they've had some sort of trauma. Not all of them. Some of it's just stress and anxiety, but sometimes they've had some sort of trauma years ago. It's been with, I remember having like a 70-year-old woman and she had such terrible pelvic flotys function for God knows how many years that ultimately it caused really negative consequences for her bladder function. And so absolutely when you have a trauma that's unresolved in some shape or form, it will affect you, whether it's your mental health, your physiologic health. I mean, our brains are so powerful that, you know, when it's in a bad place.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  2. Well, you know, I mean, I think it's, I am worried, you know, I think that phones have changed lives too, right? Like now our kids, our younger generation doesn't communicate as well because when they hang out together, they're sitting all together looking at their phones, right? And so we have to actively work to prevent. Like I make my kids have full-on conversations with people. I say, you got to come and hang out with the adults and have conversations and talk to people. And we have to coach them on how to talk to people because I worry that people are too into even when they hang out with their friends. They're playing on devices, right? So I think there's like work that has to be done to prevent the easy dope rushes that these devices are giving us, right? So we actually have to actively work at it and people are inherently going to take the route of the easiest thing. And so as a society, we have to sort of work together to sort of prevent these easy ways.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  3. To be intimate with people, like that's how our brains work. So I'm hopeful that that will still remain to be the case. But I can't predict it.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  4. These VR headsets, and it can actually be very powerful. So I was just speaking to a researcher, Lori Brotto, about how they're using it in their lab for women who have fear of penetration because they've had either trauma or they have other conditions that are causing it to be painful. And so they can work with them to be using these headsets to simulate a sexual experience and then they can sort of use a tool or a dilator or something to then penetrate in a safe space, right? Not like you're with a partner and you're like trying to have sex and you're, you know, you don't feel very safe, sort of allowing that. It's very preliminary research. But I think ultimately there are some positive things that maybe will come out of the use of these sort of VR headsets. And I can only hope that that will predominate and we can continue and people will inherently want other people, right? We're hardwired to be around people.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  5. Yeah, it is a real concern, I would say. But, you know, we know from some data that people will find physical touch, particularly in the care-bearing areas, very important in terms of intimacy with a partner. So intimacy in general. And so I can only hope that that will continue, that you will want physical touch because no matter what you can see with your eyes, it's not touching you. It's not like it's still you doing the touching. There's no element of surprise or excitement or buildup in terms of like there's someone else in the room with you, right? So I can only hope that that will be the case, but it still remained to be seen. However, I will share that there's some interesting applications of this in terms of fear. So if you are really scared of something, you can actually desensitize yourself using.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  6. Like, oh, but I feel bad, and so I'm going to use porn again. And it becomes a sort of like negative, vicious cycle that can occur. But I think when used for entertainment and pleasure, I think it's fine. And many, many people use it for entertainment and pleasure without a problem.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  7. Have pleasure and even watch it with your partner and have pleasure. But yes, we are seeing some people who have problematic pornography use. In the literature, they say it's 4%. I suspect maybe it's a little higher now, where people are finding that watching pornography is one easier than going out and trying to find a partner. You don't have to face rejection. You don't have to face the difficulties and awkwardness of having a sexual encounter with someone that often happen. And so it can become a way because it does relieve dopamine just like anything else, release dopamine, it can then become sort of a way to feel better about anything, right? Like you can just be feeling down, like, I want to watch pornography because it makes me feel better. It may not be just that you're really into sex. It's just that you're really like wanting that rush hit of dopamine. And then there's obviously this shame that comes with, oh my God, why am I using pornography just because I feel bad?

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  8. Parent doesn't want them to, whether you've put blocks on their phones and devices, they may have access to it from a friend or they may see it somewhere else. And your brain is not fully developed to understand one what you're seeing and two to understand that this is not real unless your parent has talked to you about, you know, this is sort of a movie that's not real life and this is not what sex is really like. And so I think that has implications for how they view sex and how they then try to have sex with partners. And also, you know, because your brain's not fully developed, you're getting this big rush of dopamine from viewing something like that. And that's not something that we traditionally got at that age, right? And so it can become very addictive. Now, as an adult, I think it's different because you have a fully formed brain. You understand the concept of this is not real most people. And so it can be just a way to.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  9. Yeah, so I don't think porn is a bad thing. I will start with that. Is it a sin is more of a moral question, right? And I think that that is. Something that you individually have to decide for yourself if you feel like morally it's inappropriate, but it's entertainment, right? It's just a different form of entertainment. And I think the issues with porn, because I would not say that it's 100% great. I think there are definitely issues with it. One, the big one that I've been very vocal about is children seeing pornography. So we know now that the average age of a boy seeing pornography is 13. And that's the average, meaning that as young as 8 to 10, boys are being exposed to pornography, which was not the case. For example, we were growing up, right? You had to, I always say this, you had to find a tape maybe, find a VCR in a room that nobody was going to walk in or you had to find a magazine and hide it somewhere and go find it. And so it was not readily available. You had to work to be able to see that. And now seeing pornography is very readily available. And so very often kids are seeing it. Whether you, as a

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  10. X, Y, and Z. I think they tried to control for comorbidities, but again, I don't think they controlled for, I mean, they control for marriage, I believe, but I'm not sure that they controlled for like in a relationship versus not in how healthy that relationship is. That certainly wasn't assessed.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  11. Times a month, no, but you know And so having a healthy, and it may be that those people who had sex more often or Jacqueline more often were just healthier in other ways, right? They were able to have sex more often or masturbate more often because they were sufficiently healthy to do so. And so while they tried to control for those things, there's always sort of uncontrollable variables that come into those sort of studies.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  12. Yeah, so there's actually a really good study that was done looking at ejaculation frequency and prostate cancer. And it was a very well deserted study. They tried to control for a lot of other factors. And so what they found was that men who ejaculated 21 times or more a month were less likely to develop prostate cancer. This is just a statistical number. It is not a number that sort of means anything in terms of, but we're seeing that like, okay, so more masturbation may help. Why is that, right? So there's a prostate stagnation hypothesis that the fluids that some of your ejaculate fluids come from the prostate. And so when you're ejaculating frequently, you're more often getting rid of that fluid and sort of replenishing it or cleaning the pipes, so to say. So that may be beneficial in terms of preventing prostate cancer. Now, do you have to masturbate or ejaculate or have sex 21?

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  13. But probably there is some. We just haven't studied enough. And I always say this, that when we look at studies for women's sexual health and men's sexual health, they're so lopsided. So if you type in penis in like a search engine for Google or for the PubMed, which is where you look up research articles, you're going to find 50,000 articles. If you look up Clitoris, you're going to get 2,000 articles. So it's very lopsided in terms of what we study for sexual function. And in and of itself, sexual function by many people is not seen as mandatory or important for health. And so the funding is less often available for sexual health. That's why we have such little data in some areas.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  14. To a woman, if you then had sex again, you could actually dislodge the semen and then you'd have less ability to have fertilizer and egg, right? And then the other thought is that you don't want to become overly exhausted, right? So that if you had the unlimited capability to have sex over and over again, that exhaustion could be a real thing. And so you're sort of a protective mechanism. And so those are sort of the theories as to why this is. And there is like an absolute refractory time where like you don't want sex at all. And then there's a relative refractory time where if you had a really novel or strong stimulus for sexual activity that you would be able to in terms of the clarity because we know there's a little bit of differences in brain, it may not be as obvious in women in terms of it takes them a little longer to have that coming down after the orgasm from the brain activity.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  15. So, when you look at brain studies, right, of people having orgasm and what happens is when you have an orgasm, like your whole brain lights up, right? Because your heart rate goes up, your blood pressure goes up, like your pupils down. So all these different parts of your body are working. So your whole brain lights up. And then after orgasm, it gets very quiet. And so we see that in women it may take a little longer to get really quiet. And men, it happens very quickly. And this may be associated with sort of the hormonal changes that occur after orgasm. So we know that prolactin increases after orgasm, dopamine decreases. And there's sort of some evolutionary theories about why this happens. So one is after you ejaculate, if you are having ejaculation with a woman, then you don't want to have sex again to, and the same thing with the refractory period, right? That there's some period of time where you're not going to want to have sex again, or you can't have sex even if you want to. And this is because evolutionarily, if you deposited your ejaculate,

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  16. Well, you know, some people describe post-not clarity, right? So they actually, on the alternative, feel like And there's no good data on this. The data we have is on people. They're very small subset of people who have postnut, postcoidal is not postnut, postcoidal dysphoria, so they actually feel bad. But in terms of clarity, you know, some people do like when you're trying to, you're motivated to get a partner, right? You're sort of trying to woo them, you're really focused on that one singular effort that once you've obtained that, that very singular focus goes away. And now other parts of your brain can be activated to then be used for some people will describe being more productive, more able to get work done after masturbation. It's very individualized or ejaculation, whatever it is.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  17. You do see an increase in heart rate a little bit. You have a rebounding, so it decreases, and then you have a rebound increase in heart rate that can slightly affect your ability to recover from performance. But ultimately, I think if you find benefit from it because people report feeling more aggressive with abstaining, then by all means, if you find it helpful, I think it's fine, but is it mandatory? I don't think so based on the evidence we have right now.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  18. Yeah, so there's a lot of rhetoric there, I think, that comes from historical. So even in Greek times, they would tell people to avoid having sex or masturbating prior to big fights or whatever sport they were playing. And so is it true in data? So if you look at the studies that have looked at people performing athletic feats, whether it's like cycling or running or whatever, they have not found that abstaining from ejaculation actually changes their ability to perform. And so in those cases, I say, well, there's no true scientific evidence that we have that it's going to improve. And in fact, if you are someone who, for example, has sex every morning or masturbates every morning for whatever reason, that's a part of your routine, disrupting the routine can actually be harmful to performance. And sometimes the one thing you can say is in terms of disrupting performance is that after you master.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  19. Longer you are from ejaculating. So your body will take care of the ejaculate if you ejaculate or not. So you will either resorb the semen or you'll ejaculate at night. And so if you want to do it because you feel like, okay, I have a challenge I want to conquer it. I want to see if I can do this and you feel better because you're not, you're able to like not focus on sexual thoughts or you're able to really find some other level of spirituality or something. By all means, go ahead. I don't have a problem with it. What I have a problem with is making people feel bad because they can't do it or they don't want to do it. And with people feeling forced or feeling like they need to do it to prove something to someone else.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  20. Yeah, so I think it's, I'm not a fan. The reason being is because I think it makes people feel like it's something they have to do. And if you want to, like I said, if you find benefit from abstaining from ejaculating for 30 days or 28 days or whatever it is, then by all means, like go ahead. If you want to try something, there's no harm in it. But I think a lot of people, what they do is they feel like it's something that's going to bring them to some higher level and they're going to become this great person because they're able to conquer this goal, but they're like literally miserable. So they're clenching their pelvic floor all the time because they're stressed about how they're not ejaculating. They may ejaculate at night. And so they'll have a nocturnal emission and then they'll feel so bad because they failed. It's nothing you can control. Nocturnal emissions are physiologic. They're totally normal. And 86% of men have had a wet dream at some point in their lifetime. Like it's very, very common and more likely the

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  21. Literally, I don't know where that came from. There's like Harry Palms, blindness. I don't know where. I think this is all sort of like from religious rhetoric that says, you know, you should not masturbate. And where that came from, you know, is a whole other story, I think.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  22. Yeah, your brain is very powerful, right? So when you're doing the same thing every time, your body's like, oh, this is what turns me on. This is what makes me orgasm. And then when you're the partner, you're like, oh, I'm not getting that same kind of stimulation. And so it doesn't happen to a lot of people, but I would say certainly I see people where this does happen. And so, you know, you have to sort of take a break and sort of reevaluate and try different things and get your body to habituate to different things, which takes a little bit of work, but sort of keeping it varied can be helpful.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  23. Way every time they only watch a certain type of erotic film or they do the same thing every time in their body habituates to that and then they have a difficult time climaxing with a partner because they can't replicate what they're doing whether what they're watching or how they're doing with a partner

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  24. So I think what I tell people is masturbation is generally safe as long as you are not masturbating to the point where you are now choosing to masturbate over doing anything else. So you're choosing to masturbate rather than have sex with your partner. You're choosing to masturbate over going to work. I'm going to be a little late to work because I want to finish masturbating. Or you literally can't sleep without masturbating every day. Like those sorts of things, you become reliant on this particular activity for the enjoyment that it provides. That's when it becomes a problem. But if you're using it in terms of like I'm masturbating to get orgasm and the benefits of orgasm that I do achieve from that because maybe my partner doesn't want to have sex or maybe I have more of a sex starve than my partner or I don't have a partner. Like let's be realistic. Like if you don't have a partner, you're going to have to, if you want to orgasm, you're probably going to have to masturbate. And so I think the problem also comes in is when people only masturbate the same.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  25. Increased testosterone. And so people do report other benefits. And so I tell people if you're getting other benefits from abstaining, by all means, go ahead, but don't do it for, don't like white knuckle it to gain some theoretical increase in testosterone that one was not even that large and two is probably not going to be proven in a larger sample.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  26. So it does not. There is one study, and it was done in ten men who abstained from masturbating for 21 days. And these are young, healthy men, right? And so this is where I think everyone gets their data from is this one study. And so they took their testosterone before. They took their testosterone after. And what they found was that there was an increase by about 50, 50 nanograms per deciliter, 0.5, which is 50 nanograms per deciliter, which is not a huge amount at 21 days. But we know that testosterone changes all the time. And two, there's a lot of anticipatory cues. When you've been waiting to masturbate for 21 days, like your brain is really excited. There's all these like, okay, I'm finally going to get to release. And that in and of itself can increase testosterone. So genis being there's no empiric evidence that is convincing high quality level evidence that masturbating or abstaining from masturbation will

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  27. No, I mean, there's some question about that, but we don't know. I don't think we know. But we know there's a temperature increase, right? Because phones get hot.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  28. Yeah, it does. And it's interesting because I think we'll see more of this as we're seeing the rise of, and there's benefits to saunas, no doubt, but as we're seeing the rise of people really doing saunas all the time, there can be, so we tell people when they're trying to have, if they're having fertility issues, don't go in hot tubs, don't go in saunas because it could affect your sperm production. So those are sort of the conservative things we tell people to do

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  29. The scrotum, which can then cause changes in sperm production. So I tell patients, particularly if you're trying to have babies, is put your phone in your back pocket, in your chest pocket. Don't put your computer, your laptop right on your lap, right? I mean, it's easy enough to do, and it does increase temperature. So absolutely, yes, these things can, not for everybody, right? There's people, so we say people like you shouldn't smoke a lot of marijuana when you're trying to get pregnant because marijuana can cause problems with sperm production. But you'll see people who smoke every day and they still have babies, or you'll see people who do all of these things, right? They wear briefs. They put their phone on there in their pocket. They put their laptop on their lap, and they still have babies. So it's not all comers, but certainly things that you can easily just avoid putting near your genitals.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  30. Yeah, yeah. So there is a little bit of data there in terms of when you have these devices like in your lap or near your genitals, they will increase the temperature. And so when the testicles are in the scrotum for a reason, right? It's because they need this very perfect environment with this specific temperature to create sperm. And anything that disrupts that temperature can cause abnormalities in sperm production. So for example, when you have a fever, because you have the flu or you have a cold, people will get their sperm checked, their semen analysis, and they will see that their sperm kind of zero because the temperature, the fever has temporarily stopped their sperm production. And so you can see that, you know, people also discuss like, oh, what about boxers or briefs? What about putting? And so all of these things can increase the temperature around.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  31. So that's a good question. The orgasm is what improves your pelvic floor. So if you masturbate in your orgasm, when you orgasm, your pelvic floor contracts involuntarily. You can't do anything about it at a rate of about every 0.8 seconds. So it does contract and that is sort of like a pelvic floor muscle exercise, but it's doing it involuntarily. It's contracting for anywhere from five to 60 seconds, usually on average. And so you are sort of in that way increasing pelvic floor strength. In fact, they've looked at in women particularly is orgasming as good as doing public floor exercises. And they've seen that you can see pretty measurable improvement in pelvic floor strength if you orgasm regularly. And it may be as good as doing key goals depending on how often you're doing it. So yes, orgasming itself can be very beneficial for pelvic floor strength.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  32. Muscles with again pelvic floor exercise, like kegel exercises. I caution people because people are always like, oh, these Kiegel exercises are great. They're going to increase orgasm. They're going to make my semen propel further. And I think that's fine if you're not having pain, you're not having discomfort, and you're doing them correctly. Because sometimes what we see is it can actually cause harm if your pelvic floor is tense, like we talked about earlier, or it can cause pain and dysfunction if you're tensing, tensing, tensing, and not relaxing. And so if you don't know how to do them correctly, then you could actually harm yourself. But yes, they can improve semen volume by the parameter of increasing the force of ejaculate and getting more ejaculate out that may be left over if you're not having as forceful of a muscular contraction.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  33. So, semen volume is variable depending on the biggest one is how long has it been since you last ejaculated, right? So the longer you delay between one ejaculation to the other, the more seamen volume you will get. That's probably the most predictive. You know, hydration can play a role. So if you hydrate more, certainly you may see more seamen volume. Sometimes it's a low semen volume because you're actually having less force of ejaculation. So interestingly, when you're young, the force of ejaculate can be really, really strong. It can be up to 30 to 60 centimeters away. Like when you ejaculate, that's how forceful it can be. As you age, after about 50, it can decline to 15 to 30 centimeters away. And so that can feel like you're having less volume because it's less forceful. And so in those cases, that's because of the pelvic floor muscles that are around the urethra. Those muscles there that help sort of propel the ejaculate out. And so you can strengthen those.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  34. Not volume but concentration. So volume is the amount of Right. So concentration of sperm in the semen is more of a predictor in terms of sperm volume, not semen volume, let's be clear. The sperm volume, sperm concentration are sort of the biomarkers. And we would say that, yes, there is a correlation with overall health in terms of sperm concentration and sperm volume. But I think I don't want to make people worried that if they truly have a male factor in fertility, then now their overall health is a problem. But it's certainly important to be evaluated and seen by your doctor regularly.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  35. Could be. I mean, when we know when we look at fertility, we know that about half of fertility is due to women, half of fertility is due to men, and then some combination of the two, right? So definitely as women age, fertility goes down and we know women are waiting longer to have children. So that's a big part of it, that society has changed. Women are working and prioritizing their careers. It's not a bad thing, but it certainly will affect fertility. And then, yeah, there may be these issues that are affecting male sperm counts that are also causing issues. But I don't know if there's been updated data on terms of what are the causes or the numbers in terms of fertility rates.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  36. And then, what if you can't father children anymore? And what if you can't have offspring that will then propagate the species, right? So there's certainly concerns there. And I think, you know, we have to as a society do better in terms of the things that we can so we can control diet, we can control exercise, we can control those things. There's certain things that we can't, but we can try to control what our people are exposed to and that can be on a governmental level, right? Like having sort of laws in place. So we know in the US there's less restrictions, whereas in other countries there's more restrictions on things like food coloring and dyes that may have, again, I don't know the specifics, but certain, you know, there's certainly more restrictions in other countries than in the US for some reason. And so maybe there needs to be a more critical evaluation of where we can actually put in place some things that would actually have more widespread changes.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  37. So, if you look at the last 50 years, you'll see that the average sperm count has declined almost 50%. And luckily, the average sperm count is still high enough for fertility rates. The average sperm count is probably around 50 million of fathers, people who father children. And so it's still above that, but it's certainly significantly lower than it was 50 years ago. And so that's where we're thinking, you know, it's probably more of a global environmental factor that's contributing to that in addition to this increase in comorbidities and poor health over time.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  38. So there's basic science research where they're looking at the impact of these things on rats and other animals. And then also they're looking on the amount of exposure to things like phthalates in labs and seeing how that, you know, we can't, it's all cause, it's all correlation. We can't say it's causative because we're not going to do a randomized study where you drink from water bottles for 10 years and you drink from glass water bottles for 10 years and let's see what happens, right? That hasn't been done. But they can say, okay, the more your exposure based on whatever biomarker we can assess, so maybe urinary phthalates or other things, we can say that, okay, these people who have more exposure to this are more likely based on the data to have lower levels of testosterone. And then looking at the mechanisms of how they interact with the production of testosterone, and I'm not an expert in those areas, but certainly there has been sort of plausible mechanisms of how these

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  39. Could. I mean, like it's not everybody, right? Think about how many people drink from plastic water bottles, but if you can decrease your exposure, right, it's probably additive. So the more exposure you have, the more likely it is to impact your body.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  40. That, but we think that is probably playing a role and reducing the exposure to these endocrine disrupting chemicals. So we tell people try not to drink out of plastic water bottles, try to warm up food and glass and avoid plastic. I mean, these are easy things you can do. But if you want to stress about the amount of plastics in the environment, like there's not much you can do on an individual level. So I tell people, do the things you can control. And the other things sort of, you know, we have to work on as a society.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  41. Yes, it is true. So we're not only seeing a decline in testosterone levels, but we're seeing a decline in sperm quality and sperm numbers. So the concentration of sperm and over the course of the last 50 years. And there's a lot of reasons for that. One is that society has become more sedentary. We're seeing people less active getting more and more metabolic conditions like diabetes, high blood pressure. These conditions then cause endocrinologic abnormalities. They cause problems with blood flow. And all these things can affect the quality of your sperm as well as the quality of your testosterone production. And then also there's more, we think in the environments, we know there's more microplastics and more endocrine disrupting chemicals right in the environment. So that is probably playing a role. Now we don't have like exact quantitative data.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  42. So food, you know, there is a lot of data on food. But the most data is on the Mediterranean diet. And that's because that's the most well-studied in medicine, but essentially having vegetables, fruit, low amounts of processed foods, good healthy fats, nuts and seeds. So a lot of people don't realize, but you need good fat to have testosterone. Testosterone is a production, is in the cholesterol pathways. And so it comes from those pathways. And so you need to have some level of fat. If you have too low fat of a diet, that'll also affect your testosterone. So ideally, what I tell people is, well, there's lots of data on different types of diets, the important thing to know is you want to avoid processed foods, avoid a lot of sugar, and have good healthy fats in your diet.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  43. That's not a large percentage of people, right? But it's certainly, you know, it's like I'm so healthy. I'm the healthiest I could ever be. And I'm having low testosterone. Why is that?

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  44. So, doing the largest muscle groups, so usually the lower extremities, and using those have been shown to boost testosterone more significantly than any other type of exercise. In fact, when you do cardiovascular, high intensity cardiovascular endurance training, so say you're doing ultramans marathons all the time, long bike rides, long swimming, you know, swimming for long periods of time, that can actually increase your cortisol, your stress, because your body's having a stress response, and that can actually reduce your testosterone. So it's important to do cardiovascular exercise, aerobic exercise, but in moderation because we do see some people who are great athletes who run miles and miles and miles, but their testosterone is low because they've been doing this chronic long duration endurance exercise.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  45. Absolutely. So number one is sleep. So sleep is really, really important for testosterone. We know that when you reduce the amount of sleep you have, so for example, you sleep less than six, five or six hours, you're going to have at least 10 to 15% reduction in testosterone. And so because our body follows a circane rhythm. And so when your testosterone's highest is in the morning and it starts to decline over the course of the day, there's a little bit of a bump again and then it goes back down at nighttime it's low and your body when it's sleeping replenishes that testosterone. And so if you're getting either less number of hours of sleep or poor quality sleep, meaning you're, you know, you're not feeling very rusted when you wake up. That's a sign of poor quality sleep. Both of those things can dramatically affect your testosterone. The other thing that you can do is exercise and specifically resistance exercise.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  46. Won't work for everybody. So if it's not truly a low testosterone, meaning you have normal levels of testosterone, likely your testosterone receptors are completely saturated. More testosterone is not going to fix the problem. So it depends on your individual level of hormones. But at some point, more is not better. In fact, more can be dangerous. And so it's really dependent on your individual level. So giving yourself, like, if I give a guy who has completely normal testosterone levels, both free and total testosterone, all completely normal, and I give him testosterone, probably nothing's going to change because his testosterone receptors are already fully saturated with testosterone. So more is not going to do anything.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  47. Sort of an abstract thing, stress affects our physiology, right? So when you have a lot of stress in life, whether it be work, relationship stress, kid stress, whatever it is, right, it raises your cortisol level. And when your cortisol level is high, you can't produce testosterone. It goes down. And so if you're chronically stressed, which many of us are, right? You spend like in today's modern society, chronic stress is like a real problem, then that is going to really impact your libido. So yeah, your hormones may suffer because of it, but if you don't fix the stress, like you're not going to fix the root cause of the problem.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  48. Can be so testosterone is the most notorious hormone for desire, right? In both men and women. And I think this is a big misconception is that we don't talk about testosterone in women. But testosterone in women is more predominant than actually estrogen. We have more testosterone in our bodies than we do estrogen. And testosterone is very important for desire in both men and women. But anything that is interacts with testosterone is also important. So thyroid hormone can cause issues with testosterone, prolactin, which is another hormone made by the brain can also interact with testosterone. So essentially evaluating those things and making sure that your levels are normal or

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  49. It can, it can. So the opposite is true. But that's because if you expect, that's why I say intimacy and not sex. So if you say you're going to have sex, it can be like, oh my God, what if I don't perform? What if I don't do right? What if I don't want sex? What if it hurts? Right. So you can also have that sort of rumination and spiral. But if you're like, look, all we're going to do is be together and be intimate. We're not going to just go have dinner and talk. We're going to like literally be together, not have our phones with us, maybe like touch each other, maybe get undressed, maybe just, you know, feel what it feels like. And that's it. There's no expectation of sex from either side. We're going to go in knowing that. And then slowly work our way towards like, okay, you know what? Like maybe sex will happen and maybe it won't. And over time, as you keep putting on the calendar, prioritizing your intimacy with your partner, then eventually you'll get to a point where, oh, you remember, you recall that connection you used to have. And then you can actually find that joy again of.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT

  50. That you are going to be intimate together at this time. And I know that sounds weird, right? Like you're looking at me like, I'm crazy, but we put on the calendar when we want to work out. We put on the calendar when we want to have brunch with our friends. We put on the calendar when whatever, right? And when we were younger, when we used to have dates with people, we would say, okay, we're going to go on a date on Friday night. We would know that sex is on the table with our partner on Friday night. So we'd get really excited about it. We'd be like, okay, I'm going to shave. I'm going to look real pretty. I'm going to smell good. I'm going to do all the things that make me desirable and feel confident and be ready to have sex, right? And so you'd be like really excited about it. And then you would have all this anticipation about how fun it's going to be.

    2024-04-01 · The Diary of a CEO · The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! This Is The Perfect Amount Of Times To Have Sex! Strong Pelvic Floor = Better Sex! Dr Rena Malik · IDENTIFIED FROM THE TRANSCRIPT