What Actually Makes Someone Good in Bed? It’s Not How Long They Last

Dr. Alan Shindel, Dr. Christian Nelson, and Dr. Justin Dubin—leaders in sexual medicine and men's health—join Rena Malik, MD to break down the realities of premature ejaculation. The group challenges myths about duration, reveals why lasting longer isn't always better, and explains why most women don't orgasm from penetration alone. The episode dives into the real clinical definitions, biological and psychological causes, the impact of relationship dynamics and communication, and what actually works for treatment—including behavioral therapies, mental health support, medications, and lifestyle changes. The discussion also confronts misinformation from social media, porn, and online supplements or gadgets, and draws clear lines between evidence-based strategies and hype. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction00:02:52 How Long Should Sex Last?00:04:02 Rethinking Sex Beyond Penetration00:11:44 Porn, Pressure, and Expectations00:13:52 What Counts as Premature Ejaculation?00:17:46 Partner Expectations and Relationship Strain00:24:54 Anxiety, ED, and Rushing to Finish00:27:26 Biological and Psychological Causes00:34:52 Communication and Therapy00:46:14 Behavioral Tools and Pelvic Floor PT01:20:07 Medications and Treatment Options01:28:06 Online Misinformation and Myths Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/RENA #rulapod Unlock your best hair & skin with @iRestorelaser and HUGE savings on iRESTORE with code RENA at https://irestore.com/RENA! #irestorepod Stay connected with Dr. Alan Shindel, Dr. Justin Dubin, and Dr. Christian Nelson on social media for daily insights and updates. Don’t miss out—follow them now and check out these links! Dr. Alan Shindel:https://urology.ucsf.edu/people/alan-shindel LINKEDIN - https://www.linkedin.com/in/alan-shindel-6925844b Dr. Justin Dubin: INSTAGRAM - https://www.instagram.com/justindubinmd/?hl=en X - https://x.com/justindubinmd?lang=en LINKEDIN - https://www.linkedin.com/in/justin-dubin-m-d-9a9b7917 Dr. Dubin is also the co-host of The Man Up Podcast: YOUTUBE - https://www.youtube.com/@themanuppod INSTAGRAM - https://www.instagram.com/themanuppod/?hl=en APPLE PODCAST - https://podcasts.apple.com/us/podcast/man-up/id1582655811 SPOTIFY - https://open.spotify.com/show/1FkEhH04XdxruNg1xxsEdo Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ 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. Learn more about your ad choices. Visit megaphone.fm/adchoices