The Curbsiders Internal Medicine Podcast8 Okt 2018

#118 Female Sexual Problems with Stacy Lindau MD

Houston, we have a female sexual dysfunction problem. Female sexual problems, which can affect women of all ages, are underdiagnosed and undertreated--in part because clinicians are not the best at asking about sex in primary care visits. In the course of this episode, learn about how to have that sex talk you’ve (maybe) been avoiding, what to ask when working up sexual problems in women, and find the words to talk to patients about sex. Today, we’re lucky to have the female sexual health expert of experts, Dr. Stacy Lindau, MD, MA, Professor of Obstetrics and Gynecology and Medicine-Geriatrics at the University of Chicago Medicine, on the show to teach us the best “sex talk” language, the differential for female sexual problems, and explore therapies. Sadly, there’s no sildenafil-like magic bullet, but a multidisciplinary team can make real impact on female sexual problems. Don’t forget to check out http://womanlab.org

Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written and produced by: Nora Taranto MS4

Hosts: Leah Witt MD and Matthew Watto MD

Infographic: Leah Witt MD

Editor: Matthew Watto MD

Guest: Stacy Lindau MD

Time Stamps

00:00 Disclaimer
00:35 Intro and guest bio
03:30 Guest one liner, book recommendations, favorite failure, career advice and picks of the week
12:57 Clinical Case of female sexual dysfunction and some definitions
15:08 Are sexual problems a normal part of aging?; How to take a sexual history; Etiology of sexual dysfunction; “Diagnostic sex”; Red flags
27:54 Medications that contribute to sexual dysfunction
31:00 Labs
34:45 Treatment: pelvic PT, medications, counseling, flibanserin, herbal supplements
49:05 Screening for female sexual problems
51:58 Take home points; WomanLab.org
55:19 Outro

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