BETTER! Building bodies women can trust with Dr. Stephanie Estima Orgasms as Medicine: De-Stigmatizing Sex & Pelvic Wellness in Perimenopause with Dr. Rena Malik
Dec 15, 2025
Dr. Rena Malik, a board-certified urologist and sexual medicine expert, dives deep into female sexual health. She breaks down pelvic floor dysfunction and discusses the alarming prevalence of urinary incontinence among women. The conversation touches on menopause’s impact on sexual wellness, revealing the 'orgasm gap' affecting many. Dr. Malik also tackles the complexities of desire in midlife and the often misunderstood effects of pornography on expectations and sexuality. Her insights aim to empower women and destigmatize important health topics.
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What To Expect In A Pelvic Floor Exam
- A pelvic floor exam includes external inspection, functional movements, and an internal palpation to assess strength and relaxation.
- Seek a urogynecology specialist if symptoms change or you need targeted evaluation.
Menopause Often Causes Genitourinary Changes
- Genitourinary syndrome of menopause affects about 80% of women and worsens over time.
- Vaginal estrogen is a safe, effective, low-systemic treatment to relieve these symptoms.
Clitoris: The Pleasure-Only Organ
- The clitoris is anatomically homologous to the penis and has about 10,000 nerve endings.
- It engorges with blood and is the most reliable route to orgasm in people with vulvas.
