Show notes
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.
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▶️Chapters:
00:00:00 Introduction
00:02:52 How Long Should Sex Last?
00:04:02 Rethinking Sex Beyond Penetration
00:11:44 Porn, Pressure, and Expectations
00:13:52 What Counts as Premature Ejaculation?
00:17:46 Partner Expectations and Relationship Strain
00:24:54 Anxiety, ED, and Rushing to Finish
00:27:26 Biological and Psychological Causes
00:34:52 Communication and Therapy
00:46:14 Behavioral Tools and Pelvic Floor PT
01:20:07 Medications and Treatment Options
01:28:06 Online Misinformation and Myths
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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
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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.
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