397. Testosterone, hair loss, the female prostate and more with Dr. Yih
From You Are Not Broken · 00:46:14
Show by Kelly Casperson, MD
Episode 397: Dr. Jessica Yih on Sexual Health, Testosterone, and Hair LossDoes testosterone always make your hair fall out?No. But that’s what a lot of people, including a lot of doctors, believe.This week I’m joined by my friend Dr. Jessica Yih, a professor at UC Irvine who works in sexual health. We talk about why research takes so long to reach patients, what it’s like being a woman in urology, why informed consent before pelvic surgery should include sexual function, and what the evidence actually says about testosterone and hair loss.It’s a wide-ranging and honest conversation about how sexual medicine research and care really work, and where they still fall short.In this episode:Research barriers. Bureaucratic hurdles and open-access publishing, including research on vaginal estrogen and on testosterone and hair loss. Research delays cost lives and slow progress.Women in urology. Why women are still underrepresented in urology and academic medicine, and why mentorship and representation matter.Dr. Yih’s path to urology. An elective, and placing a ureteral stent, drew her to the field.Rethinking anatomy. How learning about the female prostate and Skene’s glands changed her understanding of sexual anatomy.Informed consent after pelvic surgery. Patients deserve to hear about possible changes in sexual function. That doesn’t mean don’t have surgery. It means know what you’re signing up for.Fellowship work. Persistent sexual side effects after SSRIs, post-finasteride syndrome, and how hard it can be to find a clinician who understands either one.Testosterone and hair loss. We challenge the assumption that testosterone always causes hair loss. We go through the evidence and the open questions, the difference between serum hormone levels and what may be happening at the follicle, and how to think about hair loss before starting treatment.The placebo effect. What it tells us about testosterone studies.Conference highlights. Pellets versus gel, injections, lab testing and assay accuracy, prescribing practices, and new research on women’s sexual health.Advocacy. Why public comments to the FDA matter.Blood flow and sexual response. A small study of sublingual testosterone combined with sildenafil, and a vibrator study measuring clitoral blood flow. Blood flow is key to sexual health and response.Looking ahead. Education, mentorship, and Dr. Yih’s work in sexual health across genders and in male infertility.https://www.instagram.com/drsexandsperm/As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Clinic is OpenListen to this podcast on Pinnacle to earn CMEThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThis episode is sponsored by Joi and Blokes.If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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