Andrew Huberman: belief

Transcript context

…So I went down a rabbit hole. Sexology, there’s journals on sex. Oh, yeah. Sure. And some of them, not all, quite reputable and some of them really pioneering in the sense that they’ve taken on topics that are considered outside the main frame of what people talk about, but they’re very important. We have episodes coming out soon with, for instance, the Head of Male Urology, Sexual Health and Reproductive Health at Stanford, Michael Eisenberg. But also one with a female urologist, sexual health, reproductive health, Dr. Rena Malik, who has a quite active YouTube presence. She does these really dry, scientific presentation, but very nice. She has a lovely voice. But she’ll be talking about erections or squirting. She does very internet-type content, but she’s a legitimate urologist, reproductive health expert. And in the podcast, we did talk about both male and female orgasm. We talked a lot about sexual function and dysfunction. We talked a lot about pelvic floor. One interesting factoid is that only 3% of sexual dysfunction is hormonal, endocrine, in nature. It’s more often related to some pelvic floor or vasculature, blood flow related or other issue. And then when Eisenberg came on the podcast, he said that far less sexual dysfunction is psychogenic in origin than people believe. That far more of it is pelvic floor, neuro and vascular. It’s not saying that psychogenic dysfunction doesn’t exist, but that a lot of the sexual dysfunction that people assume is related to hormones or that is related to psychogenic issues are related to vascular or neural issues. And the good news is that there are great remedies for those. And so both those episodes detail some of the more salient points around what those remedies are and could be. One of the, again, factoids, but it was interesting that a lot of people have pelvic floor issues and they think that their pelvic floors are, quote, unquote, messed up. So they go on the internet, they learn about Kegels. And it turns out that some people need Kegels, they need to strengthen their pelvic floor. Guess what? A huge number of people with sexual and urologic dysfunction have pelvic floors that are too tight and Kegels are going to make them far worse, and they actually need to learn to relax their pelvic floor. And so seeing a pelvic floor specialist is important. I think in the next five, 10 years, we’re going to see a dramatic shift towards more discussion about sexual and reproductive health in a way that acknowledges that, yeah, the clitoris comes from the same origin tissue as the penis. And in many ways the neural innervation of the two, while clearly different, has some overlapping features that there’s going to be discussion around anatomy and hormones and pelvic floors in a way that’s going to erode some of the cloaking of these topics because they’ve been cloaked for a long time and there’s a lot of… Well, let’s just call it what it is. There’s a lot of bullshit out there about what’s what. rode some of the cloaking of these topics because they’ve been cloaked for a long time and there’s a lot of… Well, let’s just call it what it is. There’s a lot of bullshit out there about what’s what. Now, the hormonal issues, by the way, just to clarify, can impact desire. So a lot of people who have lack of desire as opposed to lack of anatomical function, this could be male or female that can originate with either things like SSRIs or hormonal issues. And so we talk about that as well. So it’s a pretty vast topic.…

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