Moment: They Took This Medication… and Lost Pleasure During Orgasm (PSSD?)
Moment: They Took This Medication… and Lost Pleasure During Orgasm (PSSD?)  
Podcast: Rena Malik, MD Podcast
Published On: Wed May 20 2026
Description: In this episode, Dr. Rena Malik sits down with Dr. Irwin Goldstein to explore the complex effects of commonly prescribed medications—like SSRIs and finasteride—on sexual function. They break down the science behind persistent sexual side effects, new diagnostic ultrasound techniques, and the challenges patients face in navigating these risks. Listeners gain crucial insights into medication-induced sexual dysfunction and the importance of thoughtful, informed healthcare decisions. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 SSRIs and sexual dysfunction00:23: Irreversible neuronal changes01:13: Risks vs. benefits of SSRIs02:23: PSSD timing and presentation05:12: 5-alpha reductase inhibitors06:13: PFS and comparison to PSSD09:01: Penile fibrosis and ultrasound12:42: Erection hardness scale14:11: Viagra study and publication18:06: Sexual medicine gaps in gynecology 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 ------------------------------------------------------ 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. Learn more about your ad choices. Visit megaphone.fm/adchoices