1 00:00:00,080 --> 00:00:02,880 Speaker 1: And it is on Wednesday nights. At this time, Tracy 2 00:00:03,000 --> 00:00:06,120 Speaker 1: Ying from the Green Dispensary comes in and joins us 3 00:00:06,160 --> 00:00:09,000 Speaker 1: and Tracy, what about six weeks ago, I think we 4 00:00:09,080 --> 00:00:15,360 Speaker 1: had in doctor Foriba, Bennie Willison gynecologist extraordinary and the 5 00:00:15,480 --> 00:00:17,840 Speaker 1: feedback from that was just so strong. 6 00:00:18,360 --> 00:00:20,200 Speaker 2: New feedback was mind blowing. 7 00:00:20,400 --> 00:00:22,599 Speaker 1: Yeah, so you've brought it back and we'll be talking 8 00:00:22,640 --> 00:00:25,240 Speaker 1: about sexual dysfunction tonight for older women. 9 00:00:25,320 --> 00:00:25,840 Speaker 2: Well that's it. 10 00:00:26,040 --> 00:00:30,200 Speaker 3: And we thought because of the feedback on the last session, 11 00:00:30,240 --> 00:00:34,479 Speaker 3: which was amazing, and yeah, I know a lot of 12 00:00:34,520 --> 00:00:37,839 Speaker 3: people reached out to doctor Fariba for help, not realizing 13 00:00:37,880 --> 00:00:40,360 Speaker 3: they could get help. And I also had a lot 14 00:00:40,360 --> 00:00:42,239 Speaker 3: of calls and a lot of feedback. So and I 15 00:00:42,240 --> 00:00:44,559 Speaker 3: think it's great. I think, you know, we're finally in 16 00:00:44,560 --> 00:00:48,040 Speaker 3: this position where we can professionally talk about these topics 17 00:00:48,320 --> 00:00:51,800 Speaker 3: that effect fifty percent of our population over the age 18 00:00:51,840 --> 00:00:53,240 Speaker 3: of about forty five fifty. 19 00:00:53,440 --> 00:00:55,360 Speaker 2: So how good is it that we. 20 00:00:55,440 --> 00:00:59,120 Speaker 3: Can continue these conversations. And I look at this topic 21 00:00:59,160 --> 00:01:02,279 Speaker 3: tonight and I think, you know, I doubt whether it's 22 00:01:02,320 --> 00:01:05,800 Speaker 3: been spoken about on air a lot, but how great 23 00:01:05,880 --> 00:01:09,280 Speaker 3: that we can have these conversations in a professional manner 24 00:01:09,880 --> 00:01:13,160 Speaker 3: our audience can listen. Women want to know that they're 25 00:01:13,240 --> 00:01:17,440 Speaker 3: heard and see. But two quite often men, particularly in 26 00:01:17,480 --> 00:01:21,440 Speaker 3: older generations, have no idea what the women are experiencing. 27 00:01:21,560 --> 00:01:24,759 Speaker 3: So absolutely I am so proud to bring back Dr 28 00:01:24,800 --> 00:01:28,559 Speaker 3: Fariba Bennya Willison from FBW Gynecology Plus with me tonight. 29 00:01:28,760 --> 00:01:32,080 Speaker 1: Okay, terrific forever. How have you been well? 30 00:01:32,200 --> 00:01:33,399 Speaker 4: Thank you for having moved back. 31 00:01:33,560 --> 00:01:35,720 Speaker 1: You were saying that you had so many calls after 32 00:01:35,760 --> 00:01:39,440 Speaker 1: you were last one, people wanting help for the urinary. 33 00:01:39,760 --> 00:01:42,640 Speaker 4: Operated on three of the men. Really, he told me 34 00:01:42,760 --> 00:01:46,080 Speaker 4: they never knew that there is a solution to prolapse 35 00:01:46,120 --> 00:01:46,800 Speaker 4: on your continents. 36 00:01:46,959 --> 00:01:48,400 Speaker 1: Yeah, okay, so. 37 00:01:50,160 --> 00:01:54,360 Speaker 4: Your coality of life for them to congratulations. 38 00:01:53,480 --> 00:01:56,240 Speaker 1: To you both, okay, well and to you now. We're 39 00:01:56,280 --> 00:02:00,440 Speaker 1: talking about sexual dysfunction tonight, and I suppose the first 40 00:02:00,480 --> 00:02:03,880 Speaker 1: question why are there so many women who experience pain 41 00:02:04,000 --> 00:02:07,080 Speaker 1: or loss of pleasure during sex as they get older? 42 00:02:07,160 --> 00:02:11,320 Speaker 1: Why is it often not discussed openly or do they 43 00:02:11,560 --> 00:02:15,600 Speaker 1: do women talk to their gps or specialists about it. 44 00:02:15,639 --> 00:02:19,400 Speaker 4: There are a number of problems why these issues are 45 00:02:19,400 --> 00:02:22,520 Speaker 4: not discussed, and one of them is the taboo. Sex 46 00:02:22,680 --> 00:02:25,680 Speaker 4: is a taboo subject if we have a look at 47 00:02:25,720 --> 00:02:29,560 Speaker 4: our society. Seventy to nine percent of our teenagers get 48 00:02:29,639 --> 00:02:34,360 Speaker 4: the information from porn sites crazy, So it means that 49 00:02:34,400 --> 00:02:37,680 Speaker 4: the parents are not discussing things. School is teaching some 50 00:02:37,760 --> 00:02:42,639 Speaker 4: kind of program, but you know, very limited. And what 51 00:02:42,680 --> 00:02:46,680 Speaker 4: it means that our boys think that our daughters should 52 00:02:46,720 --> 00:02:50,680 Speaker 4: be porn stars, and our daughters think that they should 53 00:02:50,680 --> 00:02:53,079 Speaker 4: look like a porn start to be and that's when 54 00:02:53,160 --> 00:02:57,120 Speaker 4: their problems with eating habits comes, and that's why they 55 00:02:57,160 --> 00:03:00,560 Speaker 4: want to have all these cosmetic surgery and so on 56 00:03:02,120 --> 00:03:05,200 Speaker 4: in order to compete with those kind of women. And 57 00:03:05,320 --> 00:03:09,720 Speaker 4: if they have these professional open conversations, we actually save 58 00:03:09,880 --> 00:03:13,320 Speaker 4: our children and society. And there is no point saying 59 00:03:13,360 --> 00:03:16,600 Speaker 4: because my mother didn't talk to me, or my family 60 00:03:16,639 --> 00:03:19,480 Speaker 4: didn't talk to me, or culturally, there is not something 61 00:03:19,520 --> 00:03:22,280 Speaker 4: that we talk about that we continue to trend. So 62 00:03:22,360 --> 00:03:24,920 Speaker 4: I'm really proud of both of you to invite me 63 00:03:25,160 --> 00:03:30,440 Speaker 4: here to talk about this problem collectively and assist the 64 00:03:30,480 --> 00:03:32,040 Speaker 4: society in one way or the other. 65 00:03:32,280 --> 00:03:35,160 Speaker 1: Do you get many patients breaching this with you? 66 00:03:35,280 --> 00:03:39,680 Speaker 4: Yes, yes, I get the patients unfortunately after they had 67 00:03:39,760 --> 00:03:44,400 Speaker 4: eight to ten years of problem, when they absolutely had 68 00:03:44,520 --> 00:03:49,560 Speaker 4: enough or their relationship is really jupidized that they think, okay, 69 00:03:49,640 --> 00:03:52,600 Speaker 4: I go and you know, I have a chat, or 70 00:03:52,640 --> 00:03:55,800 Speaker 4: they come for other reasons such as pap smear and 71 00:03:55,840 --> 00:03:59,480 Speaker 4: I perform an examination and they are in pain and 72 00:03:59,520 --> 00:04:02,960 Speaker 4: then as value didn't tell me that you have painful intercourse, 73 00:04:03,040 --> 00:04:06,320 Speaker 4: and that is when they start to cry, and one 74 00:04:06,520 --> 00:04:10,800 Speaker 4: tissue box later you find out that they had, you know, 75 00:04:11,040 --> 00:04:14,200 Speaker 4: bottled up this problem for many, many years, there has 76 00:04:14,280 --> 00:04:17,000 Speaker 4: been things that they might have an affair with somebody 77 00:04:17,040 --> 00:04:19,760 Speaker 4: else because they don't want to have pain. But their 78 00:04:19,800 --> 00:04:23,440 Speaker 4: problem is either embarrassment because they have products on incontinence 79 00:04:23,600 --> 00:04:26,520 Speaker 4: and they leak at the time of intercourse, or they 80 00:04:26,560 --> 00:04:30,440 Speaker 4: don't feel the sensation, or they feel vaginal laxity. That's 81 00:04:30,440 --> 00:04:32,880 Speaker 4: why they don't want to have pain. Sometimes it is 82 00:04:33,000 --> 00:04:36,600 Speaker 4: lack of estrogen that causes thinness of the vaginal wall, 83 00:04:37,120 --> 00:04:40,200 Speaker 4: and that is very painful because you know, vagina is 84 00:04:40,320 --> 00:04:43,679 Speaker 4: quite estrogen sensitive, and when we don't when the ovaries 85 00:04:43,760 --> 00:04:49,280 Speaker 4: don't work, that's the very very first places that becomes uncomfortable. 86 00:04:49,520 --> 00:04:52,640 Speaker 4: And especially we wash ourselves a lot with you know, jeans, 87 00:04:53,080 --> 00:04:57,479 Speaker 4: putting andies on sitting on chairs. It is constant rubbing 88 00:04:57,920 --> 00:05:00,600 Speaker 4: that causes are also fitted called. 89 00:05:02,160 --> 00:05:04,440 Speaker 2: Extraction and like sandpaper. 90 00:05:05,080 --> 00:05:10,560 Speaker 4: And then also after menopause, your sexual desire is not 91 00:05:10,680 --> 00:05:14,200 Speaker 4: that much because over is also produced testesterone, So you 92 00:05:14,520 --> 00:05:20,000 Speaker 4: can't initiate their wanting to have intimacy. And when it 93 00:05:20,120 --> 00:05:22,960 Speaker 4: is initiated, you don't want to carry on because it 94 00:05:23,080 --> 00:05:26,080 Speaker 4: is painful. And the husband's often say I understand, and 95 00:05:26,480 --> 00:05:29,719 Speaker 4: I want to support my wife, and okay, I don't 96 00:05:29,720 --> 00:05:34,320 Speaker 4: want it. But then the relationship grows colder and colder, 97 00:05:34,880 --> 00:05:37,800 Speaker 4: and people should know that there is a solution to that. 98 00:05:38,160 --> 00:05:40,839 Speaker 3: There is and we know the you know what the 99 00:05:40,880 --> 00:05:43,880 Speaker 3: body does at the time of menopause. We know men 100 00:05:44,040 --> 00:05:47,360 Speaker 3: have a very slow decline in testosterone one to three 101 00:05:47,400 --> 00:05:50,960 Speaker 3: percent a year over their lifespan from about the age 102 00:05:51,000 --> 00:05:54,000 Speaker 3: of twenty five, where women it starts to get a 103 00:05:54,080 --> 00:05:56,800 Speaker 3: bit all over the place in the early forties and 104 00:05:56,839 --> 00:05:59,200 Speaker 3: that continues on to menopause. 105 00:05:58,839 --> 00:06:00,520 Speaker 2: And then it's like an abrupt tolt. 106 00:06:00,720 --> 00:06:04,159 Speaker 3: So in a scientific way you look at it, the 107 00:06:04,200 --> 00:06:07,000 Speaker 3: body is no longer egg supplies gone, you're not looking 108 00:06:07,040 --> 00:06:07,800 Speaker 3: to reproduce. 109 00:06:08,120 --> 00:06:08,880 Speaker 2: But they're the. 110 00:06:08,800 --> 00:06:12,960 Speaker 3: Hormones that drove you to seek out a partner because 111 00:06:13,160 --> 00:06:16,279 Speaker 3: you were looking to reproduce. So once those eggs have gone, 112 00:06:16,680 --> 00:06:20,240 Speaker 3: like doctor Freeber just said, they not only produce your 113 00:06:20,320 --> 00:06:25,400 Speaker 3: progesterone and other hormones, they've also produced testosterone, which gives 114 00:06:25,440 --> 00:06:28,680 Speaker 3: you a libido. So that just comes to a kind 115 00:06:28,720 --> 00:06:30,800 Speaker 3: of an abrupt holt for a lot of women, and 116 00:06:30,839 --> 00:06:33,920 Speaker 3: it can be very confronting because you no longer have 117 00:06:34,040 --> 00:06:37,560 Speaker 3: that libido or desire to want to seek out that 118 00:06:37,880 --> 00:06:39,040 Speaker 3: intimate relationship. 119 00:06:39,200 --> 00:06:41,279 Speaker 1: There's a lot of moving parts, so isn't there Because 120 00:06:41,360 --> 00:06:43,919 Speaker 1: last night I had on Professor Gary Whittett who is 121 00:06:44,240 --> 00:06:47,719 Speaker 1: a men's health specialist and he's running a seminar tomorrow 122 00:06:47,800 --> 00:06:51,359 Speaker 1: night at Samury talking about a whole range of things 123 00:06:51,400 --> 00:06:56,880 Speaker 1: and what dovetails into this really nicely is increased, well, 124 00:06:56,920 --> 00:06:59,640 Speaker 1: not in a good way though, increasing rates of obesity 125 00:06:59,720 --> 00:07:04,400 Speaker 1: that are having an effect on blokes, including a rectile dysfunction. 126 00:07:04,760 --> 00:07:09,760 Speaker 1: So while women might be going through menopause, men especially 127 00:07:09,800 --> 00:07:13,560 Speaker 1: if they're overweight, sleeping issues, maybe depression, you know, a 128 00:07:13,600 --> 00:07:15,760 Speaker 1: whole range of different things, making drinking. 129 00:07:15,680 --> 00:07:17,280 Speaker 2: Even medications, animations. 130 00:07:17,480 --> 00:07:22,160 Speaker 1: Yeah, so you've got blokes having their own issues to 131 00:07:22,200 --> 00:07:26,280 Speaker 1: do with intimacy ultimately and women there, so you know, 132 00:07:26,320 --> 00:07:28,440 Speaker 1: it kind of feed. They both feed into each other 133 00:07:28,440 --> 00:07:31,760 Speaker 1: to a degree, and that's lifestyle. That's Western society these days. 134 00:07:31,920 --> 00:07:37,240 Speaker 4: Women. Obesity also affects women's desire to help indicates because 135 00:07:37,600 --> 00:07:43,720 Speaker 4: they don't find themselves attractive, might be a bit embarrassed 136 00:07:43,760 --> 00:07:47,840 Speaker 4: about the body's shape. But you know, all of that 137 00:07:47,880 --> 00:07:51,360 Speaker 4: we can address, and I think obesity should not be 138 00:07:51,480 --> 00:07:57,400 Speaker 4: a shameful problem. It is actually a chronic disorder like behabdiabetes, 139 00:07:57,520 --> 00:08:02,040 Speaker 4: and we need insulin for it. The obviousity should be 140 00:08:02,160 --> 00:08:07,040 Speaker 4: recognized as the chronic condition in this country. Unfortunately isn't, 141 00:08:07,080 --> 00:08:11,720 Speaker 4: but many countries are. Many countries ozenpic or other medication 142 00:08:11,840 --> 00:08:15,520 Speaker 4: are available to people for free because they don't want 143 00:08:15,560 --> 00:08:18,080 Speaker 4: them to get diabetes in order to get the insulin. 144 00:08:18,240 --> 00:08:21,320 Speaker 4: But there's a lot of resistance from the drug companies 145 00:08:21,640 --> 00:08:24,080 Speaker 4: who sell insulin and so on that they don't want 146 00:08:24,440 --> 00:08:27,880 Speaker 4: this kind of medication to go on the PBS. But 147 00:08:28,160 --> 00:08:33,240 Speaker 4: obesity is a general problem across the society. 148 00:08:32,240 --> 00:08:35,800 Speaker 1: All right. What happens to a woman's body, and Tracy 149 00:08:35,880 --> 00:08:39,160 Speaker 1: touched on this a bit earlier after menopause that affects 150 00:08:39,200 --> 00:08:40,960 Speaker 1: sexual comfort and intimacy. 151 00:08:41,040 --> 00:08:44,120 Speaker 4: So the east regen levels drop and when the estrogen 152 00:08:44,200 --> 00:08:48,440 Speaker 4: levels drop. Also, remember that women have gone through childbirth. 153 00:08:49,040 --> 00:08:53,559 Speaker 4: We talked about products and incontinence previously. The connective tissue 154 00:08:53,640 --> 00:08:57,000 Speaker 4: is weakened because of the lack of estrogen. The pelvic 155 00:08:57,040 --> 00:09:02,400 Speaker 4: floor muscles, the tone is not there, and also the 156 00:09:02,559 --> 00:09:06,000 Speaker 4: lubrication goes down. In the vagina, we don't have any 157 00:09:06,040 --> 00:09:10,920 Speaker 4: glance to produce secretion. We are relying on the number 158 00:09:10,960 --> 00:09:13,360 Speaker 4: of cells that we have in the vagina. So if 159 00:09:13,360 --> 00:09:17,560 Speaker 4: you have a few cells, the lubrication is very little. 160 00:09:17,800 --> 00:09:21,760 Speaker 4: But if you have a healthy vagina, then obviously the 161 00:09:21,840 --> 00:09:25,080 Speaker 4: discharge is much better. So but it is not the 162 00:09:25,160 --> 00:09:28,240 Speaker 4: end of the world when this kind of thing happened. 163 00:09:28,240 --> 00:09:30,679 Speaker 4: There are solutions for it. First of all, World War 164 00:09:30,760 --> 00:09:34,360 Speaker 4: care is really important that women don't wash themselves with 165 00:09:34,559 --> 00:09:38,560 Speaker 4: soap and anything like that, because often when women go 166 00:09:38,640 --> 00:09:41,440 Speaker 4: through menopause they start to have a funny smell as well, 167 00:09:41,920 --> 00:09:44,760 Speaker 4: and they think, oh, that is infection, and they go 168 00:09:44,920 --> 00:09:48,520 Speaker 4: wash themselves again and wash themselves again. The reason is 169 00:09:48,559 --> 00:09:50,760 Speaker 4: that when you have a healthy vagina, you have lack 170 00:09:50,800 --> 00:09:55,400 Speaker 4: to basilie la to basila produce acidic secretion that kills 171 00:09:55,480 --> 00:09:57,120 Speaker 4: everything that enters the vagina. 172 00:09:57,360 --> 00:10:00,560 Speaker 3: The microbiome is huge for and the reason search coming 173 00:10:00,559 --> 00:10:04,440 Speaker 3: out on the vaginal microbiome is quite extensive. And when 174 00:10:04,440 --> 00:10:08,439 Speaker 3: that changes, when the hormones change, that microbiome changes as well, 175 00:10:08,880 --> 00:10:11,120 Speaker 3: and that then can contribute to the problem. 176 00:10:11,320 --> 00:10:14,320 Speaker 4: And because anus and vagina are very close to each other, 177 00:10:14,720 --> 00:10:18,920 Speaker 4: so the bacteria from directum could go into the vagina 178 00:10:18,960 --> 00:10:23,920 Speaker 4: and colonize, so either thrush or other problems. But the 179 00:10:24,040 --> 00:10:27,680 Speaker 4: vagina is not lubricated enough like the eyes that you know, 180 00:10:27,720 --> 00:10:30,480 Speaker 4: if something goes into the eye washes it out. You 181 00:10:30,559 --> 00:10:35,160 Speaker 4: don't have that mechanism in the vagina any longer, and 182 00:10:35,520 --> 00:10:39,960 Speaker 4: that's why the colonization of some of this bacteria will happen. 183 00:10:41,360 --> 00:10:43,800 Speaker 1: What are the most common sexual issues you see in 184 00:10:43,840 --> 00:10:46,520 Speaker 1: women over fifty and are there any myths that you 185 00:10:46,640 --> 00:10:48,480 Speaker 1: need to take on. 186 00:10:48,480 --> 00:10:51,560 Speaker 4: One of the most important thing is that the reduced 187 00:10:52,440 --> 00:10:56,640 Speaker 4: libidos that we have spoken about and difficulty in achieving orgasm. 188 00:10:57,320 --> 00:10:59,760 Speaker 4: We can see that men when they get older, they 189 00:10:59,800 --> 00:11:03,760 Speaker 4: can't and not hold the erection long and the women 190 00:11:03,920 --> 00:11:06,679 Speaker 4: go to the other side. It is very hard to 191 00:11:06,720 --> 00:11:10,800 Speaker 4: achieve orgasm. And some of it is structural because you know, 192 00:11:10,840 --> 00:11:15,559 Speaker 4: for example, the clitorists can shrink the literal food can 193 00:11:15,679 --> 00:11:19,120 Speaker 4: cover the glitorists, so the stimulation is less. The vagina 194 00:11:19,320 --> 00:11:22,120 Speaker 4: is dry, and you know, the g spots or the 195 00:11:22,160 --> 00:11:26,040 Speaker 4: most sensitive part of the vagina is not stimulated. So 196 00:11:27,240 --> 00:11:29,959 Speaker 4: none of this is myth. All of this is reality. 197 00:11:30,559 --> 00:11:34,800 Speaker 4: And but you know, with you know, just lifting up 198 00:11:34,840 --> 00:11:39,240 Speaker 4: the top of the months, it helps to increase the 199 00:11:39,320 --> 00:11:44,000 Speaker 4: friction and to enjoy sex more. But communicating that to 200 00:11:44,080 --> 00:11:46,320 Speaker 4: your partner, you know you are you are a team. 201 00:11:46,480 --> 00:11:49,959 Speaker 4: You want to enjoy sex together. It's not all on 202 00:11:50,200 --> 00:11:53,440 Speaker 4: women to make men feel better. It is. It is 203 00:11:53,480 --> 00:11:57,319 Speaker 4: a teamwork. It is a couple that get intimate emotionally 204 00:11:57,400 --> 00:12:01,839 Speaker 4: and physically. So one has to expl that this structural 205 00:12:01,960 --> 00:12:05,040 Speaker 4: changes happen. You had me when I was twenty years 206 00:12:05,080 --> 00:12:09,160 Speaker 4: old and beautiful and whatever, and now we have moved on. 207 00:12:09,480 --> 00:12:12,840 Speaker 4: I am beautiful in a different ways. But you know 208 00:12:12,920 --> 00:12:14,920 Speaker 4: some of the things have changed as much as things 209 00:12:15,000 --> 00:12:17,680 Speaker 4: change with men as well as not just women. Okay, 210 00:12:18,000 --> 00:12:22,040 Speaker 4: so and then together they can work. I can't see 211 00:12:22,080 --> 00:12:27,359 Speaker 4: anything wrong with couple introducing sex toys to their relationship 212 00:12:27,760 --> 00:12:31,560 Speaker 4: because you know, it reduces the time for men wanting 213 00:12:31,800 --> 00:12:35,360 Speaker 4: and to hold the erection, but it also helps the 214 00:12:35,360 --> 00:12:38,439 Speaker 4: woman to achieve the orgasm a bit. 215 00:12:38,720 --> 00:12:40,120 Speaker 2: Which is younger than normal. 216 00:12:40,200 --> 00:12:44,080 Speaker 4: Yeah, and help the men to you know, make the 217 00:12:44,120 --> 00:12:45,960 Speaker 4: woman be happy and satisfied. 218 00:12:46,240 --> 00:12:50,080 Speaker 3: How does it change over the years forever with like 219 00:12:50,440 --> 00:12:53,920 Speaker 3: you know, when you're young and active to you know, 220 00:12:54,160 --> 00:12:58,000 Speaker 3: roll on to late fifties, how does that experience change. 221 00:12:58,520 --> 00:13:00,480 Speaker 4: I think when you're young, they don't know what you 222 00:13:00,520 --> 00:13:03,520 Speaker 4: are doing. The hormones are dictating everything. And I think 223 00:13:03,559 --> 00:13:06,800 Speaker 4: we all have experienced this. But when we are older, 224 00:13:06,840 --> 00:13:11,000 Speaker 4: we are we are after connection, we are after intimacy 225 00:13:11,480 --> 00:13:13,720 Speaker 4: rather than just a physical. 226 00:13:13,200 --> 00:13:15,600 Speaker 1: Interaction is not so important. 227 00:13:15,679 --> 00:13:20,680 Speaker 4: That's correct, That's correct. And but you know, regardless of 228 00:13:20,800 --> 00:13:23,640 Speaker 4: when we are having the sexual activities, sex has a 229 00:13:23,640 --> 00:13:27,600 Speaker 4: lot of benefits. It reduces if you have sex three 230 00:13:27,679 --> 00:13:31,280 Speaker 4: times per week, it reduces the risk of heart attack 231 00:13:31,360 --> 00:13:35,199 Speaker 4: by thirty percent, really stroke by thirty percent, depression by 232 00:13:35,280 --> 00:13:35,880 Speaker 4: four percent. 233 00:13:36,480 --> 00:13:37,800 Speaker 2: That's huge statistics. 234 00:13:37,920 --> 00:13:41,760 Speaker 4: Yeah, it works like timuligram of valume. So you sleep better. 235 00:13:41,920 --> 00:13:43,960 Speaker 4: Please don't have sex in the morning and go to 236 00:13:44,040 --> 00:13:45,760 Speaker 4: work or. 237 00:13:45,760 --> 00:13:50,920 Speaker 1: Don't have value why because you'll be late, you will retire. 238 00:13:51,640 --> 00:13:57,559 Speaker 4: And that increased. Having more intercourse, it helps the lubrication 239 00:13:57,760 --> 00:14:01,240 Speaker 4: of the vagina and production of the homos, the test 240 00:14:01,240 --> 00:14:03,920 Speaker 4: teston levels go up, and when you have more testeson, 241 00:14:04,000 --> 00:14:07,920 Speaker 4: especially in women, the confidence goes up. And also when 242 00:14:08,679 --> 00:14:14,120 Speaker 4: when men have intimacy and intercourse, there's a hormone called 243 00:14:14,200 --> 00:14:17,559 Speaker 4: test testerone that is produced more in them, which gives 244 00:14:17,600 --> 00:14:23,080 Speaker 4: them confidence and self esteem. In women, it is more 245 00:14:23,200 --> 00:14:27,880 Speaker 4: the ox tosin that is produced, and the oxytocin is 246 00:14:27,920 --> 00:14:32,560 Speaker 4: a hormone of bonding and wanting, you know. That's why 247 00:14:32,600 --> 00:14:36,960 Speaker 4: when we are also breastfeeding, the oxytocin is produced and 248 00:14:37,480 --> 00:14:40,800 Speaker 4: we bond with our children. That's the same hormone. So 249 00:14:41,000 --> 00:14:44,640 Speaker 4: they're breastfeeding a hormone and the sexual hormone for women 250 00:14:44,720 --> 00:14:48,560 Speaker 4: are the same. That's why women mostly want to know 251 00:14:49,640 --> 00:14:53,640 Speaker 4: someone and then have intimacy with them. Men probably don't 252 00:14:53,680 --> 00:14:57,880 Speaker 4: care that much because it is about oh, I feel confident, 253 00:14:58,040 --> 00:15:00,000 Speaker 4: I can go for the next person, and I feel 254 00:15:00,280 --> 00:15:01,360 Speaker 4: better and so on. 255 00:15:02,160 --> 00:15:06,640 Speaker 1: All right, thirteen to nine, Doctor Fariba Bennier Willison is 256 00:15:06,680 --> 00:15:09,400 Speaker 1: here in the studio gynecologist Tracy Ying as well. It's 257 00:15:09,400 --> 00:15:12,000 Speaker 1: our regular health chat on a Wednesday night, and we'll 258 00:15:12,000 --> 00:15:15,880 Speaker 1: be back right after this. Tracy Ying is here on 259 00:15:15,920 --> 00:15:19,360 Speaker 1: a Wednesday night, so is doctor Fariba Bennier Willison, who's 260 00:15:19,360 --> 00:15:23,360 Speaker 1: a gynecologist and can also answer any questions you have 261 00:15:23,400 --> 00:15:26,240 Speaker 1: in that regard. Although tonight we're talking about the issue 262 00:15:26,480 --> 00:15:32,760 Speaker 1: of sexual dysfunction and Fariba. You mentioned having sex three 263 00:15:32,800 --> 00:15:36,320 Speaker 1: times a week? Is that an average? How? What is 264 00:15:36,400 --> 00:15:38,760 Speaker 1: what happens if you have more or less? 265 00:15:39,240 --> 00:15:42,080 Speaker 4: If you have twice a day, twice a day and 266 00:15:42,320 --> 00:15:44,840 Speaker 4: tomasy you live eight years longer. 267 00:15:45,040 --> 00:15:48,160 Speaker 1: Really? Yes, this is proven? 268 00:15:48,240 --> 00:15:48,320 Speaker 5: Is it? 269 00:15:48,560 --> 00:15:53,280 Speaker 6: You get either young Viria producer in the it is 270 00:15:53,320 --> 00:15:57,080 Speaker 6: an ideology paper, it's me wow, yeah, but three times 271 00:15:57,080 --> 00:16:01,360 Speaker 6: per week it should be because done introduces yourisk of 272 00:16:01,880 --> 00:16:05,080 Speaker 6: heart attack, a stroke and depression. 273 00:16:05,400 --> 00:16:07,200 Speaker 4: It works better than going. 274 00:16:07,000 --> 00:16:08,280 Speaker 1: To gym, I'm sure. 275 00:16:08,320 --> 00:16:11,800 Speaker 4: And it works better than having an ad friend. 276 00:16:11,600 --> 00:16:14,000 Speaker 1: And you don't need a membership and yeah. 277 00:16:13,800 --> 00:16:17,600 Speaker 4: And really, what's the advantage of marriage is through sex? 278 00:16:17,720 --> 00:16:19,960 Speaker 4: Isn't it so that blokes next to you you might 279 00:16:20,000 --> 00:16:20,640 Speaker 4: as well have it? 280 00:16:22,200 --> 00:16:25,560 Speaker 2: Brilliant? What's it for about for the people that come 281 00:16:25,600 --> 00:16:26,280 Speaker 2: to your clinic? 282 00:16:26,600 --> 00:16:29,720 Speaker 3: What would be you know, say, fifty to sixty years 283 00:16:29,720 --> 00:16:32,320 Speaker 3: of age, what would be the average amount that women 284 00:16:32,360 --> 00:16:35,000 Speaker 3: are actually having intercourse? 285 00:16:35,840 --> 00:16:40,000 Speaker 4: Look, I think when you are fifty sixty, depending on 286 00:16:40,520 --> 00:16:44,040 Speaker 4: how long you have been married or in that relationship, 287 00:16:44,080 --> 00:16:48,560 Speaker 4: it matters. It matters how emotionally you are connected. You know, 288 00:16:48,680 --> 00:16:56,160 Speaker 4: sometimes things are a bit boring. You know, you are tired, 289 00:16:56,440 --> 00:16:59,280 Speaker 4: you have parents to look after, children to look after, 290 00:16:59,440 --> 00:17:02,800 Speaker 4: they're more and everything else. So sex is not just 291 00:17:04,119 --> 00:17:07,400 Speaker 4: a physical activity on hormones. It's a lot of aspect 292 00:17:07,440 --> 00:17:12,680 Speaker 4: to it. It is emotional aspect, economical aspect, status, everything. 293 00:17:13,760 --> 00:17:16,879 Speaker 4: So if you want to have a good relationship, you 294 00:17:16,960 --> 00:17:20,240 Speaker 4: have to put effort into it. Okay, because I see 295 00:17:20,359 --> 00:17:23,680 Speaker 4: a woman that is enough sexual intercourse, not at all, 296 00:17:23,760 --> 00:17:26,960 Speaker 4: I couldn't be bothered. Two years later she comes, she 297 00:17:27,160 --> 00:17:30,200 Speaker 4: has she has gone through, divorced, new partner, she has 298 00:17:30,240 --> 00:17:34,040 Speaker 4: sex every day. So it obviously shows that it is 299 00:17:34,080 --> 00:17:37,959 Speaker 4: not the woman that was a problem. It was the relationship. 300 00:17:38,000 --> 00:17:39,960 Speaker 4: And I'm not saying that he was bad or good. 301 00:17:40,119 --> 00:17:42,800 Speaker 4: Sometimes the combination of people is not good and you 302 00:17:42,880 --> 00:17:45,320 Speaker 4: have to work on it, especially the longer you're in 303 00:17:45,359 --> 00:17:48,040 Speaker 4: a relationship, to make it still enjoyable. 304 00:17:48,240 --> 00:17:50,240 Speaker 3: I think that's a perfect way to describe it. And 305 00:17:50,320 --> 00:17:52,760 Speaker 3: while Matthew was doing the live read and talking about 306 00:17:52,840 --> 00:17:56,440 Speaker 3: the Dutch pantry and the fish and the hot chocolate 307 00:17:56,480 --> 00:17:57,640 Speaker 3: and the pancakes and things. 308 00:17:57,840 --> 00:17:59,440 Speaker 2: I was thinking of that old saying. 309 00:17:59,280 --> 00:18:03,200 Speaker 3: Sex starts at breakfast table, and I don't think that's changed. 310 00:18:03,280 --> 00:18:05,719 Speaker 3: I think it's what you put into that relationship is 311 00:18:05,720 --> 00:18:07,000 Speaker 3: what you're going to get out of. 312 00:18:07,200 --> 00:18:08,920 Speaker 1: Or you're going to make a hot dog joke. 313 00:18:10,480 --> 00:18:14,400 Speaker 3: No, but it's a really good statement because it's not 314 00:18:14,520 --> 00:18:17,120 Speaker 3: just about having that physical act. 315 00:18:17,280 --> 00:18:18,960 Speaker 2: It's about the whole relationship. 316 00:18:19,720 --> 00:18:22,600 Speaker 4: And sometimes you know, like Jim, you don't want to 317 00:18:22,640 --> 00:18:25,639 Speaker 4: go to gym and do the exercise, but when you 318 00:18:25,720 --> 00:18:30,280 Speaker 4: go there you feel better. Initiating sex is always difficult 319 00:18:30,440 --> 00:18:34,080 Speaker 4: for women, but when they get into it, nobody says, oh, 320 00:18:34,160 --> 00:18:37,280 Speaker 4: I hated it after I started it. So just make 321 00:18:37,320 --> 00:18:42,440 Speaker 4: it a habit. Monday and I say to my patients Monday, Wednesday, Friday, 322 00:18:43,520 --> 00:18:45,480 Speaker 4: put it in your calendar, to put it in your 323 00:18:45,480 --> 00:18:47,720 Speaker 4: timetable that I am going to have sex. And after 324 00:18:47,760 --> 00:18:49,840 Speaker 4: a while you will see that if one Wednesday you 325 00:18:49,920 --> 00:18:52,840 Speaker 4: miss on sex, that you say, oh what happened? You 326 00:18:52,880 --> 00:18:54,919 Speaker 4: know you are actually looking for it. When you go 327 00:18:55,000 --> 00:18:57,520 Speaker 4: on holiday and your partner is not with you, you're actually 328 00:18:57,520 --> 00:19:00,480 Speaker 4: missing it. So make it a habit and put it 329 00:19:00,560 --> 00:19:04,480 Speaker 4: a part of your schedule rather than missing it because 330 00:19:04,520 --> 00:19:05,840 Speaker 4: you are busy with other stuff. 331 00:19:06,040 --> 00:19:08,440 Speaker 3: So there's a whole bunch of women at home cringing 332 00:19:08,520 --> 00:19:09,600 Speaker 3: because they know it hurts. 333 00:19:11,000 --> 00:19:12,720 Speaker 2: They haven't talked to anybody. 334 00:19:14,800 --> 00:19:17,840 Speaker 3: Whilst they might mentally think I can do this, it 335 00:19:17,880 --> 00:19:20,360 Speaker 3: becomes something that's not so comfy. 336 00:19:21,800 --> 00:19:24,360 Speaker 2: That's where we've got to go. What can you do 337 00:19:24,800 --> 00:19:25,480 Speaker 2: to make. 338 00:19:25,320 --> 00:19:29,120 Speaker 3: This a much more enjoyable experience for well, not only 339 00:19:29,200 --> 00:19:32,520 Speaker 3: the woman, because if the woman's happy, so well the partner. 340 00:19:32,600 --> 00:19:35,840 Speaker 3: But yeah, I think that's where a lot of women 341 00:19:35,920 --> 00:19:38,399 Speaker 3: don't know where to go or reach out, is to 342 00:19:38,800 --> 00:19:40,760 Speaker 3: how to overcome those roadblocks. 343 00:19:41,160 --> 00:19:44,240 Speaker 4: Very good point. So the very first thing is that 344 00:19:45,040 --> 00:19:47,840 Speaker 4: you're not alone. A lot of women are in the 345 00:19:47,880 --> 00:19:52,320 Speaker 4: same boat. Aging is a part of life, and we 346 00:19:52,440 --> 00:19:56,120 Speaker 4: are all we'll go through this process. But it doesn't 347 00:19:56,200 --> 00:19:58,920 Speaker 4: have to stay this way. You don't have to suffer 348 00:19:59,119 --> 00:20:02,240 Speaker 4: in silence. This is not a table subject and we 349 00:20:02,280 --> 00:20:05,200 Speaker 4: should start to break this silence. If you are listening 350 00:20:05,240 --> 00:20:07,720 Speaker 4: to this program and you have the problem, so here 351 00:20:07,760 --> 00:20:10,560 Speaker 4: it is God wanted you not to suffer anymore. So 352 00:20:10,640 --> 00:20:14,280 Speaker 4: the next step is you go into your GP and say, okay, well, 353 00:20:14,280 --> 00:20:16,560 Speaker 4: how can you help me? A lot of GPS can 354 00:20:16,600 --> 00:20:19,679 Speaker 4: manage this condition as well. You can start from not 355 00:20:19,880 --> 00:20:22,520 Speaker 4: washing yourself with too much soap and so on. Just 356 00:20:22,640 --> 00:20:28,280 Speaker 4: wash yourself with water. Don't use powdered perfume or police underpants, 357 00:20:28,680 --> 00:20:31,600 Speaker 4: I don't have any, andes on, have the ny on 358 00:20:31,840 --> 00:20:37,880 Speaker 4: and just protect your genitalia. If you have dryness and 359 00:20:38,359 --> 00:20:41,400 Speaker 4: there is no contraindication to hormones, you can have estrogen 360 00:20:41,480 --> 00:20:44,159 Speaker 4: cream that you can have it. And make sure that 361 00:20:44,240 --> 00:20:47,639 Speaker 4: you can use vegetable oil. It's the best lubrication. People 362 00:20:47,680 --> 00:20:52,040 Speaker 4: go and buy all those fancy stuff, but really, day 363 00:20:52,080 --> 00:20:54,680 Speaker 4: to day vegetable oil in the cupboard will do it. 364 00:20:54,760 --> 00:20:59,080 Speaker 4: Please don't get the one little bottle and take you 365 00:20:59,160 --> 00:21:03,159 Speaker 4: to the bedroom. Kid in a small sexy bottle and 366 00:21:03,920 --> 00:21:06,440 Speaker 4: talk to your partner and say, okay, this is this situation, 367 00:21:06,520 --> 00:21:08,800 Speaker 4: but I still want to be connected with you. And 368 00:21:08,840 --> 00:21:13,480 Speaker 4: you don't have to start with penetrative way of doing things. 369 00:21:13,480 --> 00:21:19,680 Speaker 4: You can start with emotional cuddles, with massage in each other, 370 00:21:20,000 --> 00:21:23,560 Speaker 4: talking nicely to each other, reflecting on those days that 371 00:21:23,880 --> 00:21:28,000 Speaker 4: things very good, and putting the mind in the right 372 00:21:28,040 --> 00:21:29,760 Speaker 4: place and then taking care of. 373 00:21:29,800 --> 00:21:30,720 Speaker 2: Us set the mood. 374 00:21:31,359 --> 00:21:33,040 Speaker 3: But can I just add a little note to the 375 00:21:33,119 --> 00:21:36,520 Speaker 3: oil thing. Do be careful what types of oils because 376 00:21:36,520 --> 00:21:39,920 Speaker 3: they're not all created equally. A lot of proprietary massage 377 00:21:39,960 --> 00:21:43,080 Speaker 3: oils and things are not appropriate. There's full of a 378 00:21:43,160 --> 00:21:49,760 Speaker 3: lot of alcohols and different products within or fragrant oil almond. 379 00:21:49,880 --> 00:21:51,040 Speaker 2: Yeah, as long as it's a. 380 00:21:51,119 --> 00:21:55,080 Speaker 3: Pure oil and you don't have any allergies, you should 381 00:21:55,080 --> 00:21:57,120 Speaker 3: be fine. But don't go for any of those sort 382 00:21:57,119 --> 00:22:01,840 Speaker 3: of proprietary mixes unless it's perc indicated for that condition. 383 00:22:02,240 --> 00:22:04,800 Speaker 1: All right, we will take a break. News is on 384 00:22:04,840 --> 00:22:08,080 Speaker 1: the way. It's about two minutes to nine now on 385 00:22:08,200 --> 00:22:11,480 Speaker 1: five double A eight double two to three double double 386 00:22:11,520 --> 00:22:14,679 Speaker 1: O is the number. You can call up anonymously if 387 00:22:14,720 --> 00:22:18,960 Speaker 1: you like. We're talking not a difficult subject with Tracy 388 00:22:19,040 --> 00:22:22,040 Speaker 1: Yunt who's here, and doctor Fariba Bennier Willison who's a 389 00:22:22,040 --> 00:22:26,119 Speaker 1: guy onecologist. We're talking about sexual dysfunction. It's an important issue. 390 00:22:26,240 --> 00:22:27,919 Speaker 2: It isn't affect so many people. 391 00:22:28,400 --> 00:22:30,320 Speaker 1: So if you want to ring up, you can be anonymous. 392 00:22:30,359 --> 00:22:32,480 Speaker 1: You can send a text and I'll read it to 393 00:22:33,359 --> 00:22:35,760 Speaker 1: Foreba who can answer it for you, so we can 394 00:22:35,880 --> 00:22:37,600 Speaker 1: we can get around things if you don't want to 395 00:22:37,640 --> 00:22:43,240 Speaker 1: ring up directly and Foreba we're talking about sexual issues, 396 00:22:43,280 --> 00:22:46,840 Speaker 1: particularly in women going through or have gone through menopause. 397 00:22:47,320 --> 00:22:50,080 Speaker 1: Some women say pain is just part of aging. How 398 00:22:50,119 --> 00:22:50,760 Speaker 1: true is that? 399 00:22:51,359 --> 00:22:55,639 Speaker 4: It's not true at all? So pain is due to 400 00:22:56,359 --> 00:23:01,440 Speaker 4: hormonal changes and tissue changes that can be reversible. 401 00:23:02,080 --> 00:23:02,280 Speaker 1: Uh. 402 00:23:02,560 --> 00:23:06,399 Speaker 4: And as I mentioned with simple volvewar care and you 403 00:23:06,440 --> 00:23:12,080 Speaker 4: know close hygien to hormone treatment, and nowadays there are 404 00:23:12,160 --> 00:23:18,080 Speaker 4: trials of some regenerative medicine that you know, it has 405 00:23:18,119 --> 00:23:22,840 Speaker 4: been studied and hopefully that will become the routine treatment 406 00:23:23,000 --> 00:23:27,679 Speaker 4: for these kind of procedures. Also, sometimes disease is like 407 00:23:27,920 --> 00:23:32,680 Speaker 4: likeing a sclerosis. People have some kind of skin problem 408 00:23:32,960 --> 00:23:36,520 Speaker 4: down below that they might not know that it's causing 409 00:23:36,560 --> 00:23:41,160 Speaker 4: this issue and when they come and complain of painful intercourse. Uh, 410 00:23:41,400 --> 00:23:44,159 Speaker 4: there are diagnosed with like an a sclerosis, which is 411 00:23:44,200 --> 00:23:49,800 Speaker 4: a condition that could end up in volvar cancer and 412 00:23:50,040 --> 00:23:53,480 Speaker 4: needs to be treated with the medications such as the steroids. 413 00:23:53,760 --> 00:23:59,400 Speaker 3: Well, okayntracting those things can be treated is I think 414 00:23:59,440 --> 00:24:01,920 Speaker 3: the really point there is you know a lot of 415 00:24:01,960 --> 00:24:04,440 Speaker 3: women don't know the habit so without getting checked, you're 416 00:24:04,440 --> 00:24:06,600 Speaker 3: not going to find out. So do get checked if 417 00:24:06,640 --> 00:24:09,000 Speaker 3: you're feeling that discomfort To make sure it's not something 418 00:24:09,040 --> 00:24:11,880 Speaker 3: more sinister, but something that's also treatable. 419 00:24:12,000 --> 00:24:14,719 Speaker 1: And probably the importance of perhaps me is too just 420 00:24:14,760 --> 00:24:19,480 Speaker 1: to keep that regime going to maybe as an early 421 00:24:19,520 --> 00:24:20,400 Speaker 1: indication of things. 422 00:24:20,520 --> 00:24:24,360 Speaker 4: Yes, but recently we have moved now to self collect 423 00:24:24,480 --> 00:24:29,080 Speaker 4: perps myths which people don't need, you know, and can 424 00:24:29,640 --> 00:24:32,960 Speaker 4: people could do it at home themselves and drop it off. 425 00:24:33,480 --> 00:24:37,600 Speaker 4: So that will take away again the need for patients 426 00:24:38,000 --> 00:24:40,320 Speaker 4: women to go to the doctors and having the perps 427 00:24:40,320 --> 00:24:42,639 Speaker 4: move done. But yes, it would be good now and 428 00:24:42,680 --> 00:24:47,040 Speaker 4: then have the perps move done by health professional, especially 429 00:24:47,160 --> 00:24:50,840 Speaker 4: if women have some other conditions that such as painful 430 00:24:50,840 --> 00:24:51,360 Speaker 4: and intercourse. 431 00:24:51,520 --> 00:24:53,800 Speaker 3: So the problem with that that like I get that 432 00:24:53,840 --> 00:24:56,000 Speaker 3: they're great and for a lot of women they're convenient 433 00:24:56,200 --> 00:24:59,280 Speaker 3: and you know, less sort of embarrassment or whatever it 434 00:24:59,359 --> 00:25:01,880 Speaker 3: is that prevent people from turning up to the test. 435 00:25:02,480 --> 00:25:05,560 Speaker 3: But at the same time, it's like seeing someone face 436 00:25:05,600 --> 00:25:07,600 Speaker 3: to face in clinic, there's so much more you can 437 00:25:07,600 --> 00:25:11,080 Speaker 3: tell about a person. Same with the visuals of looking 438 00:25:11,119 --> 00:25:14,440 Speaker 3: at the vulva, the labia and you know, or area 439 00:25:14,480 --> 00:25:16,720 Speaker 3: things like that. Looking at those visually you can see 440 00:25:16,720 --> 00:25:21,560 Speaker 3: if there's any changes, any issues some sexually transmitted diseases 441 00:25:21,560 --> 00:25:25,359 Speaker 3: are quite visual, so they can be detected at the 442 00:25:25,359 --> 00:25:28,920 Speaker 3: same time. So if you are experiencing discomfort, then make 443 00:25:28,960 --> 00:25:33,199 Speaker 3: sure you do get checked because it's worth eliminating. You know, 444 00:25:33,280 --> 00:25:36,440 Speaker 3: information is power eliminating that there's not another issue. 445 00:25:36,160 --> 00:25:38,600 Speaker 4: Correct, And it is not enough just to go and 446 00:25:38,760 --> 00:25:43,080 Speaker 4: talk to the doctor. Somebody has to inspect their genitalia 447 00:25:43,680 --> 00:25:46,760 Speaker 4: because you know, it could be just a growth cancer, 448 00:25:47,160 --> 00:25:49,600 Speaker 4: It could be as I said, like a sclerosis. It 449 00:25:49,640 --> 00:25:53,200 Speaker 4: could be other dermatological kindition, it could be lack of hormones, 450 00:25:53,640 --> 00:25:58,440 Speaker 4: so now it could be infection. So definitely have your 451 00:25:58,520 --> 00:26:03,040 Speaker 4: doctor to have a look and then give you a medication. 452 00:26:03,200 --> 00:26:07,680 Speaker 4: Often women who have painful intercourse and received steroids from 453 00:26:07,760 --> 00:26:13,080 Speaker 4: their GPS to reduce the inflammation, but their steroids on 454 00:26:13,680 --> 00:26:17,119 Speaker 4: a trophic vagina, a thin vagina is not good because 455 00:26:17,160 --> 00:26:20,760 Speaker 4: it makes it even thinner. It might suppress the symptoms 456 00:26:20,800 --> 00:26:24,560 Speaker 4: of itching and burning sensation, but then as sooner they 457 00:26:24,880 --> 00:26:27,720 Speaker 4: stop their medication and their situation as worse. 458 00:26:28,119 --> 00:26:31,760 Speaker 3: And it's often better because things like steroids have side effects, 459 00:26:31,760 --> 00:26:34,600 Speaker 3: not just the thinning of the skin, but other side 460 00:26:34,600 --> 00:26:38,560 Speaker 3: effects for your health as well. But there's some really simple, 461 00:26:38,640 --> 00:26:42,560 Speaker 3: easy wonderful things you can do to eliminate those symptoms 462 00:26:42,640 --> 00:26:50,720 Speaker 3: as well. So you talked briefly about the localized vaginal estrogen. 463 00:26:50,920 --> 00:26:54,680 Speaker 3: That's a common prescription for people having that dryness and 464 00:26:54,160 --> 00:26:56,440 Speaker 3: that painful intercourse. 465 00:26:57,160 --> 00:26:59,080 Speaker 2: Is this hard for them to do forever? 466 00:27:00,080 --> 00:27:03,960 Speaker 4: Not really, I mean depends if they have romoto authritis 467 00:27:04,040 --> 00:27:07,359 Speaker 4: or not. It has the applicator. The applicator has a 468 00:27:07,440 --> 00:27:10,600 Speaker 4: little mark on it and it says how far they 469 00:27:10,760 --> 00:27:14,200 Speaker 4: should go in. Did you do it a very last 470 00:27:14,240 --> 00:27:16,880 Speaker 4: thing at night after having intercourse on everything, when you're 471 00:27:16,960 --> 00:27:21,120 Speaker 4: laying down, put it next to your bed, just inserted 472 00:27:21,200 --> 00:27:25,200 Speaker 4: in the vagina. It can come into tablet, PESII or cream. 473 00:27:26,359 --> 00:27:28,919 Speaker 4: So that that is one thing. The other one that 474 00:27:29,080 --> 00:27:31,960 Speaker 4: is available is intro rosa, which is a Pessori that 475 00:27:32,040 --> 00:27:34,000 Speaker 4: you can insert with the finger every night. 476 00:27:34,200 --> 00:27:36,080 Speaker 2: Legs are there every night or just a couple of 477 00:27:36,160 --> 00:27:36,680 Speaker 2: times a wok. 478 00:27:37,119 --> 00:27:40,720 Speaker 4: Intro Rosa is every night, but the estrogen cream or 479 00:27:40,800 --> 00:27:44,239 Speaker 4: vagifm is two or three times per week, depending on 480 00:27:44,280 --> 00:27:46,199 Speaker 4: the severity of the problem. 481 00:27:46,440 --> 00:27:46,560 Speaker 1: Uh. 482 00:27:47,280 --> 00:27:50,440 Speaker 4: A lot of women have breast cancer or have family 483 00:27:50,520 --> 00:27:53,800 Speaker 4: history of breast cancer and worried about estrogen cream. But 484 00:27:53,840 --> 00:27:56,800 Speaker 4: I can assure you that really there is no data 485 00:27:57,560 --> 00:28:03,560 Speaker 4: out there to say that estrogen cream the local as one, 486 00:28:04,000 --> 00:28:08,240 Speaker 4: and you can be okay to use it and reverse 487 00:28:08,280 --> 00:28:12,119 Speaker 4: the condition and then look after your world war with 488 00:28:12,320 --> 00:28:14,840 Speaker 4: the natural stuff and then you can reduce the number 489 00:28:14,840 --> 00:28:18,280 Speaker 4: of times that you do estrogen cream. So anxiety should 490 00:28:18,320 --> 00:28:21,520 Speaker 4: not be around estrogen cream probomen with breast cancer. 491 00:28:23,119 --> 00:28:25,199 Speaker 3: And I was just going to say, and before you 492 00:28:25,359 --> 00:28:30,080 Speaker 3: mentioned like using the vegetable oil or almond oil or 493 00:28:30,080 --> 00:28:33,920 Speaker 3: coconut oil things like that, but there are some really good, 494 00:28:34,640 --> 00:28:39,240 Speaker 3: safe natural lubricants out there now made from things like 495 00:28:39,360 --> 00:28:42,880 Speaker 3: you olive oil and beeswax and things like that that 496 00:28:42,960 --> 00:28:47,200 Speaker 3: are safe that they can be used frequently. They can 497 00:28:47,240 --> 00:28:49,719 Speaker 3: be used not just for intercourse as a lubricant, but 498 00:28:49,800 --> 00:28:56,320 Speaker 3: also just for keeping that vaginal area like moist. 499 00:28:56,040 --> 00:28:57,440 Speaker 2: And subtlele and whatever. 500 00:28:57,720 --> 00:29:00,760 Speaker 3: So they seem to be gaining popularity as well as well. 501 00:29:00,840 --> 00:29:04,440 Speaker 4: Yeah, what what suits them and is available to them. Yes, 502 00:29:04,480 --> 00:29:07,400 Speaker 4: but you know some people go and by really fancy stuff, 503 00:29:08,440 --> 00:29:13,960 Speaker 4: expensive fancy stuff, but those things have preservative and often 504 00:29:14,000 --> 00:29:16,520 Speaker 4: they are expensive. So I was trying to say that, 505 00:29:16,560 --> 00:29:19,440 Speaker 4: you know, the ordinary vegetable oil in your copboard probably 506 00:29:19,440 --> 00:29:20,360 Speaker 4: will do their job. 507 00:29:20,320 --> 00:29:23,720 Speaker 1: Okay, well on that what modern treatments then are available 508 00:29:23,760 --> 00:29:25,800 Speaker 1: for women who experience painful intercourse. 509 00:29:27,360 --> 00:29:30,960 Speaker 3: So we'd be looking at the estrogen, crani things, light lubricants, 510 00:29:31,320 --> 00:29:34,400 Speaker 3: but there's a whole bunch of other things, like when 511 00:29:34,400 --> 00:29:39,240 Speaker 3: we talked about the incontinent stuff, looking after your pelvic floor. Yes, 512 00:29:39,360 --> 00:29:40,640 Speaker 3: that's a huge one, isn't it. 513 00:29:40,720 --> 00:29:44,080 Speaker 4: Yes, so that's important. But there are some study is 514 00:29:44,120 --> 00:29:47,440 Speaker 4: done with the plasma that you know, the plasma of 515 00:29:47,520 --> 00:29:51,600 Speaker 4: the patient is taken under growth factors and nutrients and 516 00:29:52,960 --> 00:29:57,120 Speaker 4: uh there is injected back into the vagina. There are 517 00:29:57,560 --> 00:30:00,400 Speaker 4: a lot of companies that are working on a energy 518 00:30:00,440 --> 00:30:04,800 Speaker 4: based devices. In Australia we don't have them available through TG, 519 00:30:05,080 --> 00:30:09,840 Speaker 4: but certainly in America and other countries, there are a 520 00:30:09,880 --> 00:30:13,160 Speaker 4: lot of studies that shown benefits. One of our Australian 521 00:30:13,240 --> 00:30:18,000 Speaker 4: studies didn't show benefits in Australia. But there are things 522 00:30:18,080 --> 00:30:20,840 Speaker 4: that we can do, certainly in our PRP, which is 523 00:30:20,880 --> 00:30:25,280 Speaker 4: you know that patient's own blood cannot do harm, especially 524 00:30:25,320 --> 00:30:28,440 Speaker 4: for breast cancer ladies. It's could be the study with 525 00:30:28,680 --> 00:30:33,360 Speaker 4: like an esclerosis and the group that had PRP in 526 00:30:33,520 --> 00:30:37,200 Speaker 4: like an esclerosis group had superior outcome. To women who 527 00:30:37,400 --> 00:30:41,320 Speaker 4: didn't have anything. So certainly there is still a lot 528 00:30:41,400 --> 00:30:45,760 Speaker 4: of research that needs to be done in this area 529 00:30:46,360 --> 00:30:49,520 Speaker 4: with autologous cells and blood. 530 00:30:49,760 --> 00:30:52,920 Speaker 1: Okay, look you've kind of touched on this a little bit. 531 00:30:52,960 --> 00:30:56,200 Speaker 1: But advice for couples who want to rekindle intimacy after 532 00:30:56,320 --> 00:30:59,040 Speaker 1: years of avoidance due to pain or embarrassment. 533 00:30:59,160 --> 00:30:59,960 Speaker 4: Sit down and talk. 534 00:31:00,080 --> 00:31:01,160 Speaker 1: Yeah, just simple as that. 535 00:31:01,280 --> 00:31:06,000 Speaker 4: Yeah, communication is really important. And now I learn about 536 00:31:06,000 --> 00:31:09,120 Speaker 4: each other's body and the aging, what happens in terms 537 00:31:09,200 --> 00:31:13,560 Speaker 4: of homeones to go together to the gynecologist. I love 538 00:31:13,600 --> 00:31:17,680 Speaker 4: it when couples come together and their care because you know, 539 00:31:17,800 --> 00:31:20,240 Speaker 4: two sets of years it's better than one because you know, 540 00:31:20,280 --> 00:31:24,280 Speaker 4: women get nervous, emotional and might not take in a 541 00:31:24,320 --> 00:31:28,120 Speaker 4: lot of information. But then when the partner is with them, 542 00:31:28,360 --> 00:31:32,760 Speaker 4: you know he heards it as well. Take info home, 543 00:31:32,960 --> 00:31:36,360 Speaker 4: go back home, read it, reflect upon it, come back, 544 00:31:36,880 --> 00:31:39,280 Speaker 4: and don't give up if things don't work. You know 545 00:31:39,480 --> 00:31:43,080 Speaker 4: something that has been there for ten years. Time ten years, 546 00:31:43,400 --> 00:31:46,080 Speaker 4: you cannot undo it over night or a week or 547 00:31:46,280 --> 00:31:49,920 Speaker 4: a month, So it needs time and maybe multiple. 548 00:31:49,760 --> 00:31:52,280 Speaker 3: And it's not one size fits all, Like what works 549 00:31:52,320 --> 00:31:54,800 Speaker 3: for one couple is not going to necessarily work for 550 00:31:55,000 --> 00:31:58,240 Speaker 3: another couple, So give it a go and try a 551 00:31:58,280 --> 00:31:59,120 Speaker 3: few options. 552 00:31:59,240 --> 00:32:05,320 Speaker 4: Yeahs are arrange little trips. Sent a naughty MS to 553 00:32:05,480 --> 00:32:09,040 Speaker 4: your partner during the day, just even you know, even 554 00:32:09,440 --> 00:32:14,760 Speaker 4: reading that SMS that's a bit naughty produces end off 555 00:32:14,840 --> 00:32:17,280 Speaker 4: in in the brain and you know it makes you happy. 556 00:32:17,320 --> 00:32:20,880 Speaker 4: You make your Islam and that will break the day. 557 00:32:20,960 --> 00:32:24,720 Speaker 4: That might be a bit you know, not so fun. 558 00:32:25,000 --> 00:32:30,880 Speaker 1: So yeah, right. What steps can women take proactively older 559 00:32:30,920 --> 00:32:33,600 Speaker 1: women forties fifties older to maintain sexual and. 560 00:32:33,520 --> 00:32:40,560 Speaker 4: Purple fort all be careful? Okay, So look, looking after 561 00:32:40,600 --> 00:32:44,640 Speaker 4: yourself from early ages are is important. Smoking is number 562 00:32:44,680 --> 00:32:48,720 Speaker 4: one thing that brings the menopause early, so not having 563 00:32:48,800 --> 00:32:51,720 Speaker 4: too much of carrying weight and so on, so be 564 00:32:51,800 --> 00:32:54,720 Speaker 4: careful if you have variinal birth, make sure that you 565 00:32:54,760 --> 00:32:58,600 Speaker 4: do pelvic floor exercises, that you do have good core 566 00:32:58,720 --> 00:33:02,800 Speaker 4: muscles and so on. These steps are important. What you 567 00:33:02,920 --> 00:33:05,880 Speaker 4: eat is really important. You know, we are relying on 568 00:33:06,080 --> 00:33:09,520 Speaker 4: a lot of takeaway processed food. None of those kinds 569 00:33:09,520 --> 00:33:12,240 Speaker 4: of things are good for us. We have to go 570 00:33:12,440 --> 00:33:19,400 Speaker 4: clean food, vegetables, fruit, and just meat. You know, it 571 00:33:19,400 --> 00:33:24,760 Speaker 4: doesn't have to be fried and processed and all of that. 572 00:33:24,880 --> 00:33:28,320 Speaker 4: You know, because it affects our emotion. It causes inflammation 573 00:33:28,480 --> 00:33:31,000 Speaker 4: in our body, and when we have inflammation, it means 574 00:33:31,000 --> 00:33:34,600 Speaker 4: the whole energy of the body is spent on overcoming 575 00:33:34,640 --> 00:33:39,520 Speaker 4: that inflammatory process. So you are happier when you exercise, 576 00:33:39,520 --> 00:33:41,800 Speaker 4: You're happier when you eat well. You're happier when you 577 00:33:42,200 --> 00:33:47,280 Speaker 4: look after yourself. Take care of yourself. Stop watching Facebook 578 00:33:47,360 --> 00:33:51,400 Speaker 4: and social media and things that makes you stressed, because 579 00:33:51,440 --> 00:33:54,959 Speaker 4: there is no good thing in it. These TikTok things 580 00:33:55,040 --> 00:33:59,920 Speaker 4: that you know, we have a attention span of one minute. 581 00:34:00,520 --> 00:34:03,080 Speaker 4: Anything that is two minutes, we cannot listen to it. 582 00:34:03,480 --> 00:34:05,560 Speaker 4: So stop all those kinds of things so that it 583 00:34:05,640 --> 00:34:08,560 Speaker 4: can hold a conversation with your partner and talk about 584 00:34:08,640 --> 00:34:12,720 Speaker 4: something for half an hour. And so reading books, relaxing 585 00:34:12,440 --> 00:34:19,239 Speaker 4: in a you know, swimming and meditation, mindfulness, things that 586 00:34:19,280 --> 00:34:21,680 Speaker 4: we need time and we don't give. 587 00:34:21,560 --> 00:34:25,600 Speaker 3: It stress management. But you forgot my favorite one. Hydration. 588 00:34:25,840 --> 00:34:29,280 Speaker 2: If you are dehydrated, everything's going to be dryer. 589 00:34:30,000 --> 00:34:30,400 Speaker 4: Correct. 590 00:34:30,520 --> 00:34:32,319 Speaker 3: A lot of people come in with dry eyes and 591 00:34:32,360 --> 00:34:33,960 Speaker 3: I'll say the first thing I'll ask them is do 592 00:34:33,960 --> 00:34:37,319 Speaker 3: you drink and afford it? And they'll say why, I'll say, well, 593 00:34:37,320 --> 00:34:41,080 Speaker 3: if you're dehydrated, you would expect all of your body 594 00:34:41,560 --> 00:34:44,839 Speaker 3: to be dry, so get your fluids out and that 595 00:34:44,880 --> 00:34:46,440 Speaker 3: can certainly help as well. 596 00:34:46,760 --> 00:34:48,719 Speaker 4: And a lot of people don't drink because they have 597 00:34:48,760 --> 00:34:51,279 Speaker 4: to go to toilet because around this age you get 598 00:34:51,400 --> 00:34:56,280 Speaker 4: urgency urgent continents. And again if you use their vaginal estrogen, 599 00:34:56,600 --> 00:35:00,480 Speaker 4: the risk of urgency is less. Reducing your ca definited 600 00:35:00,560 --> 00:35:04,600 Speaker 4: drinks it will help a great deal. Having magnesium added 601 00:35:04,680 --> 00:35:07,920 Speaker 4: to your diet will help. And also there are a 602 00:35:07,960 --> 00:35:10,800 Speaker 4: lot of bladder medication that we can give for urgency 603 00:35:10,840 --> 00:35:14,440 Speaker 4: on urgent continents. And definitely make sure that there is 604 00:35:14,560 --> 00:35:18,640 Speaker 4: normal underlying UTIs that is causing you to go to toilet. 605 00:35:18,920 --> 00:35:22,200 Speaker 3: And sometimes these UTIs can be secondary to intercourse post 606 00:35:22,239 --> 00:35:27,560 Speaker 3: menopause because of that lack of microbiome and just think 607 00:35:27,640 --> 00:35:29,840 Speaker 3: the pH changes of the vagina. 608 00:35:29,920 --> 00:35:30,600 Speaker 2: It's dryer. 609 00:35:31,200 --> 00:35:35,560 Speaker 3: It's just not a good yeah environment I think is 610 00:35:35,600 --> 00:35:38,840 Speaker 3: a good word and can lead to UTI's as well. 611 00:35:39,000 --> 00:35:42,120 Speaker 4: Drink water before and go to toilet before you have intercourse, 612 00:35:42,200 --> 00:35:45,560 Speaker 4: and make sure that you're rehydrated. And after intercourse you 613 00:35:45,680 --> 00:35:47,839 Speaker 4: go back to toilet and pass you in again. 614 00:35:47,960 --> 00:35:51,040 Speaker 3: Perfect And you know, I mean, I'm really blessed because 615 00:35:51,040 --> 00:35:53,800 Speaker 3: I get to work alongside you in a lot of ways, 616 00:35:54,080 --> 00:35:56,640 Speaker 3: and there are a lot of wonderful you know, for 617 00:35:56,719 --> 00:35:59,719 Speaker 3: people that are hesitant to try hormones or have had 618 00:35:59,719 --> 00:36:02,680 Speaker 3: a hitty, there's a lot of great things that they 619 00:36:02,719 --> 00:36:06,120 Speaker 3: can actually try. And one of my favorites is the 620 00:36:06,440 --> 00:36:11,239 Speaker 3: herb chaitovari, which is asparagus rasamosis, not the food asparagus, 621 00:36:11,280 --> 00:36:16,080 Speaker 3: but that actually means capable of a hundred husbands really, 622 00:36:16,160 --> 00:36:19,000 Speaker 3: so it's for libido for that get up and go, 623 00:36:19,200 --> 00:36:22,759 Speaker 3: So that can often be a nice gentle way. It 624 00:36:22,800 --> 00:36:26,560 Speaker 3: doesn't cause too much grief, and it's just can help 625 00:36:26,560 --> 00:36:28,640 Speaker 3: with those sort of unwanted symptoms with. 626 00:36:28,640 --> 00:36:30,560 Speaker 1: You three times a week box ticked. 627 00:36:34,520 --> 00:36:34,800 Speaker 5: Yep. 628 00:36:35,960 --> 00:36:36,160 Speaker 2: You know. 629 00:36:36,320 --> 00:36:38,359 Speaker 3: Other things like there's a whole bunch of research now 630 00:36:38,360 --> 00:36:43,000 Speaker 3: about sea buckth on oil and that's used for vaginal. 631 00:36:42,640 --> 00:36:45,879 Speaker 2: Dryness as well as dry eyes as well. Funnily enough, 632 00:36:45,920 --> 00:36:49,040 Speaker 2: so that can help. It's a really good quality oil. 633 00:36:49,719 --> 00:36:52,200 Speaker 3: Probiotics, so you can get them for both that you 634 00:36:52,280 --> 00:36:55,880 Speaker 3: take orally, but also ones that you can insert vaginally. 635 00:36:55,960 --> 00:36:59,040 Speaker 3: Now to put the good bugs back. We're getting so 636 00:36:59,200 --> 00:37:04,000 Speaker 3: much research on which strains do what these days, and 637 00:37:04,080 --> 00:37:07,200 Speaker 3: there are such a diverse range, and you want the 638 00:37:07,239 --> 00:37:09,239 Speaker 3: ones that are going to do the job for you, 639 00:37:09,280 --> 00:37:11,280 Speaker 3: but they're not too hard to find these days. 640 00:37:11,719 --> 00:37:14,799 Speaker 1: All Right, we'll take a quick break and wrap up 641 00:37:14,840 --> 00:37:18,880 Speaker 1: on the other side. Today night we talk health Tracy 642 00:37:18,960 --> 00:37:21,120 Speaker 1: Ying the Green Dispensary is here and with her is 643 00:37:21,160 --> 00:37:25,279 Speaker 1: doctor Bariba Bennie Willison, who is a guynecologist. We've been 644 00:37:25,280 --> 00:37:29,480 Speaker 1: talking about sexual dysfunction and Bariba just the ad there 645 00:37:29,520 --> 00:37:32,560 Speaker 1: for Samtaz with the oysters open daily good for libido. 646 00:37:32,640 --> 00:37:35,400 Speaker 1: Is that true or not? Yes, it's true, very good. Yes, 647 00:37:36,040 --> 00:37:36,719 Speaker 1: it's not a myth. 648 00:37:36,960 --> 00:37:39,839 Speaker 3: No, no, no, very high sources zinc and zinc is one 649 00:37:39,840 --> 00:37:41,680 Speaker 3: of your main reproductive minerals. 650 00:37:42,600 --> 00:37:46,360 Speaker 1: There we go. Troy has called in from Collie and 651 00:37:46,480 --> 00:37:48,960 Speaker 1: w a Hi Troy, Oh. 652 00:37:48,880 --> 00:37:53,000 Speaker 5: Thanks for squeezing me in with all the phone calls. 653 00:37:53,800 --> 00:37:56,800 Speaker 2: Everyone's listening though, Troy, Oh. 654 00:37:56,560 --> 00:38:02,160 Speaker 5: Really so scared. I fell to me, how are you, lady? 655 00:38:03,040 --> 00:38:03,799 Speaker 2: Wonderful things? 656 00:38:04,239 --> 00:38:10,840 Speaker 5: Isn't it? Like I said? Producers booze subject even today 657 00:38:11,080 --> 00:38:14,279 Speaker 5: and mine is I just might have told you over 658 00:38:14,280 --> 00:38:18,560 Speaker 5: the time case I was on very high handed depressed 659 00:38:18,760 --> 00:38:24,120 Speaker 5: in twenty ten. Ye, Well, okay, I've got nothing to hide. 660 00:38:24,120 --> 00:38:28,520 Speaker 5: I was on three hundred milligrams per day. Now what 661 00:38:30,280 --> 00:38:33,160 Speaker 5: fifteen years, I've wined it down with the health of 662 00:38:33,200 --> 00:38:38,279 Speaker 5: my fantastic doctor, down to fifty milligrams and now I'm 663 00:38:38,280 --> 00:38:44,080 Speaker 5: into doing weights and walking as exercise. But I have 664 00:38:44,320 --> 00:38:49,919 Speaker 5: found over and I'll be sixty in January next year. 665 00:38:50,480 --> 00:38:56,960 Speaker 5: But I have found my libido and that has slowly 666 00:38:57,040 --> 00:39:01,520 Speaker 5: but surely been getting better over the time. In anti 667 00:39:01,600 --> 00:39:06,120 Speaker 5: depressions interfere with your well sexual drive, whatever you want 668 00:39:06,120 --> 00:39:07,400 Speaker 5: to use for their word. 669 00:39:08,719 --> 00:39:11,439 Speaker 3: You are correct they do. But can I just take 670 00:39:11,440 --> 00:39:13,839 Speaker 3: a step back and say well done to you for 671 00:39:14,600 --> 00:39:17,600 Speaker 3: putting in the hard yards and you know, changing your 672 00:39:17,600 --> 00:39:20,600 Speaker 3: diet and exercising, doing a lot of really positive things 673 00:39:21,080 --> 00:39:24,520 Speaker 3: to one help decrease medication, but to look after your 674 00:39:24,520 --> 00:39:28,960 Speaker 3: health in general. But you are right with the antidepressants 675 00:39:28,960 --> 00:39:33,400 Speaker 3: because what happens with them is most of those antidepressants 676 00:39:33,480 --> 00:39:38,279 Speaker 3: are what are known as serotonin reuptaking inhibitors, so they 677 00:39:38,320 --> 00:39:41,960 Speaker 3: work by increasing serotonin in the brain to improve your mood. 678 00:39:42,400 --> 00:39:45,399 Speaker 3: But this increase in that serotonin can actually lower your 679 00:39:45,400 --> 00:39:50,000 Speaker 3: sex drive and make it more difficult to experience sexual pleasure. 680 00:39:50,160 --> 00:39:52,760 Speaker 3: So you are one hundred percent right they do affect 681 00:39:52,760 --> 00:39:56,600 Speaker 3: the libido, as do lots of other medications some you know, 682 00:39:56,680 --> 00:40:01,040 Speaker 3: blood pressure medication, some cholesterol medications, things like that. And 683 00:40:01,120 --> 00:40:02,880 Speaker 3: I think that's where you really need to have a 684 00:40:02,880 --> 00:40:05,160 Speaker 3: big chat with your doctor because if that's a really 685 00:40:05,200 --> 00:40:07,799 Speaker 3: important part of your world, they may be able to 686 00:40:07,880 --> 00:40:12,120 Speaker 3: change you onto a different type of antidepressant that has 687 00:40:12,160 --> 00:40:16,320 Speaker 3: different pathways and can you know, potentially make things better. 688 00:40:16,400 --> 00:40:19,759 Speaker 3: But yeah, I think that there's a lot of good 689 00:40:19,760 --> 00:40:22,600 Speaker 3: things that can be done. But you are correct. Anyone 690 00:40:22,640 --> 00:40:26,719 Speaker 3: on antidepressants, it wouldn't be surprising if they had a 691 00:40:26,760 --> 00:40:27,840 Speaker 3: decrease in libido. 692 00:40:28,719 --> 00:40:32,960 Speaker 5: Yeah, ladies, Oh sorry, I'll just say this. It's not 693 00:40:33,080 --> 00:40:35,280 Speaker 5: the end of the world. But it's like you people 694 00:40:35,440 --> 00:40:38,600 Speaker 5: know as you as well message, you only get what 695 00:40:38,640 --> 00:40:43,239 Speaker 5: you put in. You know. It is hard. Yeah, but 696 00:40:43,960 --> 00:40:46,359 Speaker 5: I've turned it into a fun thing sort of thing, 697 00:40:46,400 --> 00:40:49,640 Speaker 5: you know, the exercise and the weight. I've actually got 698 00:40:49,680 --> 00:40:53,360 Speaker 5: my own home gym. Here's just the basic or but 699 00:40:53,600 --> 00:40:58,480 Speaker 5: home gym you have arms and legs and that. But yeah, 700 00:40:58,000 --> 00:41:01,759 Speaker 5: it's there and it's just so simple. Just don't give 701 00:41:01,880 --> 00:41:03,760 Speaker 5: up people's words anyway. 702 00:41:04,160 --> 00:41:07,720 Speaker 2: On your Troy, well done done, amazing things. 703 00:41:07,920 --> 00:41:13,000 Speaker 4: Yes, and adding to dad. Having intercourse increases the serotony. 704 00:41:13,440 --> 00:41:17,120 Speaker 4: And if you're already are antidepressant, and the serotony in 705 00:41:17,120 --> 00:41:20,279 Speaker 4: it is hard. You don't need that, You don't have 706 00:41:20,320 --> 00:41:24,160 Speaker 4: the desire to increase your serotony. And that's why, yeah, 707 00:41:24,200 --> 00:41:29,560 Speaker 4: any longer than that's why you Antidepression cause lack of louido. 708 00:41:30,560 --> 00:41:38,320 Speaker 1: Okay, three times a week, twice a day. Jess is 709 00:41:38,360 --> 00:41:39,960 Speaker 1: telling us he's gonna he's worked it out. It's going 710 00:41:40,000 --> 00:41:41,320 Speaker 1: to be two hundred and fifty seven. 711 00:41:41,960 --> 00:41:45,719 Speaker 4: Here you are loveless. 712 00:41:45,920 --> 00:41:49,560 Speaker 3: So to summarize, though, what would be your key take 713 00:41:49,600 --> 00:41:50,520 Speaker 3: home to women? 714 00:41:51,160 --> 00:41:54,240 Speaker 2: Particularly women, but it could be to men who feel. 715 00:41:54,120 --> 00:41:57,720 Speaker 3: Like their sex life is just really over, particularly postmenopause. 716 00:41:58,600 --> 00:42:02,120 Speaker 4: Look, there are a number of and why women have problem. 717 00:42:02,920 --> 00:42:07,960 Speaker 4: If it is prolapse and incontinence, don't worry about it. 718 00:42:08,040 --> 00:42:11,040 Speaker 4: We can basically help you with that, to fix that that. 719 00:42:11,160 --> 00:42:14,520 Speaker 4: If that is making you embarrassed in front of your partner, 720 00:42:14,760 --> 00:42:17,680 Speaker 4: first of all, you should not be embarrassed. You're a team, 721 00:42:17,760 --> 00:42:19,879 Speaker 4: you're a couple. You should talk to each other about it. 722 00:42:20,320 --> 00:42:24,040 Speaker 4: Men have processed cancer might have incontinence, so they talk 723 00:42:24,080 --> 00:42:26,120 Speaker 4: to you about it, so you should They shouldn't be 724 00:42:26,760 --> 00:42:29,960 Speaker 4: embarrassed either. One thing that we have and address is 725 00:42:30,000 --> 00:42:33,719 Speaker 4: that sometimes the penis can be different shaped because of 726 00:42:33,760 --> 00:42:38,040 Speaker 4: a disease called Pironi's disease, so the penis is actually bent. 727 00:42:38,239 --> 00:42:41,120 Speaker 4: And when men have intercourse with the whatf that causes 728 00:42:41,160 --> 00:42:43,879 Speaker 4: pain as well. That can be addressed as well as 729 00:42:43,920 --> 00:42:47,040 Speaker 4: a couple so the woman doesn't have to be in 730 00:42:47,160 --> 00:42:50,799 Speaker 4: pain because of the shape of or the disease of 731 00:42:50,880 --> 00:42:54,440 Speaker 4: the partner. And there are some hormonal changes that we 732 00:42:54,560 --> 00:43:00,279 Speaker 4: have addressed that causes dryness and in potential inflammation in 733 00:43:00,320 --> 00:43:05,919 Speaker 4: the vagina that can be addressed with hygien in terms 734 00:43:05,920 --> 00:43:11,960 Speaker 4: of clothing, hormonal replacement vaginally locally, and also probatic that 735 00:43:11,960 --> 00:43:12,760 Speaker 4: we've spoke about. 736 00:43:13,120 --> 00:43:16,239 Speaker 1: Okay, Fariba, it's been great meeting and now there might 737 00:43:16,239 --> 00:43:18,920 Speaker 1: be questions people want to ask you personally. Can they 738 00:43:19,000 --> 00:43:21,880 Speaker 1: get in touch? What's the best way of doing it? 739 00:43:23,520 --> 00:43:25,839 Speaker 3: Okay for me, easy Green Dispensary and I can always 740 00:43:25,880 --> 00:43:30,680 Speaker 3: put you onto Forever Green Dispensary, Blackwood, two two Main Road, 741 00:43:30,719 --> 00:43:35,719 Speaker 3: black Wood, Monday, Tuesday, Friday nine till two thirty. Can't 742 00:43:35,719 --> 00:43:37,640 Speaker 3: get in give us a call on eight two seven 743 00:43:37,719 --> 00:43:41,880 Speaker 3: eight two three Double eight and your number, because I 744 00:43:41,960 --> 00:43:44,120 Speaker 3: also and a lot of people don't know that I 745 00:43:44,200 --> 00:43:47,279 Speaker 3: have a double life outside of Green Dispensary, and I 746 00:43:47,320 --> 00:43:50,520 Speaker 3: have two private clinics, one of which I'm very privileged 747 00:43:50,560 --> 00:43:57,320 Speaker 3: to work alongside doctor Foreber, and that's a FBW gynecology plus. 748 00:43:57,480 --> 00:44:00,800 Speaker 3: And I know it's Mileston Avenue. I don't know what number. 749 00:44:01,160 --> 00:44:04,080 Speaker 3: I just twenty forty eight and the number. 750 00:44:03,960 --> 00:44:08,640 Speaker 4: Is eight to nine, seven to eight double two. Sorry, 751 00:44:08,680 --> 00:44:12,399 Speaker 4: forty six miles and avenue for eighty is their northeast 752 00:44:13,800 --> 00:44:15,040 Speaker 4: Winds Garden wins Garden. 753 00:44:15,800 --> 00:44:18,719 Speaker 1: Yeah, okay, all right, well, lovely seeing you again for Riba. 754 00:44:18,800 --> 00:44:21,239 Speaker 1: Thank you for coming in and Tracy, as always, we'll 755 00:44:21,239 --> 00:44:24,319 Speaker 1: see you next Wednesday night. Thanks for having us my guest, 756 00:44:24,360 --> 00:44:29,280 Speaker 1: Tracy Yan the Green Dispensary and doctor Fariba Bennie Willison gynecologist. 757 00:44:29,400 --> 00:44:34,040 Speaker 1: And if you need to get in touch again, it's eight. 758 00:44:33,840 --> 00:44:36,480 Speaker 2: Two nine, seven to eight double two to. 759 00:44:36,480 --> 00:44:38,640 Speaker 1: Eight, double two. There we are. Thank you both.