27. Orgasm Deep Dive: Why Getting There Isn't Always Easy Part 2

So you’ve climbed the mountain… but something still isn’t quite right. Maybe it takes forever to get there, maybe the fireworks are more like a sparkler, or maybe your brain suddenly decides it’s time to think about laundry. This episode of Labia Logic is part 2 of our Orgasm Deep Dive with guest expert Dr. Irwin Goldstein. Dr. Ashley Fuller and Dr. Meredith McClure continue to explain why orgasm isn’t always straightforward, and why the answer is often way more complicated than “just relax.” During part 2, you’ll learn why delayed or muted orgasms are especially common during perimenopause and menopause, how hormones like estrogen and testosterone can influence sensitivity and pleasure, and why some people may need to treat pain, nerve sensitivity, or brain chemistry before things improve. It’s nerdy. It’s science-heavy. And yes, it includes discussions about espresso, dopamine, and why orgasm might be one of the most fascinating full-body processes we have. Links: www.sdsm.info YouTube @sdsexualmed Facebook @SDSexMed X @SDexualMed isswsh.org prosayla.com About our Guest: Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited seven textbooks in the field. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is a Past President of the International Society for the Study of Women’s Sexual Health (ISSWSH) and of the Sexual Medicine Society of North America (SMSNA). The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. More about the hosts of Labia Logic: 👩‍⚕️ Dr. Ashley Fuller is a Sexual Medicine Gynecologist and Vulvar Specialist in Seattle, WA. 💻 www.ashleyfullermd.com 📲 Instagram: @ashleyfuller_md 👩‍⚕️ Dr. Meredith McClure is a Menopause Specialist, Sexual Medicine Gynecologist and Vulvar Specialist in Dallas, TX. 💻 www.meredithmccluremd.com 📲 Instagram: @drmeredithmcclure 🎙️Follow the show on Instagram @labia_logic ✅ YouTube license: CATQZZTQZ2LOQ4ZJ