In this episode, Dr. Alexandra Dubinskaya, a urogynecologist and sexual medicine specialist, returns to the show for a deep dive into women's sexual health. She discusses the importance of addressing sexual dysfunction, the lack of research in female sexual wellness, and the stigma that still surrounds these conversations. The discussion also explores groundbreaking research on vibratory therapy for pelvic floor health and the innovative AI-driven wellness device, Sensara.

Check out Sensara: https://senserawellness.com/

Timestamps:

• 00:00 - Introduction to Dr. Alexandra Dubinskaya
• 02:14 - Why sexual health is a passion of hers
• 06:30 - The stigma around female sexual health and aging
• 12:45 - Research on vibratory therapy and its impact on sexual function
• 18:20 - Study findings: Improved orgasm, pelvic floor function, and mental health
• 24:10 - The impact of blood flow on vaginal health and sexual function
• 28:45 - Postpartum sexual health and recovery
• 33:50 - Introducing Sensara: An AI-powered sexual wellness device
• 40:12 - How Sensara personalizes pleasure and wellness
• 45:30 - The future of sexual medicine and research opportunities
• 50:20 - Advice for doctors: How to initiate conversations about sexual health

Key Points:

• Lack of Research in Female Sexual Health: Unlike male sexual dysfunction, women's sexual health remains largely under-researched, with limited studies on women over 65.
• Stigma Around Aging and Sexuality: Many physicians and patients feel uncomfortable discussing sexual health, leading to a lack of education and care.
• Research on Vibratory Therapy: Dr. Dubinskaya’s study showed that external vibratory stimulation significantly improved sexual satisfaction, pelvic floor function, and mental health.
• Blood Flow and Sexual Function: Increased blood flow enhances vaginal lubrication, reduces friction between organs, and supports overall vaginal health.
• Postpartum and Menopausal Sexual Health: Many women experience changes in sexual function due to hormonal shifts, trauma, and stress. Education and the right tools can aid recovery.
• Introducing Sensara: This AI-powered device personalizes sexual wellness using sensors that monitor physiological responses and adjust stimulation accordingly.
• Advice for Physicians: Doctors should either learn to discuss sexual health openly or have referral sources for patients who need guidance.

Notable Quotes:

• "Sexual health is part of general health. It’s a window into what’s happening in the body."
• "We tell people to exercise for their heart, their lungs—why not for their pelvic floor and genital health?"
• "Using lubrication isn’t a failure—it’s a way to enhance pleasure and wellness."
• "We need more research, more conversations, and more solutions for women’s sexual health."

Final Takeaway:

Women’s sexual health is a critical yet often overlooked part of overall well-being. With more research, open conversations, and innovative solutions like Sensara, we can empower women to take charge of their sexual health at every stage of life.

Host Bio:

This podcast is hosted by Sheree Dibiase, PT ICLM. She is a nationally recognized women's health physical therapist who owns seven private clinics — one of the biggest networks in the US. She has spent 30+ years practicing in the oncology, pelvic floor, and prenatal postpartum healthcare spaces. She was also a professor for seven years a Loma Linda University where she taught kinesiology.

Guest Links:
LinkedIn - https://www.linkedin.com/in/alexandra-dubinskaya-md-facog-ncmp-if-35b1b4b6/
Check out Sensara - https://senserawellness.com/

Brought to you by...

https://lakecitypt.com/ - Pelvic floor physical therapy at home

https://pelvicfloorpro.com/ - Pelvic floor exercises app