When a patient talks about their sexual dysfunction, I always ask: what's going on with the person they're having sex with? You’d be surprised how many providers don’t.

Most people don’t think to ask what’s happening on both sides of a sexual relationship. But sexual dysfunction doesn’t happen in a vacuum—it’s a two-way street. In this episode, I’m joined by Dr. Jessica Yih, a urologist who treats both men and women, and we get real about the overlap of issues that show up in the bedroom.

We dive into Peyronie’s disease and why it’s been overlooked for so long, how injections can break down plaques, and why those curves aren’t just uncomfortable—they can lead to serious problems for both partners. We also break down erectile dysfunction beyond the “just pop a blue pill” myth. Spoiler: Viagra doesn’t work for everyone.

Jessica brings a powerful perspective to the conversation, especially around what it’s like treating both members of a couple, sometimes in back-to-back appointments. She’s also helping train the next generation of sexual health urologists through her fellowship at UC Irvine.

Sex is more than individual dysfunction—it’s communication, treatment access, aging, and understanding both bodies in the room. If you’re a provider, a patient, or just curious about how these dynamics work together, this episode is for you.

Highlights:

• The truth about Peyronie’s disease, painful sex, and treatment options
• Why Viagra isn’t a one-size-fits-all fix for erectile dysfunction
• How injectable medications and implants are changing the game
• Dyadic sexuality and the importance of treating both partners
• Jessica Yih’s unique path to sexual medicine and her work training new fellows

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Dr. Yih’s Bio:

Dr. Jessica Yih is a urologist specializing in both male and female sexual health and male infertility. She currently serves as Director of Women’s Sexual Health and Male Infertility and Assistant Professor at UC Irvine. Her clinical focus includes menopause care, vestibulodynia, arousal and orgasm disorders, erectile dysfunction, and oncofertility.

Dr. Yih is active in research, surgical education, and advocacy, particularly in advancing care for women’s sexual health. She contributes to several professional societies including SMSNA, ISSWSH, SMRU, AUA, and SWIU.

She holds degrees in brain sciences, medical sciences, mental health, and healthcare management, and completed her M.D. at Wayne State, urology residency at Case Western, and fellowship at San Diego Sexual Medicine.

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