A Urologist Talks Vaginal Estrogen, Erections & Real Sexual Health | Sexuality Education

In this episode of Please Me Podcast, Eve sits down with urologist Dr. Stephanie Zwonitzer for a candid and educational conversation on sexuality, sexual wellness, hormones, and the often-misunderstood realities of genital and pelvic health. Together, they unpack common concerns like low libido, vaginal dryness, erectile dysfunction, recurrent UTIs, and bacterial vaginosis (BV), offering clear, science-based explanations and practical treatment options. Dr. Zwonitzer highlights how hormonal changes—especially during perimenopause and menopause—can affect mood, energy, joint health, desire, and sexual function. The conversation explores evidence-based solutions including topical vaginal estrogen, hormone replacement therapy (HRT), acoustic wave therapy, and the role of masturbation and orgasm in maintaining healthy sexual function for all genders. They also address men’s health topics such as prostate wellness, ejaculation frequency, and its relationship to long-term health outcomes. Beyond hormones and treatment, the episode also provides honest guidance on sexual practices like anal sex, emphasizing communication, preparation, and comfort. Throughout the discussion, Eve and Dr. Zwonitzer normalize conversations around sex, remove stigma, and encourage listeners to advocate for their own sexual health needs. This episode is a straightforward, empowering guide to understanding your body, improving sexual wellbeing, and making informed choices about your health. What You’ll Learn • The orgasm gap and what orgasm equality really means • Why topical vaginal estrogen helps with dryness, UTIs, and incontinence • How hormone replacement therapy (HRT) supports perimenopause and menopause symptoms • The link between hormones, mood changes, joint pain, and libido • How masturbation and orgasm support sexual health and function • Prostate health, ejaculation frequency, and long-term wellness in men • How acoustic wave therapy improves blood flow and erectile function • Safe and comfortable approaches to anal sex, including communication and preparation • Causes and treatments of BV, including overlooked triggers and options like boric acid • How to talk openly with partners and healthcare providers about sexual concerns Connect With the Guest Dr. Stephanie Zwonitzer Host, Between the Sheets Resources from Eve The Sexual Longevity Protocol: https://pleaseme.online/the-sexual-longevity-protocol/ 30-Day Self-Pleasure & Body Reconnection Practices (Free): https://pleaseme.online/the-30-day-self-pleasure-body-reconnection-practices/ Connect With Eve Website: https://pleaseme.online Substack: https://pleaseme.substack.com Patreon (Ad-Free + Bonus Content): https://patreon.com/PleaseMePodcast Be a Guest: https://www.podmatch.com/hostdetailpreview/beaguestonpleasemepodcast Learn more about your ad choices. Visit megaphone.fm/adchoices