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When Lisa first came to Dr. Paul Gittens' office, she hadn't experienced pain-free intimacy in over three years. After breast cancer treatment saved her life, it had also taken away a fundamental part of her relationship with her husband.
"Nobody talked to me about what would happen after chemotherapy," she explained, fighting back tears.
Lisa's story represents thousands of patients seeking help at Dr. Gittens' sexual medicine practices in Philadelphia, Allentown, and Manhattan. People fly from as far as Dubai and across Europe to see this pioneering sexual medicine specialist and board-certified urologist who's transforming the treatment landscape for both men and women.
In a revealing episode of Sex Reimagined Podcast , hosts Leah Piper and Dr. Willow Brown sat down with Dr. Gittens to discuss the groundbreaking treatments that mainstream medicine often overlooks or misunderstands.
The Silent Epidemic No One's Discussing
Sexual dysfunction affects millions of Americans, yet most suffer in silence. According to statistics shared by Dr. Gittens, erectile dysfunction impacts approximately 50% of men by age 50, with cases expected to reach 322 million worldwide by 2025.
"When I was a urologist starting out, nobody cared about sexual function at all," Dr. Gittens revealed during the interview. "Nobody talked to men about what happens after prostate cancer or radiation to the pelvis. Nobody talked to women about sexual health after they've gone through chemotherapy."
This glaring gap in care drove Dr. Gittens to create specialized practices addressing sexual dysfunction comprehensively through a blend of medical treatments, physical therapy, and psychological approaches.
Beyond the Blue Pill: Revolutionary Treatments Explained
The podcast explores several cutting-edge treatments that are changing lives:
For Men
Delayed Ejaculation Solutions
Unlike premature ejaculation, which is more common in younger men, delayed ejaculation tends to affect men as they age. Dr. Gittens achieves a remarkable 40% success rate treating this condition—when most practices see just 5%.
"Every time we have an orgasm, it's like a symphony of events," he explains. "It's not just one thing like moving your finger. You need the right serotonin levels, prolactin levels, dopamine levels—all these things we take for granted when we're younger."
His approach includes hormone optimization, neurological testing, pelvic floor assessment, and sometimes vibration therapy to address this complex issue.
Penis Pumps: Not Just for Erections
"I'm a fan of penis pumps," Dr. Gittens states unequivocally. "I think they really help. When you look at studies, it shows there's a benefit."
He explains that beyond creating immediate erections, regular use of penis pumps provides increased blood flow that can improve underlying erectile tissue health—particularly important for men recovering from prostate surgery.
Natural-Looking Enhancement
For men seeking girth enhancement, Dr. Gittens discusses his approach using fillers that last 1-3 years and look completely natural. "I always tell guys, 'Let's just make it look natural, let's make it look good,'" he shares, noting that patients often come with unrealistic expectations influenced by pornography.
For Women
The Mona Lisa Touch Revolution
Perhaps most revolutionary is Dr. Gittens' work with the Mona Lisa laser for women experiencing vaginal atrophy, particularly after cancer treatments.
"I've written a paper on it," he mentions. "It's one of my favorite tools in my office." The CO2 fractional laser stimulates the vaginal tissue to regenerate, similar to how microneedling works for facial skin, improving natural lubrication and reducing pain during intercourse—all without hormones that might be contraindicated for cancer survivors.
FemTensity for Enhanced Sensation
The podcast also covers a breakthrough treatment called FemTensity, which uses low-intensity shockwave therapy to increase blood flow and nitric oxide levels in the clitoris, enhancing sensation and orgasmic function.
The Importance of Personalized Care
Throughout the interview, Dr. Gittens emphasizes that sexual dysfunction rarely has a one-size-fits-all solution.
"I wish it was like saying 'the Eagles are gonna win the Super Bowl' and that's it," he jokes. "It would be a lot simpler. But in reality, it's never like that. It always depends on the individual."
This personalized approach involves comprehensive evaluations looking at hormones, nerve function, pelvic floor health, and psychological factors—which explains why his patients experience such high success rates compared to conventional treatments.
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Preparing for Perimenopause and Beyond
Women approaching perimenopause can benefit enormously from Dr. Gittens' advice on when to start preparing:
"Understanding what perimenopause means and what signs you have is the first step," he explains. "As women start to have symptoms, they should reach out to someone who understands how to treat them."
He emphasizes the importance of exercise (particularly resistance training for bone health), nutrition, vitamin D, and calcium, especially for thinner women who may be at higher risk for osteoporosis.
Hope for Cancer Survivors
Perhaps most moving is Dr. Gittens' work with cancer survivors. His sexual health programs for breast cancer and prostate cancer patients offer hope where traditional medicine often falls short.
By carefully assessing each individual's unique situation and cancer history, he can provide treatments that restore sexual function without compromising cancer care—whether through non-hormonal options, carefully monitored hormone therapy, or specialized physical therapies.
Listen to the Full Episode
This groundbreaking conversation covers far more than can be summarized here, including:
How bioidentical hormones differ from conventional hormone therapy
The truth about testosterone therapy after prostate cancer
When pelvic floor therapy can resolve sexual dysfunction
The emotional impact of sexual health on relationships and quality of life
CLICK HERE TO WATCH THE FULL EPISODE
Whether you're personally experiencing sexual dysfunction, supporting a partner through these challenges, or simply want to understand the incredible advances happening in sexual medicine, this episode offers invaluable insights from one of the field's foremost experts.
Have you tried any of the treatments Dr. Gittens discusses? Share your experience in the comments below or reach out privately if you prefer. And don't forget to subscribe to the Sex Reimagined Podcast for more enlightening conversations about sexual health and pleasure.
EPISODE LINKS
SxR Episode 124 | The hidden truth about male intimacy
Get in touch with Leah Piper
Get in touch with Dr. Willow Brown
Watch, Subscribe, and Comment - SXR Youtube Channel
Listen, Rate, and Review - Apple Podcast - Spotify
