Dr. Mary Claire Haver

Do you masturbate?

You know,

I've seen articles like that.

And I'm like, you just need to come more.

I've had patients say, well, that sounds nice, but my partner will get mad at me.

What is the most persistent orgasm myth that you would love to retire?

What happens to the orgasm with normal aging?

Like, so the thing that always breaks the internet, right, is when you're like... And my biggest substack, like hundreds of thousands of views, is the one I wrote about how the anatomy of the vulva can change with age.

Yeah, yeah, yeah.

Please pull out the clitoris.

Oh, it's tiny.

Aw, it looks like Gumby, for those of you watching on YouTube.

So where's the ischiocavernosis in the vulva?

Because that is what we were taught to look for when we were reconstructing the pelvic anatomy after laceration from obstetrics.

Impressive.

But I didn't realize I was throwing big giant sutures of chromic into the clitoris.

I can't tell you how many patients came back in horrific pain.

What we know now is that she had GSM.

It wasn't full menopause, but she had general urinary syndrome because her estrogen was so low because she was nursing her baby and we suppress our estrogen.

We suppress ovulation when we nurse.