Dr. Rachel Rubin

But it becomes how do we talk about and research and look at the sexual side effects, which are, you know, can also be genital numbness or, you know, anhedonia.

Because it's.

There's a libido issue potentially.

And then there's also arousal and orgasm issues.

So let's break those down because the listeners are like, whoa.

Yeah, no.

And there are some that really don't get talked about.

So there's so again, sometimes low libido can be seen.

Sometimes change in orgasm can happen.

Sometimes change in arousal can happen so that either the erections or clitoral arousal.

And we see we see these different conditions, you know, genital what we call dysesthesia or when your genitals just don't feel like they used to.

So patients report it's really it's wild because patients will say, I feel.

feel like I feel nothing when my genitals get touched.

Like I feel the sensation like you're touching me, but it's no different than if you touched my elbow.

There is no longer that sexual sensation.

And you have to be very careful when you're listening to patients talk about sexual function because because sex education is really bad in this country that we often don't have the same language.

So I have a guy who comes to see me, says, Dr. Rubin, I'm so mad and distressed and angry because my libido is gone.

And when you really talk to him at length and you ask more questions, it's not just his desire or his interest in sex.

It's sort of his arousal.

It's his connection to arousal.