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Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts - Moment: Is Edging the Key to Ultimate Pleasure? ft. Dr. Nicole Prause

Moment: Is Edging the Key to Ultimate Pleasure? ft. Dr. Nicole Prause

05/14/25 • 23 min

Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

In this episode of the Rena Malik, M.D. podcast, Dr. Rena Malik talks with Dr. Nicole Prause about the complexities of orgasm and sexual response in the brain. Dr. Prause discusses her research on the changes that happen as individuals near climax, suggesting a possible undocumented phase in the sexual response cycle. They explore the role of cognitive control in achieving orgasm and examine the practice of semen retention, noting that its purported benefits lack scientific support. The conversation also highlights the challenges researchers face in the field of sexual health.

Become a Member to Receive Exclusive Content: renamalik.supercast.com

Schedule an appointment with me: https://www.renamalikmd.com/appointments

▶️Chapters:

00:00 Introduction

00:11 Brain activity during orgasm

01:27 Sexual response cycle theory

03:20 Orgasms and cognitive control

05:02 Edging and brain states

06:21 Semen retention discussion

08:52 Physiologic basis of focus

15:30 Online forum dangers

19:23 Pornography and pair bonding

21:26 Oxytocin and relationships

Stay connected with Dr. Prause on social media for daily insights and updates. Don’t miss out—follow her now and check out these links!

X - https://x.com/NicoleRPrause

Facebook - https://www.facebook.com/LiberosCenter

LinkedIn - https://www.linkedin.com/in/nprause/

ResearchGate - https://www.researchgate.net/profile/Nicole-Prause

https://bsky.app/profile/nicolerprause.bsky.social

www.liberoscenter.com

Let's Connect!:

WEBSITE: http://www.renamalikmd.com

YOUTUBE: https://www.youtube.com/@RenaMalikMD

INSTAGRAM: http://www.instagram.com/RenaMalikMD

TWITTER: http://twitter.com/RenaMalikMD

FACEBOOK: https://www.facebook.com/RenaMalikMD/

LINKEDIN: https://www.linkedin.com/in/renadmalik

PINTEREST: https://www.pinterest.com/renamalikmd/

TIKTOK: https://www.tiktok.com/RenaMalikMD

------------------------------------------------------

DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

Learn more about your ad choices. Visit megaphone.fm/adchoices

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In this episode of the Rena Malik, M.D. podcast, Dr. Rena Malik talks with Dr. Nicole Prause about the complexities of orgasm and sexual response in the brain. Dr. Prause discusses her research on the changes that happen as individuals near climax, suggesting a possible undocumented phase in the sexual response cycle. They explore the role of cognitive control in achieving orgasm and examine the practice of semen retention, noting that its purported benefits lack scientific support. The conversation also highlights the challenges researchers face in the field of sexual health.

Become a Member to Receive Exclusive Content: renamalik.supercast.com

Schedule an appointment with me: https://www.renamalikmd.com/appointments

▶️Chapters:

00:00 Introduction

00:11 Brain activity during orgasm

01:27 Sexual response cycle theory

03:20 Orgasms and cognitive control

05:02 Edging and brain states

06:21 Semen retention discussion

08:52 Physiologic basis of focus

15:30 Online forum dangers

19:23 Pornography and pair bonding

21:26 Oxytocin and relationships

Stay connected with Dr. Prause on social media for daily insights and updates. Don’t miss out—follow her now and check out these links!

X - https://x.com/NicoleRPrause

Facebook - https://www.facebook.com/LiberosCenter

LinkedIn - https://www.linkedin.com/in/nprause/

ResearchGate - https://www.researchgate.net/profile/Nicole-Prause

https://bsky.app/profile/nicolerprause.bsky.social

www.liberoscenter.com

Let's Connect!:

WEBSITE: http://www.renamalikmd.com

YOUTUBE: https://www.youtube.com/@RenaMalikMD

INSTAGRAM: http://www.instagram.com/RenaMalikMD

TWITTER: http://twitter.com/RenaMalikMD

FACEBOOK: https://www.facebook.com/RenaMalikMD/

LINKEDIN: https://www.linkedin.com/in/renadmalik

PINTEREST: https://www.pinterest.com/renamalikmd/

TIKTOK: https://www.tiktok.com/RenaMalikMD

------------------------------------------------------

DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Previous Episode

undefined - Testosterone Therapy 101: Risks, Benefits & Types of TRT ft. Dr. Mohit Khera

Testosterone Therapy 101: Risks, Benefits & Types of TRT ft. Dr. Mohit Khera

Dr. Mohit Khera, renowned urologist, researcher, and expert in male and female sexual health, joins Dr. Rena Malik to discuss the global decline in testosterone, why symptoms matter more than blood test reference numbers, and the crucial role of free testosterone. They dive into types of testosterone replacement therapies—including injectables, gels, orals, and pellets—their risks, benefits, and considerations around fertility. The conversation also covers how semen analysis serves as a window into overall health, the influence of lifestyle changes (like weight loss, sleep, and stress management) on hormone levels, and the relationship between testosterone, cardiovascular health, depression, and prostate cancer. Dr. Khera and Dr. Malik explore regenerative therapies for erectile dysfunction, including hyperbaric oxygen, shockwave therapy, stem cells, PRP, and Botox, and discuss lesser-known issues such as post-finasteride syndrome and the status of sexual health in women.

Become a Member to Receive Exclusive Content: renamalik.supercast.com

Schedule an appointment with me: https://www.renamalikmd.com/appointments

▶️Chapters:

00:00:00 – Introduction

00:02:10 – The Testosterone Decline

00:06:07 – Free vs. Total Testosterone

00:11:32 – TRT Options

00:14:19 – Oral Testosterone & Fertility

00:17:26 – Protecting Fertility on TRT

00:20:38 – Recovery After TRT

00:29:10 – The Power of Estrogen

00:38:48 – Boosting Testosterone Naturally

00:42:31 – Stress & Operator Syndrome

00:50:12 – ED & Shockwave Therapy

00:55:13 – Regenerative Therapies

01:36:24 – Closing Thoughts

Stay connected with Dr. Mohit Khera on social media for daily insights and updates. Don’t miss out—follow him now and check out these links!

INSTAGRAM - https://www.instagram.com/drmohitkhera/?hl=en

X - https://x.com/drmohitkhera?lang=en

WEBSITE - https://drmohitkhera.com/

Let's Connect!:

WEBSITE: http://www.renamalikmd.com

YOUTUBE: https://www.youtube.com/@RenaMalikMD

INSTAGRAM: http://www.instagram.com/RenaMalikMD

TWITTER: http://twitter.com/RenaMalikMD

FACEBOOK: https://www.facebook.com/RenaMalikMD/

LINKEDIN: https://www.linkedin.com/in/renadmalik

PINTEREST: https://www.pinterest.com/renamalikmd/

TIKTOK: https://www.tiktok.com/RenaMalikMD

------------------------------------------------------

DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Next Episode

undefined - Is Porn Really Ruining Your Life? Here's What Science Says

Is Porn Really Ruining Your Life? Here's What Science Says

Dr. Rena Malik, urologist and pelvic surgeon, examines the complex realities of pornography use, exploring scientific evidence on its potential benefits and risks for individuals and couples. She discusses motivations behind porn consumption, its effects on brain chemistry, sexual health, and relationships, as well as the impacts of moral beliefs, shame, and problematic use. Dr. Malik offers practical guidance for developing a healthy relationship with pornography, communication strategies for couples, and when to seek professional help—all with the aim of empowering listeners to make informed choices about their sexual wellness.

Become a Member to Receive Exclusive Content: renamalik.supercast.com

Schedule an appointment with me: https://www.renamalikmd.com/appointments

▶️Chapters:

00:00 Introduction 00:28 Motivations for Porn Use 03:13 Brain Response to Pornography 04:54 Benefits of Pornography 07:00 Research Findings on Satisfaction 07:53 Potential Risks and Challenges 10:14 Impact on Children and Adolescents 11:12 Pornography in Relationships 12:19 Moral Incongruence and Distress 13:39 Problematic Use and Control 15:06 Strategies for Healthy Use

https://journals.sagepub.com/doi/full/10.1177/0038038516629909 https://link.springer.com/article/10.1007/s40429-021-00378-4 https://akjournals.com/view/journals/2006/8/1/article-p88.xml https://www.publish.csiro.au/SH/SH21220 https://www.tandfonline.com/doi/abs/10.1080/00224499.2018.1427204 https://www.tandfonline.com/doi/abs/10.1080/00224499.2023.2174248 https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.661347/full https://link.springer.com/article/10.1007/s11930-014-0016-8 https://link.springer.com/article/10.1007/s40429-022-00447-2 https://psycnet.apa.org/fulltext/2020-55282-001.html https://www.tandfonline.com/doi/abs/10.1080/00224499.2021.1893261?journalCode=hjsr20 https://www.tandfonline.com/doi/full/10.1080/0092623X.2021.1885532 https://link.springer.com/article/10.1007/s10508-016-0783-6 https://pubmed.ncbi.nlm.nih.gov/27318185/ https://www.tandfonline.com/doi/full/10.1080/23268743.2023.2267593 https://utppublishing.com/doi/abs/10.3138/cjhs.243-A4 https://youtu.be/ZYhZMsvBWSU?si=DeggmGuiRRcRZDOe https://youtu.be/cEqe5dHuQYE?si=NIU5RKM1SBvxSo1r https://youtu.be/cEqe5dHuQYE?si=NIU5RKM1SBvxSo1r https://www.aasect.org

Let's Connect!:

WEBSITE: http://www.renamalikmd.com

YOUTUBE: https://www.youtube.com/@RenaMalikMD

INSTAGRAM: http://www.instagram.com/RenaMalikMD

TWITTER: http://twitter.com/RenaMalikMD

FACEBOOK: https://www.facebook.com/RenaMalikMD/

LINKEDIN: https://www.linkedin.com/in/renadmalik

PINTEREST: https://www.pinterest.com/renamalikmd/

TIKTOK: https://www.tiktok.com/RenaMalikMD

------------------------------------------------------

DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

Learn more about your ad choices. Visit megaphone.fm/adchoices

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