
Make Sex Great Again: Hormones & Vaginal Tightening
Explicit content warning
09/05/19 • 10 min
Dr. Edward is discussing birth control pills and their effect on a woman's libido, the benefits of vitamin D and how the older we get the less hormones we have. He also talks about surgery to repair the labia, tighten up the vagina and bringing the bladder back up.
Keep listening in the coming weeks as Dr. Edward does a deep dive into the issues around sexual health and intimacy. He is giving us his knowledge about these issues that affect all of us as we age, you won’t want to miss it.
In This Episode:
[00:35] Dr Edward starts off by discussing birth control pill and that women on them actually end up increasing the sex hormone binding globulin portion of the bloodstream.
[01:12] Birth control can have two different effects on women, it decreases the rate of ovulation and can decrease the desire to have sex as well.
[01:29] Dr Edward says that in his practice he sees a lot of patience with polycystic ovarian syndrome in which women have to much testosterone.
[02:17] Vitamin D is one of Dr Edwards favorite vitamins, it works more like a hormone. It serves as a cofactor for many biochemical processes of the body.
[03:28] Hormones are an extremely important part of how we feel as human beings and how our body’s function.
[03:42] Hormones lower with every decade we live and has an impact on intimacy and intimacy functions.
[04:24] If you would like to have your labs looked at or a listing of all the different hormones we’ve talked about you can go to www.tangchitnobmd.com/hormones.
[04:38] Dr Edward chats with us about having optimal intimacy and the anatomical component to this issue.
[05:10] When the hormones begin to decrease in the body particularly estrogen and testosterone you get a term called uterovagnial prolapse.
[05:43] Dr Edward says one way of treating this is by inserting a space occupying pessary that can hold up the uterus and parts of the bladder.
[06:32] He likes to counsel patients about different approaches to surgery.
[08:03] Dr Edward was trained by Dr. Red Alinsod who has pioneered many of the novel approaches for labiaplasty.
[09:03] Dr Edward also discusses a vaginoplasty which is a modified posterior repair and can tighten up the area.
[10:03] He also discusses the anterior compartment that has the bladder, they can bring the bladder up with cystocele repair.
[10:23] If you would like to see what a restored labia looks like you can go to www.tangchitnob.com/intimacysurgery.
Links and Resources
https://www.tangchitnobmd.com/
Dr. Edward on Instagram
Dr. Edward on Facebook
Dr. Edward on YouTube
https://urogyn.org/about-us/meet-dr-alinsod/
https://www.nhs.uk/conditions/cosmetic-procedures/labiaplasty/
https://www.webmd.com/women/guide/vaginoplasty-and-labiaplasty-procedures
https://www.mskcc.org/cancer-care/patient-education/cystocele-repair-and-sling
https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
Dr. Edward is discussing birth control pills and their effect on a woman's libido, the benefits of vitamin D and how the older we get the less hormones we have. He also talks about surgery to repair the labia, tighten up the vagina and bringing the bladder back up.
Keep listening in the coming weeks as Dr. Edward does a deep dive into the issues around sexual health and intimacy. He is giving us his knowledge about these issues that affect all of us as we age, you won’t want to miss it.
In This Episode:
[00:35] Dr Edward starts off by discussing birth control pill and that women on them actually end up increasing the sex hormone binding globulin portion of the bloodstream.
[01:12] Birth control can have two different effects on women, it decreases the rate of ovulation and can decrease the desire to have sex as well.
[01:29] Dr Edward says that in his practice he sees a lot of patience with polycystic ovarian syndrome in which women have to much testosterone.
[02:17] Vitamin D is one of Dr Edwards favorite vitamins, it works more like a hormone. It serves as a cofactor for many biochemical processes of the body.
[03:28] Hormones are an extremely important part of how we feel as human beings and how our body’s function.
[03:42] Hormones lower with every decade we live and has an impact on intimacy and intimacy functions.
[04:24] If you would like to have your labs looked at or a listing of all the different hormones we’ve talked about you can go to www.tangchitnobmd.com/hormones.
[04:38] Dr Edward chats with us about having optimal intimacy and the anatomical component to this issue.
[05:10] When the hormones begin to decrease in the body particularly estrogen and testosterone you get a term called uterovagnial prolapse.
[05:43] Dr Edward says one way of treating this is by inserting a space occupying pessary that can hold up the uterus and parts of the bladder.
[06:32] He likes to counsel patients about different approaches to surgery.
[08:03] Dr Edward was trained by Dr. Red Alinsod who has pioneered many of the novel approaches for labiaplasty.
[09:03] Dr Edward also discusses a vaginoplasty which is a modified posterior repair and can tighten up the area.
[10:03] He also discusses the anterior compartment that has the bladder, they can bring the bladder up with cystocele repair.
[10:23] If you would like to see what a restored labia looks like you can go to www.tangchitnob.com/intimacysurgery.
Links and Resources
https://www.tangchitnobmd.com/
Dr. Edward on Instagram
Dr. Edward on Facebook
Dr. Edward on YouTube
https://urogyn.org/about-us/meet-dr-alinsod/
https://www.nhs.uk/conditions/cosmetic-procedures/labiaplasty/
https://www.webmd.com/women/guide/vaginoplasty-and-labiaplasty-procedures
https://www.mskcc.org/cancer-care/patient-education/cystocele-repair-and-sling
https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
Previous Episode

The Basics On Sex, Intimacy, and Bioidentical Hormone Replacement 101
Timeless Intimacy with Dr. Edward, is where we uncover issues of sexual health, intimacy and the components of wellness that are specific to painful sex and menopause.
Dr. Edward Tangchitnob is a board certified OBGYN who has developed a unique, effective and holistic combination proceedure to help patients make sex pleasureable again.
In today’s episode Dr. Edward is discussing hormones and how important they are to our bodies. He gives us the breakdown on 6 of them and how they affect us when they are not at the levels they should be.
Keep listening in the coming weeks as Dr. Edward does a deep dive into the issues around sexual health and intimacy. He is giving us his knowledge about these issues that affect all of us as we age, you won’t want to miss it.
In This Episode:
[00:37] Dr Edward tells us that hormones or chemical messengers are created by the body to communicate to different parts of the body.
[01:10] We are living past our hormones now and we as a society are seeing the effects of what happens when the hormones run out.
[02:00] Dr Edward starts at the top and talks about testosterone, it is the get up and go hormone.
[03:03] In women when testosterone is highest is when they feel most attractive and they have energy and they feel more sexual.
[03:55] One of the original medications for endometriosis was a modified testosterone called Danzen.
[04:45] Estrogen is the next hormone Dr. Edward discusses, it is responsible for determining the quality of certain tissues, particularly vaginal mucosa.
[05:42] Women complain that sex is very painful and bladder incontinence.
[06:40] There are many other estrogen-mediated complaints like mental clarity, falling asleep but not able to stay asleep, insomnia, hot flashes.
[06:59] Thyroid is another hormone that is often overlooked but it is very critical for the body’s function.
[07:39] He is finding that patients are now sick with euthyroid syndrome, the lab values are normal but they don’t feel normal.
[08:24] Thyroid is extremely important in terms of determining intimacy performance.
[08:54] Prolactin is another hormone that could potentially inhibit or interfere with orgasm or intimacy.
[09:33] Oxytocin is known as the love bonding hormone, it is released generally after orgasm.
[10:18] Progesterone is one of the feel good hormones so when there is a lack of it in the system it can really affect the female intimacy portion of their lives.
Links and Resources
https://www.tangchitnobmd.com/
Dr. Edward on Instagram
Dr. Edward on Facebook
Dr. Edward on YouTube
Next Episode

3D Vaginoplasty: Loving and restoring the vagina ... that ends in lovemaking
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