What Actually Makes Someone Good in Bed? It’s Not How Long They Last
Dr. Alan Shindel, Dr. Christian Nelson, and Dr. Justin Dubin join Rena Malik, MD to tackle premature ejaculation, debunking myths about what makes good sex and how long it "should" last. They review the real clinical definitions, explore biological and psychological causes, and emphasize the role of communication and relationships. The conversation covers evidence-based treatments—from behavioral and mental health approaches to medications and lifestyle changes—while calling out misinformation from social media, porn, and questionable online solutions.
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Dr. Alan Shindel, Dr. Christian Nelson, and Dr. Justin Dubin—leaders in sexual medicine and men's health—join Rena Malik, MD to break down the realities of premature ejaculation. The group challenges myths about duration, reveals why lasting longer isn't always better, and explains why most women don't orgasm from penetration alone. The episode dives into the real clinical definitions, biological and psychological causes, the impact of relationship dynamics and communication, and what actually works for treatment—including behavioral therapies, mental health support, medications, and lifestyle changes. The discussion also confronts misinformation from social media, porn, and online supplements or gadgets, and draws clear lines between evidence-based strategies and hype.
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- Introduction
- How Long Should Sex Last?
- Rethinking Sex Beyond Penetration
- Porn, Pressure, and Expectations
- What Counts as Premature Ejaculation?
- Partner Expectations and Relationship Strain
- Anxiety, ED, and Rushing to Finish
- Biological and Psychological Causes
- Communication and Therapy
- Behavioral Tools and Pelvic Floor PT
- Medications and Treatment Options
- Online Misinformation and Myths
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From the Blog
What Actually Makes Someone Good in Bed? It’s Not How Long They Last
Published
A full article on renamalikmd.com expanding on this episode — key takeaways, research references, and follow-up reading.
Read the ArticleFrom the Substack
How Long Should Sex Last? Science-Backed Insights from a Urologist on Lasting Longer
Published
Every Monday, Dr. Rena Malik publishes a Substack article expanding on the previous episode — written takeaways, references, and follow-up reading you can save and revisit.
Read on SubstackDr. Alan Shindel:
https://urology.ucsf.edu/people/alan-shindel
LINKEDIN - https://www.linkedin.com/in/alan-shindel-6925844b
Dr. Justin Dubin:
INSTAGRAM - https://www.instagram.com/justindubinmd/?hl=en
X - https://x.com/justindubinmd?lang=en
LINKEDIN - https://www.linkedin.com/in/justin-dubin-m-d-9a9b7917
Dr. Dubin is also the co-host of The Man Up Podcast:
YOUTUBE - https://www.youtube.com/@themanuppod
INSTAGRAM - https://www.instagram.com/themanuppod/?hl=en
APPLE PODCAST - https://podcasts.apple.com/us/podcast/man-up/id1582655811
SPOTIFY - https://open.spotify.com/show/1FkEhH04XdxruNg1xxsEdo
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
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