Episode 5: Sexual Maladies and Mysteries

Kimberly starts this episode with a question from a listener about the impact of his fiancé’s kidney condition on their sexual relationship. Next, she introduces her guests to two sex-related medical conditions: 1) Post Coital Headaches, and 2) Post Finasteride Syndrome.

Kimberly defines post coital headaches and explains that these headaches are often no reason for concern, but that they could be a sign of an undiagnosed serious medical condition, such as an intracranial aneurysm, stroke, or coronary heart disease. She explains that men are 2-3 times more likely to suffer from these headaches than women. She explains treatments available to manage these painful headaches, which often occur at moment of orgasm (or soon after). She also describes the sexual and emotional impact this condition can have on couples.

Kimberly next explains that Finasteride is a medication used to treat male pattern hair loss (labeled as Propecia) and enlarged prostate (labeled as Proscar) in men. She explains that a small percentage of men taking these drugs develop a debilitating condition called Post Finasteride Syndrome, which often affects sexual, mental, physical, and neurologic health.

She explains the varied symptoms that men report, and highlights the growing amount of research being done worldwide to link the drug to the syndrome. She reports statistics on suicide, current and pending law suits, and recent increased warnings about the drug throughout the world. She explains how the condition has “virtually ruined” the life of one of her patients, who lost his capacity to ejaculate and cannot work full time because of the fatigue, anxiety, depression, and chronic pain he experiences daily.