Armor Men's Health Show

Bonus Episode: Is Your Sex Too Hot To Handle? Dr. Mistry Answers Listener Questions on Heat Stimulation, Genital Waxing, Painful Orgasms, and More

October 28, 2022 Dr. Sandeep Mistry and Donna Lee
Armor Men's Health Show
Bonus Episode: Is Your Sex Too Hot To Handle? Dr. Mistry Answers Listener Questions on Heat Stimulation, Genital Waxing, Painful Orgasms, and More
Show Notes Transcript

In this bonus episode, Dr. Mistry and Donna Lee answer several "burning" questions sent in by listeners about all things urology. What happens when you use Icy Hot instead of lubricant (hopefully by mistake)? Can you wax your genitals with Nair? Why would men have painful orgasms? Listen in to hear Dr. Mistry answer these and other questions from our listeners. Then send us your questions at armormenshealth@gmail.com and we'll answer them anonymously in a future episode!
 
Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

We enjoy hearing from you! Email us at armormenshealth@gmail.com and we’ll answer your question in an upcoming episode.

Phone: (512) 238-0762

Email: Armormenshealth@gmail.com

Website: Armormenshealth.com

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Speaker 1:

Welcome to the Armor Men's Health Show with Dr. Mystery and Donna Lee.

Speaker 2:

Hello and welcome to the Armor Men's Health Show. This is Dr. Mystery, your host joined as always by my increasingly more popular co-host Donna Lee.

Speaker 3:

That's right. I had a gentleman make me some jewelry the other day, one of our listeners.

Speaker 2:

Really? Yeah. A macaroni necklace. Yes.

Speaker 3:

It was delicious. Delicious

Speaker 2:

<laugh>. It wasn't food lady. No, this is a men's health show. I am a board certified urologist. We've been providing this show as a service to the community for almost three and a half years. It's a long time. It's a long time. Have this show on the radio, but also as an available podcast wherever you get your podcast. And Donna, you have a lot of other gigs nowadays, huh?

Speaker 3:

Mm-hmm.<affirmative>. I've been a little busy in the comedy field, so that's been

Speaker 2:

Fun. That's good. I wish you were funny on the show.

Speaker 3:

Me too. I wish you Let me have a minute to say

Speaker 2:

Something. I run a,

Speaker 3:

It's

Speaker 2:

Slow Burn A urology clinic<laugh> in Austin, Texas. We have four offices, uh, four physician providers, uh, four, uh, advanced practice providers who are like PAs and nurse practitioners. That's mouthful. We have, that's what she said. Then we have two pelvic floor physical therapists. We have sex therapy. We have nutritionists or a health coach here in the office, and a strong commitment to making you healthier and as many ways as we can.

Speaker 3:

Mm-hmm.<affirmative>. And, um, I just wanted to put drop in here that a patient met me in the lobby the other day and he said, Are you Donna Lee from the radio show and podcast? I said, I am. It's so nice to meet you. He heard me talking and he recognized my voice. And do you know what he said next? What? He said, You're prettier than your voice Sounds on the radio.<laugh><laugh>.

Speaker 2:

Thank you for that compliment. So,

Speaker 3:

Which I said, I'm not sure how to respond to that. I'm not sure. Thank you. Question Mark

Speaker 2:

<laugh>, speaking of question marks, we love your questions on the show, a Donna, Go for it. That was good. Yeah. I'm,

Speaker 3:

I'm getting really, That was very smooth. Thank you for that segue. This gentleman sent this in a little while back. We've been a little backed up for questions, but his subject line made me laugh, just reading it. A burning question, Uhoh. And I heard music in the background in the guy from Dateline in my head. He actually didn't ask a question, but this is what he said. He said Hello again, Donna. Here's another question for Dr. Mystery. This is a repeat listener. Oh, I love it. I have to preface this by saying it was late and the lights were off<laugh>. That's what he said. I mistakenly grabbed the tube of Icy hot instead of k y jelly last night.

Speaker 2:

Oh, no.

Speaker 3:

Needless to say, my girlfriend and I were on fire, literally all as well this morning, but I'm hoping I didn't do any lasting damage. He said, By the way, I would not recommend this with two exclamation marks,<laugh>. So I think the question is, did he hurt himself or do any

Speaker 2:

Damage? It's unlikely they did any long lasting damage. So that's the simple, that's the simple answer. You know, I really want to talk, uh, I'd love talking about using different chemicals on your genitals,<laugh>, and how it changes things. One of the things that you never want to do is use na. I see hot Oh na on your genitals. So who

Speaker 3:

Uses Nair on their genitals?

Speaker 2:

I mean, somebody who just one time, I assure you, because it just happens one time. It says explicitly on the thing, Do not use in your genitals. And that's not just a joke.

Speaker 3:

For those of you who don't know what Nair is, remove your hair from your body with horrifying chemicals.

Speaker 2:

<laugh> it burns the hair off you. Okay.

Speaker 3:

Literally.

Speaker 2:

And so, you know, my God, we've had patients in preparation for a vasectomy, for example. Oh, just have no idea what to do down there. You know, it's bumpy and it's, it's not, it's not, it's not your face. It's your scrotum. And so they'll put na on it, and they will never do that again because it burns and it hurts. And that lasts for a long time. In fact, Na was sued years ago. They should be by someone. I remember when I was in business school, the business law professor was trying to illustrate how stupid people are<laugh> and was like, Can you believe that guy put na in a scrotum? And I said, Well, sir, it does happen, You know, more frequently than you think because it's hard to shave the scrotum for vasectomies. Oh. And like the whole, he didn't know that I was a urologist. Oh, no. And he is like, You sure know a lot about scrotum,<laugh>.

Speaker 3:

You're like, I'm just an average guy off the street.

Speaker 2:

<laugh>. So sometimes we use, um, uh, things like Icy Hot or the, the kinds of chemicals that are, uh, used to kind of create that warming sensation therapeutically in some, in some patients. Okay. So there's a number of, uh, gels, uh, or lubricants that you can buy for women, Okay? Mm-hmm.<affirmative> that has like a tingling or a, you know, fresh mental, uh, that, that, that actually uses either a cooling or a warming agent. Um, sometimes a more tingly agent, uh, a lot less concentrated than you would find in Icy Hot mm-hmm.<affirmative>. And so those patients of ours that have difficulty achieving an orgasm or have diminished sensations, so like diabetics, both men and women who have diminished sensation in their genitals. Okay. We will use creams that have a burning capac or, you know, component to them, meaning, you know, a warming component, not a burning component. Mm. And so we use capsaicin, which is, um, what makes chilies hot?

Speaker 3:

Capsaicin capsaicin. Is that a prescription?

Speaker 2:

We make it up. We, we get it made up in a, in a, um, in a compounding pharmacy. Oh, okay. There's, there's a, there's a brand of warming gel that you can buy similar to Icy Hot called capsaicin. That's probably too strong. I would not put that on your genitals. Oh. And, uh, certainly make sure it's okay with your partner before you slap any of this on because,

Speaker 3:

Or maybe turn the light on

Speaker 2:

<laugh>. The lights were off<laugh>. I grab the Icy Hot

Speaker 3:

<laugh>. I love this person. It's, I have to preface this by saying it was late and the lights were off<laugh>,

Speaker 2:

And there may have been some veno involved<laugh>. We were trying to spice it up with some icy hot, you know. So, uh, it leads me to, uh, kind of that broader discussion that a lot of patients will come to us at various stages of life complaining of diminished sensation in their penis. We mm-hmm.<affirmative>, we all, we do have a number of patients that come in with some type of chemical injury or chemical burn to their penis on a, on a, uh, you know, more related to this question mm-hmm.<affirmative>, Uh, we've had patients that, uh, in other countries for gonorrhea and chlamydia, they actually inject like harsh chemicals into the urethra. Why? To kind of clean it out.

Speaker 3:

Oh,

Speaker 2:

I don't know.

Speaker 3:

That sounds counterproductive.

Speaker 2:

It should, it shouldn't go there. We have women that for various kinds of, you know, uh, remedies that they've heard about, you know, on the street will use different chemicals in their, uh, in their vaginal douches to try to keep them from getting yeast infections and, and urinary tract infections. What

Speaker 3:

A

Speaker 2:

Dirty street. I mean, there's<laugh>, what a dirty street<laugh>. Uh, and so, uh, there are, there are therapeutic things that are done with these organs, but you should probably go to a physician who knows what should go in there and on there. Maybe

Speaker 3:

Your urologist perhaps, or maybe

Speaker 2:

Urologist. Maybe your urologist or maybe you're obgyn. And if, uh, if you've heard something and your provider just kind of, um, kind of dismisses you out of hand, then you may need to find another provider because not, you know, we say this all the time on the show, not every doctor is the same. Mm-hmm.<affirmative>, there's a basic amount of knowledge that fortunately everybody knows that's far superior what the general public knows. Right. But when it comes to like, these specific areas, you know, what is the composition of the vinegar solution that you should use in your for preventing urinary tract infections? That's something that we know, and we, we do it all the time.

Speaker 3:

Is still a word that we can use? I feel like it only talks about guys that are preppy. I, I only say it negatively now. I don't use it as a female product that flushes at her

Speaker 2:

Hands. That's because Dr. Donna is just a trademark, not a true educational thing. I just

Speaker 3:

Feel like is not the right word

Speaker 2:

Anymore.<laugh>, what should be used? Vaginal washing.

Speaker 3:

Yeah. Vaginal. The

Speaker 2:

Showerer vaginal shower. Okay. So for your vaginal shower if you need certain, But, but there are things that we can, um, put in there that also prevent yeast infections. Uh, on the male side, um, there are things that we put in the urethra for chronic ure or chronic burning. Mm-hmm.<affirmative>, lidocaine and steroids. So

Speaker 3:

You inject

Speaker 2:

It, you inject it in there. So it's not the, it's not that you should never do anything to yourself on your genitals. That's not the, the lesson here. I hot you the right thing. That's probably not the right way to go about it. Mm-hmm.<affirmative>. But, um, the likelihood of any long term skin damage or urethral damage or mucosal damage is very low. But again, as reiteration, we, we do use kind of warming agents, cooling agents in a variety of therapeutic reasons. Mm-hmm.<affirmative>. So if you have diminished sensation of your penis where you have perceived diminished sensation, you know, uh, we can actually test for it. We have, um, uh, a vibratory stimulation and we have temperature, uh, detection, and we can actually show you or demonstrate whether you have improved, uh, or if you have diminished sensation or, or nerve function in your penis. Uh, we use it in women, uh, who tell me that they have diminished sensation of their vagina or clitoris. Uh, if they have difficulty achieving an orgasm as well. We use these same tests. And the problem with nerves is that it's very difficult to improve your nerves. Mm-hmm.<affirmative>. So the only thing that we do that is probably considered more regenerative is that PRP shot or the, uh, uh, uh, platelet rich plasma injections that we'll do, or the P shot and the o shot that we do for women are both designed to kind of inject more regenerative, um, uh, uh, bodily resources into these organs. Mm-hmm.

Speaker 3:

<affirmative> make get better

Speaker 2:

Sensation and, and improving sensation is probably the most consistent thing that we'll see with that.

Speaker 3:

You know, I watch a lot of Bravo TV shows, anything that starts with the word housewives, I'm watching it. And like all of them are doing the OShot now.

Speaker 2:

Yeah. Somebody's, they may be

Speaker 3:

Sponsored by and then they like talk about it afterwards, like they're getting it. Well, they have a, they're, uh, plastic surgeon friends on the show, so they're getting sponsored I'm sure. But they talk about it afterwards and how they're having these incredible orgasms. And I don't know if it's just tv, but it seems to be working. And I believe everything they say,<laugh>,

Speaker 2:

Thank God for

Speaker 3:

They're my mentors. Thank

Speaker 2:

God for people like you.

Speaker 3:

They're my heroes.

Speaker 2:

<laugh>. Uh, but uh, for those of you that, uh, uh, you know, have a sensory issue or something like that, we would be happy to see you as a patient. Uh, Donna, how do people get a hold of us?

Speaker 3:

You know, uh, you can call us during the week at 5 1 2 2 3 8 0 7 6 2 are just going back to this guy. Ironically, my husband and I have less sex because of Icy hot. You know why? Because

Speaker 2:

He's got the arthritis,

Speaker 3:

Because he puts it on his shoulders and he smells like an old man. And I go the other way. So anyway, you can reach out to us again,<laugh> at arm men's health.com. Sorry, Michael. Uh, we're in Round Rock, North Austin, South Austin and Dripping Springs, Texas. Where you are out there quite often now these days. That's right. That's right. And you're booked out quite a bit. So give us a call again, a(512) 238-0762. Uh, hang in there. We're gonna have more questions. We're a little backed up on questions, so keep sending those questions to armor men's health.com. And

Speaker 2:

I am Dr. Mystery, your host. Here's always with my wonderfully funny and comic co-host, Donnelley. That's

Speaker 3:

Right. I am very, very funny. Keep

Speaker 2:

That in mind. She's been a great partner of ours. She is in charge of our marketing and business for the, uh, urology practice that I started in 2007. This is our 15th anniversary. If you're listening in the future, then maybe it's our 20th anniversary. Who

Speaker 3:

Knows?<laugh>, You can hear his gray hairs growing

Speaker 2:

<laugh>. It has been a gray hair inducing, uh, experience here. We love practicing, uh, urologic medicine. Uh, a lot of people ask me why I became urologist. I always don't because of the jokes. It tends to be a very lighthearted and fun specialty. Even though we deal with very serious issues, including prostate and kidney and bladder cancer. We deal with kidney stones, a lot of hormone replacement therapy in both men and women. And then of course, a never ending slew of erectile and sexual problems. We think that, and if, if you're out there and you have sexual problems and you're just going to somebody who's just pushing a pill, then I think that you're not getting what really you need in terms of a full evaluation. And we would like to help you.

Speaker 3:

So, you know, I had a patient call, a listener call from Connecticut last week. I talked to his wife the week before. Then he called me and they live up in Connecticut, but sometimes they have a home in Austin. Stay here on occasion. Anyway, he said, Are there any holistic urology offices that you know of in Connecticut? And I was like, Oh, hell no. I don't know<laugh>. I'm in a bubble here. I don't know. That's, I've never heard of holistic urology until I started with you. So then I was, we were having a really long chat. Anyway, long story short. So he went to a urologist in Connecticut, and the guy that he, he saw the urologist only pushed one pill. Viagra had nothing else to give him. And he's heard us talk about spark wave and, you know, supplements and all the other things. And he said that, that guy said that spark wave or shockwave, uh, does not work for anybody. There are no studies that prove it, and it's just a piece of equipment that they're gonna sell you on. And, and I was like, I took my hoops off outta my ears. I took my shoes off. I was ready to fight this guy. So

Speaker 2:

<laugh> Well, I, I, I think that, uh, it's so there are certain things that we deal with in our practice that we really enjoy taking care of. Testicular pain is another great example of something that urologists talk all the time about the bane of ball pain that's in their,

Speaker 3:

The bane of ball pain.

Speaker 2:

The ba meaning that testicular pain when they see it in their office is something that they don't, It's because they don't really have a lot of tools to improve that patient. Yeah. So because they don't, they don't like taking care of it because they don't think they can do anything about it. Same with erectile dysfunction. Yeah. They don't think that they can provide a better solution to the patient. But if you don't, if if you're treating ed out there and you're not helping them improve their cardiovascular health, learn about the improvements of natural ways, of improving testosterone, repairing their hormones, giving them supplements, I mean, you're really missing out on a wonderful opportunity to help patients along.

Speaker 3:

For sure. And this guy did say, uh, and I told him a joke just to give that guy, that urologist up there two or three years, and I bet he has this equipment in this, you know, the tool in his toolbox like we do. And I said, it's never our first go-to, we have it as one of the options. But he did say he went to a spark be clinic here, the men's peaky one, they went from six treatments, now they're pushing 12 treatments mm-hmm.<affirmative>. And it's very, sales aint pushy. And 12 treatments is like$10,000. I mean, it's something

Speaker 2:

Else. It's lot, it's a lot of money. So, and unfortunately, there's so many patients that go to these pop-up clinics that provide, you know, low intensity shockwave therapy or linear what? Linear, linear

Speaker 3:

Compression, compression

Speaker 2:

Therapy,

Speaker 3:

Ultrasound. Just listen to the commercial they played 20 minutes ago on the radio show

Speaker 2:

<laugh>. But if they, but if, if, if you're going to a place that only offers one tool, then you're gonna get offered that one tool. And, and so many patients, I, I hate it when I see the veterans that go there. Yeah. And they spend thousands and thousands of dollars for severe erectile dysfunction that was never gonna work in the first place. And they use these kind of gimmicks of like using an ultrasound, showing you how, how robust your pulse is in your Caro or your femoral, and then how you don't hear anything in the penis. I assure you that this is all garbage showmanship. Uh, it's not, it's not actually true. If you're not having a true ultrasound, a true professional doing your ultrasound on a screen, then you're not really getting a, an ultrasound of your penis. Right?

Speaker 3:

Mm-hmm.<affirmative>. Well, we have questions. Do

Speaker 2:

We have a question? Let's

Speaker 3:

Go for it. So the last segment, we talked about a couple who had an unfortunate incident. So this is another couple, but it's a little more serious. But I thought you'd be intrigued to have a back to back couple's question. This gentleman said, I'm a 69 year old male in great health, but had bladder cancer in 2015. I beat it. And so far it's been gone. He said, I have dry orgasms due to work on my bladder and urethra lately. Sometimes I have pain when I have an orgasm. Not sure why, but my girlfriend who gives me jobs and jobs when she's not wanting pleasure herself, I seem to have that pain. Does that make sense? Mm-hmm.<affirmative>, it's a little choppy. I feel like my orgasm may not be releasing itself inside when I have this pain. Anyway, I'd like send feedback as to ideas you might have. Um, and I, Thanks. And I love your show.

Speaker 2:

Well, that's great. I mean, this idea of having painful orgasm is something that we, uh, deal with very frequently here in the office. Mm-hmm.<affirmative>. So post-surgical painful orgasm might be different in terms of what, what's causing it then if you have, uh, painful orgasm without surgery. So, uh, the, a common, a common patient that we'll see is a younger patient in this case mm-hmm.<affirmative>, who has pain either in the shaft or tip of the penis with an orgasm or behind the testicles in the peroneum, you know, the taint area,

Speaker 3:

What's causing

Speaker 2:

The pain. And that's, that's all pelvic floor. Oh, it's all pelvic floor. So what happens when you, when you have an orgasm is that, uh, in our, in our brains, especially men that have testicular pain, they think that when you have an orgasm, the semen comes straight from the testicles, get squeezed and goes straight up the tubes out into your prostate, into your urethra. Like, like we were a cow somehow. So, but if that were the case, then our testicles would get real big and then they'd be real small after. Oh yeah. That makes after, after orgasm. But that's not what happens. They don't do that. In fact, the majority of the fluid is made in the prostate gland, which is why you will have no or a dry, meaning it goes back into the, uh, into the bladder. Mm-hmm.<affirmative>, when you've had any number of prostate surgeries, even prostate radiation, high intensity focused ultrasound in our office, uh, uh, a turp almost any kind of procedures. And certainly after your prostate's removed, you're not gonna have the majority of the fluid because it's not

Speaker 3:

There. But the dry feels like an most of the

Speaker 2:

Time. It should feel like an orgasm. So

Speaker 3:

It really does feel fine. It

Speaker 2:

Should feel

Speaker 3:

Fine. It's just that you're not showing what got you guys like to show. And then you're like, something's wrong.

Speaker 2:

<laugh>. I had a patient come in the other day and I, and, and, and usually, uh, when we're doing prostate surgeries, uh, he asks, uh, that, you know, the patient doesn't want retrograde. Right. He goes, uh, I don't want any of those options. I want the 100% guaranteed that I will never make a mess again.<laugh>, it

Speaker 3:

Was funny. And his wife's standing behind him going,

Speaker 2:

Uhhuh,<affirmative>. So, so I just don't get to hear that one very often. They usually,

Speaker 3:

They're, you always have patients that say the other way, the opposite way. Right. I wanna show it

Speaker 2:

All. And so, um, uh, in this patient who has a painful, um, there's several components of the, uh, like that orgasm reflex mm-hmm.<affirmative>, first of all, there's the preparation for it, which is when you squeeze part of your muscles, that's a, a lot of that kes is the classic kes to keep the penis up. So maybe when he's getting, you know, he's not having intercourse, maybe he's straining more to be able to keep that erection. So if the, if the, if the jack, if the, if the, uh, lead up to the orgasm is what's painful, then that's a different set of muscles than if it's after you orgasm mm-hmm.<affirmative> and then have pain after that. There's a, there's a whole subset of muscles whose whole job it is to help squeeze out the, the semen from where the prostate deposits it in the urethra out the head, add the penis. Okay. So that muscle is different than the muscle that helps you keep an erection. So understanding where in the process, I mean, it's a complicated pro. It is body, it is the most important process that occurs in our life. That's true. If, if, if those muscles didn't work, your heart beating would've, it is of no importance. You understand Uhhuh<affirmative>, if we can't procreate, then, then our species doesn't exist.

Speaker 3:

You're right.

Speaker 2:

So, um, so that's, that, that process is, is it has a lot of components to it, and any of those muscular components can have a problem. So we will, uh, see you, we will take care of you with pelvic floor physical therapy. As I said, we have two on staff mm-hmm.<affirmative>, uh, that deal with this, uh, exact thing. You may feel embarrassed to have to deal with it because it doesn't seem like a life-threatening thing, but it's a lifestyle enjoyment thing. I mean, we are more than happy to help take care of it. Right. Sometimes we'll use medications that are more muscle relaxed and like amitriptyline, but for the most part, that's not necessary. Hm. In the post-surgical situation. Mm-hmm.<affirmative>, that's where you have scar tissue.

Speaker 3:

Oh, that makes sense.

Speaker 2:

So the scar tissue, sometimes we will use something like low intensity shock wave therapy. We'll use a lot of manual manipulation. We'll wanna make sure that there's no scar in the urethra that's leading to the pain.

Speaker 3:

And the pelvic floor physical therapist have the little devices and things that help with

Speaker 2:

That, that help with some scar breakdown and stuff

Speaker 3:

Like that. The dolphin thing they have Yes. Don't they? And they put it on your body and it squeals, and then you, they touch your scar and then it releases the pain. I don't know.

Speaker 2:

It's felt great. It,

Speaker 3:

It's working for you. It was amazing. I didn't even have a scar<laugh>.

Speaker 2:

And so in the post-surgical situation, sometimes just straight up pelvic floor, physical therapy won't work. You need kind of, um, uh, something more invasive. And, um, and, and that's just important to note because when you've removed organs that sit on these muscles, the scarring response can, can, can lead to, um, uh, pain from a different, uh, you know, different origin. So, uh, think about never patient with, um, with painful, uh, uh, orgasm. Mm-hmm.<affirmative>, uh, you know, if, if you go to a, if you go to a, a urologist that doesn't know how to deal with that, or that that doesn't have

Speaker 3:

A pelvic floor,

Speaker 2:

Physical pe therapy, pelvic floor in the office, uh, then you, you may not get kind of the, the answer you want. So Right. So make sure you get an answer that, you know, makes you feel comfortable, they've explored what's going on with you. Mm-hmm.

Speaker 3:

<affirmative>.

Speaker 2:

Good point. If people wanna see us, how do they get to us?

Speaker 3:

You can call us at(512) 238-0762 and you can check out our website, armour men's health.com. If you're a patient of Dr. Mysteries and you see him on a Wednesday at our Lakeline location, you're, it's your lucky day. We're together on Wednesdays.<laugh>. Just say it so you can tell me that. I'm pretty and I sound terrible on the radio. I'll try. Um, okay. Well, thanks so much for listening and be sure to check out our podcast wherever you listen to podcasts.

Speaker 1:

The Armor Men's Health Show is brought to you by Naau Urology Specialist. For questions or to schedule an appointment, please call 5 1 2 2 3 8 0 7 6 2 or online at armour men's health.com.