Irwin Goldstein, MD

Urology

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Urology

Sexual Health

San Diego Sexual Medicine, Reservoir Drive, San Diego, CA, USA

Doctorpedia Profile

Dr. Irwin Goldstein is the director of San Diego Sexual Medicine, where he maintains his clinical practice, Director of Sexual Medicine at Alvarado Hospital and Clinical Professor of Surgery at University of California at San Diego. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s.

Dr. Goldstein holds a bachelor’s degree in engineering from Brown University, with an honors thesis in biomedical engineering. In 1975, he graduated from McGill University Faculty of Medicine in his hometown of Montreal, Quebec, Canada. He was on the faculty of Boston University School of Medicine for 25 years where he was Professor of Urology and Gynecology and founding Director of the former Institute for Sexual Medicine at BUSM.

Education

  • MD: McGill University Faculty of Medicine

  • Internship/Residency: Boston University Medical Center

Board Certifications

  • American Board of Urology

  • LATEST ACTIVITY
  • VIDEOS
  • ARTICLES
  • APP REVIEWS
  • BLOG
  • PODCASTS
Irwin Goldstein, MD

3 months ago

Videos

Female Sexual Pain – Diagnosis/Surgery

There are two important sub diagnoses with pain. There is a pain syndrome where the birth control pill in particular is the cause. And this is where hormones are off. We measure hormones and all...

Watch and Share
Irwin Goldstein, MD

3 months ago

Videos

Discussing Sexual Health

The language and the topics of sexual medicine are very frustrating because they are embarrassing and humiliating to several – there are religious concerns, there’s the ethical and moral concerns. We have to deal with...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Female Orgasm – Testing

“If a woman presents with an ability to orgasm during self stimulation, but not an ability to orgasm during sexual activity with a partner. We look for classic things, psychologic issues, physical therapy concerns. And...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Ejaculation Issues – Treatment

We do have lots of treatments for men who have been bothered by premature ejaculation. It’s an interesting sexual problem because where as erectile dysfunction really tortures the man cause he can’t perform, men get...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Circumcision

Male orgasm is completely unaffected by circumcision (as, by the way, female orgasm is unaffected by circumcision), so women who actually have genital mutilation and lose their clitoris actually have orgasm (very well documented) because...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Diet and Orgasm

Diet affects orgasm and the way that diet affects overall health, people who have bulemia and anorexia are ill and don’t necessarily have good health. And as part of good health would have poor health....

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Age and Sexual Health

Orgasms, erections, arousal, interest should not end at any age. They should be working as long as the sexual event is happening. As one gets older, one tends to have more erection problems, more desire...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Nerves of Genitalia

The penis and the clitoris for that matter are both very sensitive organs. If one actually measures nerve density in the glans penis and glans clitoris, they are among the highest nerve density areas in...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Hypogonadism

We recognize in women, at they turn roughly age 51, that menopause occurs. Menopause is defined as the end of the synthetic capabilities of the organ called the ovary to make estrogen. Men don’t have...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – FSAD – Medications

So in women with female sexual arousal disorder, we’re finding in some of them, they respond to the same medication that men take when they have their arousal problems. So when men have arousal problems,...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Female Genitalia Arousal – Overview

The clirotis is an organ. The homolog of the male penis, it engorges during the arousal phase. There are other organs like the clitoris that arouse, the labia arouse, the opening to the vagina called...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Peyronie’s Disease and Penis Injury

Peyronie’s disease afflicts probably in the range of a quarter of men throughout their lifetime. During any thrusting of any sexual activity, if it’s not hitting the correct angle, can actually cause injury to the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Orgasm Problem

A man or a woman who can’t have an orgasm can be due to what we call the bio-psycho-social sort of the issues. There can be problems with musculoskeletal system where the physical therapist would...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Orgasm and Health

Orgasms are helpful to individuals, especially in reproduction. Individuals that have orgasm, if the cervix is part of the orgasm, the cervix rises during orgasm and the OSS, the opening between the uterus and the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Hypoactive Sexual Desire

Male sexual dysfunctions are actually less common than women’s sexual dysfunctions, even though the FDA has approved many, many more drugs for men to help them with their sexual activity. A relatively uncommon problem are...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Sleepiness After Male Orgasm

The question is why do men feel sleepy? And this is primarily men after orgasm. There’s some women who also feel sleepy, but in general, more men. So the sexual response cycle starts with desire,...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Psychology and Orgasm

A man and woman can have an orgasm through psychologic input. I would say that is relatively unusual. Most people require some contact, but there are clearly people who can have orgasmic response simply by...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Peyronie’s Disease – Treatment

We now have for the first time in history an FDA approved product that is administered directly into the scar, which dissolves the scar since the medicine being released is an enzyme that digests the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – FSAD – Overview

“A common woman’s sexual health condition is female sexual arousal disorder. The acronym is FSAD. These are women who, despite efforts to engage in sexual activity, remain dry and poorly lubricated. They don’t swell. They...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – HSDD – Overview

Hypoactive sexual desire disorder is a very frustrating problem with women who have this condition and especially their partner in the relationship, where the partner feels that they don’t share love and intimacy. In HSDD...

Watch and Share
Irwin Goldstein, MD

3 months ago

Videos

Female Sexual Pain – Diagnosis/Surgery

There are two important sub diagnoses with pain. There is a pain syndrome where the birth control pill in particular is the cause. And this is where hormones are off. We measure hormones and all...

Watch and Share
Irwin Goldstein, MD

3 months ago

Videos

Discussing Sexual Health

The language and the topics of sexual medicine are very frustrating because they are embarrassing and humiliating to several – there are religious concerns, there’s the ethical and moral concerns. We have to deal with...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Female Orgasm – Testing

“If a woman presents with an ability to orgasm during self stimulation, but not an ability to orgasm during sexual activity with a partner. We look for classic things, psychologic issues, physical therapy concerns. And...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Ejaculation Issues – Treatment

We do have lots of treatments for men who have been bothered by premature ejaculation. It’s an interesting sexual problem because where as erectile dysfunction really tortures the man cause he can’t perform, men get...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Circumcision

Male orgasm is completely unaffected by circumcision (as, by the way, female orgasm is unaffected by circumcision), so women who actually have genital mutilation and lose their clitoris actually have orgasm (very well documented) because...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Diet and Orgasm

Diet affects orgasm and the way that diet affects overall health, people who have bulemia and anorexia are ill and don’t necessarily have good health. And as part of good health would have poor health....

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Age and Sexual Health

Orgasms, erections, arousal, interest should not end at any age. They should be working as long as the sexual event is happening. As one gets older, one tends to have more erection problems, more desire...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Nerves of Genitalia

The penis and the clitoris for that matter are both very sensitive organs. If one actually measures nerve density in the glans penis and glans clitoris, they are among the highest nerve density areas in...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Hypogonadism

We recognize in women, at they turn roughly age 51, that menopause occurs. Menopause is defined as the end of the synthetic capabilities of the organ called the ovary to make estrogen. Men don’t have...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – FSAD – Medications

So in women with female sexual arousal disorder, we’re finding in some of them, they respond to the same medication that men take when they have their arousal problems. So when men have arousal problems,...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Female Genitalia Arousal – Overview

The clirotis is an organ. The homolog of the male penis, it engorges during the arousal phase. There are other organs like the clitoris that arouse, the labia arouse, the opening to the vagina called...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Peyronie’s Disease and Penis Injury

Peyronie’s disease afflicts probably in the range of a quarter of men throughout their lifetime. During any thrusting of any sexual activity, if it’s not hitting the correct angle, can actually cause injury to the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Orgasm Problem

A man or a woman who can’t have an orgasm can be due to what we call the bio-psycho-social sort of the issues. There can be problems with musculoskeletal system where the physical therapist would...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Orgasm and Health

Orgasms are helpful to individuals, especially in reproduction. Individuals that have orgasm, if the cervix is part of the orgasm, the cervix rises during orgasm and the OSS, the opening between the uterus and the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Hypoactive Sexual Desire

Male sexual dysfunctions are actually less common than women’s sexual dysfunctions, even though the FDA has approved many, many more drugs for men to help them with their sexual activity. A relatively uncommon problem are...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Sleepiness After Male Orgasm

The question is why do men feel sleepy? And this is primarily men after orgasm. There’s some women who also feel sleepy, but in general, more men. So the sexual response cycle starts with desire,...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Psychology and Orgasm

A man and woman can have an orgasm through psychologic input. I would say that is relatively unusual. Most people require some contact, but there are clearly people who can have orgasmic response simply by...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Peyronie’s Disease – Treatment

We now have for the first time in history an FDA approved product that is administered directly into the scar, which dissolves the scar since the medicine being released is an enzyme that digests the...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – FSAD – Overview

“A common woman’s sexual health condition is female sexual arousal disorder. The acronym is FSAD. These are women who, despite efforts to engage in sexual activity, remain dry and poorly lubricated. They don’t swell. They...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – HSDD – Overview

Hypoactive sexual desire disorder is a very frustrating problem with women who have this condition and especially their partner in the relationship, where the partner feels that they don’t share love and intimacy. In HSDD...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Drugs Affecting Orgasm

Many drugs affect orgasm. The most obvious ones that have been well known and are ones that are helping people who have depression. These are called SSRIs, selective serotonin re-uptake inhibitors. SSRIs increased serotonin, as...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Clitoris

Where is the clitoris is the question. Many men know where the clitoris is, but it is right underneath the pubic bone. There’s actually a ligament that connects the glans to the pubic bone called...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Peyronie’s Disease

There is yet another male sexual dysfunction. It’s not a desire and it’s not an arousal, it’s not a orgasm, it is not a pain issue, but it’s an anatomic change. So this is an...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – G-Spot

The term G-spot is a lay term that we, in the fields of medicine, use rarely. There is on the, so this is the opening to the vagina on the model, on the part of...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Premature Ejaculation Overview

Another male sexual dysfunction are those men who have control problems over when they ejaculate. Some men ejaculate at the sight of a woman without clothes. It’s very frustrating. It’s called premature ejaculation. We define...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Penis Size

The question on the table is: does size matter? It’s a very interesting question and you get different answers from different people. I guess fundamentally, the average size of an erect penis is a little...

Watch and Share
Irwin Goldstein, MD

4 months ago

Videos

Sexual Health – Issues with Orgasm

So a man or a woman who can’t have an orgasm can be due to what we call the bio-psycho-social sort of issues. There can be problems with musculoskeletal system where a physical therapist would...

Watch and Share
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