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October 3, 2020

Female Sexual Dysfunction: Dr. Mistry Explains How “Votiva” Can Improve Vaginal Health and Sexual Function

Speaker 1: 0:09
Welcome back to the Armor Men’s Health Hour with Dr. Mistry and Donna Lee .

Dr. Mistry: 0:16
Hello and welcome to the Armor Men’s Health Hour. I’m Dr. Mistry,, your host, here with our cohost Donna Lee.

Donna Lee: 0:21
That’s right. Award-winning radio co-host, I am.

Dr. Mistry: 0:24
You are , you are an award winning person . My awards must’ve stopped in high school

Donna Lee: 0:29
We do have the Yum Yum and Ding-a-lings award right in front of us.

Dr. Mistry: 0:32
That’s right. I really appreciate you bringing in all the awards from junior high. Your junior high band award has been repurposed.

Donna Lee: 0:38
You know, I got a label maker and some junior high awards, and when you put those two together, they make current awards.

Dr. Mistry: 0:47
I’m a board certified urologist. This is a men’s health show. We are happily brought to you here on…

Both: 0:53
News radio, KLBJ.

Dr. Mistry: 0:55
590 AM. We have wonderful producers here that help us get the show together. And you can hear our show in podcast form, or just sort of another recording of it, wherever you get your podcasts: A-R-M-O-R.

Donna Lee: 1:10
We need to give Sam a shout out. He’s our new KLBJ guy.

Dr. Mistry: 1:13
That’s right. That’s right. He’s our new producer.

Donna Lee: 1:14
Thank you, Sam.

Dr. Mistry: 1:14
And really, really appreciate all of his help putting this together. I’m a urologist. This is a men’s health show in which we discuss a wide variety of topics dealing with men’s health. This can deal with just straight up urologic health, like kidney stones and bladder cancer and overactive bladder and BPH and prostate cancer. Low testosterone and erectile dysfunction, and Peyronie’s disease makes up a big part of what we talk about on the radio, because a lot of men are just kind of embarrassed to talk about it with their doctor.

Donna Lee: 1:42
They won’t even say some of the words when they call us at the clinic. Like I had one guy who would not say “penis” or “vasectomy,” but he was trying to schedule the vasectomy. It was very difficult.

Dr. Mistry: 1:51
Why would he need to say the word “penis”? [inaudible]

Donna Lee: 1:54
He was trying to say it. Like, I didn’t need for him to say the word “penis.”

Dr. Mistry: 1:57
Everybody comes from a different place in their life in terms of their ability…

Donna Lee: 2:01
Well, he was funny.

Dr. Mistry: 2:01
I mean, I became a urologist…

Donna Lee: 2:02
So you could say the word “penis” a lot?

Dr. Mistry: 2:04
That’s right. You know. It’s just…

Donna Lee: 2:07
You can say “vasectomy” though. I mean, if you call us that’s okay .

Dr. Mistry: 2:10
Yes. I can also say “epididymis” and a lot of people can’t say that word.

Donna Lee: 2:13
I can’t say “epididymis.”

Dr. Mistry: 2:15
That’s a hard word. Even harder to spell. There’s a ‘y’ in there.

Donna Lee: 2:18
It’s like “porte cochere.”

Dr. Mistry: 2:22
“Porte cochere.” Anyway, this show is brought to you by our practice, NAU Urology Specialists. We’ve been in practice since 2007. We’ve been happily treating patients in what I would like to think is an ever evolving, more holistic, more comprehensive way. To accomplish that, we have lots of different types of providers in the office, including therapists that handle your pelvic floor and biomechanics therapists that handle your mind, specifically sex therapy. Then we have a nutritionist, an integrative medicine specialist. We have multiple PAs that are ready and willing and able to see you right away, as well as four physicians, all of which have unique personalities, unique interests–we make an amazing team.

Donna Lee: 3:04
We do. We should really briefly explain what a PA is for the people who are, or don’t know what a physician assistant is because the word “assistant” throws people off.

Dr. Mistry: 3:11
That’s right. In the world of medicine because physicians take such a long time to train, and because the needs of the population are growing so quickly, one of the ways that the medical community has tried to take care of patients is to have people who have been specially trained perhaps in a certain area, or maybe have not gone through surgical training, really to get more people to help take care of you out there. Now in our practice, becoming a physician assistant is a grueling process, mainly because you have to spend so much time with me.

Donna Lee: 3:39
Taking care of you, feeding you, and caressing you.

Dr. Mistry: 3:43
The care and feeding of Dr. Mistry is a full time job.

Donna Lee: 3:46
Poor Heather.

Dr. Mistry: 3:46
And for most of the PA’s that go through it, they’re happy to be done with it, but they end up being extraordinarily competent practitioners. We recently celebrated the 10th anniversary of what my very first clinical nurse specialist named Leonora Brown. And literally when you get treated by her, it’s almost identical to get treating by me.

Donna Lee: 4:06
It’s a female you.

Dr. Mistry: 4:06
Except her fingers, her fingers are smaller.

Donna Lee: 4:08
It’s a female you with smaller hands.

Dr. Mistry: 4:10
It always hurts my feelings a little bit when the patient would prefer to be seen by her. It does happen.

Donna Lee: 4:15
And it’s a win win for the patient.

Dr. Mistry: 4:18
We are seeing patients. We are seeing patients by telemedicine and in person. And if you would like to see us, Donna Lee, tell people how to get ahold of us.

Donna Lee: 4:24
You can call us at (512) 238-0762 . During the week. You can also send us your amazing questions that fuel our fire to armormenshealth@gmail.com. You can visit our website that directs you to our other main website, armormenshealth.com. You can also respond that you want a t-shirt so I can give some away.

Dr. Mistry: 4:42
Yes, please. They’re taking up a lot of space.

Donna Lee: 4:43
I have a giant box of t-shirts in my office.

Dr. Mistry: 4:45
That’s right, “Nuts For Urology.”

Donna Lee: 4:46
We are nuts for urology on Fridays. That’s what our t-shirts says.

Dr. Mistry: 4:50
Well, Donna Lee, what have you seen around the office that you’d like to learn more about?

Donna Lee: 4:52
You know, we don’t talk enough about some of the female things because we have this amazing men’s wellness show. So I saw a patient the other day who had questions about the “Votiva” equipment that we have. And I know we can’t, we’re not supposed to use the words “vaginal rejuvenation,” but that’s kind of what it is. So for women who…

Dr. Mistry: 5:09
When they tell you not to use the words, you’re not supposed to use the words.

Donna Lee: 5:10
I know, but I thought nobody’s listening but our KLBJ friends, and they won’t tell the FDA or anything. But we have this amazing treatment that helps women after they have babies. If they jump up and down or they laugh or they sneeze, and they tinkle a little bit, so we have this amazing thing to help that.

Dr. Mistry: 5:28
Okay. So very early in our practice, we introduced kind of a more comprehensive approach to a condition called female sexual dysfunction. And this is a variety of causes, but really ultimately the same effect, which is that there are many things that can cause women to not enjoy or to seek out sexual relations . And I think this directly affects men, right? Because that’s, you know , one of our primary objectives after we get up in the morning. So if I could help women overcome a lot of the issues that prevent them from enjoying intercourse , then that I felt like I’d been a service to both members of the couple. Okay . So with women, there is no one thing that causes less interest in sex than pain. When we’re examining a woman for sexual dysfunction, we try to categorize the issues that she’s having into one of four categories. The first one is interest, the second one is arousal, the third one is orgasm, and the fourth one is paid–pain, excuse me.

Donna Lee: 6:30
Are we being paid?

Dr. Mistry: 6:30
No, no I’m not getting paid. Just pain.

Donna Lee: 6:34
You might want to get paid.

Dr. Mistry: 6:35
And the strongest , the strongest…new Louis Vuitton bag. There’s the pain aspect of sexual dysfunction is the strongest because , as much as you might be able to force yourself, even if you have low interests , the more , even though you can use a lubricant, if you have poor arousal, and even though you might, you know, fake it to make it on the orgasm at some point…

Donna Lee: 6:59
Pain throws it all off.

Dr. Mistry: 7:00
The pain, the pain makes it both not only severely unenjoyable for the woman, but also unenjoyable for the man. You know, most loving, caring partners have no interest in causing pain. And so by looking at vaginal lubrication, vaginal lubrication is a common problem that affects women as they age, as they go through menopause. It can also affect young women. Oral contraceptive use and different kinds of hormone use will affect lubrication. And it might seem on its surface that that seems like an easy one–just go by a tube of KY and get to town, but that’s not all that lubrication and vaginal moisturization does. There can be discomfort throughout the day. There can be an increased incidence of urinary tract infections. There can be problems with sexual enjoyment in terms of ability to achieve an orgasm because you’re not sexually aroused. And for all those reasons, finding ways to help improve the health of the vagina is an important component of what we do when it comes to sexual dysfunction. The most obvious and sometimes the most tragic patients are those that have undergone chemotherapy or hormone treatment after a breast cancer diagnosis. So although survivorship after breast cancer has a lot to do with the cosmetic appearance of the reconstruction, kind of the empowerment of getting through the disease process, the one that people don’t talk a lot about is just kind of the personal challenges that women go through to try to reconnect intimately with their partner. And , the dryness and the pain that many of these women experience is substantial, and you can’t give them estrogen because a lot of them are reticent to take estrogen, even though estrogen vaginally is very safe, even in this patient population and certainly in just the run of the mill menopausal population. So the use of the Votiva, which is a radio frequency device which we do here in the office. It’s done over a series of three treatments, each one taking about 30 minutes. Is designed to cause microtrauma to the tissues of the vagina that leads to a regenerative response–thickening, and then a reestablishment of a thicker vaginal layer that then gets aroused, produces moisture and lubrication, and also helps it so that when that tissue gets thicker, it helps with stress incontinence, which you so delicately put as “tinkle when you jump.”

Donna Lee: 9:38
Tinkling–nobody likes to tinkle when they jump or laugh.

Dr. Mistry: 9:41
Well, I think that this type, this topic still applies to the men’s health topic because, you know…I mean, all the erectile dysfunction repair in the world’s not going to help if you’ve got nothing to use them on.

Donna Lee: 9:52
That’s true. While there are those toys and devices that we promote as well.

Dr. Mistry: 9:56
That’s right. That’s right. Donna Lee, tell people how to make an appointment with us and get a hold of us.

Donna Lee: 10:00
Call us during the week at 512 -238-0762 . You can send us your questions to armormenshealth@gmail.com. Check out our podcasts . They’re amazing, they’re brilliant, they’re magical, and they’re free . Thanks!

: 10:14
Dr. Mistry wants to hear from you! Email questions to armour men’s health ed g-mail dot com. We’ll be right back with the Armour men’s health hour.

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