
Peter Castillo
Dr. Peter Castillo is a dual board-certified urogynecologist and founder/Medical Director of Swan Medical Intimate Wellness in Los Gatos and Danville, California.
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Sep 9, 2026
118 | Unlocking Sexual Longevity: A Midlife Guide with Dr. Peter Castillo
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11:06
What can our sexual health tell us about our overall health and well-being?

Peter CastilloGUEST
Assuming a patient has always had a healthy sex life and they're in a loving, communicative relationship that they feel that they've always had it working well, everything's been fine.

Peter CastilloGUEST
When there becomes a change in drive, desire, responsiveness, oftentimes it's one-sided, meaning one partner or the other has had a change.

Peter CastilloGUEST
It could be because of other medical conditions and medications they're taking that are affecting their ability or desire to engage, which leaves the other partner, the female partner, to wondering, is this because of his medical condition or does it have to do with me? And vice versa.
7 MINS LATER
19:26
So should we be thinking proactively about protecting our sexual health in the same way? And how do we begin to do that?
What No One Tells Women About Hormones, Bladder Leaks & Sex After 40 with Dr. Peter Castillo
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19:24

Peter CastilloGUEST
So if you have an arrhythmia, first you try medications to slow the heart rate.

Peter CastilloGUEST
If medications don't work, you have either ablation or a pacemaker, because it just needs pacing.

Peter CastilloGUEST
So when medications don't work for the, for the bladder, which typically they give you about a 50% improvement, you can try Botox for the bladder, which works amazing, about 80%, but you have to do that every three to four months.
15 MINS LATER

