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Peter Castillo

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.

Sep 9, 2026

11:06
What can our sexual health tell us about our overall health and well-being?
11:11
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.
11:23
When there becomes a change in drive, desire, responsiveness, oftentimes it's one-sided, meaning one partner or the other has had a change.
11:34
It could be the male partner that has increased erectile dysfunction.
11:38
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.
11:54
In a more predictable way, women go through menopause.
11:57
So menopause is not the way we've defined it.

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?
19:07
Yes.
19:07
So urge incontinence is a signaling problem.
19:10
So if you have an arrhythmia, first you try medications to slow the heart rate.
19:15
If medications don't work, you have either ablation or a pacemaker, because it just needs pacing.
19:20
It's not a heart problem, it's a signaling problem.
19:23
The bladder's the same way.
19:24
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

34:44
Yeah

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