Advertise on podcast: All Things Aesthetics and Wellness by Dr. Debra Durst

Send us Fan Mail -A patient injected 8 milligrams of a peptide that should have been dosed at 1 milligram, all because of an AI answer. Peptide dosing is more complex than “how many units,” and getting it wrong can cause serious side effects. In this episode of The SexMD Podcast, Dr. Debra Durst  and nurse practitioner Farideh explain why units on a syringe don’t tell you your dose. Using real insulin syringes, they show how 30-, 50-, and 100-unit syringes are marked differently. They also explain why “the second line” means nothing without context, and what you should expect from a qualified peptide provider. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode - Units measure volume, not dose. Your dose is in milligrams, and it depends on how much peptide is in the vial and how much bacteriostatic water it’s reconstituted with. - Two people can draw the same number of units and get very different doses. - Vial strength, product form (combination, shorter- or longer-acting), and syringe type all change what you’re actually injecting. - Peptides are prescriptions. Get them from a knowledgeable provider and a regulated compounding pharmacy, not from the comments, AI, or gray-market sellers. If anything from the pharmacy doesn’t match your provider’s instructions, ask before you inject. Subscribe to The SexMD Podcast for more physician-led conversations on peptides, hormones, sexual wellness, and longevity. Have a peptide safety question you’d like us to cover? Let us know in the comments. #Peptides #PeptideTherapy #PeptideDosing #SexMDPodcast #Longevity Start Your Transformation — Grab Your Free Guide 📘  Peptide Match Quiz Most people take the wrong peptide. Determine what your body may need. 👉 Take the Quiz: https://offers.revitalyzemd.com/peptide-quiz These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail What if I told you a daily 5 mg dose of Cialis might make more sense than a full 20 mg dose? What if a daily 5 mg dose of Cialis (tadalafil) made more sense than a full 20 mg dose? For men with erectile dysfunction, a low daily dose may offer more spontaneity, fewer side effects, and benefits beyond the bedroom. Dr. Debra Durst explains how Cialis works as a PDE5 inhibitor to support blood flow, and why it still requires sexual stimulation to work. She also explains how daily dosing differs from on-demand dosing and who may be a good candidate for this approach. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode Key takeaways: - Taken daily, tadalafil reaches a steady level in the blood in about 5 days, so sex doesn’t have to be scheduled. - A low daily dose is associated with fewer side effects than a higher dose taken as needed. - Daily Cialis may also help urinary symptoms from an enlarged prostate, like frequent nighttime bathroom trips. - Erection changes can signal vascular or heart issues, so get evaluated rather than just starting a medication. - Have you tried daily Cialis? Share your experience in the comments, and subscribe to The  SexMD Podcast for more physician-led conversations on sexual wellness and men’s health. #ErectileDysfunction #Cialis #Tadalafil #MensHealth #SexualWellness Start Your Transformation — Grab Your Free Guide 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail - Bigger testicles don’t mean more testosterone. Most of their volume is actually devoted to making sperm. Bigger testicles don’t mean more testosterone. So what does testicle size actually tell you about your hormones, your fertility, and your performance in bed? On The SexMD Podcast, Dr. Debra Durst and RevitalyzeMD provider Breanna Case walk through 10 facts about testicle size that most men never hear. They cover what the testicles actually do, how testosterone therapy affects them, how to keep them working while on TRT, and what women really think about size. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode - Most of the testicle’s volume goes to sperm production, so size reflects sperm capacity more than testosterone. Normal size ranges from about 15 to 25 mL each, and some asymmetry is common. - Testosterone replacement therapy can shrink the testicles. hCG, clomiphene, and enclomiphene can help keep them producing. - Function can recover after stopping. In one study of more than 1,500 men, sperm production recovered in 90% within 12 months. - Bigger testicles don’t mean better erections or better sex. Any sudden change in size, pain, or a firm lump should be checked by a doctor. Have a question about testosterone or testicle health? Leave it in the comments. Dr. Durst is always open to a deeper dive. Subscribe to The SexMD Podcast for more on sexual wellness and hormones. #TesticleSize #Testosterone #TRT #MensHealth #SexMDPodcast Start Your Transformation — Grab Your Free Guide 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Halle Berry is talking about menopause and sex, and she’s partnered with a red light device women use at home. So what’s the science behind it? Halle Berry is bringing intimate wellness into the menopause conversation through her partnership with Joylux. So what does red light therapy actually do for arousal, comfort, and vaginal health? Dr. Debra Durst explains the science behind the Joylux vFit, an at-home intravaginal device that combines red light, gentle heat, and vibration. She covers how it compares with the in-office vaginal laser treatments used at RevitalyzeMD, who may benefit, and how the consumer and provider-only versions differ. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode - Female sexual dysfunction ranges from low libido to pain with sex. Surveys show it affects about 41% of premenopausal, 52% of perimenopausal, and 64% of postmenopausal women. - Red light therapy works through photobiomodulation, which can support cellular energy, blood flow, collagen, and nerve health. - In-office vaginal lasers for intimate wellness aren’t the same as ablative CO2 lasers. They gently heat the tissue to trigger repair without significant downtime. - Joylux is used every other day at home to support in-office results, or as a starting point for women not yet ready to see a doctor. The vFit Plus, available through medical providers, delivers about 30% more energy and longer sessions. Have you used Joylux? Share your experience in the comments. Dr. Durst is starting the device herself and will share more in upcoming videos, so subscribe to follow along. #RedLightTherapy #Joylux #Menopause #SexualWellness #VaginalHealth Start Your Transformation — Grab Your Free Guide 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail “Just because it’s normal doesn’t mean it’s good. I’d run your panel, tell you your labs are normal, and then tell you to find a specialist who can actually help you.”  This comes from a former family medicine provider admitting the system’s limits, and it speaks directly to every viewer who’s been told “your labs are fine” while still feeling off. Your hormone labs came back “normal,” but you still don’t feel like yourself. Here’s why normal isn’t always the same as optimal, and why insurance often influences your treatment options before you even have a say. In this episode of The SexMD Podcast, Dr. Debra Durst sits down with Bre Case, the newest provider at RevitalyzeMD, to talk about why she left family medicine and chose a different approach to patient care. They discuss how insurance shapes hormone therapy decisions for men and women, why perimenopause is so often overlooked, and what changes when patients and providers work together to create a personalized treatment plan. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode - Normal lab ranges are broad, not optimal. Many men and women stay symptomatic within them, and insurance often won’t cover testosterone or perimenopause treatment until labs fall outside that range. - Asking about erectile dysfunction is a powerful health screener, because the smallest blood vessels often show early signs of high blood pressure, cholesterol, and diabetes. - Research can take about 17 years to reach routine care. With menopause, that delay has already cost a generation of women effective treatment. - Sexual health is part of overall wellness, and every patient deserves to be asked about it. If you're curious about hormone optimization, why perimenopause is so often overlooked, or how insurance impacts your treatment options, this episode is for you. Start Your Transformation — Grab Your Free Guide 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail You can buy a penis pump at your local sex store, but that’s not the same thing as a medical-grade vacuum erection device. Not every penis pump is a medical device. Dr. Debra Durst explains the difference between a sex-store penis pump and a medical-grade vacuum erection device, and why it matters for erectile dysfunction and long-term erection health. In this video, Dr. Durst covers who vacuum erection devices are for. That includes men noticing changes in their erections and men rehabilitating after prostate surgery. She explains how she pairs pumping with in-office regenerative treatments like acoustic shockwave and P-Shots. She also walks through the two cylinders of the Kaplan Pump “Whopper” and how to use each one safely. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode - Medical-grade vacuum erection devices, some of which are FDA 510(k) cleared, include a pressure gauge and a release valve that most novelty pumps lack. - Pump gradually to an erection. It should never hurt, cause bruising, or push the gauge into the red. - During regenerative treatment, Dr. Durst recommends about 10 minutes of pumping twice a day to bring healthy blood flow into the tissue. - There’s good data supporting girth gains with pumping, but length gains are not well documented. #ErectileDysfunction #PenisPump #VacuumErectionDevice #MensHealth #SexualWellness Interested in this product? Check it out. https://drjoelkaplan.com/whopper?a_aid=rlypecumfbfanr&a_bid=83d20a03 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Seven women. One doctor. Not one of them had ever proactively asked how her sex life was — and that silence is exactly what's driving today's conversation about low libido, hormones, and menopause. In this roundtable, Dr. Debra Durst sits down with a panel of women to talk candidly about what actually happens to desire, arousal, and intimacy during perimenopause and menopause — the conversations most doctors' offices never make room for. The panel gets into vaginal dryness, painful sex, the guilt that comes with a vanishing sex drive, and why so many women suffer through it in silence simply because no one ever asked. A few key takeaways from this conversation: - Roughly 80% of women don't experience spontaneous desire — arousal has to come first, and that's normal physiology, not a problem to fix - Vaginal dryness and painful sex are common but not something you have to live with, even on hormone therapy - Low libido is one of the most common — and most under-discussed — symptoms of hormonal changes, and it can improve significantly with proper optimization - Opening the conversation with your partner (and your doctor) changes everything, including the relationship itself - If you've ever felt alone in this, you're not. Subscribe for more from this roundtable series, and check out the full conversation on The SexMD Podcast. Start Your Transformation — Grab Your Free Guide 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Feeling tired doesn’t automatically mean low testosterone. Gaining weight doesn’t automatically mean menopause. Feeling tired, gaining weight, or losing your sex drive doesn’t automatically mean you have a hormone imbalance. When several of these symptoms show up together, though, it may be time for a hormone evaluation. In this video, Dr. Debra Durst walks through the five signs her patients describe most often: changes in energy, body composition, sexual function, sleep and mood, and menstrual cycles. She explains how estrogen, progesterone, testosterone, and thyroid hormones can affect both men and women. She also explains why the same symptoms can come from sleep apnea, anemia, insulin resistance, medications, or stress. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode -Fatigue is non-specific. Thyroid disease, anemia, and sleep apnea can look exactly like a hormone problem, so get evaluated instead of guessing. -Gaining fat around the middle while eating and exercising the same way can be linked to menopause in women and to low testosterone in men. -For men, changes in erections can be an early signal about vascular health. - Irregular cycles, hot flashes, night sweats, and vaginal dryness are classic signs of perimenopause. Start Your Transformation — Grab Your Free Guide 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Would you take an antibiotic every day for the rest of your life to kill the bacteria in your gut? Of course not. But that's exactly what most of us do to our mouths. Your mouthwash may be quietly undermining your blood flow. On this episode of The SexMD Podcast, we explore how the oral microbiome drives nitric oxide production, and what that means for blood pressure, erections, and sexual wellness.  Dr. Debra Durst sits down with Dr. Haraldo Magaranos, a biologic dentist, periodontist, oral surgery specialist, and naturopathic doctor. They cover: -How the mouth and gut microbiomes communicate -Why antiseptic mouthwash and conventional toothpaste may do more harm than good -How mouth breathing and acid-reducing medications disrupt nitric oxide -The hidden toxic burden many patients carry, including from mercury fillings Key takeaways: -Nitric oxide shifts with age. the body's endothelial nitric oxide production drops to less than 50%. That makes the oral bacteria pathway, which converts dietary nitrates, increasingly important for blood flow. -Killing mouth bacteria has measurable effects. Common antiseptics like chlorhexidine can raise blood pressure 3–4 points by wiping out the microbes that help produce nitric oxide. -Your mouth seeds your gut. You swallow roughly 140 billion microbes a day in saliva, directly influencing the gut microbiome that modulates about 70% of immune responses. -Clean without sterilizing. Mechanical cleaning like brushing and flossing, a microbiome-friendly toothpaste, nasal breathing, and nitrate-rich foods support the system instead of fighting it. If this conversation changed how you think about your oral care routine, subscribe to The SexMD Podcast for more physician-led conversations on sexual wellness, hormones, and longevity. Have a question? Drop it in the comments and we'll answer it. 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Getting up two or three times a night to urinate? A weaker stream, or waiting for things to get started? An enlarged prostate (BPH) may be the cause, and there are things you can do about it. In this video, Dr. Debra Durst explains why the prostate grows, how DHT and other hormonal changes drive that growth, and why it squeezes the urethra like a pinched garden hose. She covers the warning signs of benign prostatic hyperplasia, simple lifestyle changes, prescription options, and where supplements like pygeum fit in. Key takeaways: -BPH is driven largely by DHT, a hormone that strongly signals prostate cells to grow.  -Finasteride and dutasteride work by blocking how DHT is made. -Low-dose tadalafil (Cialis 5 mg) is FDA-approved for BPH urinary symptoms and can also help erectile function. -Small changes can ease mild symptoms: cut back on fluids, caffeine, and alcohol in the evening, try double voiding, and review cold and allergy medications. -Any change in your urinary pattern is worth getting checked. BPH isn't the only possible cause. -Don't accept a weak stream or constant bathroom trips as normal. Subscribe for more physician-led conversations on men's health, hormones, and sexual wellness. 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail -Radiofrequency microneedling to the face is notoriously painful - so why does the same intravaginal microneedling treatment feel almost nothing like it? Dr. Debra Durst breaks down the science behind it. In this conversation, Dr. Debra Durst of RevitalyzeMD talks with intimacy expert  @BetterLover   intravaginal RF microneedling (using the Empower device), why the vaginal canal responds so differently to needling than facial skin does, and how at-home and in-office vaginal restoration devices fit together for a complete protocol. Subscribe for more physician-led conversations on sexual wellness, hormone optimization, and regenerative medicine. #IntravaginalMicroneedling #VaginalRejuvenation #SexualWellness #RegenerativeMedicine #HormoneHealth If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode -Why radiofrequency microneedling is comfortable intravaginally even though the same treatment on the face is painful  - the theory comes down to nerve receptor types -What the Empower device treats: vaginal tightening, incontinence, lubrication, and orgasmic strength -How at-home devices like red light photobiomodulation support and extend in-office vaginal rejuvenation results -A look at a new cold-chain, placental-exosome topical cream being used for post-laser and post-surgical scar healing Start Your Transformation — Grab Your Free Guide 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.  ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Your erections could be the fifth vital sign, and sometimes the earliest sign that something is wrong with your blood vessels. Your erections may be telling you more about your health than you think. Erectile dysfunction could be the fifth vital sign, and sometimes the earliest warning of blood vessel problems. Dr. Debra Durst explains why questions about erection strength and morning erections belong in every screening conversation, and how daily low-dose Cialis (tadalafil) works on the blood vessels, not just in the bedroom. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. Key takeaways: -Penile arteries are the smallest in the body (1–2 mm), so they may show vascular problems before larger arteries do. -Strong erections require healthy blood vessels, healthy smooth muscle, nitric oxide production, and good blood flow. -Research suggests daily low-dose tadalafil may support vascular health and reduce inflammatory markers. -Added benefits can include stronger erections and relief of BPH-related urinary symptoms. If you're curious about erectile dysfunction as an early warning sign, the vascular benefits of daily low-dose Cialis, or relief for BPH symptoms, this episode is for you. Start Your Transformation — Grab Your Free Guide 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail A Kegel is just one of 36 different pelvic floor skills. And it's the easiest one. Kegels are just the beginning. Pelvic floor training can do far more than most women realize for arousal, lubrication, libido, and vaginal orgasms. On this episode of The SexMD Podcast, Dr. Debra Durst sits down with pelvic floor expert Bel De 'Lorenzo, author of The Gohddess Method. They discuss pompoir, a method that trains the vaginal muscles the way you'd train any other muscle for strength, endurance, and control. They cover why most women struggle with vaginal orgasms, what brain research reveals about different types of orgasm, and how pelvic floor training fits alongside hormone optimization and regenerative treatments. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode -The pelvic floor is a group of muscles running in different directions, and each area can be trained on its own. -Clitoral, vaginal, and cervical orgasms light up different areas of the brain and travel along different nerve pathways. -An overly tight pelvic floor can cause the same symptoms as a weak one, including leaking, pain, and numbness during sex. -In perimenopause and menopause, the most common complaint women bring to Belle's program is lost libido. Learn more from Bel at gohddess.com. Use code SEXMD for a discount. If you're curious about pelvic floor training, vaginal orgasms, or what really lies beyond Kegels, this episode is for you. 📘  Perimenopause vs. Menopause Guide Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again. 👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. ... Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Is there a guarantee with erectile dysfunction? Yes. It will progress if left untreated. Does shockwave therapy really work for erectile dysfunction? After using GainsWave acoustic shockwave since 2019, our practice upgraded to GainesWave 2.0, and there's a clinical reason why. In this video, Dr. Debra Durst explains what GainsWave actually is: a provider network with standardized protocols and tracked outcomes, not just a device. She covers the difference between the original radial shockwave and the new focused OmniWave technology, what the research shows, and who is a good candidate for treatment. If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people. What You'll Learn in This Episode -Focused shockwave penetrates deeper and more precisely than radial shockwave, which improves targeting of the small penile vessels and the larger groin vessels that feed them. -GainesWave outcomes are tracked with the validated SHIM score, so improvement is documented, not just anecdotal. -Erectile changes can be an early marker of cardiovascular disease, so they're worth addressing, not ignoring. -The earlier ED is treated, the less treatment it requires and the more lasting the results tend to be. If you're curious about shockwave therapy for erectile dysfunction, focused vs. radial shockwave, or what ED can reveal about your heart health, this video is for you. 📘 Men’s Performance Playbook Improve erection quality, boost libido, and learn what really works for male sexual performance. 👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail Curious what real laser skin resurfacing before and after results actually look like? Studies show women who get two IPL photofacials a year look noticeably younger a decade later — even when every pigmented spot isn't fully lifted. Dr. Debra Durst breaks down exactly what's happening under the skin. On this episode of the SexMD podcast, Dr. Debra Durst — founder of RevitalyzeMD, a physician-led hormone optimization, sexual wellness, and regenerative aesthetics practice in Knoxville and Farragut, Tennessee — sits down with a guest to walk through her own collagen stimulating treatments journey: layered lasers, PRF, bio-stimulatory fillers, and IPL for age spots and pigment. They also get into growth hormone peptides for anti-aging, PT-141, and why "aging well" is a full-body strategy, not a single procedure. If you found this helpful, hit like and subscribe so you don't miss the next episode. What you'll learn: - Why layering treatments works better than a single "quick fix" laser - What PRF is and how it differs from PRP for facial rejuvenation - How IPL targets pigment and age spots without a full resurfacing downtime - The difference between growth hormone, growth hormone releasing peptides, and PT-141 - Why consistent, low-grade collagen stimulation beats occasional aggressive treatments If you're curious how regenerative, physician-led treatments can support your skin and hormone health long-term, subscribe for more conversations like this one — and watch the full episode for the complete breakdown. #iplphotofacial #AntiAgingSkincare #RegenerativeMedicine #HormoneOptimization #Longevity These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment. Shop My Favorite Medical-Grade Products https://www.revitalyzemd.com/products/ Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. Work With Me: https://www.revitalyzemd.com/consulta... All My Links: https://t.mtrbio.com/drdebradurst Website: https://debradurstmd.com/ About Dr. Debra Durst As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care. Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment. Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.