In this Gordon Medical Forum Webinar, Gordon Medical physicians Dr. Jen Sugden, Dr. Jamie Kunkle, and Dr. Jenny Nelson answer community questions about sexual health, erecital dysfunction and low libido in complex chronic illness.
A growing number of patients with complex chronic illness are experiencing sexual dysfunction, including erectile dysfunction and loss of libido.
During this webinar, our team explored the deeper terrain behind these challenges with a focused discussion on SSRI use, hormonal shifts in perimenopause and menopause, environmental exposures, neuroimmune activation, chronic infections, and inflammatory drivers that may impact sexual vitality.
Questions Answered:
0:06 — What can oxytocin nasal spray do for sleep and orgasms?
2:35 — How should we think about sexual dysfunction in someone with normal testosterone but chronic illness?
5:17 — What options exist for severe erectile dysfunction with venous insufficiency?
7:35 — Where do you start when hormones are disrupted in chronic illness?
10:01 — Can topical treatments help with suspected Peyronie’s disease?
12:20 — What are effective approaches for premature ejaculation?
16:35 — What could cause anxiety and mood crashes after orgasm?
19:50 — How can nerve damage in erectile tissue be evaluated?
22:30 — Can benign prostatic hypertrophy contribute to erectile dysfunction?
23:17 — How should sexual activity be approached in ME CFS?
24:43 —What causes low or absent prostatic fluid in ejaculation?
26:13 — Can peptides help libido in long COVID and hormonal dysfunction?
30:23 — How can SSRI related low libido be addressed?
32:42 —What can shorten the refractory period in men?
33:57 — Which hormones are most important to test in Lyme and co infections?
41:03 — What exercises help improve pelvic floor function and blood flow?
42:14 — How does traumatic brain injury impact sexual function?
46:05 — What causes headaches immediately after orgasm?
49:45 — What devices or tools can support sexual dysfunction at home?
52:14 — What are alternatives to Viagra if it causes side effects?
53:49 — How can erectile dysfunction be improved in controlled diabetes?
55:12 — How do mold and Lyme contribute to sexual dysfunction?
57:17 — What could cause nipple inversion after chronic illness?
58:16 — Can varicocele surgery improve hormonal and sexual function?
RESOURCES
Learn about tick-borne illness, how it can become chronic, the challenges with traditional treatment options, and how patients can begin healing.
"A useful framework for evaluating sexual dysfunction is to determine whether it’s cardiovascular, neurovascular, or central nervous system driven."
Dr. Jamie Kunkle
Expert Bios
Jamie Kunkle, ND
Dr. Kunkle has a diverse skill set including Lyme/infectious disease, autoimmunity, environmental medicine, pain management, hormone regulation, metabolic/weight loss optimization, and neuropsychiatric conditions to name a few. Dr. Kunkle is skilled in low dose immunotherapy and low dose antigen therapy for treatment of allergies, is trained in hyperbaric oxygen therapies, botanical medicine including Chinese herbs, and intravenous/intramuscular nutrition.
Jen Sugden, ND
Dr. Sugden is a licensed Naturopath in both Oregon and California. Although it can be a cliche in this field to say that she treats the whole person, mind, body, spirit - that is exactly what she does. She is very well versed in infertility, prenatal care, and postnatal care and how it may relate to Lyme and tickborne illness. She has focused on chronic complex illness over the past 11 years and has enjoyed the challenge of these cases.
Jenny Nelson, ND
Dr. Jenny Nelson is a licensed naturopathic physician (ND). Her central belief is that doctors can empower patients to heal through an educational, supportive relationship. The holistic approach that is at the heart of her medicine brings patients closer to their health and life goals. It is a practice and outlook that values not only the physical, but the mental, emotional, and spiritual aspects of health as well.
meet the host
About Gordon Medical Associates
As the premier clinic for Lyme disease, tick-borne illnesses, and environmentally acquired illnesses on the West Coast, we’ve earned a reputation as the go-to destination for those seeking answers and solutions.
Our clinic serves as a sought-after think tank for complex and chronic illnesses, where cutting-edge research and compassionate care converge to provide unparalleled support for our patients.
Transcript
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