The No Nut November Side Effect No One Talks About

The No Nut November Side Effect No One Talks About

Update: 2025-10-10
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Painful sex, “blue balls,” and testosterone safety—answered. In this Ask Me Anything episode, Dr. Rena Malik explains why sex should never be painful, how to get properly evaluated, and simple fixes like arousal time, lubrication, pelvic floor therapy, and treating vestibulodynia. She also breaks down epididymal hypertension (“blue balls”), how semen-retention habits can trigger pelvic floor dysfunction, and what an elevated PSA means if you’re on testosterone—plus when it’s safe to resume therapy. Watch now to get clear, science-based answers you can actually use.




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▶️Chapters:


00:00 Introduction
00:27 Pain with Sex
06:06 Blue balls
09:31 Taking testosterone




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DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

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The No Nut November Side Effect No One Talks About

The No Nut November Side Effect No One Talks About

Rena Malik, MD