The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! Dr Rena Malik

The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! Dr Rena Malik

The Diary of a CEOApr 1, 20241h 54m

Dr Rena Malik (guest), Steven Bartlett (host)

Sexual health as core health: definitions, stigma, and medical neglectPelvic floor function, dysfunction, and its impact on erections and painMasturbation, ejaculation frequency, testosterone, and prostate cancer riskDesire, orgasm gaps, and gender differences in arousal and timingPornography, shame, and VR/technology’s impact on sexual expectationsHormones, testosterone, lifestyle, sperm decline, and environmental toxinsGenital anatomy, size myths, labiaplasty, squirting, and female pleasure

In this episode of The Diary of a CEO, featuring Dr Rena Malik and Steven Bartlett, The Better-Sex Doctor: The Link Between Masturbating & Prostate Cancer! Dr Rena Malik explores sex Myths Shattered: Prostate Cancer, Porn, Pleasure And Pelvic Floors Urologist and sexual‑health expert Dr. Rena Malik explains why sexual health is fundamental to overall health, debunking myths about frequency of sex, masturbation, porn, penis and vagina size, and pain during sex.

Sex Myths Shattered: Prostate Cancer, Porn, Pleasure And Pelvic Floors

Urologist and sexual‑health expert Dr. Rena Malik explains why sexual health is fundamental to overall health, debunking myths about frequency of sex, masturbation, porn, penis and vagina size, and pain during sex.

She details how pelvic floor function underpins erections, orgasms, continence, and pain, and why modern lifestyles (sitting, stress, poor sleep, plastics, extreme endurance sports) are undermining hormones, fertility, and sexual function.

The conversation highlights mismatched expectations created by porn and media, the orgasm and desire gap between men and women, and the crucial role of communication and education in restoring intimacy.

Malik also discusses evidence that frequent ejaculation is linked to lower prostate‑cancer risk, clarifies the limits of ‘semen retention’ and No Nut November, and emphasizes that sexual health should be treated as routine healthcare, not taboo.

Key Takeaways

Sexual health is health—and doctors routinely ignore it.

Malik stresses that sexual function affects mental health, relationships, productivity, and can signal serious disease (e. ...

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Frequent ejaculation is linked to lower prostate cancer risk.

A large study found men who ejaculated 21+ times per month had a lower incidence of prostate cancer. ...

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Masturbation is generally safe; problems arise when it becomes compulsive or rigid.

There is no strong evidence that masturbation lowers testosterone or harms health. ...

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Pelvic floor health is central to erections, continence, and sexual pleasure—for men and women.

The pelvic floor is a bowl of muscles supporting the bladder, rectum, vagina/uterus, and urethra. ...

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Media and porn have radically distorted expectations about sex, desire, and orgasms.

Porn is entertainment, not education. ...

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Lifestyle and environment are driving declines in testosterone and sperm—and sexual performance.

Average sperm counts have dropped ~50% over 50 years, and population testosterone has fallen as metabolic disease, sedentariness, chronic stress, poor sleep, and endocrine‑disrupting chemicals (e. ...

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Communication and scheduled intimacy are powerful tools to restore a ‘dead bedroom’.

Malik emphasizes there is no single ‘talk’; instead, many awkward, iterative talks outside the bedroom, using “I” statements and curiosity (“Tell me how you feel about sex”) rather than blame. ...

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Notable Quotes

Sexual health is health. We need to stop treating it like something separate or shameful.

Dr. Rena Malik

Men who ejaculated 21 times or more a month were less likely to develop prostate cancer.

Dr. Rena Malik

If you have a toxic partner at home, it’s not going to work. You don’t get to be a successful, well‑adjusted person without either being happy alone or having an excellent partner.

Dr. Rena Malik

Most couples are having sex about once a week. It’s not the quantity that matters, it’s the quality.

Dr. Rena Malik

Your body will take care of the ejaculate whether you ejaculate or not. You’ll either reabsorb it or you’ll have a wet dream.

Dr. Rena Malik

Questions Answered in This Episode

The prostate‑cancer study you mentioned found lower risk at 21+ ejaculations per month—did it differentiate between masturbation and partnered sex, and are certain age ranges or risk profiles where this effect is strongest?

Urologist and sexual‑health expert Dr. ...

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You drew a link between pelvic‑floor tension, prolonged sitting, and erectile dysfunction; for someone with a desk job, what would a concrete weekly ‘pelvic‑floor hygiene’ routine look like to prevent problems before they start?

She details how pelvic floor function underpins erections, orgasms, continence, and pain, and why modern lifestyles (sitting, stress, poor sleep, plastics, extreme endurance sports) are undermining hormones, fertility, and sexual function.

Get the full analysis with uListen AI

Given the rapid decline in sperm counts and the suspected role of microplastics and endocrine disruptors, if you were designing public‑health regulations from scratch, which three environmental exposures would you regulate or ban first?

The conversation highlights mismatched expectations created by porn and media, the orgasm and desire gap between men and women, and the crucial role of communication and education in restoring intimacy.

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You normalized responsive desire and suggested scheduling intimacy to support it; how should someone bring this up with a partner whose ego is already bruised from months or years of sexual rejection without triggering more defensiveness?

Malik also discusses evidence that frequent ejaculation is linked to lower prostate‑cancer risk, clarifies the limits of ‘semen retention’ and No Nut November, and emphasizes that sexual health should be treated as routine healthcare, not taboo.

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You described porn and VR as potentially both harmful and therapeutically useful; if immersive sexual tech does start replacing in‑person dating for many people, what signs would tell you we’ve crossed from ‘augmentation’ into a genuine public‑health crisis?

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Transcript Preview

Dr Rena Malik

Men who ejaculate 21 times or more a month are less likely to develop prostate cancer.

Steven Bartlett

Jesus Christ. Why?

Dr Rena Malik

It's because- Dr. Rena Malik.

Steven Bartlett

Board certified urologist.

Dr Rena Malik

Expert on sexual health.

Steven Bartlett

And a rock star in educating the public-

Dr Rena Malik

On the facts and myths of sex.

Steven Bartlett

Rena, I want to start with this idea that other couples are having significantly more sex than we are.

Dr Rena Malik

Big myth. People are having sex about once a week.

Steven Bartlett

Will my penis get smaller as I age?

Dr Rena Malik

It can. So in terms of how do we maintain our penile size, you need to have-

Steven Bartlett

Is there a disparity between how long we think sex should take, and how long it actually takes?

Dr Rena Malik

Yeah, we all think it lasts longer. Women want it to be 18 to 25 minutes. Men are a little on the shorter side, like maybe 12 minutes.

Steven Bartlett

Is there like an average time?

Dr Rena Malik

5.1 to 5.7 minutes.

Steven Bartlett

Then is too much masturbation going to have an adverse effect for men and women?

Dr Rena Malik

Masturbation is generally safe as long as you don't- That's when it becomes a problem.

Steven Bartlett

Rena, do we understand our bodies as it relates to our sexual health?

Dr Rena Malik

Not at all. For example, the pelvic floor, it's involved in orgasm, it's involved in sexual function, but no one really talks about it. In fact, men will be shocked, "Oh, I have a pelvic floor, too?" And there's a whole host of issues that can come from having a weak pelvic floor, including erectile dysfunction.

Steven Bartlett

So, how can I strengthen my pelvic floor?

Dr Rena Malik

Pelvic floor exercises. They're gonna increase orgasm, they're gonna make your semen propel further, and ultimately it would be something as simple as-

Steven Bartlett

It's absolutely crazy to me that so many of you have decided to watch our show, um, and so many of you have decided to subscribe to our show. We now have five million subscribers on YouTube, which is a number that I just can't comprehend, and it's a dream that I absolutely never could have had. We started the Diary of a CO just over three years ago now, and in my wildest expectations, we might have had 100,000 subscribers by now. So you can imagine how shocked I am that so many of you have chosen to tune into these conversations every week, um, and spend some time with us. So thank you. And I made a deal with you, I made a deal that if you subscribed to this show, that we would continue to raise the bar. And in 2024, we're gonna raise the bar like never before. I've been working for the last nine months on a surprise for all of you that have subscribed to this show, and I'm very excited to deliver that for you. The production's gonna change. We're gonna go even further with our guests, and we're gonna tell even more global stories. So as always, if you appreciate what we're doing here, the simple free favor I'll ask from you is to hit the subscribe button. Let's get on with the episode. (instrumental music plays) Doctor Rena Malik. With all of your work, what is it that you're seeking to do?

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