Peter Attia· MD
So, you know, you're going to go out in the sun, um, and you put on sunscreen. You put sunscreen on your face. So, I if you're going to have intercourse, you should use lube. Um, that's just what we >> even if a woman says, "I've never had any difficulty with lubrication. I I don't have any discomfort with sex." You still think a woman should be using lubricant? >> I do. The data shows less microabbrasions. And also, what I really >> and sorry, if you're not concerned with sexually transmitted diseases, which is what the WHO is concerned with, if you're with one partner and only one partner, are microabbrasions a problem? >> They lead to pain. And once we get into a pain signaling process, you can get this is a common cause of what we call vaginismas or a tightening of the pelvic floor which then leads to more pain. Um it is very possible and and and and you should absolutely work at it. But breaking a vaginismous cycle takes a lot of work. And so part of this recommendation that almost everyone should use lube is this idea that we're trying to avoid pain and we're trying to young women. Yes. Um, this is one of my favorite things to talk to young teens about. Um, you know, when we think about, uh, sexual education and we, there's a great study looking at 1,200, you know, high school students and ask them about what we call sexual debut or their first sexual encounter. And, um, >> intercourse just >> first sexual encounter >> that includes kissing. >> Uh, no. Uh, no, sexual encounter. Um, uh, >> what defines that? >> I'm going to guess penetrative intercourse based off of Yeah. Yeah. And um 70% of boys gave responses related to pleasure and 70% of girls gave responses related to pain. And that's a big deal. And so talking about foreplay and lubrication, even for young women who have an adequately lubricated vagina and decreasing the likelihood that they'll get into pain, that they'll clench up the pelvic floor, it will then hurt more. Breaking out of that cycle is incredibly important to me. So yes, lube if you're going to have sex. Um, going back to the face, um, you likely are putting moisturizer on your face >> only recently. >> Only recently. Um, so there's vaginal moisturizers. So if you want to use your vagina when you're older, using a vaginal moisturizer, there's, um, good ones on the market. There's Reie, um, which is a hyaluronic acid suppository. It lowers the pH of the vagina and brings water molecules with it. Um, there's Replen, which is a, um, polycarbophil, um, suppository that also recruits water molecules. you're moisturizing your vagina. Um, and then >> and sorry, just explain to me how this is used. This is like part of your nightly routine. >> Yeah. Yeah. Put on your eye cream, moisturize your vagina. >> Morning. >> Most people like evening because >> then what if you're having sex after? >> Um, so whether you're using a vaginal moisturizer or whether you're using a hormone, which will be the third part of this uh facial analogy