Dr. Castellanos's Activity

  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    Does low sex drive make sex painful?

    Lower sex drive does not directly make sex painful, but you are asking about two different symptoms that are related to each other.  Although sex drive can be decreased for many different reasons, some physical, some psychological, and some related to your relationship, low sex drive and painful sex for women are...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    Can calcium channel blockers cause erectile dysfunction?

    Calcium channel blockers do not seem to adversely affect erectile functioning. Men taking this type of anti-hypertensive medication had the same rate of ED as those men of similar age not taking them. Examples of calcium-channel blockers are amlodipine, nifedipine, diltiazem, and verapamil. Some...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry
    Dr. Madeleine M. Castellanos, MD has posted a video:

    What Factors Can Impact a Woman’s Sexual Response?

    A woman's sexual response and functioning are impacted by several different psychological, biological and social factors. Watch as psychiatrist and sex therapist Madeleine Castellanos, MD, discusses some of the factors that affect sexual response.
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry
    Dr. Madeleine M. Castellanos, MD has posted a video:

    How Do Kegel Exercises Help with Orgasm?

    Kegel (or pelvic floor) exercises help intensify the feeling of orgasm because they strengthen/tone the muscles that contract during orgasm. Watch psychiatrist and sex therapist Madeleine Castellanos, MD, explain how to do Kegel exercises properly.
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry
    Dr. Madeleine M. Castellanos, MD has posted a video:

    What Are Some Benefits of Using Lubricants During Sex?

    Lubricants can be very beneficial for women who have issues with lubrication and painful sex, and there are many types available. In this video, psychiatrist and sex therapist Madeleine Castellanos, MD, discusses how and why lubricants are helpful.
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    As I get older, how might my diet affect my sex life?

    A steady diet of cheeseburgers, soda, and channel surfing may seem like no big deal when you're younger, but as we age, these poor choices begin to take their toll on our health. The result? Clogged arteries, obesity, and a higher risk of problems like high cholesterol, high blood pressure, heart...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    How can my sex life change as I age?

    Grayer hair. Deeper crow's feet. Extra pounds around your middle. Like it or not, most of us expect these changes as we get older. But what's more surprising to many couples is the effect that aging can have on their sexuality. What once was hard doesn't stay so firm anymore; what used to lubricate...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    Does smoking affect my sexual performance?

    Before cigarettes kill you for good, they will first kill your sex life. Cigarettes can be just as fatal to your sex life due to the components found in the smoke itself, and especially the active ingredient nicotine and its effects on blood flow. In fact, smokers are about twice as likely to develop...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    What is clitoral atrophy?

    The clitoris is made up of spongy erectile tissue that fills with blood during sexual arousal.  This spongy tissue is maintained by the hormone testosterone and is dependent on good blood flow.  When a woman's level of testosterone drops significantly, such as with menopause or the use of hormonal...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    How can I enjoy sex if my partner has premature ejaculation?

    Try to approach premature ejaculation (PE) as a challenge and experiment to discover ways to share sexual intimacy. You can help by switching to other types of stimulation that aren't genital-focused or even orgasm-focused. Have some fun with activities we often gloss over, like kissing, sensual...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    What is endometriosis?

    Endometriosis is a condition found in women in which pieces of tissue that are similar to the endometrium (inside lining of the uterus) are found in and around the abdominal cavity. These pieces of endometrial tissue respond to the monthly hormones that are secreted so that, when a woman has her...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    How is endometriosis diagnosed?

    The diagnosis of endometriosis can only be definitively diagnosed by having it directly viewed by laparoscopic surgery. But, it can often be suspected with a high degree of certainty by taking a careful history and good bimanual pelvic exam by the Gynecologist. There are, however, women who...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    What medications treat erectile dysfunction (ED)?

    As an abundance of television and print ads make clear, oral medications can help treat erectile dysfunction (ED). There are three medications: sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). All three belong to a class of drugs called phosphodiesterase inhibitors and work...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    How does diet affect erectile function?

    Everything you eat, drink, or otherwise expose your body to, will affect your overall physical health and therefore, your erection. Diets that are high in fat, sugar, and artificial ingredients cause an increase in your body's inflammation response. Over time, this is damaging to blood vessels, e...Read More
  • Dr. Madeleine M. Castellanos, MD - Flushing, NY - Psychiatry

    Is sex addiction a medical condition?

    Sex addiction isn't without controversy. Even though the term is commonly used in popular culture, the American Psychiatric Association doesn't currently recognize "sex addiction" as a condition, nor is it listed in their widely used clinical bible, the Diagnostic and Statistical Manual of Mental Disorders....Read More