Book cover titled 'Come Again: The Complete Guide to Sexuality and Orgasm' by Lauren Streicher MD, featuring a smiling woman in a white jacket on the left and a silhouette of a woman in a playful pose above the title on a blue background.

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Science-based information to get libido to kick in and clitoral nerves to wake up

COME AGAIN: Sexuality and Orgasm is a comprehensive, solution-driven, audio course with supplementary materials that explores the biological, hormonal, and medical reasons for:

Loss of LIBIDO (HSDD)
PAIN with sexual activity (DYSPAREUNIA)
Difficulty with AROUSAL and ORGASM (Female Arousal and Orgasmic Dysfunction)

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Decreased blood flow because of aging, menopause, medications and medical conditions such as diabetes, cancer treatments, or vascular disease all sabotage the ability of nerve endings to respond.

COME AGAIN provides solutions, information and the tools you need to incorporate sexual medicine into your practice.

If you are a healthcare professional who is looking for information on evaluating and treating sexual dysfunction, COME AGAIN is for you. 

Your Subscription Includes:

Full access to all COME AGAIN Episodes
Stream anytime from your private member portal

Videos

  • Module 1- General Approach to Taking a Sexual History

  • Module 2- Low Libido/HSDD History

  • Module 3 Orgasmic Dysfunction History

  • Module 4 Orgasmic Dysfunction Physical Exam

  • Module 5 Dyspareunia History

  • Module 6 Dyspareunia Physical Exam

PDFs (Downloadable)

  • Health Care Professional Guide to Individual Episodes

  • Brief Sexual Screener 

  • Dr. Streicher’s Sexual History Form- Long 

  • FSFI -Female Sexual Function Index

  • Q-tip mapping (Dyspareunia)

  • HSDD Short form

  • Scientific Articles

Supplementary Material for Your Patients

  • Content Guide

  • Glossary of Medical Terms

  • Guide To Finding an Expert  (Doctor, Clinician, Sex Therapist, Pelvic Floor PT)

  • List of Additional Resources

  • Guide to Low Osmolality/pH-balanced Lubricants

  • Guide to Using Vaginal Dilators

  • Guide to Buying a Vibrator

  • Links to relevant articles written by Dr. Streicher

Episode List

🔊 Episode 1 WELCOME to COME AGAIN- The Why, What and Who of COME AGAIN LISTEN NOW FOR FREE

🔊 Episode 2 Are YOU Having GOOD SEX?    A Visit with Dr. RuthLISTEN NOW FOR FREE

Episode 3: Sex: A Word with MANY MEANINGS The Definition is Not Straightforward

Episode 4 What Could Go WRONG? The four categories of sexual problems

Episode 5 Is It MENOPAUSE or MID-LIFE? It’s not just your hormones 

Episode 6 I’d Like to BUY an “O” Please Of Historical Interest

Episode 7 The VIEW From My Side of the Stirrups  Make your privates, less private

Episode 8 REQUIREMENTS to Get the Job Done Estrogen is not on the list

Episode 9 Why ORGASM TANKS in Menopause Why estrogen helps

Episode 10 Whose VULVA is This and How Did It Get on My Body? Genitourinary Syndrome of Menopause

Episode 11 Over-the-Counter OPTIONS to Make Things More SLIPPERY Which lubricants and moisturizers HELP, not HURT

Episode 12 PRESCIPTION Rings, Creams, and Other Things Estrogen is Not the Only Option.

Episode 13 I’m Using Vaginal Estrogen but …SEX STILL HURTS Like Hell When and why treatment fails and tips to get the most out of your prescription

Episode 14 How HYGIENE Can HARM  A Trip Down the Feminine Hygiene aisle

Episode 15 When Non-hormonal PAIN is an Obstacle to Arousal and Orgasm

Episode 16 MEDICAL CONDITIONS That Make Your Clitoris Malfunction  Diabetes, cardiovascular disease, multiple sclerosis…There are over 50 medical conditions and medications that impact the ability to orgasm.

Episode 17 HOW I TREAT ORGASM ISSUES Everybody Come! Faking it is not a solution! 

Episode 18 How HORMONES Help ORGASM Estrogen, DHEA Hey, Hey!

Episode 19 When to Say Yes to TESTOSTERONE And why PELLETS are a problem

Episode 20 Non-Hormonal AROUSAL OPTIONS  What works, and what might work: Neutraceuticals, Arousal Creams, Viagra and more..

Episode 21 SEX and the BRAIN Sexy neurotransmitters and prescription options that may be your answer: Vyleesi and Addyi

Episode 22 Will WEED Wake Up a Waning Libido?  Will Cannabis Help You Come?

Episode 23 Why VIBRATION Works so Well  And How to Get Your Partner on Board

Episode 24 A Personal Trainer for Your PELVIC FLOOR Meet the Vagicians

Episode 25: VAGINAL ORGASMS are a Thing But not for everyone

Episode 26 Here COMES the PAIN! When orgasm causes PAIN instead of PLEASURE

Episode 27: Has Your HYSTERECTOMY Hijacked Your Orgasm? Things your surgeon probably never mentioned

Episode 28 Did Your SSRI or Other Medication Make Your O Go? Strategies to get it back

Episode 29 CANCER, Sex,…and Estrogen? What to Expect and if Estrogen is an Option

Episode 30 BREAST CANCER, Sex, …and Estrogen? Why topical, and even systemic estrogen, may be an option

Episode 31 WEIRD THINGS That Might Happen when You O  Laughing, crying, foot pain, headaches, squirting..and more

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COME AGAIN for All

You’ll get:

All COME AGAIN episodes
Stream anytime from your private member portal
Program notes for each episode
Supplementary Material

  • Content Guide

  • Glossary of Medical Terms

  • Guide To Finding an Expert

  • Additional Resource Guides

  • Guide to Low Osmolality/pH-balanced Lubricants

  • Guide to Using Vaginal Dilators

  • Guide to Buying a Vibrator

  • Links to relevant articles written by Dr. Streicher

  • And more…

COME AGAIN for Healthcare Professionals

You’ll get:
Everything in Tier 1 PLUS:

Video lecture course

  • Module 1- General Approach to Taking a Sexual History

  • Module 2- Low Libido/HSDD History

  • Module 3 Orgasmic Dysfunction History

  • Module 4 Orgasmic Dysfunction Physical Exam

  • Module 5 Dyspareunia History

  • Module 6 Dyspareunia Physical Exam

Practice guides, forms, articles and more
Ideal for MDs, NPs, PAs, therapists, pelvic floor PTs, and educators

Sample Episodes

Episode 1 WELCOME to COME AGAIN
The Why, What and Who of COME AGAIN

Episode 2 Are YOU Having GOOD SEX?
A Visit with Dr. Ruth

A woman with brown hair and fair skin wearing a black button-up shirt and small earrings, smiling slightly with a confident pose.

My goal is to educate you and entertain you while giving you science-based information, solutions, and strategies.

LAUREN STREICHER, MD

Get Access to COME AGAIN episodes and supplementary material NOW

FAQ

How do I access the content?

Step 1: Choose Tier and Click Subscribe to COME AGAIN
Step 2: Create login credentials to access content directly on DrStreicher.com
Step 3: Fill in payment information
Step 4: If you have a promo code, enter it and complete checkout
Step 5: Click “Login” in the header navigation area from any page on DrStreicher.com

Can I download the episodes?

No. To protect intellectual property, all content is stream-only.

“COME AGAIN has become my go-to resource for patient education. Dr. Streicher presents complex sexual health topics with clarity, compassion, and evidence-based guidance. The supplemental videos alone are worth the entire price.”
— Dr. Vanessa Kim, OB/GYN

“I thought I understood my own body… until this series opened my eyes. Dr. Streicher breaks down misinformation in a way that finally makes sense. I feel more confident, informed, and empowered than ever.”
— Jennifer L., Chicago

“As a pelvic floor therapist, I recommend COME AGAIN to every new patient. It’s informative without being overwhelming, and Dr. Streicher’s clinical explanations are spot-on. The PDFs and notes save me hours every week.”
— Michelle Ortega, PT, DPT

“I purchased the original limited podcast on Substack, but this full collection is on another level. The program notes and structured access make everything easier, and the additional content for professionals is outstanding.”
— Daniel S., NP

“I wish this series existed years ago. Dr. Streicher delivers honest, science-backed information in a way that feels safe and judgment-free. This should be required listening for everyone.”
— Alicia Mendoza

Ready to COME AGAIN?

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