Female sexual dysfunction is more common than many realize, affecting desire, arousal, & comfort. Learn causes, symptoms, & treatment options.
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Written by Tower Urology's Education Team
The Tower Urology Education Team is a collaborative group of physicians, surgeons, and medical writers dedicated to providing accurate, accessible, and expert-reviewed information on urologic health. Our goal is to empower patients with trusted resources that reflect the clinical excellence of Tower Urology in Los Angeles.
Medically Reviewed by David Y. Josephson, MD, FACS
Dr. David Josephson, MD, FACS, is a nationally recognized urologic oncologist and pioneer in robotic surgery. Fellowship-trained in both open and minimally invasive techniques, he has performed over 1,100 robotic procedures and specializes in nerve-sparing prostatectomy, nephron-sparing kidney surgery, and complex urologic cancer care at Tower Urology in Los Angeles.
Dr Josephson has a special place in my heart. He is a truly wonderful human being.
We’ve had a wonderful experience with Dr. Josephson. He is knowledgeable, kind and patient. I wish all my doctors were like him.
Dr Josephson has a magic hand. after protate surgery usually most of the patients get leaks but mine was perfect. He is very intelligent, helpful, patient, and polite. I recommend him to all my friends and family
Dr Justin Houman has made a positive impact on my health. At first I was nervous about seeing a Urologist but he made me feel comfortable to open up and solve my problems. Highly recommend him. Five Stars ⭐️
Justin is a very caring doctor who always goes out of his way to address my needs.
Very kind and professional Doctor. Caring and experienced staff. Lucky to have found Dr. Houman and I highly recommend him to anyone looking for a urologist.
I have been suffering from Testicular pain for the past 3.2 years, and it has been a challenging journey. If I do certain activities like long walks, lifting weights and sex triggers or worsen my testicular pain. The pain was intense enough to significantly impact my daily activities. Pain forces me to rest for 1 to 2 days and applying the Ice packs frequently. I finally met Dr. Justin Houman, who has truly been my life saver. I recently underwent Microsurgical Spermatic Cord Denervation and Varicocelectomies Surgery with Dr. Justice Houman and I noticed a significant reduction in my chronic testicular pain, which has greatly improved my quality of life. I have gradually resumed activities like long walks, lifting weights, sexual activity and I am experiencing only very minimal testicular pain, which doesn’t affect my daily activities. I would highly recommend Dr. Justice Houman to anyone suffering from chronic testicular pain, he is a true expert in men’s andrology. Dr. Houman is truly a life saver for me, Thank you very much Dr. Houman!
Dr.Josephson was an Answer to many prayers! I recently had surgery in Bakersfield with urologist who is past his prime. I couldn't get help after my TURP surgery. For 3 months (90 days) I was in great discomfort, unable to urinate without extreme pain. 40 times a day,wanting to cry ! My Bakersfield urologist said there was NOTHING he could do to help me. A friend sent me to Dr. Josephine. I prayed for a miracle and Dr. Josephson kindly obliged. No further surgery was needed! Dr.Josephson took the "time" to examine me and found the issue immediately and I left his office as happy a child !! Thank you,Dr.Josephson, words cannot express my gratitude enough!! You helped me greatly in my time of need! You were kind and gentle and made me feel cared for. Thank you,May God Bless You !! JSM
I had a wonderful experience with Dr. Kuhlmann and her team. Her bedside manner was fantastic and put me at ease throughout my visits. She was responsive to my questions and fully explained my treatment plan. My quality of life has significantly improved and I am so thankful to have found a physician I can trust. Would 100% recommend.
Dr . Josephson is hands -down the absolute best any patient or family could ask for in a doctor . His staff is on point they run like a machine. The experience has been exceptional. His care knowledge understanding and follow up is on point and he truly is the best urologist you can find. highly recommend it .
Very pleasant, helpful, and very knowledgeable doesn’t do any test, which is not necessary like most of the other Urologist do give you a clear opinion of your health and give you good advice I strongly recommend him I do wish him all the best in his career
A family member was struggling with testicular pain for years and had concerns about fertility. I am so grateful that we were referred to Dr. Houman. He is very thoughtful and knowledgeable and has great bedside manner. He diagnosed a varicocele and recommended microsurgical varicocelectomy and we are so happy with the results. I highly recommend Dr. Houman.
Dr Kuhlmann and her office were wonderful. She was attentive in answering my questions and made me feel heard. She was friendly, professional and helpful. I’d definitely go back if I had any future concerns!
Amazing urologist. Go to expert for men’s health. I refer patients to him as often as possible!
The best. I can’t say enough good things about the care i received and continue to receive from all the people at Tower urology especially Dr. Joesepson.
He saved my dad’s life. Thanks for everything you did. Can never repay you.
How did a woman with a lifetime of recurrent bladder infections wind up with a urologist whose specialty is male fertility? It happened like this...Dr. Houman was recommended to my husband when he began having the prostate problems that can devastate older men. Dr. Houman solved his urinary difficulties, and I'm convinced, kept him from the fate of a constant catheter. Naturally, I jumped at the chance to be his patient, and have been, for the first time in my life, free for several months of any infections. But the best part of being Dr. Houman's patient is this. When you are in trouble, he will keep in constant touch with you...he does not isolate himself behind a wall of nurses. Naturally, I recommend him highly, Marilyn B.
Great doc you can trust. He's very up on all the new and modern modalities to help you and keep you healthy. Great choice and nice guy.
Fantastic! 3 surgeries! The guy is on top of his trade & switched on my full potentials for quality of life. Many thanks to you Dr j. ❤️🎉🍾🎈🙏
Dr. Kuhlmann is AMAZING!! I saw her for perimenopause care and she explains everything clearly and got me started on a treatment plan right away. Highly recommend.
My experience with Dr. Houman has been nothing but positive. He takes the time to really listen and provide solutions. I came to him, very unsure and very unhappy, with a procedure done by another doctor several years earlier. After a couple of meetings Dr. Houman assured me that he could help me. And that’s exactly what happened. I'm very pleased with the results. His bedside manner and can-do attitude, his insight, enthusiasm and quick email responses were greatly appreciated. You can’t do better than Dr. Houman. I highly recommend him.
Dr. Kuhlmann was excellent at listening to my individual needs and exploring the best solutions possible.
10/10 would recommend!! Dr. Houman is the best!!
Dr Houman gave me a new life with the Inflatable penile implant. In the past I tried viagra and injections but nothing compares to this procedure. As I am 79 I have the youth and lasting desire of love making as a 40 year old Mick Jagger! If you are reluctant .... Dr Houman is the best and most knowledgable!
Dr. Houman is a one of a kind doctor, truly. It's a scary thing to go see a urologist, and Dr. Houman made the experience comfortable, safe, and he instilled confidence in me as a patient. My fear and worries went from 100 to zero, and I am extremely happy to have found his office. Would recommend Dr. Houman to anyone!!
Excellent doctor! Was completely taken care of from start to finish
Thorough. Communicative. I would highly recommend Tower Urology and Dr. Josephson in particular.
Highly recommend Dr Houman he is amazing and saved my life
Highly skilled and compassionate, Dr. Houman provides excellent care suggestions.
Dr. Houman is excellent—professional, compassionate, and thorough. I felt well cared for and informed every step of the way. Highly recommend!
Dr. Houman is knowledgeable, professional, and genuinely cares about patients. They made me feel comfortable and well-informed throughout the process. Highly recommend!
Best doctor in town!
Best urologist in the game. It’s never too early to consult a doctor. Justin made me feel comfortable and work through different issues that were important to me to resolve. I met with a few doctors until I found Justin. He is top notch. Highly recommend
Dr. Houman is a SUPERHERO. He is everything you’d dream of in a doctor and more! He takes care of my family with such kindness and expertise. We are so grateful to this outstanding urologist - he is absolutely amazing!
This is ari zoroaster dr. Houman is one of the best doctors I have ever had very professional and smart ...and super friendly that make you forget the pain of needles !!!!! Over all I am very pleased of knowing him and will keep going there.
Dr. Houman is an outstanding urologist. He’s professional, knowledgeable, and kind. He really took the time to thoroughly answer all my questions. I would highly recommend Dr. Houman.
Dr Houman is the urologist you’ve been looking for! He never shies away from a challenge and has taken excellent care of me over many hurdles! He’s dedicated to each patient, never in a rush and a talented surgeon!!
Dr. Kuhlmann is a fantastic urologist — she really takes the time to listen and address your concerns. I couldn’t recommend her enough
Dr. Kuhlmann is an excellent surgeon, physician, and clinician. She is very skilled, thorough, and attentive-she puts her patients first. I highly recommend her!
Dr. Kuhlmann is a brilliant doctor physician and excellent diagnostician. She truly listens to her patients’ concerns and uses up to date treatments. I fully trust I am receiving the best care from her!
Dr. Houman was the most compassionate and caring doctor that we met in our 10 day stay at the hospital. He is a knowledgeable doctor that genuinely wants to help.
Dr. Kuhlmann is extremely knowledgeable and a truly caring physician. She has a way of communicating confidence and expertise while also meeting each of her patients on their level. Very professional and goes the extra mile for everyone she cares for.
Dr. Houman was amazing, don’t typically do reviews but he was extremely thoughtful and helpful. Highly recommend!
Best of the bests! Highly recommend Dr. Houman
Dr. Houman is the BEST! He literally saved my grandpa's life and he couldn't be more kind and thoughtful. If Dr.Houman is your doctor then you're in amazing hands! Thank you Dr.Houman
Dr Kuhlmann is a fantastic physician. She is very caring and attentive. I appreciate her dedication.
When my patient’s need a urologist, I go to Dr. Kuhlmann. She is my top choice for urologic care in the region. Desmond Huynh, MD
Excellent physician and great listener. Most physicians don’t take the time to understand or put themselves in their patient’s shoes. Dr. Kuhlmann is the opposite of that. Highly recommend.
Dr. Paige Kuhlmann is a warm, caring, compassionate and smart doctor. She went out of her way to accommodate my mom and made her feel so comfortable. I give her a 10 out of 10!
Extremely knowledgable and informative.
