BackTable / Urology / Podcast / Episode #235
Optimizing Sexual & Metabolic Health Together
with Dr. Amy Pearlman and Dr. Michelle Pearlman
Are metabolic and sexual health two sides of the same coin? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss their collaboration at the PRIME Institute. Join us as we explore how two medical specialists combine their expertise to pioneer a comprehensive approach to two of the most important elements of health and wellness.
Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

BackTable, LLC (Producer). (2025, May 27). Ep. 235 – Optimizing Sexual & Metabolic Health Together [Audio podcast]. Retrieved from https://www.backtable.com
Stay Up To Date
Follow:
Subscribe:
Sign Up:
Podcast Contributors
Dr. Amy Pearlman
Dr. Amy Pearlman is a urologist and the director of the Men’s Health Program at the University of Iowa.
Dr. Michelle Pearlman
Dr. Michelle Pearlman is a gastroenterologist and obesity medicine specialist practicing at PRIME Institute in Miami, Florida.
Dr. Jose Silva
Dr. Jose Silva is a board certified urologist practicing in Central Florida.
Synopsis
Together, they explore their unique, holistic approach to sexual medicine and metabolic health, combining hormone optimization, nutrition, and lifestyle modifications. They pay special attention to the difficult journey of perimenopause and its symptoms. The episode underscores the importance of thinking beyond conventional healthcare models and embracing comprehensive, personalized care. They also cover the successful integration of advanced technology and patient education. Finally, the conversation touches on self-care for healthcare providers to combat burnout and encourages medical professionals to develop a personal brand and diversify their professional activities.
Timestamps
00:00 - Introduction
07:10 - Addressing Hormonal Health in Men
08:53 - Nutrition and Weight Management
13:21 - Treating Perimenopause and Menopause
23:38 - The Importance of Hormone Replacement Therapy
30:45 - Weight Loss Beyond the Scale
32:05 - Importance of Muscle Maintenance
41:09 - Technology in Health Monitoring
49:03 - Daily Routines for Optimal Health
57:38 - Closing Thoughts on Holistic Health
Resources
PRIME Institute:
https://www.primeinstitute.us/amy-pearlman-md/
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.