In today’s show, we’re talking about a new way of treating women’s most common sexual problems. My guest co-developed an online sexual health platform called eSense that’s designed to bring evidence-based treatment for low sexual desire and arousal to the masses at a fraction of the cost of traditional therapy. It could very well be a game-changer in the way we treat sex problems. I am joined once again by Dr. Lori Brotto , an internationally recognized leader in sexual health research. She is a...
May 30, 2025•30 min•Ep. 401
The most common sexual problems that women experience center around low sexual desire and/or difficulty becoming aroused, formally known as female sexual interest/arousal disorder . In today’s show, we’re doing a deep dive into what this disorder looks like, where it comes from, and why it seems so hard for women to access treatment for it. I am joined by Dr. Lori Brotto , an internationally recognized leader in sexual health research. She is a Professor in the UBC Department of Obstetrics and G...
May 27, 2025•31 min•Ep. 400
The number of adult virgins is growing and is actually at a record high. Many of these folks would like to be having sex, but cannot find a partner. In other words, they are involuntarily celibate, or “incels” for short. So what do we know about these individuals? A deeper look at the psychology of incels reveals a group that is struggling with complex mental health issues. In today’s episode, we’re revising my conversation with William Costello , which originally aired back in episode 133. This...
May 23, 2025•52 min•Ep. 399
If you want to maintain your sexual function and wellbeing, it’s important to pay attention to your pelvic floor! In today’s show, we’re going to talk about how to keep your pelvic floor in shape and resolve common problems with it. It turns out that optimizing your pelvic floor can help with a wide range of issues, from dealing with painful sex to having more (and better) orgasms. I am joined once again by Sara Reardon, a board-certified pelvic floor physical therapist and founder of The V-Hive...
May 20, 2025•34 min•Ep. 398
The pelvic floor is a really important set of muscles that plays a big role in sexual and reproductive function. However, most people don’t know much about it, including common signs that they might have a problem. In today’s show, I am joined by the “Vagina Whisperer” to discuss what you need to know about the pelvic floor I am joined by Sara Reardon, a board-certified pelvic floor physical therapist and founder of The V-Hive , an online, on-demand pelvic floor fitness platform. She is author o...
May 16, 2025•34 min•Ep. 397
When women have sex with men, there’s an orgasm gap. However, this gap disappears when women have sex with other women. So why is that? In today’s show, we’re diving into some new research finding that women anticipate sex is going to follow a very different script based on the gender of their partner. It turns out that those scripts have big implications for their odds of orgasm. I am joined once again by Carly Wolfer , a sex researcher, relationship scientist, and health educator whose work ex...
May 13, 2025•28 min•Ep. 396
In heterosexual relationships, women don’t orgasm as frequently or consistently as men. So why is that? As we’ll explore in today’s show, it’s because there’s an “orgasm pursuit gap.” Sexual scripts lead women to pursue their own orgasms less than men, and to perceive less support from their partners for their own pleasure. My guest is Carly Wolfer , a sex researcher, relationship scientist, and health educator whose work explores how to create more equitable and pleasurable sexual experiences. ...
May 09, 2025•33 min•Ep. 395
Have you ever been in a relationship where it felt like you and your partner were slipping into the roles of parent and child? In today’s show, we’re going to discuss common signs that you might be in a parentified relationship. We’re also going to discuss how parentification impacts sexual and relationship quality, as well as how to break this pattern. I am joined once again by Dr. Kate Balestrieri , a licensed psychologist and certified sex therapist. She is the founder of Modern Intimacy , a ...
May 06, 2025•33 min•Ep. 394
At some point, almost everyone in a long-term relationship is going to wonder, “What happened to my sex life?” Where did the initial passion and excitement go? In today’s show, we’re going to explore why desire, pleasure, and connection often decline in relationships, as well as how you can get it back. I am joined by Dr. Kate Balestrieri , a licensed psychologist and certified sex therapist. She is the founder of Modern Intimacy , a counseling practice that operates in Los Angeles, Miami, and C...
May 02, 2025•36 min•Ep. 393
In the last episode , we talked about patients who fall in love with their therapists. Today, we’re taking about the flip side of things: when therapists develop sexual and/or romantic feelings toward their patients, a phenomenon known as erotic countertransference . Research suggests that this is surprisingly common, so we’re going to discuss why it happens and what to do in situations like this. I am joined once again by Alison McCleary and Jordan Pickell. Alison and Jordan are both Regi...
Apr 29, 2025•36 min•Ep. 392
It’s surprisingly common for people in psychotherapy to develop sexual and/or romantic feelings for their therapists. This is a phenomenon known as erotic transference. It’s a form of projection that psychologists have recognized since the days of Freud. On today’s show, we’re going to explore the complex psychology behind why this phenomenon happens and what it really means. I am joined today by Alison McCleary and Jordan Pickell. Alison and Jordan are both Registered Clinical...
Apr 25, 2025•33 min•Ep. 391
A few years back, there were a ton of media articles going around about how the pandemic killed the sex party scene. Flash forward to today, and sex parties are back with a vengeance. So what is it actually like to attend a sex party? In today’s show, we’re going to explore the world of sex parties and what you need to know if you’re thinking about attending one. I am joined once again by Dr. Tara , an associate professor of relational and sexual communication at California State Universit...
Apr 22, 2025•34 min•Ep. 390
In long-term relationships, sexual satisfaction usually starts dropping after the first year as the initial burst of passion begins to wear down. However, this decline in satisfaction is both preventable and reversible. In today’s show, we’re going to talk about how bring excitement back into the bedroom by exploring the biggest predictors of sexual satisfaction. My guest is Dr. Tara , an associate professor of relational and sexual communication at California State University Fullerton. She is ...
Apr 18, 2025•40 min•Ep. 389
Initiating sex is something that a lot of people struggle with. So why is it hard, and how can we make it easier? That’s what we’re talking about in today’s show. In this episode, we’re revisiting a wonderful conversation I had with Vanessa and Xander Marin, the co-hosts of the “Pillow Talks” podcast and co-authors of the book, Sex Talks: Five Conversations That Will Transform Your Love Life . Some of the questions we answer include: Why is initiating sex so hard for so many pe...
Apr 15, 2025•34 min•Ep. 388
In the previous episode , we spoke with the madam of a legal brothel in the US state of Nevada. In today’s show, we’re going to peel back the sheets a bit further and talk about the courtesans who live and work in this brothel, as well as the surprisingly wide range of customers who visit. It turns out that, more often than not, the patrons are looking for far more than just sex. I am joined once again by Tara Adkins, who has served as the madam of the World Famous Mustang Ranch for 17 years. As...
Apr 11, 2025•32 min•Ep. 387
There are close to two dozen legal brothels in the U.S. state of Nevada. In today’s show, we’re going to go inside one of these brothels and talk to the madam who manages it. We’re going to talk about what the job of a brothel madam is really like, as well as some common myths and misconceptions about brothels and sex work. My guest is Tara Adkins, who has served as the madam of the World Famous Mustang Ranch for 17 years. As the madam of this property, Tara is responsible for hiring and trainin...
Apr 08, 2025•30 min•Ep. 386
Porn is the predominant way that gay and queer men learn about sex. That’s a problem because porn is entertainment, not a how-to guide. In today’s show, we’re discussing what gay and queer men need to know when it comes to having positive and pleasurable sexual experiences, including tips for anal sex and dealing with performance problems. I am joined once again by Tom Bruett , a licensed marriage and family therapist, trainer, and consultant who works extensively with the queer community....
Apr 04, 2025•40 min•Ep. 385
Some gay men don’t think monogamy ever works because there’s too much temptation out there. At the same time, others think that non-monogamy never works because someone always gets jealous. So what’s the truth here? Today, we’re doing a deep dive into gay men’s relationships and exploring tips for successfully navigating them, whether they’re monogamous or non-monogamous. I am joined by Tom Bruett , a licensed marriage and family therapist, trainer, and consultant who works extensively wit...
Apr 01, 2025•41 min•Ep. 384
Sexual fluidity is controversial. The fact that people’s sexual attractions can shift has sometimes been used to argue that sexual orientation is a choice and, therefore, that being LGBTQ doesn’t merit being a protected class under the law. In this show, we’re going to dive into the complicated politics surrounding sexual fluidity. I am joined once again by Mark Cusack, a sexuality and relationship coach supporting people who may have complex, fluid or undefined sexual orientation or gende...
Mar 28, 2025•41 min•Ep. 383
Are you attracted to different types of people than you used to be? Has there been a shift in your go-to fantasy? Do you prefer different activities in the bedroom than you did before? Human sexuality is incredibly flexible. In today’s show, we’re going to dive into the subject of sexual fluidity in order to better understand how and why our sexual attractions might change over time. My guest is Mark Cusack, a sexuality and relationship coach supporting people who may have complex, fluid or unde...
Mar 25, 2025•41 min•Ep. 382
When you have sex, do you kind of already know how it’s going to play out before your clothes even came off? If so, you’re not alone. Most of us follow sexual scripts that feature a predictable sequence of activities. However, these scripts can limit our opportunities for pleasure. In today’s show, we’re going to discuss how to rewrite your sexual script and cultivate a more fulfilling intimate life. I am joined once again by Rachel Zar , a Licensed Marriage and Family Therapis...
Mar 21, 2025•37 min•Ep. 381
What are the most common questions that come up in sex therapy? In this episode, we’re going to dive into five questions that come up over and over again. We’re also going to address when you should consider seeing out professional help for a sex problem, as well as explore a few tips for maintaining a happy, healthy, and exciting sex life. My guest is Rachel Zar , a Licensed Marriage and Family Therapist and AASECT-Certified Sex Therapist. Dr. Zar is a clinical supervisor at Avid Intimacy , a s...
Mar 18, 2025•38 min•Ep. 380
Nothing makes us lose desire for sex faster than having bad sex. Indeed, many cases of low sexual desire are simply due to people having sex that isn’t worth having. In this episode, we’re going to talk about the three main types of bad sex, what it means to have good sex, and how to stop having bad sex. Today, we’re revisiting a fantastic conversation I had with Dr. Kelly Casperson back in episode 128. Kelly is a urologist, sex educator, author, and podcaster whose mission is empowe...
Mar 14, 2025•43 min•Ep. 379
Sugar dating is a type of transactional relationship in which sex and companionship are exchanged for some type of compensation. Reports suggest that there are millions of people engaging in this. In today’s show, we’re going to explore sugar dating relationships, including what draws people to it, the advantages and disadvantages of sugar dating, and who holds the power in a sugaring arrangement. I am joined once again by Kate Metcalfe , a clinical psychology PhD student at the University of Te...
Mar 11, 2025•43 min•Ep. 378
Think about the last few times you had sex. What was your main reason for doing it? There are myriad reasons that people report, including pleasure and horniness. However, a common motive that we don’t talk enough about is when people have sex out of a sense of duty or obligation. So let’s talk about “duty sex,” including who has it and what effects it has on people and their relationships. My guest today is Kate Metcalfe , a clinical psychology PhD student at the University of...
Mar 07, 2025•35 min•Ep. 377
If you could change one thing about your sex life, what would it be? In this episode, we’re discussing the biggest changes people want to make and the new things they want to try in bed based on insights from Arya’s new study of Couples and Intimacy Trends, which included data from more than 100,000 respondents. I am joined once again by Nicholas Velotta , a PhD student at the University of Washington who researches intimate relationships and sex. He is also the head of research at the cou...
Mar 04, 2025•38 min•Ep. 376
How would you describe your personality in the bedroom? What do you like to do sexually? What do you need from your partners? What turns you on? In today’s show, we’re going to explore erotic personas . New research based on a survey of more than 100,000 adults sheds light on the 4 main types of erotic personas that exist. My guest is Nicholas Velotta , a PhD student at the University of Washington who researches intimate relationships and sex. He is also the head of research at the couple’s wel...
Feb 28, 2025•40 min•Ep. 375
Persistent genital arousal disorder (PGAD) is one of the most distressing sexual dysfunctions. PGAD involves having near-constant feelings of unwanted arousal that make it difficult to concentrate, work, and sleep. In today’s show, we’re going to dive into what we know about PGAD and speak with a physician who frequently treats patients with this condition. I am joined once again by Dr. Sameena Rahman , a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic aff...
Feb 25, 2025•41 min•Ep. 374
Sex changes as we age. While these changes are often small and gradual, once you hit your 40s and 50s, it’s not uncommon to start noticing bigger changes. In this episode, we’re going to talk all about sex at midlife and some of the most common sexual issues that come up during this time for women, as well as tips for dealing with them. My guest today is Dr. Sameena Rahman , a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwester...
Feb 21, 2025•33 min•Ep. 373
In the previous episode , we discussed the history of food and sex, which turns out to be a truly fascinating topic! Today, we’re diving even deeper into the subject. We’re going to explore how diet culture became a way of suppressing female pleasure, how interest in fine food came to be associated with being gay, why French food has a particularly strong association with sex, and more. I am joined once again by Rachel Hope Cleves , a professor of history at the University of Victori...
Feb 18, 2025•34 min•Ep. 372
