Can sex create an altered state of consciousness without psychedelic substances? For some people, deeply present sexual experiences can involve changes in time perception, heightened sensory awareness, a softened sense of self, emotional release, and an intense feeling of connection.

In Episode 513 of the Sexology Podcast, Dr. Nazanin Moali speaks with AASECT-certified sex therapist and psychedelic therapist Dori Lewis about why sex can sometimes feel psychedelic and how mindfulness, ritual, safety, and intentional touch may deepen pleasure and intimacy.

This conversation is not about having sex while using psychedelic substances. Instead, Dori explores how sexual experiences themselves can produce shifts in awareness that may feel expansive, transcendent, or transformative.

Dori and Dr. Moali discuss why performance-focused sex can prevent people from accessing these deeper experiences. When your attention is focused on whether you are attractive enough, aroused enough, or performing correctly, it becomes harder to notice subtle sensations and remain connected to your body.

You will also learn how slowing down, creating intentional rituals, practicing nonsexual touch, and communicating boundaries can support a greater sense of safety and connection. Dori explains why consent, nervous system regulation, and emotional trust are essential when exploring intense or vulnerable experiences.

IN THIS EPISODE, YOU WILL LEARN:

• What an altered state of consciousness during sex can feel like

• Why some sexual experiences may feel psychedelic

• How mindfulness can deepen sexual pleasure

• Why sensory awareness matters during intimacy

• How performance pressure disconnects you from your body

• How to create rituals for sexual connection

• Why safety, boundaries, and consent support surrender

• How parenthood can affect nervous system regulation and intimacy

• How to communicate your needs and receive pleasure

• How somatic practices may support embodied awareness

• Why trauma-informed care matters during intense experiences

• How nonsexual touch can help partners reconnect

• How sex and psychedelic experiences may overlap and differ

COMMON QUESTIONS ANSWERED:

CAN SEX CREATE AN ALTERED STATE OF CONSCIOUSNESS?

Some people experience changes in their perception of time, sensory intensity, self-awareness, emotional openness, or connection during sex. These experiences can feel different from ordinary waking awareness, although they are not necessarily identical to substance-induced psychedelic states.

WHY CAN SEX SOMETIMES FEEL PSYCHEDELIC?

Intense sensory focus, emotional vulnerability, rhythmic movement, changes in breathing, pleasure, and a temporary reduction in self-monitoring may contribute to experiences that feel expansive or transcendent.

DO YOU NEED PSYCHEDELIC SUBSTANCES TO HAVE THIS EXPERIENCE?

No. This episode explores altered states that may occur through sexual connection, mindfulness, ritual, sensory awareness, and intentional touch without using psychedelic substances.

HOW CAN MINDFULNESS DEEPEN SEXUAL EXPERIENCES?

Mindfulness can help you notice physical sensations, emotions, boundaries, and shifts in arousal without immediately judging them. This may reduce performance pressure and make it easier to remain present.

ABOUT DORI LEWIS

Dori Lewis, MA, MEd, LPC-S, is the co-founder of Elemental Psychedelics and owner of Reflective Healing, a psychotherapy practice in Fort Collins, Colorado. She is a licensed professional counselor, psychedelic therapist, and AASECT-certified sex therapist.

Dori has spent more than a decade working in transpersonal and depth-oriented approaches and has supported hundreds of ketamine and psilocybin therapy sessions. She also trains psychedelic practitioners and works at the intersection of sexuality, embodiment, and altered consciousness.

LEARN MORE ABOUT DORI LEWIS:

https://www.reflectivehealing.com/

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Why can’t you orgasm, even when you know what feels good? Pressure, anxiety, shame, distraction, and the feeling that you must reach orgasm can make it harder to stay present and experience pleasure.

In Episode 512 of the Sexology Podcast, Dr. Nazanin Moali speaks with consulting hypnotist and somatic coach Melinda Love about difficulty reaching orgasm, getting out of your head during sex, and developing a more connected relationship with your body and pleasure.

Melinda explains why wanting an orgasm too badly can turn sex into a performance. When your attention shifts toward monitoring your progress, worrying about your partner, or wondering whether you are taking too long, it becomes difficult to remain connected to arousal and pleasurable sensations.

You will learn why orgasm is not simply an automatic physical response, how sexual shame and negative beliefs can interfere with pleasure, and why removing orgasm as the sole goal of sex may actually make orgasm more accessible. Melinda also discusses self-exploration, clitoral stimulation, responsive desire, nervous system safety, breathwork, and embodied practices that can help you become more present during sex.

IN THIS EPISODE, YOU WILL LEARN:

• Why you may have difficulty reaching orgasm

• What an orgasm can feel like in the body

• Why trying too hard to orgasm can make it more difficult

• How performance anxiety interferes with sexual pleasure

• How to get out of your head during sex

• Why self-exploration is important for discovering what feels good

• How sexual arousal and orgasmic skills can develop over time

• How shame and negative sexual beliefs affect pleasure

• How partners can unintentionally create orgasm pressure

• Why clitoral stimulation is important for many women

• How responsive desire affects arousal

• How breathwork and body awareness can support sexual presence

• How to reduce distraction during sex

• Why pleasure does not have to end with orgasm

COMMON QUESTIONS ANSWERED:

Why can’t I orgasm even when sex feels good?

Pleasure and orgasm are related, but they are not identical. You can enjoy sexual stimulation while anxiety, distraction, pressure, shame, medication effects, relationship dynamics, or difficulty staying present interfere with orgasm.

Can trying too hard to orgasm prevent it?

Yes, orgasm pressure can shift your attention away from pleasurable sensations and toward self-monitoring. Instead of experiencing the moment, you may begin evaluating whether you are aroused enough, taking too long, or disappointing your partner.

How can I get out of my head during sex?

Slowing down, noticing physical sensations, communicating what feels good, reducing goal-focused pressure, and practicing self-exploration may help you feel more present and connected to your body.

ABOUT MELINDA LOVE

Melinda Love is a consulting hypnotist, somatic coach, and host of the Embodied Magic podcast. Her work helps women reconnect with their bodies, desires, and capacity for pleasure through hypnosis, nervous system regulation, breathwork, and embodied practices.

Drawing from extensive training in somatic coaching, sexuality, breathwork, and body-based healing, Melinda specializes in helping women move out of self-monitoring and into embodied pleasure. Her work focuses on orgasmic surrender, sexual self-trust, and freedom from shame.

LEARN MORE ABOUT MELINDA LOVE:

http://www.melindalovecoach.com/podcast

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How do you turn your wife on without making sex feel pressured? In long-term relationships, desire often grows through anticipation, playful flirting, emotional connection, and affection that does not automatically become a request for sex.

In this episode, Dr. Nazanin Moali is joined by Marni Kinrys, founder of The Wing Girl Method, to discuss how flirting and slow seduction can help couples rebuild attraction and escape the roommate dynamic.

Marni explains why moving too quickly into overtly sexual behavior can have the opposite effect, especially when stress, responsibilities, and emotional disconnection make it difficult to transition into a sexual mindset. She shares ways to build desire throughout the day, help your partner feel seen, listen without immediately trying to fix things, and bring playfulness back into your relationship.

In this episode, you’ll learn:

• How to turn your wife on without creating sexual pressure

• Why flirting matters in long-term relationships

• How to build desire and anticipation throughout the day

• Why affection can feel transactional when it always leads to sex

• What slow seduction looks like in everyday life

• How listening without fixing can strengthen connection

• Why feeling seen can support emotional and sexual intimacy

• How couples fall into the roommate dynamic

• How pursuer-withdrawer patterns affect desire

• Ways to bring curiosity and playfulness back to sex

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About Marni Kinrys:

Marni Kinrys is the founder of The Wing Girl Method, host of the Turn Her On podcast, and creator of the F-Formula. She is a dating and relationship coach who has spent more than a decade helping men improve their confidence, communication, flirting, and relationships.

Her online content has generated more than 150 million YouTube views, and her channel, Marni Your Personal Wing Girl, has more than 1.3 million subscribers.

Get Marni’s Flirting Cheat Sheet:

https://winggirlmethod.com/flirtcs

About Dr. Nazanin Moali:

Dr. Nazanin Moali is a licensed psychologist, AASECT-certified sex therapist, and host of the Sexology Podcast. She provides sex and relationship therapy in Hermosa Beach, the South Bay of Los Angeles, and online throughout California.

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Why can someone orgasm alone but not with a partner? In this episode, Anna Cordin shares her personal experience of faking orgasms for 30 years—and what changed when she experienced her first partnered orgasm at age 49.

Anna joins Dr. Nazanin Moali to discuss the pressure to perform during sex, difficulty staying present, and the importance of trust, emotional connection, and feeling safe enough to communicate honestly about pleasure. She explains how her relationship with her husband helped her let go of control, honor her authentic preferences, and stop pretending.

In this episode, you’ll learn:

• Why someone may be able to orgasm alone but not with a partner

• How sexual performance pressure can interfere with pleasure

• Why people fake orgasms in long-term relationships

• How trust and emotional connection can affect sexual presence

• What helped Anna experience partnered orgasm at 49

• How honest communication can strengthen sexual intimacy

• Why recognizing your authentic preferences matters

• How couples can begin rebuilding connection

About Anna Cordin:

Anna Cordin is a professional ballroom and Latin dance instructor and performer. Born into a family of musicians in Siberia, Russia, she developed an early passion for music, movement, and dance. After moving to the United States, she became a professional instructor with Fred Astaire Dance Studios and coached students who earned first-place finishes at prestigious competitions. In this episode, Anna shares her personal sexual story openly in the hope that other women will feel less alone.

About Dr. Nazanin Moali:

Dr. Nazanin Moali is a licensed psychologist, AASECT-certified sex therapist, and host of the Sexology Podcast. She provides sex and relationship therapy in Hermosa Beach, the South Bay of Los Angeles, and online throughout California.

Work with Dr. Moali:

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https://galaballroom.com/

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n Episode 509 of the Sexology Podcast, Dr. Nazanin Moali is joined by physician and longevity expert Dr. Jennifer Timmons to explain why erectile function can offer important clues about a man’s overall health.

Erections depend on healthy blood flow, nerve function, hormones, metabolism, sleep, and psychological well-being. When erectile function suddenly or persistently changes, it may be worth looking beyond age or performance anxiety. Dr. Timmons explains how cardiovascular disease, insulin resistance, weight, alcohol, stress, medications, and poor sleep can all affect erections and sexual desire.

We also examine why men may be too quick to blame low testosterone when their libido or sexual performance changes. Dr. Timmons explains what testosterone therapy may address, what it cannot fix, and why treating a laboratory number without understanding the larger health picture can be risky.

The conversation also explores erectile dysfunction treatments, sexual enhancement supplements, GLP-1 medications, and popular approaches to men’s sexual optimization. You will learn what is supported by evidence, what appears promising, and what may be overhyped or potentially unsafe.

In this episode, you will learn:

• What erection changes can reveal about cardiovascular health

• When erectile dysfunction may warrant a medical evaluation

• Why erection problems should not automatically be dismissed as aging

• How insulin resistance and metabolic health affect erections

• The connection between weight, blood flow, and sexual function

• How sleep, stress, alcohol, and medications affect sexual performance

• Whether low testosterone is always responsible for low libido

• What testosterone replacement therapy can and cannot address

• The potential risks of testosterone therapy

• How GLP-1 medications may influence libido and sexual health

• Which erectile dysfunction treatments have the strongest evidence

• The risks of unregulated sexual enhancement supplements

• What every man over 40 should monitor when his sexual function changes

• How sexual health can offer insight into healthspan and longevity

About Dr. Jennifer Timmons

Dr. Jennifer Timmons is a physician specializing in personalized wellness, disease prevention, and longevity medicine. She earned her medical degree from the University of Southern California and completed her Family Medicine residency training at the University of California, Los Angeles.

After more than a decade in primary care at UCLA Health in Manhattan Beach, Dr. Timmons founded Timmons Wellness to provide individualized, data-driven care. She also has advanced training in functional and integrative medicine, precision medicine, and longevity medicine.

Learn more about Dr. Jennifer Timmons:

https://timmonswellnessmd.com/

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Spice Up Your Social Media Feed and Your Sex Life:

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What do women actually want in bed, and why do so many couples misunderstand each other’s sexual needs?

In Episode 508 of the Sexology Podcast, Dr. Nazanin Moali is joined by gynecologist and sexual medicine specialist Dr. Maria Sophocles to explore the “bedroom gap,” the disconnect between what partners believe women want sexually and what women may actually experience.

Many couples can discuss money, parenting, work, and family but struggle to have an honest conversation about sex. Dr. Sophocles explains why these conversations feel so difficult and how silence, embarrassment, and cultural expectations can create unsatisfying sexual patterns in long-term relationships.

Together, they challenge common myths about penetration, orgasm, penis size, and what “good sex” is supposed to look like. They also examine how pornography and popular culture can shape unrealistic sexual expectations and leave couples focused on performance instead of mutual pleasure.

The conversation explores how menopause, hormonal changes, painful sex, and shifts in desire can affect intimacy. You will also learn how couples can communicate more openly, introduce novelty, redefine satisfying sex, and create sexual experiences centered on pleasure for both partners.

In this episode, you will learn:

• What the bedroom gap is and why it develops

• What women may actually want from sex and intimacy

• Why couples struggle to communicate about sexual needs

• How to discuss sex without blame, shame, or defensiveness

• Why penetration should not be treated as the main event

• How pornography shapes expectations about sex and orgasm

• Why penis size matters less than many people believe

• How to make sex more pleasure-focused and less performance-driven

• How menopause and hormonal changes can affect sexual desire

• Why sex may become painful during midlife

• How couples can bring novelty into long-term relationships

• Why mutual pleasure belongs at the center of sex education

About Dr. Maria Sophocles

Dr. Maria Sophocles is a board-certified gynecologist and sexual medicine specialist who has worked in women’s healthcare for nearly 30 years. She specializes in menopause management, female sexual health, painful sex, and helping women advocate for their health and sexual pleasure.

She is the founder of Women’s Healthcare of Princeton and a Menopause Society Certified Practitioner. Her TED Talk, “What Happens to Sex in Midlife? A Look at the Bedroom Gap,” has been viewed more than one million times. She is also the author of the forthcoming book The Bedroom Gap.

Learn more about Dr. Maria Sophocles:

https://mariasophoclesmd.com

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Should you have sex when you’re not in the mood? You should never feel pressured or obligated to have sex, but you also may not need to wait for spontaneous desire before beginning to connect.

In this episode of the Sexology Podcast Caroline Hood joins Dr. Nazanin Moali to explain how responsive desire works and why sexual desire often changes in long-term relationships. They explore the important difference between being willing to become intimate and forcing yourself to have sex when you do not want to.

Caroline explains why some people experience desire only after affection, touch, or sexual stimulation begins. She also discusses how couples can schedule intimacy without making it feel obligatory, create the conditions that allow desire to grow, and communicate about sex without introducing pressure or rejection.

The conversation also explores sexuality after motherhood, the Madonna-whore narrative, emotional disconnection, and the importance of expanding our definition of what counts as sex. If you have been wondering why you are rarely “in the mood,” this episode offers a more compassionate way to understand your desire.

In this episode, you will learn:

• The difference between spontaneous and responsive desire

• Whether it is healthy to have sex when you are not initially in the mood

• Why sexual pressure and obligation reduce desire

• How to schedule sex without making it feel like another chore

• How couples can create more space for intimacy

• Why low desire does not always mean a lack of attraction

• How motherhood can affect sexuality and identity

• How the Madonna-whore narrative shapes women’s sexuality

• Why emotional connection matters for sexual desire

• How to communicate sexual needs without blame or pressure

• Why expanding your definition of sex can create more pleasure

• How fulfilling sexual experiences can help desire grow over time

About Caroline Hood

Caroline Hood is a writer and speaker exploring desire, intimacy, sex, play, and the cultural narratives surrounding long-term relationships. Her work combines humor, introspection, practical guidance, empowerment, and a little tough love.

Caroline challenges the assumption that sex inevitably becomes less satisfying over time. In Because I Want To, she encourages readers to reconnect with their desire, deepen intimacy, and build a more exciting and fulfilling sexual relationship.

Learn more about Caroline Hood:

https://www.desireinreallife.com/

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Why can trauma make you lose interest in sex, disconnect from your body, or freeze during intimacy? In this episode of the Sexology Podcast, somatic instructor Liz Tenuto, also known as The Workout Witch, explains how trauma affects the nervous system, sexual desire, pleasure, and our ability to feel safe in the body.

Liz shares her personal journey of living with PTSD, chronic pain, sleep difficulties, and the long-term effects of trauma. She explains how gentle somatic exercises and small, intentional movements may help reduce habitual tension, regulate the nervous system, and rebuild a sense of safety and connection with the body.

We also explore the fawn and freeze responses during sex, why anxiety can be mistaken for a lack of desire, and how trauma survivors can begin reconnecting with sexual sensation without forcing themselves to move faster than their bodies are ready for.

Liz opens up about healing after an abusive marriage, coming out, and discovering her sexuality later in life. She shares how becoming more connected to her body helped her understand what she genuinely wanted from relationships, sex, and intimacy.

In this episode, you will learn:

• How trauma can affect sexual desire and physical sensation
• What somatic healing is and how somatic exercises work
• How stress and trauma become connected to chronic tension
• What the fawn response looks like in relationships
• Why someone may freeze or disconnect during sex
• How the nervous system influences arousal, pleasure, and libido
• Ways to ground yourself when sexual triggers arise
• How to distinguish desire from anxiety or hyperarousal
• Why slowing down can help rebuild safety and pleasure
• How trauma survivors can reconnect with their bodies
• What it can mean to discover your sexuality later in life

About Liz Tenuto

Liz Tenuto, also known as The Workout Witch, is a somatic instructor who specializes in practices designed to address the physical effects of chronic stress and trauma. Her mission is to make somatic healing approachable, accessible, and easy to incorporate into everyday life.

Drawing from both professional knowledge and personal experience as a survivor of childhood sexual abuse and domestic violence, Liz helps people understand how trauma can influence the body, nervous system, relationships, and capacity for pleasure.

Learn more about Liz Tenuto:

https://theworkoutwitch.com

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How do you rebuild trust after infidelity? Can a relationship survive an affair, and can emotional intimacy and sexual desire return after betrayal?

In this episode of the Sexology Podcast, Dr. Nazanin Moali speaks with renowned couples therapist and sex therapist Dr. Laurie Watson about infidelity recovery, forgiveness, attachment wounds, and rebuilding trust after cheating.

Dr. Watson explains why relationship problems involving sex are rarely just about sex. She explores how emotional attachment and sexual attachment intersect, creating a pursue and withdraw cycle in which one partner feels rejected while the other feels pressured, overwhelmed, or disconnected.

You’ll also learn why people cheat, how an affair affects emotional and sexual intimacy, and what it takes to repair a relationship after betrayal. Dr. Watson shares practical guidance for understanding attachment patterns, healing relationship wounds, restoring trust, and reconnecting sexually after infidelity.

Whether you are recovering from an affair, struggling with mismatched sexual desire, or feeling emotionally disconnected from your partner, this episode offers a compassionate roadmap for rebuilding safety, intimacy, and connection.

ABOUT DR. LAURIE WATSON:

Dr. Laurie Watson, PhD, LMFT, LCMHC, is a nationally recognized sex therapist, couples therapist, author, and podcaster. She is the co-author of Brave Love; Great Sex: Unlocking the Passion and Connection You Crave with Emotionally Focused Therapy and author of Wanting Sex Again. Laurie is an AASECT Certified Sex Therapist and Supervisor and an ICEEFT Certified Emotionally Focused Couples Therapist. She co-hosts the Brave Love; Great Sex podcast with George Faller, which has more than 15 million downloads and over 500 episodes. She is also the founder and director of Awakenings Center for Couples & Sex Therapy in North Carolina, where she has spent decades helping couples build stronger emotional and sexual connection.

N THIS EPISODE, YOU’LL LEARN:

• Why sexual desire changes in long term relationships

• How the pursue and withdraw cycle affects sex and intimacy

• The relationship between emotional and sexual attachment

• How to recognize the mega attachment pattern

• Why people cheat, even when they still love their partner

• Whether a relationship can survive infidelity

• What forgiveness after an affair really means

• How to repair attachment wounds after betrayal

• How to rebuild trust after cheating

• Ways to restore emotional and sexual intimacy

• How Dr. Watson’s REV Method helps couples reconnect

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Welcome to Episode 504 of the Sexology Podcast! Today I am excited to welcome back Dr. Richard Espinoza, who speaks to me about how attachment styles shape our dating patterns, relationships, and sexual connections.

In this episode, Dr. E and I discuss why we can have such intense chemistry with people that we may not be compatible with at all. We look at how our early attachment experiences influence who we find familiar and attractive as adults, why emotionally unavailable partners can sometimes create an intoxicating sense of desire, and how the nervous system can mistake anxiety, uncertainty, or old relational patterns for chemistry. 

Richard “Dr. E” Espinoza, PsyD, is a leading clinical psychologist based in Los Angeles, specializing in trauma and resilience. His practice places a strong emphasis on serving the LGBTQ+ community and its allies, striving to empower individuals from diverse backgrounds through comprehensive psychological assessments, transformative talk therapy, and dedicated activism. Dr. Espinoza is an esteemed professor and captivating speaker, where he shares practical insights on self-discovery and personal growth, along with creating accessible self-help resources designed to inspire personal transformation and a deeper sense of fulfillment.

In this episode, you will hear:

• Why Unavailable Partners Feel So Attractive
• When Chemistry Is Actually Anxiety
• Understanding The Four Attachment Styles
• How Childhood Shapes Your Dating Type
• Why Familiarity Does Not Equal Compatibility
• How Attachment Patterns Affect Sex
• Using Sex For Reassurance And Validation
• Why Insight Alone Does Not Create Change
• Creating Corrective Emotional Experiences
• Rethinking Attraction Through LA Love Lab

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Welcome to Episode 503 of the Sexology Podcast! Today I am excited to be joined by Midori who speaks to me about exploring kink, dominance, submission, and finding authentic ways to embrace our desires.

In this episode, I speak with Midori about why we’re seeing a rise in women getting curious about dominance and BDSM, particularly women in their 40s and beyond. We discuss how difficult cultural assumptions can open up opportunities for greater sexual self-exploration, and that it’s OK to be dominant without being mean, scary or playing a stereotypical dominatrix. 

Midori is an internationally recognized sexologist, kink educator, coach, and author. She's the founder of ForteFemme Women's Dominance Intensive, the groundbreaking program she's run for over 20 years, and the author of The Seductive Art of Japanese Bondage, the first English-language book on Shibari, along with contributions to several academic volumes. She also trains therapists and wellness professionals as Curriculum Director for the Kink Informed Certification through the Sexual Health Alliance, and presents regularly at the American Association of Sexuality Educators, Counselors and Therapists (AASECT). Through workshops and private coaching, she helps adults bring more creativity, confidence, and erotic fulfillment into their lives.

In this episode, you will hear:

• Women Exploring Dominance Later In Life
• Moving Beyond Traditional Sexual Roles
• Understanding Ravishment Fantasies
• Why Submission Can Feel Liberating
• Exploring Erotic Humiliation Safely
• Finding Your Dominant Archetype
• Introducing The You Will Game
• Communicating And Co-Creating Kink
• Challenging Common BDSM Misconceptions
• Finding Safe And Trustworthy Kink Resources

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Welcome to Episode 502 of the Sexology Podcast! Today I am excited to be joined by Jane Garnett, LMFT who speaks to me about how our attraction patterns develop and whether we change who we are drawn to.

In this episode, Jane and I discuss why we can have so much attraction to people who are emotionally unavailable or unable to give us the secure relationship we want. We also look at how attachment styles, cultural conditioning, unmet emotional needs, and past relationship experience can influence what is exciting or desirable. 

Jane Garnett is an Oxford-educated speaker, Licensed Marriage and Family Therapist (LMFT), EMDR practitioner, and author of This Time with Feeling (May 12, 2026). With nearly 20 years in private practice, her work often centers on high-functioning individuals whose lives look successful on the outside but are shaped by patterns of emotional disconnection, anxiety, or underlying dissatisfaction.  As a psychotherapist, Jane helps people rewrite the beliefs that subconsciously shape their lives, recognize the scripts they inherited, listen to the body’s signals, and make choices that create actual safety and connection— helping them shift not just their circumstances, but their relationship to themselves and their lives.

In this episode, you will hear:

• Changing Our Attraction Patterns
• Understanding Unhealthy Relationship Templates
• When Chaos Feels Like Chemistry
• Attraction To Emotionally Unavailable Partners
• Cultural Messages About Desire
• Exploring The Meaning Of Fantasy
• Affairs As A Form Of Splitting
• Learning To Choose Yourself
• Regulating The Nervous System
• Rewiring Relationships Through EMDR

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Welcome to Episode 501 of the Sexology Podcast! Today I am excited to be joined by Heather Florio and Dr. Fenwa Milhouse who speak to me about sexual health, desire, and pleasure during perimenopause and menopause.

In this episode, we discuss how changes in levels of oestrogen and testosterone can affect the brain, genitals, arousal and sex drive. We examine why hormones alone are rarely the cause of low libido, and how relationship dynamics, painful sex, body image, stress, shame, and the natural shift from spontaneous to responsive desire can all impact someone’s sexual experience.

Heather Florio is the second-generation CEO of Desert Harvest, a women's-health company her family founded in 1993. She writes the monthly Dear Sexpert column for BELLA Magazine, sits on BELLA's Medical Advisory Board, and is a Forbes Leading Woman in Business (2022). Late-diagnosed autistic.

Dr. Fenwa Milhouse—widely known as “Your Favorite Urologist”- is a board-certified urologist and fellowship-trained sub-specialist in Urogynecology and Reconstructive Pelvic Surgery.

She is the current President of the Chicago Urological Society—making history as the first Black woman to hold this position. 

In this episode, you will hear:

• Hormonal Changes During Perimenopause
• Understanding Multifactorial Low Desire
• Barriers To Menopause Treatment
• Spontaneous Versus Responsive Desire
• Painful Sex And Vaginal Health
• Systemic And Vaginal Hormone Therapy
• Choosing Safer Personal Lubricants
• Medications For Low Libido
• GLP-1s And Sexual Desire
• Rediscovering Pleasure After Menopause

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Welcome to Episode 500 of the Sexology Podcast! Today, I am excited to be joined by some of my most memorable guests, who speak to me about the biggest lessons on pleasure, desire, intimacy, and connection from the past nine years.

In this special milestone episode, I revisit conversations that challenged common assumptions about what fulfilling sex is supposed to look like. We explore why foreplay often begins long before anyone enters the bedroom, how every human body experiences pleasure differently, and why there is no single correct way to orgasm. We also look at what research can teach us about sexual positions, pelvic floor contractions, stimulation, and the importance of adapting sexual experiences to our individual bodies.

I also reflect on the deeper lessons these 500 conversations have taught me about becoming a more attentive and connected partner. We discuss moving beyond sexual autopilot, questioning techniques learned through pornography, understanding our fantasies without shame, and keeping desire alive in long-term relationships. Thank you for making these 500 episodes possible and here’s to the next 500!

In this episode, you will hear (In Order Of Appearance)

• Sebastian Harris
• Emily Nagoski
• Lauri Mintz 
• Amir Marashi
• Anna Lee
• Miranda Houston
• Jason Julius
• Justin Lehmiller
• Ian Kerner
• Peggy Kleinplatz

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Podcast Produced by Vaudeo Productions

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Welcome to Episode 499 of the Sexology Podcast! Today I am excited to be joined by Dr. Michelle Sands, who speaks to me about the connection between hormones, stress, the nervous system, and women’s sexual desire.

In this episode, Dr. Sands explains why a loss of desire is not always a libido problem. We discuss how changes in estrogen, progesterone, testosterone, circulation, sleep, and vaginal health can affect arousal and sexual comfort, particularly during perimenopause and menopause. We also talk about why pain during sex can naturally reduce desire and why women should not assume that they are broken or failing their partners.

Dr. Michelle Sands, ND, is a #1 bestselling author, licensed naturopathic physician, speaker, female hormone expert, and epigenetics coach. She is passionate about helping women harness the power of nature to elevate their genetic expression and live vibrant, fulfilling lives by supporting their physical, mental, emotional, and spiritual health.

In this episode, you will hear:

• Libido As A Vital Sign
• Hormonal Changes During Menopause
• Understanding Painful Sex
• Stress And Cortisol Dysregulation
• Advocating For Hormone Care
• Rethinking Hormone Replacement Therapy
• Scheduling Intimacy Without Pressure
• Supporting Arousal And Blood Flow
• Restoring Nervous System Balance
• Sexual Health And Longevity

A Woman's Guide to Reviving Sex Drive

https://oasis2care.com/how-to-increase-your-libido/

Book An Appointment With Dr. Nazanin Moali

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Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Podcast Produced by Vaudeo Productions

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Welcome to Episode 498 of the Sexology Podcast! Today I am excited to be joined by Amanda Dames who speaks to me about soft dom dynamics, masculinity, and communication in kink.

In this episode Amanda and I discuss what it really means to be a soft dom and how this style of dominance is different than the harsh, controlling stereotypes often associated with dom-sub dynamics. We talk about the basis for soft domination, on care, attunement, emotional safety and the desire to bring out the best in a partner, as opposed to control, punishment or ego. 

As a Certified Somatica® Sex and Relationship Coach and Certified Sexologist, Amanda helps clients uncover a holistic and balanced relationship with intimacy. She understands that there is no one-size-fits-all approach, which is why she developed her own consulting method to support each person in discovering their unique path to fulfillment. Amanda’s work as The Kink Consultant is rooted in the path she took to embrace her own sexuality. Understanding the source of her kinks and core desires was the first step in her journey toward self-acceptance. She now uses this same approach to help individuals and couples embrace their kinky side with curiosity, confidence, and compassion.

In this episode, you will hear:

• Understanding Soft Domination
• Healthy Power Exchange
• Care Versus Control
• Masculinity And Safety
• Toxic Manosphere Culture
• Emotional Attunement
• Foreplay Outside The Bedroom
• Building Erotic Polarity
• Communication And Safe Words
• Aftercare And Feedback

How To Be The Man She Desires: A Guide for Men

https://nazanin-moali.mykajabi.com/be-the-man-she-desires-guide

Book An Appointment With Dr. Nazanin Moali

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Podcast Produced by Vaudeo Productions

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Welcome to Episode 497 of the Sexology Podcast! Today I am excited to be joined by Shoshanna Blanca who speaks to me about bridging sexuality and spirituality, healing sexual shame, and reclaiming the body as sacred.

In this episode, I speak with Shoshanna about her provocative and deeply personal project, Jesus Christ Pornstar, and the spiritual journey that inspired it. She shares how psychedelic experiences helped her reimagine the relationship between the body, pleasure, faith, and divinity. Together, we also discuss how sexuality and spirituality do not have to exist in opposition, especially for people who have grown up with shame-based messages about desire, pleasure, and the body.

Shoshanna Blanca is a feminist writer, sex educator, performance artist and model who deconstructs shame-based narratives around sexuality through body liberation, spirituality and visual storytelling. Through her work, she inspires audiences to reject limiting ideas of beauty, modesty and self-expression and reclaim confidence, authenticity and ownership of their bodies.

In this episode, you will hear:

• Bridging Sexuality And Spirituality
• Healing Sexual Shame
• Reclaiming The Body As Sacred
• Jesus Christ Pornstar
• Psychedelics And Spiritual Awakening
• Religion And Erotic Freedom
• Women’s Desire And Empowerment
• Sexual Repression And Pain
• Reinterpreting Biblical Messages
• Finding Sex-Positive Faith

A Woman's Guide to Reviving Sex Drive

https://oasis2care.com/how-to-increase-your-libido/

Book An Appointment With Dr. Nazanin Moali

https://oasis2care.clientsecure.me  

Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Podcast Produced by Vaudeo Productions

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Privacy & Opt-Out: https://redcircle.com/privacy

Welcome to Episode 496 of the Sexology Podcast! Today I am excited to be joined by David Chambers, who speaks to me about male sexual performance anxiety and creating more connected sexual experiences.

In this episode, David and I talk about the pressure many men feel to perform during sex. We discuss how focusing on erections, penis size, orgasm and technique can disconnect men from their bodies and partners, turning intimacy into something they must successfully deliver.

David Chambers, known as The Authentic Man, is a UK-based dating, relationship and intimacy coach for men. With more than a decade of experience, he helps men build deeper relationships, develop healthier masculinity and create more fulfilling sexual lives. His approach centres on self-awareness, emotional intelligence, authenticity and self-leadership.

In this episode, you will hear:

• The Pressure To Perform During Sex
• Why Sex Is Not A Competition
• Anxiety Around Penis Size
• How Shame Affects Male Confidence
• Overcoming The Fear Of Losing An Erection
• Communicating Sexual Anxiety With A Partner
• Moving Beyond Penetration
• Building Greater Sexual Presence
• Maintaining Intimacy As Men Age
• Co-Creating More Connected Sexual Experiences

Stress Reduction Toolkit

https://nazanin-moali.mykajabi.com/opt-in

Book An Appointment With Dr. Nazanin Moali

https://oasis2care.clientsecure.me  

Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Podcast Produced by Vaudeo Productions

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Welcome to Episode 495 of the Sexology Podcast! Today I am excited to be joined by Dr. Debra Durst who speaks to me about biohacking sexual health, hormone optimization, and libido after 40.

In this episode, Dr. Durst and I talk about how sexual health can shift during perimenopause, menopause, and midlife, but why that does not mean people have to simply accept a decline in desire, arousal, lubrication, orgasmic strength, or overall sexual satisfaction. We also discuss how hormone changes, low testosterone, stress, burnout, medication, childbirth, and aging tissue can all play a role in sexual concerns, and why many women are often left without enough clear answers from traditional healthcare settings.

Dr. Debra Durst, MD is a nationally recognized physician, entrepreneur, and thought leader in sexual wellness, hormone optimization, regenerative medicine, and longevity care. She is frequently featured across television, podcasts, YouTube, print, and digital media for her bold, science-based approach to modern healthcare. Dr. Durst spent her early career working as a clinical pharmacist. She then utilized her pharmacy foundation to further pursue her Medical degree at Thee Ohio State University. 

In this episode, you will hear:

• Biohacking Sexual Health After 40
• Why Libido Can Change With Age
• Hormones And Sexual Desire
• Perimenopause, Menopause, And Intimacy
• Advocating For Better Care
• Female Sexual Health Beyond Reproduction
• Regenerative Sexual Wellness Treatments
• The O-Shot And Laser Therapy
• Peptides And PT-141
• Finding The Right Provider

A Woman's Guide to Reviving Sex Drive

https://oasis2care.com/how-to-increase-your-libido/

Book An Appointment With Dr. Nazanin Moali

https://oasis2care.clientsecure.me  

Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Podcast Produced by Vaudeo Productions

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Welcome to Episode 494 of the Sexology Podcast! Today I am excited to be joined by Amanda McCracken, who speaks to me about breaking the cycle of infatuation, limerence, perfectionism, and longing for emotionally unavailable love.

In this episode, Amanda shares the deeply personal story behind her book When Longing Becomes Your Lover and how writing the book helped her understand the dating patterns that kept pulling her toward unavailable partners. We speak to the difference between real love and the emotional intensity that often pretends to be love, particularly when anxiety and fear and the chase become familiar aspects of attraction.

Amanda McCracken is an award-winning journalist passionate about experiences that highlight the intersection of wellness, travel, and relationships. Her work has appeared in the New York Times, Washington Post, Guardian, Vogue, National Geographic, NPR, Elle, Outside, Self, Runner's World, ESPN, and many others. She published her first essay about longing in 2013 which led to additional articles featuring anecdotes and deep research and interviews with the BBC and Katie Couric. 

In this episode, you will hear:

• Understanding Limerence And Infatuation
• Chasing Emotionally Unavailable Partners
• Mistaking Anxiety For Love
• Purity Culture And Sexual Boundaries
• Hookup Culture And Uncertainty
• The Role Of Social Media
• Listening To The Body
• Building Trust Before Love
• Choosing Consistency Over Intensity
• Breaking The Cycle Of Longing

A Woman's Guide to Reviving Sex Drive

https://oasis2care.com/how-to-increase-your-libido/

Book An Appointment With Dr. Nazanin Moali

https://oasis2care.clientsecure.me  

Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy