Better Sex

Martha Kauppi joins me in talking about her book, “Polyamory: A Clinical Toolkit for Therapists (and Their Clients)” which acts as an aid for therapists and serves as a self-help manual for people who are considering polyamory or encountering problems around polyamory.   What is polyamory? Martha defines polyamory as an open relationship where some or all partners have agreed to have more than one romantic and/or sexual partner. Her book caters to all forms of ethical non-monogamous relationships; even the ones that might have started out rocky.   Is polyamory an identity or a choice?   Martha believes polyamory could be an identity for some and a choice for others. While some consider it something that they choose, others identify themselves as polyamorous because they’ve always known that their relationship dynamic would involve more than one intimate partner. For some, their choice could later develop to be an identity.   Martha says that people choose to be polyamorous for several reasons; they could want to explore their sexuality, a kink, a fetish, or a desire discrepancy that they could not explore with their partner. To resolve the problems in their relationship and fulfill their desires at the same time, people find polyamory a logical option.   The benefits of polyamory   While polyamory allows someone to have multiple partners and experience different kinds of sex, it’s also an opportunity to form a supportive and caring family. People develop communication skills and endurance in a polyamorous relationship, and along the way, it opens one up to personal, relational, and emotional growth. Martha’s book addresses these topics and offers strategies to improve and apply these skills in and outside of the relationship.   Pitfalls and how to overcome them   Martha says that coercion is one of the biggest pitfalls. To avoid it, one has to figure out what they want, feel, or value beyond just the terms of polyamory or monogamy, but what they represent to their partner, and how to come to a place where they can advocate for themself. It eliminates the possibility of being pushed into saying yes but also allows one to expand their thinking and consider all options. Unlike monogamy, in polyamory, people are not subjected to choose between who to pursue. People can choose both or many and decide the dynamics of each relationship.   Emotional regulation and jealousy   Emotional self-regulation helps manage difficult emotions that are triggered in polyamory, such as jealousy. While co-regulation is seen often it’s not always reliable. Martha emphasizes that one has to decide to manage these emotions, and then have an honest and open conversation to address things before they’re revealed in a way that can’t be avoided.   How to make strong agreements   Skills in ‘differentiation of self’ aid in making strong and sustainable agreements. A strong agreement is one that all partners agree on and revisit before it’s broken. It’s more important to figure out how to make a strong agreement one at a time than having one at all.   Martha encourages people to find a therapist who is willing to work with them to develop skills that make it possible to have a relationship that they desire.   Biography:   Martha Kauppi is a marriage and family therapist, educator, and AASECT-certified sex therapist and supervisor with a lifelong career in health and sexuality. Martha specializes in working at the intersection of sex and relational issues. She creates and presents educational materials that are based on theory and scientific knowledge while also being practical, effective, and immediately applicable by therapists and their clients.   Resources and links:   Website: https://instituteforrelationalintimacy.com/about/ Book: Polyamory: A Clinical Toolkit for Therapists (and Their Clients) – released on 15 May 2021. Available at Rowman & Littlefield, Amazon, and in UK outlets   More info:   Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/Want to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Infidelity looks a lot more complicated in the cyber world. Dr. Peter Kanaris joins me to unravel what constitutes cyber infidelity, the recovery approaches involved, and ways to rebuild trust. Relationships in the Digital Age   Dr. Kanaris views the digital age as a “relationship accelerator” wherein the connections are made just as fast as they are broken. The digital age expedites and exposes every part of life that would otherwise be revealed slowly.   What is cyber infidelity?   Dr. Kanaris says that all infidelity in today’s age is cyber infidelity, as contact through technology is inevitable in the relationship in today’s age. Infidelity looks different in the 21st century than it did before. He calls it AAAP – Accessibility, Affordability, Anonymity, Portability. Technology has made it easier to seek infidelity without actively looking for it.   I and i-infidelity   Capital I-infidelity is violating agreements partners have about what they find acceptable to do or watch, such as electronic or face-to-face involvement, porn, sex, involvement of feelings, etc. Lower case i-infidelity is when involvement with technology takes over your priorities and responsibilities towards your partner but not necessarily anything sexual. Dr. Kanaris advises partners to have an honest conversation about what is acceptable and what is not acceptable in the relationship.   I-Infidelity and sex addiction   Sex addictions are not scientifically accepted in the professional world as they are popular in the media. Instead, Dr. Kanaris works with the model of ‘out of control sexual behaviors’ to help someone be in charge of their sexual wellness. However, for someone who chooses to cheat, he suggests a psychological approach to determine the underlying cause.   What to do once you see the red flags? When you see red flags like catching your partner watching porn or sexting somebody else, Dr. Kanaris suggests having an open yet non-accusatory conversation about boundaries and what you’re uncomfortable with. If you’re still met with defensive behavior, it’s time to look further.   Recovery and rebuilding trust   The first step is to understand that technology poses challenges. Then address any out-of-control behaviors if there are any. The partners should then ‘collaborate and cooperate’ to manage technology in their relationships. When the conflict arises, Dr. Kanaris suggests employing externalization of the problem rather than looking at the problem from within the person. To rebuild trust, instead of going back to the blind faith model, Dr. Kanaris talks about an evidence-based model. Here, the partner who broke the trust takes initiative to be transparent and reassuring even if it costs them their privacy for the time being.   Tune in to find out what more ways there are on the path to recovery.   Biography Dr. Peter Kanaris holds a doctorate in Clinical and School Psychology from Hofstra University. He is an N.Y.S. licensed psychologist and the American Association of Sex Educators, Counselors, and Therapists certifies him as a Diplomate of Sex Therapy. He is a Distinguished Fellow of the New York State Psychological Association. He is a graduate Post-Doctoral Fellow of the Albert Ellis Institute in NYC where he served as a senior clinician, training supervisor, and faculty member   Dr. Kanaris has served as the Public Education Campaign Coordinator for the American Psychological Association in New York State. He has been the featured guest on many live interviews and call-in television programs where he has discussed a variety of topics on relationships and sexuality. He has appeared on radio programs from San Francisco to New York and has given numerous Internet, newspaper, and magazine interviews discussing topics in sexuality and mental health.   As Clinical Director of Hewlett Consultation Center from 1981 through 1999, Dr. Kanaris’ responsibilities included psychotherapy, sex, and marital counseling, and coordination of clinical services, professional training, and public education. Since 2000, Dr. Kanaris has directed the Sexual Diagnostic Program at his office in Smithtown, New York.   Resources and links   Website: https://cyberinfidelityhelp.com/ Free guide to infidelity in the digital age: https://cyberinfidelityhelp.com/infidelity-in-the-digital-age/ More info:   Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want sex again without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/186-cyber-infidelity-with-dr-peter-kanarisWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

For all of the women who have ever wanted to feel sexy again; Dr. Brandye Manigat joins me in talking about cultivating pleasure and desire and reconnecting with one’s libido. She shares her insights and discoveries throughout her journey of becoming a Women’s Pleasure Coach. Her personal experience around low libido, as well as a lack of public information surrounding the topic, motivated Dr. Manigat to go from being an OB/GYN to a Women’s Pleasure Coach, helping women to achieve lasting change in the perception of their bodies and desire. Teaching People About Arousal and Desire Dr. Manigat’s teaching around arousal and desire involves having a conversation with the client about what their thoughts and ideas about sex and pleasure are, and where they stem from. These ideas are often learned through family and culture and are influenced by movies. Having a conversation about what an orgasm means to them and the steps they can take to consistently have an orgasm can help women to erase insecurities and achieve pleasure. When to Get Help? Dr. Manigat urges people to seek help when the lack of desire disrupts daily life. Sex drive is inconsistent through various stages of life; having kids, divorce, pre-menopause, menopause, etcetera. Though women can be technically diagnosed with Hypoactive sexual desire disorder (HSDD), not all women meet the criteria. This does not mean that they should not get help. How to get in touch with desire? Dr. Manigat recommends journaling as a way to untangle one’s thoughts and emotions. She gives prompts to clients, such as what makes them feel sexy outside the bedroom. These prompts reveal things that could be practiced in everyday life, which helps transition pleasure both in and out of the bedroom. Low Libido at Different Ages Menopause doesn’t necessarily cause low libido; however, you could experience low libido for the same reasons as before, such as fatigue and interrupted sleep, which causes depression, which in turn affects the libido. Medication taken during menopause could also lower libido. Young women could overcome low libido by reconnecting with their partner through meaningful conversations about dreams, sexual experiences, new fantasies and attempting to rekindle their intimacy. Approaches to Help Women Struggling With Orgasms Dr. Manigat advises women to educate themselves about their anatomy and multiple pleasure points and how to stimulate them to orgasm. Furthermore, she also emphasizes people being present and mindful during sex, to focus on any of the five senses to keep you in the present. Women who have never had an orgasm can educate themselves about the different ways orgasms manifest and the sensations one would feel. Take Away She leaves us with a valuable affirmation, saying, “You are worthy and deserving of pleasure. You don’t have to work to earn it, it’s not something you’ve to strive for.” Biography Dr. Brandye Wilson-Manigat, MD, also known as “Dr. Brandye”, is among the country’s well-known physicians. As a board-certified OB/GYN and Women’s Pleasure Coach, she brings a unique approach to women’s sexual health, achieving a holistic integration of the physical, mental, emotional, and spiritual elements of you. This creates lasting positive change in how you view yourself, your body, and your pleasure. She is called upon by various local and national media outlets to give a fresh perspective and new information on women’s health trends. Dr. Brandye is the founder and chief medical advisor for DrBrandyeMD.com, where she has created a safe space to discuss real-world strategies to help women learn the truth about sex and orgasms and embrace their feminine essence, and feel good both inside and outside of the bedroom. Her book, “My O My! A Committed Woman’s Guide to Getting the Great Sex She Deserves”, is an Amazon #1 Bestseller and has helped numerous women to live their Best. Sex. Life. Ever! Resources and Links: Website: https://drbrandyemd.com/ Bio hacks pdf- https://biohacksforbettersex.com Sessions: https://drbrandyemd.com/services/ Book: In My O My: A Committed Woman’s Guide to Getting the Great Sex She Deserves More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/185-cultivating-female-desire-dr-brandye-manigatWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Dr. Rachel Needle joins me in a discussion about anorgasmia. We speak about how it manifests, what we can do about it, and if it’s something that can be turned around. We answer questions that most of us have asked at one point or other in our lives.   What is anorgasmia? Dr. Rachel defines anorgasmia as ‘a sexual dysfunction characterized by a persistent or recurrent delay in the absence of achieving an orgasm. Some women with anorgasmia have never had an orgasm, and others have experienced a delay. She says that 5 – 10% of biological women have life-long anorgasmia, whilst others have orgasms depending on the situation or the person. She addresses anorgasmia by studying the person’s sexual and relationship history. What does an orgasm feel like?   Dr. Rachel says that one can recognize an orgasm when one has an involuntary muscle contraction. It can be felt throughout the whole body and can sometimes cause you to lose control of your body. However, recognizing it can depend on whether you’re focused enough to experience all of the sensations that are leading up to it. Struggles with orgasm & treatment options She talks about the importance of exploring and experimenting with your body. We miss different sensations when distracted and when we’re thinking only about orgasming. Communicating your needs to your partner and practicing mindfulness can help one to be in the moment. She gives some effective tips to keep yourself and your partner engaged throughout. Women who have trauma related to sex are prone to life-long anorgasmia. This makes it difficult to be vulnerable during sex; obstructing arousal and orgasm. Biological issues, medications, and the kind of language we use are some contributing factors that can prolong arousal and orgasms. Acquired and situational anorgasmia People with acquired anorgasmia used to have normal orgasms, but now cannot. Dr. Rachel suggests figuring out and understanding what and how things have changed since the diagnosis. Those with situational anorgasmia might have difficulty reaching orgasm with one partner, but not face the same difficulty with another partner. They could easily reach an orgasm by themselves, but not with a partner. This happens when one is not comfortable letting themselves be vulnerable experiencing things with a certain partner. Faking an Orgasm Dr. Rachel urges people to focus on figuring out how they can achieve an actual orgasm. Instead of telling your partner that you’re faking it, communicate with them about trying new things until you are comfortable enough to experience the orgasm. Biography Dr. Rachel Needle is a Licensed Psychologist and Certified Sex Therapist in private practice and the founder and executive director of the Whole Health Psychological Center, comprehensive psychological practice with therapists with a broad range of specialty areas. Dr. Needle is an Adjunct Professor of Psychology in the Department of Behavioral Sciences, in the masters in forensic psychology, and the Doctorate in Criminal Justice programs at Nova Southeastern University. She is the founder and CEO of the Advanced Mental Health Training Institute and Co-Director of Modern Sex Therapy Institutes which provide continuing education to Mental Health and Medical professionals and Sex Therapists around the world. Dr. Needle has specialized training in the area of substance use disorder. She is a professional consultant to facilities specializing in the treatment of substance use disorders and assists them in expanding and enhancing clinical programming. She also does expert training for staff members at residential and outpatient facilities that specialize in alcohol and substance abuse. Dr. Needle is a business coach and consultant and helps therapists build and thrive in private practice both in-person and online! She is the co-owner of My Private Practice Collective which offers a course on how to start, grow, and thrive in private practice. Resources and links Website: drrachel.com   Practice: wholehealthpsych.com Training & certifications: modernsextherapyinstitutes.com   Email: drrachelneedle@gmail.com More information Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want sex again without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/184-anorgasmia-in-women-dr-rachel-needleWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Tammy brings her journey with Lichen Sclerosus and the experiences of many other women to light in this episode. We hear everything about what it’s like to live with Lichen Sclerosus, its challenges, treatment options, and how to get support. What is Lichen Sclerosus? Lichen Sclerosus is an autoimmune condition where the body attacks itself. It is thought to be genetic. It usually occurs in the genitals, but can also affect other areas of the body, where it can cause itching and discoloration on the wrist, inner thighs and stomach. Lichen Sclerosus affects young and old women. Tammy’s history with Lichen Sclerosus Tammy started experiencing extreme itching and burning beginning in her 20s. Others may experience visual symptoms like white patches of skin. At the age of 44, she was diagnosed with Lichen Sclerosus after doing a punch biopsy. She believes stress and genetics played a role in her diagnosis. Shame and discomfort made it harder for her to find the right diagnosis and thus she emphasizes the importance of finding the right doctor. Impact on sex life Tammy warns people against looking up their condition online. She talks about how many women go through this process with unsupportive partners. Other than sexual and mental issues that make sex difficult, pain is a big factor. It can change the way your vulva looks when the labia of both sides fuse and are sometimes absorbed entirely. The vaginal opening can shrink, causing sex to be incredibly painful. Clitoral phimosis is a condition when your clitoral hood fuses with the clitoris making it less sensitive. Other than affecting your sex life directly, it makes even performing menial tasks extremely painful.   Treatment options for Lichen Sclerosus Talking about her history, Tammy says she started off using triamcinolone, a moderate steroid. Clobetasol cream and ointment is the most common treatment that’s specifically used for Lichen Sclerosus. Hydrocortisone is used to soothe itching. She talks about the “Mona Lisa touch” used by Dr. Andrew Goldstein who uses a specific machine to improve collagen production. While it may seem like a dermatological issue, many doctors don’t seem to know much about it. Impact on Mental health This grueling process in which women receive little support is hard on their mental health and sexual health. Tammy says the process of finding the right diagnosis takes its toll. The shame and embarrassment around Lichen Sclerosus can be helped by having a supportive partner. Available support Women with Lichen Sclerosus are at a higher risk of getting vulvar intraepithelial neoplasia and other autoimmune conditions. Tammy found a supportive environment for women who have both Lichen Sclerosus and intimacy issues in Facebook support groups. While finding support and acceptance of Lichen Sclerosus is hard, it’s helpful to be surrounded by people going through the same thing on this journey. More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/183-personal-story-living-with-lichen-sclerosus-tammyWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Tammy Nelson, the author of the book When You’re The One Who Cheats, joins me to talk about cheating and infidelity from the point of the cheater. She offers her interesting insight on why people cheat, what it’s like to be cheated on, and the recovery process.   Is it Infidelity? Tammy defines infidelity as forming a relationship outside of your primary partnership; a relationship with a sexual context such as flirting online or paying a sex worker, in which you are dishonest about these relationships with your primary partner. The pandemic has caused an increase in online infidelity. People cheat for various reasons, but Tammy says that defining what infidelity means to you can help to start a conversation with your partner and can establish an agreement of implicit monogamy. Kinds of Infidelity   While some people cheat to break up, for others, it’s a wake-up call to turn something around in their relationship. In Tammy’s words, “People rarely look for someone to cheat with, they look for someone to be.” Only 7% of affairs end up in marriage with the other person, while most affairs don’t last longer than a year. People who choose to make it work after the affair should acknowledge their changed relationship and incorporate their needs and desires into the new relationship to avoid another affair or any resentment. Recovering from Infidelity Before sharing anything with family or friends, it’s best to deal with the trauma in the conflict/crisis phase. The partners should process everything, from how it happened to how they’ve changed, in the insight phase. In the vision phase, the partners make decisions about moving forward. The goal of recovery is not to forgive, but to work on building a new sex life that is fulfilling. She points out red flags that people need to look out for before deciding to move forward. Should You Tell Your Partner? A partner who confesses to an affair after it’s over to feel good about themselves, knowing it could devastate their partner, is selfish. Many feel that they would want to know if their partner ever cheats, Tammy suggests, considering the extent of information you would want to know. How to Avoid Cheating Tammy believes people also cheat because they have experienced developmental challenges of a second adolescence and seek to evolve their personalities. They rebel against their partners as they did with their parents. To avoid cheating, partners can work through this stage together to reinvent themselves and have fun. She also advises seeking therapy and outside support to grieve the end of the relationship instead of using your partner for it. Advice Tammy advises us to differentiate between intuition and fear because intuition allows us to trust and move forward. Biography Tammy Nelson Ph.D. is a Board Certified Sexologist, an AASECT Certified Sex Therapist, a Certified Imago relationship therapist, a Licensed Professional Counselor, and Executive Director of the Integrative Sex Therapy Institute as well as Director of the Ph.D. program in Counseling and Sex Therapy at Daybreak University in Southern California. She is the author of several books including Integrative Sex and Couples Therapy, When You’re the One Who Cheats, The New Monogamy, Getting the Sex You Want, and What’s Eating You? Her latest book Open Monogamy will be released in November 2021 with Sounds True Publishing. Her work has been featured in the Wall Street Journal, NY Times Magazine, CNN, Rolling Stone, and Time Magazine. She is a TEDx speaker and host of the podcast The Trouble with Sex. She is in private practice in Los Angeles CA. Resources and Links: Website: https://drtammynelson.com Podcast: https://www.thetroublewithsex.com/podcast Book – When You’re The One Who Cheats: https://www.amazon.com/dp/1999481003/ Email Tammy and get your free E-book! https://drtammynelson.com/contact/ More info Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want sex again without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/182-when-youre-the-one-who-cheated-tammy-nelsonWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Dr. Irwin Goldstein, the founder of field of sexual medicine, joins me in the conversation about female sexual pain. He drives the talk with tons of fascinating information about sexual pain, including what are the different categories, common causes, and treatment options. The prevalence of female sexual pain Within the last month, 1/3rd of women reported experiencing sexual pain or some form of discomfort during sex, while only 2% to 7% of men reported sexual dysfunction or secondary pain.  He urges women to ensure they find the correct medical professional and find answers to their questions as he has found many women go untreated due to misdiagnosis. Dr. Goldstein best categorizes various kinds of sexual pain by the area it originates. The pain in the vulva is diagnosed as vulvodynia. However the vestibule is often overlooked as the source of pain, and more than 90% of the time is misdiagnosed as vulvodynia. Hormonally Mediated Vestibulodynia Dr. Goldstein warns against birth control pills as they have harmful side effects that can eventually affect your sex life.  He urges women to consider other birth control methods like Long-acting reversible contraceptives (LARC) – IUDs, Nexplanon and Implanon contraceptive implants, and progesterone. He further informs that The American College of Obstetricians and Gynecologists and The American Academy of Pediatrics no longer consider birth control pills as the leading method of contraception. Causes in Older Women and Treatment Options For older women over 40, the hormonal challenges of menopause are a leading cause of pain. He mentions that women go through two stages of menopause, where the first one causes low testosterone levels and the latter causes low estrogen levels. He shares available treatment options for this. Other Common Causes and Treatment Options Among other causes, Dr. Goldstein talks about Neuroproliferative vestibulodynia, a condition where women suffer from life-long pain. Monistat is the number one medicine women use that causes neuroproliferative vestibulodynia. The only treatment option available is surgically removing the vestibule, which has an 80% cure rate and is completely non-disfiguring.   Tune in for valuable advice that can make a huge difference in your life. Background Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 350 publications as well as multiple book chapters and edited 6 textbooks in the field. His interests include penile microvascular bypass surgery, surgery for dyspareunia, sexual health management post-cancer treatment, genital dysesthesia/persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is Director of Sexual Medicine at Alvarado Hospital, Clinical Professor of Surgery at the University of California, San Diego, and practices medicine at San Diego Sexual Medicine. He is also Editor-in-Chief of Sexual Medicine Reviews and past Editor of The Journal of Sexual Medicine. He is a Past President of the International Society for the Study of Women’s Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, 2012 he received the International Society for the Study of Women’s Sexual Health Award for Distinguished Service in Women’s Sexual Health, in 2013 he received the Lifetime Achievement Award from the Sexual Medicine Society of North America, and in 2014 he received the ISSM Lifetime Achievement Award from the International Society for Sexual Medicine. He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Resources and Links: National Vulvodynia Association: https://www.nva.org/ International society for the study of women’s sexual health: https://www.isswsh.org/ Book: When Sex Hurts: A Woman’s Guide to Banishing Sexual Pain Schedule a Courtesy Call with San Diego Sexual Medicine : http://sandiegosexualmedicine.com/courtesy-call More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://www.intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/181-when-sex-hurts-dr-irwin-goldsteinWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Dr. Betty Martin, the author of the new book, The Art of Receiving and Giving: The Wheel of Consent, is highlighting the importance of giving and receiving and maintaining that balance in sexual relationships. Today, we get to hear about what it means to set boundaries, follow consent, and how all of that comes into play in terms of taking care of oneself. Why is it important to be selfish sometimes? While giving to your partner and thinking about their needs is an important part of the sexual relationship, being stuck in that position and being deprived of your own needs is not sustainable. It’s an opportunity taken away from your partner to give, and an opportunity that you are missing to receive. The relationship becomes strained when your partner has to figure out what to give, and things only become worse when they do it wrong. There has to be a balance of giving and receiving. Dr. Betty’s Wheel of Consent takes apart the acts of giving and receiving and allows each aspect to be examined individually. In real life, it is not necessary to do these things one at a time, but this practice allows you and your partner to understand each other’s needs. Why are we so poorly equipped to receive? The reason that we’re programmed to not receive touch as we are supposed to, is because we assume receiving to be ‘done to’ us. Since touch is given to us, we assume that we’re supposed to like it, and from that, confusion arises about what’s wrong with us for not liking it. According to Dr Betty, this confusion began during our childhood when things happened that we didn’t like. Things such as changing diapers, noses being wiped, being picked up, going to bed early; our bodies were taught that there was nothing that we could do about it. Since then, this dislike has been reinforced by things ‘being done to us against our will in ways that we didn’t like or didn’t want’. On the other hand, we keep giving ‘touch’ in a way that we think other people like without ever asking how they’d like to be touched, either because it’s an awkward conversation to have, or because the thought to ask has never occurred to us. How can people get better at giving and receiving? For one to get better at giving and receiving, Betty suggests going through her book and following the processes stated in the book, beginning with the 3-Minute Game. In this game, one must give to their partner for three minutes, and then their partner must give to them for three minutes. She suggests starting with areas that don’t feel too sexy so that you can give yourself space to notice those areas and ask for what you want. Over time the game becomes more natural, and every time you play, you can discover something new about what you like or what you don’t like. More than touching itself, observing what you want and asking for it is key. Negotiating Boundaries and Limits Dr. Betty urges people to say no without adding any polite justification if they don’t feel comfortable doing something. If you’re not entirely against the idea, she suggests negotiating the parts you want to do and the parts you don’t want to with your partner, such as telling your partner to touch an area, but not tickle it. She emphasizes the importance of setting limits. By setting those limits, you can be playful within those limits without the worry that your partner is going to do something you don’t like. She encourages people to listen for the ‘pull and not the push’ while considering their partner’s request. If they suggest something edgy, you can decide to try it if it feels like it could be fun, even though it’s edgy. However, if you’re telling yourself to do it simply because you don’t want to let your partner down, then it’s better to simply say no. Biography Dr. Betty Martin has had her hands on people professionally for over 40 years as a chiropractor, and upon retiring from that practice, became a certified Surrogate Partner, Sacred Intimate and Somatic Sex Educator. Her explorations in somatic-based therapy and practices informed her and allowed for her creation of the framework, The Wheel of Consent®. As part of her work with the School of Consent, Betty travels around the world, teaching practitioners how to create empowered agreements in their client sessions in her highly sought-after training, “Like A Pro: The Wheel of Consent for Practitioners.” Originally developed as an offering to teach much-needed consent skills to sex workers and touch providers, this training is now attended by somatic therapists, massage therapists, sexuality educators, medical and health care workers, activists, human resources folks, and the spectrum of touch-based professional providers – all of whom complete the training with a clear understanding of how consent starts with our own bodies, and then expands outwards into all forms of human relating, with or without touch. Resources and Links: Website: https://bettymartin.org/ Book (Get your free chapter!): https://wheelofconsentbook.com/ Workshops: https://www.schoolofconsent.org/ More info: Training video – https://jessazimmerman.mykajabi.com/video-choice Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywitheasemethod.com The Book – https://www.sexwithoutstress.com Access the Free webinar: How to help your partner want more sex without making them feel pressured or obligated: https://intimacywithease.com/free-webinar Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/180-wheel-of-consent-dr-betty-martinWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Michael Bader, the author of the book Arousal: The Secret Logic of Sexual Fantasies joins me in a fascinating conversation about sexual fantasies. We get to hear his ideas about sexual fantasies and what they mean. Decoding Sexual Fantasies Michael recognized the need for an applicable approach to sexual fantasies to help patients with their shame and guilt surrounding their sexual fantasies and preferences. His arguments originated from a theory from Joseph Weiss. Michael argues that sexual fantasies are constructed to express our sexual desires and arousals in a way that is acceptable to our guilty conscience. Michael gives an instance of dominance and submission, and the fantasy of having or giving up control over our sexual stimulation. That control could look like a masochistic fantasy or desiring partners with a rough exterior or self-centered. Curating this fantasy is exciting because ‘they don’t have to feel guilty about hurting the other person.’ A person assuming the role of a dominant knows that they are going to assume control over this person and that person would feel aroused by it and not be hurt and the same goes for the person assuming the submissive role. This fantasy dissolves the guilt of hurting each other. Sexual fantasies are strategies that our mind unconsciously develops to allow us to free our sexual excitement from things like guilt. The Purpose of Sexual Fantasies and their role Michael believes a person’s sexual fantasies act as a window into their unconscious psyche. When a person harbors feelings of guilt, shame, or responsibility for another person’s wellbeing, it inhibits the person’s sexual desires and thus resulting in the development of sexual fantasies to avoid such feelings. These inhibited sexual desires can interfere with other aspects of life. In the consulting room, when we analyze these sexual fantasies what we discover is “the revelation of someone’s core beliefs’’, which show up in the other parts of life and not just sexually. Analyzing these sexual fantasies can help the patient’s guilt and shame around their desires and also inspect the roots of their beliefs that caused their sexual fantasies. Sexual Fantasies Are Not Meant To Be Changed As long as there’s an innate need for attachment, the feelings of worry, care, responsibility, and guilt towards loved ones will be present. These needs tend to almost always show up in people’s sex lives. There won’t ever be a time where people will stop feeling these that stem from our core needs. And since sexual fantasies arise to overcome those feelings, they will always be needed as a way to express our sexual desires. Are there Problematic Fantasies? Every fantasy is enjoyed by somebody. Porn has tons of types of pornography for every population and some of the unpopular categories wouldn’t exist if there weren’t people to consume it. The problems with these fantasies coming true are they produce porn and sex addicts that take people away from being emotionally and sexually present in relationships and marriages. These fantasies could be anything. Talking about limits to our sexual fantasy, Michael says, unless our sexual fantasies take us away from being psychologically present, being aligned with our values, and doing something meaningful from other people, sexual fantasies are not problematic. Michael also believes sexual fantasies that are illegal in reality are not problematic to think about unless they’re acted even slightly in any way. Biography Michael Bader, DMH is a psychologist and psychoanalyst with over 40 years of clinical experience in the San Francisco Bay Area. He has written extensively about the interaction of psychology, culture, and politics and has produced a podcast – Mysteries of the Mind—about these issues. He is the author of Arousal: The Secret Logic of Sexual Fantasies, and Male Sexuality: Why Women Don’t Understand It, and Men Don’t Either. Resources and Links: Website: https://michaelbader.com/ Books: https://michaelbader.com/books/ Other Publications: https://michaelbader.com/writings/ More info: Training video – https://jessazimmerman.mykajabi.com/video-choice Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywitheasemethod.com The Book – https://www.sexwithoutstress.com Access the Free webinar: How to help your partner want more sex without making them feel pressured or obligated: https://intimacywithease.com/free-webinar Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/179-the-logic-of-our-fantasies-with-michael-baderWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass

Dr. Gapin defines ED as an inability to attain an erection that is satisfactory for intercourse; however, he points out the subjectivity of an erection and brings down the definition to “an inability to have satisfactory intercourse”. He distinguished ED from performance anxiety by addressing the psychological component of a person’s psyche that acts up when one worries and develops anxiety over underperforming.   Various causes of ED He distinguished various causes of Erectile Dysfunction into four categories and briefly talked about the disorders that could cause these dysfunctions.   Disruption of normal nervous function Disrupted blood flow to the penis Hypogonadism, thyroid, hyperlysinemia from poorly controlled diabetes, and hypercortisolemia from chronic stress. Cognitive component plays an important part in erectile function. According to Dr. Gapin, stress can act as a disruptive component in a person’s life driving them away from the thought of sex. Evaluating ED Dr. Gapin addresses the systems-based approach that is followed in healthcare practice. He alerts people to recognize the multiple components that could cause ED before trying to fix it with a pill. He promotes the human systems approach with his patients where he understands and addresses the sleep patterns, stress, vascular health, hormones, and all other factors that could affect erectile function. He advocates adjusting to healthy nutrition and change in lifestyle to reverse the effects of ED by improving glycemic control, weight loss all of which have an effect on energy, hormones, and cortisol which ultimately come down to sexual health. Improving erectile function by improving six areas of health Dr. Tracy emphasizes improving six areas of health – Nutrition, sleep, mindset and stress, hormones, detox, and fitness to ultimately improve erectile function. While quantity is an important factor of sleep, he focuses on the quality of sleep. Poor sleep is said to raise cortisol levels and blood sugar, make you store fat, and lower testosterone levels ultimately affecting sexual function. He counsels on following a healthy diet by following an individualized plan on what foods to eat and avoid, as genetics play a big role in nutrition. As stress is an important component that men take up about various aspects of their lives, he emphasizes practicing gratitude and mindfulness by the following meditation and breathing through the nose. In the area of fitness, Dr. Tracy recommends strength training, cardio, low-intensity activities, and stretching. For more than 50% of men, improving their health in all the above areas will profoundly improve their sexual function. Treatment options   Dr. Tracy talks about “band-aid treatment” including oral medications and intracavernosal injectables. Commonly used oral medications are Viagra and Cialis and they last from 24-48 hours depending on the medication. Intracavernosal injectables like trimix, bimix, or quad mix are taught to be directly injected into the penis and it gives an erection for up to two hours. These treatments are short-term fixes and won’t fix the underlying cause.   Fixing the underlying cause will help in improving the blood flow to the penis for the long term. He suggests a Vacuum pump that acts as an actual vacuum by sucking the blood into the penis to create an erection. A penis ring can be used to maintain the erection and to help with penis compression. It’s a non-invasive procedure, and he recommends using it 10-15 minutes every day to have a profound effect.   Two of the regenerative treatments are gain wave and PRP. Gainswave is a low-intensity shock wave therapy used to focus the shock waves at a specific point under the skin to cause neovascularization and angiogenesis to create new blood vessels in the penis. It’s done by stimulating stem cells and growth factors to produce new blood vessels and can be done over 8 to 10 sessions. Platelet-rich plasma (PRP) is when you draw a patient’s blood to separate the layer of platelets and growth factor and inject it in five different spots on the penis to stimulate stem cells and growth factors to produce new blood vessels. It’s done in a single session.   Dr. Tracy talks about Penile Implant as a last resort. It’s a surgical procedure done by placing an inflatable cylinder-like device into the penis which can be manually pumped to stimulate saline to go from a reservoir placed in the belly into the cylinder to create an erection. He explains several downsides to the procedure like a slight penis shortening, losing sensitivity, losing the feel of a natural erection, and damaging the chances of ever having a natural erection. Testosterone Pandemic Dr. Tracy opens us up to some shocking numbers of drop in testosterone levels and fertility levels over the last 30 years. He talks about the chemicals and endocrine disruptors in the environment that are decreasing the hormones, causing immune disease, obesity, infertility, hormone issues, and cancers. He points out the difficulty in avoiding those as they are present everywhere in our food products, plastic water bottles, packaging containers, household cleaning products, personal care products- shampoo, deodorant, cologne, sunscreen, soap, etc. To curb the effects, he says we need to teach and learn how to minimize exposure to these chemicals. Biography   Tracy Gapin, MD, FACS is a board-certified urologist, world-renowned men’s health & performance expert, best-selling author, and professional speaker. He has over 20 years of experience focused on providing Fortune 500 executives, entrepreneurs, and athletes a personalized path to optimizing their health and performance. Dr. Gapin incorporates precision hormone optimization, peptide therapy, state-of-the-art biometric tracking, epigenetic coaching, and cutting-edge age management protocols to help men not just optimize their testosterone levels but radically upgrade their health and vitality and reverse aging, so they can be the most amazing version of themselves. Resources and Links: Website: https://drtracygapin.com/ Free copy of the book – Male 2.0: http://drtracygapin.com/limitless More info: Training video – https://jessazimmerman.mykajabi.com/video-choice Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywitheasemethod.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to help your partner want more sex without making them feel pressured or obligated: https://intimacywithease.com/free-webinar Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/178-holistic-approaches-to-erectile-dysfunction-dr-tracy-gapinWant to learn more about my sponsored charity? Charity: Water is committed to providing clean water to every human on the planet, 100% of your contribution will be used directly for water projects around the globe. You can learn more at https://www.bettersexpodcast.com/water.More info and resources:Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcastSecret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcastHow Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.comThe Course – https://www.intimacywithease.comThe Book – https://www.sexwithoutstress.comPodcast Website – https://www.intimacywithease.comAccess the Free webinar: Intimacy Made Easy: 3 Secrets to Bridging Libido Differences: https://intimacywithease.com/masterclass