Sexologist Alexa Andre (@sexwithalexa) gets in bed with gynecologist, sexual medicine expert, and author Dr. Maria Sophocles to talk openly about painful sex, vaginal health, sexual pleasure, menopause, low desire, and everything in between.

Topics discussed:

• Why does sex hurt? How common is painful sex, and when should you see a doctor? Dr. Maria Sophocles breaks down the most common causes of sexual pain, including vaginal dryness and inadequate lubrication, lack of arousal, vaginismus and a hypertonic pelvic floor, dermatologic conditions such as lichen sclerosus, STIs including herpes, chlamydia and gonorrhea, and internal causes such as endometriosis, ovarian cysts, fibroids and scarring.
• Alexa and Dr. Sophocles also get into why lubrication isn't the same thing as arousal, the importance of taking time before penetration, sexual scripting, communication with your partner, the orgasm gap, faking orgasms, low libido and desire differences, and why treating pain can sometimes bring sexual desire back.
• They discuss estrogen, genitourinary syndrome of menopause, perimenopause, postpartum and breastfeeding-related changes, surgical menopause, chemotherapy, vaginal estrogen, systemic estrogen, birth control and its potential effects on dryness and libido, as well as pelvic floor physical therapy, Kegels and pelvic floor relaxation.
• The conversation also covers PMS and period symptoms, breast tenderness, mood changes, back pain, exercise, sleep, meditation, mindfulness, magnesium, ibuprofen, vitamin E and evening primrose oil.
• Pap smears, trauma during gynecological exams, pediatric speculums, lubricant during Pap testing, and the future of at-home HPV/Pap sample collection.
• They also play fact vs.fiction on cotton underwear, synthetic underwear, thongs, tight leggings, sweating after workouts, panty liners, vaginal discharge, vulva washing, soap, feminine washes, vaginal pH, normal genital odor, BV, boric acid, antibiotics, the vaginal microbiome, diet, fermented foods, probiotics/microbiome testing, vulvar irritation, pubic hair and friction.

Follow Dr. Sophocles:Instagram: @mariasophoclesmd

Website: www.mariasophoclesmd.com

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sponsor:

Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2638-alexa

Sexologist Alexa Andre (@sexwithalexa) gets in bed with sex educator Jill Lissner, aka @sexedprincesss, forconversation about performative sex, pleasure, body image, consent, communication, and the weird sex trends taking over the internet.

Topics covered:

• Performative sex and what it means
• Pleasure vs. performance
• Authentic/non-performative sex
• Gendered expectations around appearance
• Penis size, erections and stamina
• Moaning and performing sounds
• Staying quiet because of shame or expectations
• Soft penises and body acceptance
• Decentering penetration
• Mutual masturbation and vulnerability
• Porn as a performance
• Being perceived and worrying how you look
• Likeability, acceptance and social performance
• Reducing performance anxiety through exposure
• “Spectatoring” during sex
• Advocating for your needs during sex
• Defaulting to giving as a performance
• Preference vs. performance
• Orgasm faces
• “Cracked” and modern sexual terminology
• Active participation in sex
• Riding/on-top positions and performing for appearance
• Recording sexual experiences
• Penetration as a performance expectation
• Critical thinking about sexual norms
• Internet sex trends
• Ball maxing/scrotum maxing
• Scrotum size and attraction
• How sexual trends spread online
• The need for more scientific research on emerging sex trends

Follow Jill:Instagram: @sexedprincesss

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with Small Hands (Aaron Thompson) to talk about what really creates sexual attraction, the difference between confidence and competence, rough sex, kink, consent, boundaries, and the fantasies people don't always know how to talk about.

In this episode:

• Non-sexual turn-ons and how they become sexual turn-ons
• Hands, feet, scent and other physical turn-ons
• Acts of service, chores, cleaning and thoughtfulness as turn ons
• Appreciation, validation and keeping long-term relationships connected
• Boundary talks before professional collaborations
• Reading someone's comfort level and adjusting in the moment
• Sexual toys, magic wands, lube and taking initiative
• Confidence vs. competence
• Why competence may be more attractive than confidence
• Humility, ego and letting actions speak for themselves
• Sexual performance anxiety and the pressure to “deliver”
• Small Hands' first gangbang and early experiences in porn
• CNC (consensual non-consent) fantasies
• Dark fantasies and the importance of genuine desire and safety
• Kink, trauma and how life experiences can shape sexual interests
• Reclaiming autonomy through fantasy
• The unexpected origins of a foot fetish
• What “rough sex” actually means
• Physical, verbal and psychological elements of rough sex
• Why rough sex requires context, intent and communication
• Rough sex vs. disrespect
• Consent, boundaries and negotiating BDSM/kink
• Choking and assuming a partner wants it
• Hot ways of checking in during sex
• Why porn should never be treated as a guide for real-life behavior
• Trust and safety as foundations for exploring darker fantasies
• Small Hands' private fantasy of slow, romantic, sensual sex

Follow Aaron:
Instagram: @thesmallhands_

Follow Alexa Andre:
Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sponsor:

Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2633-alexa

Sexologist Alexa Andre (@sexwithalexa) gets in back bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They discuss anal health, pleasure, preparation, and all the questions people are often too embarrassed to ask.

Topics discussed in this episode:

• Anal pleasure and breaking down taboos and myths
• Exploring anal stimulation for the first time
• The P-spot/prostate and prostate orgasms
• The A-spot and anal pleasure for women
• Topping vs. bottoming
• Why tops should understand anal anatomy
• Anal foreplay and gradual penetration
• The three sphincter muscles
• Breathing, relaxation and communication
• Pain, bleeding and discomfort during anal sex
• Lube and why anal sex differs from vaginal sex
• Penis size, thickness and anatomy
• Mushroom-shaped penises and preparation
• Bad first anal experiences
• Self-exploration and masturbation
• Pressure vs. in-and-out stimulation
• Riding and controlling penetration
• Dilators and gradual anal training
• Anatomy vs. psychological/neurological factors
• Bleeding, tightness and when to seek medical care
• Poop during anal sex
• Shame and anxiety around cleanliness
• Douching and over-douching
• Gut health, fiber and diet
• Prebiotics and probiotics
• Food and how diet can affect anal sex
• Condoms and anal sex
• PrEP and DoxyPEP
• The “toy test” after douching
• Hemorrhoids and what they actually are
• Fissures and skin tags
• Pegging and strap-on play
• Prostate massage and prostate milking
• Edging and gooning
• Anal Botox and pelvic floor physical therapy
• Butt facials
• Butt acne, ingrown hairs and hair removal
• Wet wipes and anal irritation
• Bidets and portable bidets
• Toilet paper vs. water-based cleaning
• Evan's work with Bespoke Surgical and Future Method

Follow Dr. G:Instagram: @drevangoldstein | @bespokesurgical | @thefuturemethod

Website and more: Bespoke Surgical

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sponsor:

Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2633-alexa

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They do a deep dive into anal sex, butt health, and everything you've always wanted to ask about your asshole.

Topics Discussed

• Dr. Evan Goldstein's journey from heart surgery to anal surgery
• Coming out and discovering anal health as a medical specialty
• Cosmetic vs. functional anal procedures
• Hemorrhoids, fissures, skin tags, and anal anatomy
• Post-pregnancy anal changes
• Grooming injuries and anal skin concerns
• Confidence and body image around the anus
• Anal bleaching and whether it's worth it
• Perineum "sunning"
• What makes a "healthy" vs. "perfect" asshole
• The truth about anal douching
• Protecting the anal microbiome
• Why over-douching can increase STI and HIV risk
• Future Method and isotonic douching
• Safe products to use in the anus
• Can anal sex make you loose?
• Incontinence myths
• Male vs. female pelvic anatomy
• Anal Botox
• When surgery is necessary
• Dilators for beginners
• Fingering mistakes that cause injuries
• Proper lubrication
• Relaxation techniques for anal penetration
• Understanding the three anal sphincters
• The three "types" of assholes
• Building up to anal safely
• How often bottoms should practice
• Fiber, probiotics, hydration, and digestive health
• Whether everyone needs to douche
• Preparing for occasional anal sex
• The prostate (P-spot)
• The A-spot
• Prostate orgasms
• Common myths surrounding anal sex
• How to reduce injury while maximizing pleasure

Follow Dr. G:Instagram: @drevangoldstein | @bespokesurgical | @thefuturemethod

Website and more: Bespoke Surgical

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Carly, founder of Read Aurore, to talk about why written erotica is becoming one of the most powerful tools for pleasure, communication and self-discovery.

Together they explore how true erotic stories differ from fantasy, why women are increasingly choosing erotica over visual porn, the psychology behind imagination and desire, how writing about sex can help process emotions and improve communication, and how reading erotica can inspire better sex and stronger relationships.

Topics discussed:

• Carly's path to creating Aurora Erotica
• Interviewing strangers about sex
• Dating in Europe vs New York
• Vacation confidence and sexual freedom
• Why true stories are hotter than fantasy
• Turning real experiences into erotica
• Writing as emotional processing
• First-time sex that is actually good
• Why men should read erotica
• Women's real sexual desires
• Affairs and taboo fantasies
• Open relationships vs secret affair
• How Aurore selects submissions
• Writing as therapy
• Rewriting difficult experiences
• Smut vs erotica
• Romance vs erotica
• The decline in Gen Z sexual activity
• Benefits of reading erotica
• Benefits of writing erotica
• Reliving pleasurable experiences
• Reading erotica together as foreplay

Follow Carly:Instagram: @readaurore

Website: readaurore.com

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sponsor:

Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with clinical psychologist and relationship coach Gaby Balsells to unpack one of the hardest questions in love: how do you know whether to stay in a relationship or walk away?

Together they explore:

• how to tell the difference between a temporary rough patch and true incompatibility
• the danger of ignoring red flags during the honeymoon phase
• emotional vs. sexual compatibility
• settling vs. honoring your needs
• trusting your desires
• healthy communication
• overcoming defensiveness
• becoming "us vs. the problem”
• emotional labor
• the initiator/receiver dynamic
• why actions matter more than words
• consistency over empty promises
• repairing conflict, couples therapy,
• sexual compatibility, mismatched libidos & feeling desired
• knowing when you've waited long enough
• guilt around leaving
• selective effort & weaponized incompetence
• and why love alone isn't always enough

Follow Gaby:Instagram: @gabybalsells

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration.

In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more.

Topics discussed:

• ​Dr. Jed's experience performing 6,000+ vasectomies
• ​Why vasectomies don't affect erections, orgasms, ejaculation or libido
• ​Who should and shouldn't get a vasectomy
• ​Vasectomy reversals and success rates
• ​More childfree men choosing vasectomies
• ​Psychological vs. physical erectile dysfunction
• ​Performance anxiety and first-time sex nerves
• ​What erectile dysfunction actually means
• ​Lifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise)
• ​Stress, anxiety and blood flow to the penis
• ​Refractory periods and why they change with age
• ​Viagra, Cialis and how they work
• ​Daily Cialis vs. as-needed dosing
• ​Testosterone testing and common misconceptions
• ​Natural ways to increase testosterone
• ​Weightlifting vs. endurance running for hormone health
• ​Penis pumps and cock rings
• ​Pornography, masturbation habits and sexual conditioning
• ​Low libido vs. erectile dysfunction
• ​Fertility, declining sperm counts and modern lifestyle
• ​Microplastics and male fertility
• ​Sauna use, heat exposure and sperm health
• ​Prostate enlargement, prostate cancer and ejaculation research
• ​Steroids, bodybuilding and infertility
• ​Testosterone replacement therapy risks
• ​Women's testosterone and libido
• ​Post-nut clarity explained
• ​Why men's physiology isn't an excuse to neglect a partner's orgasm
• ​Communication, sex therapy and relationship dynamics
• ​Micro-penis myths and penis size insecurity
• ​Why erectile dysfunction is a symptom, not a disease

Follow Dr. Jed:Instagram: @drjedkaminetsky

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

Sponsor:

Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa