Podcasts about piv

In this week's episode we're answering one of YOUR questions with a combination of expert tips, personal experience, and a bunch of research. The Question: "I think my penis might be too big for comfortable penetrative sex with my girlfriend. We've had open conversations about it and she's super reassuring, but I still end up feeling guilty, like my body is somehow making things harder (pun unintended, but also… not wrong). What is actually considered a “normal” penis size? Do women even care about size as much as we're led to believe? And most importantly—how do we make penetrative sex work for both of us, or what are some other ways we can stay intimate without feeling like we're missing out?" We're covering: What the research says about "normal" penis size and what partners are looking for Alternatives to PIV sex that you can try Tips for making PIV sex more comfortable (toy, tools, and positions) Are some penises too big for condoms? How to find YOUR condom size BONUS: tips for if you feel like your penis is too "small" for penetrative sex Learn more about your ad choices. Visit podcastchoices.com/adchoices

*DISCLAIMER* This episode covers adult topics that are not intended for young ears.   260. Sex After Cancer with Dr. Kris Christiansen   James 1:19 (NIV) My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry,   **Transcription Below**   Questions We Discuss: What is common mis-information that you want to set straight as it relates to cancer and sex? If someone is walking their own cancer journey right now, what would you advise them to both do and avoid doing so that they can still enjoy the healthiest sex life possible with their spouse? What hope do you have to share with people who have battled cancer and still desire to connect intimately with their spouse?   Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.   Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life. Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being. In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Dr. Kris Christiansen's Website   Previous Episodes featuring Dr. Kris Christiansen on The Savvy Sauce: 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen   Additional Place to Find More Episodes from The Savvy Sauce Related to This Topic: One-Stop Shop for Marriage and Intimacy Resources   Dr. Kris Christiansen's Recommended Websites for Sexual Health: The Menopause Society Mayo Clinic National Institutes of Health International Society for the Study of Women's Sexual Health American Urological Association International Society of Sexual Medicine Sexual Medicine Society of North America American Cancer Society ISSWSH International Society for the Study of Women's Sexual Health SMSNA Sexual Medicine Society of North America  ISSM International Society of Sexual Medicine The Menopause Society   Find a provider: For a women's sexual health provider, pelvic floor physical therapist, (non-Christian) sex therapist ABCST American Board of Christian Sex Therapists (for a Christian sex therapist)   Thank You to Our Sponsor: Leman Property Management Company   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Please help us out by sharing this episode with a friend, leaving a 5-star rating and review on Apple Podcasts, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   **Transcription**   Music: (0:00 – 0:09)   Laura Dugger: (0:10 - 1:22) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.    Leman Property Management Co. has the apartment you will be able to call home, with over 1,700 apartment units available in Central Illinois.   Visit them today at lemanproperties.com or connect with them on Facebook.    Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Not many people specialize in the same thing as our returning guest for today, Dr. Kris Christiansen. She specializes in sexual medicine, and today she's going to provide clarity, information, and direction for how to maximize sexual pleasure with our spouse after one receives a cancer diagnosis. Here's our chat.   Welcome back to The Savvy Sauce, Dr. Christiansen.   Dr. Kris Christiansen: (1:23 - 1:30) Well, thank you so much, Laura. We had so much fun last time, and I'm looking forward to this conversation again today.   Laura Dugger: (1:31 - 1:57) Likewise. I feel the same way. And it really wasn't that long ago that you were on The Savvy Sauce two times, so I'll make sure and link to both of those episodes in the show notes for today.   But hopefully everybody's already well acquainted with you, and that's why we're just kind of diving right into our topic today. So, for starters, how did this topic of sex after cancer become an interest of yours to study?   Dr. Kris Christiansen: (2:00 - 2:32) Well, so Laura, my job as a sexual medicine physician is that I work with both men and women and helping them with their sexual lives when they have problems or whatever. So, cancer is often a big part of that. So, through my journey with work, I've just developed a significant interest in learning how to really care for people to help restore this important part of life.   Laura Dugger: (2:33 - 2:52) Absolutely, because a lot is taken away when somebody gets that awful diagnosis, and so I'm very grateful for people like you who are experts. But is there any common misinformation that you would like to set straight as it relates to cancer and sex?   Dr. Kris Christiansen: (2:55 - 6:42) Well, interesting you say that, because there is so much misinformation out there just about sex in general. And then when we throw cancer in on top of that, it just makes it even more complicated. So, I think a common fear that people experience when they get that diagnosis that they hope they never hear, the C word, is that it's going to have a significant impact on their sexual intimacy.   And you know what, it can, but that doesn't mean that that chapter in life is closed. We just have to remember that sexual intimacy is much, much broader than just intercourse. So, if we can refer to this as PIV sex, penis in vagina sex, many people view it as kind of an all or none thing.   If they can't have vaginal intercourse or that PIV sex, then they don't want anything at all. Unfortunately, that just rules out or shuts out so much of sexual intimacy that God has intended for us. We may not be able to engage in the same activities for a time or even long term, but that doesn't mean that we can't connect.   So, if we try to remember that intimacy, sexual intimacy is all about giving and receiving pleasure, then there are so many more opportunities. So, we have to get beyond the fact that sexual intimacy, sexual intercourse is just vaginal intercourse because it's not. It's giving and receiving pleasure.   And however people want to connect or comfortable connecting, that they can still enjoy a very fruitful sex life. The other thing that is misunderstood and misconceptions is estrogen, vaginal estrogen, especially. Because, well, all women who enter menopause and you're in menopause for the rest of your life do experience some changes.   And it's so common that women experience the genital urinary syndrome of menopause. That's vaginal atrophy, or when the tissues get drier and thinner and there can be tearing and pain as well as bleeding and decreased sensation, decreased sensitivity. These things are common with aging, but oftentimes cancer treatments emphasize that or accelerate it or make it even worse.   And vaginal estrogen is really, really safe. It does not cause cancer. And most of the studies show that even in women who have breast cancer, that it doesn't cause recurrence.   So vaginal estrogen, being so safe, can really save our vaginas. And we're talking about vaginal health and bladder health. It's not just about sex, but it helps keep our bodies functioning properly and minimizing pain and discomfort.   So, if a woman is diagnosed with breast cancer and she's on treatment, then obviously we have to talk to the oncologist, make sure they're okay with that. But we get more and more studies showing it's safety and it's definitely effective and can help keep our tissues young.   Laura Dugger: (6:42 - 7:25) This is really helpful and brand new information to me. So someone, like you used that example, if they have breast cancer diagnosis and there's different types, but if they're doing the treatment where perhaps they go into early menopause or they have a hysterectomy or remove their ovaries and they even have an estrogen blocker so that they're not producing estrogen, for that type, you're still saying as long as you're working with the oncologist for that personal client, even in those situations, vaginal estrogen, which would be, I'm assuming, more of a cream or something you insert to the vagina, is that right? That that would be safe?   Dr. Kris Christiansen: (7:25 - 10:55) So, where it gets a little gray is if the woman is taking an aromatase inhibitor, which is the estrogen blocker. So, it pretty much wipes all estrogen out of her system. There's a little more risk there.   So most definitely we need to double check with the oncologist. But it often comes down to quality of life. I have a patient who, she was diagnosed with breast cancer, I believe, in her early 60s.   And she came to me at the sexual medicine clinic and she was just miserable. I mean, when we think of vaginal dryness, you think of, okay, it's annoying. You use a lubricant, right, and it's going to be just fine.   In the beginning, yes, that's the case. But this genital urinary syndrome of menopause, GSM, gets worse with time, especially with those anti-estrogen treatments. And for this poor woman, she couldn't exercise.   She loved to go hiking. She loved to go skiing. And just any kind of movement was painful.   And we don't think of that. We kind of take it for granted. But for some women who really experience severe side effects of the breast cancer treatments and causing dryness and irritation, it affects everything.   And for her, we tried all the non-hormonal things first. They didn't work. And her oncologist gave us the blessing saying, you know, we tried it.   This is really important to you. Let's give it a try. And so, we've monitored her, and the vaginal estrogen hasn't caused any problems.   So, a couple points on that. With the vaginal estrogen, yes, it comes as a cream. There's a tablet, which is like a little pill with an applicator that you insert in the vagina.   There are vaginal inserts. They look like little caplets that you just insert with the finger. There's a vaginal ring.   But with the localized treatment, it's meant to just act locally, meaning just on the vaginal tissues. And, oh, package insert. So, you know, here we tell patients, vaginal estrogen is safe.   Don't worry. It's not going to cause cancer, heart attack, strokes, or blood clots. But then they go home.   They get their prescription. They open up the patient insert, package insert, and it talks about risks and bad things that can happen and side effects. Unfortunately, the FDA says we have to use the class labeling or the side effects that are associated with systemic estrogen.   And it automatically gets applied to the localized or vaginal estrogen treatments. So, patients go home, they read that, and they think we're lying to them. But, unfortunately, it's just very misleading because we have plenty of studies to show that vaginal estrogen doesn't cause those terrible things.   And it's very safe. So, they just have to trust us. And there are groups and people out there trying to work with the FDA to get that class labeling effect removed because it just scares everybody away from using estrogen, which can be so helpful.   Laura Dugger: (10:57 - 11:04) Wow, that is helpful. Is there any other common misinformation you want to make sure we don't overlook before we continue on?   Dr. Kris Christiansen: (11:05 - 11:29) Well, I made a few notes here. No, I don't think so. Except that media, television, and all that other stuff that we see out there is so misleading when it comes to sexual intimacy.   Because sex in real life doesn't look like what you see in the movies. Yeah.   Laura Dugger: (11:30 - 11:45) Great, great point. And so, when somebody does get, like you said, that dreaded C-word diagnosis, what's a common path that they may experience as it affects them sexually?   Dr. Kris Christiansen: (11:48 - 14:00) Well, so, the different cancers are so different and treatments are so different that it's hard to generalize for everybody. But, you know, first thing most people experience is fear. What's this mean for me?   What's this mean for my life, my family? Am I going to be around in five years? So, it's that fear.   And the initial part of that journey is often involved with meeting with lots of doctors, having all the tests, trying to figure out what's going on, what we're going to do. And sexual intimacy often isn't part of that first steps that they take. So, but when things kind of finally settle down, then those questions start popping up.   What does this mean? It's important to talk with your cancer journey, your cancer team, the oncology team to find out what's going on. And it's important to ask all these questions because doctors really aren't very good about asking about sexual health and what that means to you.   Oncologists, generally speaking, they want to treat the cancer and their job is done when the cancer is treated, under control, gone, whatever. And they've done a good job. However, so many of us are just left afterwards saying, okay, thanks, cancer's gone, but now what?   And so, it's a matter of really trying to figure out what's important over time, learning what's going to work and what's not. And know that there are people out there to help you and that want to help you if it's not going as planned. You know, I just want to reiterate that people really need to advocate for themselves and they need to ask questions.   And if they're not getting the answers that they want, don't give up because there are people, organizations, information out there that can be helpful. So rather than just worrying about what's next, seek help.   Laura Dugger: (14:02 - 14:18) That's really great advice. And I think this may be an appropriate place to pause and just get some of those recommended places. Because if somebody, this is new to them and they don't know where to turn, do you have any places or websites off the top of your mind that you would recommend?   Dr. Kris Christiansen: (14:20 - 15:41) Well, so cancer.org, the American Cancer Society has a lot of resources on there. When it comes to menopause-type symptoms and such, menopause.org is the Menopause Society, which has a lot of information. And a website called PROSAYLA, it's P-R-O-S-A-Y-L-A.com, is a website that's managed by ISHWISH.   We've got all these acronyms. The International Society for the Study of Women's Sexual Health. So that is my go-to.   Okay, so that's the organization where there's so much research and science and such happening. And the PROSAYLA.org or prosayla.com, either one works, is a website where there are several articles written by experts in the field. So, these are articles backed by science.   It's not just somebody's opinion or somebody's blog. And I know there's an article on there about sex or cancer and sexuality. So, some generalities and some other references on that site too.   Laura Dugger: (15:42 - 15:51) Okay, that is super helpful information. We'll make sure and add links to those places as well. Anything else that you want to make sure we don't miss?   Dr. Kris Christiansen: (15:52 - 17:36) Well, when we talk about sexual concerns or sexual problems, we always try to approach it from a biopsychosocial aspect. Because those three different entities all play a big role in what works well and what doesn't. So, from the biological section, that's pain, medications, nerve problems, chronic medical problems.   So obviously cancer plays a big role in that. And with cancer treatments and such, pain may be part of that, nausea, fatigue. And so, we just don't feel the same going through these treatments because it's really hard.   As far as the psych bubble, I'm usually referencing a Venn diagram here. Psychological, so when we experience anxiety or depression or performance anxiety, that plays a big role. So, we need to take a step back and realize that what happens up here in our brain has a huge impact on how our bodies function physically.   And then as far as the social aspect, that's our relationships, our interpersonal relationships with our partner, our spouse, with our family and how things are going on at work. A cancer diagnosis and treatment can affect all of those. And so, it's not just a magic pill to improve your libido because if we don't treat all these other things, people continue to struggle with their sexual function.   Laura Dugger: (18:01 - 19:46) Duplexes, studios and garden style options located in many areas throughout Pekin. In Peoria, a historic downtown location and apartments adjacent to the OSF Medical Center provide excellent choices. Check out their brand-new luxury property in Peoria Heights overlooking the boutique shops and fine dining on Prospect.   And in Morton, they offer a variety of apartment homes with garages, a hot downtown location and now a brand-new high-end complex near Idlewood Park. Their beautiful, spacious apartments with private garages in a quiet but convenient location await you in Washington. And if you're looking in Canton, don't miss Village Square Apartments.   Renters may be excited to learn about their flexible leases, pet-friendly locations and even mini storage units available in some locations. Leman Property Management Co. has a knowledgeable and helpful staff, including several employees with over 30 years working with this reputable company. If you want to become a part of their team, contact them about open office positions.   They're also hiring in their maintenance department, so we invite you to find out why so many people have chosen to make a career with them. Check them out on Facebook today or email their friendly staff at Leasing@LemanProps.com. You can also stop by their website at lemanproperties.com.   That's LEMANproperties.com. Check them out and find your place to call home today.    Also, Dr. Kris, are there any certain cancers or treatments that have the most detrimental impact on a person's sex life?   Dr. Kris Christiansen: (19:48 - 23:15) We know that cancers that affect the breast, for women, but men too get breast cancer, and also the genital area have the biggest impact. We've talked a fair amount about breast cancer. Many of the treatments for breast cancer result in early menopause.   If a woman is premenopausal when this happens, menopause can have a definite impact. The treatments can cause the pain and dryness and decrease sensitivity. Also, if surgery is involved in a mastectomy, it can affect our own body self-image.   From a more physical standpoint too, when we have the mastectomy and those nerves are cut, it decreases the sensitivity. For a lot of women, breast stimulation is really important as part of their sexual play. If now her breasts are gone and she can't feel anything when her husband is touching her breasts, that can be a really hard adjustment.   Any cancers that affect the genital area, uterine cancer, ovarian cancer, or anal rectal cancer for both men and women, and prostate cancer for men, those all have a huge impact. In addition to working with a lot of women who have breast cancer and overcoming and improving those areas, I work with a lot of men who have prostate cancer. Those treatments usually result in erection problems and urinary incontinence, which can be hard to deal with.   Men who have a prostatectomy, so if they have their prostate removed, then 100% of them are going to have erectile dysfunction in the beginning. It's going to take time for those nerves to recover, and it may take up to two years to see that full recovery. In those first few months when I'm working with men, I'm trying to be their cheerleader, saying, don't lose hope, don't give up, because this is going to get better.   It just takes time for those nerves to regrow. In the process, though, it is important to do whatever we can to make sure that that tissue stays healthy. Remember that the penis is actually muscle, muscle tissue, smooth muscle.   If we don't use a muscle for several months, atrophy sets in, which is a bad thing. With atrophy, the penis can shrink in size, and scar tissue potentially can set in, and it just makes that recovery less optimal than what it would have been. Trying to maintain the blood flow during those first few months or first year is really helpful.   Just to help maintain the blood flow and the oxygen to help keep the tissues healthy, so when the tenders do recover as best as they're going to, we get the best outcome.   Laura Dugger: (23:16 - 23:36) This may be an ignorant question, but then if erectile issues are present during that first time period, but it's crucial to have the blood flow to that area, what can men do to increase blood flow there, even if erection is difficult or impossible?   Dr. Kris Christiansen: (23:36 - 25:01) That's a great question. Taking a medication like Viagra or Cialis. Cialis is my favorite because it stays in the system for a good 36 to 48 hours every time you take it.   If you're just taking a low dose every day, it just encourages a little bit of that blood flow every day. Using a vacuum device, which I just happen to have one right here, looks like this. A penis goes inside the cylinder, we create a vacuum or suction, and it pulls the blood flow in.   It's not the most sexy thing, but using it and using the vacuum device several times a week just to get that blood flow going is a very helpful way to keep the tissues healthy. Getting an erection with the vacuum doesn't get those arousal-type feelings, so it looks a little weird, but it does work. For men who want to use this for sexual activity, you can get the erection within the tube, and then it comes with these tight rings that are stretched over the edge of the cylinder.   Once you get the full erection within the tube, you slide that ring off to maintain the erection.   Laura Dugger: (25:04 - 25:14) That's incredible just to pause and think of God's grace and these inventions and how incredible that there are solutions. Please continue, but I find that encouraging.   Dr. Kris Christiansen: (25:16 - 27:39) There are all kinds of encouraging things, but if you're in the middle of this journey, it can be sometimes hard to keep going when you're not getting the results that you want to. But we believe in a big God, and he created sexual intimacy, and it's a gift. Other ways to help manage erectile dysfunction and a couple other show-and-tell things here.   This medication is called Muse. The actual medication is a pellet that comes preloaded in this applicator. You insert it in the tip of the penis, the medication gets absorbed, and 10 minutes later, magic happens.   I don't prescribe this very often because it's really, really expensive, a little harder to find. But the advantage to this medication is that it doesn't need the nerves to work, whereas the medications like Viagra and Cialis, they need the nerves. Guys usually kind of turn white when I pull this out.   For our listeners, I'm holding an insulin syringe and needle. There is such a treatment where you can actually inject a tiny amount of medicine directly into the penis, and it will give you an erection. I tell men that with the pills like Viagra and Cialis, just in general with ED, it works in about 60% of men.   We can get this to work, the injections to work, in 90-95%. It's such a tiny needle that men say it feels like a poke or a pinch once they get past that initial shock that they think is going to hurt. The usual response is, oh, that wasn't so bad, and it's very effective.   This can work within four to six weeks, so whenever your surgeon says it's okay to engage in sexual activity again, this will work. Then last but not least is a penile implant. That's surgery, and that you have to wait at least a year, if not two, after the prostate surgery.   That works in 99.99%. Wow.   Laura Dugger: (27:40 - 27:56) We were focusing a lot on men for that one. Is there any medication or any other injections or anything like that for women, other than the vaginal cream or different ways to get estrogen in the vagina?   Dr. Kris Christiansen: (27:58 - 31:15) Yes, we've got all kinds of treatments. If a woman has breast cancer, or for whatever reason we want to avoid hormones as much as possible, then generally we're starting with a vaginal moisturizer, which is different than a lubricant. A lubricant is just for sexual activity and just to make things slipperier and feel better.   That often helps in the beginning, but as the GSM or the atrophy continues, the lubricant isn't enough. A moisturizer, think of like a facial moisturizer or a moisturizer for your hand, in order for it to work, you have to use it regularly, which is probably at least three times a week. These moisturizers can come in forms of a liquid that gets injected.   They're little capsules that you can insert. Reveri is a hyaluronic acid suppository, which you insert in the vagina and over time that can be really helpful. One of my favorites is this Rosebud Everyday Balm.   It's a really nice balm that you can put on the tissues inside the lips and inside the vagina. It's just really, really soothing. Again, you've got to use these things regularly.   It will take a good two months at least to see the full effect, so it doesn't work right away. Just like with the guys where they've got to be patient with the nerves, we have to be persistent and patient with things that can work. A vaginal moisturizer is really helpful.   A lubricant for sexual activity. There are over-the-counter and prescription medications that can help with arousal and orgasm. There are two approved medications for the treatment of low libido in premenopausal women.   One is Addi, which is a pill that you take every day, also known as the pink pill. Another treatment is Vilece, which is an injection. It comes in a pen, so you never see the needle and really don't feel the needle.   You give it to yourself about 45 minutes to an hour before sexual activity. Both of these medications are working on the brain chemistry because the brain is the biggest sex organ in the body. It's the most important sex organ.   It works on the brain chemistry and improving the dopamine and norepinephrine and the good sex positive hormones. Like I said, it's only approved for premenopausal women, but many of us do prescribe it for postmenopausal women. We have studies to show that it's safe and it's effective.   The drug companies didn't go through with all the rigmarole they had to do to get the FDA-approved indication for that. We've got all kinds of tricks up our sleeve.   Laura Dugger: (31:16 - 31:26) Absolutely. Just piggybacking on that, they wouldn't oftentimes follow through on all those studies, would you say primarily because of financial restraints?   Dr. Kris Christiansen: (31:27 - 31:41) Totally. To get a medication approved for female sexual function, it's multi-million, if not a billion dollars. Studies and everything that needs to be done, it's crazy.   That's why these meds are so expensive.   Laura Dugger: (31:42 - 32:14) Then you also mentioned earlier bringing in the quality of life. There are so many options to consider, but such a personal basis. I had another question that arose.   You kind of were answering that because this one works with the brain chemistry. I'm thinking the body parts may be functioning and you can do different things to have an erection or be aroused with your genitalia, but how is desire affected with cancer?   Dr. Kris Christiansen: (32:16 - 35:03) It's huge, unfortunately. Again, if we go back to that biopsychosocial model and for everything to work well, everything's got to be working well. If we have pain, of course that drives down desire.   We use the analogy of putting your hand on a hot stove. Pain with sex can hurt just as badly as that. I have women tell me it's 10 out of 10 pain feels like shards of glass.   Obviously, that's not pleasant. If we compare that to putting your hand on a hot stove, why in the world would you want to do that? We've got to take care of the pain.   When it comes to pain, it becomes imprinted in the brain and the body responds by just amplifying that pain. You've got more pain and you have less desire. Part of GSM or surgery or chemotherapy and other treatments, radiation, can affect the nerves.   We don't get those positive sensations and the arousal anymore. There's arousal in the brain as well as arousal in the genital area. If we're not getting that positive feedback that this just isn't fun anymore, it's hard to get enthused about engaging in that.   Sex therapy can be really helpful. Sex therapy isn't going to fix thin tissues, but a sex therapist is very skilled and trained at working with people and working with couples on trying to process this, working through the process and the changes that are happening. Sometimes it is a permanent change in sexual function, so there's grief involved.   Helping to process through some of that is really important. But again, if we take a step back and remember that sexual intimacy is more than just PIV sex, that there are all kinds of ways to be able to give and receive pleasure, as long as each person is comfortable with this. And moving beyond the thinking that, well, if I can't have intercourse, I'm not going to have anything at all, then that may mean you might not have anything at all for the rest of your life.   That makes me sad. We just have to take a step back, work through some of this, because it's a journey, it's a cancer journey, it's an aging journey, and try to make the most of it.   Laura Dugger: (35:04 - 36:32) I want to make sure that you're up to date with our latest news. We have a new website. You can visit thesavvysauce.com and see all of the latest updates. You may remember Francie Hinrichsen from episode 132, where we talked about pursuing our God-given dreams. She is the amazing businesswoman who has carefully designed a brand-new website for Savvy Sauce Charities, and we are thrilled with the final product. So, I hope you check it out.   There you're going to find all of our podcasts, now with show notes and transcriptions listed, a scrapbook of various previous guests, and an easy place to join our email list to receive monthly encouragement and questions to ask your loved ones so that you can have your own practical chats for intentional living. You will also be able to access our donation button or our mailing address for sending checks that are tax deductible so that you can support the work of Savvy Sauce Charities and help us continue to reach the nations with the good news of Jesus Christ. So, make sure you visit thesavvysauce.com.   What are some of those examples for someone if they can't have PIV sex anymore? What are ways that you encourage continuing to build intimacy and a knowing of one another and offering and receiving pleasure?   Dr. Kris Christiansen: (36:34 - 41:17) Well, starting with making sure each person is on the same page as far as what they're comfortable with. Okay? Communication is key.   To be able to talk about what you want, what you desire, what your needs are, and listening to your partner say that same thing, trying to make no judgments and not forcing anybody into anything, but just so that we can help understand each other. And when it comes to actual giving and receiving pleasure, whether that's with manual stimulation, with your hands, with your fingers, or if you have a massager, oral stimulation, using a vibrator. And a vibrator can be really helpful for women in menopause, women dealing with cancer treatments, and also for men if they need a little extra help with the stimulation because their nerves aren't working so well.   A vibrator, using it together in the context of giving and receiving pleasure can help, just help with the response, help with the enjoyment, and make it a little more fun, as long as everybody's okay with that. Using a lubricant is really important. And a good lubricant, you want to use a good lubricant because some of the more common ones, unfortunately, have ingredients in them that can actually hurt or irritate.   And like KY and Astroglide, sorry to name names here, but they're basic water-based lubricants, have either glycerin, parabens, or propylene glycol in them, and those can irritate, so we want to try to avoid those. A silicone-based lubricant doesn't have those preservatives, and it stays slippery longer. Where we have to be careful with that is that if you're using a silicone tool, otherwise known as a vibrator, you don't want to use those together because it can ruin the tool.   And if the man is struggling with ED, using too much, especially of a silicone lubricant, can make it too slippery. And too slippery is not so good for him. Oil-based lubricants, they're very nice, except if you're using condoms, it will degrade the condom and create other problems, potentially.   Other ways to stimulate, manually, orally, and when women have pain with intercourse, I'm going to bring in another show-and-tell here, the pain is often coming from the vulva, not so much in the vagina. We talk about vaginal dryness and vaginal atrophy, but the part that's most sensitive is often just right inside the little lips here. And so, if we have terrible pain with penetration, we want to avoid that.   However, the whole surrounding vulvar area is very rich in nerves, can be very much stimulated, and it can feel really good, however each person is comfortable stimulating that area. And another fun fact is that this entire structure is the clitoris. You know, when we think of the clitoris, we think of the glands, this tiny little magic button right here, which, by the way, has 10,000 nerve endings in it.   It's incredible. But the legs, the legs are the cruise of the clitoris, as well as the bulbs. They come down on either side of the vagina.   So, the vagina is here. However, this part of the clitoris can easily be stimulated, so the legs of the clitoris can be easily stimulated, just inside the labia majora, or the outer lips. So, using a vibrator here can be really pleasurable, and you're avoiding the part that hurts.   So, stimulating externally the clitoris, the labia, and wherever else feels good can be very fun. And so, if you try to approach it may be like a game, making it fun and exploring each other's bodies so that you can really figure out ways to make the other person feel good or experience pleasure without causing pain.   Laura Dugger: (41:18 - 41:43) That's so great. And like you had mentioned, if they go see a Christian sex therapist, they would say the same thing as you to stop when there is pain, because it just makes it worse over time. And so, I love that you've given us other options, if that is the case.   Is there ever a time where orgasm is no longer possible after cancer?   Dr. Kris Christiansen: (41:46 - 43:14) It's possible. Yes. Depending on the cancer and the treatment, that it can make it really difficult or even impossible to get there.   But that's where we want to not focus on orgasm as the ultimate goal, because if we engage in sexual activity with orgasm as the ultimate goal, your brain's not going to let you go there, whether it's the male or the female, either one, the brain is the biggest sex organ in the body. Just trying to go for the gold just won't let you get there. So, you have to relax and enjoy the journey regardless.   So even if the cancer or the treatment didn't necessarily affect orgasm or if it's just our brains, my encouragement is to approach a sexual encounter as an experience. Enjoy the experience. It's not a performance.   We don't want to perform because then we get in our head, and we get nervous and our muscles all tighten up. So, we don't want to perform. We want to enjoy the experience, and it can be very pleasurable.   Even if orgasm isn't part of the picture anymore, it doesn't mean you can't have fun and can't connect because you can.   Laura Dugger: (43:15 - 43:25) But then I guess also to offer the hope, if I ask it a different way, are there times that orgasm is still possible after a cancer diagnosis?   Dr. Kris Christiansen: (43:27 - 44:01) Absolutely. We always have hope. We always have hope.   Just because you're diagnosed with cancer doesn't mean you're not going to be able to engage in PIV sex or be able to experience an orgasm because that's always a possibility. Don't focus on just getting to the big orgasm. You want to slow down, enjoy the journey, and oftentimes it will come.   There are medications that help with blood flow, that help with arousal and orgasm, and sometimes they can be helpful. Sometimes they're not, but usually it doesn't hurt to try them.   Laura Dugger: (44:02 - 44:26) There you go. That's a very helpful reminder. It's a piece of the puzzle, not the whole thing.   But if someone right now is walking through their own cancer journey, what else would you advise them both to do and to avoid doing so that they can still enjoy the healthiest sex life possible with their spouse?   Dr. Kris Christiansen: (44:29 - 47:19) That's going to involve several pieces. One, first and foremost, maintain the communication about wants and desires, what hurts, what doesn't, what can we do, what do you want to try tonight? Maintaining the communication.   It's much better to prevent problems like the vaginal dryness and pain than to try to treat it after you've been dealing with it for years sometimes, or even months. If you have, say, breast cancer, just getting in the habit of using one of those vaginal moisturizers from the get-go even before the dryness starts can help prevent problems. Seeing a pelvic floor physical therapist can be really, really helpful.   A pelvic floor physical therapist is a physical therapist who specializes in these pelvic floor muscles that help support everything on the inside. And so if these muscles are too tight, causes pain, and if they're already too tight, doing tangles is the last thing that you want to do, because sometimes it means being able to relax them. Or women who have, who need pelvic radiation, say for uterine cancer, the gynecologic oncologist is usually really good about giving you a vaginal dilator and to use it, but they're not always really good at telling you exactly how to use it, how frequently and how long, so be sure and ask.   Because again, we want to maintain the integrity of the tissues, because it's better to maintain them than try to get it back. That's often quite hard. For guys, especially with prostate cancer, it means participating in that, we call it penile rehabilitation.   So, it's basically physical therapy for the penis. You know, its muscle, so we want to keep that muscle healthy and to help maintain healthy tissues. And just trying to be as good to ourselves as we can, giving ourselves and our partners grace when we need it, because it's a journey and it's not an easy one.   But we believe in a big God and he's there to help us through this and he delights when husband and wife can unite as one, whatever that looks like. And it makes him happy and he's there to try to keep this going for us.   Laura Dugger: (47:21 - 47:40) And you may have already answered this question with that, but I love how you're always encouraging and gentle and full of hope. So, any other hope that you want to share with anyone who's battled cancer or is in the midst of their journey, but they're still desiring to connect intimately with their spouse?   Dr. Kris Christiansen: (47:47 - 48:33) Sometimes it means asking for help. So, for finding a provider, whether that's a therapist, a gynecologist, a sexual medicine provider, or even your pastor counselor to help you through this. In the show notes, we'll put in websites where you can find a provider because not everybody is educated.   Hardly anybody's educated on this, unfortunately. But there are people out there throughout the country, throughout the world, where you can find to help guide you on this journey. Don't suffer in silence.   We're here to help. So be sure to reach out so we can help you.   Laura Dugger: (48:33 - 48:50) That's so good, Dr. Christiansen. And are there any other proactive measures that all of us can take to set us up for a healthy sex life into aging or any diagnoses that we may get in the future?   Dr. Kris Christiansen: (48:53 - 50:38) Well, treating our body like a temple, like God says. We have to take good care of ourselves. And just in general, going for your preventative visits and checking your cholesterol and your blood sugar and your blood pressure and screening for cancer so we can prevent them or catch them really early.   And it's so much easier to treat. But things like smoking and diabetes and being overweight and high blood pressure, high cholesterol, they impact sexual function very negatively, especially smoking. Guys are still surprised when I tell them, or I show them a picture of a cigarette with ashes that are kind of wilting off the end.   This is your penis. This is what happens with smoking. Okay.   So quitting smoking. And in women, we have those same little blood vessels and nerves that men do. And so not taking care of ourselves as far as weight, exercise and diabetes and all that stuff, that affects our sexual function, too.   So just making sure that we take a proactive stance on just taking really good care of our medical and our mental health because that's so important. And our spiritual health. Can't forget that, too.   Yeah. Just, you know, taking care of ourselves because aging does impact sexual function. As we get older, our endurance isn't quite what it used to be.   Certainly not as flexible as we used to be. Things kind of hurt. Achy joints and whatever.   So, the more we can take care of ourselves, the more we can enjoy that sexual intimacy, which does involve a little bit of physical exertion.   Laura Dugger: (50:39 - 51:03) Absolutely. Well, you've shared a lot of places where we can go to seek help. But I would love to know where we can continue to learn from you or a website where people can find out more of your offerings because you mentioned not many people are educated in this field or on this topic, but you are a great resource.   So where would you direct all of us after this chat?   Dr. Kris Christiansen: (51:05 - 52:23) Well, I started my own business called Intimate Focus, Intimate-Focus.com. Where my goal is to offer education and quality products that people can use to help equip them and enhance sexual intimacy. As part of my clinical career where I see patients, we'd often talk about using a good lubricant or getting a vibrator to help with those nerves that just aren't quite as effective anymore.   And so many times they told me they were just not comfortable going to an adult store or they didn't want to purchase them on Amazon because it could be a shared account and kids or whatever may see what they're ordering. So, this is a private and secure site and I don't even know how to sell your email so don't worry, that's not going to happen. Where you can purchase good quality products, I vet them out myself to make sure that they don't contain the ingredients that I encourage women to avoid and no pictures with nudity or anything like that because I want it to be a comfortable space or at least as comfortable as we can make it for everybody.   Laura Dugger: (52:24 - 52:43) Wonderful. Well, I'll certainly link that in the show notes as well. And Dr. Christiansen, you are already a friend of The Savvy Sauce, so you know that we're called The Savvy Sauce because savvy is synonymous with practical knowledge. And so, as my final question for you today, what is your Savvy Sauce?   Dr. Kris Christiansen: (52:46 - 53:15) Well, you know, James in the Bible is a very practical kind of guy and I love his advice that we should all be quick to listen, slow to speak and slow to become angry. And if we were all able to do that or at least just a little more of that, I think our world would be a much better place to live.   Laura Dugger: (53:16 - 53:42) This is so good. I cannot hear that verse enough and I just truly look so forward to the times that I get to spend with you. You are such a calming presence full of wisdom.   That's what we prayed for before we had the recording begin for today. And I am just overflowing with gratitude. So, thank you, Dr. Christiansen, for all that you've shared. Thank you so much for being my returning guest.   Dr. Kris Christiansen: (53:43 - 53:48) Well, thank you, Laura. This has been great. It's an honor to be on your show.   Laura Dugger: (53:50 - 57:32) One more thing before you go. Have you heard the term gospel before?   It simply means good news. And I want to share the best news with you. But it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death and we can never pay back the sacrifice we owe to be saved.   We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus.   We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now?   Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life?   We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen.   If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason.   We want to give you practical tools to implement the knowledge you have learned. So, you ready to get started? First, tell someone.   Say it out loud. Get a Bible. The first day I made this decision, my parents took me to Barnes & Noble and let me choose my own Bible.   I selected the Quest NIV Bible and I love it. You can start by reading the book of John. Also, get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ.   I'm assuming they will be thrilled to talk with you about further steps, such as going to church and getting connected to other believers to encourage you. We want to celebrate with you too, so feel free to leave a comment for us here if you did make a decision to follow Christ. We also have show notes included where you can read scripture that describes this process.   And finally, be encouraged. Luke 15:10 says, “In the same way I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today.   And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.

We are talking about the guilt, shame, and complicated emotions that come with vaginismus and inability to have penetrative sex as a wife. If you've ever felt like you're letting your partner down or carrying the weight of your relationship because of vaginismus or sexual pain, you're not alone. We'll explore how to shift away from blame, understand that your partner is choosing to stand by you, and reframe this challenge as something you can face together as a team. You are not the villain in your own story, and healing is possible.If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Your first pelvic floor physical therapy appointment doesn't have to be a mystery anymore! I'm sharing everything, from what to expect during the session to how a pelvic floor therapist will assess your pelvic health. I'll walk you through the process of in-person care on visit 1 and also the experience with telecare on your first visit. If you've ever wondered what really happens behind closed doors, this episode is what you need!If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

We're back with part two of our most popular episode, and trust me—you don't want to miss this one. There's so much more to sexual pleasure than just pelvic floor strength, and we're unpacking it all. From emotional health to blood flow and even metabolic health, you'll discover how these hidden factors are influencing your ability to reach orgasm and feel fully satisfied.This episode goes deeper into the mind-body connection, showing how mental wellness, clitoral sensitivity, and overall health are tied to sexual gratification. If you've ever wondered why orgasms feel inconsistent or why pleasure seems hard to reach, this episode will give you the answers. It's time to take control of your pleasure and unlock your body's full potential. Let's get into it!If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Due to overwhelming demand, we're re-releasing our most popular episode ever! Sexual health, pleasure, and orgasms are some of the most overlooked and under-researched topics—but not here. This episode is all about what your pelvic floor muscles have to do with your orgasms, sexual satisfaction, and overall pleasure.Do you struggle to reach orgasm, experience pain during or after, or feel like your orgasms just aren't as intense as they should be? Or are you simply a fan of sex education and want to learn more about maximizing pleasure? Either way, this one's for you!This episode shares the key ingredients for orgasmic success, how your pelvic floor plays a crucial role, and what you can do to improve your experience. If you've ever wondered how to strengthen your orgasms and overcome the struggle to climax, you won't want to miss this conversation.Get ready to spice things up and unlock the full potential of your pleasure. Let's get into it! To check out Part 2 of this episode see have a listen to episode on July 3rd, 2023 “Your Pelvic Floor, Orgasms, and Sexual Satisfaction Part 2” click HEREIf you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Let's talk about reconnecting with your femininity, softness, and sensuality! I'm sharing real, actionable steps to help you feel more in tune with your body, your desires, and your energy, just in time for spring. We'll explore how travel, self-care, and even the tones of your voice and wardrobe can influence how you show up in the world. Grab a pen, take notes, and let's start embracing the soft, confident, and sensual version of YOU.If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

In this episode we are talking about the emotional side of pelvic floor dysfunction, how it can make you feel unlovable, disconnected from your own body, and even frustrated with the healthcare system. If you've ever felt dismissed or invalidated in your journey with conditions like endometriosis, vulvodynia, or vaginismus, this episode is for you. I'm here to remind you that you are not crazy, your pain is real, and most importantly you are still worthy of love, devotion, and pleasure. We'll talk about practical steps to advocate for yourself, ways to reconnect with your body, and the power of finding the right support system. If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

I'm addressing the connection between religion, culture, and sexual pain, specifically, why certain communities struggle more with pleasure, vaginismus, and painful intercourse. If you grew up in a conservative or religious environment where sex was shrouded in shame or secrecy, this one's for you. I'm breaking down some myths, discussing the impact of purity culture, and most importantly, helping you reclaim pleasure, confidence, and connection in your relationships. Whether you're a Christian wife, a Muslim woman, or from a culture where sex is taboo, this conversation is about embracing healing and sexual liberation without abandoning your values. Send me a DM on Instagram about a topic you'd like me to talk about on the podcast! If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

If you're in your mid-30s and thinking about getting pregnant, this episode is for you! We're continuing the conversation on why the pelvic floor must be part of your fertility journey, how sexual pain can impact conception, and the simple, science-backed ways to improve egg quality. I'm breaking it all down—from the foods that support your reproductive health to the vitamins you need to start prioritizing now. Plus, if vaginismus, vulvodynia, or pelvic pain are holding you back, I've got a plan to help you finally have buttery, pain-free sex so you can get pregnant with confidence. Let's get into it!If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Today is a topic close to the hearts of many millennials—pregnancy in your mid-thirties and beyond. We explore the realities of fertility at this stage in life, the options available for support, and how we can be proactive about building our families without fear or shame.Resources: @dryeni@triggeredptIf you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/ Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

This episode breaks down clear steps to the chains of sexual anxiety and claim sexual freedom while experiencing a new chapter of erotic liberation!If you're to achieve pain free sex and fearless PIV, then I can help you get there in as little as 2-3 months with our virtual 8 week coaching program! Click below to schedule your first private call with me this week: https://www.vaginarehabdoctor.com/our-services/Join our private Vaginismus Strategy & Support Group on Facebook: https://m.facebook.com/groups/274014645123366/If you're ready to get our 1 on 1 telecare services to help you finally overcome painful sex or pelvic floor dysfunction, then set up an initial call here so we can strategize together on your personalized map to pain free intimacy! https://www.vaginarehabdoctor.com/our-services/ Leave a 5 star review if you are learning from and loving this podcast! Email us with any questions about working with us: support@vaginarehabdoctor.comFollow me on social media @vaginarehabdoctor Produced by Light On Creative Productions

Nesta edição de "Retrabalho", os comentaristas Alberto Nemer e Cássio Moro debatem os limites da gestão do tempo de trabalho do funcionário por parte do empregador. Na busca por otimizar a performance dos colaboradores, os gestores podem monitorar o tempo que os trabalhadores levam para ir ao banheiro, tomar um café ou realizar uma pausa ao longo do expediente? A discussão ocorre em um momento crucial para a legislação trabalhista. Isso porque o Tribunal Superior do Trabalho (TST) irá decidir se vincular prêmios de produtividade - por meio do Programa de Incentivo Variável (PIV) - ao controle de idas dos empregados ao banheiro pode ser considerado dano moral presumido. Ou seja, se as pausas para necessidades básicas podem reduzir o valor da bonificação. A decisão do órgão, diante do caso, pode estabelecer novos limites sobre o que é considerado controle excessivo dos gestores. Ouça a conversa completa!

I denne episoden av Sccochpodden besøker vi Svein Erling Lodes tegnestue. Han har siden ung alder tegnet fremtidens biler. Han var kraftig inspirert av Mark Stehrenberger og hadde både strek og teknikk inne da bladet Bil lanserte en konkurranse om å design "norgesbilen". Svein Erling måtte stille om siktet fra små lave sportsbiler til liten bil med god plass, men ustyrt med store ark og akvarellfarger gikk forslagene i posten fra Trønderhovedstanden til Oslo. Unge Lode vant konkurransen men måtte smøre seg med tålmodighet før han fikk se den. For bladet Bil hadde bestemt seg for at denne bilen skulle bygges og stilles ut for å feire deres fem års jubileum. Legendariske Ermanno Martinuzzi bygget en rullende versjon i stål som de stilte ut på MotorAction høsten 1979. Og det var her Svein Erling sto ansikt til ansikt med bilen for første gang! Deretter ble veien staket ut mot industridesigner utdanning med en spesiell forkjærlighet for bil, daglig øvelser ga snert i bilmuskelen og snart leverte han treffende bil-karikaturer til blader. Det var via denne kanalen han fikk neste oppdrag, kunne han tegne prototypen for PIV? Eller Ur-Thinken om du vil? Svein Erling forklarer oss hvordan designprosessen fungerer og hvorfor vi nå endelig har fått biler med skikkelige hjul! Vi prater selvfølgelig også Lego! Takk for praten Svein Erling! Bli patreon av Scoochpodden å få episodene reklamefrie: https://www.patreon.com/scoochpodFølg oss på facebook: https://www.facebook.com/profile.php?id=100051375947801Instagram: https://www.instagram.com/scoochpod/ Hosted on Acast. See acast.com/privacy for more information.

S častnimi občani je hudič. Tisti, ki jih ta čast doleti, nagonsko slutijo, da ne bodo več dolgo tlačili zemljice, tisti, ki jo dodelijo, pa se vržejo v zobe materi zgodovini. Hočemo povedati, da so za častne občane v glavnem odgovorni župani. "Častni občan" tako bolj govori o županu, kot o častnem občanu. Tako je bilo tudi v preteklih dneh, ko je začel Mussolini, v prenesenem pomenu kot tudi v neprenesenem, kot okostnjak padati iz omar primorskih mest, trgov, krajev in občin. Javnost se je nad tem primerno zgražala in naslajala, ampak spet smo nekoliko pozabili na teoretične osnove častnega občanstva. Zato jih bomo v današnjem prispevku obnovili. Če ostanemo samo pri obeh Goricah; z naše strani, se pravi iz Nove Gorice, je na Mussolinija zrl naš častni občan, z belimi kamni zapisan na pobočje Sabotina in z zlatimi črkami v zgodovino, medtem ko je v stari Gorici oprezal Mussolini. Tako sta goriška častna občana, ne da bi se desetletja kdorkoli posebej vznemirjal, svojo ideološko, svetovnonazorsko, vojaško in še kakšno častno občanstvo tiho živela vseh teh zadnjih sto let. S tem, da ima Mussolini danes rahlo primerjalno prednost. Ko so nanj tako elegantno pozabili, oziroma, ko se jim niti pod liberalnimi, levimi in progresivnimi mestnimi vladami ni zdelo vredno, da bi se ga kot častnega občana znebili, je zdaj končno dočakal, da se je zgodovina dovolj obrnila in so njegov diktatorski slog, kot tudi njegove ideje in metode, ponovno v modi. Zadnjih osemdeset let se je samo potuhnil, zdaj ko so njegovi spet na oblasti, bo lahko zadovoljno sijal naprej.  Medtem pa bo v Novi Gorici in v ostalih primorskih mestih treba na vrnitev fašistov na oblast še malo počakati. Vsekakor pa bo čakanje krajše, kot če bi čakali na vrnitev jugoslovanskega komunističnega režima, ki je patron nekaj sto Titovim častnim občanstvom, raztresenih po deželi. Ker zadeva s častnimi občani ima osnovno težavo v kontekstu toka zgodovine ... Kot primer … Feldmaršal Svetozar Borojević je bil po ubranitvi soške fronte leta 1915 nemudoma razglašen za častnega občana Ljubljane, a so mu naziv leta 1919 odvzeli, ker se avstro-ogrski general ni več skladal z agendo nove državne tvorbe, sploh pa ne pozneje z italijansko okupacijo. Pa so mu potem častno občanstvo leta 2009 vrnili in tako naprej in tako nazaj. In če bi danes tajnice občinskih uprav na Pivškem, v Brkinih, na delih Krasa ali Vipavske doline dovolj natančno pobrskale po omarah, bi našle Borojevićevo častno občinstvo, skrito v istih arhivih, kjer čepi tudi Mussolini kot častni občan vsake malo večje vasi in danes nerodno skače iz orumenelih fasciklov. Čeprav danes častna občanstva slovenskih mest vrvijo od politikov, se kljub vsemu zdi pametnejši trend, ki mu župani sledijo v zadnjih desetletjih; se pravi, da mesta naziv podeljujejo v glavnem kulturnikom, umetnikom in znanstvenikom. Ljubljana recimo, se od Milana Kučana leta 2007 in potem pogojno od dr. Franceta Bučarja iz 2009 in Janeza Stanovnika iz 2010 za politika ni več odločila. Ampak vrnimo se k Mussoliniju, s katerim v svetlo prihodnost plujejo v Gorici. Dva mogoča razloga najde razmišljujoči pri vztrajanju mestnih oblasti, da diktatorju, izvornemu fašistu in klavcu celih ljudstev, naziva ne odvzamejo.  Prvi je, da pač ponosno nosijo vso svojo preteklost. Izbris pomembnih, ali odločujočih posameznikov iz zgodovine to manipulativno spreminja in v ničemer ne pripomore k avtentičnosti neke skupnosti.  Druga možnost pa je prihajajoča evropska prestolnica kulture, ki bo združila obe mesti. Mogoče gre pri vztrajanju, da Mussolini ostane častni občan Gorice, samo za umetniško akcijo, ki opozarja, da smo vsi sinovi in hčere svojih očetov in da je preteklosti, kakorkoli že potiskamo glavo v pesek, težko, oziroma nemogoče ubežati. 

France's Okain continues Volumo's exclusive series in mid-September, the third instalment comprising three originals.  Berlin-based French artist @Okain has been a staple in the underground scene for decades now, delivering his raw, stripped-back House cuts via the likes of Eastenderz, PIV, Pleasure Zone, Constant Sound, Infuse, and, of course, his very own Talman Records. Here, though, we see Okain delivering his latest collection of works for the Ukrainian @Volumo platform's exclusive series, comprised of three original tracks.  'Mercure And Ice Cubes' leads and perfectly sets the tone with a high-octane, robust drum groove, twitchy modulating synths, and sturdy low-end swells intertwined with sporadic vocal chants and Hammond organ hits.

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Come avviene la valutazione di azienda? Qual'è la base dati che il valutatore deve raccogliere ed organizzare? Anche i fattori ESG devono essere considerati in quando portatori di effetti economico-finanziario e fatturi che influenzano il rischio aziendale. 

Fala, agronautas!

No podcast ‘Notícia No Seu Tempo', confira em áudio as principais notícias da edição impressa do jornal ‘O Estado de S.Paulo' desta quinta-feira, (11/07/2024): O texto-base da regulamentação da reforma tributária foi aprovado ontem pela Câmara. A proposta estabelece uma trava para a alíquota do novo Imposto sobre Valor Agregado (IVA), que não deverá ultrapassar 26,5%, e amplia a cesta básica com imposto zero – deixando, porém, as carnes fora da lista de produtos isentos. Pivô dos principais embates no Congresso nos últimos dias, a demanda pela isenção das proteínas animais, defendida pelo setor de alimentos, pela bancada do agronegócio e pelo próprio presidente Luiz Inácio Lula da Silva, será analisada por meio de um destaque (sugestão de mudança ao texto principal) do PL, que lidera a oposição. Os deputados continuavam reunidos ontem à noite para concluir a votação. Encerrada a votação dos destaques, o texto segue para análise do Senado. E mais: Política: Ofícios mostram ‘rateio' irregular de emendas de bancada no Congresso Economia: Anotações mostram que ex-CEO ‘acompanhava' fraudes ‘de perto', diz PF Metrópole: Prédio da Boate Kiss começa a ser demolido Internacional: Aliados da Otan enviam primeiros caças F-16 para guerra na Ucrânia  Esportes: Argentino Ramón Díaz é confirmado como técnicoSee omnystudio.com/listener for privacy information.

Episode Notes Themes: sex, intercourse, PIV, low desire So often, women are frustrated because their [male] partners LOVE sexual intercourse...but she can take it or leave it. Let's talk about why PIV doesn't have to be your favorite way of connecting sexually with your man - and what you can enjoy instead! Mentioned in the Podcast Attend a date night: myintimacytherapist.com/date-nights Work with me: calendly.com/sadeferrier

Miegs ir nepieciešams mums visiem, tomēr ne vienmēr cilvēki var teikt, ka guļ labi un ka miegs sniedz atspirdzinājumu. Par ko var liecināt miega kvalitātes izmaiņas, interesējamies raidījumā Kā labāk dzīvot. Skaidro Latvijas Miega medicīnas biedrības valdes locekle, miega speciāliste Marta Celmiņa un otorinolaringoloģe Rudīte Pivņenko.

SummaryThe narrator is home alone when his cute new neighbor knocks on his door, and he finds out she's locked out of her apartment and just broke up with her boyfriend. The narrator confesses that he thinks her boyfriend never deserved her and wants to show her what she's missed out on.Listen to the full episode on PATREONBecome a supporter of this podcast: https://www.spreaker.com/podcast/black-widow-podcast--3614545/support.

The Lost City. XXVIII. //. Cowlick Guest Mix. Show Description: “Show XXVIII. - Another very special show with a very special guest… Cowlick! A good friend and even better DJ, he's been absolutely killing it for the past decade or so playing at the likes of Fabric, XOYO, Ministry Of Sound to name a few and has a ridiculous catalogue of great music you hear in his sets (can always rely on him to bring exclusive remixes and high energy tracks) and this Guest Mix has it all. So without further a do… I hope you enjoy the show!” A little more about Cowlick: “Cowlick has become a name synonymous with the pulsating rhythms and infectious energy that define the vibrant London club scene. Hailing from the heart of the UK's capital, this talented DJ has left an indelible mark on renowned venues throughout London, the UK, and Europe, crafting unforgettable sonic experiences for dance music aficionados across the continent. Drawing inspiration from the cutting-edge sounds of labels like Piv, NoArt, Slapfunk, Fuse, Memoria, and DFTD, Cowlick has established a signature style that pulsates with a raw, unadulterated energy. With an acute ear for selecting tracks that push the boundaries of contemporary house, Cowlick creates soundscapes that transport audiences to a realm where time stands still, and inhibitions are shed.” - TØTEM Tracklist: Blow My Fuse - Luuk Van Dijk Chesire Badger – Josh Baker Partytime – Lunoize So Good – Easttown I Believe (feat. Howard Perry) – Tuccillo Kick It - EVIE (UK) Alright (Original Mix) - Jesse Perez Dancefloor Memories (Because of Art Remix) – Crimsen Skywalker – Gaskin Want More (Extended Mix) – Seb Zito Desert Funk - Ken Kelly Keep Rocking - Sidney Charles Let The Music Use You - The Nightwriters

Sportiskām aktivitātēm un veselīgam uzturam būs maz jēgas, ja cilvēks pilnvērtīgi neizguļas. Kā tikt pie kvalitatīva miega, kad modernas sabiedrības dzīvesstils ir klaji pretrunā tam, kas ļauj labi izgulēties, spriežam raidījumā Kā labāk dzīvot. Skaidro Latvijas Miega medicīnas biedrības valdes locekle, miega speciāliste Marta Celmiņa un ārste otorinolaringoloģe Rudīte Pivņenko. Runājam vēl par kādu aspektu, kas saistīts ar miega traucējumiem. Vai miegs un miega kvalitāte ietekmē liekā svara rašanos un aptaukošanos? Uz šo jautājumu atbild Latvijas Diētas un uztura speciālistu asociācijas vadītāja un sertificēta uztura speciāliste Guna Bīlande. "Miegs un miega kvalitāte visnotaļ var ietekmēt lieko svaru un pat novest līdz aptaukošanās situācijai," norāda Guna Bīlande. "Ja cilvēks nedabū kvalitatīvo, pietiekoši ilgo miegu, tad mainās uzreiz mums sāta izsalkuma hormona balanss. Protams, izsalkuma hormons vairākkārtīgi palielinās un sāta hormons samazinās, kas noved pie tā, ka cilvēkam būs tendence ēst vairāk. Turklāt šī apetīte būs ar absolūtu tendenci ēst kaut ko neveselīgāku, treknāku, vairāk saldumu, vairāk našķu, jo trūkst enerģijas. Parasti pēc tās negulētās nakts ir diezgan grūti pieturēties pie papildus ūdens dzeršanas vai apēst svaigos zaļos salātus, kas tiešām figūrai un veselībai nekādu kaitējumu nenodarīs. Tāpēc rezumējot, jā, miegs miega trūkums var radīt lieko svaru un pat aptaukošanās. Ja pieaug svars, atkal mums pasliktinās miega kvalitāte, un šeit ir tāds lavīnas efekts un brīžiem pat varētu būt grūti nošķirt, kas tad pirmais, miegs vai šī pārmērīgā ēšana, kurš ir bijis pirmais tā teikt katalizators.  Miega trūkuma rezultātā pieaug ir izsalkuma hormons. Nekāds pārtikas apjoms, neviens ēdiena apjoms nepalīdzēs šo hormonu līmeni samazināt tik efektīvi, kā to var izdarīt miegs. Tāpēc, ja ir tiešām negulēta nakts, ja ir iespēja, 15, 20 vai 30 minūšu snauda būs labākais risinājums, lai smadzenes varētu būt atpūtušās, lai mēs adekvāti varētu gan reaģēt uz dienas situācijām, gan domātu, gan arī muskuļu darbība būtu labāka." Kvalitatīva miega trūkums ietekmē gan fiziskās, gan kognitīvās spējas.

Some men might not be upset to find out their partner invited another man to join their bedroom festivities. But, even those who at some time or another have declared they'd be up for "anything" may not really mean they want to take it quite that far. Who are the real masters of the domain of orgasm? Is it perhaps time for women to concede that men might just have a better grip on the human sexual response cycle, given the frequency with which they "check the equipment"? This is of particular import when discussing a porn Mike shared with the audience (link below) where the male partner always urges his counterpart to orgasm during PIV sex. It doesn't really seem like she ever does. What insights can a woman gain into the male desire (or lack thereof) for monogamy from sugar dating? Probably quite a lot, though there are certainly individual differences between men. To follow along with the videos discussed at the beginning of the episode: https://ymmv.me/153/lustful We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/153/monogamy https://ymmv.me/153/drive https://ymmv.me/153/mmf Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

Have you ever let your tongue finish the dance that your ass began? Podcaster & Sex and Intimacy coach Leah Carey has never believed that great sex was something she deserved, but as she begins to seek out sensual, kinky live events in her local community, she meets a man who makes her feel safe enough to try new things. Together, they set a boundary and WOW, who knew it could be so hot to have someone tell you No when you begged for it? And the time is now: Pitch Dixie your true story for our just announced East Coast Tour dates. Are you ready to get onstage (and get a standing ovation!) in 2024?   Song: ‘All the Good Girls Go To Hell' (Billie Eilish)   Submission l BDSM l Sensual l Food Play l Boundaries l Massage a Trois  | Erotic Massage l Sex Positive l Good Girl l Fantasies l Older Man l Masculine Energy l Obey l Discipline | Celibate l Sexual Awakening l Triad l Energy Exchange l Coconut Oil I Confined Space l Massage Table l Ass to Ass Flirtation l Sex Positive Portland l Blindfold l Chocolate l Dominant l Kissing l Negotiation l PIV l P/V l Intercourse | Begging l Multiple Orgasms l First Date l Condoms l Afterglow l Hair Pulling l Control l Expansive l Brat Play l Right or Wrong l Pleasure l   About our Storyteller:   Leah Carey is a Sex and Intimacy coach and the host of the podcast “Good Girls Talk About Sex.” This work was not an obvious life choice for Leah.  Growing up with an abusive father, she learned to be a VERY “good girl,” which translated into significant sexual repression as an adult. Always convinced that she was the problem – not pretty enough, smart enough, or sexually skilled enough - she dreamed of great sex but assumed she would never experience it. At age 43, life threw Leah an opportunity to challenge her old beliefs and finally move her beyond the mythology of the “Good Girl.”   Listen to the Good Girls Talk About Sex podcast and learn more at www.LeahCarey.com   Episode links: Needle Play Acupuncture: Needle Play Acupuncture was made by and for the Kink, Leather, and LGBTQIA+ communities. We deserve to have our whole selves treated, because feeling great, playing hard and having spectacular sex can be health goals too. NeedlePlay specializes in Transgender-affirming, kink-aware, and trauma-informed care that is sex and body-positive. They offer Expertise in Transgender care, from HRT enhancement to hair growth support.    Back pain, muscle pain, injuries, digestive issues, libido issues, mental health, inflammation, graceful aging through micro-needling and cosmetic acupuncture, and more. We know that it wasn't a golf injury, you can tell Dr Marcos all about that new heavy flogger that tweaked your shoulder. I saw him recently when I threw my back out and I was in a lot of pain, and an hour later, not only was I feeling better, but I felt like I'd spent time with a friend who lets me be my whole self.   For a limited time, Bawdy Storytelling Listeners  can use the discount code “May I Have Another”, and you'll get 25% off. It's holiday time and an Acupuncture certificate is the perfect gift for your Dominant, your Metamours, or for the self-care you need after those exhausting family gatherings.   www.NeedlePlayAcupuncture.com @NeedlePlayAcu on Instagram and TikTok 415-672-0232 Dr.Marcos@NeedlePlayAcupuncture.com   NEW TOUR DATES Announced: • Baltimore MD (January 19th, 2024) Tickets at https://tinyurl.com/BawdyBaltimoreFriday   • Baltimore MD (January 20th, 2024) Tickets at https://tinyurl.com/BawdyBaltimoreSaturday Philadelphia PA (City Winery on January 26th, 2024) Tickets coming soon this week Pittsburgh PA (City Winery on February 4th, 2024) Tickets at https://tinyurl.com/BawdyPittsburgh   Nashville TN: Tickets coming this week   • New York City:   Tickets coming this week   • Atlanta GA (February 17th Brunch Show): Tickets at https://tinyurl.com/BawdyAtlanta2024   SUBSCRIBE: Want to be the first to know where Bawdy is headed to on our National Tour? I'm trying to bring Bawdy to YOUR city and Tickets will be released FIRST on the Bawdy newsletter.   Subscribe to the Bawdy Storytelling email list at https://bawdystorytelling.com/subscribe   You'll be the first to see upcoming Tour Dates, get access to Tickets, Storytelling Workshops, Livestreams, Podcasts, Fan Meetups and Special Events. I've been shadowbanned on Social Media (which means no one can see my posts - that sucks when you're headed out on a huge Tour!) and having my social media accounts deleted is probably next. If that happens, the only sure way for us to connect is for you to sign up for Bawdy's email newsletter. Please ask your friends to sign up, TOO. You'll be helping us continue this important work (in your city).   Patreon Special Offer:   All-You-Can-Eat Special: Need some Entertainment to get you thru til the world warms up again? Right now, I have an End of Year Special Offer: 40+ Hours of Bawdy! Sign up (or Increase your support) for Bawdy's Patreon and you get: • 16 Full Livestreams Stories from Margaret Cho, Sunny Megatron, Dirty Lola, Slutever, ReidAboutSex and many more • Music from Rachel Lark, Jefferson Bergey, Shirley Gnome - All your favorites You'll be helping Dixie fulfill her Bawdy Storytelling Tour Dreams • Available at the $25/month or greater level at: https://www.patreon.com/Bawdy   Bawdy still exists, Thanks to YOU. Not a Patreon member yet? Join Bawdy's Patreon now to get exclusive Patreon-only rewards (and my eternal gratitude)   Looking for another way to ensure this podcast continues? Donate at: Venmo: Venmo.com/BawdyStorytelling Paypal: paypal.me/bawdystorytelling Zelle: BawdyStorytelling@gmail.com BuyMeACoffee: buymeacoff.ee/bawdy And your Airline Miles will help immensely with this upcoming Tour, too. By the way: THANK YOU for considering it.   PRIVATE COACHING with Dixie: Want to work one-on-one with me? Right now I'm offering personal branding (your dating profile, website, etc), Storycoaching a nervous new keynote speaker, and I help develop documentaries, craft personal stories for the stage, and write their books - because storytelling is everywhere you wanna be. I can help you live the life that you've always dreamed about: communicate with clarity, help you land your dream job, and discover your own story … Whether it's getting onstage for the first time, writing your memoir, creating a podcast, or learning brand storytelling for your business, I can help. Email me at BawdyStorytelling@gmail.com and let's make it happen.   My upcoming Substack 'The Dixie Ramble' is at https://substack.com/profile/22550258-dixie-de-la-tour #Subscribe   Bawdy Got Me Laid perfume, Bawdy Butter & more: Dixie has created her own fragrance: You'll love #BawdyGotMeLaid perfume, scented with golden honey, amber, ylang ylang, and warm vanilla. There's also our (scented or unscented) creamy Bawdy Butter, Hair & Bawdy Oil, & more. Bawdy Got Me Laid Merchandise means you can deliver your own great smelling Motorboats while supporting Dixie and Bawdy. Get yours today at https://bawdystorytelling.com/merchandise   Check out our Bawdy Storytelling Fiends and Fans group on Facebook - it's a place to discuss the podcast's stories with the storytellers, share thoughts with your fellow listeners, & help Dixie make the podcast even better. Just answer 3 simple questions and you're IN! https://www.facebook.com/groups/360169851578316/ Thank you to the Team that makes this podcast possible! Team Bawdy is:   Podcast Producer: Roman Den Houdijker Sound Engineer: David Grosof Storytelling support by Mosa Maxwell-Smith Dixie's Virtual Assistant is Roillan James Video & Livestream support from Donal Mooney Bawdy's Creator & Podcast Host is Dixie De La Tour & Thank you to Pleasure Podcasts. Bawdy Storytelling is proud to be part of your s*x-positive podcast collective!   Website: https://bawdystorytelling.com/ On Instagram: https://www.instagram.com/bawdystorytelling/ Like us at www.Facebook.com/BawdyStorytelling Join us on FetLife: https://fetlife.com/groups/46341 Support us on Patreon at https://www.patreon.com/Bawdy Watch us on YouTube at http://bit.ly/BawdyTV Find out about upcoming Podcast episodes - & Livestreams - at www.BawdyStorytelling.com/subscribe  

Reddit rSlash Storytime r relationships where Dad cooks horribly and has a bad attitude + bad reaction to anything that would circumvent this, Mom never seems to care about anything and goes with whatever my dad does. This results in a very lonely and taste torture of a home life. I want something to change. The food, the atmosphere, - anything really but especially the food. Any advice and do any of you have same experiences like me? my mother has a trauma, she was scared by a porn video and wants to turn herself in to the police in 2 hours My friend dropped me and used the FNAF movie as a reason, also admitted to lying to me about his edginess.My boyfriend cheated on me with a prostitute while I'm pregnant. Should I forgive him or just stay alone? MIL boyfriend seen holding hands with his wife. They are not seperated and she is the mistress. A lot of the past makes more sense now. BF can't come from PIV sex, only from masturbation & porn. He asked me to do Kegels to improve our sex life. What should i do? My (29m) bf(43m) kept leading me on for years and not proposing and now my mom (52f) died and will never be at my wedding My family expects me to spend thousands on travel/year - But no one visits me Hosted on Acast. See acast.com/privacy for more information.

A friend tells you a story about a woman he's dating. He mentions that she climaxes so easily that he has difficulty even holding hands with her, lest it trigger her. What's your thought process? Does she have a medical condition? Is she telling the truth? Is she clear on what an orgasm even feels like? Now, let's say you're a woman, and you're married to a man who likes to draw sexually explicit pictures of redheaded women. You're not a redhead. Should you be jealous or angry? Or does it not really matter? And, what if he slips off to do it at inconvenient times? If your female partner wants to have an MMF threesome with you, and the other man wants to "eat the leavings" after you and your partner have PIV sex, should you be ok with that? Does it matter if a man ingests your semen after you've made the deposit? We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/141/threesome https://ymmv.me/141/crying https://ymmv.me/141/fast https://ymmv.me/141/illustrator https://ymmv.me/141/too-long Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

Sex Med Advocate and ISSWSH President - Sue Goldstein Sue Goldstein is an AASECT certified sexuality educator and certified clinical research coordinator. She serves as clinical research manager and program coordinator for San Diego Sexual Medicine  Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken  Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com  She is current president of ISSWSH (International Society for the Study of Women's Sexual Health)  Her story of your career in sexual education and sex med.  Pain associated with oral contraceptives.  There should never be pain with sexual activity.  We pick apart “doing menopause naturally”  We discuss PGAD Persistent Genital Arousal Disorder and the role of education for people and providers. Language matters.  We talk about menopause and pain with sex after menopause.  Is low sex drive the “tip of the iceberg” for testosterone?  We discuss testosterone, SHBG and bioavailable testosterone and explain how this works.  What is a vajay-jay?  The importance of using correct words for our anatomy.  Why we love ISSWSH.  Why Sue hates the concept that “women are complicated”   The combo platter of aging PIV intimacy – we need to approach both partners to address the issues.   Sue shares her experience with HSDD  We discuss the issue with delayed ejaculation.   “The educated woman is the empowered woman” – Sue Goldstein   https://www.isswsh.org/ ISSWSH's Education website https://www.prosayla.com/   Book about vulvas: Petals by Nick Karras   Sue's Book: When Sex Isn't Good https://amzn.to/3OKyMMk   Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed  Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

This episode is a collaboration with the amazing Stirling Cooper where he shares his wealth of knowledge about pussy pleasing, while Amy and April share their own understandings as pussy owners. Together they cover many sexy topics including foreplay, hands and finger techniques, oral sex, PIV sex, dirty talk, navigating mismatched libidos, and so much more. About our guest: Stirling Cooper is an Award Winning Australian Adult Entertainment Actor. Born in rural Western Australia Stirling started off his Adult Entertainment career in 2017 shooting for smaller studios based in Melbourne, Australia. He then moved to the United Kingdom and used his experience and connections to get his foot in the door in the British Adult Entertainment industry, shooting for numerous large studios throughout 2017. His career started to really kick into gear in the beginning of 2018 when he shot his first scene for Brazzers in 2018 and after that was flown out to Budapest, Hungary to shoot for other MindGeek brands like Babes. He stayed in Europe for several months working between Budapest, Hungary and Prague, Czech Republic building a lot of momentum and gaining tremendous experience after being cast by big names like Rocco Siffredi and the FakeHub Network. Stirling's life prior to Porn wasn't exactly innocent either, he spent several years in Australia working as a High-Class Male Companion where he would ‘service' wealthy business women and fulfill live cuckold fantasies for desiring couples. Prior to that line of work he was also involved in the Swinging scene and the PUA scene. Stirling now uses his wealth of experience as a professional sex machine to teach men how to improve their own sex lives and through his Youtube channel he also helps enlighten men on the virtues of living an unapologetically masculine life. “His nominations include 2018 UKAP Awards Best Male Newcoming, 2018 UKAP Awards Best Male Pornstar, 2019 AVN Awards Best Male Newcomer, 2019 AVN Awards Best Foreign Sex Scene, 2019 Urban X Awards Best Male Newcomer, 2021 AVN Awards Best Actor (Featurette), 2021 AVN Awards Best Supporting Actor, 2021 Xbiz Awards Best Sex Scene (Gonzo), 2022 AVN Awards Best Supporting Actor, 2022 AVN Awards Best Foursome/Orgy Sex Scene.” In 2020 he received the XRCO (X-Rated Film Critics Organization) Best New Male Stud Award and has received numerous award nominations already in his relatively short adult industry career. The next big step in Stirling's Porn career was to make waves in the USA and he made a big impact the moment he landed in 2019, being picked up by Kink.com as one of their regular male talents and receiving numerous award nominations in his first year in the American porn scene. He has fast become one of the most respected, reliable and sought-after male performers in the industry and his career in the USA continues to flourish. He has since shot for all the big name brands in the Adult Entertainment Industry such as Evil Angel, Naughty America, Brazzers, Babes, Digital Playground, Realty Kings, TeamSkeet, Kink, New Sensations, Wicked, HardX, EroticaX, ScoreGroup, Penthouse, Hustler, PureTaboo, Zero Tolerance, Bellesa, LustCinema, Devils Films, MissaX and PervCity. Be sure to check out his work here: youtube.com/stirlingcooper twitter.com/stirlingwisdom instagram.com/cooperstirling Pre-order our book now! Go to shamelesssex.com and get free access to our exclusive online workshop How to Pamper Your Partner for every book preorder!  Other links: Take care of your pits and bits with our favorite new line from Lume, and get $5 off with code SHAMELESS at lumedeodorant.com Get the pleasure and heath benefits from pumping up your bits at aprilamy.com Get 10% off + free shipping with code SHAMELESS10 on Uberlube AKA our favorite lubricant at uberlube.com Get 10% off while mastering the art of pleasure at  OMGyes.com/shameless Get 15% off all of your sex toys with code SHAMELESSSEX at purepleasureshop.com

www.goodluckgabe.life   TL;DR My fiancé has a micropenis Wow, it's almost a relief just to write that down. IRL I have not told a single person- not anyone in my family not my bestie. I really have no one to vent to. Im thankful for this subreddit. Obviously it's not a deal breaker for me- I want to spend the rest of my life with him. He is an amazing man, treats me so well, highly intelligent. He is tall, very good looking and fit. He is basically the whole package and I'm so proud to be with him. Now- his dick. He is 3 inches hard and very thin. Basically the size of my thumb. The one area in this world he is insecure about. It was definitely a shock for me at first. We do have sex often. Pretty much every day without fail. He has magical hands & tongue and he is a very enthusiastic lover-making sure I cum every time. He has a tremendous imagination. We do use toys, such as dildos, sleeves and straps ons from time to time. It's good and all, but it's just not the same. Now here is the real get off my chest stuff. He would ask me if I ever miss a bigger dick. I don't have it in my heart to tell him ABSOLUTELY YES. I was always a very sexual being and I was very orgasmic from PIV. I absolutely miss cumming from PIV. I absolutely crave that full filling that I don't get now. I wake up horny and just crave it. It's not a deal breaker because of the amazing man he is and my love for him. He is very much the greatest man I have ever met. I would never cheat- I've never cheated on anyone and I won't start now. But I admit, my mind is dirty and can wonder. I would imagine fucking a big dick while I masturbate- and I would cry with guilt after I cum. I feel so bad that the world is so unfair. I would read on Reddit about men being so sad and insecure over their average cocks. 5-6 inches and your nsecure? Like STFU!!! Whoever, I'm part of the problem myself. I was the girl that previously bragged to her girlfriends about how well endowed my ex boyfriend was. It's funny how the world works. The world sucks. We suck.   TIL I think my roommate jizzed in my vape So me and my friend have been living inside the same house for about a month now. We are short on money and usually only one of us has a vape at one time so we always share. He usually borrows my vape for a little bit and brings it back but recently he's been taking it for at least an hour at a time. I thought nothing of it until one day he handed it back to me and it had an odd taste. I thought it might be a problem with the vape but it got worse and didn't taste burnt so I popped it open and there was a thick layer of slimy cloudy liquid. I immediately was in denial that it was his cum and tried to think of every other possibility but it was definitely cum. This was yesterday and I already got myself a new vape but I still haven't confronted him about it. What was he even trying to do? I'm just so confused and don't know how to handle this.   AITA - LMFAO THIS KID IS GETTING RELENTLESSLY BULLIED AT SCHOOL FOR SELLING HIS BUSSY FOR WEED THIS KID REALLY LOST HIS FUCKING GF AND THE RESPECT OF EVERYONE AT THIS SCHOOL LMFAOOO

Back from Europe, Keith offers a way to break the ice with women on a date in a way that gets them talking about things they enjoy discussing. It's a reasonable suggestion, and one that Mike unwittingly deployed recently at the grocery store as well. Keith wants to know if there's anything that an attractive woman can do without being super aggressive that would be a complete turn-off to a man during an early sexual encounter with her. Is repulsion even possible in that situation? If a man is very attracted to a woman, and that woman has a twin sister, will the man be attracted to the twin as well? And, if the man becomes less attracted to his partner for whatever reason, will he start finding the sister more and more attractive? Can this cause relationship problems? Me, I have very little experience with twins. Twinks, sure, but not twins. A woman wants to save her boyfriend's semen as a "souvenir". Another is concerned because her husband has lost sexual interest in her. And a man, in a curiously female-sounding piece of prose, describes how much he enjoys the initial penetration of PIV sex. Who doesn't? We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/126/hygiene https://ymmv.me/126/meh https://ymmv.me/126/tissue https://ymmv.me/126/libido https://ymmv.me/126/dirty-talk https://ymmv.me/126/penetration Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

Direct: You're assertive and expect clear direct language

Direct: You're assertive and expect clear direct language

Keith reveals the details of his condom-discussion strategy during dinner with a new partner. It turns out that you can undertake a discussion that simultaneously conveys that you're a reasonable partner and that subtly asks whether sex is on the table that evening. Also, it becomes evident that very few men have such a conversation or behave in a reasonable way around condom use. A discussion ensues about how exactly (other than the obvious) Keith should react when a woman initiates oral sex on him early in a sexual encounter. He's concerned about her expectations for how far he should let things develop before transitioning to PIV sex. And then we transition into the question of whether society views these things fundamentally through the male gaze. Does society consider submissiveness to be problematic? Is giving oral sex inherently embarrassing? Is the prone-bone sex position athletic for the man? What about other positions? And, what does it mean if your partner offers you "free use" of her body for sex? We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/116/prone-bone https://ymmv.me/116/free-use Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

In today's episode we are talking to Stacy Friedman, she is a  Clinical Sexologist & Certified Sex/Intimacy Coach. Stacy is passionate about helping people find and develop their own sexual expression. She helps them improve their sexual appreciation through guidance and education. Stacy shares her own incredible healing  journey of returning to enjoyable sex after years of pain. Follow us @pelvicorerehab and share any questions you have on Pelvic Health or share your experience overcoming Pelvic Health related issues. Episode Notes:  Here are some topics s Stacy and I chatted about during this episode: Why did you decide to become a sexologist? ( Stacy shares her personal story) How can you have intimacy when you have pain with sex? Enjoying the journey, it's not always about the destination/ end game… How are the challenges different for men vs. women when dealing with painful sex, relationships, returning to pleasure Communication is Key; Do you help give your client a language, both verbal and non-verbal to communicate their needs when they don't come into the relationship with ways to communicate Many people think sex means PIV  (Penis in Vagina) - What is your definition? Is this something you need to educate a lot of people on? Helping couples establish Non- sex days can allow then to be intimate without the fear of it always leading to painful sex Desire, arousal , climax, How are these all are all different. Can you tell us how you help clients with each? Explore eachothers bodies, experiment, bring another sense into it to enjoy the experience How does your expertise complement pelvic health and healing my personal journey with painful sex, understanding ways to appreciate your partner even when there are pelvic floor concerns and shifting the mindset to being creative with sex and intimacy when there is pain or problems in our pelvic areas TakeAways Support is a phone call away as I offer a complimentary 15 min consult, that we need to focus on pleasure vs. performance, non judgemental intimate communication is key and having an open mind allows the heart to open Where can you find more of Stacy Friedman? DrStacyFriedman.com (can also find my free pdf download of my book by adding /book to the end of the website link),  IG:  @drstacyfriedman FB: @dstacyfriedman Twitter: @drstacyfriedman TikTok @drstacyfriedman Mens only FB group is facebook.com/groups/mensexandempowerment   Women's only FB group is facebook.com/groups/intimacysexandempowerment Visit me at: My Website: https://www.pelvicorerehab.com/ Instagram : https://www.instagram.com/pelvicorerehab Facebook:https://www.facebook.com/pelvicorerehab/ Facebook Group: https://www.facebook.com/groups/pelvichealthplus YouTube:  https://www.youtube.com/channel/UCCiEl1ZFlA5SzN44MhUwzgA?view_as=subscribe Ebook Books links Pregnancy Ebook:  https://www.pelvicorerehab.com/pain-free-pregnancy-guide Bladder Leaking Ebook https://www.pelvicorerehab.com/leaking 8 steps to achieving pelvic healing  https://www.pelvicorerehab.com/ Pelvic Pain, Bladder leaking, and 8 steps to achieve pelvic healing https://www.pelvicorerehab.com/pelvicfloorguides Pelvic Pain  https://www.pelvicorerehab.com/pelvicpain Menopause Guide https://www.pelvicorerehab.com/menopauseguide Postpartum ebook https://www.pelvicorerehab.com/headtotoewellnessformommyandbaby Disclaimer: Susan Winograd, PT offers health and fitness information intended to assist you in improving your general health and well-being. These videos and written text are designed for entertainment and educational purposes only. Please consult your physician before beginning or implementing this or any other technique or exercise program.  Do not rely on the information presented as a substitute for professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, consult with a physician or other healthcare professional. Do not disregard, avoid or delay obtaining medical or health-related advice because of something you may have read, heard, or viewed on this site or channel. The use of any information provided on this (or any associated) video or website is solely at your own risk.

Joining me for the second time on the podcast is world renowned sex therapist, Dr. Marty Klein – Author and sex therapist to Silicon Valley. If you want our first episode together check out Episode 169 – where we discuss his book “His porn her pain” Today we are discussing his amazing book: “Sexual Intelligence: What we really want from sex and how to get it”. This book is 10 years old and still completely relevant. And he is still being interviewed about it!   What is sexual intelligence and why did it need to be written about?   “For a lot of people, sex is an opportunity to fail” – Dr. Marty Klein   How do you navigate when one partner wants something and the other doesn't – oral during a period, PIV sex, kink?   What is your opinion about the “low desire” epidemic and the meds for low desire.   “Most people leave sex for when they are too tired to do anything else” – Dr. Marty Klein   “In a world that is filled with ice cream and Netflix….why would anyone want sex?” – Dr. Marty Klein   You say in the book PIV has symbolic meaning for hetero people – can you talk about why this limits us?   What to do when sex is boring?   What to do with a partner who won't communicate about sex? Stonewalling?   26:13 Why Dr. Klein doesn't like the term erectile dysfunction.   I'm not attracted to my partner any more – they gained weight or are getting older – any help?   Tips for desire discrepancy. Communication and more touch.   https://www.martyklein.com/ Dr. Klein's book: His Porn, Her Pain  https://amzn.to/3IYvIsF Dr. Klein's book: Sexual Intelligence https://amzn.to/3WLfYi0   Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership And get on the wait list for the upcoming "adult sex education master class"

Threesome trouble stories are our bread and butter, and this episode is no exception. We have both an MMF and an MFF tale of woe to bring to you. Then there's this question about how much less pleasure men get from sex when wearing a condom. Keith says it's "a lot worse." Women don't care that much about PIV sex in many instances anyway, so what's even the point? But look I don't want to bury the lede too much here. We discussed just how much money it would take in various instances for Keith to be willing to engage in gay sex. It's pretty expensive, but there's a wide range depending on exactly what he has to do. Maybe one of our listeners/benefactors will step up to the plate and make it happen? We discuss whether a woman should prefer giving the first 90 percent of a blowjob or the last 10 percent. It's honestly not clear. And a word on glory holes. I've never rightly seen someone using one in person. For me they operate more as a sort of philosophical entity, useful for distinguishing what exactly you'd be willing to do, when and to whom. And, what level of certainty you'd require. Listeners should carefully consider their own preferences when listening to our discussion points here. How much certainty would you really need regarding who is on the other side of the glory hole? And, a man has never received oral sex. What exactly is he missing out on? To see the coconut story discussed at the beginning of the episode (if you dare/must): https://ymmv.me/109/coconut We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/109/threesome https://ymmv.me/109/mfm https://ymmv.me/109/condom https://ymmv.me/109/bj Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

This week Beth and Aaron talk about how your sexy life plays a positive impact on the other aspects of your life including your professional life! Studies have shown over the years that those who engage in sexy fun regularly are more productive at work.We also discussed:Women feeling the benefits of sexy fun in their personal life more than menBoth oral and PIV sexy fun making your feel goodTaking the confidence you get from sexy fun over to your attitude in the workplacethe old Enzyte commercials from the 90s and early 2000sHow healthy sexy fun boosts your creativityAND MORE!Questions, comments or topics you want us to tackle? Share it with us at comewithusconfessions@gmail.com!WANT A GRADUATE DEGREE IN LOVE?Are you looking for some guidance or direction on taking your relationship to the next level? From love, sex, intimacy, and self-love, Beth can help!Be sure to go order your copy of Beth's new book "The 5 Kinds of Intimacy: How to Keep Your Love Alive"!Love, Sex and Relationship Coaching: https://sexyedschool.comL I N K S  &  S O C I A L   M E D I A - Follow us on social media for updates, Come With Us podcast episodes, Sexy Ed School & more!!Website: https://bethdarling.com/Instagram: https://www.instagram.com/comewithuspodcastCoaching: https://sexyedschool.comFacebook: https://www.facebook.com/comewithuspodcastContact Come With Us: comewithusconfessions@gmail.comSupport the show

Can orgasms make or break a relationship? Learning to make sex pleasurable (for her) helped save Susan Bratton's marriage and sex life. A toxic relationship led Emmi Fortin to her lengthiest climax, and kept her stuck on a poor-fit partner.    You'll also learn:   How to experience hot, breakup-level sex without the heartache Clitoris tips for maximum bliss Why Emmi decided to openly write about her intimate experiences How Susan shifted from dissociation to presence during sex Ways to bridge an orgasm gap  (which are common for women and vulva owners in relationships with cis-men)  Tips for experiencing “female orgasms” from PIV sex Susan's expanded orgasm experience (which she teaches) A Tantric exercise that helped ease body shame How a photoshoot spurred intense self-pleasure   Check out Emmi's memoir + watch the trailer: Who is Your Red Dress?  Download Susan's Sex Life Bucket List    Check out The Pleasure Chest's latest specials!    More Girl Boner fun: augustmclaughlin.com/girlboner   IG: @GirlBonerMedia  FB: @MyGirlBoner  TikTok: @GirlBonerRadio    

Charles "Chuck" Morgan - a nice family man and hard working escrow agent, or secret agent and mafia hire? When he is found shot in the back of his head in the Arizona desert, everyone has lots of questions. Especially when the death was deemed a suicide. Follow us on Instagram: https://www.instagram.com/crimesandcannapod/ Join the discussion on Facebook: https://www.facebook.com/crimesandcannapod/ Listen ad free on Patreon: https://www.patreon.com/crimesandcannabis For case suggestions of feedback: crimesncannabis@gmail.com -----------------------------------------------------------------------------------------------Sources: https://unsolved.com/gallery/chuck-morgan/ https://www.amazon.com/dp/B06XFLSXH2/?autoplay=1 https://www.buzzfeed.com/unsolved/watch/video/62179 https://medium.com/true-crime-by-cat-leigh/man-goes-missing-twice-his-body-is-then-found-in-the-desert-bd959260e5b https://www.truecrimeneversleeps.com/the-strange-death-of-charles-morgan/ https://paradoxicaladventure.co.za/true-crime/charles-chuck-morgan/ https://www.newspapers.com/image/163522340/?article=7ab0a0da-55e0-4e92-9dab-fefea000b839 https://www.newspapers.com/image/163527293/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/583094516/?terms=Charles%20Morgan https://tucson.com/news/local/crime/cold-case-strange-evidence-found-in-77-on-near-mans-body/article_e84a1034-c078-5a43-81a1-e602f52eda02.html https://www.newspapers.com/image/163527293/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/583098439/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/583088848/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/163725166/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/163533987/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/583101387/?terms=Charles%20Morgan&match=1 https://www.newspapers.com/image/163706745/?terms=Charles%20Morgan&match=1 https://www.in2013dollars.com/us/inflation/1977?amount=60000 https://www.fbi.gov/investigate/violent-crime/indian-country-crime https://www.biblegateway.com/passage/?search=Ecclesiastes%2012&version=NIV https://www.investopedia.com/terms/b/blindtrust.asp https://en.wikipedia.org/wiki/Peter_Licavoli https://en.wikipedia.org/wiki/Joseph_Bonanno https://home.treasury.gov/system/files/266/Treasury-HSPD12-Implementation-Report-2017-05.pdf https://home.treasury.gov/subfooter/site-policies-and-notices/PIV-cards https://www.naag.org/attorneys-general/past-attorneys-general/arizona-former-attorneys-general/ http://www.tucsonfirefoundation.com/wp-content/uploads/2012/07/1871-2005-Mayors-Council1.pdf https://www.ojp.gov/pdffiles1/Digitization/44108NCJRS.pdf https://law.arizona.edu/tucson-arizona

A big welcome back to the podcast to Dr. Kelly Casperson. Kelly is a urologist with advanced training in pelvic medicine and surgery., but most important for us, she is working hard to normalize how we talk about and approach sex, because let's face it, a lot of us were left in the dark on the subject as we grew up. She has penned a book with the same title of her podcast "You Are Not Broken" to bring awareness to some real basic and fundamental facts that we may not know about sex itself, sexual desire, menopause and hormone replacement therapy, and life around our sex lives in general. She calls it her advocacy work A few takeaways from today's conversation:Two things all women 50+ should know about their bodies that they may not know: 1. The clitoris is where your orgasm comes from. Not the Penis in Vagina or PIV. The clitoris is the target.2. Everything in your life affects your sex life. Your sex life is not in a bubble. The way you live your life affects your sex life. If you are sleeping poorly, if your health is bad, if your thoughts are negative, If your relationship isn't doing well, if you think the dishes in the sink getting done is more important than sex – all these things will affect your sex life.Other Takeaways:3. It's important to ask yourself – who do you want to be when you are 74? You need to prioritize sleep and exercise and eating right because if you want to keep feeling great long into the future you've got to do the things that 74 year old will be grateful for the 50 year old put into thought and into action.  4. A woman's desire doesn't necessarily come before sex. It may come before, it may come during and it may not happen until after. Wow that was great. I forgot how great it is, can you remind me how great that is? 5. Menopause is normal if you are blessed enough to live that long – it's going to happen. And it's important to communicate with your partner about what you learn about menopause and explain what you are going through. Otherwise they are just guessing themselves. And that never goes well.Make sure to listen to Kelly on her podcast "You Are Not Broken" and find her book at Amazon: https://a.co/d/1kGQvGCIt is also available on Audible.You can follow Kelly on instagram: http://www.instagram.com/kellycaspersonmdOr find her at her website: https://www.kellycaspersonmd.com/Want to schedule a Midlife Health KickStarter Call? Email me at:hello@lesleylmcshane.comOther ways to find me:If you want to check out a good tool to get your daily life on track, find theYou Deserve It: Goal Tracker, Planner, & Journal at Amazon here:https://www.amazon.com/You-Deserve-Notebook-Tracker-Planner/dp/B0B4BGBBJGJoin the Redesigning Midlife Facebook group here: https://www.facebook.com/groups/redesigningmidlife/All of the other places you can find me:Instagram: http://www.instagram.com/lesleylmcshaneWebsite: http://www.lesleylmcshane.com (Website under construction!!)Want to sign up for Redesigning Midlife Updates? https://www.facebook.com/groups/redesigningmidlife/

Today Debbie talks about a topic that interests us all, no matter our age… sex.Given the focus of the podcast, she decided to go right to a senior sexspert, Joan Price, for a very frank conversation about all things related to, well, senior sex.Joan, who is 79, has legions of followers on her blog, for her books, DVDs and webinars. She was quoted in a New York Times Magazine cover story this year and now gets so many requests for podcast interviews that she mostly turns them down.She agreed to come on [B]OLDER after listening to the recent episode with nonagenarian author Hilma Wolitzer (Season 4, Episode 20) about writing through grief.Joan calls herself an "advocate for ageless sexuality.” The media calls her “the woman leading a sex revolution for seniors” and, her favorite, "a wrinkly sex kitten."Debbie and Joan talk about why senior sex is an embarrassing subject but, more importantly, they talk about how to expand our definition of sex and how to adjust our relationship to body image as we age. They get right into it. No words are off limits so they talk about orgasms and sex toys and more. Joan explains the different types of desire (and why that's important to understand as you get older).After this episode we promise that you'll know what PIV stands for... if you don't already.Bottom line, Joan's message is that yes, sex is different after 60 or 70 or 80… but in some ways, she says, it's better. Joan is funny as well as frank. "Spicy” is one of her favorite words. You'll definitely want to check out her website joanprice.com for tons of resources. Mentioned in this episode or useful:JoanPrice.comNaked at Our Age:Talking Out Loud About Senior Sex by Joan Price ‎(Seal Press, 2011)Sex After Grief by Joan Price (Mango Publishing, 2019)S4-EP20: Hilma Wolitzer, 92, on Writing Through Grief and Turning Domestic Life Into ArtCome As You Are: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski, Ph.D (Revised and Updated Version - Simon & Schuster, 2021)The Joys (and Challenges) of Sex After 70 by Maggie Jones (New York Times Magazine cover story, Jan. 12, 2022)Good Luck to You, Leo Grande (on Hulu, starring Emma Thompson) Get the inside skinny on every episode of [B]OLDER:Subscribe to Debbie's newsletter for the inside story about every episode. You will also get her 34-page writing guide: https://bitly.com/debbie-free-guide. Request from Debbie:If you've been enjoying the podcast, please take a moment to leave a short review on Apple Podcasts. It really makes a difference in attracting new listeners. Connect with Debbie:debbieweil.com[B]OLDER podcastEmail: thebolderpodcast@gmail.comBlog: Gap Year After SixtyFacebook: @debbieweilInstagram: @debbieweilLinkedIn: linkedin.com/in/debbieweilTwitter: @debbieweil Our Media Partners:CoGenerate (formerly Encore.org)MEA and with thanks to Chip ConleyNext For Me (former media partner and in memory of Jeff Tidwell) How to Support this podcast:Leave a review on Apple PodcastsSubscribe via Apple Podcasts, Google Podcasts, Stitcher or Spotify Credits:Host: Debbie WeilProducer: Far Out MediaMusic: Lakeside Path by Duck Lake

Joining the podcast this week is Eric Mill, Senior Advisor on Technology and Cybersecurity to the Federal CIO in the Office of Management and Budget (OMB). We discuss some of the latest and impactful security initiatives, policies and technologies in U.S. Government today – and highlights from some that OMB is helping to drive. We cover topics spanning the Executive Order on Improving the Nation's Cybersecurity, the Technology Modernization Fund, Zero Trust and what it has come to mean today, FIDO and PIV, and so much more! Eric also shares an interesting essay that is worth a read, “Reflections on Trusting Trust” by Ken Thompson. Read it here: https://www.cs.cmu.edu/~rdriley/487/papers/Thompson_1984_ReflectionsonTrustingTrust.pdf. Eric Mill A leader in technology policy and cybersecurity, with a long background in public service. Eric currently serves in the Biden-Harris administration in the Office of Management and Budget as the Senior Advisor on Technology and Cybersecurity to the Federal Chief Information Officer, Clare Martorana. Prior to that, Eric was the Lead Product Manager for the security of the Chrome web browser at Google. In 2019, Eric worked for Senator Amy Klobuchar through the TechCongress program, with a focus on election security, vulnerability disclosure, and management of the .gov internet domain. Before that, Eric served in the 18F team at the U.S. General Services Administration, where he led the federal government's adoption of strong encryption for its online services. While at GSA, Eric oversaw Login.gov, which lets millions of people sign into U.S. public services securely and privately. Prior to 18F, Eric was a part of the Sunlight Foundation, a civil society group dedicated to government transparency. At Sunlight, Eric created open data services that helped the public follow government activity, advised Congress on its open data strategy, and provided expert guidance to anti-corruption NGOs around the world. For links and resources discussed in this episode, please visit our show notes at https://www.forcepoint.com/govpodcast/e207

There are many terms and acronyms commonly used in neonatology that most people are not familiar with. Even medical clinicians who are not familiar with the NICU, are unlikely to know about UACs or UVCs. And most NICU parents probably did not know that you can access a newborn's venous and/or arterial system through their umbilicus until the providers explained the procedure to them.  For our 40th podcast episode, we reviewed some of those common NICU acronyms, but specifically the different venous and arterial line options commonly used in the NICU. These terms may be casually discussed during conversations between NICU clinicians, but it is important that as a parent, you understand the different peripheral and central lines infants in the NICU commonly need. Not only should you understand what they are, but you should also know when they are used or why one option is chosen over another. Additionally, it is imperative that you know the potential complications with each line, so you know what questions to ask when the NICU providers speak with you about each option.Start listening and get ready to become empowered as we review peripheral and arterial lines common to the NICU!Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/shownotes/Episode 40 Show Notes: https://empoweringnicuparents.com/episode40Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

Is your penis long enough to visibly push out a female partner's abdominal wall during PIV sex? Mine is. And so is the one in the video we discuss today. It's impressive. In younger years, I had a friend who called this move "The Alien" -- for obvious reasons. He had another sexual operation he called "The Cycle." That was when you and your partner had oral, anal and vaginal sex all in the same session. And, importantly, you had to repeat one of the acts, therefore requiring something to come after the anal sex. Add them together, and you arrive at the fairly famous "Cycle With Alien." Deepfake technology is improving, and it's now fairly easy to find what appears to be porn featuring your favorite celebrity. How long until human porn stars are no longer even required? How long until you can have a computer render a porn scene to your taste on demand? It's no the Holodeck, but it's close. And, yet another man is disappointed after an MMF threesome adventure. Will they ever learn? To follow along with the video discussed at the beginning of the episode: https://ymmv.me/88/big We get a lot of our questions from Reddit, so for our listeners' enjoyment, here are links to some of the questions we discussed this week: https://ymmv.me/88/threesome https://ymmv.me/88/poop https://ymmv.me/88/first-date Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

STEPHANIE and TUX reintroduce a special bonus scandal in honor of our podfather, Tim Cluff but rereleasing the episode where Tim shared a scandal—Episode 27: the story of “Red Emma” Goldman. In this episode TIM steps out from behind the scenes to swap a scandal with us telling the tale of “Red Emma” and the Palmer Raids. We toast to the brilliant immigrants who built this nation and the government that deports them! ALSO DISCUSSED: Drinking every liquor mixed together with orange drink, Stephanie's friend the sea witch, the Wizard of Oz, Bushwick Variety Show, Breonna Taylor, sturdy white men, SVU, The Third Wheel Podcast, Quad City DJs, Very Presidential podcast, Red Pepper, magic beans, #notallanarchists, PIV, J Edgar Hoover, and da club. For source information on each scandal and to peruse our online shop: SITE

Meet Dr Sonia Wright, the Midlife Sex Coach. She's also a medical doctor, radiologist and life coach, and tremendous fun. This is a brilliant interview all about midlife sex. If you have any issues at all, even tiny ones, in this department, or just want to make your sex life even better, this interview will get you feeling inspired and empowered to take excellent care of yourself and your partner. Let's all have more fun! We talk about: How Sonia went from being a radiologist to becoming a sex coach. Understanding the pleasure gap between men and women Moving beyond penis in vagina (PIV) sex The importance of clitoral stimulation How our libido changes as we age Thinking about the many factors that may impact our libido Our biggest sexual organ is the brain Staying curious and exploring different ways to be sexual Self-pleasure to maintain the blood supply to the vulval area Feeling comfortable using lubricants Your best sexual partner is yourself The wonders of the clitoris and how much of is not visible Why Sonia worked in a sex toy shop The fun and pleasure you can get with sex toys Sonia's toy recommendations Taking the pressure off men by bringing toys into the bedroom Bringing sexual intimacy back when it's completely slipped off the agenda You can't have great sex if there are relationship issues A man can still have good sex and an orgasm without an erection How society's narratives impact our own concept of what is sexy The importance of body image as we age And more! Click here to read a summary transcription of this podcast. If you enjoyed this episode, please subscribe, share it and leave us a 5* review on iTunes or wherever you're listening. Order the ebook or audiobook (narrated by Rachel) versions of Rachel's book, Magnificent Midlife: Transform Your Middle Years, Menopause And Beyond at magnificentmidlife.com/book The paperback can be purchased on Amazon or other online retailers: UK US & Canada Australia You can listen to all the other episodes and get the show notes at magnificentmidlife.com/podcast. Recommended by the Sunday Times. Feedspot #3 in best midlife podcasts and #15 in best women over 50 podcasts worldwide. You'll find lots of strategies, support, and resources to help make your midlife magnificent at magnificentmidlife.com. Check out Rachel's online Revitalize Experience, a 6-week intensive small group mentoring experience or 1-1 Midlife Mentoring. Follow Rachel on: Facebook | Instagram | Linkedin | Twitter | Pinterest |Youtube | Tiktok