Podcasts about Sexual function

*Disclaimer* This episode contains adult content and is not recommended for young listeners.   284. DON'T MISS THIS! Controversial Sex Questions, Answered with Dr. Juli Slattery   1 Samuel 24:19b NIV “May the Lord reward you well for the way you treated me today.”   *Transcription Below*   Bio: Instagram Facebook Authentic Intimacy Website Java with Juli Podcast   Thank you to Our Sponsor: Leman Property Management Company   Questions and Topics We Cover: As Christ followers, should we use a friend's preferred names and pronouns? If one part of Scripture talks about turning the other cheek, is that the same as saying God expects you to stay in an abusive marriage? Is it reasonable to assume that once they have a smartphone, 100% of kids will be exposed to pornography?   Previous Episodes on Sexual Intimacy on The Savvy Sauce, Including Past Episodes with Dr. Juli Slattery: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen  Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau  Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna  Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma 222 Pornography: Protecting Children and Personal Healing, Victory, and Recovery in Christ with Sam Black Special Patreon Release: Holy Sex: An Interview with Dr. Juli Slattery Special Patreon Release: His Desires and Her Desires in the Bedroom with Dr. Jennifer Konzen 224 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn 252 Maximizing Sexual Connections as Newlyweds to Long Term Marriages and Recovering from a Sexless Marriage with Dr. Cliff & Joyce Penner 260 Sex After Cancer with Dr. Kris Christiansen 277 Breaking Through Addiction in Marriage with Matthew and Joanna Raabsmith   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   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: (0:11 – 0:11)   Laura Dugger: (0:11 – 2:21) 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.   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.   Leman Property Management Company 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.   My returning guest for today is Dr. Juli Slattery.   She has authored another book entitled Surrendered Sexuality: How Knowing Jesus Changes Everything, and we're going to cover a few themes from this book, but I think what you're going to find most helpful are her candid responses to some really tricky questions related to dating and pornography, technology, thought life, shows that we watch as believers, divorce, and just intimacy in general as married couples.   So, I think this is an episode that you're going to want to learn from yourself, but you'll also want to share with others because Dr. Juli has offered us such a gift as she directs us back to the heart issues and wisely guides us into sexual integrity in our own lives.   Here's our chat.   Welcome back to The Savvy Sauce, Dr. Juli.   Dr. Juli Slattery: (2:21 – 2:21) Thanks so much for having me back. It's always a joy.   Laura Dugger: (2:21 – 2:22) Well, I love that you've been a repeat guest many times. So, we get to just dive right in today because I'm going to link all of your previous episodes in the show notes. But to dive in, I'm just curious, as believers, where does your heart break as you see us compromising on God's design for sex?   Dr. Juli Slattery: (2:22 – 3:31) Hmm. That's such a good question. You know, I think my heart breaks the most in that when we compromise God's design for sexuality, or even when we don't understand it or understand His goodness, it means that there is a breach in our relationship with God.   And so, I am so passionate about what I do, not necessarily because I love talking about sexuality, but because for a lot of people, sexuality represents a wall between them and God, like an issue they can't resolve, or a place of shame that they just can't quite shake free from, or battle with sin that they feel like they're enslaved to. And so, those things mean that there's a limit to how much they invite God into their lives.   And so, for me, that's where my heart breaks the most is, you know, ultimately, we were created for the greatest fellowship with God and anything that gets in the way of that is something that God cares about and something that I care about.   Laura Dugger: (3:32 – 4:03) You say that well, and you've written many books, but in this most recent one, you plainly state one issue when you write, “You will not be able to obey God with your sexual thoughts, while binging shows and music that continually display the exact opposite.”   And I love how practical that is. So, Juli, why do you think this has become so normalized? And I would say, especially in Christian marriages.   Dr. Juli Slattery: (4:05 – 5:58) Yeah, you know, I think a lot of it is that the church has been historically really quiet about sexuality, you know, like we might talk about save sex for marriage, and don't cheat on your husband and that sort of thing. But the gray areas about how we think about our sexuality and kind of what we have the liberty and freedom to engage in, there's kind of silence, or maybe there's legalism.   And I think in that space, what ends up happening is the culture is so forthright with a message about sexuality, like woven throughout every single show that you could stream on any platform, you know, your music on Spotify, even the news you consume, the Instagram feeds, whatever, it's consistently showing you a way to understand sexuality that is contrary to God's design, and the messaging can be so subtle, or so repetitive that we don't even realize we're ingesting it.   And so, it's normal to talk about with your friends, like the latest season of The Bachelor, or, you know, the latest thing that you're streaming that if you really look at it, there's probably 100 references to sexuality that are outside of God's design. And so, we end up just having our mind conformed to this world.   And the scripture says really clearly in Romans 12, that we can't offer ourselves to God while we're still thinking like the world thinks that it requires an act of transformation of our thinking. And I don't know that there's anywhere more than we need this than in the topic of understanding our sexuality.   Laura Dugger: (6:00 – 6:59) Okay, so for I'm thinking of married couples, because I was recently at a wedding shower. And I love a friend from church. Her name is Dawn Karius. And she was giving the devotional and just sharing. You know, it's very easy to get married and fall into this trap. She was talking about what you watch specifically.   And she said, so many couples will watch something together, watch a show before bed, but be really intentional. If that is what you choose to do, then the shows that you're watching, even though you're with your spouse, is that drawing both of you closer to Christ? Because if it's pulling you further away from Christ, it's also pulling you away from one another.   And so, with all of that, and with what you've studied and written about, if a couple's hearing that and or some single person just hearing this, what would be your practical advice or encouragement for them?   Dr. Juli Slattery: (7:00 – 9:29) Yeah, some of it is, we can't live in a bubble. You know, it's, I think that there are some couples will have the conviction that, you know, we're just going to get rid of all of our devices, we're going to get rid of every streaming service. And there's nothing wrong with that decision, you might feel convicted to do that.   But for most couples, I would say, they're like, okay, we live in this world, we need to understand even the world we live in. And so, it's not like we're going to completely be cut off. But are we being discerning about what we consume?   And what are the standards that we might hit where we might just say, “You know what, we don't need to be watching this.” You know, like I can think of one show in particularly that my husband and I were watching. And it was a well-written show. It was exciting. But there was just so much profanity and just gross kind of sexual content that after two or three episodes, we're both just like, “You know what, as good as the show is, we just, this isn't, we're not watching this. Like we need to stop.”   And I think you need to have those discussions and you might have a different level of conviction than your spouse does. And that's okay, but at least have those conversations and you need to follow your conviction.   But then the other thing I would say that is equally important, if not more important, what are you consuming that helps you get God's perspective of sexuality? And what I've found is that a whole lot of Christian married couples know very little about what it looks like to build a healthy sex life in their marriage. And they're not consuming anything that helps them know how to love each other better, how to overcome differences, even how their bodies work, how to focus on one another and enjoy sex in a holy erotic way.   And so, even if you're watching and consuming very little content from the world, but you're not actively pursuing anything that gives you a biblical perspective, you're still going to end up defaulting to what the world says. And so, I think that again, it's equally as important or not, if not more important to be pursuing what's true and what's right and what's good.   Laura Dugger: (9:31 – 9:53) I love that, how you flipped it. And that discernment piece is huge because we don't want to be desensitized to then that we're consuming and we also want to feed on the good. So, I think it even leads to a broader question, again, as Christ followers, how can we recognize if our conscience is being pricked?   Dr. Juli Slattery: (9:54 – 12:05) Yeah, we can start by asking the Lord. You know, I mean, I think it's in, is it Psalm 139, where, you know, David is basically saying, “Search me, oh God, and know my thoughts, you know, show me if there's any offensive way within me.”   I think that's a beautiful prayer as an individual and as a couple, like God, we want to honor you with what we consume in media, with what we think about, would you guide us and would you show us? And then I think we all have that experience of watching something or listening to something or reading something where we're like, “Uh, I don't know, like, this is sort of a gray area. Like, I'm uncomfortable here. I probably shouldn't be watching this.” Or “Wow, that's really, that's really in your face. Like that's really graphic.”   And it's heeding the Holy Spirit when you get those prompts, instead of just pushing through and being like, “Ah, it's not that big of a deal. It's not going to affect me.” Like when you feel that sense of prompting, you respond to it and you say, “All right, I'm going to put this down. I'm going to shut this off.”   And, um, you know, the scripture says that we can become callous to those promptings of the Holy Spirit if we are in a habit of just running right through that. But we become more sensitive to the Holy Spirit when we yield and when we obey.   Um, and so, I think even just keeping track, you know, every day or every week, like where were the times regarding this or anything else that I really felt convicted by the Holy Spirit about maybe something I said about a friend, uh, or about a little white lie I told, you know, where were the times where I really felt the Holy Spirit nudging me and what did I do? Um, where do I need to confess that I didn't respond well? And where do I need to celebrate that? Yes, I listened, I obeyed, I yielded. Um, and so, I think that's a practice we get into of either ignoring that conviction or really yielding to it.   Laura Dugger: (12:06 – 12:28) Hmm. And that gets after the heart issue, which Jesus is so concerned about our heart. And that's a very softened heart approach. Yes. I hope we can have. And as it relates to sexual integrity, then what are some other ways that we need to be on guard so that we're careful not to be misled?   Dr. Juli Slattery: (12:29 – 13:37) Yeah, boy, I think there's just so much conversation. Um, again, even in Christian circles, sometimes around having a negative attitude towards sex, um, kind of accepting some forms of pornography as normal and even good, you know, husband bashing, wife bashing, you know, like complaining, kind of letting the thought feed in your mind of maybe I should have married somebody else.   Maybe that my life would be easier if I, I weren't married to this person. I wish they were this or that. So, sort of that discontent that is natural to feel in marriage. But the question is, what do you do with it? Do you give it space to grow and to nurture, or do you bring that before the Lord?   Um, so, I think those are some of the ways that we want to look at, like, how am I giving the enemy space in my life and in my marriage versus how am I inviting God to really reclaim what's broken here?   Laura Dugger: (13:38 – 14:01) Well, and then even thinking of the other side to guard ourselves from having a critical and judgmental spirit toward others or just having self-righteous pride. Can you educate us on some common reasons why some people may be predisposed to struggle with some certain sexual sins?   Dr. Juli Slattery: (14:02 – 17:20) Yeah, absolutely. I think that's so important, um, because the research really shows that some of us are more, I don't know if I'd say it that way, but we are going to be more predetermined maybe to struggle with things like pornography or same-sex attraction, or even hooking up.   And it's never like a one plus one equals two exactly. But there are what we might say indicators or risk factors that make you more vulnerable to those kinds of sexual struggles. And some of them might be unhealthy family dynamics growing up, you know, none of us had a perfect family, but let's say you grew up in a family where one of your parents was like overtly critical towards you all the time.   Maybe you went through a divorce with your parents where, um, you know, at a certain age, you just, your family fell apart and you're kind of looking for that stability and love. People who have experienced sexual trauma in childhood or the teen years are going to be more pre-dispositioned to want to understand that or act that out.   People who might struggle with anxiety. And, you know, some of it is we got to understand that sex, because it elicits dopamine in our brain and oxytocin and endorphins, which are all really feel good kind of experiences and hormones and neurotransmitters. When we had a sexual experience at a young age, our brain can learn, “Oh, this is how I deal with stress. This is how I deal with depression. This is how I deal with loneliness.”   So, a lot of times when you talk to somebody who has an ongoing struggle with a sexual temptation or sin, it's because they've learned as a pattern from maybe the time they were 10 years old or 12 years old or 15 years old, that this is how I dealt with the stress in my family. This is how I dealt with when my father died. This is how I dealt with when I was sexually abused. Like this was the way that I found to self-regulate and to self-medicate and to find comfort.   And that can be masturbation. It can be pornography or again, you know, acting out sexually. And so, for people who have that kind of story, and this might be your spouse, or this might be against somebody that you're looking at and judging to just say, “You need to stop that behavior,” is often not going to be enough. They need to do the work of really looking at what am I using sex for? What are the wounds that I'm using sex to cover up?   And how do I actually get the healing I need and find healthier and safer ways for me to cope with negative emotions? And that's why groups are really important for people who have sexual struggles. Counseling is really important. And again, that long journey of healing and freedom, not just a one-time decision that I'm going to try to never do this again.   Laura Dugger: (17:21 – 20:19) Love that word freedom, even because that hope is available. And just pointing out how you said this is not deterministic. That's not what we're saying is if you experience something, you will act out sexually. But I agree with you that it is fascinating and helpful to hear the correlation of certain things that happen, especially in childhood, and how that plays out long-term.   And I am blanking on which guest it was on The Savvy Sauce, but somebody was enlightening me. I think it was for females that if they were sexually abused, typically before a certain age, then they were more likely to struggle in marriage with wanting to completely avoid sex. But then if it was after a certain age, that it was completely opposite where they maybe used sex to medicate, or they were very aggressive and even would act out, let's say in single years, that they would sleep around with a bunch of partners if they had been wounded.   And so, I just think it just, it helps us to not be judgmental of one another. We don't know the full story.   Dr. Juli Slattery: (20:20 – 21:09) Yes. Yeah. There's always more there than we usually realize at first. And, you know, this plays out a lot in marriage because there are a lot of women who are married to guys who are addicted to pornography. And that's a deeply painful dynamic. That's really hard.   But to understand that your husband didn't want to have this struggle, often doesn't know how to get out of it, you know, gives you compassion. It doesn't mean that you look the other way, you need to get help, and you need to insist on getting help. But it does give you empathy and compassion that there's something underlying this and feeding it. It's not just, “Oh, I think I'm going to, you know, look at porn and hurt my wife again,” that there's always a deeper dynamic at work.   Laura Dugger: (21:10 – 21:50) Absolutely. And even an example from your book, I'll just read a quote where you said, “I spoke with a man who runs a sexual addiction program. He told me he had never met someone with sexual addiction, who did not also have significant sexual or psychological trauma in their past.”   And I think it goes along with what we're saying. But if we also then flip it and look at more of the positive side, how can we rightly prioritize connection and intimacy in marriage as God intended?   Dr. Juli Slattery: (21:53 – 24:24) I think first of all, we need to be convinced that this is worth it. You know, when we look at everything there is to do in life, there's so many worthy demands on our time. You know, from I want my house to look nice, and we need to make friends and we need to be an outreach to our community. And our kids are taking a lot of time and they should, and they've got all their activities and our church needs our help. Like when do you have time to do all this? And then, oh yeah, prioritize your marriage.   And I think we have to become convinced that if we're not working on our marriage, and specifically if we're not working on the sexual connection in marriage, then all those other things have the potential to fall apart. That the way I've learned it over time is that sex is never going to be a neutral issue in your marriage. It's either going to be something that is bonding you together and causing you to work on the deeper levels of intimacy, even as you talk through sexual difficulties, or it's going to be something not immediately, but over time, that becomes a wedge between you.   It might start as a wedge of resentment of my needs aren't getting met, or I feel like you're objectifying me or you're putting pressure on me. Or it might be a deeper wedge of a pornography addiction or something that's not being addressed. Or I don't trust my husband because of my trauma. And those things don't just stay dormant. The wedge becomes bigger and bigger and bigger until you get to the place where now you're not comfortable being in the same room anymore and you feel like roommates. And then now one of you is attracted to somebody else and the story plays on.   And there are very wonderful godly men and women who have gotten married with every purpose to stay together. But a wedge like this has grown over time to the point where they're now thinking about divorce or one of them has cheated on the other. And so, we have to be convinced that honoring God in our lives means prioritizing our marriage, and it means working on this intimate aspect of our marriage so that we can be a stable foundation for our families and our churches and our communities.   Laura Dugger: (24:26 – 24:39) And so, if we're getting as practical as possible, what are the best practices that you've seen in married couples who are happily married? How have you experienced that?   Dr. Juli Slattery: (24:40 – 28:04) Yeah. I'll put it in kind of like a cliche sort of way because I think sometimes that's catchy. Number one, I would say they're couples who will resist the drift, who will repair the rift, and who will adjust to the shift.   So, I can kind of break that down a little bit. But you know, the first thing is resisting the drift of you can go weeks without meaningfully connecting with your spouse. And I don't just mean sexually, but I mean like eye to eye, you know, just loving touch, just connecting to their hearts. And so, couples who know how to resist that drift, like they have regular times built into their calendar where this is where we connect every day. Like even for 10 minutes, this is where we hold each other's hands, we look at each other in the eye, we really connect with what's in your heart, how are you? And they have regular rhythms of once a week or once every other week, we're going to go out and do something fun together, just the two of us. We've worked through what sex looks like in this season. Like how many times do we want to have sex? Are we scheduling that? How are we making sure that's a priority? And so, that's the resisting the drift.   And the second one is repairing the rift. And at every marriage, there are going to be things that tear you apart. And sometimes those things might be sexual in nature, like a temptation, an emotional affair, pornography use, sometimes it's going to be something else where you have a deep disagreement that you can't resolve on your own. And you need to be courageous enough to reach out for help and say, like, if we don't get help, if we don't address this issue, like it's going to become something that tears us apart. Any couple that you meet who is happily married for like 30 years or more, they can tell you a story of when they had a rift, and the kind of help that really address that.   And then I think the third thing is adjusting to the shift. And in even the normal stages of marriage, there are shifts that happen. Like, you know, I'm in the stage right now where me and the people my age are going through biological changes with menopause and with aging. And, you know, some people are going through becoming grandparents and retirement. And there's all these shifts that are happening even naturally. There's other couples that are younger who are going through the shift of pregnancy and battling infertility. And some people are going through cancer. And there are things that happen that require you to shift your expectations. And to not just wish that it is like it used to be. But this is the marriage we have now. Here are the circumstances we have now. Here are the bodies we have now. How do we learn to love each other and embrace this season, given the changes that we're experiencing?   And so, I think that's a framework that I've seen healthy couples navigate over time that really fosters intimacy.   Laura Dugger: (28:05 – 29:29) That is incredible. I love how you put that. And I've shared with you before that my background is in Christian sex therapy. So, sex is a topic that does come up a lot and people feel comfortable sharing or asking questions. So, just in regular conversation, I want to recap two conversations that kind of show stances on both ends of the spectrum. And I'd love to hear your wisdom on how to respond to each one.   So, first, there was a Christian married woman with children, and she was teaching younger women to say yes to every single sexual advance from their husband. And she said, “If your husband has the higher drive, and he wants to have sex twice a day, then consider yourself lucky. And don't ever say no, because your body is not your own.” Yeah, it's hard to recap. So, this is not my perspective. So, sharing both ends.   So, that was one person. And then on the other end, I've heard a woman tell me, “You know, I just didn't feel like having sex for about a year and a half after we had our baby. So, I just told my husband, you're going to have to wait.”   So, loaded question, but Dr. Juli, how would you respond to each of those?   Dr. Juli Slattery: (29:29 – 32:31) Well, Laura, I feel like you probably would have just as good of response as I would to those. Yeah, I like that you're presenting those as two extremes, because they are two extremes. And I think both extremes kind of miss the heart. We want to be able to say yes to sex and intimacy. And being able to say yes means also being able to say no.   In that first situation, essentially, what is going to end up happening is that that wife is going to start feeling like my husband wants me for sex. And I don't have the capacity to enjoy it twice a day. I'm starting to feel like an object or used. And the husband is never going to learn that covenant love requires self-denial. And at every level, you know, what did, what did Paul say to husbands in Ephesians 5, like love your wife as you love your own body and be willing to lay down your, your life for your wife. And that means being sensitive to the fact that she doesn't have the same sexual appetite as you do. She doesn't have the same biology you do, that it actually can be physically painful, emotionally traumatic for a wife to have sex when she's not physically ready. Really, that couple is not working on intimacy. They're, they're kind of reinforcing a pattern that sex is about the husband getting his needs and desires met only through the wife without considering her. And that might work for short term, but that's not building intimacy in the long term. And it's not teaching either of them. And that wife needs to learn her own sexual desires and patterns and be able to communicate those to her husband. So, that's what I would say in that first one.   And the second one, essentially, you have a wife kind of having that more selfish perspective of, I only have sex when I want it and on my terms, instead of considering the husband. And, you know, how do I focus on him? How do I work on experiencing sexual desire? How do I foster that? Because it's important for my husband, it's important for our marriage. And I don't want to be selfish.   And so, I think both of those situations are kind of approaching sex where one person gets to be selfish, and the other person has to sacrifice. That's ministry, that's not intimacy. And so, we really want to be at a place where both of us, the higher desire one and the lower desire one, are learning what does it look like to really love well, to love sacrificially and to communicate the ways that I feel loved. I don't know, what would you add to that or change?   Laura Dugger: (32:31 – 33:11) That's why I asked you, you said that beautifully, better than I could have responded. And again, you're getting back to the heart of it and pointing us back to Jesus with each answer. And, you know, commonly people do struggle with having a safe place where they can ask candid questions about sex.   So, I am going to throw some more at you. And some of these are ones that you wrote about. But just to give us a little taste, even of the book, or if somebody has a burning question like this, I'd love your healthy response.   So, how do you respond when people ask, “How far is too far to go in a dating relationship?”   Dr. Juli Slattery: (33:14 – 36:32) Yeah, I think people are looking for a line, you know, like, as long as I don't cross this line, are we good? And of course, I think their traditional line would be as long as you're not having intercourse. But I think that misses the larger context of the purpose of sex. I've had to be convicted of this in my own life. And we talked very early in our conversation about how we've just sort of ingested messages from the culture. And the culture says that healthy sexuality is an expression of how I feel, right? So, so if I feel safe with you, if I feel romantically connected to you, if I feel sexually attracted to you, then it would be healthy for me to engage sexually with you. And then Christians would come and say, yes, but as long as you don't cross this line. So, that's sort of the narrative that I think a lot of us have heard in the church.   But if we look at, from a biblical perspective, God did not design sex to be an expression of how I feel. Okay, let that sink in for a minute. God did not design sex to be an expression of how I feel. He designed it to be a seal and a celebration of covenant, of the choice that a man and a woman make to covenant their lives to one another. And for them to say, just like I give you my whole life, I promise faithfulness to you. I promise that we are becoming one as a family. We have now a physical way to symbolize that in becoming one with our bodies. And so, even if I feel romantically attached to somebody I'm not married to, I don't act on that. Or even if I don't feel romantically attached to my husband, we work on our sex life because we're in covenant.   And so, when you begin to understand sex from that standpoint, you answer that question differently of how far can I go? Why are you sharing your body with another person when you haven't shared your life with them? And, you know, I think that the standard is not legalistic, but the heart of the question is a lot, that's a harder question. You know, like it says, and I think 2 Thessalonians or 1 Thessalonians, you know, Paul says, the will of God is that you do not engage in sexual immorality. Don't take advantage of a brother or sister.   And how many times in dating relationships do you look back and you're like, “Wow, I gave too much of myself to that person or I took too much of myself from that person. Like we engaged in things that now we're broken apart. Like I wish I could take back.” And so, what does it look like to honor each other? What does it look like to honor the Lord? So, I think those kinds of questions help you get to the heart of how do we steward dating relationships a lot better than looking for a line we're not supposed to cross.   Laura Dugger: (36:33 – 37:31) When was the first time you listened to an episode of The Savvy Sauce? How did you hear about our podcast? Did a friend share it with you? Will you be willing to be that friend now and text five other friends or post on your socials anything about The Savvy Sauce that you love? If you share your favorite episodes, that is how we continue to expand our reach and get the good news of Jesus Christ in more ears across the world.   So, we need your help.   Another way to help us grow is to leave a five-star review on Apple Podcasts. Each of these suggestions will cost you less than a minute, but it will be a great benefit to us. Thank you so much for being willing to be generous with your time and share. We appreciate you.   As Christ followers, should we use a friend's preferred names and pronouns? So, how would you respond to that?   Dr. Juli Slattery: (37:32 – 39:20) Boy, this is a hot topic. There are people who have really strong opinions on this. You're saying, do I use a friend's preferred names and pronouns?   And I think the fact that you have a friendship means that you can have a deeper conversation about the meaning of the names and pronouns. And I think that deeper conversation needs to happen. Because, you know, ultimately we don't like, we don't want to just say, “Oh yeah, whatever you want to call yourself is fine with me. Truth doesn't matter.” But on the other hand, we really want to get to the spiritual issue underneath this. And there's a, there's a big difference between somebody who doesn't know the Lord, doesn't know where you stand on any of this, and somebody that you can engage in a conversation with and seek wisdom on.   I think there, there's probably more latitude to use somebody's preferred name than pronouns. And I think in friendships, sometimes you can work that through and just say, you know, “Hey, I love you. I understand where you're coming from. I'm going to try my best to use the name that you're asking. But the pronoun is something that I'm not comfortable with. And here's why. And just like I'm, I want to understand where you are. I hope that you would have grace and understand where I am.” So, in a friendship, you're able to have those kinds of conversations. Whereas if it's a coworker or it's a stranger or a neighbor, sometimes we can't have that level of conversation. And so, I, we might choose to handle the situation a little differently.   Laura Dugger: (39:21 – 39:36) That's good. A hundred percent truth, a hundred percent love or kindness. And what if somebody asks, how much attention should we be giving these secondary issues as believers?   Dr. Juli Slattery: (39:39 – 41:03) Boy, I, I think first of all, the secondary issues come out of the primary issues. So, the primary issue, and you know, the issue I wrote Surrendered Sexuality is about is if my life belongs to the Lord, then my whole life needs to belong to Him, including how I think about cultural issues, including how I treat my neighbor.   And so, I don't see them as secondary issues. I see them as an outgrowth of the primary issue. I think when they become secondary issues are when we argue with other believers about it and it becomes the most important thing. Like I put you in a category based on, will you use preferred names and pronouns? And then I think we're missing what God calls us to.   The primary issue is that we want to honor God and we want to love each other. And so, let's keep going back to that primary issue. How do I love my neighbor well? How do I honor God's truth well? How do I pursue unity within the body of Christ well, as we're navigating some of these secondary issues? So, you know, like if we're going back to the primary issue, it means that we have to talk about the secondary issues, but we talk about them in light of what's primary.   Laura Dugger: (41:04 – 41:17) I like that. And I just have three more of these kind of tricky questions. So, another one, does pornography addiction qualify as reasons for a biblical divorce?   Dr. Juli Slattery: (41:20 – 42:50) I would say, first of all, technically, if we look at the word for sexual immorality in the scripture, which is porneia, we would say, yeah, you know, pornography does qualify for that.   But for the person who's asking this, maybe the woman who's asking this, I would say, why do you want to get out of the marriage? And what Jesus said is Moses permitted divorce because of the hardness of your heart. And I think a more important question is where's your heart and where's your husband's heart? Because I've seen people with pornography addictions who have really open hearts towards healing, and they're willing to get the help that they need. They're repentant. They're willing to do the work. They're willing to go through even a time of separation to show that they're serious about that work.   And then there are people who have very hard hearts of, “This is who I am. I might go through the motions, but I'm really not interested in change.” And so, I think the pornography addiction is less the issue than the posture of the person's heart and their willingness to work. And if your spouse is willing to work, then I think it's on us to have soft hearts too, and to be open to the work that God can do.   Laura Dugger: (42:51 – 43:34) That's good because saying you have to zoom out and see more of the story in that stance, because that's very different. Somebody who's working on it and hates the struggle and is wanting to break free versus being married to a narcissist who is abusing you and treating you in a certain way and addicted to pornography. So, you point out well that all of these questions have more to them.   Okay. So, two more, if a spouse has had an emotional affair in the past with a coworker, but they still work with this person, what is the wise thing to do and how should they handle it if their spouse is uncomfortable with them still working there?   Dr. Juli Slattery: (43:36 – 44:33) Yeah, boy, that's something that I would want to seek counseling on. You and your spouse really need to get with a counselor and talk that through. The generic advice in that situation would be to get a different job, to not have that relationship still a temptation or available.   But there are sometimes very extenuating circumstances where that's not a possibility, or at least for now, that's not a possibility. And so, I would really encourage you to meet with a third party to sort through the details of your particular situation. Because it could be that your spouse isn't willing to take that hard step of cutting off that relationship, or it could be that they're willing, but again, there's extenuating circumstances. And I would really want a wise person who is engaging with you to help you navigate that.   Laura Dugger: (44:34 – 44:44) But I love that, how you highlight that something to look for though, is that you would hope your spouse would be willing to make that right, especially if they were the offending.   Dr. Juli Slattery: (44:46 – 44:46) Okay.   Laura Dugger: (44:47 – 45:00) And then also, Juli, because scripture does talk about turning the other cheek, does that mean it's the same as saying God expects you to stay in an abusive marriage?   Dr. Juli Slattery: (45:02 – 47:41) Absolutely not. If you were in an abusive marriage, you are not doing your spouse any good. You are allowing your spouse to be in a place where they're destroying their own life and they're destroying the people that they love.   Now you say, okay, where biblically do we see this? We see that Jesus, he says in John, he says, “I laid down my life for my sheep. I lay it down willingly. No one has the authority to take it from me. I have the authority to lay it down and I have the authority to take it up again.” And we see Him living that out with religious leaders who were after Him all the time, who wanted to stone Him, who were accusing Him of things. It says over and over again that Jesus escaped from them. He just got out of there until it was time that the Father said, now is the time for you to give yourself for the world.   So, we take that principle and we say, Jesus was not abused. Jesus did not let Himself be abused. He gave Himself as a lamb to the slaughter as a sacrifice for the Father and for the world. But that's very different. Up until that time, we see Him have great boundaries. We see Him not get, it even says He didn't entrust Himself to man because He knew what was in their hearts. I mean, He had boundaries with people that could have hurt Him.   And I also love when we see this in the story of King David and Saul, when Saul is chasing David, Saul is abusive, right? He wants to kill David. And so, David escapes. And there's a situation where David has the power or the opportunity to kill Saul and he doesn't do it. And then Saul just is struck by his conscience, and he comes back to David. He goes, “You're a better man than I am. I'm so sorry. You know, come back with me and I'll treat you well.” And even though David doesn't take revenge, he doesn't go back with Saul. He's still, he's like, “You go your way. I'll go my way. I'm going to let the Lord judge between us.”   And I think that's a great model. If you're in any kind of abusive relationship, you don't take revenge, but you also don't stay in that situation. You go your way, let them go their way, and you let God judge between you. And I think we see that over and over again in scripture.   Laura Dugger: (47:42 – 48:19) I think that is so well said. And it reminds me of a somewhat recent conversation in 2025 with Stacey Womack who's saying with domestic violence, really the way God would see it is child abuse. And that kind of helps our paradigm because we are His child.   And she elaborates on that. So, I said that that was the last one, but I actually thought of one more as it relates to our children.   So, is it reasonable to assume that once a child has a smartphone, 100% of them will be exposed to pornography?   Dr. Juli Slattery: (48:21 – 49:15) Yeah, it is. And I would say not just once they have a smartphone, because I know with one of my kids, we delayed the smartphone decision, but he had a learning disability that required him to have an iPad for school. And somehow, even though we locked down all the apps, somehow he's able to access it through that. Or it can be a gaming system, or it can be a friend's phone. And so, having a smartphone or device like that certainly makes it more probable.   But you know, like our kids are surrounded by screens and technology, not just what's in our home, but in other people's homes and at school. And so, I think it's safe to assume, unfortunately, that yes, 100% of our kids are going to be exposed to pornography, probably by the time they're 13 or 14.   Laura Dugger: (49:16 – 49:31) And sadly, some much younger than that. But even if there's parental controls, or filters put on, it is just something on my heart that we have to be so vigilant against.   Dr. Juli Slattery: (49:32 – 50:12) Yeah, no, I felt like when, you know, I have three boys, and when they were all three kind of in those teen years, I felt like I was trying to plug holes in a boat, and there'd be new ones popping up all the time. Whether it's like apps, or you know, things that you think are completely safe. Somehow, pornography can get through.   And our kids are smart, like they know the workarounds to the parental things. And that's why we just need to have conversation after conversation, just discipling them, not just protecting them from pornography, but discipling them through what they're inevitably going to be exposed to.   Laura Dugger: (50:13 – 51:05) That's a great point that not just being reactive, but proactive. I think why I have such a heart for this is because practicing and doing therapy and having so many people come in those wounds, that if that addiction gets a stronghold, and that pornography use, it just can wreak havoc in people long term. And so, if we can do that hard work of discipling early on, it is such a blessing to our children, to the generation.   So, I'm just so grateful for your candid responses. And I think it's also a helpful reminder just to never take on a burden that was never meant for us to carry. So, are there any ways that God has taught you to not try and do His business?   Dr. Juli Slattery: (51:07 – 52:16) Yeah. Boy, that's such a great question. I've had to come to the conclusion that I can't convince anyone of right and wrong. You know, like, I can't convince anyone that pornography is wrong, or gay marriage is wrong, or you know, like, that's not my job. My job is to walk with the Lord with integrity and faithfulness and to testify as to who He is.   And so much of this work, whether we're talking about marriage or our friends or our children, so much of this work has to be the Lord's work. And you reach a stage with your kids when they hit those teen years, where you realize the things my kids most need, I can't give them. I can't give them a relationship with God. I can't give them the desire to follow and seek the Lord. Like, I can model that for them. I can encourage them. But that is between them and the Lord. And if I try to control that, I'm just getting in the way of the work that God wants to do in their lives.   Laura Dugger: (52:18 – 52:33) Goodness, I will need to write that down and reflect on that. That is so good, Juli. And there's still so much more that you could share with us.   So, where is your preferred place that we can go online and continue learning from you?   Dr. Juli Slattery: (52:34 – 52:48) Yeah, I would say two places. Number one, our website is authenticintimacy.com. And the second one is the podcast that I do called Java with Juli. It goes along with The Savvy Sauce, you know, like they kind of go together.   Laura Dugger: (52:49 – 53:11) Yes, absolutely. We will certainly link to all of that in the show notes for today's episode.   And you're familiar, I've asked you many times before, because we are called savvy, because savvy is synonymous with practical knowledge or discernment. So, as my final question for you today, Dr. Juli, what is your savvy sauce?   Dr. Juli Slattery: (53:13 – 53:58) Oh, I don't even remember how I answered this the last few times. I think I may have said this before, but I think reading the dead old guys is one of my savvy sauce, like reading people who didn't live in this generation who loved the Lord.   And learning from them is just, that's probably taught me more discernment than anything, because they just cut right through the cultural noise that I think sometimes can blind us. And they really help me see my heart for what it is and help me really want to pursue God at a deeper level.   Laura Dugger: (53:59 – 54:03) Wow. Any specific recommendations that have been personal favorites there?   Dr. Juli Slattery: (54:04 – 54:22) Yeah, I love A.W. Tozer. I love many of Andrew Murray's books, particularly Humility and Absolute Surrender. And C.S. Lewis is another great one, Mere Christianity. So, those are some that I would recommend you start with.   Laura Dugger: (54:23 – 54:44) That is wonderful. Thank you for sharing that.   And Juli, it's just always such a delight to get to share an hour of conversation with you. And you are just this beautiful mixture of bold and gentle and humble, all combined into one. So, thank you for being my returning guest today.   Dr. Juli Slattery: (54:44 – 54:49) Oh, thank you. And it's such a pleasure to be with you. Thanks for your great questions.   Laura Dugger: (54:51 – 58:33) 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's 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, 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're 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 and 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.

A Note from James:In the first two episodes with Dr. Nicole McNichols, we talked about chemistry, communication, anatomy, and the science of pleasure. This final episode is really about something deeper—how relationships evolve over time and what actually keeps desire alive.Because the truth is, long-term relationships don't stay exciting automatically. They require intention. They require curiosity. And sometimes the issue isn't your partner at all—it's that you've stopped doing things that light you up in your own life.We also talk about novelty, sex toys, aging, hormones, communication, and why pleasure itself is not optional for wellbeing—it's essential.This conversation tied everything together for me.Episode Description:How do couples keep desire alive years—or decades—into a relationship?In the final part of this series, Dr. Nicole McNichols explains why long-term passion isn't about constant novelty or dramatic reinvention. It's about intentional connection, personal growth, communication, and maintaining a sense of play.They discuss the “seven-year itch,” why boredom often comes from losing personal passion rather than losing attraction, and how seeing your partner energized by their own interests can reignite desire. The conversation also explores sex toys as collaborative tools, the health benefits of sexual activity, aging and sexuality, hormone therapy, and practical ways to communicate about sex without embarrassment.The episode closes with a powerful reminder: pleasure is not a luxury—it's a core component of wellbeing.What You'll Learn:Why boredom in relationships is often about your own life—not your partnerHow pursuing individual passions can increase attraction in long-term couplesWhy sex toys enhance connection rather than threaten itThe physical and psychological health benefits of sexual activityHow curiosity, humor, and vulnerability improve sexual communicationTimestamped Chapters:[00:02:00] Pleasure, Playfulness & Why Attraction Fades[00:03:28] The Seven-Year Itch & Long-Term Desire[00:04:00] Intention, Communication & Intimacy Dates[00:04:45] When Boredom Is About Your Own Life[00:05:25] Personal Passion & Seeing Your Partner Differently[00:06:11] The Best Sex of Your Life After Kids[00:08:16] Novelty Without Threatening the Relationship[00:09:24] Erotic Identity & Emotional Needs[00:11:00] Frequency of Novelty & Sexual Compatibility[00:11:21] Men Feeling Threatened by Novelty[00:11:42] Sex Toys as Collaborative Tools[00:13:26] The Pleasure Cycle: Wanting, Liking, Learning[00:14:12] Sex, Stress Reduction & Sleep[00:15:23] Health Benefits of Sex[00:16:08] Pleasure as Essential Wellbeing[00:19:00] Is Sex the Most Enjoyable Activity?[00:20:00] Presence, Mindfulness & Happiness Research[00:21:39] Sex and Meditation[00:22:00] Sex in Your 80s & Aging[00:23:22] Loneliness, Health & Sexual Function[00:24:25] Erectile Dysfunction & Physical Health[00:25:00] Menopause, Hormones & Sexual Pain[00:26:23] Hormone Therapy & Medical Guidance[00:27:35] Communication as the Core Skill[00:28:35] Leading With Curiosity[00:29:56] Humor, Playfulness & Awkward Conversations[00:31:08] Closing ThoughtsAdditional Resources:You Could Be Having Better SexNicole McNicholsDaniel Gilbert — Happiness research referencedSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send a textThe landscape of hormone replacement therapy (HRT) and other medications is constantly evolving. Recently, the black box warning on HRT was removed, highlighting the importance of context when evaluating drug safety. From post-finasteride syndrome to FDA approval nuances, and the safety of compounding pharmacies, this guide explains what patients and providers need to know to make informed choices about hormonal and non-hormonal therapies.What You'll Learn in This Video1️⃣ HRT Black Box Update – Why the warning was removed and what it means for patients.2️⃣ Post-Finasteride Syndrome – Risks, neurological and sexual side effects, and global regulatory responses.3️⃣ FDA Approval vs. Safety – Why FDA approval doesn't always mean a product is risk-free.4️⃣ Compounding Pharmacy Regulation – How compounding works, safety standards, and legal customization of therapies.5️⃣ Non-Hormonal Options – Combining ingredients like DHEA, vitamins, and hyaluronic acid for safe, tailored alternatives.

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 How to Naturally Boost Testosterone Data-backed ways to boost testosterone. (2:01) 1. Exercise. (3:18) 2. Sleep. (11:56) 3. Vitamin D. (16:51) 4. Zinc. (20:57) 5. Magnesium. (21:55) 6. Other supps/recommendations: (Fenugreek, Ashwagandha, Shilajit, Tonkat Ali, and red-light therapy.) (23:03) Related Links/Products Mentioned Boost Testosterone Guide: http://mindpumpmedia.com/testosterone-guide  Visit Crisp Power for an exclusive offer for Mind Pump listeners! ** Code MINDPUMP10 for 10% OFF. Give your snack game a serious upgrade. Crisp Power Protein Pretzels deliver super crunchy and delicious snacks that are up to 28g of protein, low carb, zero sugar, and high in fiber! ** January Promotion: Code NEWYEAR50 at checkout for 50% off the following programs: MAPS Starter, Transform, Anabolic, and Performance! Visit: http://mapsjanuary.com/  Mind Pump Store Various Factors May Modulate the Effect of Exercise on Testosterone Levels in Men Endogenous transient doping: physical exercise acutely increases testosterone levels-results from a meta-analysis Sleep and Testosterone: The Essential Connection for Optimal Health Association Between Vitamin D Deficiency and Testosterone Levels in Adult Males: A Systematic Review Effect of Zinc on Testosterone Levels and Sexual Function of Postmenopausal Women: A Randomized Controlled Trial Zinc status and serum testosterone levels of healthy adults Effect of fenugreek extract supplement on testosterone levels in male: A meta‐analysis of clinical trials A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha (Withania somnifera) in Aging, Overweight Males Tongkat Ali benefits, dosage, and side effects - Examine Mind Pump Podcast – YouTube Mind Pump Free Resources  

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Having an adequate amount of muscle mass on your frame can protect your longevity, improve your metabolism, and so much more. In fact, a new study showed a strong connection between muscle mass and sexual function. Today we're going to deep dive this topic, including how you can apply science-backed strategies to get stronger for life.    Today's guest, Dr. Gabrielle Lyon is a board-certified physician, New York Times bestselling author, and the founder of the Muscle-Centric Medicine movement. Her new book, The Forever Strong Playbook, shares the exact formula needed to build muscle for long-term health. Today, Dr. Lyon is back on The Model Health Show for an enlightening conversation on the role of muscle in sexual health and how to train for injury prevention and longevity.   This conversation highlights the importance of isometric exercises, including the top exercises to master to preserve functionality and mobility. You're going to learn about muscle clock genes, the role sleep plays in muscle building, and so much more. Dr. Gabrielle Lyon is an absolute expert in this subject matter, and I hope you enjoy this conversation!   In this episode you'll discover:  What percentage of men have erectile dysfunction. (2:48)  How muscle operates as a metabolic organ. (3:26)  The link between sarcopenia and erectile dysfunction. (5:03)   Why it's critical to protect your tendon health. (9:03)  What an isometric exercise is and its role in injury prevention. (10:14)  Which nutrients are critical for collagen synthesis. (18:45)  What the Foundational 5 are and their purpose. (24:07)  The importance of being able to activate your posterior chain. (28:59)  Why muscle health and mental health are connected. (33:01)  What the muscle clock is. (43:08)  The definition of MPS. (47:43)  How your sleep impacts your ability to build muscle. (50:11)  Why thermal stress can improve your health. (1:00:43)  Items mentioned in this episode include:  WildPastures.com/model - Get 20% off every box plus an additional $15 off!   Paleovalley.com/model - Use code MODEL for 15% off!   The Forever Strong Playbook by Dr. Gabrielle Lyon - Claim your preorder bonuses here!  Connect with Dr. Gabrielle Lyon Website / Newsletter / Podcast / Instagram   Be sure you are subscribed to this podcast to automatically receive your episodes:   Apple Podcasts  Spotify  Soundcloud  Pandora  YouTube   This episode of The Model Health Show is brought to you by Wild Pastures and Paleovalley.   Get 100% grassfed and finished beef, pasture raised chicken, and other nutrient dense, regenerative meats. Sign up with my link to get 20% of for life, plus an additional $15 off your first box at wildpastures.com/model.    Use my code MODEL at Paleovalley.com/model to save 15% sitewide on nutrient dense snacks, superfood supplements, and more.   

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Send us a textIn this enlightening episode of Living the Dream with Curveball, we are joined by Jeffrey Nuziard, the visionary founder of Sexual Wellness Centers of America. At just 40 years old, Jeff faced a personal health crisis that could have defined his future, but instead, it ignited a passion to help others reclaim their sexual health. He shares his remarkable journey of developing a patented protocol that boasts a 97.2% success rate in treating erectile dysfunction, offering hope to countless men and women. Jeff discusses the stigma surrounding sexual wellness and how he is breaking down barriers to foster open conversations about intimacy and confidence. Listeners will be inspired by his insights into the emotional and physical aspects of sexual health, as well as the importance of addressing the root causes of dysfunction. Tune in for a heartfelt discussion about the power of resilience and the impact of sexual wellness on overall health and relationships. Discover more about Jeff and his work at www.regenmax.com.Support the show

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Dr. Irwin Goldstein is one of America's leading sexual health physicians, a pioneer in the field, and the director of San Diego Sexual Medicine.In this episode, he breaks down his latest research into what's known as post-SSRI sexual dysfunction (PSSD)—a condition that's not uncommon but rarely discussed publicly.He's found that a class of antidepressants known as SSRIs can cause lasting physiological damage even after patients discontinue the medication—contrary to what many patients are told.“When they stop the medicine, the usual teaching is that everyone returns to their pre-medication sexual function, and that's not what we're seeing in our sexual health clinic here,” Dr. Goldstein says.His recent research showed that SSRIs can cause structural damage to genital tissue as well as many other physiological problems, like genital numbness, erectile dysfunction, and loss of libido. These problems persist long-term after discontinuing SSRI antidepressants.“It's kind of an awful thing, and it doesn't go away,” Dr. Goldstein says. “These individuals in my clinic who have been given the medicines: Our youngest is age 11. They'll never experience what one would otherwise consider a normal sexual life.”Dr. Goldstein holds a degree in engineering from Brown University and a medical degree from McGill University in Montreal. He is credited with advancing the study and treatment of both male and female sexual dysfunctions and has authored more than 360 academic publications in the field.Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.

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Mark 2:27 NIV "Then he said to them, “The Sabbath was made for man, not man for the Sabbath."   *DISCLAIMER* This episode contains adult themes and is not intended for little ears.   *Transcription Below*   Emily MacLeod-Wolfe is a Nurse Practitioner wellness professional with a passion for helping individuals achieve their health goals in a holistic and practical way.   With 5 years of invaluable experience in the field, Emily has developed a deep understanding of the importance of a balanced lifestyle for a vibrant life.   Emily firmly believes in treating the whole person, not just the symptoms, and takes a comprehensive approach to healthcare. She learned these from her own personal experience of dealing with Hashitmotos thyroiditis and eczema and found the root causes to treat them naturally. She is passionate to help others with the personal knowledge and health freedom she has received.   By combining her medical expertise with a focus on nutrition, exercise, and mindfulness, she empowers her clients to take control of their health and make sustainable lifestyle changes.   With a warm and empathetic demeanor, Emily creates a safe and supportive environment where clients feel heard and understood. She works closely with each individual to develop personalized wellness plans that are tailored to their unique needs and circumstances. Whether you're looking to improve your physical fitness, manage stress, or simply lead a healthier life, Emily is dedicated to guiding, encouraging & supporting you on your wellness journey.   Emily's Website   Questions and Topics We Cover: Will you give us an intro lesson for hormones 101? Is it normal to have really painful and heavy menstrual cycles or is that an indicator that something is not right? What are the best practices you recommend for women to support healthy hormones and healthy adrenals in their body all month long?   Thank you to our sponsor: Leman Property Management   Episode Mentioned Today: 256 Gut Health, Allergies, Inflammation and Proactive Solutions with Emily Macleod-Wolfe   Other Related Episodes on The Savvy Sauce Podcast: 81. Sacred Rest with Doctor, Wife, Mother, and Author, Dr. Saundra Dalton-Smith 167. Pursuing Health in Four Key Areas with Debra Fileta 205. Power of Movement with Alisa Keeton (Revelation Wellness) Hormones and Simple Changes to Feel SO Much Better with Functional Medicine Expert, Dr. Jill Carnahan Practicing Sabbath with Shireen Eldridge Special Patreon Re-release: Out of the Box Stress Relievers to Apply Today with Dr. Saundra Dalton-Smith 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler   Connect with us through The Savvy Sauce Website   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 – 0:12)   Laura Dugger: (0:12 - 1:29)  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.    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.    Leman Property Management Company 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.    Emily McLeod-Wolfe is my returning guest for today. Last time we talked about everything related to gut health, and I'll make sure to link that episode in the show notes for today's episode. I would highly recommend that you begin there, because there's a lot of overlap with solutions, as then we transition today into our topic about female hormones, the menstruation cycle, and how to make everything better, and even end up grateful to God for our female cycle.   Here's our chat. Welcome back to The Savvy Sauce, Emily.   Emily Macleod-Wolfe: (1:30 - 1:34) Thank you so much for having me again, Laura. I'm so excited about this section.   Laura Dugger: (1:35 - 1:40) Yes, can you just give us a brief reminder of the work that you get to do before we dive in?   Emily Macleod-Wolfe: (1:41 - 2:08) Yes. I am a holistic nurse practitioner. I was trained traditionally in traditional medicine at Vanderbilt, and then I went on to do ... Well, from my own personal health journey, I knew I wanted to do more holistic medicine, so I went on and did functional medicine, natural medicine training, so, now I have a practice called Pure Integrative Health, which is to blend the best of both worlds, and to basically to root cause medicine.   Laura Dugger: (2:08 - 2:19) Well, and we covered all things gut health last time, but I've been so excited to interview you about hormones, so as best as you can, could you just give us Hormones 101?   Emily Macleod-Wolfe: (2:21 - 3:02)  Yeah, yeah. And first of all, if you didn't hear the last episode, I would recommend go back to listen to the previous one, because the gut health is the precursor that builds to the hormones, and I don't recommend even trying to address the hormones unless you've got some of the gut healing going, because they are so interconnected, even in the way in which we don't want to be recycling hormones, so constipation is causing an excess hormone recycling that should not be happening. So, again, healthy gut health is going to help the hormones, but yes. So, for women, or for men, or what hormones would you like me to describe?   Laura Dugger: (3:02 - 3:11) I think we're just going to focus on women's hormones today, because I want to get more into our cycle as well.    Emily Macleod-Wolfe: (3:11 - 10:59) Oh, great question. Yeah. Okay. So, for women, we have the sex hormones, estrogen, progesterone, testosterone, not nearly as high levels of testosterone as men, they can be highly driven off of it. If the testosterone is too high in women, then we look at things like PCOS, polycystic ovarian syndrome, excess androgen, so it could be like abnormal hair growth, extra oily skin, acne, those are some signs of like maybe high testosterone, but also could be from high cortisol, which is the stress hormone that's made in the adrenal glands that sits on top of the kidneys and produces stress hormone.   Now we'll explain how the adrenals and the stress hormone cortisol affect some of the sex hormones, but those ones, and then there's one called DHEA, and that is the precursor hormone to testosterone. So, we've got estrogen, progesterone, testosterone, DHEA, pregnenolone is like the master hormone in which all the hormones can be made out of, and the cholesterol actually funnels into pregnenolone. So, our cholesterol is necessary, we do need good cholesterol to help all the hormones, so, yes, that's why good healthy fats and things like that are really helpful, like olive oil and avocado and baking, broiling and grilling things and all of that, the cholesterol, pregnenolone master hormone, we got DHEA, which is the precursor to testosterone.   And then testosterone can be the hormone that converts into estrogen, so, they're all connected, they're all very connected, so excess estrogen could be from too high testosterone. Anyhow, they're all over the place sometimes for women, and they do fluctuate just even within 28 days, so I'll kind of explain that, and then we can kind of go from there. So, we talked about cortisol, there's a lot of other hormones, but I was just telling you about the sex hormones, so that's necessary to understand a cycle of a woman.   So, when we start cycling, and then we have a couple different phases, we have the follicular phase, which is the first, day one is the day you start bleeding, and then day 14 is typically the day that we ovulate. So, day one, we have, estrogen starts to increase, we've kind of bottomed out, usually on our cycle, most women feel a little bit lower energy, I mean, we're bleeding and menstruating, and so some women lose a lot of iron, and ferritin levels can go down a lot during that, so we want to eat very iron-rich, lots of leafy greens, vegetables, good healthy fats to support. I kind of describe each week of our cycle, almost like a season, it's like winter is the first seven days of the bleeding, and then we've got spring, but then we start to feel really good, and everything is good, and then we've got summer, and we're doing great, and then we've got fall, and so we can kind of eat accordingly to, almost seasonally for the hormones, too.   So, we've got the first seven days, lower energy, because estrogen and progesterone are pretty bottomed out, but they start to gradually increase. Now estrogen really starts to increase, and then right around day 14, it comes down, and then progesterone takes over, and so right there is the ovulation, and that's where the ovaries will release an egg, and has the opportunity to be fertilized or not in the middle of the month, and it all very much interconnects with our moods and how we're feeling, and people have heard of PMS, premenstrual syndrome, you felt the hormonal changes and all of that, but there's definitely ways that we can kind of mitigate the extreme highs and lows, like some people deal with depression-like feelings and really big mood swings, we can work on leveling those things more so that they're not so drastic through certain things I'll describe, but anyhow, we've got follicular phase, estrogen, we've got the luteal phase, we've got ovulation, then we've got the luteal phase is where progesterone is really increasing and decreasing, and that's days 14 to 28 of the cycle. So, we've got first phase and second phase. And two, we can break it down even more to four weeks.    We've got like the first week, lower energy, but that's like, you can even connect it to emotions and how, like, maximizing efficiency for work based off of your cycle. Because even, you're not supposed to make a really big life decision during the menstruating week, because that's just low energy and all that. But it's a good time to dream, brainstorm, hopefully you're taking time to rest, take care of your body, have some salt baths, rich in magnesium, eating those good foods, giving nutrients, if your body needs, you get your iron levels checked and your ferritin levels. Your practitioner might give you an iron supplement that you're kind of taking in conjunction, depending on that. And so, we're resting and resetting and having time to journal, dream, and brainstorm things for the, you know, hopefully the next and then the next week, the estrogen is coming up a lot, and starting to feel back to normal self, usually really good and feeling that surge, the mood starts to get better, it's a great time to start to do like some good heavy weightlifting and exercise can even be based around cycle two. For menstruation, you're probably going to want to do a little bit more lower impact and walking and stretching, Pilates, things like that. And then a bar and all that and then weightlifting that second week is great.   And then also, that's around ovulation is that's where we feel more loving and affectionate and different things and the way that God designed our body literally to want to be with a man around that time. And that's procreation time. And then right around the after ovulation, that third week, and fourth week can start to get challenging because that's where well, sometimes that third week is a good, sweet spot.   But the fourth week, the week before the period. Yeah, like that day is 19 to 21. And then like after that, that's where some mood swings can start to happen.   And the estrogens come down a lot progesterone depending on where the bodies at. Most women are deficient in progesterone overall. So, if it's already decreasing, it was a peak in the third week, and then it's decreasing, going towards menstruating again, then it's a recipe for not sleeping great mood swings, irritability, bloating, breast tenderness, that can be estrogen imbalances, excess estrogen, low progesterone like symptoms.   And then yeah, that was a lot.   Laura Dugger: (10:59 - 11:20) That's so helpful. I want right before we move on, because I want to hear how to mitigate some of those symptoms. But first, you mentioned eating seasonally, even each week. So, is that what you're saying that we eat more of those winter foods, that day one to seven? And could you give an example for each phase?   Emily Macleod-Wolfe: (11:21 - 14:19) One example, Sweet potato, you know, like the foods that you would find more in the winter. So, you're kind of doing like sweet potatoes.   And like I said, the fatty food, like a healthy fat Mediterranean, definitely right around the cycle. Body craves, if you find yourself craving chocolate, it's probably because your body's deficient in magnesium. Most of us are.   So, some women will use it as an excuse to have chocolate, guilty as charged. But actually, it's magnesium deficiency, but chocolate has magnesium in it. So, if you get a rich, like dark chocolate, if you're not sensitive to chocolate, and you can do one that's a really dark and, and doesn't have a ton of sugar, then that could be a good source.   But just foods rich in magnesium, dark leafy greens, avocados, nuts, and really checking levels and magnesium, Epsom salt baths, things like that, that's going to be great. You're going to want to do that also kind of the week before the period to in the fall like food. So, you know, like the, the squashes, and you kind of like the baked vegetables and, and protein and, and then like in the spring, like the week after, then maybe you're doing more like, you know, berries and, and, you know, things that you would have in this in the springtime and summer, different types of meat that you would like lean chicken and turkey. Then harvest like food for that week before the period to give you good. There's something called seed cycling. So, the pumpkin seeds and well, sesame and sunflower are for days 14 to 28 of the cycle.   So, the second half that gives the body the micronutrients needed to help support progesterone and then pumpkin and wow, I'm really blanking probably because I need to eat lunch. But we can come back well it's going to come back to me the pumpkin and the is it chia? No, flax.   Flax. Okay, flax seed. Pumpkin and flax for days one, the day we start bleeding to ovulation day 14, and then sesame and sunflower days 14 to 28.   So, like adding those into smoothies, handful of nuts, nut butter, sunflower seed butter, you know, those kinds of things. Those that can also kind of support the cycle naturally and give the body the nutrients that are needed to support the body like that.   Laura Dugger: (14:19 - 14:37) Okay. I have heard about seed cycling before. It kind of ties into the other question I had. I wondered if it's normal to have really painful and heavy menstrual cycles? Or is that an indicator that something's not right and maybe we need to bring in something like seed cycling?   Emily Macleod-Wolfe: (14:39 - 18:15) Yes, painful, heavy menstruation. That's not normal. I personally have dealt with them.   So, I understand they're awful and they can leave some women, you know, nauseous, throwing up, vomiting, breast tenderness. Now, that signs of excess estrogen that likely needs to be detoxed. And I would recommend going to a holistic practitioner and asking them to do a saliva hormone testing panel.   Actually, we have no, I don't have it with me right now. But it's basically these vials of saliva that you spit right when you wake up, lunchtime, dinnertime, bedtime, and it'll check sex hormones between days 19 to 21 of the cycle. We're checking peak progesterone time so we can look at the most accurate depiction if you're cycling.   It's still possible to do it if you're postmenopausal and want to do the test, we could do it at any time. But it's a saliva hormone test is the most accurate way to measure hormones and see exactly what's going on. We can check blood work, but it's just like a little shot in the dark. But the saliva is the more accurate picture of what's going on.   So, I would recommend if you're having really heavy menstrual cycle, yes, you can try the seed cycling to start. That's harmless to try. But there might be more things going on that really need to be seen by a practitioner to help either support what hormone is low or detox another hormone that is excess.   Now, we are overall in our society getting a lot of excess estrogen. And that can be through plastics, we get a lot like trying to switch even just a bottle as I'm drinking through. We don't want to try and drink as much plastic out of plastic, we want to do like glass water bottles.   And like stainless steel water bottles better. Unless you're in a crazy rush and you forgot to bring one is better drink some water than no water. We've got to stay hydrated to have healthy bowel movements to have energy to our cells, all of that good water filter that filters out fluoride, chlorine, those things will affect the thyroid very much so. Thyroid hormones affect sex hormones and etc.   So, we want to get a good filter for the water so that we don't have to deal with the after effects of thyroid imbalances or if you're already dealing with thyroid imbalances. I understand because I've dealt with that myself. And so, we want to remove as many stressors because the thyroid needs iodine just to function.   And if we're getting fluoride and chlorine, those particular elements compete for iodine in the body. So, we got to get those out as best as we can get rid of excess estrogen. Through plastics, chemicals and detergents, like all of the chemicals that are exposed in detergents and cleaning products. As much as we can clean those up as well, it's going to be very, very helpful for thyroid, very helpful for sex hormones.   Laura Dugger: (18:16 - 18:26) Oh, that's interesting. So, those I don't even think of that are like store brand names for detergents that those could be endocrine disruptors, you're saying?   Emily Macleod-Wolfe: (18:26 - 18:45) That's great. Yes. So, endocrine disruptors are things that are going to cause imbalances to the thyroid, the sex hormones, or any of their other hormones in the body. Yes. So, we definitely want to try and stay away from those things.   Laura Dugger: (18:46 - 21:10) Let's take a quick break to hear a message from our sponsor.    With over 1,700 apartment units available throughout Pekin, Peoria, Peoria Heights, Morton, Washington, and Canton, and with every price range covered, you will have plenty of options when you rent through Leman Property Management Company. They have townhomes, 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 Company 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 at lemanprops.com. You can also stop by their website at lemanproperties.com. That's L-E-M-A-N properties dot com. Check them out and find your place to call home today.    Okay, so I'm even thinking, so females my age or friends or older or younger women listening, even we have four daughters and so as they grow and mature, all of this is helpful. I'm assuming to start at a young age with getting rid of some of those toxins or not microwaving food on plastic plates, but then also you said detox. Is that through hydration or did you mean something else with detoxification?   Emily Macleod-Wolfe: (21:11 - 22:47) I can't get into this unless I saw somebody as a patient because I can't give across the board recommendation for this, but I will say because there are certain supplements and things that might be needed. Say there's excess estrogen in the body, there might be supplements that that person needs to help bring down those excess estrogen levels aside from food. But one thing that I do know that you can eat that helps overall is the more that you love and detoxify the liver. It's what has to process all the hormones.   One thing is broccoli sprouts, not broccoli, broccoli sprouts. So, you know, micro green sprouts, those ones, the broccoli sprouts are incredible at helping getting rid of the bad kinds of estrogen, detox those out of the body. So, that's really good.   Cruciferous vegetables, cooking your cruciferous vegetables though, because if you eat them raw, it can affect the thyroid negatively. So, it's best to, it could cause goiters and so we don't want that. It can be goitrogenic essentially.   So, we don't want that, but you could bake. I mean, you could cook cruciferous vegetables, broccoli, brussels sprouts, kale, etc., those cruciferous vegetables, spinach, all that. And those are great also for that. So, that can help.   The best one is the broccoli sprouts. Yes. And then getting saliva hormone testing done and seeing exactly where your body is at.   Laura Dugger: (22:48 - 22:53) Okay. Cause I'm wondering then could that even be a mineral deficiency when you're talking about supplements?   Emily Macleod-Wolfe: (22:55 - 27:11) Yeah, there definitely can be mineral deficiencies. It just, like I said, I've seen a lot of different variations, right? Excess estrogen, low progesterone, low menopausal, low everything.   Once the hormones bottom out, then they're kind of low across the board and the body might need bioidentical hormones to have extra support. It's cardioprotective, protective against cancers, protective for the bones, different things like that. Bioidentical is different than synthetic.   Synthetic hormones is like birth control, but synthetic hormones can, go see the last episode when we talk about leaky gut intestinal permeability, but the birth control can actually cause intestinal permeability too. So, that's a problem. Leaky gut can be from birth control, the synthetic birth control, and then the body's not even able to ovulate.   It's not able to release. There's just like the, the way that God designed it is we're actually, if you allow it to look at it as like a cleansing and a purging every month, that spiritually the Lord, if we allow the Lord, we don't have to dread it. It's so common in society to dread a period. Or, oh my gosh, again, here we go.   But how beautiful it's a celebration of the ability to give life. It's an opportunity to take some time to rest. It's a beautiful time to take some time to sit back and reflect, especially that week before the period.   Also try and not make big decisions the week before because the progesterone's bottomed out causing mood swings and then making decisions is going to be a lot more stressful and can lighten load and work a little bit that week before, a few days prior to your period. That would be very helpful. Stress levels really impact the cycle and also just trying to prepare the body for going through perimenopause and then menopause.   Wherever you're at in your health journey, life journey, it's, it's just so good to educate younger women to be really taking care of their adrenals, which is this, you know, the organ that produces stress hormone because high cortisol, which is the stress hormone produced by the adrenal glands, zaps progesterone and most women, that's probably why I see a lot of progesterone dipping so quickly. You need progesterone to have a healthy pregnancy. So, we're seeing a lot more miscarriages and infertility problems could be from low progesterone.   And, um, and then that will eventually bottom out with menopause because the ovaries are not producing it anymore. And the only place that we have progesterone left in reserves is in the adrenal glands. And so, if the stress has been going on for so long, then even the reserves of the backups of the backups are gone, the progesterone, which is why I see a lot of women going through a more extreme version of menopause than with the night sweats and the hot flashes and all those things that maybe didn't even have to happen.   Because, uh, if we take care of it on, on the earlier end of managing stress levels, going to bed at good times, getting full amount of sleep, women need eight to 10 hours of sleep. We will, I will just go ahead and say that because our hormones are very independent, dependent on our adrenal function. Men, they don't really have to rely on their adrenals as much as their other, other sex hormones and locations.   Um, so they don't have to deal with it as much as the women. So, we're constantly tied to a function of our adrenals really affects our sex hormones like crazy. And we're not getting the right amount of sleep.   Then we're going to have high stress levels, high cortisol, and then the high cortisol is where it is at the sex hormones. So, we need those reserves to be replenished and the, and the cortisol levels drop and melatonin kicks in and we're going to sleep so much better and sleep so much deeper.   Laura Dugger: (27:12 - 27:36) Wow. This is fascinating. And I love how you're even celebrating the cycle and how God created it because I'm forgetting one of them, but I heard that menstrual blood was tested, and they saw that it was detoxifying plastics and pesticides. And there was one other thing that the body was using to eliminate. And so that's a reminder just to be grateful for that too.   Emily Macleod-Wolfe: (27:36 - 29:08) And, uh, the birth control pill, it's a temporary fix. There are alternative forms of birth control that do not have the synthetic hormones that are good, good options, you know, and the synthetic hormones though, I've firsthand seen it with patients negatively impact the thyroid. And a lot of them have had to end up on thyroid medication just simply due to years and years of birth control and it impacting the thyroid and the cellular health as well as the lining of the gut and a lot of other side effects that I'm not a weight gain, different things.   And then the body not even being able to menstruate and fully excrete things. And, um, or even, you know, the, the cycle is an indicator, I think for women very much of like your monthly health, like how, how am I doing? Like if I'm having a really bad period, um, likely it was something that I had done this past month.   Okay. Did I eat right? Was I sleeping?   Was I incredibly stressed? Usually, you can trace it back to that. Now there's obviously other cases where, you know, PCOS and ruptured ovaries and different things like that, or ruptured cysts on the ovaries, sorry.   Um, then that can contribute to longer term diseases, but on a, it's almost like a litmus test to see how, how our bodies are doing.   Laura Dugger: (29:09 - 29:27) I like that perspective. And Emily, you're so great at giving proactive tips and I love easy wins. So, what are some of the best practices that you recommend for women to support healthy hormones and healthy adrenals in our bodies all month long?   Emily Macleod-Wolfe: (29:30 - 33:32) One is glucose management. So, protein, I cannot emphasize it enough protein sources, um, you know, good, healthy, as much as you can, grass fed organic meat. So, you're not getting the synthetic hormones from them because who knows what they're being fed and what they're being pumped with, but those sources, um, protein, other sources of protein, um, that's going to give you up to 15 hours of energy.   So, that is incredible. As far as eating for energy, I will say, if you can do that, that's, um, it's incredible. It's a game changer, eating for energy, protein, vegetables give us up to five to six hours of energy.   And then carbs, carbs give us, um, like if we had a piece of fruit, it only lasts in the system for 15 minutes. Or, um, potato chips, something like that, 15 minutes, that's not very long. And then the body says, ”I'm hungry again.” Then we ended up overeating because we just had the carbs and we're not full.   And so, that's why pairing the meals around the protein and then the fiber and then a healthy fat. Or like the protein, the fiber and a complex carb (sweet potato, brown rice, quinoa). Things like that is going to stabilize the blood sugar. So, there will not be cortisol stress levels spiked when we don't eat for too long, then it can cause the body to go into, um, stress overload. And there's four different stages of adrenal fatigue, cortisol, and that can affect the body very much.   So, spikes and crashes in glucose spike and crash the cortisol and then spikes and cortisol will steal your progesterone and then cause imbalances because progesterone keeps the estrogen in check. So, then you got estrogen and progesterone imbalances. Then there's DHEA, which is the other hormone that's made in the adrenals. So, sometimes DHEA, DHEA is incredible for building muscle, keeping muscle concentration, memory.   It's, wonderful at libido, all sorts of those things. Now, DHEA just decreases as we age. It's the precursor to testosterone as well, but it's also made in the adrenal glands.   And so, the more we can regulate cortisol and adrenal, sometimes high levels of stress, we've got to go back and think. Okay, um, we might not even feel stress, but if there's been physical abuse, emotional abuse, or sexual trauma, those are serious things that the body will hold on to. And unless you have gone to process, I recommend getting a Christian counselor and process those things because the body can literally still be holding onto it 20, 30, even 40 years, if it's not been let go and given to Jesus. And, um, so that is also a huge, we can't dismiss that or just try and fix the physical.   If there's been some stressors and the body has just been in survival mode and has to just keep going, then maybe it only knows how to live off of high cortisol stress reserves to just keep going. It doesn't, but if you have a hard time falling asleep, a hard time unwinding, feel like you're always on the go, those are like adrenal stages one and two high cortisol, but then that eventually will start to plummet. And then it's, um, you know, more difficult time getting out of bed and jumping straight out crash in the afternoon with energy crash after dinner crash before bed, um, or like wired and tired, like wired the brain's wired.   The body feels tired, but can't go to sleep. Then further stages waking up between 2:00 and 4:00 in the morning could be blood sugar, adrenal issues as well.   Laura Dugger: (33:32 - 33:41) Oh, could you speak a little bit more into that? Could be, the blood sugar related to the adrenal issues if you're waking up at that 2:00 to 4:00 AM time?   Emily Macleod-Wolfe: (33:42 - 34:47) Yes, it can be, the body signaling that the blood sugars drop too low. And then the cortisol has to, it can signal to the cortisol and the adrenals to spike to just keep the body going, survive. And then all of a sudden cortisol is spiking at night, which it should not, it should be done.   And melatonin should be happening at night and then cortisol in the daytime. So, if there's a cortisol spike because of a glucose crash, then, um, then we need to support it with, a spoonful of almond butter before bed, a handful of nuts, something, some protein before bed is going to, help someone, you know, in the middle of the night, stabilize the blood sugar. It can be a blood sugar issue with, cause blood sugar and cortisol are interconnected, but also should just check your cortisol levels, get a saliva test.   It's that saliva four point, um, test checks for sex hormones and cortisol, or we can.   Laura Dugger: (34:47 - 35:06) So. Okay. One more thing with that. So, then the blood sugar dropping that low, is that somebody who's maybe completing their closing, their eating window too early in the day, or they're not getting enough sugar throughout the day. Is that what you're saying with, why would it drop to that level and require cortisol?   Emily Macleod-Wolfe: (35:08 - 36:51) Great question. It would be, it could be the person's not eating enough throughout the day and the body just doesn't have the right. So, if the person was fasting quite frequently and doing that a lot now, everybody, everyone's body is different.   If you have adrenal imbalances, I do not recommend doing fasting because the body is already under stress and then fasting can put extra stress on the body. So then you're like, well, but then they said that if I fast and I should lose weight, and if you're fasting and you're gaining belly fat and you're gaining weight, it's a telltale sign cortisol because high cortisol level, puffy face, um, belly fat, stubborn, you can eat right exercise, try and do everything and it will not leave. That's usually survival mode. Body's trying to self-protect. Um, and so, yeah, so we don't want to be fasting very much if there's cortisol imbalances. Now, if there's not, and if you have your cortisol check, then there's great benefits to doing intermittent fasting and things.   And even biblically spiritually, there's incredible benefits to fasting. The Lord knows there's the cells literally repair themselves, regenerate and can eat up cancer cells. If we put our bodies into that ketosis state for good bit, but that is not something I would recommend doing high intensity exercise, or that's going to put a lot of cortisol stress on the body, high impact, um, or skipping a lot of meals.   So, that could be why the blood sugar is like dropping in the middle of the night.   Laura Dugger: (36:52 - 37:37) I just wanted to let you know, there are now multiple ways to give when you visit TheSavvySauce.com. We now have a donation button on our website and you can find it under the donate page, which is under the tab entitled support. Our mailing address is also provided.   If you would prefer to save us the processing fee and send a check that is tax deductible. Either way, you'll be supporting the work of Savvy Sauce Charities and helping us continue to reach the nations with the good news of Jesus Christ. Make sure you visit TheSavvySauce.com today. Thanks for your support.    Is there anything else that we haven't gotten to discuss yet that you want to make sure we don't miss out on?   Emily Macleod-Wolfe: (37:38 - 39:15) So what, when do you know if you're in perimenopause versus menopause? And like I said, if you're a woman in your twenties and you're like, that does not apply to me. Actually, it does because it's just, you don't want to get to menopause and have no reserves.   Progesterone left because you depleted it from high levels of cortisol over the years. So, lifestyle changes, the protein, smaller, more frequent meals, the consistent bedtime, trying to go to bed before midnight, like 10:00 PM is like a sweet spot. 10:00 PM to 2:00 AM is when the liver detoxes, when cholesterol gets flushed, all these different things.   Melatonin window for the body to like fall asleep and stay asleep is between 10 PM and like, there's sometimes it's even earlier. It just depends on the person. And I actually use a little app called Rise. It does a good job kind of helping you track where you're melatonin and when you're awake window, when to cut off eating and when to kind of wear blue light blocking glasses to prevent your body to blue light helps.   We set this in the last one, but blue light actually tells your body to stay awake. So, you don't want to be on your screens too late at night, or your body's going to be sending the signals to stay awake when you're trying to wind down. So, using softer lighting, doing candle lit, doing, you know, just mimicking outside when the sun goes down, we should be going down, going down to bed and sleep when the sun wakes up. That's when we should be getting up as well.   Laura Dugger: (39:15 - 39:38) So, and getting that morning sunlight that we talked about. So important. And I forgot one quick follow-up question. When you talked about cortisol, too high of cortisol contributing to belly fat, that stubborn or puffy face, what would the solution be? Is it just manage your stress better or what's the takeaway there?   Emily Macleod-Wolfe: (39:38 - 42:39) The takeaway is yes, there's things you can do glucose wise, blood sugar and food that we've talked about. Lifestyle wise, of course. I mean, a ton of it is we're American society that trophies busyness.   And like the Bible literally talks about the importance of rest and the Sabbath and like even humans, we were made on day six, but the first day we were actually doing things, Adam and Eve was day seven, was the day of rest. My dad's a pastor and he actually just gave a sermon on rest and the Sabbath just last week at Harvest Sound. But it was just all about that we were created out of rest.   Like we're there to start doing things out of that place of rest. And we just don't take that time. I mean, it's like, okay, we got to go, go, go, got to take care of the kids, got to go do this, go do this.   How are you doing? Oh, I'm so busy. How about you?   Like, it's almost like a trophy thing to say that, but really like, how about prioritizing that time? And it's so easy, especially as women and mothers to just say, oh, but I just want to take care of everybody else. But like, if you were to have a date with your friend, you wouldn't go overbook it with something else.   You would prioritize that. Are you going to go do something for your child? You're going to prioritize that.   So, I need you to also take time to prioritize your me time, prioritize the time. It's not selfish. It's necessary because you're going to be a better wife.   You're going to be a better mom. You're going to be a better friend. If you take care of the needs, whether that's taking an Epsom salt bath once a week, and that's spending time mourning sunlight or writing a list of gratitude, doing things, write a list of things that bring you joy and just pick two or three of those a day.   Like build that in - life's too short. Literally cortisol will kill you. Also, we didn't talk about that, but it's taking minutes off your life.   So, life's too short to have cortisol, unnecessary cortisol spikes. So, as much as we can,  it's prioritizing that learning the healthy boundaries saying no when needed to, and, not saying yes to everything. So, that is, it's a lot of those lifestyle things.   And then, fine tuning it with a health practitioner is great because everybody's spikes and crashes are in different places. Some people have high cortisol. Some people further on into the adrenal fatigue have low cortisol because the body doesn't have any more cortisol to give.   And that's a whole other list of symptoms of exhaustion and fatigue. And they might need actually glandular support and different, totally different supplements than someone that's got high cortisol, but they can present similarly as far as stubborn weight, puffiness, energy spikes and crashes and different things like that.   Laura Dugger: (42:40 - 43:04) So how incredible to get to follow up with a health professional then, and you are certainly one that we would recommend. And so even if we're out of state, but we could make a first appointment with you and figure out some way to do telehealth, can you just give us your website or share what you have to offer so that we can maybe make a follow-up appointment after this conversation?   Emily Macleod-Wolfe: (43:05 - 43:38) So it's pureintegrativehealth.com. And I could click on the tab, become a patient, just fill that form out. And then we can talk about a plan if you're in Tennessee, great.   We can just right away, we know you're in person. If you are out of state, I have to see you in person for the first initial eval and then we can come up with some hybrid plan of telemedicine in between visits and legally just need to be able to see you still once a year or something in person, but we could do the rest in telemedicine options.   Laura Dugger: (43:39 - 43:58) So yeah, it's a wonderful option. We will link to that in the show notes for today's episode. And Emily, you're already familiar that we're called The Savvy Sauce because savvy is synonymous with practical knowledge or insight. And so as my final question for you today, what is your Savvy Sauce?   Emily Macleod-Wolfe: (43:59 - 46:04) Well, in regards to this topic today with hormones, I would say my Savvy Sauce is actually, it would be around getting that bedtime routine down packed in order to have an eight to 10 hours of like actual sleep because the mind does a brain sweep and gets rid of toxins in the brain between seven and a half hours and nine hours. It's happened somewhere in that window. And so if we're skipping out on sleep, we're missing out.   If you're getting even six hours, you're missing out on the neural brain sweep that actually gets rid of the toxins that prevent Alzheimer's, dementia, a lot of other problems. The metabolism at nighttime, the body literally burns fat at night. We have to get sleeping.   And so, and if you're having problems sleeping, you're like, I want to sleep, but I haven't, then I would recommend start looking into different forms of magnesium. I can't get into it fully today because there's seven different kinds of magnesium, but there are some that will actually help with sleep. And so talk with your practitioner about the best forms that could help you increase your sleep as well, because most of us can be deficient in that and creating that really, really healthy rhythm.   Just knowing your why behind why you're sleeping is also really helpful because it's like, you can hear a lot of people say, you need to get more sleep. I should go to bed, do this, but why? It's actually getting a neural sweep, liver is detoxing, cholesterol is cleansing.   God does an incredible thing with our dreams. We're literally flushing and processing all the things from the day. And so, talk about stress and adrenals.   We got to help heal through our sleep.   Laura Dugger: (46:05 - 46:26) Wow. Thank you for leaving us with that word. There's so much more we could cover.   And ever since our first interaction, you have just been overflowing with kindness and graciousness and generosity with your time and sharing your knowledge. You're so kind, but I have just loved spending this time with you. Thank you so much, Emily, for being my repeat guest.   Emily Macleod-Wolfe: (46:27 - 46:32) Oh, my goodness. Thank you so much, Laura, for having me again. This has been wonderful. I really appreciate it.   Laura Dugger: (46:33 – 50:15) 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 including 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.

The hormonal benefits of fenugreek extend beyond the muscle-bulking testosterone boost.

Join me, Suzanne Noble, as I chat with the brilliant Dr. Pete Tsambarlis, an associate professor of urology at Northwestern University, who knows more about prostates than most of us know about our morning coffee! Dr. Tsambarlis was introduced to me by a patient of his, fellow Substacker Bob Mizek-Menopause for men, so I knew we were going to have a fascinating conversation around importance of understanding prostate cancer, the effects of treatment on erectile function, and the recovery timeline after surgery. Dr. Tsambarlis emphasised the role of medications, lifestyle changes, and the significance of having a supportive healthcare team. The conversation also touches on Peyronie's disease and the importance of proactive health management for better sexual outcomes.Listen as Dr. Tsambarlis shares his wisdom on everything from avoiding the dreaded prostate cancer to why your heart health is your best friend below the belt plus tips on how to have those awkward conversations with your doctor without embarrassment or shame.00:00 Introduction to Sexual Health and Prostate Cancer01:56 Understanding Prostate Cancer and Prevention04:02 Supporting Men Through Prostate Treatment09:46 Recovery After Prostate Surgery10:56 The Role of Medications in Erectile Function14:18 Empowering Patients: Questions to Ask Your Doctor16:49 Exploring Peyronie's Disease22:32 Taking Control of Sexual Health28:06 Building a Supportive Healthcare TeamWhat's this about?Hi, I'm Suzanne, author of the bestseller ‘The Butcher, the Baker, the Candlestick Maker: An Erotic Memoir,' pleasure seeker and curious about ways to improve our intimate relationships as we age.Each week, I delve into a different aspects of sex, dating and relationships with an expert which I bring to you via the Sex Advice for Seniors podcast. Once a week, I write or invite a guest to write a more personal story, which could be in the form of an erotic experience, a sex toy review or perhaps a new perspective, typically behind a paywall.Alongside this Substack, I advocate for the right to sexual pleasure in later life through speaking engagements, attending conferences and other events, which your subscription helps to pay me to attend.Being a subscriber has multiple benefits for you:* Receive my book, ‘Sex Toys & Supplements for Thriving in Later Life' * Join my private chat where you can ask questions of a personal nature* Helping to contribute to the conversation around sex and sexual health in later lifeI'm grateful for each and every subscriber that pays £6.99 or £49.99 per year so do consider taking a subscription if you have the means to do so.Hey, but don't take it from me. Here's what others say about Sex Advice for Seniors:“Not enough older voices talking about sex. Are we just supposed to dry up and fade away?”“I enjoy staying abreast of new ideas and learning new ways to please my wife.”“Straight non judgmental information that relates to my needs.” Get full access to Sex Advice for Seniors at www.sexadviceforseniors.com/subscribe

Top Ten from 2024: #4 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn   *DISCLAIMER* This episode is intended for adults.   **Transcription of original episode**  224. Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn   Deuteronomy 29:29a (NKJV) "The secret things belong to the LORD our God, but those things which are revealed belong to us"   Questions and Topics We Cover: Are there any specific questions you recommend we ask our spouse periodically? Will you elaborate on your finding that "men and women tend to have different insecurities that the process of sex can help heal or hurt"? You write "Having a comfortable way to signal (and receive) openness or interest will create connection and prevent much pain." So, how can couples begin to develop their own private language or signals to communicate effectively in a healthy manner?   Thank You to Our Sponsor: The Sue Neihouser Team   Shaunti Feldhahn received her graduate degree from Harvard University and was an analyst on Wall Street before unexpectedly becoming a social researcher, best-selling author, and popular speaker.   Today, Shaunti applies her analytical skills to investigate eye-opening, life-changing truths about relationships, both at home and in the workplace. Her groundbreaking research-based books, such as For Women Only, The Kindness Challenge, and Thriving in Love & Money, have sold more than 3 million copies in 25 languages. Her books and studies are popular in homes, counseling centers, and corporations worldwide.   Shaunti (often with her husband, Jeff) has spoken around the world, sharing her findings with audiences ranging from churches to women's and marriage conferences to arena events to youth camps and cruises (yes, those are particularly painful…). Her research and commentary are regularly featured in media as diverse as The Today Show, Focus on the Family, The New York Times and MomLife Today. Shaunti, Jeff, and their two children live in Atlanta and enjoy every minute of living life at warp speed.   Secrets of Sex and Marriage Website   Previous Episodes on Sexual Intimacy on The Savvy Sauce: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Easy Changes to Enhance Your Sexual Intimacy in Marriage with Dr. Clifford and Joyce Penner Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen 63 Maximizing Sexual Intimacy During the Three Most Challenging Phases of Marriage with Christian Sex Therapist Pioneers, Dr. Clifford and Joyce Penner Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma   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, 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.”

Today's topic is one that people struggle with silently. Although what we talk about today is common and as well can be avoided if addressed early on. My guest discusses the often-taboo topics of pelvic health, sexual health, and the importance of understanding the pelvic floor. She explains the significance of addressing pelvic floor issues, the causes of weakness and tightness, and offers solutions for both men and women. Also we discuss common concerns such as needing to go to the bathroom in the middle of the night, urinary tract infections, and erectile dysfunction. This conversation is for both men and women.  Dr. Rena Malik is a board-certified urologist with a talent for dispelling medical misinformation, discussing intimate topics, and educating the general public.  With over 400 million views and 2 million subscribers, her YouTube channel Rena Malik, M.D. has become a go-to destination for frank, evidence-based discussions of taboo topics. Men's Health Magazine named her as one of the top 10 health influencers in 2023.  Dr. Malik is regularly featured by media outlets, including Insider, Men's Health, Self, Scientific American, Bustle, and US News & World Report and has been a guest on multiple podcasts, including the popular Diary of a CEO, Huberman Lab, and Mel Robbins Podcasts. Dr. Rena Malik specializes in sexual medicine and Female Pelvic Medicine and Reconstructive Surgery (Urogynecology) and is a Menopause Certified Menopause Practitioner. At Her practice offers patient-focused, individualized care in bladder health, sexual dysfunction, hormone management, and the compassionate management of non-narcotic pelvic pain. In this episode we talk about: Pelvic Floor Weakness: Causes and Solutions Pelvic Floor Tightness and Tension Preventing UTIs Erectile Dysfunction: Causes and Solutions Blood Flow and Erectile Health Hormones and Sexual Health Optimizing Sexual Health: Key Factors For full show notes and episode resources head to: https://ericalippy.com/dr-rena-malik/ Watch episode on YouTube Find our guest at: Dr. Rena Malik Website, Instagram, YouTube Follow me on Social Media: Your Host: @ericalippy Podcast: @passionlovepursuit YouTube PASSION LOVE PURSUIT PODCASTS: https://ericalippy.com/the-podcast/  

In this episode of Sex with Emily, renowned psychiatrist and brain expert Dr. Daniel Amen joins us to explore how our "hidden dragons", the unconscious patterns from our past, are secretly controlling our happiness, relationships, and sex lives. Based on his latest book, "Your Brain is Always Listening," Dr. Amen reveals how childhood experiences, family trauma, and even ancestral patterns get written into our brains and show up in our intimate relationships. We dive deep into the most common dragons people face, including the anxious dragon, the abandoned and insignificant dragon, and the codependent dragon. Dr. Amen shares his personal journey with these patterns and explains how understanding your dragons can transform not just your mental health, but your sexual wellness too. We explore the connection between brain health and sexual function, why ADD can impact orgasms, and how negative thought patterns become "bad habits" that sabotage intimacy. This episode includes practical tools like positivity bias training, the power of rewriting your story, and specific breathing techniques that can reset your nervous system. Dr. Amen also addresses a listener's question about cheating addiction and explains how brain scans revealed the neurological patterns behind compulsive behavior. Whether you're struggling with commitment issues, sexual anxiety, or just want to understand how your brain affects your love life, this conversation offers both scientific insights and actionable strategies for creating healthier relationships. Show Notes: 00:00 - Introduction to Hidden Dragons 01:02 - Dr. Amen's Personal Dragon Story 04:40 - The Abandoned & Insignificant Dragon 08:26 - Most Common Dragons People Face 11:07 - The Ancestral Dragon & Epigenetics 14:18 - Rewriting Your Story & Focus 16:06 - Positivity Bias Training 19:07 - Happiness as Moral Obligation 21:22 - Brain Health & Sexual Function 24:02 - Building Better Mental Habits 27:59 - Listener Q&A: Cheating Addiction 35:12 - ADD & Relationships 38:20 - ADD & Female Orgasms 40:30 - Breathing Techniques for Regulation Join the SmartSX Membership : https://sexwithemily.com/smartsx Access exclusive sex coaching, live expert sessions, community building, and tools to enhance your pleasure and relationships with Dr. Emily Morse. List & Other Sex With Emily Guides: https://sexwithemily.com/guides/ Explore pleasure, deepen connections, and enhance intimacy using these Sex With Emily downloadable guides. SHOP WITH EMILY!: https://bit.ly/3rNSNcZ (free shipping on orders over $99) Want more? Visit the Sex With Emily Website: https://sexwithemily.com/ Let's get social: Instagram https://www.instagram.com/sexwithemily/ X https://twitter.com/sexwithemily Facebook https://www.facebook.com/sexwithemily TikTok https://www.tiktok.com/@sexwithemily Threads https://www.threads.net/@sexwithemily Let's text: Sign up here https://sexwithemily.com/text

When is it time to refer a patient to pelvic floor physical therapy? In this episode of BackTable Urology, Dr. Amy Pearlman invites pelvic floor physical therapist Dr. Victoria Mallow onto the show to discuss the importance of pelvic floor physical therapy for various urological conditions. ---SYNPOSISFirst, Dr. Mallow explains how she evaluates and treats patients. She discusses specific techniques, such as biofeedback, manual therapy, and therapeutic exercises like squats and lunges. Then, the experts underscore the significance of collaboration between urologists and physical therapists to provide comprehensive care for patients with pelvic floor disorders, bladder issues, and even post-prostatectomy rehabilitation. Dr. Pearlman also shares her tips to help urologists understand and utilize pelvic physical therapy more effectively.---TIMESTAMPS00:00 - Introduction02:43 - Understanding Pelvic Floor Physical Therapy08:20 - Collaborative Approach to Treating Pelvic Health Issues18:01 - Patient Education and Exercises 22:32 - Effective Cues for Post-Prostatectomy Patients30:53 - Internal Exams and Patient Comfort39:39 - Recommended Products for Pelvic Health42:35 - Travel Tips for Pelvic Health---RESOURCESRestore Pelvic Health & Rehabhttps://restorepelvicrehab.com/

Why are so many people struggling in silence with low libido or sexual dysfunction issues, and how can we bring these conversations into the open? In this candid episode, Elaina Mango and Bryana Gregory, PharmD, RPh dive into a topic many hesitate to talk about. From hormone imbalances to the impact of chronic stress, they break down how physical and emotional health play a critical role in intimacy, and why you shouldn't just settle for a quick fix. The discussion covers practical solutions available through compounding pharmacy, including oxytocin nasal spray, tadalafil, sildenafil, and specialty formulas like Intensity Cream for women. While these treatments can provide immediate support, the ultimate goal is to uncover and resolve the root cause, often involving hormone depletion, adrenal fatigue, or lifestyle stressors. By approaching the issue holistically, couples can improve connection, communication, and long-term vitality. Watch now and subscribe to our podcasts at www.HotzePodcast.com. To receive a FREE copy of Dr. Hotze's best-selling book, “Hormones, Health, and Happiness,” call 281-698-8698 and mention this podcast. Includes free shipping!

*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.

Hey there, Longevity Podcast listeners! It's just me, Nathalie Niddam, in today's episode, diving into a subject that's often overlooked but super important—testosterone in women. Yes, you heard that right! While most people think of testosterone as a "male" hormone, it plays a crucial role in women's health, especially as we navigate through menopause.   What we discuss: Testosterone in Women ... 00:00:37 Muscle Challenges ... 00:02:10 Sexual Function ... 00:04:33 Energy Levels ... 00:05:14 Cognitive Function ... 00:05:56 Mood and Bone Health ... 00:05:56 Muscle and Cardiovascular Health ... 00:07:02 Somatic Symptoms ... 00:09:01 Sleep and Motivation ... 00:10:14 Cautions with Therapy ... 00:11:13 Administration Methods ... 00:14:38 Transdermal vs. Injectable ... 00:16:47   Our Amazing Sponsor: BiOptimizers - MassZymes is the most complete, most potent digestive enzyme with over 102% MORE PROTEASE than the nearest competitor. That's crucial because protein is the most complex macronutrient to break down. Try MassZymes at bioptimizers.com/bionat and enter the coupon code BIONAT to get 10% off your order.   Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

“Fifteen or 16 percent of the population [is] now taking antidepressants … When they've gone out and asked people who actually use these medications whether they're experiencing sexual dysfunction, approximately 60 percent of people will [affirm] it.”Dr. Josef Witt-Doerring is a board certified psychiatrist, former FDA medical officer, and director of the Taper Clinic. He treats patients suffering from post-SSRI sexual dysfunction (PSSD), and protracted withdrawal—two conditions becoming more common, and in some cases permanent, in people who have stopped taking antidepressants.“SSRIs and antidepressants are really popular drugs. Some people just don't want to believe that they could potentially cause something so catastrophic,” he says. “We should only be using these medications after we've done everything else.”In this episode, we discuss how patients can safely discontinue psychiatric medications and regain control of their mental health, and why there needs to be more awareness about conditions that arise after people stop taking their drugs.“What I saw going through all of that ... as a drug safety officer ... was essentially that we really were practicing outside of what the psychiatric clinical trials and the evidence showed,” says Witt-Doerring. “Doctors have been led astray about the drugs to the point where they overestimate the benefits and minimize the harm.”Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.

Today, Cathy Eason, MS, BCHN and Clinical Education Director at Berkeley Life, fills us in on the MANY functional benefits of nitric oxide. We're diving deep into the fascinating world of nitric oxide—a tiny yet mighty molecule that's essential for a myriad of bodily functions such as blood flow, energy production, and hormone regulation.    Offer for NEW and EXISTING Customers: New customers - visit berkeleylifeprofessional.com/NAT and enter code SAVE20 to save $20 off your first order. Existing customers of Berkeley Life Pro - email info@berkeleylife.com and tell them Nathalie sent you and you will get a free pack of the Prebiotic Nitrate Chewing Gum we talk about in the episode.   What We discuss: Importance and functions of nitric oxide ... 00:00:45 Decline of nitric oxide production with age and dietary sources ... 00:08:23 Challenges with nitric oxide production: genetics, age, and lifestyle ... 00:17:55 Impacts of lifestyle choices on nitric oxide levels ... 00:22:10 Role of nitric oxide in digestion, sexual health, and immune regulation ... 00:29:09 Relevance of mitochondria and energy production with nitric oxide ... 00:38:12 Link between nitric oxide and metabolic balance ... 00:49:05 Supplementation options and Berkeley Life's approach ... 00:54:06 Using the Berkeley Life gum to support oral biome ... 01:08:55 Details on special offers for listeners ... 01:13:08   Our Amazing Sponsors: Wizard Sciences (Neural Rx) - Neural Rx isn't just about a quick boost. It's designed to protect your brain long-term. With C60 (an antioxidant) and anti-inflammatory benefits, it combats oxidative stress and helps keep those brain cells healthy and happy. Plus, it supports mitochondrial efficiency, meaning more energy and focus for the long haul. Use code NAT15 at checkout to get 15% off your purchase. Visit wizardsciences.com.   BEAM Minerals - These minerals come from humate, a natural substance formed over millions of years as freshwater plants broke down and deposited their nutrients into the soil. Over time, those minerals concentrated into this black, crystalline material that's now one of the most mineral-dense substances on earth. That's what's going into your body—and your cells absorb it within minutes. Visit beamminerals.com/NAT20 and use code NAT20 for 20% off.   Young Goose L.A.D.R. Serum -  Powered by light-activated DNA repair enzymes, NAD+, and collagen peptides, it reverses damage while you go about your life. Sunlight? Red light therapy? It all helps this serum work smarter, not harder. Visit YoungGoose.com—use code NAT10 to get started, or 5NAT if you're an existing customer. Future-proof your face.   Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

Ever wonder if those wild fantasies in your head are helping or hurting your performance in the bedroom? Let's talk about something real, erectile dysfunction. It's more common than you think, and your mind plays a huge role.In this podcast episode we're diving deep into the surprising link between fantasy and your sex life. Can those steamy daydreams actually improve things, or are they secretly sabotaging you? We'll break down how your mental images can either supercharge your arousal or send it crashing down, and give you simple, actionable tips to take control.Tune in now to unlock the secrets to a more fulfilling and confident sex life.--------------If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!--------------If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/how-fantasy-affects-erectile-dysfunction--------------Ready to empower your health journey? Secure your FREE PDF copy of the “5 Natural Solutions to Overcome ED” today! Dive into knowledge that could transform your life. Click the link below to claim your copy

Did you know your eyebrows, jawline, and even posture could be revealing your age? What about your testosterone levels?

Send us a textIn this episode, Kaitlin interviews Natalie Toshkoff, a pelvic floor PT in Forest Hills, Queens. Natalie offers holistic pelvic floor care and wants to help more people get the care they need.Start your BeHerVillage RegistryFREE resources on BeHerVillageFollow BeHerVillage on InstagramContact Natalie 

*DISCLAIMER* This episode is intended for adults   252. Maximizing Sexual Connection as Newlyweds to Long Term Marriages and Recovering from a Sexless Marriage with Dr. Clifford & Joyce Penner   Ephesians 5:21 (NIV) Submit to one another out of reverence for Christ.   Questions and Topics We Cover: What are a couple of your most important tips for newlyweds? What are your favorite recommendations to share with couples who want to be proactive and enhance their sexual intimacy, even if things are currently going pretty well? Will you define what constitutes a sexless marriage and share  any trends you've seen over the years?   Thank You to Our Sponsor:  Sam Leman Eureka   Dr. Clifford and Joyce Penner are best known for their pioneer work in encouraging people of all faiths to connect their sexuality with their belief system ─ helping them embrace sex as good and of God. Dr. Clifford is a licensed clinical psychologist and Joyce is a registered nurse and clinical nurse specialist. They are highly respected authors and speakers, in addition to being parents and grandparents.    Dr. Clifford and Joyce Penner's Website   At The Savvy Sauce, we will only recommend resources we believe in! We want you to be aware: We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.    Books By Dr. Clifford and Joyce Penner: Enjoy! The Gift of Sexual Pleasure for Women The Married Guy's Guide to Great Sex Restoring the Pleasure The Gift of Sex: A Guide to Sexual Fulfillment Sex FAQ We Didn't Have Time to Cover Today  Information on Pelvic Pain    Previous Savvy Sauce Episodes with Dr. Clifford & Joyce Penner: Easy Changes to Enhance Your Sexual Intimacy in Marriage with Dr. Clifford and Joyce Penner    Maximizing Sexual Intimacy During the Three Most Challenging Phases of Marriage with Christian Sex Therapist Pioneers, Dr. Clifford and Joyce Penner   Additional Previous Episodes on Sexual Intimacy on The Savvy Sauce: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen  Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau  Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna  Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma 222 Pornography: Protecting Children and Personal Healing, Victory, and Recovery in Christ with Sam Black Special Patreon Release: Holy Sex: An Interview with Dr. Juli Slattery Special Patreon Release: His Desires and Her Desires in the Bedroom with Dr. Jennifer Konzen 224 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn 227 Resolving Conflict in Marriage with Tony and Alisa DiLorenzo  Patreon 28 Re-Release: Protecting Your Marriage Against Unfaithfulness with Dave Carder Patreon 23 Her Desires and His Desires in the Bedroom with Dr. Jennifer Konzen Patreon 26 Holy Sex with Dr. Juli Slattery Patreon 28 Protecting Your Marriage Against Unfaithfulness with Dave Carder Patreon 29 Remaining Sexually Engaged Through The Years with Dr. Michael Sytsma Patreon 49: Story of Healing from Sexual Betrayal in Marriage: An Interview with Bonny Burns Patreon 52 God, Sex, and Your Marriage with Dr. Juli Slattery   Connect with The Savvy Sauce Our Website, Instagram or Facebook    Please help us out by sharing this episode with a friend, leaving a 5-star rating and review, 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.”

Shawn & Janet will be talking about drugs that impact sexual function. Health Solutions Facebook | https://www.facebook.com/HealthSolutionsPodcast Instagram | https://www.instagram.com/health_solutions_shawn_needham/ Moses Lake Professional Pharmacy Website | http://mlrx.com.com/ Shawn Needham X | https://x.com/ShawnNeedham2 Shawn's Book | http://mybook.to/Sickened_The_Book Additional Links https://linktr.ee/mlrx

Who else remembers their first day on the job? Dr. Durst and Farideh take you behind the scenes of medicine with raw, hilarious stories from their early careers.

Rebroadcast: Don't let the title of this show make you think this episode is mainly for male listeners: you will learn a lot about sexual function and libido that is relevant for women as well.  I've really been diving deep into research as I work on writing my new book about testosterone function and delaying the aging process, and I have already discovered so many compelling insights that I'll be sharing some of them with you today. You will learn what it is about visceral fat that makes it so harmful to the body, and also why it becomes a slippery slope that is hard to escape once you add a little bit of this kind of fat to your body. Did you know belly fat is actually classified as an endocrine organ of its own because of the inflammatory chemicals it secretes? This also puts your system in a constant state of inflammation, which inhibits testosterone production and a whole host of other issues relating to metabolic health. And, this all leads to even more belly fat accumulation! And when you have too much belly fat, any testosterone your body is making (or receiving through supplementation) will actually be converted into estrogen.  You'll also learn about the connection between working out too much and libido levels and the importance of napping. Training yourself to unplug and actually shut your brain down is such an important practice to commit to making daily. Remember the goal is not to fall asleep but to rest and check out. If you have trouble falling asleep or feeling really rested, use a blindfold to help your body relax, and your mind will follow.  I also share the Taoist theory that posits that (for males) orgasms deplete your essential life force and the importance of preserving them. The idea is to have sex frequently, but not ejaculate frequently. But interestingly, Taoists believe frequent orgasms have the opposite effect on females! Read The Tao of Health, Sex, and Longevity: A Modern Practical Guide to the Ancient Way for more info. My previous episodes with Dr. Wendy Walsh (click here for the first and here for the second) are also a great resource to check out on this topic.   TIMESTAMPS: Both women and men, let's talk about testosterone libido and sexual health. Is there something we can do besides taking medications? [01:49] The first and foremost symptom of trouble is the spare tire. Belly fat is inflammatory and puts you in a state of chronic or systemic inflammation. [04:15] Surprisingly libido and testosterone do not have a direct relationship that we've always assumed. [08:09] Teach yourself how to relax, and then you will optimize your sexual health. [09:36] Taoism believes women should have as many orgasms as possible. This is the opposite for the male. [14:46] There are three energy sources: Qi, Shen, and Jing. [15:36] It is a much different story for females in the society of thousands of years ago. [16:32] It takes about 72 hours for sperm and seminal fluid to regenerate. [19:24] In modern society, the female is in a different role and can easily deplete her hormone balance. [21:41] The Taoists want males to withhold their orgasms frequently. [22:28] Science differs from the Taoist theory. Many studies talk about frequency of once a week as being the maximum. [27:44] Pornography is a real problem leading people to believe they are having real sex and interfering with their hormone stabilization. [29:12] Testosterone is not directly connected to libido. [30:59] We must get that life stress and balance and give yourself a fighting chance at being a good lover here with your partner. Develop a sense of humor. [33:26] Supplements: A lot of these products are actually targeting libido rather than testosterone. [38:34] The topic of testosterone replacement therapy has produced some highly disturbing statistics. Look at lifestyle changes first. [42:09]   LINKS: Brad Kearns.com Brad's Shopping page B.rad Whey Protein Isolate Superfuel - The Best Protein on The Planet! Available in Two Delicious Flavors: Vanilla Bean and Cocoa Bean NEW: B.rad Superfruits - Organic Freeze-Dried Exotic Fruit Powder! Natural Electrolyte Hydration & Energy Powder   Join Brad for more fun on: Instagram: @bradkearns1 Facebook: @bradkearnsjumphigh Twitter: @bradleykearns YouTube: @brad.kearns TikTok: @bradkearns   We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn't occupy this revered space. Seriously, I won't promote anything that I don't absolutely love and use in daily life: Peluva: Comfortable, functional, stylish five-toe minimalist shoe to reawaken optimal foot function. 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Today, we are joined by Patrick Alonso and Cameron Carrothers, pharmacists and hosts of the Men's Health Unscripted podcast. Patrick and Cameron are passionate about empowering men to explore their health and wellness beyond prescriptions and diagnoses. Together, they delve into the critical connection between mental health and sexual function, offering unique insights and actionable advice.   Mental health is deeply intertwined with s*xual well-being, particularly for men. The unresolved mental health issues such as depression, anxiety, and even stress from daily life can significantly impact not only a man's ability to perform but also his overall desire and connection during intimacy. Today's digital world can dull emotional and physical responses, making it harder for men to fully engage with their partners. For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/

Dr. Charles Brantly is a General Practitioner in Hong Kong who specializes in men's health. With a passion for linking physical performance with  general health, Dr. Brantly joins us for a deep dive into the most common and least-discussed men's health topics. Covering everything from the stigma of seeking medical help to sexual health, sports performance, and redefining manliness, Dr. Brantley provides insights grounded in science and empathy to equip listeners with actionable steps toward living a healthier, stronger life. THIS PODCAST IS SPONSORED BY TODAY WELL SPENT todaywellspent.com  Save 10% on your purchase with offer code THEPROCESS THIS PODCAST IS BROUGHT TO YOU BY THE PROCESS PROGRAMMING Website: theprocessprogramming.com  Instagram:  instagram.com/theprocessprogramming  Education: theprocessprogramming.com/coaching-education 

Dr. Gillett, James O'Hara, & Jake Fantus MD discuss Testosterone, Sexual Function, & fertility. 00:00 Intro01:47 Secret Shopper Study06:58 Dr. Fantas TRT patients 09:16 Are podcast responsible for popularizing TRT? Subcutaneous TRT.12:38 Coming off TRT 16:22 Testicular fibrosis/fertility with long term use21:56 Varicocele 28:31 Venous leak30:34 Guidlines 34:33 Lifestyle changes to improve ED37:25 Epigenetics and Fertility 39:56 SSRIs 41:18 Clomid 45:30 Lab work overestimating free T52:40 Traverse trial 56:31 Aspirin57:03 FSH and fertility in men 01:00:37 Gonadorelin01:03:05 Male Birth Control 01:06:29 How many people have tried TRT?01:09:49 Did TRT create the Red Wave? 01:12:07 Outro Link to Health Update: https://youtu.be/Fe9_vNE2RgQLink to The Longevity Clinic Movement?: https://youtu.be/QKjMujVZLcULink to calculate your free testosterone: https://www.issam.ch/freetesto.htmFor High-quality labs:► https://gilletthealth.com/order-lab-panels/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#testosteron #erectiledysfunction #hormones #podcastAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Kelly Casperson is a world-renowned urologist and host of the 'You Are Not Broken' podcast. In this episode, we dive deep into distinguishing between good and bad sex, faking orgasms, and finding (or refinding) your body confidence. Dr. Casperson sheds light on genital urinary shifts in perimenopause, urinary incontinence, and the impact of hormonal changes. This essential discussion aims to remove shame and promote pleasure for all women and the men who love them. Don't miss this chance to enhance your knowledge of female sexual health and body autonomy.Episode Overview:0:00 Intro/Teaser3:20 Unlocking the Secrets of Great Sex11:10 Redefining Pleasure17:28 Overcoming the Orgasm Gap27:35 Understanding Female Anatomy and Pleasure35:23 Navigating Female Anatomy and Hormones43:30 Hormones and Menopause50:02 Vaginal Care and Health Education55:30 Understanding Bladder Leakage and HSDD1:01:23 Challenging Uninformed Medication Use in Women1:08:57 Dispelling Myths About Hormone Therapy1:18:51 Optimal Testosterone Levels in Women1:27:47 Smart Information on Healthcare AdviceResources mentioned in this episode:You are Not Broken podcast - https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329Dr. Kelly's book - https://kellycaspersonmd.com/you-are-not-broken-book/Women's Health Initiative - https://www.nhlbi.nih.gov/science/womens-health-initiative-whiVulvovaginal Atrophy - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800285/The use of antidepressants is linked to bone loss: A systematic review and metanalysis - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568413/Differences in Orgasm Frequency Among Gay, Lesbian, Bisexual, and Heterosexual Men and Women in a U.S. National Sample - https://pubmed.ncbi.nlm.nih.gov/28213723/Dr. Kelly's website - https://kellycaspersonmd.comBio:Dr. Kelly Casperson is a renowned urologist dedicated to empowering women to lead fulfilling lives, especially around topics like sex, hormones, midlife, and communication. She hosts the popular podcast *You Are Not Broken*, which has garnered over 2 million downloads, and actively engages her 143k Instagram followers. In July 2023, her TEDx talk, "Why We Need Adult Sex Ed," gained over 230k views. Her forthcoming book, *You Are Not Broken: Stop ‘Should-ing' All Over Your Sex Life*, will be published in September 2024 by Sheldon Press, and has received praise from leading experts. Kelly has been featured in *BuzzFeed*, *Oprah Daily*, *Goop*, and *Scary Mommy*.We are grateful to our sponsors:BON CHARGEI am doubling down on this year for my best skin ever. The Bon Charge Red Light Face Mask helps with glowing, younger, firmer-looking skin with minimal effort or time AND without really changing your usual day or night routine. Head over to https://boncharge.com/better and use the discount code BETTER at checkout to get 15% off your entire cart.TIMELINEFeeling tired and having no energy does not have to be your fate. Mitopure is a supplement and skin health line that helps improve energy at the level of the mitochondria so that you can continue to engage in the activities you love. Go to https://timelinenutrition.com/better and use code BETTER to get 10% off your order.BEAM MINERALSIt is almost impossible to get all of your minerals from food alone, as much as we would like it to be so. And because of that, many of us are experiencing chronic health issues like fatigue, muscle cramping, hair loss, anxiety, and imbalances with our adrenals, our hormones, and our blood sugar. If you want to try Beam Minerals, head over to https://beamminerals.com/better for 20% off of the entire store.NOW OPEN! EVEN BETTER! PREMIUM MEMBERSHIP: When you join Dr. Stephanie Estima's EVEN BETTER! Premium Membership, you'll join a community of women focused on actionable health goals, performance, and a well-lived life. You'll get early and ad-free access to the weekly Better! podcasts; action guides; "Ask Me Anything," solo, and bonus episodes; insights from the guest discussions coupled with recommendations you can use to build habits and routines; bonus content; and exclusive discounts. Subscribe at  https://estima.supercast.com/.

Dr. Anna Cabeca has served over 10,000 women in her private practice— and millions more through her books, online videos and articles -- for 20+ years. With an understanding that modern medicine and time-tested natural remedies are not at odds, she is on a personal and professional mission to give proven pragmatic solutions to women dealing with menopausal health challenges so they can lead the life they want, need, and deserve. A partial list of credentials includes:  Triple board certified and a Fellow of Gynecology and Obstetrics, Integrative Medicine, Anti-aging and Regenerative Medicine Special certifications in Functional medicine, Sexual health, Bioidentical hormone replacement therapyAuthor of:USA Today bestseller The Hormone Fix, Keto-Green 16, MenuPause  Frequent media resource, Forbes, People, Mind Body Green, ABC, NBC, CBS It's a pleasure to have Dr. Anna Cabeca on the show today. Welcome! Get 10% off Dr. Anna Cabeca products like Julva and Mighty Maca at drannacabeca.com with code ZORA Breeze Through Menopause courses https://drannacabeca.com/pages/breeze-through-menopause Sexual CPR https://drannacabeca.com/pages/offers-sexualcpr Contact Dr. Anna Cabeca: https://drannacabeca.com https://www.facebook.com/DrAnnaCabeca https://www.instagram.com/thegirlfrienddoctor Get Primeadine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure by Timeline. 10% discount with code ZORA at timeline.com/zora Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before November 1, 2024 to win a bottle of Oxford Healthspan's Primeadine spermidine valued at ($90). 15% off with code ZORA here. Join the Hack My Age community on: Facebook Page : ⁠⁠⁠⁠⁠@⁠Hack My Age⁠ Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠ Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠ ⁠Biohacking Menopause⁠ membership group Email: zora@hackmyage.com This podcast is edited by ⁠⁠⁠⁠⁠jonathanjk@gmail.com We cover: Common sexual complaints of menopause Is low libido physical, sociological or psychological? How to improve sexual function, libido, UTIs, dryness and vaginal atrophy Is it ok to live with low libido? How to have optimal vaginal health without a partner Does menopause mean the loss of our sexual function and sexuality? The difference between DHEA and testosterone Oral DHEA vs transdermal DHEA Optimal DHEA levels Best places to absorb DHEA Irreversible side effects of testosterone Does maca really relieve hot flashes and fatigue? The single most important thing a woman needs to know about menopause --- Support this podcast: https://podcasters.spotify.com/pod/show/hackmyage/support

https://passionstruck.com/passion-struck-book/—Order a copy of my new book, "Passion Struck: Twelve Powerful Principles to Unlock Your Purpose and Ignite Your Most Intentional Life," today! The book was picked by the Next Big Idea Club as a must-read for 2024, the winner of the Business Business Minds Best Book 2024, and a finalist for the Eric Hoffer First Horizon Award for best debut novel.In this episode of Passion Struck, host John R. Miles interviews Dr. Michael Greger, a renowned physician and author who shares valuable insights on preventing diseases, improving health, and promoting longevity through lifestyle interventions. The episode covers a wide range of topics, including the impact of diet on heart disease, strategies for preserving bone health, tips for maintaining cognitive function and enhancing sexual health. Full show notes and resources can be found here:  https://passionstruck.com/dr-michael-greger-on-blueprint-for-healthy-aging/In this episode, you will learn:The importance of lifestyle interventions and promoting health and longevity based on his personal experience with his grandmother's recovery from heart disease.The impact of nutrition on preventing diseases like heart disease and cancer.Insights on the Mediterranean and Okinawan diets, emphasizing the benefits of whole plant foods for overall health.Strategies for preserving bone strength, cognitive health, and sexual function as part of an anti-aging approach.Xenohormesis and microRNA manipulation as potential mechanisms for improving health and longevity through plant-based diets and exercise.All things Dr. Michael Greger: https://nutritionfacts.org/SponsorsBrought to you by Indeed. Head to https://www.indeed.com/passionstruck, where you can receive a $75 credit to attract, interview, and hire in one place.Brought to you by Nom Nom: Go Right Now for 50% off your no-risk two week trial at https://trynom.com/passionstruck.Brought to you by Cozy Earth. Cozy Earth provided an exclusive offer for my listeners. 35% off site-wide when you use the code “PASSIONSTRUCK” at https://cozyearth.com/This episode is brought to you by BetterHelp. Give online therapy a try at https://www.betterhelp.com/PASSIONSTRUCK, and get on your way to being your best self.This episode is brought to you By Constant Contact:  Helping the Small Stand Tall. Just go to Constant Contact dot com right now. So get going, and start GROWING your business today with a free trial at Constant Contact dot com.--► For information about advertisers and promo codes, go to:https://passionstruck.com/deals/Catch More of Passion StruckWatch my interview with Dr. Lucia Aronica On The Impact Of Personalized Nutrition On EpigeneticsMy solo episode on how to heal from the consequences of abuseCan't miss my episode with Dr. Will Cole On How To Restore Your Gut-Feelings ConnectionListen to my interview with Dr. Kara Fitzgerald On How To Become A Younger You By Reversing Your Biological AgeMy solo episode on The Science Of Healthy HabitsCheck Out my episode with Dr. Mark Hyman On The Secrets To Living Young ForeverLike this show? Please leave us a review here-- even one sentence helps! Consider including your Twitter or Instagram handle so we can thank you personally!How to Connect with JohnConnect with John on Twitter at @John_RMiles and on Instagram at @john_R_Miles.Subscribe to our main YouTube Channel Here: https://www.youtube.com/c/JohnRMilesSubscribe to our YouTube Clips Channel: https://www.youtube.com/@passionstruckclips