Better Sex

Host Jessa Zimmerman welcomes back sex therapist Dr. Jennifer Valli to discuss how breast cancer and its treatments affect sexuality and quality of life, emphasizing that experiences vary widely and that similar issues can arise with aging and other medical changes. They review sexual impacts of surgery (loss of nipple/breast sensitivity, pain, grief), radiation (gradual tightening, texture and sy...

Host Jessa Zimmerman shares a personal story from a coaching workshop to illustrate how the meaning we assign to events shapes our emotions, physiology, behavior, and ultimately our results. After waiting two hours to ask her mentor James a question and losing her chance when the room closed, Jessa initially felt angry and resentful, blaming another attendee for taking too long. By the time she re...

Host Jessa Zimmerman welcomes Andre Lazarus back to discuss delayed ejaculation, defining it as a consistent difficulty reaching ejaculation that becomes a concern when it bothers the person or impacts the relationship. Andre describes common contributing factors including medications (such as SSRIs), alcohol and other substances, masturbation habits, and physiological issues, but notes that many...

In this soapbox episode of the Better Sex Podcast, host and sex therapist Jessa Zimmerman suggests couples create explicit relationship agreements—written down and revisited during hard moments—rather than assuming they share the same expectations. Inspired by classroom agreements used at the start of a college sexuality course, Jessa proposes making agreements when partners feel calm and connecte...

Host Jessa Zimmerman talks with Robert Johnson and Anna Osman from Shameless Care about common gaps in “full panel” STI testing and why site-specific screening matters, especially throat swabs for gonorrhea and chlamydia. Robert shares how an asymptomatic oral gonorrhea infection went undetected through standard testing and how limited clinician awareness and testing workflows contribute to missed...

Host Jessa Zimmerman shares a Soapbox episode outlining 17 reasons a man might have low desire, emphasizing that only one is responsive desire. She covers performance anxiety, low testosterone, needing emotional connection and safety, intimidation by a partner’s sexuality, lack of experience or confidence, neurodiversity or touch sensitivity, relying only on physical attraction, erotic mismatch, s...

Host Jessa Zimmerman talks with Doug Noll, a former trial lawyer turned peacemaker, about reframing vulnerability as strength through lessons from Tai Chi: the softer you are, the stronger you are, and the more vulnerable you are, the more powerful you are. Doug defines vulnerability as staying open, compassionate, and non-defended in any emotional situation, and explains how cultural conditioning...

In this Soapbox episode of Better Sex, host Jessa Zimmerman discusses infidelity and what affair recovery can look like. Jessa frames cheating as a “bad solution to a problem” and outlines key milestones for rebuilding trust: the partner who cheated doing a “dark night of the soul” examination of how they could act out of integrity, including both the internal factors (compartmentalizing, self-tal...

In this episode of the Better Sex Podcast, sex therapist Jessa Zimmerman interviews Dr. Anna Elton about her book The Formula of Desire and why desire commonly fades in long-term relationships. Elton shares how her research interviewing over 700 couples led to frameworks and assessments for relational desire, emphasizing that desire often declines or gets redirected (to other people, parenting, ca...

Host and sex therapist Jessa Zimmerman addresses “sex that’s not worth having,” focusing on situations where a lower-desire partner begrudgingly offers sex with clear disinterest, disconnect, or even hostility. She distinguishes this from reactive desire, where someone starts with openness to getting in the mood. Zimmerman explains that going through the motions is unfulfilling for both partners,...

Sex therapist Jessa Zimmerman interviews Michelle Fischler about her upcoming book, “Coming Soon: The Unshaming Guide to Early Ejaculation and Lasting Longer,” arguing early/rapid ejaculation is fundamentally a shame issue and nervous system pattern, not a performance problem. Fischler describes how cultural messages about masculinity, family, media, and porn create meaning-making that turns timin...

Sex therapist Jessa Zimmerman interviews Sara Perry, a sexological body worker and somatic sex educator, about helping people connect with their bodies, pleasure, and desires and then communicate and negotiate those desires with partners. Sara shares her path from studying psychology of sexuality to critical theory and somatic sex education, and describes how small choices about comfort, environme...

Sex therapist Jessa Zimmerman welcomes back Candace Sjogren, author of "Polyagony," to discuss how parents can navigate consensual non-monogamy with children. They emphasize that many parents don’t plan for integrating relationship structure with parenting, especially when opening a relationship after having kids, and that conversations must be age-appropriate, focused on safety, love, and belongi...

Sex therapist Jessa Zimmerman returns with a soapbox episode on desire discrepancy, focusing on heterosexual relationships where the woman is the higher desire partner. She explains that mismatched desire is normal and common, and that gender doesn’t determine who wants more sex; in her practice, one-third to one-half of hetero couples have a higher desire woman. Because this dynamic conflicts wit...

Host Jessa Zimmerman interviews New York City sex therapist and trainer Sari Cooper about how sexual stigma and shame are shaped by culture, religion, family dynamics, and implicit messages like silence or lack of affection modeling. Cooper shares her background from a liberal upbringing and modern dance into a helping profession where sex felt taboo, and discusses nuanced bicultural and first-gen...

Sex therapist Jessa Zimmerman interviews Pavini Moray about why somatic approaches are vital in couples and sex therapy, especially when talk therapy leads to over-processing without change. Pavini shares their path from Montessori education to sexological bodywork and how embodiment, intentional attention, and practice support sexual and relational healing. They discuss how working with both part...

Sex therapist Jessa Zimmerman interviews Barbara Carrellas, author of The Book of Ecstasy, about ecstasy as a transformative state that goes beyond pleasure, sex, and orgasm into connection, awe, and ego-dissolution. Carrellas describes how her work was shaped during the AIDS crisis in 1980s New York, where grief and catharsis often fueled joy, and explains ecstasy as a reset button that can be pe...

Jessa argues that each person is responsible for their own sexual pleasure by learning what feels good, what turns them on, and then clearly sharing that information with a partner. She emphasizes that partners aren’t mind readers and don’t have the same instant feedback loop as masturbation, so words, demonstrations, and usable vocabulary are crucial for guiding touch. Sharing preferences should...

Sex therapist Jessa Zimmerman talks with Dr. Julie Merriman about her book, Are We Gonna Have Sex or What?, focused on helping women over 50 reclaim pleasure and desire. Merriman explains that decreased libido is often less about menopause alone and more about decades of high-functioning “survival mode” that dysregulates the nervous system, tightens the body, and takes pleasure offline; hormone su...

In this Soapbox episode, sex therapist Jessa Zimmerman explores how the common higher-desire/lower-desire framework is helpful but doesn’t always accurately describe what’s happening in a relationship. She outlines two main ways desire can be “masked”: a higher-desire partner may detach from wanting sex after repeated disappointment, becoming resigned and avoiding sex because it’s less painful tha...

Sex therapist Jessa Zimmerman interviews functional medicine clinician and neurofeedback specialist Dr. Stephanie Rimka about emotional regulation as a biological process involving safety, the vagus nerve, brainwaves, hormones, and co-regulation through relationships. Rimka describes how chronic sympathetic activation undermines metabolic health, longevity, and mitochondrial function, framing trau...

Sex therapist Jessa Zimmerman welcomes Anthony Silard back to discuss research-based, average gender differences in relationships, community-building, and loneliness. Silard explains how women tend to have more robust “social convoys” than men, contributing to outcomes like higher male mortality after a spouse’s death, and describes stress responses such as “tend and befriend.” He outlines severe...

Sex therapist Jessa Zimmerman interviews Johns Hopkins urologic surgeon and researcher Dr. Arthur Burnett about erectile dysfunction from a holistic biopsychosocial perspective. Burnett explains how erections work as a vascular function regulated by the nervous system, and how physical factors like hypertension, atherosclerosis, diabetes, cardiovascular disease, and nerve or hormone issues can int...

In a soapbox episode, sex therapist Jessa Zimmerman clarifies a common misconception that hormone replacement therapy (HRT) is mainly meant to increase libido. Drawing from two recent conversations—one with a post-menopausal client experiencing painful sex and resisting HRT as a “fix,” and another with a man wondering why his wife’s HRT didn’t dramatically raise desire—she explains that libido cha...

Sex therapist Jessa Zimmerman interviews therapist Hannah Buzzo about psychedelic-assisted therapy for intimacy and sex, for individuals and couples. Buzzo describes her background in addiction and trauma work (including EMDR), her training in trauma treatment with psychedelics, and how psychedelic work can make it easier to address taboo topics like sexuality and soften defenses in a safe, compas...