The PGspot

A breast cancer diagnosis can change far more than a woman’s breasts. Surgery, chemotherapy, radiation, hormonal therapies, menopause, body image changes, and the emotional impact of treatment can all affect desire, arousal, comfort, and intimacy. Yet sexual health is often one of the conversations that gets left out. In this episode, we’re talking about the sexual side of breast cancer; the chang...

What happens when men are taught from an early age to be strong, independent, and in control, but rarely taught how to be vulnerable? In this episode of The PGspot: Taking the X out of Sex , we take a closer look at the complicated relationship between masculinity, vulnerability, emotional connection, and sexuality. Many men have been socialized to believe that expressing fear, insecurity, sadness...

Some couples don't stop loving each other, they simply stop reaching for each other. Over time, busy schedules, stress, mismatched desire, rejection, resentment, and unresolved hurt can slowly create distance. Touch becomes less frequent. Sex becomes harder to talk about. Avoiding the conversation feels easier than risking another rejection or another uncomfortable discussion. Eventually, a c...

Low sexual desire is often treated like a simple problem: the desire is missing, so let’s figure out how to get it back. But female sexual desire is rarely that straightforward. In this episode, we’re looking at the bigger picture behind decreased sexual desire and the many pieces that can influence whether sex feels appealing, accessible, or even worth considering. We’ll explore five key areas to...

Menopause is finally having its moment. What was once a topic whispered about behind closed doors is now front and center on podcasts, Instagram, TikTok, and in celebrity interviews. Women are sharing their experiences, asking questions, and demanding better care, and that's a good thing. But has the conversation swung too far in the other direction? In this episode, we explore how social med...

We spend so much time talking about the red flags we should avoid in relationships that we often overlook the qualities that truly help love thrive. In this episode, we're shifting the focus to the green flags; the behaviors, attitudes, and patterns that create emotional safety, trust, and lasting connection. We'll explore what healthy communication really looks like, why conflict doesn&...

World Population Day often sparks conversations about birth rates, population growth, and demographic change. But behind the statistics lies a more fundamental question: who gets to decide whether, when, and under what circumstances to have children? In this episode, we explore the complex history of contraception and family planning, from the expansion of reproductive freedom to the troubling inf...

When it comes to sexual health treatments, why have men historically had more options than women? In this episode of The PG Spot , Dr. Patty Jalomo explores the fascinating and controversial journey of Addyi (flibanserin), the first FDA-approved medication for acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. We'll dive into the years-long approval process...

Sexual desire and ADHD in women is rarely talked about openly, but it affects far more people than most realize. In this episode, we explore the complex relationship between ADHD, dopamine, sensory processing, emotional regulation, burnout, and intimacy. From fluctuating libido and novelty-seeking to shutdown, overwhelm, and relationship challenges, this conversation breaks down the experiences ma...

In this episode of The PGspot , we explore the complex and often overlooked effects of GLP-1 medications beyond weight loss. While these treatments are transforming the landscape of obesity care, their impact doesn’t stop at the number on the scale. We dive into the nuanced connections between GLP-1 use, changes in libido, and the evolving sense of identity that can accompany rapid physical transf...

Intimacy doesn’t usually fall apart overnight, it fades in the small, everyday ways we show up (or don’t) in our relationships. In this episode, we’re breaking down five common ways we unintentionally sabotage intimacy and what we can start doing differently. From letting flirting and playfulness disappear, to expecting sex to “just happen,” to avoiding the conversations that actually bring us clo...

In this powerful and deeply important episode, Awareness and Action Against Sex Trafficking , we shed light on one of the most pressing human rights issues of our time. We provide a clear understanding of what sex trafficking is, who it affects, and the lasting physical, psychological, and emotional impact on survivors. Most importantly, this episode calls listeners into action. From recognizing r...

In this episode, we explore what research actually says about consensual non-monogamy (CNM). While monogamy is often treated as the default relationship model, studies over the past two decades have examined how some people successfully build ethical, transparent relationships outside of that structure. We’ll look at the communication strategies, boundary-setting practices, and emotional skills th...

Pornography is no longer something kids “might” encounter someday, it’s something many are exposed to earlier than parents expect. And when we don’t talk about it, the internet becomes their primary teacher. In this episode, we explore why avoiding the conversation about pornography doesn’t protect kids, and how silence can unintentionally create shame, secrecy, and confusion. You’ll learn what re...

Sexual fantasies are far more common (and far more meaningful) than most of us were ever taught. In this episode, we explore why we have sexual fantasies in the first place, what the research says about the most common themes, and what these inner storylines reflect about human desire. You’ll learn how fantasies often speak to universal needs; like wanting to feel desired, powerful, free, adventur...

Understanding Sexual Disgust and Desire explores how attraction and aversion are shaped by both biology and experience. In this episode, we look at sexual disgust through an evolutionary lens, how it developed as a protective mechanism and why it still influences desire today. We also examine how factors such as stress, relational safety, past experiences, cultural messaging, and gender difference...

Reframing Men, Sex, and Desire challenges the way we’ve been taught to think about male sexuality. Popular culture often reduces men to simple, one-dimensional narratives, always wanting sex, driven purely by biology, and emotionally disconnected. In this episode, we slow that story down and take a more nuanced look at how men actually experience desire. Through honest reflection and thoughtful co...

In this episode, we explore the emerging role of trauma-informed, plant-based therapies in sexual health and healing. From psychedelic-assisted therapy to plant medicines, we examine how these approaches are being studied and thoughtfully integrated to support individuals navigating sexual trauma, intimacy challenges, and nervous system dysregulation. Whether you’re a clinician, researcher, or som...

In this episode, we explore the rapidly evolving world of sex technology through a trauma-informed and ethical lens. From apps and wearables designed to support sexual wellness and recovery to AI-driven platforms that promise personalization and connection, sex tech holds both exciting potential and serious responsibilities. We discuss how these innovations can empower users, while also examining...

In this episode, we explore how sexual feedback (so often a source of tension or defensiveness) can become a pathway to deeper intimacy. You’ll learn when and where these conversations flow most naturally, how to express desires and needs without triggering shame or shutdown, and why timing and tone matter just as much as the words themselves. We'll talk through practical strategies for shapi...

World AIDS Day is a moment to remember, reflect, and recommit. In Overcoming Silence, we revisit the early days of the AIDS epidemic, an era marked by fear, misinformation, and heartbreaking silence. From uncertainty and stigma to advocacy and progress, this episode honors those we lost, uplifts the communities who fought back, and reminds us that this fight is not over.  Join me as we reflect, le...

 Is your sex life feeling a little routine or predictable? In this episode, we dive into the top 10 ways to reignite passion, deepen intimacy, and bring excitement back into the bedroom. From playful communication and exploring novelty to building emotional connection and prioritizing pleasure, you’ll learn simple, research-backed strategies to help keep desire alive in long-term relationships. Wh...

Hormones play a vital role in how we feel, think, and function, but misinformation about them is everywhere. In this episode, we’re cutting through the confusion and tackling the top five hormone misconceptions I hear most often from patients. From the truth about hormone therapy and breast cancer risk to why vaginal estrogen isn’t just for people who are sexually active, we’ll unpack what the sci...

In this episode, we break down the key takeaways from the recent FDA roundtable where leading physician experts presented compelling data on the safety and efficacy of menopausal hormone therapy (MHT). Tune in as we explore how decades of research are challenging outdated perceptions, what the latest evidence means for patients and providers, and why experts are calling for a more balanced, eviden...

What is ethical porn, and how is it different from the mainstream adult industry? In this episode, we explore the world of ethical porn; a movement that prioritizes consent, fair pay, diversity, and respect for performers both on and off camera. We break down the key differences between ethical and mainstream porn, discuss why it matters for viewers and creators alike, and talk about how to find c...