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Ep. 405: The Truth About Erectile Dysfunction

July 13, 2026

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 interfere. They discuss how stress and performance anxiety can biologically affect erections via adr...

Ep. 404: [Soapbox] HRT is not Primarily About Libido

July 09, 2026

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 changes can happen but are more like an added bonus. Zimmerman emphasizes HRT’s broader purposes, in...

Ep. 403: Psychedelic-Assisted Therapy for Intimacy and Sex

July 06, 2026

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, compassionate way. She contrasts this with limits of talk therapy, citing biological effects such as de...