Welcome to Episode 480 of the Sexology Podcast! Today I am excited to be joined by Dr. Taylor P. Kohn who speaks to me about the impact of GLP-1 receptor agonists on sexual health and erectile function.

In this episode, we discuss the growing curiosity around GLP-1 medications and whether they influence erectile dysfunction, libido, and overall sexual performance. Dr. Kohn shares insights from his large claims database study examining young men without diabetes who initiated GLP-1 treatment. We also talk about reassuring findings, including the low overall rate of new erectile dysfunction diagnoses, while also unpacking the difference between correlation and causation.

Dr. Taylor P. Kohn, MD, M.Phil. is an Assistant Professor in the Scott Department of Urology at Baylor College of Medicine, specializing in Male Infertility and Sexual Dysfunction.

Dr. Kohn began his academic career at Baylor University where he developed a love for biomedical research. In 2013, he was awarded a prestigious Fulbright Scholarship, enabling him to pursue a Master of Philosophy (M.Phil.) in Instrumentation at the University of Manchester in the United Kingdom, studying protein distribution in Alzheimer’s disease using imaging mass spectrometers.

In this episode, you will hear:

· GLP-1 Medications And Erectile Dysfunction Risk

· Libido Changes And Reward System Questions

· Microvascular Health And Cardiovascular Links

· Weight Loss, Muscle Mass, And Hormone Regulation

· Testosterone Optimization Through Lifestyle

· Psychological Contributors To Erectile Challenges

· Treatment Ladder For Erectile Dysfunction

· Shockwave Therapy And Regenerative Options

· Penile Injections And Prosthesis Outcomes

· Stress Reduction And Sexual Confidence Building

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Podcast Produced by Vaudeo Productions

Welcome to Episode 479 of the Sexology Podcast! Today I am excited to be joined by Zach Brittle who speaks to me about negative sentiment override and how relationship dynamics shape our erotic connection.

In this episode, Zach and I discuss how the emotional tone of a relationship deeply influences intimacy inside and outside the bedroom. We look at the concept of Negative Sentiment Override, a term from John Gottman’s research, and discuss how couples can find themselves stuck in patterns where even neutral moments feel charged with criticism or defensiveness.

Zach has been teaching, coaching, mentoring and counseling couples for nearly 20 years. He is a Licensed Mental Health Counselor (LMHC) in Washington and a Certified Gottman Therapist (CGT) and Relational Life Therapist. He is the host of Marriage Therapy Radio and the author of the best selling relationship guide The Relationship Alphabet and the Marriage Therapy Journal. His writings and insights have also been featured in Vanity Fair, Men’s Health, Real Simple, The New York Times and the Washington Post. Zach has been happily married to his wife Rebecca for 25 of 28 years. They live in Seattle with their two adulting daughters.

In this episode, you will hear:

· Understanding Negative Sentiment Override

· Positive Versus Negative Emotional Filters

· The Pasta Example And Neutral Events

· Emotional Safety And Sexual Vulnerability

· Gender Socialization And Desire Patterns

· Slowing Down Between Impulse And Response

· Taking Responsibility In Relationship Conflict

· Contempt And The Illusion Of Superiority

· Redefining What Sex Is For

· Scheduling Erotic Play And Expanding Intimacy

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Podcast Produced by Vaudeo Productions

Welcome to Episode 478 of the Sexology Podcast! Today I am excited to be joined by EJ and Tarah Kerwin who speak to me about sex and parenting, how becoming parents reshaped their intimacy, desire, and how they maintain their emotional connection to each other.

In this episode, EJ and Tarah speak to me about what it was like to go from a playful, spontaneous sex life to feeling completely overwhelmed after the birth of their twins; navigating sleep deprivation, and the resurfacing of past trauma. They also talk openly about the grief that can accompany shifts in identity, libido, and partnership, and how isolating that transition can feel when couples are not talking about it.

EJ and Tarah Kerwin are the founders of Relationship Renovation and hosts of the Relationship Renovation Podcast, where they share raw honesty, humor, and decades of combined experience as relationship coaches to help couples deepen intimacy, build emotional safety, and navigate the complexities of long-term partnership.

Known for their vulnerability and willingness to share their own relationship challenges, EJ and Tarah offer practical tools, research-backed insights, and real-life stories that resonate with couples around the world.

In this episode, you will hear:

· The Impact Of Parenting On Sexual Desire

· Navigating Postpartum And Identity Shifts

· Grief Around Changing Intimacy

· Higher And Lower Desire Dynamics

· Emotional Safety In Long Term Relationships

· Pressure Windows And Sexual Expectations

· Rebuilding Intimacy Through Communication

· Processing Trauma Within Partnership

· Non Sexual Affection And Erotic Connection

· Creating Systems To Prioritize Your Relationship

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Podcast Produced by Vaudeo Productions