# Karen Bigman

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The Impact of Sexual Rejection: What It Does to Your Brain, Body & Relationship | Ep. 199

Chronic sexual rejection in a relationship doesn't just cause hurt feelings, it rewires how a person feels about themselves, their body, and their worth. In this episode I break down what's actually happening in the nervous system when a partner is turned down again and again, why rejection activat…

Why Your Marriage Went Sexless — And How to Talk About It Again | Ep. 200

In this episode, I'm kicking off season 7 — and marking 200 episodes of Taboo to Truth — with one of the topics that comes up in my practice more than almost anything else: sexless marriages. From the outside, a relationship can look completely fine — you're raising kids, running a household, laugh…

How To Fix Performance Anxiety In The Bedroom, According To Sex Coach Alex Grendi | Ep. 201

In this episode, I'm talking with Alex Grendi, a men's intimacy and confidence coach who spent years quietly numbing his own performance anxiety before he understood what was actually driving it. Alex is a former professional soccer player, and he opens up about carrying performance anxiety into th…

The Male G-Spot 101: The Truth About Prostate Massage, Risk, and the Anus Myth | Ep. 202

The prostate, also called the male G-spot, is a walnut-sized gland most straight men never want to talk about, and this episode is exactly that conversation. I get into what it does, how it's tied to ejaculation, and why stimulating it can feel intensely pleasurable for some men, regardless of orie…

Inside a Sex Club and a Kink Club for the First Time: What I Learned | Ep. 203

In this episode, I'm sharing something completely different: a firsthand account of a weekend I had in Montreal. I was there for an Advanced SAR — a Sexual Attitude Reassessment, the kind of training clinicians and sex educators take to get comfortable with behaviors and experiences outside their o…

Pearls & Perspectives: Sexual Health and Intimacy in Midlife, With Karen Bigman, MBA

In this episode, Karen Bigman, MBA, joins to discuss sexual health, intimacy, and relationship challenges facing adults as they navigate midlife and beyond.

Testosterone for Men vs. Women: The Truth About Libido, Energy & Orgasm | Ep. 204

In this episode, I'm talking about testosterone in midlife, menopause, low sex drive, and why so many women on hormone therapy are still missing the one hormone nobody thought to check. I learned this the hard way: after my divorce, I was dating again and having more sex than I had in years, and my…

What Really Happens At The Urologist (and why men avoid it) with Dr. Amy Pearlman | Ep. 205 (Part 1)

In this episode, I sit down with urologist Dr. Amy Pearlman to talk about what men actually need from their doctors and so rarely get. We start with the urology visit most men dread: why she spends an hour or more just talking before she ever asks for an exam, what a prostate exam actually checks, …

Erectile Dysfunction After 50? Let’s Talk Penis Rings, Pumps & What Actually Works | Ep. 206

In this episode, I'm opening up the toolbox most men refuse to touch: penis rings, vacuum pumps, and prostate massagers. Men avoid these products for the same reason they avoid the doctor. They think needing help means something is wrong with them. It doesn't. Your body at 50 isn't your body at 25,…

Sex after prostate cancer: what men need to know before surgery with Dr. Amy Pearlman | Ep. 205 (Part 2)

In this episode, I'm back with urologist Dr. Amy Pearlman for part two of our conversation. We start with a question I hear all the time: does ejaculating often protect your prostate? She walks me through the research, why masturbation counts, and the plant-forward way of eating that protects your …