Welcome to Episode 468 of the Sexology Podcast! Today I am excited to be joined by Dr. Alyssa Yee, who speaks to me about the realities of vulvar and vaginal pain, the challenges of diagnosis, and how partners can offer meaningful support.

In this conversation, we discuss the wide range of painful symptoms many vulva owners experience, from burning and sharp stinging at the vestibule to deeper pelvic discomfort that can appear during or after sexual activity. Dr. Yee helps clarify how conditions such as vestibulodynia, hormonal disruptions, pelvic venous disorders, and endometriosis often go unrecognized or are dismissed in medical settings, leaving patients feeling isolated and unsure where to turn for help.

Dr. Alyssa Yee is a Sexual Medicine Physician and Reconstructive Urologist who completed her clinical fellowship at San Diego Sexual Medicine in 2021-2022 under the mentorship of Dr. Irwin Goldstein. In her fellowship, she was awarded the SMSNA Foundation Research grant to investigate the pathophysiology of neuroproliferative vestibulodynia–a painful sexual condition of the vulva. Drawing from her research, Dr. Yee innovated the first sub-epithelial complete vestibulectomy surgery, allowing for decreased blood loss and post-operative pain with excellent response.

In this episode, you will hear:

· Understanding Vulvar And Vaginal Pain

· Why Pain During Sex Is Often Normalized

· Common Symptoms Of Vestibulodynia

· How Hormones Influence Genital Pain

· Inflammation And Nerve Related Causes

· Endometriosis Symptoms And Misdiagnosis

· Why Patients Feel Gaslighted In Medical Settings

· How Partners Can Offer Support And Validation

· Effective Treatment Options And Hormonal Therapies

· Resources For Finding Knowledgeable Providers

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Podcast Produced by Vaudeo Productions

Welcome to Episode 467 of the Sexology Podcast! Today I am excited to be joined by Suzannah Weiss who speaks to me about understanding and addressing the orgasm gap in long term relationships.

In this conversation, we look at why orgasm inequality persists even among couples who consider themselves progressive, communicative, and sexually informed. We discuss how cultural narratives, media scripts, and outdated beliefs continue to shape expectations around women’s pleasure, often leaving vulva owners feeling inadequate or unseen in intimate relationships.

Suzannah Weiss is a writer, sexologist, and psychotherapist in Los Angeles. She is the author of Eve's Blessing: Uncovering the Lost Pleasure Behind Female Pain and Subjectified: Becoming a Sexual Subject. She runs a psychotherapy practice focused on sex and couples' therapy and neurodiversity. She is also a certified sex educator, sexual assault counselor, and birth doula.

In this episode, you will hear:

· Understanding the Origins of the Orgasm Gap

· Cultural Versus Biological Explanations

· How Porn Shapes Early Sexual Scripts

· Prioritizing Clitoral Stimulation

· Working With Vibrators and Sexual Aids

· Techniques for Sharing Pleasure Preferences

· The Role of Fantasy in Partnered Sex

· Mindfulness and Embodiment Practices

· Reducing Performance Pressure for Both Partners

· Building Relaxation and Trust Before Sex

Thank you to our sponsor Filthy Milfs! Your podcast lineup is about to get filthy. Get ready for a completely uncensored, outspoken, dirty-minded, and eye-opening look from the most adventurous milfs on the block, Ellen Ancui and Sophie Levine. From ways to spice up your sex life at any age, to insightful wellness tips to keep you feeling happy, healthy, and hot in and out of the bedroom, they have got you covered. They're filthy. They're milfy. And they’re waiting for you on Apple, Spotify, or wherever you catch your favorite podcasts.

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Podcast Produced by Vaudeo Productions

Welcome to Episode 466 of the Sexology Podcast! Today I am excited to be joined by Jessica Fern who speaks to me about consensual non-monogamy, secure attachment, and the inner work required to build healthy open relationships.

In this conversation, Jessica shares her personal journey into non-monogamy and the ways her clinical work pushed her to explore the topic more deeply. We talk about emotional exclusivity, the origins of Polysecure, and how people can distinguish between personal triggers, relational dynamics, and the messages they have absorbed from society. Jessica offers thoughtful insights on insecurity, jealousy, and the importance of intentional repair when conflict arises.

Jessica Fern holds a Master’s degree in Conflict Resolution, is a Certified Clinical Trauma Professional, a trained Internal Family Systems (IFS) practitioner, and an integrative therapist drawing on 25 years of experience in somatic, narrative, psychotherapeutic, and spiritual healing modalities. She is the internationally recognized author of Polysecure: Attachment, Trauma, and Nonmonogamy, The Polysecure Workbook, and Polywise: A Deeper Dive Into Navigating Open Relationships.

In this episode, you will hear:

• Jessica’s Early Exploration Of Non Monogamy

• Unconscious Beginnings And Identity Formation

• How Clinical Work Sparked Conscious Alignment

• Emotional Exclusivity And Realistic Expectations

• Origins And Meaning Of The Term Polysecure

• Hearts Model For Secure Attachment

• Differentiating Me We Or Society

• Conflict Repair And Nervous System Regulation

• Assessing Readiness For Opening Relationships

• Misconceptions Around Jealousy And Compersion

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Spice Up Your Social Media Feed AND Your Sex Life: Follow Us On Instagram

Podcast Produced by Vaudeo Productions