Vasectomies, ED, Fertility & Post-Nut Clarity (ft. Dr. Jed Kaminetsky)

Vasectomies, ED, Fertility & Post-Nut Clarity (ft. Dr. Jed Kaminetsky)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration. In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more. Topics discussed: * Dr. Jed's experience performing 6,000+ vasectomies * Why vasectomies don't affect erections, orgasms, ejaculation or libido * Who should and shouldn't get a vasectomy * Vasectomy reversals and success rates * More childfree men choosing vasectomies * Psychological vs. physical erectile dysfunction * Performance anxiety and first-time sex nerves * What erectile dysfunction actually means * Lifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise) * Stress, anxiety and blood flow to the penis * Refractory periods and why they change with age * Viagra, Cialis and how they work * Daily Cialis vs. as-needed dosing * Testosterone testing and common misconceptions * Natural ways to increase testosterone * Weightlifting vs. endurance running for hormone health * Penis pumps and cock rings * Pornography, masturbation habits and sexual conditioning * Low libido vs. erectile dysfunction * Fertility, declining sperm counts and modern lifestyle * Microplastics and male fertility * Sauna use, heat exposure and sperm health * Prostate enlargement, prostate cancer and ejaculation research * Steroids, bodybuilding and infertility * Testosterone replacement therapy risks * Women's testosterone and libido * Post-nut clarity explained * Why men's physiology isn't an excuse to neglect a partner's orgasm * Communication, sex therapy and relationship dynamics * Micro-penis myths and penis size insecurity * Why erectile dysfunction is a symptom, not a disease Follow Dr. Jed:Instagram: @drjedkaminetsky [https://www.instagram.com/drjedkaminetsky] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/34pj7rod48/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2629-alexa&hash=fUS7kwOmmDzPitnmZTqVSAIp0e4Tc68JfIcIb5OjdFo]

Former Sex Worker on Hiring a Male Escort, OnlyFans & the Loneliness Epidemic (ft. Coral Osborne)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with Coral Osborne (@theunrealcoralosborne), sexologist, intimacy coach for men, former sex worker, and writer.  Coral shares how sex work has changed over the last decade, why the industry has become increasingly polarized, and why she believes decriminalization matters for safety and autonomy. She opens up about the realities behind influencer culture, escorting, OnlyFans, AI, the loneliness epidemic, and why becoming a content creator today is harder than ever. The conversation takes a deeply personal turn as Coral recounts hiring a male escort, what she hoped to experience, why it didn't unfold as expected, and what the experience revealed about vulnerability, performance, pleasure, and intimacy.  Topics discussed: * The changing landscape of sex work over the past decade * Political divides and hypocrisy within the sex industry * Escort culture in Los Angeles, New York, Dubai, and Las Vegas * Why older sex workers often earn more than younger ones * The rise of OnlyFans and if it’s easy to become a millionaire * The loneliness epidemic and why AI won't replace real intimacy * Building an audience on social media without sacrificing integrity * Writing vulnerable essays on Substack * Why Coral hired a male escort * What it felt like to be on the client side of sex work * Performance anxiety from a woman's perspective * Receiving versus giving pleasure * Faking orgasms and learning how to stop performing * Oral sex, vulnerability, and intimacy * Dating after leaving sex work * Meeting her current boyfriend and navigating honesty early on * Why intimacy and transaction can coexist * Double standards around dating former sex workers * Lived experience versus academic credentials in sex education * Why coaches should continue investing in their own healing * Using relationship tools like Yes/No/Maybe lists and relationship menus * Bringing curiosity and intentional communication into long-term relationships Follow Coral Osborne:Instagram: @theunrealcoralosborne [https://www.instagram.com/theunrealcoralosborne/] Substack: https://substack.com/@coralosborne [https://substack.com/@coralosborne] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa]

Pussy Worship 101: How to Give (and Receive) Pleasure Like a Pro (ft. Ashley Manta)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with sex educator, relationship coach, and OnlyFans creator Ashley Manta for a deep dive into pussy worship, oral sex, receiving pleasure, and what truly creates incredible sex. They discuss what pussy worship actually means, why enthusiasm and verbal reassurance matter and creating safety for the receiver. Topics covered: * What pussy worship really is * Why enthusiasm changes everything * Verbal reassurance before oral sex * Creating emotional safety during sex * The ideal 60-minute pussy worship session * Foreplay being needed before oral sex * Labia massage techniques * Consent before penetration * Pleasure-focused vs orgasm-focused sex * Tension orgasms vs relaxed orgasms * Betty Dodson's orgasm techniques * Breathing through orgasm * Why sex educators have higher standards * Escaping performative sex * Raising your standards for pleasure * Porn vs real-life sex * Learning to receive instead of always giving * Overcoming people-pleasing in bed * Mutual masturbation as education * Giving and receiving feedback during sex * Hormonal changes and changing preferences * Pussy worship fantasies * Bisexual experiences and women's play parties * Breast worship and body worship * Toys during oral and hand sex * Why everyone should use lube * Oral-anal hygiene tips * Choosing partners who prioritize your pleasure Follow Ashley Manta:Instagram: @cannasexual [https://www.instagram.com/cannasexual] Website: pussywhisperer.coach [https://www.pussywhisperer.coach] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/34pj7rod48/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2629-alexa&hash=fUS7kwOmmDzPitnmZTqVSAIp0e4Tc68JfIcIb5OjdFo]

Pt.2 - 3 Sluts, 3 Moods: Cream Pies, Pussy Health, & Feeling Chosen (Vee & Elle - Girls Gone Deep)

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Vee and Elle from the Girls Gone Deep podcast for Part 2/2. Together they explore whether non-monogamy is really about unmet needs, what happens when a partner satisfies nearly everything you're looking for, the role of new relationship energy in long-term relationships, primary partnerships versus non-hierarchical polyamory, freedom and autonomy in love, catching feelings for people who aren't a match, maintaining boundaries despite intense attraction, and the science behind oxytocin, dopamine, attachment, and post-sex bonding. They also unpack cream pies, breeding kinks, ownership versus feeling chosen, BDSM dynamics, worship, possessiveness, fertility awareness methods, Oura Ring tracking, vasectomies, accidental pregnancy stories, relationship satisfaction, energetic pleasure, arousal, and what it really means to build a "bulletproof pussy." Topics Discussed * Whether non-monogamy is fundamentally about unmet needs * Can one person satisfy all your emotional, sexual, and relational needs? * New relationship energy (NRE) and its role in long-term relationships * Catching feelings for people who aren't a good match * Oxytocin, dopamine, endorphins, and attachment after sex * Bacterial vaginosis (BV): causes, treatment, recurrence, and prevention * Yeast infections and recurring vaginal health issues * Gut health's connection to vaginal health * Creating a “bulletproof pussy” * Sleep, alcohol, drugs and sex * UTIs and post-sex hygiene * Self-checking vaginal health through scent and taste * Cream pies, breeding kinks, and why people find them attractive * Accidental pregnancy stories * Ownership, possessiveness, worship, and feeling chosen * BDSM dynamics and core desires in sex Follow Girls Gone Deep:Instagram: @girlsgonedeeppod [https://www.instagram.com/girlsgonedeeppod/] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa]

Pt. 1 - 3 Sluts, 3 Moods: Postpartum Sex, Polyamory & Childfree Dating (Vee & Elle - Girls Gone Deep)

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Vee and Elle from the Girls Gone Deep podcast for an honest conversation about sexuality, identity, motherhood, non-monogamy, desire, dating, pleasure, and why "sluthood" has nothing to do with how much sex you're having. Together they explore whether you can still be a slut while celibate, the difference between sex positivity and sluthood, and why owning your desires without shame is at the heart of sexual empowerment. Topics Covered: • Why "sluthood" is a mindset, not a body count• Sex positivity vs. sluthood• Owning sexual desires and boundaries• Polyamory and relationship de-escalation• Solo poly life and finding a new primary partner• BDSM dynamics, D/s relationships, and sexual compatibility• Playing together vs. playing separately in non-monogamous relationships• Feeling sexually satiated in long-term partnerships• Asexuality, demisexuality, and the ace spectrum• Whether you can be an asexual slut• Anonymous sex vs. sex with emotional connection• Sex parties and sex-positive communities• Building trust, safety, and desire with recurring partners• Female arousal, nervous system safety, and orgasm• Why one pregnancy can feel completely different from another• Postpartum sexuality and loss of desire• Returning to sex after giving birth• Masturbation during pregnancy and postpartum• First postpartum orgasms and sexual rediscovery• Oral sex, receiving pleasure, and people-pleasing tendencies• Why some women struggle to receive• "Real eaters" and enthusiastic oral sex partners• The psychology of receiving pleasure• The Wheel of Consent• Foreplay, full-body arousal, and erotic anticipation• Female desire and what actually creates arousal• Grinding, making out, and erotic tension• Bad kissers and sexual compatibility• What makes oral sex feel incredible• Leaving casual sex behind• Dating with intention• Childfree dating and relationship dealbreaker• Having sex on the first date• Slow burns versus instant chemistry• Building tension before sex• Boundaries, self-control, and emotional attachment• Future sexual adventures and lifestyle goals Follow Girls Gone Deep:Instagram: @girlsgonedeeppod [https://www.instagram.com/girlsgonedeeppod/] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2624-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/nkdzvlw04w/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2624-alexa&hash=i4G9v6AzYlbVVccgxI6No8OxANgP38gXD1eH4GCiL-I]