The PGspot

Sexual desire and ADHD in women is rarely talked about openly, but it affects far more people than most realize. In this episode, we explore the complex relationship between ADHD, dopamine, sensory processing, emotional regulation, burnout, and intimacy. From fluctuating libido and novelty-seeking to shutdown, overwhelm, and relationship challenges, this conversation breaks down the experiences many women have silently struggled to understand.

We also discuss why ADHD sexuality is not one-size-fits-all, how hormones and stress can intensify symptoms, and what practical strategies may help women reconnect with desire without shame or self-blame.

Whether you have ADHD yourself, love someone who does, or simply want a deeper understanding of women’s sexual health and neurodiversity, this episode opens the door to a conversation that has been missing for far too long.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

In this episode of The PGspot, we explore the complex and often overlooked effects of GLP-1 medications beyond weight loss. While these treatments are transforming the landscape of obesity care, their impact doesn’t stop at the number on the scale. We dive into the nuanced connections between GLP-1 use, changes in libido, and the evolving sense of identity that can accompany rapid physical transformation.

How do shifting hormones, body image, and self-perception influence intimacy and relationships? What happens when the external changes outpace the internal adjustment? This conversation unpacks the psychological, emotional, and relational layers of weight loss in a way that goes far deeper than before-and-after photos.

If you’ve ever wondered how weight loss medications intersect with sexuality, confidence, and identity, this episode offers insight, validation, and a more holistic perspective on what it really means to change your body, and yourself.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

Intimacy doesn’t usually fall apart overnight, it fades in the small, everyday ways we show up (or don’t) in our relationships. In this episode, we’re breaking down five common ways we unintentionally sabotage intimacy and what we can start doing differently.

From letting flirting and playfulness disappear, to expecting sex to “just happen,” to avoiding the conversations that actually bring us closer…these patterns are more common than you think. And the truth is, most of us were never taught how to nurture intimacy in a sustainable, connected way.

We’ll also talk about why focusing on performance over connection can backfire, how unspoken resentment quietly erodes desire, and why communication is one of the most powerful (and underused) tools in our relationships.

If you’ve ever felt disconnected, stuck in routine, or unsure how to reconnect with your partner, this episode is for you.

Because awareness is the first step…but action is what creates change.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

In this powerful and deeply important episode, Awareness and Action Against Sex Trafficking, we shed light on one of the most pressing human rights issues of our time. We provide a clear understanding of what sex trafficking is, who it affects, and the lasting physical, psychological, and emotional impact on survivors.

Most importantly, this episode calls listeners into action. From recognizing red flags to knowing how to report suspected trafficking and support survivors, we provide practical, actionable steps that empower individuals to make a difference.

This is more than an educational episode; it’s a call to awareness, compassion, and responsibility. Whether you’re new to this topic or looking to deepen your understanding, this conversation is a vital step toward advocacy and change.

Resources for Sex Trafficking Awareness and Support

1. National Human Trafficking Hotline (U.S.)

• Phone: 1-888-373-7888 
• Text: 233733 (Text “HELP”) 
• Website: https://humantraffickinghotline.org
  Provides 24/7 confidential reporting and support for victims, survivors, and concerned community members. 

2. Polaris Project

• Website: https://polarisproject.org
  Offers survivor resources, guides on identifying trafficking, policy information, and professional training. 

3. U.S. Department of Homeland Security – Blue Campaign

• Website: https://www.dhs.gov/blue-campaign
  Educates the public on recognizing human trafficking and reporting suspected cases safely. 

4. U.S. Department of Health & Human Services – Trafficking Resource Center

• Phone: 1-888-373-7888 
• Website: https://www.acf.hhs.gov/otip
  Provides information and guidance for healthcare providers, social service professionals, and victims seeking help. 

5. RAINN (Rape, Abuse & Incest National Network)

• Phone: 1-800-656-HOPE (4673) 
• Website: https://www.rainn.org
  Offers resources for survivors of sexual assault, including trafficking victims, with confidential support and referrals. 

6. End It Movement

• Website: https://enditmovement.com
  An advocacy organization focused on raising awareness about human trafficking and promoting safe avenues for survivor support. 

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

In this episode, we explore what research actually says about consensual non-monogamy (CNM). While monogamy is often treated as the default relationship model, studies over the past two decades have examined how some people successfully build ethical, transparent relationships outside of that structure.

We’ll look at the communication strategies, boundary-setting practices, and emotional skills that researchers have found are common in successful CNM relationships. We’ll also discuss topics like jealousy, trust, and relationship agreements—and what these findings might reveal about healthy relationship dynamics more broadly.

Whether you're simply curious, skeptical, or exploring alternative relationship structures yourself, this episode offers a research-informed look at how and why consensual non-monogamy can work for some people.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

Pornography is no longer something kids “might” encounter someday, it’s something many are exposed to earlier than parents expect. And when we don’t talk about it, the internet becomes their primary teacher.

In this episode, we explore why avoiding the conversation about pornography doesn’t protect kids, and how silence can unintentionally create shame, secrecy, and confusion. You’ll learn what research says about early exposure, why curiosity is developmentally normal, and how proactive, age-appropriate conversations can strengthen trust rather than threaten innocence.

We’ll also discuss how to approach these conversations calmly and confidently, what messages kids actually need to hear, and how open dialogue lays the groundwork for healthier relationships, stronger boundaries, and long-term sexual wellbeing.

This isn’t about fear. It’s about preparation, connection, and becoming a safe place for your child in a world where explicit content is only a click away.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

Sexual fantasies are far more common (and far more meaningful) than most of us were ever taught. In this episode, we explore why we have sexual fantasies in the first place, what the research says about the most common themes, and what these inner storylines reflect about human desire.

You’ll learn how fantasies often speak to universal needs; like wanting to feel desired, powerful, free, adventurous, or deeply connected, rather than signaling something is “wrong” or shameful. We’ll also talk about what fantasies do not mean, and how understanding them can reduce shame, increase self-awareness, and even enhance intimacy, connection, and sexual satisfaction in relationships.

If you’ve ever wondered, Is this normal? What does this say about me? Should I tell my partner?, this episode is for you.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

Understanding Sexual Disgust and Desire explores how attraction and aversion are shaped by both biology and experience. In this episode, we look at sexual disgust through an evolutionary lens, how it developed as a protective mechanism and why it still influences desire today. We also examine how factors such as stress, relational safety, past experiences, cultural messaging, and gender differences affect the delicate balance between desire and aversion.

This conversation offers a compassionate framework for understanding shifts in libido that are often confusing or misunderstood, and invites listeners to move beyond shame toward curiosity and connection.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

Reframing Men, Sex, and Desire challenges the way we’ve been taught to think about male sexuality. Popular culture often reduces men to simple, one-dimensional narratives, always wanting sex, driven purely by biology, and emotionally disconnected. In this episode, we slow that story down and take a more nuanced look at how men actually experience desire.

Through honest reflection and thoughtful conversation, we explore how emotional safety, stress, self-image, and relational dynamics shape men’s sexual interest just as much as hormones do. We also unpack how shame, performance pressure, and rigid gender expectations can suppress desire rather than fuel it.

This episode invites listeners to move beyond stereotypes and toward empathy, whether you’re a man trying to better understand yourself, a partner seeking deeper connection, or simply curious about how desire really works. Reframing men and sex isn’t about lowering expectations, it’s about expanding understanding and creating space for healthier, more authentic intimacy.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.

In this episode, we explore the emerging role of trauma-informed, plant-based therapies in sexual health and healing. From psychedelic-assisted therapy to plant medicines, we examine how these approaches are being studied and thoughtfully integrated to support individuals navigating sexual trauma, intimacy challenges, and nervous system dysregulation. Whether you’re a clinician, researcher, or someone curious about holistic approaches to sexual wellbeing, this episode offers a grounded and compassionate look at how innovation and plant-based therapies are intersecting in modern sexual health care.

I would love to hear your feedback about today's episode, as well as any questions or topics that you would like addressed in future episodes. Although "Fanmail" doesn't allow for me to respond back directly, I am happy to address any questions in upcoming episodes. Thank you for listening and taking the time to message The PGspot through Fanmail!

If you want to learn more about sexual health, sexual dysfunction, or how to improve your sex life, follow me on Instagram at @thepgspot or check out my website at doctorpattyj.com for blogs and resources related to sex positivity and real talk about sexuality.  As as always, stay curious, stay empowered, and stay you.