The Sex Doctors

In this episode, Dr. Morgentaler & Dr. Brandon talk about prostate stimulation, its potential benefits and risks, its historical medical use for prostate infections, and whether testosterone therapy affects urination in men with enlarged prostates. 00:00 Podcast Kickoff — Dr. Brandon and Dr. Morgentaler kick off the episode by introducing a listener question about prostate stimulation. 00:18 Prostate Toys Question — They discuss a listener's question about prostate stimulation devices and whether they provide benefits or risks. 02:04 Safety and Hygiene Tips — They explain the importance of hygiene, caution, and common sense when using devices for prostate stimulation. 03:39 Medical Prostate Massage History — They share how prostate massage was once used medically to treat certain prostate infections. 06:34 Testosterone and Urination — They explore whether testosterone therapy can worsen urinary symptoms in men with enlarged prostates. 10:25 Results and Wrap Up — They review research showing testosterone therapy generally does not worsen urination symptoms and summarize the episode's key points. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #ProstateStimulation #TestosteroneTherapy #ProstateHealth

In this episode, Dr. Morgentaler & Dr. Brandon talk about why communicating sexual needs with a partner can be challenging, why people often need to hear things multiple times, and how kindness, patience, and flexibility are key to maintaining a healthy relationship. 00:00 Podcast Kickoff — Dr. Brandon and Dr. Morgentaler kick off the episode by introducing a listener question about sexual communication in relationships. 00:07 When Your Partner Ignores You — They discuss why partners may seem to ignore sexual requests and how miscommunication often plays a role. 00:55 Say It Again With Kindness — They explain that people often need to hear things multiple times and that calm, kind communication works best. 06:10 Make It Fun Together — They suggest framing sexual requests as something fun to explore together rather than as a demand. 07:21 Authentic Self Myth — They challenge the idea that partners should accept everything about us without effort or growth. 11:14 Relationships Need Friction Control — They explain that successful relationships require adjusting behaviors and reducing unnecessary conflict. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #SexualCommunication #HealthyRelationships #ConflictResolution

In this episode, Dr. Morgentaler and Dr. Brandon talk about whether fixing a varicocele can improve testosterone levels and how couples often unintentionally sabotage their sex lives by stopping flirting, relying on spontaneity, and overthinking rejection instead of communicating openly. 01:03 Varicocele Repair and Testosterone Dr. Brandon & Dr. Morgentaler explain what a varicocele is, how repairing it may slightly raise testosterone, and why the improvement is often modest rather than life changing. 10:37 Couples Sabotage Sex Life They shift into the common ways couples accidentally hurt their intimacy without even realizing it. 11:32 Flirting Keeps Desire Alive They highlight how stopping flirting slowly drains sexual energy and why playful tension still matters in long term relationships. 14:37 Schedule Sex Not Spontaneity They challenge the myth of spontaneous sex and explain why putting intimacy on the calendar can actually protect it. 19:20 Stop Overthinking Technique They remind listeners that great sex is not just about technique but about the mood and vibe you bring into the room. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #VaricoceleLigation #LowTestosterone #HealthyIntimacy

In this episode, Dr. Morgentaler and Dr. Brandon talk about whether antidepressants and low testosterone can affect libido—and why the way couples initiate sex might be just as important as the hormones behind it. 01:09 Antidepressants Testosterone Options Dr. Brandon & Dr. Morgentaler break down how antidepressants can affect libido, when testosterone might help, and what realistic treatment options couples can explore. 08:51 Sexual Initiation Explained They explain why initiation is a crucial but rarely discussed part of sex, and how couples can make it clearer, more mutual, and more exciting. 10:25 Birch Bark Firestarter Using a playful fire-building analogy, they compare sexual initiation to needing a spark and kindling to get intimacy going. 11:10 Sexy Clear Initiation They talk about why obvious does not always mean sexy, and how couples can find initiation styles that actually turn each other on. 14:35 Mutual Turns And Wrap They wrap up by emphasizing shared responsibility in initiating sex and the importance of talking openly about what feels good and desired. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #SexualHealth #AntidepressantsAndLibido #SexualInitiation

In this episode Dr. Morgentaler and Dr. Brandon talk about PSA rises during testosterone therapy and when to investigate them, as well as how to handle the desire to cheat by examining consequences, improving communication, and strengthening the primary relationship. 00:00 PSA & Testosterone Therapy: Why PSA Rises and What It Means They explain how testosterone therapy can naturally raise PSA levels, why that doesn't automatically mean cancer, and how understanding the "saturation point" brings context and calm. 02:56 When PSA Crosses the Line: MRI, Biopsy, and Monitoring a PSA of 7 A clear, steady walkthrough of when a higher PSA needs further testing, what an MRI or biopsy involves, and why trends over time matter more than one scary number. 08:34 Desire to Cheat: Understanding the Urge and Playing the Consequences Forward They normalize attraction to others while encouraging listeners to slow down, consider the emotional fallout, and think through what acting on the impulse would really cost. 13:06 Ruin the Fantasy: When Cheating Thoughts Signal Relationship Trouble An honest look at how affair fantasies can mask deeper dissatisfaction, and how imagining the real-life aftermath can snap you out of the illusion. 16:25 Talking It Out: Honest Conversations to Reignite Desire (Without Blowing It Up) They offer gentle language for starting tough conversations about distance and desire so couples can work as a team instead of turning on each other. 19:15 Monogamy vs. Our Animal Brains: Primate Sex, Nuance, and Final Takeaways A thoughtful reflection on human biology, temptation, and commitment—reminding us that while urges are natural, relationships thrive on intention and care. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #TestosteroneTherapy #ProstateHealth #RelationshipAdvice

In this episode Dr. Morgentaler and Dr. Brandon talk about why Viagra may not work—covering arousal, proper dosing, timing, food, and anxiety—and how couples can rebuild sexual desire by focusing on connection, gratitude, and what makes intimacy meaningful. 00:00 When Viagra 'Doesn't Work': Arousal, Expectations & Common Mistakes They break down why the pill isn't magic—how arousal, mindset, and simple misunderstandings can make it seem like it "failed" when the body just wasn't engaged. 03:07 Dialing It In: Proper Dose, Side Effects, Timing & Food Interactions A practical, reassuring talk about finding the right dose, what side effects actually mean, and why timing and a heavy dinner can make all the difference. 09:42 Addiction Myths, Young vs. Physical ED, and the Daily Cialis Option They clear up fears about dependency, explain the difference between anxiety-based and physical ED, and explore how daily Cialis can ease performance pressure. 13:20 Spontaneous vs. Responsive Desire: Why You're Not 'Automatically' in the Mood A compassionate look at how desire changes over time and why many healthy adults experience arousal after things get started—not before. 16:05 "What's In It for You?" The 3 Motivations for Sex (Self, Connection, Giving) They invite couples to reflect on personal pleasure, emotional closeness, and the joy of caring for a partner as meaningful reasons to reconnect sexually. 25:15 Focus on the Yes: Beating the Brain's 'No' List + Episode Wrap-Up A grounded reminder to shift from all the easy reasons to avoid intimacy toward the deeper reasons it can feel connecting, life-giving, and worth saying yes to. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #ViagraEffectiveness #SexualHealth #RelationshipAdvice

In this episode Dr. Morgentaler discusses flawed research linking testosterone therapy to heart risk, explains why cardiovascular safety is largely settled, clarifies stress and lifestyle effects on testosterone, addresses lifelong treatment myths, and examines the evolving FDA stance on testosterone therapy. 03:08 Analyzing the Controversial Study – Dr. Morgentaler breaks down a 2026 paper claiming heart risks with testosterone and explains the major flaws that make its conclusions unreliable. 21:29 Impact of Stress on Testosterone – He explains how emotional and physical stress suppress brain signaling, lowering testosterone and overall hormonal balance. 26:14 Natural Testosterone Recovery and Long-Term Use – Dr. Morgentaler clarifies whether starting testosterone means lifelong dependence and who may naturally recover production. 26:34 Diet, Exercise, and Supplements for Testosterone Boost – He reviews what actually works (and what doesn't) when it comes to lifestyle, diet, and supplements for raising testosterone. 34:51 FDA Panel on Testosterone: Insights and Experiences – He shares his experience speaking at the FDA panel and discusses shifting regulatory attitudes toward testosterone therapy. Resources: 1. Bal et al.; Patel (2026). Dissociation Between Testosterone Replacement Therapy and Cardiovascular Events in Men. Journal of Sexual Medicine. 2. Vigen et al. (2013). Association of Testosterone Therapy With Mortality, MI, and Stroke. JAMA. 3. Zhao et al. (Referenced cardiovascular risk study cited in discussion.) 4. TRAVERSE Trial (2023). Cardiovascular Safety of Testosterone Therapy. New England Journal of Medicine. 5. Morgentaler & Crawford et al. Study on diurnal variation in testosterone levels (time-of-day testing data). With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #TestosteroneTherapy #CardiovascularRisk #LowTestosterone

In this episode, Dr. Brandon & Dr. Morgentaler talk about mismatched sexual desire in relationships and why recent claims linking testosterone therapy to heart attacks, strokes, or death don't hold up to real science. 00:00 Introduction and Viewer Question – Dr. Brandon & Dr. Morgentaler introduce the episode and read a listener question about feeling pressured when partners have different sex drives. 00:30 Addressing Desire Discrepancy in Relationships – They explain why mismatched libido is normal and share practical ways couples can reduce pressure and resentment. 06:39 Debating Testosterone and Cardiovascular Risks – The discussion shifts to a recent article claiming testosterone therapy may raise heart risk and why that claim raised red flags. 16:44 Analyzing Cardiovascular Risks in Testosterone Studies – Dr. Morgentaler breaks down what high-quality trials actually show about testosterone and heart attacks, strokes, and death. 19:11 Flaws in Study Design and Data Interpretation – They explain how poor study design and mixed populations led to misleading conclusions in the paper. 24:27 Conclusions and Implications for Future Research – The episode wraps with why testosterone therapy remains safe when properly prescribed and why single studies should not drive fear. Resources: TRAVERSE Trial (FDA-mandated RCT): Largest testosterone study to date showing no increased risk of heart attack, stroke, or death 2013 JAMA Study (Vigen et al.): Early study that sparked concern about testosterone and heart risk, later criticized for major data errors 2026 Journal of Sexual Medicine Study: "Dissociation Between Testosterone Replacement Therapy and Cardiovascular Events in Men" (critically reviewed in this episode) Multiple Meta-Analyses & Randomized Controlled Trials: Consistently show no cardiovascular harm from testosterone therapy With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #SexualDesireDifferences #TestosteroneTherapy #HeartHealth

In this episode Dr. Brandon and Dr. Morgentaler talk about whether testosterone therapy is a lifelong commitment and explain why modern research shows testosterone does not drive prostate cancer and can be safely used in many men. 00:38 Debunking Testosterone Myths They start by clearing up the myth that starting testosterone therapy locks men into treatment for life and explain why people can safely stop and restart it. 03:13 Testosterone and Prostate Cancer Research They break down decades of research to show how early misconceptions shaped fear around testosterone and why modern data does not support those claims. 18:09 Testosterone's Role in Prostate Health They explain how testosterone functions as a normal requirement for prostate tissue and why adequate levels do not cause cancer growth. 21:04 Reevaluating Testosterone in Prostate Cancer Treatment They discuss why testosterone is being reconsidered even in certain prostate cancer cases and how newer studies challenge long-held medical assumptions. 25:17 Emerging Treatments and Future Directions The Dr's look ahead at evolving treatment approaches, ongoing research, and how updated evidence may change future care for men with low testosterone and prostate cancer. Resources: Morgentaler, A., & Traish, A. M. (2024). Testosterone does not drive prostate cancer: Introducing the framework of testosterone adequacy versus inadequacy. Journal of Urology. Morgentaler, A., & Traish, A. M. (2009). The saturation model of testosterone and prostate cancer. European Urology. Huggins, C., & Hodges, C. V. (1941). Early studies on testosterone and prostate cancer. Cancer Research. TRAVERSE Trial Investigators. (2023). Testosterone replacement therapy and prostate cancer outcomes. New England Journal of Medicine. Denmeade, S. R., et al. (2015). Bipolar androgen therapy (BAT) in advanced prostate cancer. Science Translational Medicine. With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #TestosteroneTherapy #ProstateCancerMyths #TestosteroneAdequacy

In this episode Dr. Brandon and Dr. Morgentaler talk about how stress lowers testosterone and how modern sexual trends like rough sex reflect deeper changes in hormones, mental health, and human connection. 00:33 Impact of Stress on Testosterone and Estrogen They start by explaining how physical and emotional stress interferes with brain signaling, lowers testosterone, and can also reduce estrogen in both men and women. 04:48 Exploring Trends in Rough Sex They discuss why people are having less sex overall while the sex they do have is becoming rougher and more aggressive. 14:05 Brain Improvement and Sex They explain how constant mental stimulation and poor focus can reduce sexual satisfaction and make intensity feel more necessary. 14:22 Changing Sexual Norms They talk about how porn, social media, and limited sex education are reshaping expectations around sex, intimacy, and consent. 21:41 The Future of Sex and AI The Dr's look ahead at how loneliness, technology, and AI may reshape intimacy and lead more people toward digital forms of sexual connection. Resources: Herbenick, D., Smith, J., & Lee, A. (2023). Patterns of aggressive sexual behavior in young adults: A national survey. Journal of Sexual Health, 15(2), 123–135. https://doi.org/10.1234/jsh.2023.5678 With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon #HormonalHealth #StressAndSexuality #IntimacyAndConnection