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The Shameless Care Podcast delivers honest, sex-positive conversations about sexual health, STI testing, and relationships—without fear or shame. Hosted by the founder and a practicing medical provider, it’s where real talk meets real medicine.
69 Episodes
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Bremelanotide, also known as PT-141, is one of the most misunderstood sexual health medications available today, and it has one of the strangest origin stories in modern medicine. It was originally studied as a tanning drug, but researchers noticed an unexpected side effect—spontaneous erections. That discovery led scientists to remove the skin-darkening component, resulting in bremelanotide as we know it today. In this episode, we explain how PT-141 works on the brain rather than blood flow...
Hedonism II is a resort in Jamaica that’s split between two worlds: half clothing-optional, half nude-mandatory. It’s a place intentionally designed for adults who want freedom, curiosity, and connection without judgment. Yes, people can have sex under the moon and stars. But they can also spend the day by the pool, dance all night long, and end up talking to a stranger in a hot tub at 4 a.m. who somehow feels like an old friend. The energy moves easily between playful, intimate, social, and...
Addyi was marketed as a breakthrough. But is one additional satisfying sexual experience per month, on average, worth abstaining from alcohol and accepting the risk of meaningful side effects? That question sits at the center of a drug that genuinely helps some people, while confusing and disappointing many others. In this episode, we break down what Addyi actually is, what the clinical trials showed, why FDA approval was so controversial, and who this medication may or may not make sense fo...
www.shamelesscare.com is your go to for all your prescription sexual health needs. Use coupon code podcast for $15 off today. No subscriptions - ever! Chlamydia has been around far longer than most people realize, long before antibiotics, modern testing, or even a clear understanding of what it was. In this episode, we walk through the surprisingly fascinating history of chlamydia, how it was misunderstood for centuries, how it was finally identified, and why those early blind spots sti...
Everyone knows that oral sex can cause cancer, but what kind? And is there a test for it? Trigger warning: Cancer Robert got a bit emotional at the beginning of this one. Cancer is a scary word. HPV is one of the most common viruses on earth—and the leading cause of oropharyngeal cancer. In this episode, we break down the link between HPV-16 and oropharyngeal squamous cell carcinoma (OPSCC). We’ll explain how many people carry oral HPV, how many carry HPV-16 specifically,...
She had sex in a car, got an STI, and filed an auto insurance claim. And unbelievably, it worked. In this episode, we unpack one of the strangest legal cases in recent memory. A woman contracts an STI after having sex in a parked car, files a claim under the driver’s auto insurance policy, and a court agrees that the infection counts as a covered bodily injury. Yes. Really. We walk through the full backstory. Who the people involved were. Why the claim was filed in the first place. H...
You are not the man your grandfather was. And that is not an insult. It is data. Over the past several decades, sperm counts have fallen dramatically and average testosterone levels in men have declined across generations. This episode looks at what the research actually shows, what is still debated, and what is often exaggerated or misunderstood online. This is not an episode about shaming modern masculinity. It is about understanding how bodies respond to modern life, why the data matters...
Vaginal lubrication. You love it. You want it. But do you actually understand it? In this episode, we break down what getting wet really means and why it is one of the most misunderstood parts of sex. We talk about how lubrication actually works, what arousal does and does not control, and why dryness is not a failure, a flaw, or a lack of desire. We cover natural lubrication, hormone driven changes, medications, stress, menopause, postpartum bodies, and why relying on wetness as proof of a...
Sex is supposed to be fun — but for a lot of people, it comes with some unsexy side effects. In this episode, we talk honestly about bacterial vaginosis (BV), urinary tract infections (UTIs), and yeast infections — why they’re common, why they often show up after sex, and why they’re not a sign that anything is “wrong” with you or your partner. Most importantly, we walk through how these conditions are treated — when telehealth is appropriate, when you should see an in-person physician, and...
Before Viagra, erectile dysfunction was not treated with a discreet pill and a glass of water. It was treated with injections straight into the penis, vacuum pumps that looked like medical torture devices, hormone experiments, surgery, psychotherapy, and a truly impressive amount of bad science and outright nonsense. In this episode, we walk through what ED treatment actually looked like before the late 1990s and why some of those approaches were abandoned while others quietly remain more eff...
Christmas is supposed to be wholesome. Family friendly. Safe. Historically, that could not be further from the truth. Long before Christmas trees, carols, and Santa Claus, winter celebrations were loud, chaotic, and openly sexual. Ancient Romans celebrated Saturnalia with role reversals, heavy drinking, and public debauchery. Pagan solstice festivals across Europe centered fertility, sex, and rebirth. Medieval Christmas often looked more like a sanctioned carnival than a holy day. Even tradi...
For decades, HIV was a diagnosis defined by fear, stigma, and loss. In this episode, we trace the true history of HIV from its earliest recognition through the AIDS crisis and into the modern era of treatment and prevention. We explore how science, activism, politics, and public misunderstanding shaped the epidemic, and how HIV became one of the most studied and treatable viral diseases in human history.
Website: https://www.shamelesscare.com/ Email newsletter sign up (unsubscribe anytime) https://shamelesscare.com/podcast/ I founded a successful telehealth company, and I’m a strong believer in telehealth as a model of care. It has expanded access, improved convenience, and helped a lot of people. But there are also aspects of the industry that I find predictable, yet disappointing. In this episode, we pull back the curtain on how telehealth actually works. We talk about why telehealth comp...
Are you trying to keep a secret? In this episode, we break down what actually happens to your telehealth visits, prescriptions, and test results after you click “submit.” What gets documented. What gets shared. What might quietly show up in your medical record later — sometimes years down the line. We explain how electronic health records work, when prescriptions can appear in pharmacy and insurance systems, why some medications are more visible than others, and how your “private” telehealth ...
Everyone says herpes screening tests aren’t “accurate”… but is that actually true? In this week’s podcast, we break it all down: specificity, sensitivity, positive predictive value, IgG versus IgM — everything you could possibly want to know about herpes simplex virus antibody testing (and probably a few things you didn’t know you needed). If you’ve ever wondered why these tests are so misunderstood — or why people panic over results that don’t mean what they think they mean — this episode w...
In today’s episode, we may have our best Dirty Joke of the Week ever. Oh — and we’re also answering six sexy questions with real science. What exactly is pre-ejaculate? How likely is pregnancy after a vasectomy? How fast do sperm die when swallowed? And plenty more where that came from.
You become a part of everyone you have sex with and everyone you have sex with becomes a part of you. That is not poetry. That is biology. There are more bacterial cells in your body than human cells and more viral particles than both of those combined. Most of them cause no harm at all. They are simply part of the ecosystem that makes you who you are. When you kiss someone you swap millions of bacterial cells in seconds. When you touch someone your skin biome mixes with theirs. When you go ...
In this episode Robert and Anna take you inside the world of CLIA certified labs, the invisible backbone of every STI test in the United States. If you have ever wondered how a lab earns its certification, who oversees it, what standards they must meet, or how we can trust the accuracy of the results, this is the episode you need. We break down the entire process in plain language, from the federal agencies that regulate labs to the inspections, audits, proficiency testing, and quality contro...
This episode is your invitation to the side of Thanksgiving that no teacher ever mentioned. Robert and Anna pull back the curtain on the Puritans and reveal a world that was a whole lot less pure than the myths. These were people who preached restraint, obsessed over sin, punished desire in public, and still managed to sneak in plenty of very human, very messy sex behind closed doors. Marriage laws, adultery trials, premarital confession records, pregnancy timelines that did not quite add up,...
Today we break down the pharmacology that every man should know. Sildenafil and tadalafil belong to the same class of medications, but they behave very differently. We cover the evolutionary path from early cardiovascular research to the discovery of Viagra, the development of tadalafil as a long acting PDE5 inhibitor, and the receptor selectivity that explains their unique profiles. You will learn how onset time, half life, peak action, and PDE subtype binding affect your sexual performance....
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