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The PGspot

Author: Dr. Patty Jalomo

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Join me, Dr. Patty Jalomo, a dual certified nurse practitioner, pelvic floor therapist, and sex counselor as we break down the barriers that prevent open communication about sexual health.  I'm here to provide expert insights, debunk myths, and empower you to embrace your sexual well-being.  Whether you're looking for answers or just curious, join us as we open up the conversation around sex, intimacy, and everything in between.

22 Episodes
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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 compassiona...
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 me...
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 co...
In this episode, we explore the rapidly evolving world of sex technology through a trauma-informed and ethical lens. From apps and wearables designed to support sexual wellness and recovery to AI-driven platforms that promise personalization and connection, sex tech holds both exciting potential and serious responsibilities. We discuss how these innovations can empower users, while also examining critical concerns around consent, data privacy, accessibility, and commercialization of intimacy....
In this episode, we explore how sexual feedback (so often a source of tension or defensiveness) can become a pathway to deeper intimacy. You’ll learn when and where these conversations flow most naturally, how to express desires and needs without triggering shame or shutdown, and why timing and tone matter just as much as the words themselves. We'll talk through practical strategies for shaping feedback into an act of care, from aftercare conversations to low-pressure moments like car rides o...
World AIDS Day is a moment to remember, reflect, and recommit. In Overcoming Silence, we revisit the early days of the AIDS epidemic, an era marked by fear, misinformation, and heartbreaking silence. From uncertainty and stigma to advocacy and progress, this episode honors those we lost, uplifts the communities who fought back, and reminds us that this fight is not over. Join me as we reflect, learn, and continue breaking the silence together. I would love to hear your feedback about to...
Is your sex life feeling a little routine or predictable? In this episode, we dive into the top 10 ways to reignite passion, deepen intimacy, and bring excitement back into the bedroom. From playful communication and exploring novelty to building emotional connection and prioritizing pleasure, you’ll learn simple, research-backed strategies to help keep desire alive in long-term relationships. Whether you’re looking for a spark or a full-on fire, this episode offers practical, sex-posit...
Hormones play a vital role in how we feel, think, and function, but misinformation about them is everywhere. In this episode, we’re cutting through the confusion and tackling the top five hormone misconceptions I hear most often from patients. From the truth about hormone therapy and breast cancer risk to why vaginal estrogen isn’t just for people who are sexually active, we’ll unpack what the science actually says and why these myths persist. Whether you’re navigating menopause, curious abou...
In this episode, we break down the key takeaways from the recent FDA roundtable where leading physician experts presented compelling data on the safety and efficacy of menopausal hormone therapy (MHT). Tune in as we explore how decades of research are challenging outdated perceptions, what the latest evidence means for patients and providers, and why experts are calling for a more balanced, evidence-based conversation around MHT. Whether you're a clinician, patient, or simply curious about wo...
What is ethical porn, and how is it different from the mainstream adult industry? In this episode, we explore the world of ethical porn; a movement that prioritizes consent, fair pay, diversity, and respect for performers both on and off camera. We break down the key differences between ethical and mainstream porn, discuss why it matters for viewers and creators alike, and talk about how to find content that aligns with your values and your desires. Whether you're a curious consumer, a skepti...
In this episode, we dive into the physical and psychological factors that can impact male sexual performance, from medical conditions and stress to unrealistic expectations and complex relationship dynamics. Whether you're personally navigating these concerns or supporting someone who is, we’ll share practical strategies to help. We’re also busting some of the most common myths around male sexual performance, because let’s face it, there's a lot of misinformation out there. This is a stigma-f...
Ever wondered what a compounding pharmacist actually does, and why it matters? In this episode, we sit down with pharmacist Justin Clark, the owner of Val Vista compounding pharmacy to explore the world of personalized medicine. From tailoring medications for individual needs to creating solutions when commercial drugs fall short, we dive into how compounding is transforming patient care. Whether it's customizing hormone therapies, libido enhancers, or vaginal lubricants, this behind-the-scen...
What happens when one partner wants sex more...or less often than the other? In this episode, we dive into the complex, often unspoken world of sexual desire discrepancy. From common causes and emotional impacts to communication tips and ways to reconnect, we explore how couples can bridge the gap without blame or shame. Whether you're the higher-desire or lower-desire partner, this conversation offers validation, insight, and real strategies for navigating intimacy mismatches. I would ...
Talking about sex with your partner doesn’t have to be awkward, it can actually bring you closer. In this episode, we dive into why open, honest conversations about sex are essential for a healthy relationship. From navigating desires and boundaries to building trust and deeper intimacy, we’re breaking down how to communicate with confidence (and maybe even have a little fun doing it). Let’s normalize the talk that leads to better connection, in and out of the bedroom. I would love to h...
In this episode, we'll explore the physical, emotional, and psychological layers of this experience, bust some harmful myths, and talk about how to start advocating for your body and pleasure. Whether you're personally impacted or supporting someone who is, you'll walk away from this episode with insight, validation, and real tools for healing. Let's get into it! Some resources that are mentioned in today's episode include: International Pelvic Pain Society - IPPS - https://www.pe...
In this episode, we explore the groundbreaking work of sexologist Miss Jaiya and her Erotic Blueprint framework—a system that helps individuals and couples better understand their unique pathways to arousal, intimacy, and sexual fulfillment. We break down the five Erotic Blueprints—Energetic, Sensual, Sexual, Kinky, and Shapeshifter—and discuss how each one offers insights into your core desires, turn-ons, and potential blocks to pleasure. Whether you’re looking to deepen your connection with...
In this powerful episode, we journey through the rich and resilient history of Pride; from its radical roots in protest and resistance to its evolution into a global celebration of identity, love, and progress. We explore key moments in LGBTQ+ history, the struggles and triumphs that have shaped the movement, and the legacy of those who fought for the rights many enjoy today. But the story doesn’t end there. As we examine how past victories have influenced modern society, we also confront the...
What happens when partners experience mismatched desire—or when sex starts to feel like just another item on the to-do list? In this insightful episode, I’m joined by Dr. Maureen Ryan, a sexual health counselor, nurse practitioner, and nationally certified health coach, to unpack some common yet often unspoken issues in relationships. We explore how couples can navigate different levels of sexual interest, the importance of prioritizing intimacy in busy lives, and how mindfulness and b...
In this special Masturbation May episode, we journey through the rich (and often misunderstood) history of self-pleasure. From historical attitudes toward erotic autonomy to the invention of the first vibrator, we explore how solo sex has evolved - and how it's been shaped by science, stigma, and shifting societal norms. We'll examine the lasting impact of Puritanical values on modern views of masturbation, and take a comparative look at how different cultures around the world understan...
For most vulva owners, sexual pleasure isn't just about penis in vagina sex. In this episode, we will discuss the multitude of erogenous zones and how they were discovered. So, whether you’re looking to level up your solo game, spark new things with a partner, or just get to know your body better, it’s time to unlock the whole pleasure spectrum -one spot at a time. I would love to hear your feedback about today's episode, as well as any questions or topics that you would lik...
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