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. Join us for a thoughtful conversation about how sex tech can be developed and used in ways that prioritize safety, autonomy, and healing, without losing sight of the ethical questions that must guide innovation in such a deeply personal space.

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 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 or walks. Whether you’re navigating mismatched desire, hoping to rekindle passion, or simply wanting to communicate with more confidence, this episode offers tools to turn vulnerable moments into opportunities for closeness.

Sensate Focus Exercise:

Here is the basic exercise. Please note that intercourse is off limits until the later stages of the activity.

SENSATE FOCUS I

* You will be taking turns sensually caressing, stroking, and feeling your partner’s hands, arms, feet, and legs.

* Set aside 20 minutes, three times during the week.

* Select a setting where you will have uninterrupted privacy.

* Agree to do this activity either clothed or lightly clothed.

* Split the 20-minute time into two 10-minute periods. One of you will be the receiver and one the giver of touch during each 10-minute period.

* Focus on what feels good to you, not how your partner perceives the touch. In Step II, you will focus on what feels good for your partner and get immediate feedback.

* Try to talk as little as possible during the exercise. You can give feedback later, perhaps the next morning or sometime before you repeat the activity.

SENSATE FOCUS II

* Follow the guidelines in Sensate Focus I regarding time, frequency, and tuning in to sensations. This time, your partner can give feedback about what feels good to them.

SENSATE FOCUS III

This is the same idea as Sensate Focus I and II, but now the touching is mutual and if both partners agree, can move to breasts and genitals.

* Shift your attention to your enjoyment of your partner’s body.

* If you become highly aroused, take a little break and resume touching. The point is to enjoy the journey, not just the destination.

SENSATE FOCUS IV AND V

Continue as in previous activity sessions.

* At some point, move to the female-on-top position without attempting insertion of the penis into the vagina.

* In this position, the woman can rub her clitoris, vulva, and vaginal opening against her partner’s penis regardless of whether there is an erection.

* Eventually, the woman can insert the tip of the penis into the vagina if there is an erection. Go back to non-genital pleasure if either partner becomes anxious.

* After doing this type of play a few times, you will most likely feel ready for intercourse. Keep the focus on your sensations and on nondemand pleasuring.

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.

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 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.

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-positive insights to help you and your partner reconnect and rediscover each other.

Click here for the complete yes/no/maybe list https://doctorpattyj.com/s/YesNoMaybe-Complete-List-1.pdf

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.

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 about hormone replacement therapy, or just want to better understand your body, this episode will leave you feeling informed, empowered, and ready to have evidence-based conversations about your hormonal health.

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 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 women's health, this episode offers a clear and timely summary of where the science stands today.

Topics covered:

• The evolving safety profile of MHT
• Misconceptions rooted in past studies
• Clinical guidance from hormone therapy experts
• What this means for the future of menopause 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.

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 skeptic, or someone rethinking their relationship with adult content, this episode will challenge assumptions, spark conversation, and maybe even change the way you watch.

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 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-free, honest conversation about an issue that affects more people than you might think. Tune in for insight, support, and maybe even a little relief.

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.