The SexMD Podcast by Dr. Debra Durst

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You can work out, eat healthy, and still be low in a vitamin that’s linked to your erections.

You can work out, eat healthy, and still be low in vitamin D, a common vitamin that researchers have linked to erectile dysfunction. Here’s why your levels may matter more than you think.
In this video, Dr. Debra Durst explains why vitamin D acts more like a pro-hormone than a simple vitamin. She covers how your body makes it from sunlight and how it signals cells throughout the body. She also...

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-A patient injected 8 milligrams of a peptide that should have been dosed at 1 milligram, all because of an AI answer. Peptide dosing is more complex than “how many units,” and getting it wrong can cause serious side effects.

In this episode of The SexMD Podcast, Dr. Debra Durst  and nurse practitioner Farideh explain why units on a syringe don’t tell you your dose. Using real insulin syringes, they show how 30-, 50-, and 100-unit syringes are marked differently. They also explain why “the second line” means nothing without context, and what you sh...

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What if I told you a daily 5 mg dose of Cialis might make more sense than a full 20 mg dose?

What if a daily 5 mg dose of Cialis (tadalafil) made more sense than a full 20 mg dose? For men with erectile dysfunction, a low daily dose may offer more spontaneity, fewer side effects, and benefits beyond the bedroom.
Dr. Debra Durst explains how Cialis works as a PDE5 inhibitor to support blood flow, and why it still requires sexual stimulation to work. She also explains how daily dosing differs from...

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- Bigger testicles don’t mean more testosterone. Most of their volume is actually devoted to making sperm.

Bigger testicles don’t mean more testosterone. So what does testicle size actually tell you about your hormones, your fertility, and your performance in bed?
On The SexMD Podcast, Dr. Debra Durst and RevitalyzeMD provider Breanna Case walk through 10 facts about testicle size that most men never hear. They cover what the testicles actually do, how testosterone therapy affects them, how to keep them working while on TRT, and what women really thin...

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Halle Berry is talking about menopause and sex, and she’s partnered with a red light device women use at home. So what’s the science behind it?

Halle Berry is bringing intimate wellness into the menopause conversation through her partnership with Joylux. So what does red light therapy actually do for arousal, comfort, and vaginal health?
Dr. Debra Durst explains the science behind the Joylux vFit, an at-home intravaginal device that combines red light, gentle heat, and vibration. She covers how it compares with the in-office vaginal laser treatments used...

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“Just because it’s normal doesn’t mean it’s good. I’d run your panel, tell you your labs are normal, and then tell you to find a specialist who can actually help you.”
 This comes from a former family medicine provider admitting the system’s limits, and it speaks directly to every viewer who’s been told “your labs are fine” while still feeling off.

Your hormone labs came back “normal,” but you still don’t feel like yourself. Here’s why normal isn’t always the same as optimal, and why insurance o...

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You can buy a penis pump at your local sex store, but that’s not the same thing as a medical-grade vacuum erection device.

Not every penis pump is a medical device. Dr. Debra Durst explains the difference between a sex-store penis pump and a medical-grade vacuum erection device, and why it matters for erectile dysfunction and long-term erection health.
In this video, Dr. Durst covers who vacuum erection devices are for. That includes men noticing changes in their erections and men rehabilitating after prostate surgery. She explains how she pa...

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Seven women. One doctor. Not one of them had ever proactively asked how her sex life was — and that silence is exactly what's driving today's conversation about low libido, hormones, and menopause.
In this roundtable, Dr. Debra Durst sits down with a panel of women to talk candidly about what actually happens to desire, arousal, and intimacy during perimenopause and menopause — the conversations most doctors' offices never make room for. The panel gets into vaginal dryness, painful sex, the guilt that comes with a vanishing sex drive, and why so many women suff...

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Feeling tired doesn’t automatically mean low testosterone. Gaining weight doesn’t automatically mean menopause.

Feeling tired, gaining weight, or losing your sex drive doesn’t automatically mean you have a hormone imbalance. When several of these symptoms show up together, though, it may be time for a hormone evaluation.
In this video, Dr. Debra Durst walks through the five signs her patients describe most often: changes in energy, body composition, sexual function, sleep and mood, and menstrual cycles. She explains how estrogen, progesterone, testosterone, and thyroid hormones can affect both m...

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Would you take an antibiotic every day for the rest of your life to kill the bacteria in your gut? Of course not. But that's exactly what most of us do to our mouths.

Your mouthwash may be quietly undermining your blood flow. On this episode of The SexMD Podcast, we explore how the oral microbiome drives nitric oxide production, and what that means for blood pressure, erections, and sexual wellness. 

Dr. Debra Durst sits down with Dr. Haraldo Magaranos, a biologic dentist, periodontist, oral surgery specialist, and naturopathic d...

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Getting up two or three times a night to urinate? A weaker stream, or waiting for things to get started? An enlarged prostate (BPH) may be the cause, and there are things you can do about it.
In this video, Dr. Debra Durst explains why the prostate grows, how DHT and other hormonal changes drive that growth, and why it squeezes the urethra like a pinched garden hose. She covers the warning signs of benign prostatic hyperplasia, simple lifestyle changes, prescription options, and where supplements like pygeum fit in.

Key...

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-Radiofrequency microneedling to the face is notoriously painful - so why does the same intravaginal microneedling treatment feel almost nothing like it? Dr. Debra Durst breaks down the science behind it.
In this conversation, Dr. Debra Durst of RevitalyzeMD talks with intimacy expert  @BetterLover   intravaginal RF microneedling (using the Empower device), why the vaginal canal responds so differently to needling than facial skin does, and how at-home and in-office vaginal restoration devices fit together for a complete protocol.
Subscribe for more physician-led conversations on sexual wellness, hormone optimization, and regenerative medicine.

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Your erections could be the fifth vital sign, and sometimes the earliest sign that something is wrong with your blood vessels.
Your erections may be telling you more about your health than you think. Erectile dysfunction could be the fifth vital sign, and sometimes the earliest warning of blood vessel problems.
Dr. Debra Durst explains why questions about erection strength and morning erections belong in every screening conversation, and how daily low-dose Cialis (tadalafil) works on the blood vessels, not just in the bedroom.


If this conversation resonates...

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A Kegel is just one of 36 different pelvic floor skills. And it's the easiest one.

Kegels are just the beginning. Pelvic floor training can do far more than most women realize for arousal, lubrication, libido, and vaginal orgasms.
On this episode of The SexMD Podcast, Dr. Debra Durst sits down with pelvic floor expert Bel De 'Lorenzo, author of The Gohddess Method. They discuss pompoir, a method that trains the vaginal muscles the way you'd train any other muscle for strength, endurance, and control. They cover why most women struggle...

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Is there a guarantee with erectile dysfunction? Yes. It will progress if left untreated.

Does shockwave therapy really work for erectile dysfunction? After using GainsWave acoustic shockwave since 2019, our practice upgraded to GainesWave 2.0, and there's a clinical reason why.
In this video, Dr. Debra Durst explains what GainsWave actually is: a provider network with standardized protocols and tracked outcomes, not just a device. She covers the difference between the original radial shockwave and the new focused OmniWave technology, what the research shows, and who is a good candidate for treatment.<...

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Curious what real laser skin resurfacing before and after results actually look like? Studies show women who get two IPL photofacials a year look noticeably younger a decade later — even when every pigmented spot isn't fully lifted. Dr. Debra Durst breaks down exactly what's happening under the skin.

On this episode of the SexMD podcast, Dr. Debra Durst — founder of RevitalyzeMD, a physician-led hormone optimization, sexual wellness, and regenerative aesthetics practice in Knoxville and Farragut, Tennessee — sits down with a guest to walk through her own collagen stimulating treatments journey: layered lasers...

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Curious whether a vaginal rejuvenation laser can really change how sex feels? Intimacy expert  @BetterLover   shares her honest 90-day results.

On this episode of the SexMD podcast, Dr. Debra Durst — founder of RevitalyzeMD, a physician-led hormone optimization and sexual wellness practice in Knoxville, Tennessee — sits down with intimacy expert Susan Bratton to talk through her 90-day experience with the Fotona 4V Lux laser. This non-surgical vaginal tightening approach goes beyond the vaginal canal to address the full vulvovaginal system, including the clitoris and labia, using a dual-wavelength, non-ablative technology built for collag...

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🎯 Perimenopause affects millions of women, yet many say no one prepared them for what was happening. In Part 1 of our Women's Roundtable, real women share their experiences with perimenopause, menopause, hormones, brain fog, anxiety, and feeling dismissed by the healthcare system.
This isn't another lecture from medical experts. It's an honest conversation between women about the symptoms they experienced, the answers they couldn't find, and why these conversations need to happen more often.
In this episode:
Why so many women say, "Nobody warned me."
The early signs of perimenopause tha...

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Research shows the #1 trait that makes you attractive to the opposite sex isn't intelligence, success, or income - it's playfulness.
In this episode, Dr. Debra Durst sits down with Kim Seltzer, dating and confidence expert from the Charisma Quotient podcast, to explore how outer confidence — style, body language, and flirting - shapes attraction just as much as biology and hormones do. Kim shares how she went from feeling invisible after her divorce to helping thousands of men and women rebuild confidence from the outside in.

📘 What You’ll Learn in This Vi...

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Research shows most women don't peak sexually until decades later than they'd expect — and it's not for the reason you think.
In this episode, Dr. Debra Durst sits down with Dr. Alexandra Stockwell, physician, best-selling author, and host of The Intimacy & Marriage Podcast, to talk about why so many couples struggle to talk about sex — and how to change that at any age. Dr. Stockwell also shares her own experience receiving regenerative sexual wellness treatments in the office.

📘 What You’ll Learn in This Video
- Why 91% of long-lasting, happy mar...

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What is the P-Shot? 🍆 Here's what you need to know.

Do you think men wait to long before seeking help for ED? Why or why not?

Curious about the Pshot procedure? Learn how this regenerative treatment uses your own platelets to potentially improve tissue health.

This video explains the science behind the Pshot and addresses common concerns about the process. We break down how the procedure works by using blood components to stimulate growth factors. If you have been researching options for tissue regeneration or blood flow imp...

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Can metabolic cancer therapy improve cancer treatment? In this episode, integrative oncologist Dr. Mark Rosenberg explains metabolic cancer therapy, the role of cancer metabolism, TM (ammonium tetrathiomolybdate), low-dose immunotherapy, hyperbaric oxygen therapy, and how nutrition may support conventional cancer treatment. If you're researching integrative oncology, breast cancer treatment, or emerging approaches to cancer care, this conversation explores the latest evidence and clinical experience.

📘 What You’ll Learn in This Video
- Why cancer cells rely on glucose and copper to grow — and how targeting that metabolism (not just the tumor) changes...

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Understanding how your home environment shapes your sexual development is key to healthy relationships.

In this episode, Dr. Debra Durst sits down with New York Times best-selling author and AASECT-certified sex therapist Ian Kerner to unpack the orgasm gap, desire discrepancy, and the communication breakdowns that quietly shape a couple's sex life.
Ian is the author of She Comes First and He Comes Next, and co-founder of the sex therapy training program at the Institute for Contemporary Psychotherapy in New York City. He and Dr. Durst talk through the questions...

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Perimenopause affects millions of women, yet many say no one prepared them for what was happening. In Part 1 of our Women's Roundtable, real women share their experiences with perimenopause, menopause, hormones, brain fog, anxiety, and feeling dismissed by the healthcare system.

This isn't another lecture from medical experts. It's an honest conversation between women about the symptoms they experienced, the answers they couldn't find, and why these conversations need to happen more often.

In this episode:
- Why so many women say, "Nobody warned me."
- The...

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🎯 What if the hardest battles of your life happened before anyone ever saw the crown?
Before becoming Mrs. Tennessee, Taylor Lavin faced infertility, multiple IVF rounds, three miscarriages, unexplained health struggles, and the feeling that she had lost herself along the way.
In this episode of The Sex MD, Taylor shares the story behind her platform, Bold Her Truth, and why women sharing their experiences can help others feel less alone.
We discuss:
• Infertility and IVF
• Miscarriage and resilience
• Breast Implant Illness
• Reclaiming identity and purpose
• The j...

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🎯 Is female ejaculation real - and is it actually urine?  @BetterLover   breaks down the biology, the myths, and why "sex span" belongs alongside sleep, exercise, and nutrition as a true pillar of longevity.

In this conversation, we go deep into the science of female ejaculation, orgasmic health, and why intimacy deserves a place in your longevity toolkit.

We cover:
- What female ejaculation actually is - and isn't (spoiler: it's not urine)
- The three categories of orgasm: erogenous zones, techniques, and pleasure tools
- "Orgasmic cross...

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🎯 Can erectile dysfunction be reversed without surgery, injections, or relying entirely on pills?

In this episode of The SexMD, Dr. Debra Durst and Farideh Golembiewski, FNP, break down everything you need to know about GAINSWave 2.0, the next evolution of acoustic wave therapy for erectile dysfunction and male sexual performance.
RevitalyzeMD has offered GAINSWave since 2019, but the new focused shockwave technology allows for deeper, more precise treatment—targeting the blood vessels responsible for healthy erectile function.
In this episode, we cover:
⚡ What GAINSWave actually is
⚡ The difference between radial vs...

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🎯 What happens when women start losing sensation, arousal, or pleasure with age—and is there anything that can actually help?

In this episode of The SexMD Podcast, Dr. Debra Durst sits down with sex educator, author, and podcaster Susan Bratton @BetterLover to talk about vaginal rejuvenation, sexual wellness, and why declining sensation is more common than most women realize.
Susan shares her personal experience with regenerative therapies including the O-Shot, PRP, PRF, exosomes, stem cells, and the Lux V / 4V treatment.

In this episode, we cover:
✨ What vaginal...

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🎯 Dr. Durst sits down with integrative oncologist and breast surgeon Dr. Jen Simmons @dr.jennsimmons for one of the most eye-opening conversations you'll hear about breast cancer — from a doctor who lived it herself.
Dr. Simmons grew up watching every woman in her family die of breast cancer. Then at 46, she was diagnosed. What happened next completely transformed how she practices medicine. In this episode, they cover: Why a tumor is a symptom, not the problem
The real role of estrogen and why it may actually be protective
How unresolved traum...

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If you are on hormone replacement therapy and still dealing with vaginal dryness, pain with sex, or recurring UTIs — you are not failing your treatment. Your tissue is telling you it needs something more.

In this episode, Dr. Durst and Farideh, break down exactly why hormones alone sometimes aren't enough to restore vaginal tissue health — and what local regenerative treatments can do that systemic estrogen simply cannot. If you have been told there are no solutions, this episode will change that

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📘  Pe...

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🎯 GLP-1s are changing bodies — but are they quietly killing your sex drive?

Ozempic. Wegovy. Mounjaro. Everyone's talking about the weight loss — but nobody's talking about what these medications might be doing to your libido.
In this video, our physician breaks down why some patients lose their drive on GLP-1s, why others actually experience improvement, and what a properly managed protocol looks like.
✅ The real causes of libido changes on GLP-1s
✅ Why hormone optimization, nutrition, and resistance training matter
✅ Red flags that tell us your protocol need...

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🎯 State of the Manscape — Should Men Trim, Shave, or Go Full Jungle?

We did the State of the Bush for women - and you loved it. So now it's your turn, guys.
Dr. Durst and Farideh Golembiewski, FNP, are breaking down everything men need to know about grooming below the belt. Trim, shave, or let it grow? What do women actually prefer? And does any of it even matter?

We're covering it all - including what the studies say, what women really think, and why trimming might just say m...

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After six years and two shows, we've made a big decision.
Both podcasts are officially merging into one — The SexMD. One show, one home, one place where all the conversations about feeling better, looking better, and having better sex live together.
Nothing you loved is going away. It's just cleaner, easier to find, and better than ever.
Whether you've been with us from the beginning or you're discovering us for the first time — welcome. You picked a great time to join.

🎙️ Subscribe to The SexMD wherever you listen to podcas...

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If you have ever felt like traditional medicine had nothing real to offer you when it came to hormones, aging, or your sex life — this episode is going to change the way you think about what is actually possible. 

Dr. Debra Durst sits down with Dr. Amy Killen, a former acute care physician turned regenerative medicine and longevity specialist, to talk about the massive gap in women's healthcare and exactly what evidence-based tools are available right now to fill it. From bioidentical hormone therapy and the recent lifting of FDA black box...

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What if your sex life didn't have to decline with age — but could actually get better? 

Susan Bratton, intimacy expert and educator to over 1.5 million people worldwide, joins Dr. Debra Durst for one of the most wide-ranging, honest, and genuinely life-changing conversations about sexual health ever recorded on this channel. From fighting for your erectile function in your 30s to unlocking the female pleasure system most doctors completely ignore — this episode covers everything you didn't know you needed to know about having the best sex of your life right now, at any a...

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“Painful sex, bladder leaks, low libido, and vaginal changes are NOT something women should just ‘accept with age.’”
In this eye-opening conversation, Dr. Castillo of Swan Intimate Wellness reveals the truth about menopause, hormone therapy, vaginal rejuvenation, pelvic floor dysfunction, libido, PT-141, and regenerative treatments that are helping women restore confidence, intimacy, and quality of life.
If you’ve ever been told “it’s just aging,” this interview may change the way you think about women’s health forever.

💡 Topics Covered:
• Menopause & Hormone Replacement Therapy (HRT)
• Vaginal Rejuvenation & Laser Ther...

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If you've ever left your doctor's office with unanswered questions about your body, your pain, your leakage, or your sex life — you are not alone, and it is not okay. 

In this episode, Dr. Debra Durst sits down with Dr. Troy Hailparn, cosmetic plastic gynecologist, at the International Society of Cosmetic Gynecology conference to have the conversation most women never get to have with their doctor. From labiaplasty and vaginoplasty to PRP, radiofrequency, and the truth about estrogen — this episode is packed with the education, advocacy, and real answers that women have...

If you've ever left your doctor's office with unanswered questions about your body, your pain, your leakage, or your sex life — you are not alone, and it is not okay. 

In this episode, Dr. Debra Durst sits down with Dr. Troy Hailparn, cosmetic plastic gynecologist, at the International Society of Cosmetic Gynecology conference to have the conversation most women never get to have with their doctor. From labiaplasty and vaginoplasty to PRP, radiofrequency, and the truth about estrogen — this episode is packed with the education, advocacy, and real answers that women have been searching for.

🔥 Start Yo...

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Your sex life does not have to change as you get older — and your body doesn't have to stay the way it is after childbirth, hormonal shifts, or the natural aging process. In this episode, Dr. Debra Durst and laser expert Marissa Statenn break down the 4V, RevitalyzeMD's trademarked non-surgical vaginal rejuvenation procedure — a facelift for the vagina with no pain, no cutting, and zero downtime. From external tightening and lifting to clitoral stimulation and improved arousal, this episode covers everything women are searching for but not finding answers to.

🔥 Start Your Tr...

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If you've ever left your doctor's office with unanswered questions about your body, your pain, your leakage, or your sex life — you are not alone, and it is not okay. 

In this episode, Dr. Debra Durst sits down with Dr. Troy Hailparn, cosmetic plastic gynecologist, at the International Society of Cosmetic Gynecology conference to have the conversation most women never get to have with their doctor. From labiaplasty and vaginoplasty to PRP, radiofrequency, and the truth about estrogen — this episode is packed with the education, advocacy, and real answers that women have...