Shameless Care Podcast

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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 still affect STI testing and diagnosis today.

This isn’t a scare tactic and it’s not a mor...

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, and why there’s no screening test for OPSCC...

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. How auto insurance bod...

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, and how to think clearly about male reproductive health without fear, politics, or pseudoscience.<...

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 attraction is bad science and bad sex education. 

I...

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 how to recognize red flags that mean you shouldn’t wait. We

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 effective than people realize. We break down what worked, what failed, what was dangerous, and what modern medicine borrowed from those early...

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 traditions we consider innocent today, like mistletoe, have roots in fertility rites and sexual symbolism.

In this episode, we explore the surprisingly sexy history...

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.

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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 companies advertise the way they do, how pricing decisions are made, an...

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 care can sometimes be connected without you realizing it.

This isn’t fear-mongering — it’s transparency. Mo...

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 will make everything finally click.

Oh, and of course: our dirty joke of the week

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 down on someone...

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 controls that keep everything honest.

We also explore why some states allow...

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, and community punishments that tell a completely different story than the wholesome paintings hanging in your...

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. We also explain why many men unintentionally mismatch the medication to the situation, and how to choose the right drug...

The FDA just removed the long standing warning on female hormone replacement therapy. For more than twenty years women were told that HRT carried major dangers, but the science has changed and the original fear was based on misinterpreted data. In this episode we explain what the updated evidence actually shows, why the FDA reversed course, and what this means for women who want relief from menopause symptoms, better long term health, and a higher quality of life. This is the real story behind one of the biggest corrections in modern medicine.

Most people think the Tuskegee Syphilis Study was a secret government experiment uncovered by a brave whistleblower. It wasn’t. For forty years, the U.S. Public Health Service openly studied hundreds of Black men in Alabama who had syphilis—without treating them, even after penicillin became the known cure.

What’s rarely discussed is that it was never actually hidden. The study appeared in peer-reviewed medical journals. The Milbank Memorial Fund publicly supported it. Articles were published describing autopsies, complications, and outcomes. Even a 1969 CDC panel reviewed the study and voted to continue it.

In 197...

You’ve feared a virus that causes sores on your skin ever since you started having sex — but it probably wasn’t this one.

Today, we’re talking about Molluscum Contagiosum — which is contagious, in case the name didn’t give it away.

Ever noticed tiny, smooth bumps that seem to spread like gossip after a hookup or a gym visit? Meet Molluscum Contagiosum, the viral skin infection that’s more common, more harmless, and more misunderstood than you think. Robert and Anna break down how it spreads, why it isn’t technically an STI (but acts like on...

Robert and Anna get shameless about oxytocin — the hormone that makes you cum, cuddle, and occasionally catch feelings you didn’t order. It’s nature’s love potion, but now science is selling it by the spray bottle. Does synthetic oxytocin actually make you fall harder, bond faster, or just feel warm and fuzzy for no reason? From sex to science, they cover everything that makes this chemical connection the hottest topic in medicine (and in your bedroom).

In 1983, British physiologist Dr. Giles Brindley walked onto a medical conference stage, dropped his pants, and revealed a full erection — all in the name of science. That legendary (and unbelievably awkward) moment became the birth of modern injection therapy for erectile dysfunction — what we now call Trimix.

In this episode, Robert and Anna break down the wild, hilarious, and genuinely brilliant story behind the ED injection that still works when pills don’t. From the “mad” and “naked” scientist who started it all, to how Trimix evolved into one of the most effective — and most feared — treatments for ED today, we c...

Condoms have been around for thousands of years — but the modern version you trust every day? That’s the work of the FDA. 

Yes the FDA regulates condoms...and surprisingly has helped. 

In this episode, we dive into the surprisingly rigorous (and often hilarious) world of condom regulation, testing, and innovation. From ancient linen and lambskin to FDA labs and “Magnum” marketing, we unpack how science and policy made condoms one of public health’s biggest success stories — literally and figuratively.

www.shamelesscare.com for all your sexual health needs. 

Mycoplasma genitalium is a sexually transmitted infection. Ureaplasma, on the other hand, is usually just a normal part of the human biome — yet the two are constantly confused.

In this episode, Robert and Anna from Shameless Care break down why that confusion matters. Many sex-positive people ask for Ureaplasma testing, but here’s the truth: almost everyone would test positive, and in most cases, it doesn’t mean anything is wrong.

We’ll talk about when Ureaplasma can cause problems, what qualitative vs. quantitative testing a...

Visit www.shamelesscare.com for all your sexual healthcare needs. 

Let’s be honest—exercise keeps you wet in more ways than one.

In this episode of the Shameless Care Podcast, Robert and Anna break down how movement, muscle, and a little sweat can completely transform your sex life. This isn’t another “go to the gym and look hot” conversation; it’s the real science of how exercise changes blood flow, hormones, and arousal physiology for everyone—men, women, and everyone in between.

We start with the basics: how regular exercise improves genital blood f...

www.shamelesscare.com for all your sexual health needs.

Think you know the facts about STIs? Even some doctors don’t. In this episode, Robert and Anna debunk nine of the biggest myths about STI testing, symptoms, and transmission — and explain what the science actually says about sexual health, testing, and prevention.

Welcome to Bottoms Up! The Science of Anal Sex — the episode where we finally talk about what everyone’s doing, thinking about doing, or pretending not to do.

Join Robert, founder of Shameless Care, and Anna, a PA in oncology and co-host of The Shameless Care Podcast, as they take a sex-positive, medically accurate deep dive (pun absolutely intended) into the anatomy, preparation, pleasure, and risks of anal sex.

Forget what you’ve heard on TikTok or in porn — this is real science, explained by real clinicians, without shame or judgment.

Visit shamelesscare.com for...

Welcome to another unapologetically honest episode of The Shameless Care Podcast, where science, sex, and sanity actually meet.

This week, Robert and Anna dive head-first into three of the most controversial topics in sexual health: vibrators, circumcision, and breast size.

Everyone has an opinion about them — but what does the science actually say?

Are vibrators “ruining” sensitivity or relationships, or are they one of the most empowering sexual health tools ever made? Does circumcision really change sexual sensation or pleasure for men — and for their partners? And what about breast size — are there measurable...

Everyone’s heard the stories — oysters, chocolate, red wine, rhinoceros horn (please don’t). But do aphrodisiacs really work, or is it all in your head — and bloodstream?

In this episode, Robert and Anna dig into the science (and the scams) behind so-called love potions. You’ll learn which natural compounds actually affect libido and arousal, what modern research says about oxytocin, PT-141, and tadalafil, and why “turn-on chemistry” has a lot more to do with the brain than the bedroom.

They separate myth from medicine with humor, data, and a little shameless curiosity.

Shameless...

www.shamelesscare.com for all your sexual health needs.

About 30% of men experience condom-induced erectile dysfunction — losing erections from the act of putting on or using a condom. That part makes sense to anyone with a penis. What’s shocking is what happens next: some men switch from planned, protected vaginal sex to unprotected anal sex — exponentially increasing STI risk. In this episode, we break down the science, psychology, prevention strategies, and the disturbing role of stealthing and sexual manipulation.

The human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with nearly 80% of people exposed at some point in their lives. While most infections clear on their own, certain HPV types can cause genital warts or even cancers of the cervix, anus, penis, and throat. The good news? We have a vaccine that prevents the vast majority of these outcomes — and it’s changing public health as we know it.

In this episode of the Shameless Care Podcast, Anna and Robert take a shamelessly clear look at the HPV vaccine: what it is...

When it comes to your sexy life, few things are as seductive as a little extra freedom — whether that’s between the sheets or at the pharmacy counter. That’s why we’re slipping into something a little naughtier this week: HSA vs. FSA. Don’t worry if you’ve never whispered those letters during pillow talk before. By the end of this episode, you’ll know exactly how these little acronyms can make your health — and your playtime — so much more fun.

Think of HSAs and FSAs as your two very different lovers. One is the long-term, steady...

Public health loves a slogan. “Condoms equal safe sex.” “Just say no.” “Seatbelts save lives.” They’re short, sticky, and persuasive — and they work. Many more people buckle up today than ever before because of decades of relentless messaging. More teens carry condoms because they were told they mean “protection.”

But here’s the problem: slogans are also misinformation by omission. They leave out the details that actually matter. And when you oversimplify science, people start believing things that aren’t true. They think condoms make them “safe,” even though 94% of people have unprotected oral sex and many STIs — HPV, herpes, myc...

It’s the age of free love — if you want it to be.

We live in a time when science and medicine have finally caught up with human desire. Thanks to modern medicine, every single STI is either curable, preventable, or completely manageable. Let that sink in. The things we were once taught to fear, to whisper about, to treat like a scarlet letter — they don’t hold the same power anymore.

This episode of the Shameless Care Podcast is our most ambitious yet: we look at every STI. One by one. And instead of fear, sh...

Why do we moan during sex? Is it a natural, biological reflex… or something we’ve learned from culture, porn, and partners? Are moans performative — signals meant to turn on someone else — or are they raw, uncontrollable expressions of pleasure?

In this episode of the Shameless Care Podcast, Robert and Anna dig deep into the science of moaning, exploring the intersection of biology, psychology, and social learning. We trace moaning back to its evolutionary roots, looking at animal research and human sexual behavior studies to understand what our bodies are really doing when sounds escape during intimacy.

Welcome to The Shameless Care Podcast! In this episode, Robert (founder of Shameless Care) and the brilliant, ever-insightful Anna sit down to unpack one of the most confusing, fear-inducing, and wildly misunderstood topics in sexual health: hepatitis.

If you’ve ever been handed a test result that said “hepatitis” and panicked, you’re not alone. Reddit threads are filled with people freaking out after seeing positive markers—without realizing half the time it doesn’t even mean they have hepatitis. Today, we cut through the noise and give you the clear, practical breakdown no one else is offering.

Have you ever cheered when a scammer got scammed?
Have you ever laughed when an anti-LGBTQ politician was caught in a gay sex scandal?

That little thrill you feel isn’t random — it’s human nature. Across every culture, every story, every fairy tale, the lesson is the same: actions have consequences. The lazy pigs lose their houses. The greedy villain is crushed. We love seeing people get their just desserts.

But here’s the uncomfortable truth: that same instinct shapes the way we think about sexual health.

It’s not just sex-positi...

Would you take a medication that isn’t FDA-approved? If you’ve ever used a compounded drug, you already have. In fact, you likely are right now. 

In this episode of the Shameless Care Podcast, Robert and Anna break down the truth about compounding pharmacies and safety. Patients hear “not FDA-approved” and panic—but the real story is far more complicated.

We cover:
•FDA Approval vs. Compounding: What approval really means, and why compounding pharmacies are allowed to operate outside of it.
•Why Compounded Meds Exist: From ED combinations to hormone therapy, why some treatments...

What happens when the U.S. Army has more soldiers knocked out by syphilis and gonorrhea than by bullets? In 1863 Nashville, military leaders came up with a desperate — and bizarre — solution: round up hundreds of prostitutes, shove them onto a steamboat called The Idahoe, and ship them out of town.

What was supposed to be a three-day exile turned into more than a month of misery. No city wanted them. The women were dragged from Nashville all the way up the river to Cincinnati and then forced back again — sick, starving, and trapped on a floating prison no one...

That internal wall of tissue between the anus and the vagina - it has a name: the rectovaginal septum. And the perineal sponge—that’s erectile tissue that sits right on top of that septum—gets engorged during arousal, adding even more sensation. Wild, huh? 

Think you know your body? Chances are, you’ve got some surprises coming. In this episode of the Shameless Care Podcast, Robert and Anna unpack ten sexual anatomy facts that defy common assumptions — and may just change how you think about sex, pleasure, and performance.

Most of us learned the basics of a...