In Bed With Alexa: Have Better Sex

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They do a deep dive into anal sex, butt health, and everything you've always wanted to ask about your asshole.

Topics Discussed
Dr. Evan Goldstein's journey from heart surgery to anal surgery
Coming out and discovering anal health as a medical specialty
Cosmetic vs. functional anal procedures
Hemorrhoids, fissures, skin tags, and anal anatomy
Post-pregnancy anal changes
Grooming injuries and anal skin concerns
Confidence and body image around the anus
Anal bleaching and whether it's worth it
Perineum "sunning"
What makes a "healthy" vs. "perfect" asshole
The truth about anal douching
Protecting the anal microbiome
Why over-douching can increase STI and HIV risk
Future Method and isotonic douching
Safe products to use in the anus
Can anal sex make you loose?
Incontinence myths
Male vs. female pelvic anatomy
Anal Botox
When surgery is necessary
Dilators for beginners
Fingering mistakes that cause injuries
Proper lubrication
Relaxation techniques for anal penetration
Understanding the three anal sphincters
The three "types" of assholes
Building up to anal safely
How often bottoms should practice
Fiber, probiotics, hydration, and digestive health
Whether everyone needs to douche
Preparing for occasional anal sex
The prostate (P-spot)
The A-spot
Prostate orgasms
Common myths surrounding anal sex
How to reduce injury while maximizing pleasure

Follow Dr. G:Instagram: @drevangoldstein | @bespokesurgical | @thefuturemethod
Website and more: Bespoke Surgical

Follow Alexa Andre:Instagram: @sexwithalexa
Patreon: https://patreon.com/sexwithalexa

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Carly, founder of Read Aurore, to talk about why written erotica is becoming one of the most powerful tools for pleasure, communication and self-discovery. 
Together they explore how true erotic stories differ from fantasy, why women are increasingly choosing erotica over visual porn, the psychology behind imagination and desire, how writing about sex can help process emotions and improve communication, and how reading erotica can inspire better sex and stronger relationships.

Topics discussed:
Carly's path to creating Aurora Erotica
Interviewing strangers about sex
Dating in Europe vs New York
Vacation confidence and sexual freedom
Why true stories are hotter than fantasy
Turning real experiences into erotica
Writing as emotional processing
First-time sex that is actually good
Why men should read erotica
Women's real sexual desires
Affairs and taboo fantasies
Open relationships vs secret affair
How Aurore selects submissions
Writing as therapy
Rewriting difficult experiences
Smut vs erotica
Romance vs erotica
The decline in Gen Z sexual activity
Benefits of reading erotica
Benefits of writing erotica
Reliving pleasurable experiences
Reading erotica together as foreplay

Follow Carly:Instagram: @readaurore
Website: readaurore.com

Follow Alexa Andre:Instagram: @sexwithalexa
Patreon: https://patreon.com/sexwithalexa

Sponsor:
Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with clinical psychologist and relationship coach Gaby Balsells to unpack one of the hardest questions in love: how do you know whether to stay in a relationship or walk away?

Together they explore:
how to tell the difference between a temporary rough patch and true incompatibility
the danger of ignoring red flags during the honeymoon phase
emotional vs. sexual compatibility
settling vs. honoring your needs
trusting your desires
healthy communication
overcoming defensiveness
becoming "us vs. the problem”
emotional labor
the initiator/receiver dynamic
why actions matter more than words
consistency over empty promises
repairing conflict, couples therapy,
sexual compatibility, mismatched libidos & feeling desired
knowing when you've waited long enough
guilt around leaving
selective effort & weaponized incompetence
and why love alone isn't always enough

Follow Gaby:Instagram: @gabybalsells

Follow Alexa Andre:Instagram: @sexwithalexa
Patreon: https://patreon.com/sexwithalexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration.

In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more.

Topics discussed:
​Dr. Jed's experience performing 6,000+ vasectomies
​Why vasectomies don't affect erections, orgasms, ejaculation or libido
​Who should and shouldn't get a vasectomy
​Vasectomy reversals and success rates
​More childfree men choosing vasectomies
​Psychological vs. physical erectile dysfunction
​Performance anxiety and first-time sex nerves
​What erectile dysfunction actually means
​Lifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise)
​Stress, anxiety and blood flow to the penis
​Refractory periods and why they change with age
​Viagra, Cialis and how they work
​Daily Cialis vs. as-needed dosing
​Testosterone testing and common misconceptions
​Natural ways to increase testosterone
​Weightlifting vs. endurance running for hormone health
​Penis pumps and cock rings
​Pornography, masturbation habits and sexual conditioning
​Low libido vs. erectile dysfunction
​Fertility, declining sperm counts and modern lifestyle
​Microplastics and male fertility
​Sauna use, heat exposure and sperm health
​Prostate enlargement, prostate cancer and ejaculation research
​Steroids, bodybuilding and infertility
​Testosterone replacement therapy risks
​Women's testosterone and libido
​Post-nut clarity explained
​Why men's physiology isn't an excuse to neglect a partner's orgasm
​Communication, sex therapy and relationship dynamics
​Micro-penis myths and penis size insecurity
​Why erectile dysfunction is a symptom, not a disease

Follow Dr. Jed:Instagram: @drjedkaminetsky

Follow Alexa Andre:Instagram: @sexwithalexa
Patreon: https://patreon.com/sexwithalexa

Sponsor:
Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with Coral Osborne (@theunrealcoralosborne), sexologist, intimacy coach for men, former sex worker, and writer. 

Coral shares how sex work has changed over the last decade, why the industry has become increasingly polarized, and why she believes decriminalization matters for safety and autonomy. She opens up about the realities behind influencer culture, escorting, OnlyFans, AI, the loneliness epidemic, and why becoming a content creator today is harder than ever.

The conversation takes a deeply personal turn as Coral recounts hiring a male escort, what she hoped to experience, why it didn't unfold as expected, and what the experience revealed about vulnerability, performance, pleasure, and intimacy. 

Topics discussed:
The changing landscape of sex work over the past decade
Political divides and hypocrisy within the sex industry
Escort culture in Los Angeles, New York, Dubai, and Las Vegas
Why older sex workers often earn more than younger ones
The rise of OnlyFans and if it’s easy to become a millionaire
The loneliness epidemic and why AI won't replace real intimacy
Building an audience on social media without sacrificing integrity
Writing vulnerable essays on Substack
Why Coral hired a male escort
What it felt like to be on the client side of sex work
Performance anxiety from a woman's perspective
Receiving versus giving pleasure
Faking orgasms and learning how to stop performing
Oral sex, vulnerability, and intimacy
Dating after leaving sex work
Meeting her current boyfriend and navigating honesty early on
Why intimacy and transaction can coexist
Double standards around dating former sex workers
Lived experience versus academic credentials in sex education
Why coaches should continue investing in their own healing
Using relationship tools like Yes/No/Maybe lists and relationship menus
Bringing curiosity and intentional communication into long-term relationships

Follow Coral Osborne:Instagram: @theunrealcoralosborne
Substack: https://substack.com/@coralosborne

Follow Alexa Andre:Instagram: @sexwithalexa
Patreon: https://patreon.com/sexwithalexa