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The SexMD Podcast by Dr. Debra Durst

The SexMD Podcast by Dr. Debra Durst

NeuLow Libido: Is It You, Your Relationship, or Health?14.11.2026 · 20 Min.
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14. Nov. 2026

Über den Podcast

You deserve to feel vibrant, sexy, and unstoppable — at every stage of life. The SexMD Podcast, hosted by Dr. Debra Durst, MD, covers the topics traditional medicine tends to avoid: sexual health, hormone optimization, wellness, and the latest in regenerative treatments. Dr. Durst brings physician-level expertise and a refreshingly honest voice to conversations that actually matter. Equal parts education and empowerment — because knowing your options changes everything.

Folgen 327

  1. Low Libido: Is It You, Your Relationship, or Health?

    20 Min.Folge 167

    Send us Fan MailYou love your partner. You’re still attracted to them. But you don’t want sex anymore. It may not be the relationship at all; it may be your health.Love your partner but don’t want sex anymore? …

  2. This Vitamin Will Help Your Erection For A Better Bedroom Performance

    5 Min.

    Send us Fan MailYou 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 …

  3. Peptides for Beginners: Dosing, Units, Mixing & Syringes

    24 Min.

    Send us Fan Mail-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 …

  4. Daily Cialis: Why Low Dose Tadalafil May Make More Sense For Your ED Strategy

    7 Min.

    Send us Fan MailWhat 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 …

  5. Does TRT Shrink Your Testicles? What to Know

    28 Min.Folge 165

    Send us Fan Mail- 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 …

  6. JoyLux, Red Light device: Halle Berry says, “Juicy like a peach”

    12 Min.

    Send us Fan MailHalle 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 …

  7. Your Hormone Levels Are Normal… So Why Do You Feel Terrible?

    35 Min.Folge 164

    Send us Fan Mail“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 …

  8. Penis Pumps: Why a Sex Store Pump Isn’t Enough

    9 Min.

    Send us Fan MailYou 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 …

  9. Low Libido After Menopause: Why No Doctor Ever Asks

    33 Min.

    Send us Fan MailSeven 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 …

  10. Hormone Imbalance: 5 Signs It’s More Than Fatigue

    7 Min.

    Send us Fan MailFeeling 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 …

  11. Is Mouthwash Bad for Sex?

    1 Std.

    Send us Fan MailWould 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 …

    Shownotes

    Send us Fan Mail

    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 doctor. They cover:
    -How the mouth and gut microbiomes communicate
    -Why antiseptic mouthwash and conventional toothpaste may do more harm than good
    -How mouth breathing and acid-reducing medications disrupt nitric oxide
    -The hidden toxic burden many patients carry, including from mercury fillings

    Key takeaways:
    -Nitric oxide shifts with age. the body's endothelial nitric oxide production drops to less than 50%. That makes the oral bacteria pathway, which converts dietary nitrates, increasingly important for blood flow.
    -Killing mouth bacteria has measurable effects. Common antiseptics like chlorhexidine can raise blood pressure 3–4 points by wiping out the microbes that help produce nitric oxide.
    -Your mouth seeds your gut. You swallow roughly 140 billion microbes a day in saliva, directly influencing the gut microbiome that modulates about 70% of immune responses.
    -Clean without sterilizing. Mechanical cleaning like brushing and flossing, a microbiome-friendly toothpaste, nasal breathing, and nitrate-rich foods support the system instead of fighting it.
    If this conversation changed how you think about your oral care routine, subscribe to The SexMD Podcast for more physician-led conversations on sexual wellness, hormones, and longevity. Have a question? Drop it in the comments and we'll answer it.

    📘 Men’s Performance Playbook
    Improve erection quality, boost libido, and learn what really works for male sexual performance.
    👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips

    These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

    Shop My Favorite Medical-Grade Products
    https://www.revitalyzemd.com/products/

    Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

    ...


    Work With Me: https://www.revitalyzemd.com/consulta...
    All My Links: https://t.mtrbio.com/drdebradurst
    Website: https://debradurstmd.com/

    About Dr. Debra Durst
    As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

    Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

    Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

  12. Enlarged Prostate: Stop Getting Up 3 Times a Night

    7 Min.

    Send us Fan MailGetting 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 …

  13. RF Microneedling Down There? It Doesn't Hurt

    16 Min.Folge 161

    Send us Fan Mail-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 …

  14. Erectile Dysfunction Could Be Your Fifth Vital Sign

    5 Min.

    Send us Fan MailYour 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 …

  15. Pelvic Floor Training: Why Kegels Aren't Enough

    54 Min.

    Send us Fan MailA 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 …

    Shownotes

    Send us Fan Mail

    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 with vaginal orgasms, what brain research reveals about different types of orgasm, and how pelvic floor training fits alongside hormone optimization and regenerative treatments.

    If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people.

    What You'll Learn in This Episode
    -The pelvic floor is a group of muscles running in different directions, and each area can be trained on its own.
    -Clitoral, vaginal, and cervical orgasms light up different areas of the brain and travel along different nerve pathways.
    -An overly tight pelvic floor can cause the same symptoms as a weak one, including leaking, pain, and numbness during sex.
    -In perimenopause and menopause, the most common complaint women bring to Belle's program is lost libido.

    Learn more from Bel at gohddess.com. Use code SEXMD for a discount.


    If you're curious about pelvic floor training, vaginal orgasms, or what really lies beyond Kegels, this episode is for you.

    📘 Perimenopause vs. Menopause Guide
    Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
    👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide


    These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

    Shop My Favorite Medical-Grade Products
    https://www.revitalyzemd.com/products/

    Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.
    ...

    Work With Me: https://www.revitalyzemd.com/consulta...
    All My Links: https://t.mtrbio.com/drdebradurst
    Website: https://debradurstmd.com/

    About Dr. Debra Durst
    As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

    Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

    Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

  16. Does Shockwave Therapy work for Erectile Dysfunction

    7 Min.

    Send us Fan MailIs 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 …

  17. Laser Skin Resurfacing Before & After: The 4-Step Reset

    30 Min.Folge 159

    Send us Fan MailCurious 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 …

    Shownotes

    Send us Fan Mail

    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, PRF, bio-stimulatory fillers, and IPL for age spots and pigment. They also get into growth hormone peptides for anti-aging, PT-141, and why "aging well" is a full-body strategy, not a single procedure.

    If you found this helpful, hit like and subscribe so you don't miss the next episode.

    What you'll learn:
    - Why layering treatments works better than a single "quick fix" laser
    - What PRF is and how it differs from PRP for facial rejuvenation
    - How IPL targets pigment and age spots without a full resurfacing downtime
    - The difference between growth hormone, growth hormone releasing peptides, and PT-141
    - Why consistent, low-grade collagen stimulation beats occasional aggressive treatments

    If you're curious how regenerative, physician-led treatments can support your skin and hormone health long-term, subscribe for more conversations like this one — and watch the full episode for the complete breakdown.

    #iplphotofacial #AntiAgingSkincare #RegenerativeMedicine #HormoneOptimization #Longevity

    These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

    Shop My Favorite Medical-Grade Products
    https://www.revitalyzemd.com/products/

    Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

    Work With Me: https://www.revitalyzemd.com/consulta...
    All My Links: https://t.mtrbio.com/drdebradurst
    Website: https://debradurstmd.com/

    About Dr. Debra Durst
    As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

    Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

    Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

  18. Vaginal Rejuvenation over 50: Her Real 90-Day Results

    31 Min.

    Send us Fan MailCurious 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 …

  19. Women's Health Truths No One Is Saying | Women's Roundtable Part 2

    30 Min.Folge 157

    Send us Fan Mail🎯 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 …

  20. The Shocking Truth About What Makes You Attractive

    43 Min.Folge 156

    Send us Fan MailResearch 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 …

  21. Is there an age limit on a GREAT SEX LIFE?

    53 Min.

    Send us Fan MailResearch 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 …

  22. Does the P-shot actually work?

    2 Min.

    Send us Fan MailWhat 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 …

    Shownotes

    Send us Fan Mail

    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 improvement, this overview provides clear answers grounded in medical function.

    We cover the specific mechanism of action, including how platelet concentrate helps with nerve regeneration and collagen production. Understanding these biological processes is essential for anyone considering this type of therapy. The goal is to clarify what happens during the treatment and how the growth factors actively support healthier tissue, blood vessels, and sensitivity.

    Subscribe for weekly medical procedure breakdowns and comment below if you want to know more about regenerative health options.

  23. Integrative Oncology Doctor Reveals Cancer's Hidden Weakness

    1 Std. 7 Min.Folge 154

    Send us Fan MailCan 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 …

  24. The Orgasm Gap: Why Most Women Are Left Behind

    40 Min.

    Send us Fan MailUnderstanding 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 …

  25. What Does Perimenopause Really Feel Like? Women Tell the Truth

    31 Min.

    Send us Fan MailPerimenopause 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 …

  26. She lost herself before she found Mrs. America

    26 Min.

    Send us Fan Mail🎯 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 …

  27. Female Ejaculation Isn't What You Think It Is

    30 Min.

    Send us Fan Mail🎯 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 …

  28. Gainswave vs Traditional ED Treatments: Which Actually Works?

    19 Min.

    Send us Fan Mail🎯 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 …

  29. She Regained Complete Sensation Using This Method

    51 Min.

    Send us Fan Mail🎯 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 …

    Shownotes

    Send us Fan Mail

    🎯 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 atrophy actually is
    ✨ Why women lose sensation over time
    ✨ How regenerative therapies may help restore blood flow and tissue health
    ✨ The science behind Fotona laser treatments
    ✨ The role of the clitoris in sexual function and pleasure
    ✨ PT-141 and peptide support for arousal
    ✨ Why orgasmic intimacy matters for longevity and relationships
    One of the biggest takeaways?
    Sexual function does not have to decline forever with age.
    Whether you’re dealing with dryness, decreased sensation, difficulty reaching orgasm, or lower libido, this conversation offers education, hope, and practical insight.
    Subscribe to The SexMD for more conversations on sexual health, hormone optimization, longevity, and wellness.

    🔥 Start Your Transformation — Grab Your Free Guide

    Take the next step in your wellness journey with one of my physician-created resources. These guides are designed to give you clear answers, real solutions, and immediate action steps you can start using today.

    📘 Perimenopause vs. Menopause Guide
    Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
    👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide

    Why it matters: These resources give you the same foundational education I provide to patients in the office—so you can start improving your health before you ever book an appointment.

    🔔 Stay Connected: If you enjoy this video, don’t forget to subscribe and tap the bell 🛎 so you never miss new content on hormones, sexual wellness, and feeling your best at every age.

    💬 Join the Conversation: Comment your questions or future topics you want covered—I love creating content based on what you are searching for.

    🌟 My Favorite Medical-Grade Products
    - Nitric Oxide Booster: https://berkeleylife.com/?affiliate_code=DDUR1&mode=patient
    - Penis Pump: https://drjoelkaplan.com/whopper?a_aid=rlypecumfbfanr&a_bid=83d20a03
    - Designs for Health: https://www.designsforhealth.com/u/debradurst
    - Metagenics: https://www.metagenics.com/en-us (FIRST CREAT AN ACCOUNT AND USE PROFESSIONAL ID: ​​DEBDUR0824)
    - Nutrafol: https://growthpartner.nutrafol.com/pages/revitalyzemdnutrafol
    - KeraFactor: https://shop.mykerafactor.com/collections/all-hair-products?sca_ref=9469685.cNphuEubHlL
    - ZO Skin Health: https://zoskinhealth.com/
    - SkinMedica: https://revitalyzemd.brilliantconnections.com/
    - Shop My Merch: https://revitalyze-md-shop.fourthwall.com/?utm_source=youtube&utm_medium=product_shelf

    👉 Work With Me
    Curious about your own revitalization journey? Start here:
    https://www.revitalyzemd.com/consultation/

    🌐 Connect with Me
    - All My Links: https://t.mtrbio.com/drdebradurst
    - Visit my Website for Expert Advice: https://debradurstmd.com/

    🌟 About Dr. Debra Durst
    As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.


    ⚠️ Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

    💡 Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel—thank you!

  30. The Truth About Breast Cancer No One Is Telling You

    1 Std. 17 Min.

    Send us Fan Mail🎯 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 …

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