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The Trouble with Sex

The Trouble With Sex
Open Monogamy
Polyamory
Trauma
Mental Health
Relationships
Intimacy
Consent
Sexuality
Communication
Couples Therapy
Sexual Wellness
Sexual Relationships
Sexual Health
Ketamine
Pornography
Parenting
Emotional Intimacy
Narcissism
Psychedelics
Pleasure

Relationship & Sex Therapist Dr. Tammy Nelson gets up close and personal with leading, sex-positive experts and influencers to examine hot topics and answer your questions about pleasure, sexuality, relationships and the most forbidden aspects of the human experience.

PublishesTwice monthlyEpisodes113Founded7 years ago
Number of ListenersCategories
Health & FitnessEducationSelf-ImprovementSexuality

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Artwork for The Trouble with Sex

Latest Episodes

Dr. Tammy talks with sensuality mentor and author of The Sure Thing: A Pleasure Practice to Revive the Spark about empowering your sex life, strengthening your relationship, liberating yourself - and all about the 13 Moon Mystery School.

GUEST

Elan... more

YouTube

Dr. Tammy talks with relationship and sex therapist Todd Baratz about sex, the role generational trauma plays in relationships and how to stay open to love while working on yourself and navigating the modern dating world. 

GUEST

Todd Baratz is a ce... more

YouTube

Dr. Tammy talks with professor, podcast host and writer, Dr. Tara Suwinyattichaiporn about the changing landscape of sex, porn and how millennials and Gen Zers are learning to ask How Do You Like It?

OUR GUEST

Dr. Tara is a tenured professor of rel... more

From the decision to separate, to co-parenting, to embracing the next chapter, Dr. Tammy sits down with therapist and author Oona Metz to discuss the emotional journey of divorce and her book - Unhitched: The Essential Divorce Guide for Women.

OUR G... more

YouTube

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Recent Guests

Todd Baratz
Therapist, sex therapist, author of How to Love Someone Without Losing Your Mind
Todd Baratz, Substack Your Diagnonsense
Episode: The Practice of Staying Open to Love
Dr. Tara Suwinyattichaiporn
Sex-positive expert, professor, author
Luvbites Podcast / Cal State Fullerton
Episode: How Do You Like It?
Oona Metz
Author of Unhitched: The Essential Divorce Guide for Women; therapist, writer, speaker
Beacon Group Fellowship
Episode: Unhitched - Navigating Divorce to Emerge Stronger
Dee Dee Goldpaugh
Licensed psychotherapist, clinical consultant, educator, and author
Chacruna Institute; Woodstock Therapy Center
Episode: Sex & Psychedelics
Katherine Woodward Thomas
Author and therapist, discussing What's True About You
Episode: What's True About You
Tracy Jarvis
Trauma-informed therapist and Interoception expert
Interoception International; Sensorimotor Psychotherapy Institute
Episode: The Power of Interoception Informed Therapy
Maci Daye
Experiential psychotherapist and certified sex therapist
Episode: Passion & Presence
Kory Andreas
Therapist and autism specialist, late diagnosed autistic adult
Episode: Navigating Neurodiverse Relationships
Dr. Sara Nasserzadeh
An award-winning social psychologist, TED speaker, and global thought leader advocating for better relationships.
Episode: Love By Design

Host

Dr. Tammy Nelson
Host of The Trouble with Sex

Reviews

4.7 out of 5 stars from 87 ratings
  • The real deal

    Dr Nelson just comes out and says it: no sugar coating, no prepackaged sound bytes. Just plain honest talk. Compassionate, insightful, nonjudgmental. She is the real deal, and yet her podcast isn’t just about sex, but about human interaction and our well-being. Take her most recent episode about anxiety (June, 2025). In it, she talks not just about anxiety and how it impacts an individual’s sex life, but how anxiety it a growing concern in our world today, for young and old alike. In most episo... more

    Apple Podcasts
    5
    Douglas Moser
    United Statesa year ago
  • I never miss an episode!

    Listening to Dr Tammy‘s podcast is like listening to a really good, spicy conversation At a coffee shop or a restaurant. Except we’re not eavesdropping- this is actually for us! I love the ease of Dr Tammy‘s manner and how she has a talent for making her guests feel at home. She takes the shame out of female sexuality and I’m really grateful to her for this. Keep up the good work – we need you right now, Dr Tammy!

    Apple Podcasts
    5
    Corn woman
    United States2 years ago
  • Awesome podcast!

    Fabulous topics and great interviews!!!!

    Apple Podcasts
    5
    Dr of Medicine
    United States3 years ago
  • We all need this podcast

    If you are a human, there is something you can learn about sex, and Dr Tammy is the perfect person to bring that knowledge to us.

    Apple Podcasts
    5
    TSKny
    United States4 years ago
  • Struggling

    This podcast just just what the doctor ordered

    Apple Podcasts
    5
    hair62
    United States4 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Guestful and insightful conversations with practical takeaways.
People appreciate the host's clarity and compassionate approach.
Honest, nonjudgmental takes on human sexuality.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

The Practice of Staying Open to Love
Q: What do you think is the biggest trouble with sex today?
The episode argues that sex is often reduced to mechanics and performance, neglecting relational, emotional, and psychological layers that fuel genuine desire and connection.
How Do You Like It?
Q: What is the biggest trouble with sex today?
The biggest issue is the limited, often narrow definition of sex, which excludes many forms of intimacy and downplays non-penetrative acts that can still be deeply connecting and pleasurable.
Unhitched - Navigating Divorce to Emerge Stronger
Q: What is the biggest trouble with sex today?
Metz argues that the biggest trouble stems from rigidity and external authorities that suppress curiosity, with Tammy pushing back to connect this to how divorce and intimate relationships are navigated in society.
Sex & Psychedelics
Q: What is the biggest trouble with sex today?
While there isn't a single answer, a recurring theme is the need for safety and vulnerability in intimate relationships, and the challenge of synchronizing across partners while maintaining consent and authentic connection.
The Power of Interoception Informed Therapy
Q: What do you think is the biggest trouble with sex today?
The guests suggests that pornography and the commodification of sex have a profound impact on how young people experience intimacy, often disconnecting emotional connection from sexual activity; regulation and age-related protections are part of potential solutions, but the broader systemic issue is the cultural normalization of sex as a commodity.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Gender Skew
Location
Interests
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Age Range
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Frequently Asked Questions About The Trouble with Sex

What is The Trouble with Sex about and what kind of topics does it cover?

A relationship and sex-therapy focused show that brings in leading sex-positive professionals to unpack pleasure, intimacy, and the social and cultural factors shaping sexuality. Episodes often explore practical tools for improving communication, navigating trauma, and expanding definitions of sex beyond penetrative acts, with guests ranging from therapists and researchers to authors and clinicians. Notable strengths include a blend of clinical insight with real-life stories, a forward-thinking approach to topics like interoception, psychedelics, and purity culture, and actionable strategies listeners can apply in their relationships. The format tends to mix expert frameworks with compassionate storytelling, making complex topics accessible... more

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Which podcasts are similar to The Trouble with Sex?

These podcasts share a similar audience with The Trouble with Sex:

1. Being Well with Forrest Hanson and Dr. Rick Hanson
2. Sexology
3. The One You Feed | Personal Growth, Emotional Resilience & Purpose
4. Reimagining Love with Dr. Alexandra Solomon
5. How To Academy Podcast

How many episodes of The Trouble with Sex are there?

The Trouble with Sex launched 7 years ago and published 113 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on The Trouble with Sex?

Recent guests on The Trouble with Sex include:

1. Todd Baratz
2. Dr. Tara Suwinyattichaiporn
3. Oona Metz
4. Dee Dee Goldpaugh
5. Katherine Woodward Thomas
6. Tracy Jarvis
7. Maci Daye
8. Kory Andreas

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