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The Trouble with Sex

The Trouble With Sex
Open Monogamy
Polyamory
Relationships
Consent
Communication
Sexual Wellness
Emotional Intimacy
Infidelity
Aging and Sexuality
Ashley Madison
Pleasure
Gender Identity
Relationship Dynamics
Ethical Non-Monogamy
Swinging
Mental Health
Erotic Blueprint
Self-Exploration
Trans Rights
Communication In Relationships

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 monthlyEpisodes98Founded7 years ago
Number of ListenersCategories
Self-ImprovementHealth & FitnessSexualityEducation

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Artwork for The Trouble with Sex

Latest Episodes

Dr. Tammy has a deeply personal conversation with psychologist and sex therapist Dr. Andreya Jones who shares her story of growing up in a cult-like religious community shaped by Christian purity culture — a movement that’s left lasting impressions o... more

Join Dr. Tammy as she talks with LA based Dominatrix, Ashley Randall, aka Irreverent Femme, about the therapeutic benefits of erotic exploration, and how she uses BDSM, kink and fantasy to help her clients overcome shame, face their fears, and build ... more

Dr. Tammy sits down with relationship therapists Mary Kay Cocharo and Evie Shafner to discuss how reactivity and anxiety kills connection and libido, and to how cultivate the space between you and your partner - because that space is where your relat... more

HAPPY END of SUMMER!  We'll be back in September with all new episodes. In the meantime, please enjoy Dr. Tammy's introduction to Open Monogamy, and continue to explore what's important to you and those you choose to love. 

The idea of monogamy and ... more

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Recent Guests

Ian and Margo
Long-term couple sharing their experiences in an open monogamy agreement
Episode: RE-RELEASE: Could Open Monogamy Work for You & Your Partner?
Dr. Ian Kerner
Licensed psychotherapist and sexuality counselor, known for his work in sex therapy and couples therapy.
iankerner.com
Episode: RE-RELEASE: Tell Me About the Last Time You Had Sex
Dr. Ari Tuckman
Psychologist, certified sex therapist, and author
Author of ADHD After Dark
Episode: RE-RELEASE: Understanding Adult ADHD to Improve Your Relationship & Sex Life
Dr. Sherry Ross
OBGYN and health expert, advocate for women's health and author
Author of She-ology: The Definitive Guide to Women's Intimate Health
Episode: Your Body, Your Power – Navigating Menopause and Beyond
Ruth Cohn
Marriage and Family Therapist, Author
ruthcohnmft.com
Episode: How Childhood Neglect Impacts Romantic Relationships
Nikita Fernandes
Advocate for social worker rights, sex therapist, and sex health educator
Episode: The Stigma of Sex Workers
Silva Neves
An award-winning UKCP registered relationship and trauma psychotherapist
Sex Positivity UK
Episode: What Is Sex Addiction?
Genevieve LeJeune
Founder of Skirt Club and advocate for women's sexual empowerment
Skirt Club
Episode: Skirt Club: Empowering Women Through Pleasure
Dr. Ramani Durvasula
Licensed clinical psychologist, expert on narcissism, and author
California State University, Los Angeles; CEO of LUNA Education, Training & Consulting
Episode: Healing from a Narcissistic Relationship

Host

Dr. Tammy Nelson
Relationship and sex therapist known for her insights into sexuality, relationships, and intimacy issues. Dr. Tammy Nelson addresses a range of topics including sexual wellness and interpersonal dynamics with a focus on personal narratives and professional expertise.

Reviews

4.7 out of 5 stars from 83 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 States4 months 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 Statesa year ago
  • Awesome podcast!

    Fabulous topics and great interviews!!!!

    Apple Podcasts
    5
    Dr of Medicine
    United States2 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.

Listeners appreciate the open and honest dialogue that eschews sugar-coating difficult topics. Individuals find the practical advice and expert insights offered throughout episodes extremely valuable for personal growth and understanding. The podcast is noted for its compassionate approach to sensitive issues, making complex topics relatable and digestible for everyday listeners. Crowds often express gratitude for normalizing conversations around sexuality and mental health, highlighting the inclusive and supportive environment fostered by the host. Many underscore the transformative impact of the discussions on their understanding of relationships, intimacy, and self-acceptance.

Chart Rankings

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

Talking Points

Recent interactions between the hosts and their guests.

Deconstructing Purity Culture
Q: How do I find support and the courage to take the first step?
The first part is acknowledging what you don't want. It's important to decide what you do want and to accept that you might lose some people in your life as you figure this out.
RE-RELEASE: Could Open Monogamy Work for You & Your Partner?
Q: Should a couple in crisis ever open their relationship?
Opening your relationship is not a solution to save a troubled relationship and it's essential to address underlying issues first.
RE-RELEASE: Could Open Monogamy Work for You & Your Partner?
Q: What if one person wants to open up the relationship, but the other doesn't?
It's common to have differing desires regarding monogamy, and it's important to communicate and understand each other's viewpoints.
RE-RELEASE: Could Open Monogamy Work for You & Your Partner?
Q: How could we do this if we're really jealous?
Jealousy is a normal emotion, but it can provide important information about what you need in your relationship.
RE-RELEASE: Could Open Monogamy Work for You & Your Partner?
Q: What's the difference between cheating and open monogamy?
Cheating involves lying and hiding, while open monogamy allows for honesty and defining a relationship that works for both partners.

Audience Metrics

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

Listeners per Episode
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Age Range
Household Income
Social Media Reach

Frequently Asked Questions About The Trouble with Sex

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

This podcast engages in candid conversations about the complexities of sexuality, intimacy, and relationships, often featuring insights from notable experts in the field. Episodes cover a wide range of themes, including open relationships, mental health impacts on connections, women's health issues, and the dynamics of modern dating. The discussions not only aim to break down stigmas surrounding sexual wellness but also seek to foster an open, supportive dialogue about the multifaceted nature of human relationships. A distinctive feature is the emphasis on personal anecdotes and practical advice, offering listeners not just knowledge but tools for improving their own relational experiences.

Hosting thoughtful interviews and solo reflection... more

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How many listeners does The Trouble with Sex get?

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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. Reimagining Love with Dr. Alexandra Solomon
2. The Mel Robbins Podcast
3. Sounds True: Insights at the Edge
4. On Purpose with Jay Shetty
5. 10% Happier with Dan Harris

How many episodes of The Trouble with Sex are there?

The Trouble with Sex launched 7 years ago and published 98 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. Ian and Margo
2. Dr. Ian Kerner
3. Dr. Ari Tuckman
4. Dr. Sherry Ross
5. Ruth Cohn
6. Nikita Fernandes
7. Silva Neves
8. Genevieve LeJeune

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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