If you grew up in a generation where sex wasn’t discussed openly, you may have learned to treat sexual questions as private—or even embarrassing. Many people carry that discomfort well into midlife, long after their relationships, bodies, and needs have evolved.

SHA Certified Sex Educator, menopause coach, and podcaster Karen Bigman knows this firsthand. In this interview, she shares how her own journey through divorce, dating, menopause, and a surprising medical appointment shifted her from quiet curiosity to unapologetic advocacy. Her message is clear: sexuality doesn’t end at 50, 60, or beyond—and the most powerful tool for improving sexual well-being isn’t a secret technique. It’s conversation.

Let’s learn more about Karen’s key insights on life and sex after 50, why so many people still feel shame about normal sexual concerns, and what professionals (and everyday partners) can do to help midlife sexuality feel more supported, informed, and fulfilling.

Sexual repression is often treated as a private issue—something that lives quietly inside individuals or relationships. But sex coach and podcaster Laura Ramadei challenges that framing. In this conversation, she names sexual repression as something far more expansive and far more dangerous: a powerful force that can contribute to violence, social fragmentation, and collective harm.

Her perspective sits at the intersection of intimate health, cultural shifts, and education. Rather than focusing narrowly on techniques or trends, Laura invites us to look at the broader landscape—how people are taught (or not taught) to relate to desire, identity, gender, and one another, and what happens when large groups of people feel shut out of those conversations.

For many people, describing their sex life feels surprisingly anticlimactic.

“It’s fine.” “It’s okay.” “It’s not bad.”

University professor and media personality Dr. Tara Suwinyattichaiporn hears this response often in her work. And while there is nothing inherently wrong with having a sex life that feels “okay,” she points out that this language usually signals something important: most people are not having sex lives that feel fulfilling, exciting, or deeply satisfying—they are having sex lives that simply maintain the relationship.

This conversation explores why people struggle to ask for what they want sexually, why so many settle for “good enough,” and why sexual fulfillment—like physical health—requires intention, communication, and effort.

Men often enter therapy or coaching believing they are alone in their sexual struggles. They assume their concern is unusual, embarrassing, or something no one else has experienced before. According to sex coach and media personality Caitlin V, this belief is not only incorrect—it is one of the biggest barriers to healing.

In this conversation, Caitlin V pulls back the curtain on what she hears from men every day in her work. From erectile inconsistency to low desire, performance anxiety, and difficulty being emotionally present with a partner, the themes repeat themselves with striking regularity. What feels deeply personal and isolating to each man is, in reality, profoundly common.

Let’s break down Caitlin’s core insights and explain why men’s sexual concerns are far more normal than cultural silence has led them to believe—and what actually helps.

Modern relationships are often held up against an impossible standard: effortless, conflict-free, and perfectly aligned at all times. Social media reinforces this illusion, presenting curated images of intimacy that leave many people feeling inadequate when their real relationships look messier, more complex, and more human.

Relationship researcher Dr. Maximiliane Ulrich, based at the University of Basel, offers a much-needed corrective to these myths. Her work centers on how intimacy actually functions across different relationship structures, cultures, and contexts—and why difference, rather than sameness, is a defining feature of human connection.

For those pursuing sexuality counselor certification, Dr. Ulrich’s research provides essential grounding. Sexuality counselors are not trained to help clients chase perfection; they are trained to help clients navigate complexity, difference, and repair in ways that support well-being, authenticity, and connection.

Intimate wellness is often framed as something optional, indulgent, or reserved for a specific stage of life. In reality, as researcher Dr. Ellen Kaufman makes clear, it is deeply connected to emotional well-being, mental health, and self-worth—and it is never too late to begin engaging with it.

As a senior research associate at the Kinsey Institute, Dr. Kaufman brings a unique interdisciplinary lens to conversations about intimacy, technology, and access. Her work sits at the intersection of sexuality, emerging technologies, and structural inequality, offering critical insights not only for individuals exploring intimate wellness, but also for clinicians and professionals pursuing advanced training such as Sex Therapy Certification.

In a culture that often treats sexuality as either taboo or entertainment—but rarely as healthcare—voices like Shameless Sex Podcast hosts April Lampert and Amy Baldwin offer a necessary reframing: pleasure is not a sidebar to health. It is central to it.

Their conversation speaks directly to the next generation—Gen Z and Generation Alpha—but the message is just as relevant for clinicians, educators, coaches, and anyone invested in sexual wellness. At its core, this discussion invites a broader shift in how we understand sexual health, self-care, and the growing role of trained professionals, including those pursuing a sex coach certification, in supporting individuals before crisis sets in.

In a world where conversations about intimacy often focus on techniques, communication scripts, or compatibility quizzes, relationship science continues to point us toward something both simpler and more profound: feeling understood. According to relationship researcher Dr. Tatum Jolink, one of the most powerful and well-studied drivers of intimacy is a concept many people have never heard of—perceived partner responsiveness.

Pleasure is often treated as an afterthought in conversations about sexual health—but according to Venus O’Hara, it should be central. In a recent Sexual Health Alliance interview with Venus O’Hara, she shared powerful insights on pleasure, intention, communication, and why understanding our bodies can transform not only our sex lives, but our relationships, confidence, and emotional well-being.

Venus O’Hara is a pleasure educator, product expert, author, podcaster, and meditation creator whose work spans sexuality, wellness, and lifestyle education. With over a decade of experience reviewing pleasure products, hosting a top-ranked podcast, and creating educational content across platforms, she brings a deeply nuanced and embodied perspective to sexual wellness—one that moves far beyond mechanics or performance.

When people seek out sex therapy, they’re often looking for answers to very specific questions: Why don’t I enjoy sex the way I think I should? Why is it so hard to ask for what I want? Why do I keep going along with things that don’t actually feel good?

What Dr. Betty Martin has shown through decades of somatic education is that these questions rarely begin with sex itself. Instead, they begin with something far more foundational: learning how to notice desire, express preference, respect limits, and stay present in one’s own body.

Men’s sexual health is often reduced to performance: erection quality, stamina, orgasm, and “satisfying your partner.” But if you’ve ever worked with men clinically or coached men in real life, you know that’s rarely the full story. Sexual concerns are frequently the tip of the iceberg—covering stress, shame, attachment wounds, relational disconnection, compulsive patterns, and a nervous system that’s been running in survival mode for far too long.

Men’s pelvic health has long been overlooked, misunderstood, or minimized in both healthcare and education. For decades, conversations about pelvic floor dysfunction, sexual pain, and bladder or bowel issues were framed as “women’s health” topics—leaving men without clear pathways to care or providers trained to support them.

Male sexual dysfunction is far more common than most people realize—and far more treatable than many men are led to believe.

According to urologist Dr. Joshua Gonzalez, sexual dysfunction is the most common concern he sees in his men’s health practice. Erectile dysfunction alone increases in prevalence by roughly 10% per decade of life, meaning approximately 30% of men in their 30s and 40% of men in their 40s experience some level of dysfunction. Yet despite how widespread these concerns are, shame, misinformation, and silence still prevent many men from seeking help.

Male factor infertility is no longer a niche issue—it is a global public health concern hiding in plain sight.

Sperm counts worldwide have declined by nearly 50% since 1970, and more than half of all infertility cases involve male factors. Yet fertility conversations still overwhelmingly focus on women, leaving men undereducated, underdiagnosed, and often emotionally isolated when problems arise.

The “sex recession” has been well documented in the United States and continues to draw attention in the media, public health, and sexuality fields. National surveys show clear declines in partnered sex across age groups—not only among young people, but among adults more broadly. Americans are having less sex than they did 10 or 20 years ago, shaped by changing relationships, growing stress, digital life, and shifting social norms.

But the U.S. is not alone. Around the world, sexual activity is changing in noticeable and sometimes dramatic ways. One country receiving increasing attention is Japan, where rising rates of sexual inactivity have become a major societal and public health concern.

A new scoping review examining sexual inactivity in Japan sheds light on why these trends are accelerating—and what they reveal about modern sexuality across cultures.

Genitopelvic pain is a common but often overlooked sexual health concern—one that influences people’s bodies, intimate relationships, emotional well-being, and quality of life. 

Despite its wide-ranging impact, the research that shapes clinical knowledge and treatment guidelines has historically centered a narrow demographic: White, cisgender, heterosexual women. As a result, entire communities experiencing sexual pain have been excluded from the evidence base that drives diagnosis, care, and policy.

A new global scoping review, examining 227 studies on genitopelvic pain, brings this issue into sharp focus. By assessing what is known—and, more importantly, what remains unknown—about genitopelvic pain in minoritized populations, the review highlights an urgent need for more inclusive research.

This work represents one of the most comprehensive efforts to date to map the landscape of genitopelvic pain across diverse communities—and it underscores how much more remains to be done.

When most people think about semen quality, they think about fertility. But science is telling a bigger, more surprising story: your swimmers might also say something about your long-term health — even how long you live.

Yep, really.

A massive 50-year study from Denmark suggests that semen quality isn’t just about making babies. It may be one of the most overlooked biomarkers of men’s overall wellbeing. At SHA, we’re all about science that’s human and accessible, so let’s dive into what researchers found — and explore the emerging frontier of the semen microbiome.

In the field of sexual health, one truth consistently rises to the surface: you cannot guide others into deeper intimacy, vulnerability, or connection if you haven’t done that work yourself. This theme came through powerfully in our recent conversation with Tim Norton, LCSW, a respected therapist who specializes in men’s sexual health and hosts the podcast Hard Conversations.

Tim’s insights illuminate not only the current landscape of men’s health, but also the evolving skills today’s professionals must cultivate. For those pursuing sex therapy certification, his message is clear: your personal development is inseparable from your professional excellence.

When people hear “couples therapy,” they often imagine crisis mode — slammed doors, late-night arguments, or a relationship on the brink. But the real story is far more hopeful. In fact, research shows that by the end of couples therapy, most people are doing better than 70%–80% of those who don’t get treatment — an improvement as strong as the best therapies for individual mental health.

Four decades of research tell us something clear and inspiring:

Couples therapy works.

It’s becoming more effective.

And it’s evolving to meet the realities of modern relationships.

At SHA, we’re big fans of supporting couples feel closer, communicate better, and bring more joy (and yes, pleasure) into their relationship. Love deserves tools, and therapy gives people the skills, insight, and emotional safety to grow together — not apart.

Today we’re breaking down what decades of science, including several major research reviews, tell us about how couples therapy helps people reconnect, heal, and thrive.

Let’s get into it.

I recently attended a sexuality, therapy, and public health conference—one of those rare spaces where research, practice, and community collide in the best possible way. I spotted so many SHA community members, reconnecting with colleagues and meeting practitioners who are studying and serving diverse communities.

From Emily Nagoski’s keynote on why our work is more relevant than ever, to cross-disciplinary hallway conversations, there was a palpable sense of momentum. Sexual health professionals are taking up space—and the field needs us.