Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife

About Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Relationship Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex in midlife, offering insights and support for all those experiencing these transformative phases. We'll discuss dating and sex post-divorce, shedding light on the challenges and triumphs of rediscovering intimacy. Karen dives deep into the impact of hormonal changes on sexuality, examining how these shifts influence desire, pleasure, and overall sexual health across different ages. The podcast encompasses a wide array of topics, including polyamory, kink, BDSM, and sexual dysfunction, ensuring a comprehensive understanding of modern sexual dynamics. Taboo to Truth is a platform for open, honest conversations about sex, relationships, and everything in between. Join me to embrace your sexuality, empower your journey, and break free from societal taboos. Follow me: Email: karen@taboototruth.com Instagram: https://www.instagram.com/taboototruth/ YouTube: https://www.youtube.com/@taboototruthpodcast LinkedIn: https://www.linkedin.com/in/karenbigman/ *The information on this podcast does not constitute medical advice and is for informational purposes only.

Publisher

Karen Bigman

Category

education · health & fitness · society & culture

Language

en

Explicit

Yes

First episode

4 Sept 2023

Latest episode

6 Oct 2026

Latest episodes

229 episodes in the feed.

1. 

   6 Oct 2026

   Sex after prostate cancer: what men need to know before surgery with Dr. Amy Pearlman | Ep. 205 (Part 2)

   In this episode, I'm back with urologist Dr. Amy Pearlman for part two of our conversation. We start with a question I hear all the time: does ejaculating often protect your prostate? She walks me through the research, why masturbation counts, and the plant-forward way of eating that protects your prostate along with every other organ. Then we get into prostate cancer. Dr. Pearlman explains why most men die with it rather than from it, when active surveillance makes sense, and why you should get more than one opinion before choosing a treatment. Most importantly, she explains how men can protect their sex lives: starting penile rehab before surgery, seeing a pelvic floor physical therapist, practicing with a vacuum pump, and using Trimix injections when Viagra and Cialis aren't enough. She even believes many men can have the best sex of their lives after treatment. We finish with penis size. Dr. Pearlman shares why she asks every patient about size concerns, what traction therapy can realistically do for length, why she uses dissolvable hyaluronic acid for girth enhancement, and why you should always ask what the worst-case scenario is before any procedure. Her final advice: go to every appointment prepared, with a list of questions and a goal. Most men have no idea what's actually happening with their erections until something goes wrong. That's why I partnered with FirmTech, a smart ring that tracks your erectile health so you get real data instead of guesswork. Get 15% off at myfirmtech.com/karenbigman (https://myfirmtech.com/?sca_ref=8487484.NSsUEc3gxG&utm_source=karen-bigman&utm_medium=web&utm_campaign=affiliate) ‼️ Join the waitlist for my upcoming coaching program for midlife men HERE (https://taboototruth.wixforms.com/f/7424226439106397420). In This Episode: 00:00 – Intro 00:45 – Does ejaculating more protect your prostate? 02:05 – The diet that protects your prostate (and every other organ) 03:18 – Prostate cancer and your sex life 04:26 – Active surveillance: when you don't need treatment yet 05:00 – Why prostate cancer usually has no symptoms 06:14 – Your treatment options, and why to get more than one opinion 07:44 – Why penile rehab starts before surgery 08:24 – Pelvic floor PT before prostate surgery 09:26 – Learning the vacuum pump before you need it 10:00 – Trimix: penile injections explained 11:08 – How men learn to do their first injection 12:05 – Why injections work when Viagra doesn't 13:46 – Better sex after prostate cancer? 15:23 – Why men are obsessed with penis size 17:16 – Girth enhancement with hyaluronic acid 20:00 – Can you actually gain length? 21:30 – The worst-case question before any procedure 22:38 – What is Phallofill? 25:11 – Use ChatGPT to prep for your doctor's visit 26:47 – Where to find Dr. Amy Pearlman 27:38 – Outro To watch the video version of this episode, head over to YouTube (https://www.youtube.com/@taboototruthpodcast)! About The Guest: Dr. Amy Pearlman is a board-certified urologist and fellowship-trained specialist in sexual medicine, male hormonal health, and genitourinary reconstruction. She is the co-founder of Prime Institute in Miami, where she takes a modern, evidence-based approach to optimizing sexual health, hormones, and longevity. A nationally recognized educator and speaker, Dr. Pearlman is passionate about making conversations around sexual health more practical, approachable, and engaging. Her work bridges traditional medicine with emerging therapies and technologies, helping patients better understand their bodies and the growing number of options available to improve sexual function, confidence, and quality of life. Connect with Dr. Amy Pearlman: Website: https://www.primeinstitute.us (https://www.primeinstitute.us) Instagram: (https://www.instagram.com/sirr.leezus/?hl=en)https://www.instagram.com/amypearlmanmd (https://www.instagram.com/amypearlmanmd) YouTube: @DocAmyUrology (https://www.youtube.com/@DocAmyUrology) Podcast: Fertility and Other F Words (https://www.youtube.com/channel/UCNwq10Vm5oAHwOwO2p4HsiQ) About The Host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Relationship Coach. She tackles the often-taboo subject of sexuality with a straightforward and candid approach. On this show, we explore the intricacies of sex in midlife, offering insights and support for all those experiencing this transformative phase. This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider. Looking for some fresh perspective on sex in midlife? You can find me here: Email: karen@taboototruth.com (mailto:karen@taboototruth.com) Website: https://www.taboototruth.com/ (https://www.taboototruth.com/) Instagram: https://www.instagram.com/taboototruth (https://www.instagram.com/taboototruth) YouTube: https://www.youtube.com/@taboototruthpodcast (https://www.youtube.com/@taboototruthpodcast) Substack: (https://karenbigman.substack.com/)https://karenbigman.substack.com (https://karenbigman.substack.com) MORE LINKS, RESOURCES, EXCLUSIVE VIP DISCOUNTS & FREEBIES! 🪄 Head to Mystery Vibe for award-winning devices that deliver precise vibrations to support erectile function and more! 🛒 Link: https://tidd.ly/4mePTpF 🥰 If you want her to want you more — start by understanding her body better. Free resources → https://www.taboototruth.com/free-resources 💋 Hotter, Wilder, Wiser | You’ve mastered everything else in life — now master pleasure! https://www.taboototruth.com/hotter-wilder-wiser 🔥 Ready to spice things up? This Yes/No/Maybe list is your permission slip for pleasure. https://www.taboototruth.com/free-resources-1/yes%2Fno%2Fmaybe%3F

2. 

   2 Oct 2026

   Erectile Dysfunction After 50? Let’s Talk Penis Rings, Pumps & What Actually Works | Ep. 206

   In this episode, I'm opening up the toolbox most men refuse to touch: penis rings, vacuum pumps, and prostate massagers. Men avoid these products for the same reason they avoid the doctor. They think needing help means something is wrong with them. It doesn't. Your body at 50 isn't your body at 25, and a tool that works with it is a way to enjoy the body you're in right now, not an admission of failure. I break down what a ring can and can't do (it holds what's already there, it doesn't create it), why your overnight data can be an early warning sign for your vascular health, and the 30-minute rule I repeat every single time. I explain why pumps started in urologists' offices, why going slow matters more than going fast, and why this part of your body really does follow a use-it-or-lose-it rule. Then I get into the prostate, the gland most men ignore, the myth that keeps them from exploring it, and how it can support pelvic health. If there's a man in your life who's been quietly struggling, or just curious, send him this one. ‼️ Join the waitlist for my upcoming coaching program for midlife men HERE (https://taboototruth.wixforms.com/f/7424226439106397420). In This Episode: 0:00 – Rings, Pumps & Prostate Massagers 0:09 – Welcome to Taboo to Truth 0:35 – Why Men Avoid These Tools 1:14 – How a Ring Actually Works 1:43 – When to Talk to Your Doctor 2:13 – Beginner Silicone Rings 2:28 – FirmTech: Hook Ring, Tech Ring & Add-On 3:17 – MyHixel & Lasting Longer 3:43 – Ring Options for Couples 3:58 – Ring Safety: The 30-Minute Rule 4:16 – The Ohnut: Comfort for Couples 4:51 – How Vacuum Pumps Work 5:09 – Dr. Joel Kaplan's Clinical Pump 6:02 – Go Slow: Pump Safety 6:23 – Use It or Lose It 6:44 – Bathmate Water Pumps 7:17 – Why Pumps and Rings Work Together 7:28 – Why the Prostate Matters 8:04 – The Myth That Holds Men Back 8:25 – Prostate Massage for Pelvic Health 8:44 – MysteryVibe Molto 9:04 – Aneros: Hands-Free Massagers 9:58 – Patience & Safety Basics 10:19 – Final Thoughts 10:37 – Outro To watch the video version of this episode, head over to YouTube (https://www.youtube.com/@taboototruthpodcast)! Shop the products I mention: FirmTech Penis Rings (15% off) with my link: (https://myfirmtech.com/karenbigman)https://myfirmtech.com/karenbigman (https://myfirmtech.com/karenbigman) Couples: Kiiroo's Lux Him/Lux Her (https://offers.feeliate.com/taboototruth-luxus) or FirmTech's vibrating attachment. Mystery Vibe (https://myfirmtech.com/karenbigman)Molto Prostate Massager (https://mysteryvibe.com/products/molto?utm_source=Awin&utm_medium=affiliate&utm_campaign=2661196&utm_content=Social+Content_0&sscid=75444_1790945864_072df85bcf228c34f600a290bed59b43&awc=75444_1790945864_072df85bcf228c34f600a290bed59b43) (10% off) with Code: TABOO10 (https://myfirmtech.com/karenbigman) Silicone beginner rings (Amazon) (https://www.amazon.com/Penis-Rings/b?ie=UTF8&node=1243852011) MyHixel Pressure-point ring (https://doctorjoelkaplan.com/products/myhixel-ring-the-ring-designed-to-enhance-your-erections?_pos=2&_sid=4b692467a&_ss=r) MyHixel Endurance Trainer (https://link.urlfun.com/dyudytumd) Ohnut Buffer Rings (https://urologyhealthstore.ca/collections/ohnut?gad_source=1&gad_campaignid=23412934973&gbraid=0AAAAACbzcRFI-HTCmx63mP_G4wJwz6ywj&gclid=CjwKCAjwrP3VBhBbEiwAnaqpQyC9o9OYddXKq21LsXuoarz-pojuOVN_Ea729_gPbGl7a9GQ0HaHVBoCGNcQAvD_BwE) Dr. Joel Kaplan Vacuum Device (https://drjoelkaplan.com/affiliate/affiliates/)s (10% Off) with code TABOO10 Bathmate Penis Pumps (https://www.bathmate.us/51T626X/2CTPL/) (15% off) with code TABOO15 Jim Benson's The Multi-Orgasmic Lover (https://awakenedmasculine.com/program/) ($50 off using my link) About The Host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Relationship Coach. She tackles the often-taboo subject of sexuality with a straightforward and candid approach. On this show, we explore the intricacies of sex in midlife, offering insights and support for all those experiencing this transformative phase. This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider. Looking for some fresh perspective on sex in midlife? You can find me here: Email: karen@taboototruth.com (mailto:karen@taboototruth.com) Website: https://www.taboototruth.com/ (https://www.taboototruth.com/) Instagram: https://www.instagram.com/taboototruth (https://www.instagram.com/taboototruth) YouTube: https://www.youtube.com/@taboototruthpodcast (https://www.youtube.com/@taboototruthpodcast) Substack: (https://karenbigman.substack.com/)https://karenbigman.substack.com (https://karenbigman.substack.com)

3. 

   29 Sept 2026

   What Really Happens At The Urologist (and why men avoid it) with Dr. Amy Pearlman | Ep. 205 (Part 1)

   In this episode, I sit down with urologist Dr. Amy Pearlman to talk about what men actually need from their doctors and so rarely get. We start with the urology visit most men dread: why she spends an hour or more just talking before she ever asks for an exam, what a prostate exam actually checks, and why your colonoscopy isn't telling you anything about your prostate. She explains why erectile dysfunction is so much more than a quick questionnaire and a Cialis prescription, and why she sees it as a door into a man's overall health. Then we get into testosterone. Dr. Pearlman explains why she's seeing low T in healthy-looking men in their 20s and 30s, why it's about health and not age, and what testosterone really does for mood, muscle, energy, and brain fog. She shares the question she asks every man before prescribing it, no matter how old he is, why so many men are turning to the black market, and why there's no age at which a man stops being a candidate. Most men have no idea what's actually happening with their erections until something goes wrong. That's why I partnered with FirmTech, a smart ring that tracks your erectile health so you get real data instead of guesswork. Get 15% off at myfirmtech.com/karenbigman (https://myfirmtech.com/?sca_ref=8487484.NSsUEc3gxG&utm_source=karen-bigman&utm_medium=web&utm_campaign=affiliate) ‼️ Join the waitlist for my upcoming coaching program for midlife men HERE (https://taboototruth.wixforms.com/f/7424226439106397420). In This Episode: 00:00 – Intro 00:40 – Meet Dr. Amy Pearlman 02:17 – What's a woman's role in men's health? 06:52 – Why men dread the urologist 08:29 – The opt-in exam: what a visit should really feel like 09:55 – The prostate exam, explained (and the colonoscopy myth) 11:38 – Why ED is more than a questionnaire 12:29 – FirmTech 12:58 – When should men start seeing a doctor? 15:27 – The warning signs men shouldn't ignore 16:47 – Why men need a "well man" visit 17:21 – Viagra with no exam: when ED is a warning sign 18:58 – Why testosterone is dropping, even in young men 21:16 – What testosterone actually does 22:41 – The fertility question before any testosterone 24:30 – Black market testosterone and why men go there 25:50 – Is low T the new Viagra? 27:45 – Testosterone after 55: is there an age cutoff? 28:36 – Outro To watch the video version of this episode, head over to YouTube (https://www.youtube.com/@taboototruthpodcast)! About The Guest: Dr. Amy Pearlman is a board-certified urologist and fellowship-trained specialist in sexual medicine, male hormonal health, and genitourinary reconstruction. She is the co-founder of Prime Institute in Miami, where she takes a modern, evidence-based approach to optimizing sexual health, hormones, and longevity. A nationally recognized educator and speaker, Dr. Pearlman is passionate about making conversations around sexual health more practical, approachable, and engaging. Her work bridges traditional medicine with emerging therapies and technologies, helping patients better understand their bodies and the growing number of options available to improve sexual function, confidence, and quality of life. Connect with Dr. Amy Pearlman: Website: https://www.primeinstitute.us (https://www.primeinstitute.us) Instagram: (https://www.instagram.com/sirr.leezus/?hl=en)https://www.instagram.com/amypearlmanmd (https://www.instagram.com/amypearlmanmd) About The Host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Relationship Coach. She tackles the often-taboo subject of sexuality with a straightforward and candid approach. On this show, we explore the intricacies of sex in midlife, offering insights and support for all those experiencing this transformative phase. This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider. Looking for some fresh perspective on sex in midlife? You can find me here: Email: karen@taboototruth.com (mailto:karen@taboototruth.com) Website: https://www.taboototruth.com/ (https://www.taboototruth.com/) Instagram: https://www.instagram.com/taboototruth (https://www.instagram.com/taboototruth) YouTube: https://www.youtube.com/@taboototruthpodcast (https://www.youtube.com/@taboototruthpodcast) Substack: (https://karenbigman.substack.com/)https://karenbigman.substack.com (https://karenbigman.substack.com) MORE LINKS, RESOURCES, EXCLUSIVE VIP DISCOUNTS & FREEBIES! 🪄 Head to Mystery Vibe for award-winning devices that deliver precise vibrations to support erectile function and more! 🛒 Link: https://tidd.ly/4mePTpF 🥰 If you want her to want you more — start by understanding her body better. Free resources → https://www.taboototruth.com/free-resources 💋 Hotter, Wilder, Wiser | You’ve mastered everything else in life — now master pleasure! https://www.taboototruth.com/hotter-wilder-wiser 🔥 Ready to spice things up? This Yes/No/Maybe list is your permission slip for pleasure. https://www.taboototruth.com/free-resources-1/yes%2Fno%2Fmaybe%3F

Who has been a guest on Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife

Names identified in recent episode analyses. Showing up to five guests.

• Lisa Finn
• Dr Laurie Mintz
• Tanya Griffin

Reach and audience

Public platform figures. Ratings count people who left a rating, not total listeners.

YouTube views

41,204

Score snapshot 15 Sept 2025

Apple Podcasts (US)

4.8 / 5

6 ratings

Podcast Authority Score: 60 / 100

A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.

Quality

89

Social presence

0

YouTube

76

Engagement

0

Contact Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife

Guest appearances

Does not typically book guests

Based on episode analysis; this does not confirm that the show is currently accepting guests.

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Questions about Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife