The SexMD Podcast by Dr. Debra Durst

Dr. Debra Durst
  • 4.8 (12)
  • Medicine
  • Updated Weekly

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.

  1. 12h ago

    Is Mouthwash Bad for Sex?

    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.

  2. 2d ago

    Enlarged Prostate: Stop Getting Up 3 Times a Night

    Send us Fan Mail Getting 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 this video, Dr. Debra Durst explains why the prostate grows, how DHT and other hormonal changes drive that growth, and why it squeezes the urethra like a pinched garden hose. She covers the warning signs of benign prostatic hyperplasia, simple lifestyle changes, prescription options, and where supplements like pygeum fit in. Key takeaways: -BPH is driven largely by DHT, a hormone that strongly signals prostate cells to grow.  -Finasteride and dutasteride work by blocking how DHT is made. -Low-dose tadalafil (Cialis 5 mg) is FDA-approved for BPH urinary symptoms and can also help erectile function. -Small changes can ease mild symptoms: cut back on fluids, caffeine, and alcohol in the evening, try double voiding, and review cold and allergy medications. -Any change in your urinary pattern is worth getting checked. BPH isn't the only possible cause. -Don't accept a weak stream or constant bathroom trips as normal. Subscribe for more physician-led conversations on men's health, hormones, and sexual wellness. 📘 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.

  3. Oct 2

    RF Microneedling Down There? It Doesn't Hurt

    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 behind it. In this conversation, Dr. Debra Durst of RevitalyzeMD talks with intimacy expert  @BetterLover   intravaginal RF microneedling (using the Empower device), why the vaginal canal responds so differently to needling than facial skin does, and how at-home and in-office vaginal restoration devices fit together for a complete protocol. Subscribe for more physician-led conversations on sexual wellness, hormone optimization, and regenerative medicine. #IntravaginalMicroneedling #VaginalRejuvenation #SexualWellness #RegenerativeMedicine #HormoneHealth 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 -Why radiofrequency microneedling is comfortable intravaginally even though the same treatment on the face is painful  - the theory comes down to nerve receptor types -What the Empower device treats: vaginal tightening, incontinence, lubrication, and orgasmic strength -How at-home devices like red light photobiomodulation support and extend in-office vaginal rejuvenation results -A look at a new cold-chain, placental-exosome topical cream being used for post-laser and post-surgical scar healing Start Your Transformation — Grab Your Free Guide 📘  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.

  4. Sep 30

    Erectile Dysfunction Could Be Your Fifth Vital Sign

    Send us Fan Mail Your 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 think. Erectile dysfunction could be the fifth vital sign, and sometimes the earliest warning of blood vessel problems. Dr. Debra Durst explains why questions about erection strength and morning erections belong in every screening conversation, and how daily low-dose Cialis (tadalafil) works on the blood vessels, not just in the bedroom. 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. Key takeaways: -Penile arteries are the smallest in the body (1–2 mm), so they may show vascular problems before larger arteries do. -Strong erections require healthy blood vessels, healthy smooth muscle, nitric oxide production, and good blood flow. -Research suggests daily low-dose tadalafil may support vascular health and reduce inflammatory markers. -Added benefits can include stronger erections and relief of BPH-related urinary symptoms. If you're curious about erectile dysfunction as an early warning sign, the vascular benefits of daily low-dose Cialis, or relief for BPH symptoms, this episode is for you. Start Your Transformation — Grab Your Free Guide 📘 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.

  5. Sep 25

    Pelvic Floor Training: Why Kegels Aren't Enough

    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.

  6. Sep 23

    Does Shockwave Therapy work for Erectile Dysfunction

    Send us Fan Mail Is 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 since 2019, our practice upgraded to GainesWave 2.0, and there's a clinical reason why. In this video, Dr. Debra Durst explains what GainsWave actually is: a provider network with standardized protocols and tracked outcomes, not just a device. She covers the difference between the original radial shockwave and the new focused OmniWave technology, what the research shows, and who is a good candidate for treatment. 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 -Focused shockwave penetrates deeper and more precisely than radial shockwave, which improves targeting of the small penile vessels and the larger groin vessels that feed them. -GainesWave outcomes are tracked with the validated SHIM score, so improvement is documented, not just anecdotal. -Erectile changes can be an early marker of cardiovascular disease, so they're worth addressing, not ignoring. -The earlier ED is treated, the less treatment it requires and the more lasting the results tend to be. If you're curious about shockwave therapy for erectile dysfunction, focused vs. radial shockwave, or what ED can reveal about your heart health, this video is for you. 📘 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.

  7. Sep 18

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

    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.

  8. Sep 11

    Vaginal Rejuvenation over 50: Her Real 90-Day Results

    Send us Fan Mail Curious 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 — founder of RevitalyzeMD, a physician-led hormone optimization and sexual wellness practice in Knoxville, Tennessee — sits down with intimacy expert Susan Bratton to talk through her 90-day experience with the Fotona 4V Lux laser. This non-surgical vaginal tightening approach goes beyond the vaginal canal to address the full vulvovaginal system, including the clitoris and labia, using a dual-wavelength, non-ablative technology built for collagen stimulation and tissue regeneration. If this was helpful, hit like and subscribe for more honest conversations about sexual wellness. 📘  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 What you'll learn: - Why regenerative vaginal treatments can take up to 90 days to show full results - The difference between older ablative (CO2) lasers and newer non-ablative technology - Why treating only the internal vaginal canal misses a major part of female sexual anatomy - How blood flow, collagen stimulation, and nerve regeneration work together to improve sensation, lubrication, and orgasmic function - What role PRP and exosome injections play alongside laser treatment 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.

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Ratings & Reviews

4.8
out of 5
12 Ratings

About

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.

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