Taboo to Truth: Life & Sex After 50

Karen Bigman
  • 5.0 (24)
  • Sexuality
  • Updated Biweekly

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.

  1. 19h ago

    The #1 Reason Your Relationship Isn't Working (It's Not What You Think) | EP. 179

    🔥 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 In this episode, I sit down with Shana James — relationship and dating coach with 20 years of experience, TED Talk speaker, and author of Honest Sex — to explore the real reasons men and women keep failing each other in love and intimacy. Shana has coached thousands of men and women, and what she's uncovered is that the patterns keeping us stuck aren't about gender — they're about communication, vulnerability, and a fundamental lost-in-translation moment most couples never address. We get into why men struggle to open up (and what it actually takes for them to feel safe enough to try), why women aren't as naturally vulnerable as we think, and what men told Shana behind closed doors that women never get to hear. We also dive into the desire-rejection spiral — where it starts, who's responsible for breaking it, and how perimenopause adds a whole new layer of complexity to intimacy and dating. Shana also shares her expanded definition of sex from Honest Sex, and why letting go of the baseball analogy might change everything. This is Part 1 of a two-part conversation — and we're just getting started. In This Episode: 00:00 Why Men and Women Keep Failing Each Other 01:18 Meet Shana James — 20 Years Coaching Both Sides 02:15 The #1 Pattern Keeping Couples Stuck: Communication 04:05 How to Get Men to Open Up — What Actually Works 06:40 The Surprise: Women Struggle with Vulnerability Too 08:55 Are Men Really Emotionally Unavailable? The Real Answer 11:10 What 1,000 Men's Tears Reveal About the Crisis Between Men and Women 13:30 The Desire Spiral: Where It Starts and Who Breaks It 15:45 Dating and Intimacy During Perimenopause 18:00 What Is Sex, Really? Shana's Expanded Definition 19:40 Part 2 Is Coming — Subscribe So You Don't Miss It Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast About the guest: As a relationship and dating coach for 20+ years, Shana James humbly discovered the causes of disconnection and distrust in relationships, as well as how to build trust and keep passion alive. Shana has facilitated decades ofAuthentic Relating workshops based on her training in communication, mindfulness, psychology and sensuality, and specializes in helping clients date and create healthy relationships after divorce. Shana brings her Master’s in psychology, DISC and Positive Intelligence certifications to her book:Honest Sex: A Passionate Path to Deepen Connection and Keep RelationshipsAlive. She also hosts two podcasts: Man Alive and Practicing Love, and has aTEDx Talk, 'What 1000 Men's Tears Reveal About the Crisis Between Men andWomen.' Connect with Shana James: Website: https://shanajamescoaching.com/ Instagram: https://www.instagram.com/shanajames/ Resources: https://shanajamescoaching.com/resources-3/ About the host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & 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

    20 min

  2. 4d ago

    Does Size Matter? What Women Actually Want (And What the Data Says) | Ep. 178

    🛒 Get 15% off the Max PR from Firm Tech with code TABOO15 at myfirmtech.com 🛍️ Want to enhance intimacy and confidence? Check out my curated products page at https://www.taboototruth.com/shop In this episode, I'm tackling one of the most quietly carried anxieties in male sexuality — penis size. Not just the anatomy, but the psychology behind it. I break down the real clinical data on average erect penis size, explain why girth is actually the more relevant factor (and why nobody talks about it), and unpack why the shower vs. grower phenomenon means flaccid comparisons tell you virtually nothing. I walk through what every major enlargement option — injections, surgery, traction extenders, and pumps — actually delivers, what the risks are, and why none of them address the real issue. I share what women consistently say matters most in a sexual partner (hint: it has nothing to do with inches), and why confidence, presence, communication, and genuine curiosity about your partner's body are the real drivers of great sex. If size anxiety has ever taken up space in your head, this episode is an honest, data-backed answer. Timestamps: 00:00 - Introduction & What This Episode Is Really About 01:15 - Small Penis Anxiety: The Clinical Term and What It Means 02:00 - The Real Data: Average Erect Penis Size 02:45 - Girth vs. Length — Why Girth Matters More 03:15 - The Shower vs. Grower Phenomenon 03:45 - What Women Actually Say They Want in Bed 05:00 - Why the Obsession Persists: Porn, Culture & Performance Pressure 06:30 - Enlargement Options: Injections, Surgery, Extenders & Pumps 08:30 - What Actually Matters More Than Size 09:45 - A Personal Anecdote: Size Is Not the Whole Story 10:30 - Realistic Expectations & Final Takeaways 11:10 - Outro & How to Support the Show Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. 🚨 If you are a man navigating your partner’s menopause and feel lost, check out my NEW course ‘Men Meet Menopause’! AND to celebrate the launch, iI am giving you 20% off with code MMPLAUNCH20 https://bit.ly/MeenMeetMenopause

    12 min

  3. Jun 2

    When Sex Dies in a Long-Term Relationship — And How to Bring It Back | Ep. 176 Part 2

    💋 Sex Ed For Adults | You’ve mastered everything else in life — now master pleasure! https://www.taboototruth.com/courses When your partner won't engage — won't go to therapy, won't talk, won't try — what are your actual options? In Part 2 of this two-part conversation, I sit down again with sex therapist Dr. Jenni Skyler and her husband and fellow therapist Daniel Lebowitz to get into the harder, messier truths about long-term desire. We tackle what happens when one partner is simply done trying, why sexual stagnation is the real relationship killer, how to tell your partner you're bored without blowing everything up, and the psychological concept most people have never heard of — the Madonna-whore complex (also called the love-lust split) — and why it's quietly killing men's desire for their own partners. Plus, I ask the question everyone's thinking: do two therapists actually have a perfect marriage? In this episode: 00:00 — Introduction & recap of Part 1 01:10 — When your partner refuses therapy, refuses sex, refuses everything 04:20 — What to do when divorce isn't an option 06:45 — The Ashley Madison story: meeting your own needs 09:00 — How to declare your needs without issuing an ultimatum 11:30 — Is it realistic to be with one person sexually for 50+ years? 14:00 — Stagnation is what kills desire — not incompatibility 16:20 — How to tell your partner you're bored (without saying "you're boring") 18:45 — Menopause, postpartum, and sexual stagnation windows 21:00 — Grieving the previous chapter of your relationship 22:15 — Men Meet Menopause: Karen's course plug 23:00 — Do two sex therapists have a perfect marriage? 25:10 — The Madonna-whore complex and the love-lust split explained 27:30 — Why men need to become experts in their own relationships 28:40 — Where to find Dr. Jenni Skyler & Daniel Lebowitz Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & 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

    29 min

  4. May 29

    Why Your Nervous System Is Secretly Ruining Your Sex Life (And What to Do About It) | Ep. 177

    In this episode, I'm diving into something most men have never been taught but desperately need to hear — how your nervous system is directly controlling your desire, your erections, and your ability to connect intimately. If you're in midlife and noticing that your body isn't cooperating the way it used to, this is the episode that explains why — and what to actually do about it. I walk through the two modes of the nervous system, survival and safety, and why sex can only happen in one of them. I break down how decades of performance-based sexual conditioning quietly puts men into survival mode — and how shame keeps them there. Then I get practical, sharing the tools I give men every day to regulate their nervous system, rebuild a sense of safety, and reconnect with their bodies and their partners. Timestamps: 00:00 - What's really behind unpredictable erections in midlife 00:48 - Welcome & what we're covering today 01:35 - The sexual performance model most men were raised with 02:22 - Survival mode vs. safety mode — and why sex requires safety 03:08 - What survival mode actually looks like during sex 03:50 - Why shame shuts down intimacy faster than low testosterone 04:55 - Safety vs. confidence — and which one you actually need 05:42 - Substack community callout 06:10 - Practical tools: regulate before you initiate 06:58 - Naming it, shifting the goal, and building safety outside the bedroom 07:45 - You're not broken — you're waking up 08:10 - Resources, Men Meet Menopause course & closing Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! 📌 Resources mentioned: Men Meet Menopause Course: https://www.taboototruth.com Want to enhance intimacy and confidence? Check out my curated products page at https://www.taboototruth.com/shop Get 15% off the Max PR from Firm Tech with code TABOO15 at myfirmtech.com Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. 📩 Join me on Substack: https://karenbigman.substack.com 📖 Download the Pleasure Playbook: https://www.taboototruth.com/pleasureplaybook

    9 min

  5. May 26

    Why Your Partner Keeps Saying No to Sex — And What to Do About It | Ep. 176 (Part 1)

    In this episode, I sit down with two powerhouse sex therapists — Dr. Jenni Skyler and Daniel Lebowitz — to dig into one of the most common and least talked-about issues in long-term relationships: mismatched libidos. We're breaking down what desire discrepancy really means, why it doesn't have to spell the end of your sex life, and why the person wanting less sex is never simply "the problem." We get honest about the shame spiral that shuts men down sexually, the hidden reasons behind low male desire (from testosterone to performance anxiety to cultural conditioning), and the exact language that can open a conversation your partner has been too scared to start. This is Part 1 of 2 — and it's essential listening for anyone who has ever felt rejected in the bedroom or guilty for saying no. In this episode: 00:00 - Welcome & Guest Introductions 01:50 - What Is Desire Discrepancy — And Who Has It? 04:25 - Why Nobody's the Problem (But It Feels That Way) 06:40 - When She Wants It More Than He Does 09:20 - The Hidden Reasons Behind Low Male Desire 12:55 - How to Start the Conversation With a Shut-Down Partner 16:10 - The Two Words That Change Everything: You Matter 19:05 - Getting Into Therapy: Where Do You Even Start? 21:30 - The Bilingual Couple: Unlocking Desire Through Language 24:20 - Men's Shame, Sensuality & the Missing Safe Spaces 26:40 - Sexual Rejection and the Fear of Not Belonging 27:50 - Part 2 Teaser & Where to Find the Guests Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! 🚨 If you are a man navigating your partner’s menopause and feel lost, check out my NEW course ‘Men Meet Menopause’! AND to celebrate the launch, iI am giving you 20% off with code MMPLAUNCH20 https://bit.ly/MeenMeetMenopause Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast About the Guests: Dr. Jenni Skyler and Daniel Lebowitz are the directors of The Intimacy Institute. They have been in practice for over 16 years, offering the best in relationship and clinical sex therapy. Their practice offers both telehealth services and three-day couples retreats from their office in Colorado. As licensed and certified therapists with professional, personal, and parenting experience, they help elevate relationships to the next level. Connect with Jenni & Daniel: Website: https://www.intimacyinstitute.org/ Instagram:https://www.instagram.com/drjenniskyler https://www.instagram.com/sexandthepsychepod/ Podcast: https://www.intimacyinstitute.org/sex-and-the-psyche About the host: Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & 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

    29 min

  6. May 22

    Why Sex Hurts After 50 — And What to Actually Do About It | Ep. 175

    In this episode, I'm talking about one of the most common and least discussed experiences in midlife: painful sex. Whether it's dryness, tightness, uncomfortable positioning, or intimacy that has quietly faded, I want you to know this is not normal aging and it is not something you have to accept. Bodies change as we get older — hormones shift, tissue thins, muscles tighten, and positions that once worked no longer do — but that doesn't mean pleasure is off the table. I walk through what's actually happening physiologically, why pain during sex is never something to push through, and the practical tools that can help: quality lubricants, pelvic floor physical therapy, honest communication with partners, and strategic positioning support. I also introduce the Prim Pillow by Taboo, a wedge-shaped cushion I personally use and love, and share exactly how I use it to reduce strain, change angles, and make intimacy feel comfortable and connected again. Great sex in midlife is possible — it just looks different than it did at 30, and that's not a problem. It's an opportunity. This is a highly visual episode and is best watched on video: https://youtu.be/_oXa6NOR_FQ In this episode: 00:00 - Welcome & What This Episode Is About 00:47 - Introduction: Pain With Sex Is Not Normal 01:30 - Sex After 50 — A Different but Better Conversation 02:00 - What Actually Changes in Your Body as You Age 02:51 - Why Pain During Sex Is Never Something to Tolerate 03:02 - Tools That Help: Lube, Pelvic Floor PT & Communication 03:28 - Introducing the Prim Pillow by Taboo 04:42 - How to Use the Prim Pillow: Hip Elevation & Positioning 05:54 - Why Lube Matters & the PJUR Med Sensitive Recommendation 06:45 - Positioning Tips: Angles, Comfort & Communication 07:14 - Sex Doesn't Expire — It Evolves 07:55 - You Deserve Intimacy That Feels Good at Every Age 08:13 - Resources & Where to Find Karen 08:32 - Outro: Subscribe, Share & Make the World More Sex-Positive Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! 🔗 Resources mentioned: Pain-Free Sex resources: https://www.taboototruth.com/post/aging-and-sex-after-50-how-to-reduce-pain-increase-pleasure Prim Pillow by Tabu: https://www.heytabu.com Pjure Lube (PJUR Med Sensitive Water-Based): https://www.pntrac.com/t/8-10991-371921-141081?url=https%3A%2F%2Fwww.babeland.com%2Fsearch%3Fst%3Dproduct%26q%3Dpjur Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & 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 are a man navigating your partner’s menopause and feel lost, check out my NEW course ‘Men Meet Menopause’! AND to celebrate the launch, iI am giving you 20% off with code MMPLAUNCH20 https://bit.ly/MeenMeetMenopause 🥰 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

    9 min

  7. May 19

    Is Hormone Therapy Safe After 60? Dr. Sameena Rahman Sets the Record Straight | Ep. 173 (Part 2)

    In this episode, I'm back with Dr. Sameena Rahman for Part 2 — and we go places most medical appointments never do. We open with PCOS, GLP-1s, peptides, and ketamine, then shift into what may be the most important hormone conversation I've had on this show: is hormone therapy actually safe for women over 60? Dr. Rahman breaks down why the original Women's Health Initiative study was mismarketed, not flawed — and how that bad marketing set back women's health by two decades. She explains how to think about the risk-benefit calculation for starting hormones later in life, and what screenings actually matter before making that call. We then get into the reality of concierge medicine — why so many doctors are leaving insurance-based practices, and what women who can't afford private care can actually do. And we close on a myth that genuinely alarmed me: the idea that women over 65 no longer need pelvic exams. Dr. Rahman sets the record straight — and explains why genitourinary syndrome menopau In This Episode: 00:00 - Welcome Back & Recap of Part 1 01:20 - PCOS Explained: What It Is and Who It Affects 02:50 - GLP-1s, Peptides & Ketamine: What the Evidence Actually Says 05:10 - Hormone Therapy After 60: Is It Safe? 07:30 - The WHI Study: Bad Marketing, Not Bad Science 09:20 - Heart Health, Bone Health & Who Should Consider Starting Late 11:45 - Why Doctors Are Moving to Concierge Medicine 14:00 - The Insurance System Is Rigged Against Women 16:05 - What to Do If You Can't Afford a Specialist 17:45 - The Pelvic Exam Myth Putting Women at Risk 19:15 - Genitourinary Syndrome, Vaginal Estrogen & UTI Prevention 20:50 - Final Thoughts & Where to Find Dr. Rahman Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast About the Guest: Dr. Sameena Rahman is a board-certified OB/GYN and certified Menopause Practitioner with over a decade of expertise in midlife care, sexual medicine, and concierge gynecology. After training and practicing at leading institutions including USC, the University of Chicago, and Northwestern, she founded The GSM Collective in downtown Chicago to deliver a more personalized, patient-first model of women’s healthcare. Nationally recognized for her leadership in sexual and menopausal health, Dr. Rahman serves on the Board of Directors and as Scientific Committee Chair for the International Society for the Study of Women’s Sexual Health (ISSWSH), where she is also a Fellow (IF). She is a Menopause Certified Practitioner and active member of The Menopause Society’s Education Committee, frequently speaking at national and international conferences on culturally informed care and sexual health. Connect with Dr. Sameena Rahman: Website: https://www.thegsmcollective.com/ Instagram: https://www.instagram.com/gynogirl/ Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com LINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & 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 are a man navigating your partner’s menopause and feel lost, check out my NEW course ‘Men Meet Menopause’! AND to celebrate the launch, iI am giving you 20% off with code MMPLAUNCH20 https://bit.ly/MeenMeetMenopause 🥰 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

    22 min

  8. May 15

    AI Just Entered the Bedroom — And It's Smarter Than You Think | EP. 174

    In this episode, I'm pulling back the curtain on something that is already inside your world whether you're ready for it or not — artificial intelligence and sex. I'm breaking down four categories of AI-powered intimacy technology: smart sex toys and biofeedback devices, AI companion apps and chatbots, virtual reality experiences, and AI in sexual health and therapy. I talk about what these tools actually do, why they matter specifically for people navigating desire and relationships after 50, and the questions we're not asking loudly enough — about data privacy, about who this technology was built for, and about what happens to our capacity for real human connection when frictionless digital intimacy becomes the easier option. This is not a scare episode. This is a get-informed episode. Because you deserve to be an empowered participant in the world you're already living in. In this episode: 00:00 — Introduction: AI Is Already in Your Bedroom 01:15 — The Four Categories of AI Intimacy Tech 02:30 — Smart Sex Toys and Biofeedback Devices 04:10 — Lioness, FirmTech, WeVibe and What They Actually Do 05:30 — Haptics and Teledildonics: Physical Intimacy Across Distance 06:45 — AI Companion Apps: Loneliness, Grief, and the Limits of Digital Connection 08:30 — Virtual Reality and Intimacy: VR Therapy, Body Shame, and Immersive Content 10:15 — The Three Questions We're Not Asking About AI and Sex 12:00 — Is Technology a Bridge or a Destination? 13:15 — Closing: How to Be an Empowered Participant Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out! Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases. 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 Website: https://www.taboototruth.com/ Instagram: https://www.instagram.com/taboototruth YouTube: https://www.youtube.com/@taboototruthpodcast Substack: https://karenbigman.substack.com Take control of your pleasure with my Pleasure Playbook, filled with tips to help you connect with your body and enhance intimacy. Download it now at www.taboototruth.com/pleasureplaybook. AI Sex Toys & Devices mentioned in this episode: Lioness — biofeedback vibrator that tracks arousal, muscle contractions, and movement patterns via appFirmTech — tech ring for men that measures nighttime erections to assess penile health🍆 Save 15% off MaxPR using code TABOO15 🛒 Link: https://myfirmtech.com/karenbigmanWeVibe — app-connected couples devices with remote control and AI features https://wevibe-north-america.sjv.io/B5EzLyTracy's Dog — app-connected devices; also developing adaptive AI avatar technologyKirroo — sync devices for partners that mirror movements in real time over the internet Save 10% off Kirroo products with code: KAREN10 at http://offers.feeliate.com/taboo

    14 min
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About

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.

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