The PGspot

The PGspot

Join me, Dr. Patty Jalomo, a dual certified nurse practitioner, pelvic floor therapist, and sex counselor as we break down the barriers that prevent open communication about sexual health. I'm here to provide expert insights, debunk myths, and empower you to embrace your sexual well-being. Whether you're looking for answers or just curious, join us as we open up the conversation around sex, intimacy, and everything in between.

Episodes

June 15, 2026 31 mins

When it comes to sexual health treatments, why have men historically had more options than women? In this episode of The PG Spot, Dr. Patty Jalomo explores the fascinating and controversial journey of Addyi (flibanserin), the first FDA-approved medication for acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women.

We'll dive into the years-long approval process, the advocacy movement that challenged th...

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Sexual desire and ADHD in women is rarely talked about openly, but it affects far more people than most realize. In this episode, we explore the complex relationship between ADHD, dopamine, sensory processing, emotional regulation, burnout, and intimacy. From fluctuating libido and novelty-seeking to shutdown, overwhelm, and relationship challenges, this conversation breaks down the experiences many women have silently struggled to...

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In this episode of The PGspot, we explore the complex and often overlooked effects of GLP-1 medications beyond weight loss. While these treatments are transforming the landscape of obesity care, their impact doesn’t stop at the number on the scale. We dive into the nuanced connections between GLP-1 use, changes in libido, and the evolving sense of identity that can accompany rapid physical transformation.

How do shifting hormo...

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Intimacy doesn’t usually fall apart overnight, it fades in the small, everyday ways we show up (or don’t) in our relationships. In this episode, we’re breaking down five common ways we unintentionally sabotage intimacy and what we can start doing differently.

From letting flirting and playfulness disappear, to expecting sex to “just happen,” to avoiding the conversations that actually bring us closer&he...

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In this powerful and deeply important episode, Awareness and Action Against Sex Trafficking, we shed light on one of the most pressing human rights issues of our time. We provide a clear understanding of what sex trafficking is, who it affects, and the lasting physical, psychological, and emotional impact on survivors.

Most importantly, this episode calls listeners into action. From recognizing red flags to knowing how to report sus...

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In this episode, we explore what research actually says about consensual non-monogamy (CNM).While monogamy is often treated as the default relationship model, studies over the past two decades have examined how some people successfully build ethical, transparent relationships outside of that structure.

We’ll look at the communication strategies, boundary-setting practices, and emotional skills that researchers have found are c...

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Pornography is no longer something kids “might” encounter someday, it’s something many are exposed to earlier than parents expect. And when we don’t talk about it, the internet becomes their primary teacher.

In this episode, we explore why avoiding the conversation about pornography doesn’t protect kids, and how silence can unintentionally create shame, secrecy, and confusion. You’ll learn what re...

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Sexual fantasies are far more common (and far more meaningful) than most of us were ever taught. In this episode, we explore why we have sexual fantasies in the first place, what the research says about the most common themes, and what these inner storylines reflect about human desire.

You’ll learn how fantasies often speak to universal needs; like wanting to feel desired, powerful, free, adventurous, or deeply connected, rath...

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Understanding Sexual Disgust and Desire explores how attraction and aversion are shaped by both biology and experience. In this episode, we look at sexual disgust through an evolutionary lens, how it developed as a protective mechanism and why it still influences desire today. We also examine how factors such as stress, relational safety, past experiences, cultural messaging, and gender differences affect the delicate balance betwe...

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Reframing Men, Sex, and Desire challenges the way we’ve been taught to think about male sexuality. Popular culture often reduces men to simple, one-dimensional narratives, always wanting sex, driven purely by biology, and emotionally disconnected. In this episode, we slow that story down and take a more nuanced look at how men actually experience desire.

Through honest reflection and thoughtful conversation, we explore how emo...

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In this episode, we explore the emerging role of trauma-informed, plant-based therapies in sexual health and healing. From psychedelic-assisted therapy to plant medicines, we examine how these approaches are being studied and thoughtfully integrated to support individuals navigating sexual trauma, intimacy challenges, and nervous system dysregulation. Whether you’re a clinician, researcher, or someone curious about holistic a...

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In this episode, we explore the rapidly evolving world of sex technology through a trauma-informed and ethical lens. From apps and wearables designed to support sexual wellness and recovery to AI-driven platforms that promise personalization and connection, sex tech holds both exciting potential and serious responsibilities. We discuss how these innovations can empower users, while also examining critical concerns around consent, d...

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In this episode, we explore how sexual feedback (so often a source of tension or defensiveness) can become a pathway to deeper intimacy. You’ll learn when and where these conversations flow most naturally, how to express desires and needs without triggering shame or shutdown, and why timing and tone matter just as much as the words themselves. We'll talk through practical strategies for shaping feedback into an act of care, f...

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World AIDS Day is a moment to remember, reflect, and recommit. In OvercomingSilence, we revisit the early days of the AIDS epidemic, an era marked by fear, misinformation, and heartbreaking silence. From uncertainty and stigma to advocacy and progress, this episode honors those we lost, uplifts the communities who fought back, and reminds us that this fight is not over.  Join me as we reflect, learn, and continue breaking the ...

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November 15, 2025 35 mins

 Is your sex life feeling a little routine or predictable? In this episode, we dive into the top 10 ways to reignite passion, deepen intimacy, and bring excitement back into the bedroom. From playful communication and exploring novelty to building emotional connection and prioritizing pleasure, you’ll learn simple, research-backed strategies to help keep desire alive in long-term relationships. Whether you’re looki...

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Hormones play a vital role in how we feel, think, and function, but misinformation about them is everywhere. In this episode, we’re cutting through the confusion and tackling the top five hormone misconceptions I hear most often from patients. From the truth about hormone therapy and breast cancer risk to why vaginal estrogen isn’t just for people who are sexually active, we’ll unpack what the science actually say...

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In this episode, we break down the key takeaways from the recent FDA roundtable where leading physician experts presented compelling data on the safety and efficacy of menopausal hormone therapy (MHT).

Tune in as we explore how decades of research are challenging outdated perceptions, what the latest evidence means for patients and providers, and why experts are calling for a more balanced, evidence-based conversation around MHT. Wh...

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What is ethical porn, and how is it different from the mainstream adult industry? In this episode, we explore the world of ethical porn; a movement that prioritizes consent, fair pay, diversity, and respect for performers both on and off camera.

We break down the key differences between ethical and mainstream porn, discuss why it matters for viewers and creators alike, and talk about how to find content that aligns with your values ...

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In this episode, we dive into the physical and psychological factors that can impact male sexual performance, from medical conditions and stress to unrealistic expectations and complex relationship dynamics. Whether you're personally navigating these concerns or supporting someone who is, we’ll share practical strategies to help.

We’re also busting some of the most common myths around male sexual performance, because let...

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Ever wondered what a compounding pharmacist actually does, and why it matters? In this episode, we sit down with pharmacist Justin Clark, the owner of Val Vista compounding pharmacy to explore the world of personalized medicine. From tailoring medications for individual needs to creating solutions when commercial drugs fall short, we dive into how compounding is transforming patient care. Whether it's customizing hormone therapies,...

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