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PODCAST

Taboo to Truth: Life & Sex After 50

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,

health & fitness sexuality

All Episodes

11:05

Erectile Dysfunction After 50? Let’s Talk Penis...

Taboo to Truth: Life & Sex After 50 ·

2026/10/02

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),

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29:10

What Really Happens At The Urologist (and why men...

Taboo to Truth: Life & Sex After 50 ·

2026/09/29

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

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15:10

Testosterone for Men vs. Women: The Truth About...

Taboo to Truth: Life & Sex After 50 ·

2026/09/25

In this episode, I'm talking about testosterone in midlife, menopause, low sex drive, and why so many women on hormone therapy are still missing the one hormone nobody thought to check. I learned this the hard way: after my divorce, I was dating again and having more sex than I had in years, and my pleasure started to disappear, even though I was already taking estrogen and progesterone. It took finding a sexual medicine practice before anyone mentioned testosterone.I use that experience to take

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17:31

Inside a Sex Club and a Kink Club for the First Time:...

Taboo to Truth: Life & Sex After 50 ·

2026/09/22

In this episode, I'm sharing something completely different: a firsthand account of a weekend I had in Montreal. I was there for an Advanced SAR — a Sexual Attitude Reassessment, the kind of training clinicians and sex educators take to get comfortable with behaviors and experiences outside their own — and it happened to land the same weekend as the Montreal Fetish Festival. So I went.I walk through everything, starting with the cabaret show on night one that included flogging and, in a moment that

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18:58

The Male G-Spot 101: The Truth About Prostate...

Taboo to Truth: Life & Sex After 50 ·

2026/09/18

The prostate, also called the male G-spot, is a walnut-sized gland most straight men never want to talk about, and this episode is exactly that conversation. I get into what it does, how it's tied to ejaculation, and why stimulating it can feel intensely pleasurable for some men, regardless of orientation.You'll hear about the three prostate conditions every guy in midlife should know for his prostate health, BPH, prostatitis, and prostate cancer, the real evidence on prostate massage versus the

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20:08

How To Fix Performance Anxiety In The Bedroom,...

Taboo to Truth: Life & Sex After 50 ·

2026/09/15

In this episode, I'm talking with Alex Grendi, a men's intimacy and confidence coach who spent years quietly numbing his own performance anxiety before he understood what was actually driving it. Alex is a former professional soccer player, and he opens up about carrying performance anxiety into the bedroom long before he ever had sex, shaped almost entirely by porn and movies telling him he'd better be good at it or be humiliated for it.We get into why the confidence he built on the field never

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14:55

Why Your Marriage Went Sexless — And How to Talk...

Taboo to Truth: Life & Sex After 50 ·

2026/09/12

In this episode, I'm kicking off season 7 — and marking 200 episodes of Taboo to Truth — with one of the topics that comes up in my practice more than almost anything else: sexless marriages. From the outside, a relationship can look completely fine — you're raising kids, running a household, laughing together — while almost nothing is happening behind the bedroom door, sometimes for months or years.I break down five real reasons marriages and long-term relationships go sexless, and why it's almost

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23:58

The Secret to Reconnecting in a Sexless Marriage with...

Taboo to Truth: Life & Sex After 50 ·

2026/09/08

In part two of my conversation with men's coach Mike Elliott, we get into how couples actually reconnect and rebuild intimacy after a sexless marriage, low desire, or years of disconnection in midlife. Mike walks me through the nervous system work, attachment science, and couples practice he uses to help men move past shame and disconnection in their relationship.Part two is where Mike gives us the actual practice. If you haven't watched part one yet, start there, since everything here builds on it

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16:41

The Impact of Sexual Rejection: What It Does to Your...

Taboo to Truth: Life & Sex After 50 ·

2026/09/04

Chronic sexual rejection in a relationship doesn't just cause hurt feelings, it rewires how a person feels about themselves, their body, and their worth.In this episode I break down what's actually happening in the nervous system when a partner is turned down again and again, why rejection activates some of the same brain regions involved in physical pain, and how "not tonight" starts to feel like proof you're not wanted. I get into the real difference between a mutual dry spell and a unilateral

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22:47

The Secret to Reconnecting in a Sexless Marriage with...

Taboo to Truth: Life & Sex After 50 ·

2026/09/01

Every conversation about a sexless marriage gets pointed at the woman. Low desire, hormones, resentment, the mental load, she's the one who's supposed to explain herself. Nobody asks what happens on the other side of the bed, and today I sat down with men's coach Mike Elliott to find out.Mike works with high-performing men who look successful on paper and feel quietly disconnected underneath. In this conversation we get into why she rejects him and he assumes she doesn't want sex anymore, when the

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07:24

Dating After Divorce: What Nobody Tells You About...

Taboo to Truth: Life & Sex After 50 ·

2026/08/28

Dating after divorce isn't a downgrade. It's the first time you get to pick a partner with your eyes wide open, and that's exactly what I'm digging into this episode.I walk through what's genuinely different about dating in midlife: the full history you're carrying, the fact that your intentions have shifted from figuring yourself out to actually knowing what you want, and why a smaller dating pool raises the stakes on every single date. I get into my biggest pet peeve, texting standing in for real

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30:12

"My First Threesome Went Viral": Ali Imperiale Tells...

Taboo to Truth: Life & Sex After 50 ·

2026/08/25

Part two picks up right where we left off, and this time I get into the parts of ethical non-monogamy most people never actually see. Ali walks me through the sex-positive spaces she has spent years exploring: a private sex club in Montreal, an underground play party in Mexico, and a temple space in Europe that she calls her best experience yet.We get into what actually happens inside these spaces: the consent rules, the safety measures, what it costs, and what it feels like to say no over and over

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08:28

When She Wants It More: The Desire Gap Nobody Talks...

Taboo to Truth: Life & Sex After 50 ·

2026/08/21

Everyone pictures the same scene when they think about mismatched desire: he's reaching, she's pulling away. I want you to picture the opposite couple today, the ones where she's the one lying in bed hoping and he's the one already half asleep.That reversal comes with a specific kind of shame nobody names out loud. She starts wondering if she's too much. He starts wondering if something is wrong with his masculinity. Neither one chose that script, and neither one did anything wrong by living inside

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37:09

"My First Threesome Went Viral": Ali Imperiale Tells...

Taboo to Truth: Life & Sex After 50 ·

2026/08/18

Open relationships get a bad reputation. People hear "ethical non-monogamy" and assume it's a free pass to cheat, or a fantasy dressed up with a fancier name. I sat down with Ali Imperiale, who documents her open relationship and sex-positive travels for her audience, and she walked me through what actually happens when two people agree to rewrite the rules together.We get into the real version of ethical non-monogamy: the renegotiating, the boundary that got crossed, the sex therapist she called

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19:42

Is Male Menopause Real? The Truth About Testosterone...

Taboo to Truth: Life & Sex After 50 ·

2026/08/14

If you're exhausted, your gut is expanding, your motivation is gone, and your sex drive has quietly disappeared, someone has probably told you it's male menopause. In this episode of Taboo To Truth, I explain why the term Male Menopause isn't medically accurate, how men's hormonal aging differs from women's, what low testosterone actually feels like versus what just looks like it, and when a symptom deserves a doctor instead of a supplement. I get into the research on testosterone replacement

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19:47

Inside a 5-Year Open Relationship: What Nobody Tells...

Taboo to Truth: Life & Sex After 50 ·

2026/08/11

In part two of my conversation with Susan Bratton and Karl Eberhardt, we go even deeper into what actually holds a non-monogamous relationship together. We talk about why communication can make or break an open relationship, what Karl learned about himself after six years of practicing polyamory, and the concept they call "Team Sweetie" — showing up for each other through illness, grief, and everything in between. Susan shares her free "Alchemy of Intimacy" guide for couples considering this kind of

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06:37

The Exact Words to Use When You Want More Sex | Ep. 193

Taboo to Truth: Life & Sex After 50 ·

2026/08/07

I'm tackling one of the most avoided conversations in long-term relationships: how to actually bring up sex with your partner. In this episode, I break down why this conversation feels so impossible — the shame, the missing communication skills, the fear of rejection — and I hand you exact scripts to use instead of the accusatory lines that shut your partner down before you even start. I walk through how to open "the conversation about the conversation," deeper questions to ask once you're talking,

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34:40

Inside a 5-Year Open Relationship: What Nobody Tells...

Taboo to Truth: Life & Sex After 50 ·

2026/08/04

Non-monogamy is one of the topics I get asked about more than almost anything else, so in this episode I sit down with Susan Bratton and Karl Eberhardt to dig into what open relationships, polyamory, and relationship anarchy actually look like day to day — not the theory, the lived experience. We talk about how to know you're ready to open a relationship, the STI screening protocol that makes it work, how jealousy and compersion actually show up, and the moment a 35-year marriage nearly ended over

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22:57

The #1 Reason She Doesn't Want Sex Anymore

Taboo to Truth: Life & Sex After 50 ·

2026/07/31

The reason your marriage is sexless has nothing to do with sex. If you think a lack of intimacy in your relationship is a sex problem, I need you to hear this — it's almost never about the bedroom.In this episode, I break down emotional availability: what it really means, why so many good, hardworking, faithful men struggle with it, and how childhood shapes the way we handle conflict as adults. I explain the biology behind emotional shutdown, walk through attachment styles — secure, anxious,

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39:58

Premature Ejaculation Is More Common Than You Think —...

Taboo to Truth: Life & Sex After 50 ·

2026/07/28

Most men would rather suffer in silence than admit they have a problem in the bedroom —Let’s change that. On this episode of Taboo To Truth, I sat down with Jeff Abraham, CEO of Promescent, to talk about one of the most common yet least discussed issues in men's sexual health: premature ejaculation. We get into the real clinical definition of PE, why the "arousal gap" between men and women makes this a near-universal issue, and why anxiety — not selfishness — is usually driving the problem. Jeff

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