In this episode, Dr. Rena Malik, MD speaks with Dr. Jim Pfaus about the science behind semen retention, psychological arousal, and the myths surrounding sexual behaviors such as the nofap movement. Together, they explore the neurobiology of orgasm, the impact of compulsive sexual behavior, and how factors like guilt, anticipation, and mental health contribute to sexual well-being. Listeners will gain a deeper understanding of the real physiological and psychological processes influencing sexual satisfaction and self-control.

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▶️Chapters:

00:00 Semen retention claims 01:10 Delayed gratification effects 02:40 Orgasms without ejaculation 04:20 Loss of interest with long delays 05:14 Compulsivity and mental clarity 07:16 Myths about porn and orgasm 08:09 Dopamine, reward, and guilt 11:41 Refractory period differences 13:58 Compulsion, anxiety, depression 15:43 Compulsion vs addiction 20:25 Tiger Woods example

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DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death.

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