The SexMD Podcast by Dr. Debra Durst
The SexMD Podcast by Dr. Debra Durst
Dr. Debra Durst
The Orgasm Gap: Why Most Women Are Left Behind
40 minutes Posted Aug 7, 2026 at 10:00 pm.
Meet Ian Kerner
The question that opens every session
Inside a sex therapy practice
Why we never learn to talk about sex
Where medicine falls short on sexual health
Common issues couples bring to therapy
Empathy, communication, and mismatched desire
The orgasm gap and She Comes First
Spontaneous vs. responsive desire
Shame, kink, and fantasy
Finding a sex therapist
He Comes Next and closing thoughts
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Send us Fan Mail Understanding how your home environment shapes your sexual development is key to healthy relationships. In this episode, Dr. Debra Durst sits down with New York Times best-selling author and AASECT-certified sex therapist Ian Kerner to unpack the orgasm gap, desire discrepancy, and the communication breakdowns that quietly shape a couple's sex life. Ian is the author of She Comes First and He Comes Next, and co-founder of the sex therapy training program at the Institute for...