She had sex in a car, got an STI, and filed an auto insurance claim. And unbelievably, it worked. In this episode, we unpack one of the strangest legal cases in recent memory. A woman contracts an STI after having sex in a parked car, files a claim under the driver’s auto insurance policy, and a court agrees that the infection counts as a covered bodily injury. Yes. Really. We walk through the full backstory. Who the people involved were. Why the claim was filed in the first place. H...

You are not the man your grandfather was. And that is not an insult. It is data. Over the past several decades, sperm counts have fallen dramatically and average testosterone levels in men have declined across generations. This episode looks at what the research actually shows, what is still debated, and what is often exaggerated or misunderstood online. This is not an episode about shaming modern masculinity. It is about understanding how bodies respond to modern life, why the data matters...

Vaginal lubrication. You love it. You want it. But do you actually understand it? In this episode, we break down what getting wet really means and why it is one of the most misunderstood parts of sex. We talk about how lubrication actually works, what arousal does and does not control, and why dryness is not a failure, a flaw, or a lack of desire. We cover natural lubrication, hormone driven changes, medications, stress, menopause, postpartum bodies, and why relying on wetness as proof of a...

Sex is supposed to be fun — but for a lot of people, it comes with some unsexy side effects. In this episode, we talk honestly about bacterial vaginosis (BV), urinary tract infections (UTIs), and yeast infections — why they’re common, why they often show up after sex, and why they’re not a sign that anything is “wrong” with you or your partner. Most importantly, we walk through how these conditions are treated — when telehealth is appropriate, when you should see an in-person physician, and...

Before Viagra, erectile dysfunction was not treated with a discreet pill and a glass of water. It was treated with injections straight into the penis, vacuum pumps that looked like medical torture devices, hormone experiments, surgery, psychotherapy, and a truly impressive amount of bad science and outright nonsense. In this episode, we walk through what ED treatment actually looked like before the late 1990s and why some of those approaches were abandoned while others quietly remain more eff...

Christmas is supposed to be wholesome. Family friendly. Safe. Historically, that could not be further from the truth. Long before Christmas trees, carols, and Santa Claus, winter celebrations were loud, chaotic, and openly sexual. Ancient Romans celebrated Saturnalia with role reversals, heavy drinking, and public debauchery. Pagan solstice festivals across Europe centered fertility, sex, and rebirth. Medieval Christmas often looked more like a sanctioned carnival than a holy day. Even tradi...

For decades, HIV was a diagnosis defined by fear, stigma, and loss. In this episode, we trace the true history of HIV from its earliest recognition through the AIDS crisis and into the modern era of treatment and prevention. We explore how science, activism, politics, and public misunderstanding shaped the epidemic, and how HIV became one of the most studied and treatable viral diseases in human history.

Website: https://www.shamelesscare.com/ Email newsletter sign up (unsubscribe anytime) https://shamelesscare.com/podcast/ I founded a successful telehealth company, and I’m a strong believer in telehealth as a model of care. It has expanded access, improved convenience, and helped a lot of people. But there are also aspects of the industry that I find predictable, yet disappointing. In this episode, we pull back the curtain on how telehealth actually works. We talk about why telehealth comp...

Are you trying to keep a secret? In this episode, we break down what actually happens to your telehealth visits, prescriptions, and test results after you click “submit.” What gets documented. What gets shared. What might quietly show up in your medical record later — sometimes years down the line. We explain how electronic health records work, when prescriptions can appear in pharmacy and insurance systems, why some medications are more visible than others, and how your “private” telehealth ...

Everyone says herpes screening tests aren’t “accurate”… but is that actually true? In this week’s podcast, we break it all down: specificity, sensitivity, positive predictive value, IgG versus IgM — everything you could possibly want to know about herpes simplex virus antibody testing (and probably a few things you didn’t know you needed). If you’ve ever wondered why these tests are so misunderstood — or why people panic over results that don’t mean what they think they mean — this episode w...

In today’s episode, we may have our best Dirty Joke of the Week ever. Oh — and we’re also answering six sexy questions with real science. What exactly is pre-ejaculate? How likely is pregnancy after a vasectomy? How fast do sperm die when swallowed? And plenty more where that came from.

You become a part of everyone you have sex with and everyone you have sex with becomes a part of you. That is not poetry. That is biology. There are more bacterial cells in your body than human cells and more viral particles than both of those combined. Most of them cause no harm at all. They are simply part of the ecosystem that makes you who you are. When you kiss someone you swap millions of bacterial cells in seconds. When you touch someone your skin biome mixes with theirs. When you go ...

In this episode Robert and Anna take you inside the world of CLIA certified labs, the invisible backbone of every STI test in the United States. If you have ever wondered how a lab earns its certification, who oversees it, what standards they must meet, or how we can trust the accuracy of the results, this is the episode you need. We break down the entire process in plain language, from the federal agencies that regulate labs to the inspections, audits, proficiency testing, and quality contro...

This episode is your invitation to the side of Thanksgiving that no teacher ever mentioned. Robert and Anna pull back the curtain on the Puritans and reveal a world that was a whole lot less pure than the myths. These were people who preached restraint, obsessed over sin, punished desire in public, and still managed to sneak in plenty of very human, very messy sex behind closed doors. Marriage laws, adultery trials, premarital confession records, pregnancy timelines that did not quite add up,...

Today we break down the pharmacology that every man should know. Sildenafil and tadalafil belong to the same class of medications, but they behave very differently. We cover the evolutionary path from early cardiovascular research to the discovery of Viagra, the development of tadalafil as a long acting PDE5 inhibitor, and the receptor selectivity that explains their unique profiles. You will learn how onset time, half life, peak action, and PDE subtype binding affect your sexual performance....

The FDA just removed the long standing warning on female hormone replacement therapy. For more than twenty years women were told that HRT carried major dangers, but the science has changed and the original fear was based on misinterpreted data. In this episode we explain what the updated evidence actually shows, why the FDA reversed course, and what this means for women who want relief from menopause symptoms, better long term health, and a higher quality of life. This is the real story behin...

Most people think the Tuskegee Syphilis Study was a secret government experiment uncovered by a brave whistleblower. It wasn’t. For forty years, the U.S. Public Health Service openly studied hundreds of Black men in Alabama who had syphilis—without treating them, even after penicillin became the known cure. What’s rarely discussed is that it was never actually hidden. The study appeared in peer-reviewed medical journals. The Milbank Memorial Fund publicly supported it. Articles were published...

You’ve feared a virus that causes sores on your skin ever since you started having sex — but it probably wasn’t this one. Today, we’re talking about Molluscum Contagiosum — which is contagious, in case the name didn’t give it away. Ever noticed tiny, smooth bumps that seem to spread like gossip after a hookup or a gym visit? Meet Molluscum Contagiosum, the viral skin infection that’s more common, more harmless, and more misunderstood than you think. Robert and Anna break down how it spreads...

Robert and Anna get shameless about oxytocin — the hormone that makes you cum, cuddle, and occasionally catch feelings you didn’t order. It’s nature’s love potion, but now science is selling it by the spray bottle. Does synthetic oxytocin actually make you fall harder, bond faster, or just feel warm and fuzzy for no reason? From sex to science, they cover everything that makes this chemical connection the hottest topic in medicine (and in your bedroom).

In 1983, British physiologist Dr. Giles Brindley walked onto a medical conference stage, dropped his pants, and revealed a full erection — all in the name of science. That legendary (and unbelievably awkward) moment became the birth of modern injection therapy for erectile dysfunction — what we now call Trimix. In this episode, Robert and Anna break down the wild, hilarious, and genuinely brilliant story behind the ED injection that still works when pills don’t. From the “mad” and “naked” sci...