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September 10, 2025 28 mins
In this episode, Dr. Rena Malik, MD is joined by Dr. Jim Pfaus to explore the neuroscience and psychology of sexual pleasure, fantasy, and relationships. Together, they discuss topics such as the impact of masturbation and pornography on intimacy, the importance of sharing fantasies for deeper connection, and the roles of brain chemistry and synchrony in sustaining desire. Listeners will gain insightful perspectives on breaking sexual routines, using communication as a tool for intimacy, and ways to keep arousal and partnership vibrant over time. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Habits, Pleasure, and Fantasy01:59 Pornography as Fantasy Venue04:20 Moral Incongruence and Shame07:57 Physiological Synchrony in Relationships16:17 Orgasm Neurochemistry23:02 Effort, Work, and Play in Sex26:26 Breaking Sexual Routine Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ 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. Learn more about your ad choices. Visit megaphone.fm/adchoices
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