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In this episode, Dr. Brandon & Dr. Morgentaler talk about mismatched sexual desire in relationships and why recent claims linking testosterone therapy to heart attacks, strokes, or death don’t hold up to real science.
- 00:00 – Introduction and Viewer Question: Dr. Brandon & Dr. Morgentaler introduce the episode and read a listener question about feeling pressured when partners have different sex drives.
- 00:30 – Addressing Desire Discrepancy in Relationships: They explain why mismatched libido is normal and share practical ways couples can reduce pressure and resentment.
- 06:39 – Debating Testosterone and Cardiovascular Risks: The discussion shifts to a recent article claiming testosterone therapy may raise heart risk and why that claim raised red flags.
- 16:44 – Analyzing Cardiovascular Risks in Testosterone Studies: Dr. Morgentaler breaks down what high-quality trials actually show about testosterone and heart attacks, strokes, and death.
- 19:11 – Flaws in Study Design and Data Interpretation: They explain how poor study design and mixed populations led to misleading conclusions in the paper.
- 24:27 – Conclusions and Implications for Future Research: The episode wraps with why testosterone therapy remains safe when properly prescribed and why single studies should not drive fear.
Resources
TRAVERSE Trial (FDA-mandated RCT): Largest testosterone study to date showing no increased risk of heart attack, stroke, or death
2013 JAMA Study (Vigen et al.): Early study that sparked concern about testosterone and heart risk, later criticized for major data errors
2026 Journal of Sexual Medicine Study: “Dissociation Between Testosterone Replacement Therapy and Cardiovascular Events in Men” (critically reviewed in this episode)
Multiple Meta-Analyses & Randomized Controlled Trials: Consistently show no cardiovascular harm from testosterone therapy
The post One Partner Wants More Sex?… How to Talk About It Without Hurting Each Other appeared first on The Sex Doctors Podcast.