
The Arousal Paradox
Authored by Thomas Andrew Porteus, MBCSUrsprungligen publicerad 8 Dec 2025
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I denna serie:Coming, Ready or NotLust or BustVictims and VillainsMe-Topia The Big O... Oh No!What is Sex Anyway?A Dangerous Liaison? Losing It!
When Porn or Hollywood are your sex educators, it can get confusing when things don’t work that way for us!
Why is it that the things that are supposed to turn us on, sometimes turn us off? How come we can be so different from our partners?
Clare and Janet mine the myriad of contradictions in partnered sex.
Video picks for The Sex and Relationships Podcast
The Arousal Paradox
This podcast contains explicit language and content of a sexual nature.
In this episode, Clare and Janet unpack what they jokingly call the arousal paradox - the confusing, frustrating and very common mismatch between what we think should turn us on and what actually does.
They explore why so many of us measure our arousal against unrealistic Hollywood scripts or porn narratives, and how this creates anxiety when real-life desire doesn’t follow the same plot. From mismatched libidos to the myth of “the normal one”, they reveal why partners can feel out of sync and how that misunderstanding can spiral into shame, self-blame or conflict.
Drawing on clinical experience, they dig into the “story behind the plot” - the biological, psychological and relational factors that shape arousal. Clare and Janet explain spontaneous vs responsive desire, the impact of stress, medication and menopaus, and why conditions like environment, timing, mood and communication matter far more than we’re taught to believe.
They also introduce concepts from sex science, including accelerators and brakes, and share everyday examples of exciters and “icks” that influence how desire rises and falls. Above all, they highlight a reassuring truth: most couples aren’t mismatched — just different. And understanding those differences is the starting point for better sex, less pressure and more connection.
Patient picks for The Sex and Relationships Podcast

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A Dangerous Liaison?
What happens when one of you decides to go outside of the relationship for sex? (with or without consent). Why non-monogamy happens and how to deal with the aftermath of a betrayal.
av Thomas Andrew Porteus, MBCS

Podcaster
What is Sex Anyway?
Sex is everywhere, right? Clare and Janet kick off the season by discussing the fundamentals about sex… why do we do it and what is it for?!
av Thomas Andrew Porteus, MBCS
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About the authorView full bio

Thomas Andrew Porteus, MBCS
HealthTech
MBCS
Thomas writes to inform, inspire, and equip practice leaders and health professionals navigating change, drawing on two decades of hands-on work across the UK health system.
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8 Dec 2025 | Ursprungligen publicerad
Författad av:
Thomas Andrew Porteus, MBCS

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