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The Penis Project Podcast: Breaking Taboos in Men’s Sexual Health

Sexologist Melissa Hadley Barrett
The Penis Project Podcast: Breaking Taboos in Men’s Sexual Health
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  • 203: Peyronie’s Disease, Restorex & New Frontiers: A Conversation with Dr Landon Trost
    In this episode of The Penis Project podcast, Melissa sits down with world-leading urologist Dr Landon Trost to unpack Peyronie’s disease, traction therapy, and what’s next in men’s sexual health. Dr Trost shares his journey from training under Professor Wayne Hellstrom to leading research and innovation in Peyronie’s management, fertility, and penile rehabilitation. Together they explore the Restorex device, emerging treatments, and the vital role of early intervention. Episode Overview: What Peyronie’s disease is and how common it really is How to tell the difference between a natural curve and a problem curve The new classification system for penile curvature The psychological impact of Peyronie’s, including anxiety and dysmorphic disorder Restorex traction therapy – why it works when others don’t The importance of early treatment vs “waiting until stable” What options exist when surgery is (or isn’t) the right answer Partner perspectives and how relationships are affected Emerging therapies, from nutraceuticals to genetic testing Where treatment might head over the next decade Key Takeaways: Peyronie’s is often under-diagnosed and misunderstood. Not all curves are Peyronie’s – some are congenital or age-related and not necessarily a problem. Restorex is unique in its ability to generate therapeutic force and counter-bend effectively. Early intervention with traction, PDE5 inhibitors (like sildenafil), and anti-inflammatories may prevent progression. Surgery is effective but comes with risks and regret can be high – conservative options should be maximised first. The psychological toll is often greater than the physical curve – reassurance, partner involvement, and counselling are vital. Future treatments may include new collagenase drugs, natural compounds, and even gene-based therapies.   Expert Insight from Melissa Hadley Barrett:   At Restorative Health Clinic, we see many men early in their Peyronie’s journey. This conversation reinforced the importance of not dismissing early symptoms. Doing “something” – whether traction, PDE5 therapy, or anti-inflammatories – can help men feel in control, protect their erections, and preserve penile length. Just as you wouldn’t ignore a broken bone, Peyronie’s deserves timely care.   Resources & Links: Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com Dr Landon Trost https://malefertilityandpeyroniesclinic.com/about/ To access references that were mentioned by Dr Trost in this episode please go to https://malefertilityandpeyroniesclinic.com/about/ and scroll to the bottom of the page. Listen & Subscribe If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app. Connect With Us We love hearing from real people, navigating penile health. If you’d like to share your journey or ask a question, get in touch.   Email: [email protected] Websites: https://rshealth.com.au/  All genders https://makehardeasy.com.au https://melissahadleybarrett.com Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/   YouTube: https://www.youtube.com/@melissahadleybarrett TikTok: @melissahadleybarrett   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/  TEDX https://www.youtube.com/watch?v=IjHj1YTmLoA  
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  • 202: Premature Ejaculation: Mitch’s Story – Courage, Connection & Control
    In this raw and refreshingly honest episode of The Penis Project podcast, Melissa chats with Mitch—a 21-year-old who opens up about his journey with primary premature ejaculation (PE). From rural farm life and open family chats to medication mishaps and sexual self-esteem struggles, Mitch shares his experience with warmth and humour.  Mitch talks about:  Growing up with PE and its emotional toll  Navigating sexual intimacy and relationships as a young man  His experience with online men’s health services like Pilot  The turning point that led him to seek help at Restorative Health Clinic  Finding the right treatment—and relief—through personalised care  This episode is a must-listen for any man who's felt alone with PE, and for partners or parents who want to better understand the experience from a younger male’s perspective.   In This Episode, We Cover:  What it’s like living with lifelong (primary) premature ejaculation  How a father’s prostate cancer treatment led to a cheeky encounter with penile injections—and eventually helped Mitch seek help  The cost, pros and cons of online health platforms like Pilot  Why in-person or telehealth consults with a practitioner can make all the difference  The emotional impact of PE: shame, self-doubt, and how it affects confidence in and out of the bedroom  The power of humour and honesty in breaking sexual health stigma  Key Takeaways:  PE can affect men of all ages—including young blokes—and it’s more common than you think.  Medication isn’t one-size-fits-all. Finding the right dose and drug with a skilled clinician can be life-changing.  Open conversations with family, partners, and mates can reduce shame and build resilience.  Telehealth can be a more accessible, cost-effective way to get specialist support—especially in rural areas.  Tackling PE early builds long-term sexual confidence and can improve relationships.  Expert Insight from Melissa Hadley Barrett:  Premature ejaculation can feel devastating for men, but it’s both common and treatable. We see men every day at Restorative Health Clinic who’ve been told to “just relax” or “it’ll go away with age,” but that doesn’t always happen. Treatment is individual and may include:  Selective serotonin reuptake inhibitors (SSRIs)  Behavioural therapy  Mindfulness and arousal control strategies  Support for partners to reduce pressure and enhance intimacy  Every man deserves to enjoy sex without anxiety—and we’re here to help you do just that.    Resources & Links:  Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic  For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au   Listen & Subscribe  If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project podcast on Spotify, Apple Podcasts, or your favourite podcast app.  Connect With Us   We love hearing from real people navigating penile health. If you’d like to share your journey or ask a question, get in touch.     Email: [email protected]    Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   https://melissahadleybarrett.com   http://prost.com.au/   Instagram:  https://www.instagram.com/melissahadleybarrett/  https://www.instagram.com/restorativehealth.clinic/    YouTube: https://www.youtube.com/@melissahadleybarrett   TikTok: @melissahadleybarrett    Facebook:  https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/  https://www.facebook.com/profile.php?id=100085146627814    Linkedin:  https://www.linkedin.com/in/melissa-hadley-barrett/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA 
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  • 201: From Diagnosis to Data: One Man’s Journey Through Prostate Cancer Recovery
    In this episode, Melissa chats with David, who was diagnosed with prostate cancer in 2023 and underwent a prostatectomy. David candidly shares his journey—how a routine PSA test led to a life-saving diagnosis, what recovery was really like, and how he’s taken a scientific, data-driven approach to his penile rehabilitation.  With warmth, wit and wisdom, David opens up about his experience with erectile dysfunction (ED), continence concerns, vacuum pump rehab, and using the FirmTech ring to monitor nocturnal erections—describing it as a “FitBit for your dick.” He also talks about the importance of talking openly about men's health and encouraging others, including his sons and mates, to get checked early.  In This Episode, We Cover:  Why tracking PSA trends—not just the number—can save lives  David’s experience with no symptoms and the surprise diagnosis  The emotional toll and stigma around ED and incontinence post-surgery  Why using a penile pump isn’t weird—it’s essential rehab  Real-world side effects of tablets vs low-dose daily Tadalafil  Monitoring erections with FirmTech and what the data can reveal  The surprising link between erectile function, heart health, and alcohol  The power of talking: How David's openness has led others to get tested  Tips for men navigating life post-prostatectomy  Why your penis might be the first clue your heart’s in trouble  Key Takeaways:  Prostate cancer is often silent—many men have no symptoms at all.  Early detection matters. David’s long-term PSA monitoring saved his life.  Erectile rehab works best when started early. Pumps, Tadalafil, and data help.  Talking saves lives. One conversation might be what pushes someone to get checked.  Nocturnal erections are a sign of good health—and you can measure them.  FirmTech isn’t just about sex—it's a window into your cardiovascular system.   Expert Insight from Melissa Hadley Barrett:  “As a sexologist and nurse practitioner, I see too many men suffer in silence after prostate cancer. David’s story shows that recovery is possible—with data, determination and a bit of humour. Erectile function is not just about sex—it’s a vital sign of your overall health. So yes, monitoring your function might just save your life.”    Listen & Subscribe:  If you found this episode helpful, don’t forget to subscribe, rate and review! Your feedback helps us spread the word about men’s health and break down stigma. Find us on Spotify, Apple Podcasts, or your favourite app by searching “The Penis Project Podcast.”  Resources & Links:  Book a telehealth consult with our experienced sexual health team at Restorative Health Clinic    Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   https://melissahadleybarrett.com   http://prost.com.au/     Facebook:  https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/  https://www.facebook.com/profile.php?id=100085146627814    Instagram:  https://www.instagram.com/melissahadleybarrett/  https://www.instagram.com/restorativehealth.clinic/  TikTok: @melissahadleybarrett  YouTube: Melissa Hadley Barrett  Linkedin:  https://www.linkedin.com/in/melissa-hadley-barrett/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA   
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  • 200: Episode 200, WOW!: Penises, Podcasts & Personal Growth – Melissa Reflects
    In this milestone 200th episode, the tables are turned as Dr Amy Pearlman interviews The Penis Project's own Melissa Hadley Barrett. From wet hair and time zone mix-ups to powerful patient stories and favourite sex toys, this episode is a heartwarming, hilarious, and deeply honest look into what Melissa has learned after 200 interviews about penises, pleasure, relationships, and recovery. Amy has been a popular guest on The Penis Project and a friend and colleague to Melissa over the past few years and for something different the tables have turned, and Amy is interviewing Melissa to see what she has learnt being a part of The Penis Project community for 200 episodes and just under 5 years of posting. On the 14th of September the Penis Project will have been live for 5 years. This may not seem like a long time for most people but for Melissa it has been huge. Keeping the interviews coming and arranging editing and show notes etc. whilst running a busy growing practice has been hard but worth it, and she has learnt way more from her patients and interviewees than she thought possible.   Together, Melissa and Amy explore:  How a podcast that began during COVID lockdowns with Melissa and Dr Jo Milios (Physiotherapist) and then without realising became a global resource for men’s health  Why it’s time to stop joking about penises and start listening  The emotional side of male sexuality and how assumptions miss the mark  What men really want after prostate cancer (hint: it isn’t just erections)  How patients have reshaped Melissa’s clinical approach over time  Products that have changed lives—and a few that scared her husband  New conversations about sounding, Tantra, and intimacy beyond intercourse  What Melissa hopes to do with the next 200 episodes—and who she dreams she will interview next and her dream to be interviewed by….  In This Episode, We Cover:  How the podcast began as a way to help patients and became so much more  Learning from patients about loss, masculinity, and connection  Rethinking the urgency of "getting it up" and embracing broader definitions of intimacy  The importance of not making assumptions as clinicians  Sex toys and tools Melissa now recommends—and the ones she avoids  What a Tantra workshop has taught her about relationships  Sounding: safety, stigma, and why we need to talk about it  The power of podcasts to create change and community connection  Key Takeaways:  Empathy, humour and curiosity matter more than bravado  Real stories help others feel seen, supported, and less alone  Sexual health is about connection, not just erections  There is no one-size-fits-all solution, but there is always a way forward  Expert Insight from Melissa Hadley Barrett: "My goal is to open up the conversation. Whether it’s about erectile dysfunction, sex after cancer, or pleasure in new ways. Men and their partners deserve honest support and practical options. This podcast has become my passion project, and it’s changed how I practice. Most of all I want to thank the people who have let us interview them for sharing stories and teaching me so much I could never have learnt from a book or another health professional. I hope my patients and listeners realise how important they are to me, my growth as a human and as a health professional."  Useful Mentions:  FirmTech erection ring ("Fitbit for your dick")https://rshealth.com.au/shop/p/firmtech-techring , Manta by The Fun Factory  https://rshealth.com.au/shop/p/fun-factory-manta-deep-sea-blue   VaxAid pump – TGA approved hydro pump for ED  Tantra retreats by Sanctuary of Ananda  Beaming Beaver organic lubricant  My Ilo Australian-designed sex toys  Steve "The Poet Who Didn't Know It" and his book Words Woke Me    Resources & Links:  Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic  For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au   Listen & Subscribe  If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app.  Connect With Us   We love hearing from real people navigating penile health. If you’d like to share your journey or ask a question, get in touch.   Email: [email protected]    Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   https://melissahadleybarrett.com   http://prost.com.au/   Instagram:  https://www.instagram.com/melissahadleybarrett/  https://www.instagram.com/restorativehealth.clinic/    YouTube: https://www.youtube.com/@melissahadleybarrett   TikTok: @melissahadleybarrett    Facebook:  https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/  https://www.facebook.com/profile.php?id=100085146627814    Linkedin:  https://www.linkedin.com/in/melissa-hadley-barrett/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA 
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  • 198: The Recovering Man: Life After Prostate Cancer with Mish Middelmann
    In this episode of The Penis Project Podcast, Nurse Practitioner and Sexologist Melissa Hadley Barrett chats with Mish Middelmann — a prostate cancer survivor, men’s leadership coach, and founder of The Recovering Man. Mish is also the author of a book about sex beyond erections, called Beyond Erections - reclaiming sexual pleasure and intimacy with erectile differences. Diagnosed with prostate cancer in 2019, Mish shares his raw and insightful journey of treatment, recovery, and rebuilding life as a man post-cancer. From Johannesburg to Canada, his story spans continents and emotions — and ultimately, his experience led him to create a space for other men navigating the often-silent challenges of prostate cancer recovery.  Mish now supports men and their partners through personalised coaching, offering emotional guidance, tools for self-reinvention, and a path toward rediscovering identity and intimacy. He also speaks about the recent release of his book — including why the original title sparked controversy and was later renamed.    In This Episode, We Cover:  Mish’s prostate cancer diagnosis and the decisions he faced  The physical and psychological recovery process after treatment  How prostate cancer affects male identity, sexuality, and relationships  The importance of support networks for both men and their partners  His work as a men’s health coach and the creation of The Recovering Man  The evolving conversation around masculinity, vulnerability, and healing  Insights from his newly released book on finding sexual pleasure without relying on hard erections.   Key Takeaways:  Life after prostate cancer is about more than just surviving — it’s about reclaiming who you are. Mish encourages men to explore healing not only of the body but also of self-image, connection, and purpose.    Resources & Links:  Book a confidential consult, in clinic or on telehealth, with our sexual health nurse practitioners at Restorative Health Clinic  For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com.au   Visit The Recovering Man: https://www.recoveringman.net/  – Coaching, articles, and resources for men navigating life after prostate cancer.   Book by Mish Middelmann: Beyond Erections available as paperback or eBook. Details at www.beyonderections.com/book.   Learn more about men’s sexual health services: www.rshealth.com.au  Listen & Subscribe  If you found this episode helpful, don’t forget to follow, subscribe to the podcast and help us reach more men by rating and reviewing the show. Because penile health matters — and it’s time we talked about it.  Connect With Us  We love hearing from real people navigating penile health—just like Mish. If you’d like to share your journey or ask a question, get in touch. Email: [email protected]  Website: www.rshealth.com.au  Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   https://melissahadleybarrett.com   http://prost.com.au/     Facebook:  https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/  https://www.facebook.com/profile.php?id=100085146627814    Instagram:  https://www.instagram.com/melissahadleybarrett/  https://www.instagram.com/restorativehealth.clinic/  TikTok: @melissahadleybarrett  YouTube: Melissa Hadley Barrett  Linkedin:  https://www.linkedin.com/in/melissa-hadley-barrett/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA 
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About The Penis Project Podcast: Breaking Taboos in Men’s Sexual Health

With over 219,000 streams and nearly 200 episodes, The Penis Project Podcast—hosted by Australian Nurse Practitioner and Sexologist Melissa Hadley Barrett —offers groundbreaking conversations about men’s sexual health. Launched in 2020 by Melissa and physiotherapist Jo Milios, the podcast combines expert knowledge, scientific insights, and interviews with her patients and their partners to address sensitive topics men often struggle to discuss, including erectile dysfunction, prostate and bladder cancer recovery, Peyronie’s disease, premature ejaculation and intimacy in relationships. Melissa, who refers to herself as the ”Unexpected Sexologist,” brings decades of clinical experience and compassion to every episode, highlighting that sexual wellbeing involves both physical and emotional health. Join this global community in breaking down stigma, finding support, and accessing practical solutions to common yet overlooked men’s health issues. Available on all major podcast platforms, with new episodes every fortnight—start listening today.
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