Live Well Be Well with Sarah Ann Macklin | Health, Lifestyle, Nutrition

Is Porn Healthy or Unhealthy? A Psychosexual Therapist Tells the Truth | Silva Neves

April 29, 2026·1h 26m
Episode Description from the Publisher

Exciting news - pre-order my debut book https://linktr.ee/HealthySBTH?utm_source=linktree_profile_share<sid=9db12bc6-b7d3-4df4-bc5c-260e0303792cMost of us have an opinion on porn. Very few of us have actually looked at the evidence.We talk about gut health, hormones, sleep, and stress. But there's one part of our sexual lives that almost nobody is talking about honestly, and it might be quietly shaping our relationships more than we realise.This week on Live Well Be Well, I'm joined by Silva Neves, an accredited psychosexual and relationship therapist and author. Silva holds deeply taboo topics with total clinical clarity and zero judgment, helping us have the conversation about porn that most people are too afraid to start.Here's what we explore together:- How porn is classified as "neither healthy nor unhealthy" by research, and why that nuance changes everything.- Why there is no proven causation between porn and relationship breakdown, misogyny, or erectile dysfunction.- What compulsive porn use actually looks like, and when it signals something deeper going on emotionally.- How shared values around porn can make or break a relationship, and why most couples never have this conversation.- Why dopamine isn't the villain we think, and how habits around technology and porn really form.- What research says about fantasies, kinks and fetishes, and why most are far more normal than we realise.- How shame silently shuts down sexual communication in long-term relationships, and what to do instead.Love,Sarah Ann 💛***This episode is sponsored by:DIOME: Rest deeper. Stay grounded.Rested is available now and Grounded lands later this month.👉 Get 20% off with code SARAH20 at DIOME.CONOWATCH: The compassionate health trackerConnecting body and mind with unique stress recovery insights so you can live fully today15% off with code LWBW15 at https://nowatch.com/ ***The Great British Veg OutHow to support your gut, energy, and hormones by eating more — not less.👉 https://sarahmacklin.substack.com/p/the-great-british-veg-outReset Your HealthIf your body feels off after stress, travel, or burnout — this is where to start.👉 https://sarahmacklin.substack.com/s/reset-your-health-in-30-days👉 Practical beats perfect.Here’s a free 5-recipe PDF I use to support energy and stress during busy weeks.https://open.substack.com/pub/sarahmacklin/p/download-your-free-5-recipes-to-relieve👉 If this resonates, you can join the thousands who readThe Compassionate Cure each week. https://sarahmacklin.substack.com/***If You Enjoyed This Episode, You Might Also Like:Why You Still Can’t Orgasm (The Step-By-Step Guide) | Dr. Laurie Mintz, Sex Therapisthttps://youtu.be/gr6RWK2LFJEBetter Sex EVERY TIME? Dr Rena Malik Tells You Howhttps://youtu.be/C8HJAH5plVw***Sign up to Sarah’s Compassionate Cure newsletter:Science Simplified, Health Humanised.Join thousands in exploring actionable insights that prioritise compassion, clarity, and real-life impact.https://sarahmacklin.substack.com/***Highlights00:00:00 Intro00:00:20 Is Porn Healthy or Unhealthy? Silva's Honest Answer00:05:13 Porn Is Not a Monolith: Understanding the Many Types00:10:18 How Many People Actually Watch Porn?00:14:23 Is Porn Addiction Real? The Clinical Truth00:19:01 Porn, Cheating and the Agreements We Never Have00:22:36 Why Couples With Shared Porn Values Tend to Thrive00:28:21 Dopamine, Habits and Digital Attachment00:37:00 What Age Should Young People Be Exposed to Porn?00:39:13 The Manosphere: Fear, Misogyny and Online Extremism00:53:06 Fantasies, Kinks and Fetishes: More Normal Than You Think00:58:24 How Shame Kills Sex in Long-Term Relationships01:01:00 Talking About Your Erotic Mind With a Partner01:07:31 Asexuality as a Valid and Underrepresented Orientation01:11:10 What Good Relationship Vows Really Look Like

AI Summary coming soon

Sign up to get notified when the full AI-powered summary is ready.

Get Free Summaries →

Free forever for up to 3 podcasts. No credit card required.

Listen to This Episode

Get summaries like this every morning.

Free AI-powered recaps of Live Well Be Well with Sarah Ann Macklin | Health, Lifestyle, Nutrition and your other favorite podcasts, delivered to your inbox.

Get Free Summaries →

Free forever for up to 3 podcasts. No credit card required.