The AfterMeth: Gay Men Recovering from Crystal Methamphetamine and Chemsex Addiction

22 Jan 2026 · 69 min

0:00

In this episode of the "Eroticism for Chemsex Recovery" podcast, host Dr. Dallas Bragg (a former crystal‑meth user and recovery coach) interviews Dr. Thomas Gaither, a urologist and pelvic‑floor specialist. The conversation centers on how sexual dysfunctions common among men who engage in chemsex—erectile dysfunction, premature ejaculation, delayed orgasm, and low libido—are rooted more in the brain and psychological patterns than in pure physiology. Dr. Gaither emphasizes that "90% of sex occurs between the ears," arguing that insight into one’s erotic triggers, internalized homophobia, and the brain’s “accelerators” and “brakes” is essential for recovery. They discuss personal anecdotes (e.g., love‑words triggering erections on meth), the role of bio‑hacking the pelvic floor (including gooch massage), and the importance of reframing sex from a performance‑oriented act to a pleasure‑oriented experience. Practical tools such as journaling peak erotic moments, identifying unique arousal cues, and retraining the brain without meth are presented. The episode also touches on pharmacological factors like SSRI‑induced delayed orgasm and outlines future episode plans covering erectile dysfunction and premature ejaculation. A supplemental study guide is announced, intended to be used alongside Bragg’s recovery book.

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