
The arousal paradox
All about desire. Why do some things turn us off when they should turn us on?
Authored by Thomas Andrew Porteus, MBCSOriginally published 8 Dec 2025
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In this series: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.
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 menopause, 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.
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Have you ever had that knot in your stomach when your partner is spending a lot of time with someone else, or that emotional reaction when a colleague gets promoted over you? Then it’s likely you’ve experienced this week’s topic: jealousy. In this episode, Clare and Aileen discuss what jealousy is, where it comes from and tips on what you can do about it. They will give you a set of tools to help you work with your jealous emotions in a better way when you feel them welling up inside you.
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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.
Article history
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
8 Dec 2025 | Originally published
Authored by:
Thomas Andrew Porteus, MBCS
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