Scar Tissue, Shame & Restoring Pelvic Sensation with Makia Mullen

What happens when sexual healing moves beyond the mind and into the tissues of the body?In this episode of BodyJoy After Hours, Melissa sits down with somatic sexologist and pelvic floor specialist Makia Mullin to explore the powerful intersection of nervous system regulation, sexual health, and embodied pleasure.Drawing on two decades of experience in pelvic care and somatic sexuality, Makia shares how emotional states, trauma, shame, and cultural conditioning can live directly in our tissues, shaping sensation, arousal, and our relationship to pleasure.Together they dive into topics that are rarely discussed openly, including foreskin restoration, circumcision scarring, Peyronie’s disease, pelvic trauma, and the role of scar tissue in sexual dysfunction.The conversation also explores how healing often begins not with intense erotic practices, but with something much simpler: learning to listen to the body’s language of sensation and bringing small moments of pleasure back into everyday life.Melissa and Makia a also discuss:why talk therapy alone often isn’t enough for sexual healinghow nervous system states shape pelvic tension and arousalthe surprising prevalence of foreskin-related conditions like phimosishow shame can live in the tissues of the bodythe role of pleasure practices and community spaces in erotic healingwhy learning to appreciate a soft cock can be a powerful shift for men after prostate proceduresThis episode is a thoughtful, nuanced look at how sexual health, nervous system regulation, and embodied awareness are deeply intertwined.If you’ve ever felt disconnected from your body, your pleasure, or your erotic aliveness, this conversation offers a compassionate place to begin.Chapters00:00 Introduction to Makaya Mullin02:00 Household “pervertibles” and playful erotic exploration04:20 Why the body is the doorway to sexual healing06:30 Limits of talk therapy for sexual dysfunction08:30 Shame, nervous system states, and pelvic tension10:50 Peyronie’s disease explained13:30 Scar tissue, inflammation, and erectile tissue health14:20 Phimosis and foreskin-related conditions16:30 Emotional patterns behind genital conditions17:00 Circumcision scarring and pelvic work19:00 Teaching clients to work with their own tissues21:30 Foreskin restoration practices23:00 Prostate surgery, erections, and adapting to change25:00 Learning the language of the body26:30 Micro-doses of pleasure in daily life28:00 Discovering sexological bodywork and Joseph Kramer31:00 From polyamory to monogamy: Makia’s personal journey31:40 Group pleasure practices and erotic community spaces35:30 The healing power of witnessing bodies without sexualization36:00 Self-pleasure retreat in SpainConnect with Makia@eroticabotanicahttps://www.makiamullen.comsomatic sexology pelvic floor healing sexual healing sexological bodywork foreskin restoration circumcision scar tissue peyronie’s disease phimosis nervous system regulation embodied sexuality shame prostate surgery pleasure practices erotic embodiment sexual wellness podcast intimacy and nervous system