Cannabis for Couples   Jordan Tishler, MD, is a cannabinoid specialist physician based in Boston (although he sees patients from anywhere via telemedicine visits). He’s the perfect guest for today—April 19th—one day short of the annual cannabis celebration of “4/20”! Dr. Tishler graduated from both Harvard College and Harvard Medical School. Bryan Brewer, Dr. Diana’s husband, joined as the cohost.   Dr. Tishler was quoted in a recent New York Times article titled “Cannabis for Better Sex? Here’s What the Science Says.” Although the research has room for improvement, some studies indicate that using cannabis can help with sexual concerns such as low desire, inability to reach orgasm, erectile and ejaculatory dysfunctions, and others. Dr. Tishler recommends trying cannabis alone for the first few times and masturbating, in order “to understand what it does to the body and sensations.” Then introduce its use with a partner.   A key piece of his advice is to “start low and go slow.” Finding the right dosage is critical. Too little and you won’t feel much of the effects. Too much and you can become overwhelmed, which can eventually lead to the development of tolerance. (Don’t worry—you can’t die from an overdose of cannabis!)   To find the right dosage, Dr. Tishler advises patients to start with inhaling one puff from a cannabis flower vaporizer (not cannabis oil), which would typically deliver about 5mg of THC, the main psychoactive molecule in cannabis. He suggests that most people will benefit from a dosage ranging between 5mg and 20mg of THC. (Edibles and tinctures are too slow to take effect for sex, and smoking cannabis is not good for the lungs.) He also maintains that there is no particular “strain” of cannabis that works best for sex (or any other purpose).   There are many pleasures to be found by combining cannabis and sex. It can help with orgasms. The more intense orgasms you have, the more it strengthens the bond between the partners and motivates you to have even more sex!   Dr. Tishler is an articulate and tireless advocate for patients seeking to take advantage of the benefits of medical cannabis. His blog site has more than 200 articles exploring many aspects of this topic. In addition, he is the founder of the Association of Cannabinoid Specialists, an organization of professionals offering evidence- and experience-based education for patients, cannabis clinicians, referring clinicians, and lawmakers to help them understand cannabis medicine and make informed decisions. You can also view the site’s listing of cannabis clinicians to find a provider near you.   Dr. Diana, author of Love in the Time of Corona: Advice from a Sex Therapist for Couples in Quarantine, offers a free download of the bonus chapter entitled “Cannabis for Couples” at www.DearDrDiana.com.