Perimenopause: the time in a woman’s life when her hormones decide to play an elaborate game of musical chairs, and her body is just along for the ride. As if hot flashes and brain fog weren’t enough, let’s talk about another under-discussed topic—sexual health.

In this episode the Docs are talking all about the complexities of intimacy, desire, and connection during perimenopause because, spoiler alert, sexual health doesn’t just disappear after 40 (or at least, it doesn’t have to).

Joining the conversation is Dr. Leah Millheiser, a sexual medicine expert who knows a thing or two about keeping the spark alive. Alongside hosts Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch, she addresses societal myths, the science behind libido, and why “just drink some wine and relax” is possibly the worst advice ever.

They explore the role of hormones, communication, and the importance of treating sexual health like any other part of well-being—because if we don’t ignore heart health, why ignore bedroom health?

From emotional intimacy to testosterone, vibrators, and even the role of Viagra in women’s sexual health, this episode covers it all. If you’ve ever wondered why desire sometimes feels like a fickle houseguest or why talking about sex with your doctor is more awkward than a middle school health class, this episode is for you.

What you’ll hear in this episode:

[3:17] The gift of good sex for Valentine Day

[6:14] Blazing a trail for female sexual medicine

[9:48] Female sexual is complex–sexual function & libido

[19:14] Communication & intimacy in relationships

[34:42] Desire mismatch & relationship goals

[40:`1] Treatment options for low libido

[52:53] Vibrators & clitoral stimulation ARE important

[56:46] Navigating sexual health conversations

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Meet the Docs:

More information about Dr. Rebecca Dunsmoor-Su:

Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su

LinkedIn @rebecca-dunsmoor-su

More information about Dr. Amy Voedisch:

Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html