EP501 - Why You Lost Your Sex Drive During Perimenopause (And How to Get It Back)

EP501 - Why You Lost Your Sex Drive During Perimenopause (And How to Get It Back)

Author: Dr. Nazanin Moali, Ph.D, Psychology of Sex | Couple Therapy | Sex Education July 28, 2026 Duration: 48:51

Welcome to Episode 501 of the Sexology Podcast! Today I am excited to be joined by Heather Florio and Dr. Fenwa Milhouse who speak to me about sexual health, desire, and pleasure during perimenopause and menopause.


In this episode, we discuss how changes in levels of oestrogen and testosterone can affect the brain, genitals, arousal and sex drive. We examine why hormones alone are rarely the cause of low libido, and how relationship dynamics, painful sex, body image, stress, shame, and the natural shift from spontaneous to responsive desire can all impact someone’s sexual experience.


Heather Florio is the second-generation CEO of Desert Harvest, a women's-health company her family founded in 1993. She writes the monthly Dear Sexpert column for BELLA Magazine, sits on BELLA's Medical Advisory Board, and is a Forbes Leading Woman in Business (2022). Late-diagnosed autistic.


Dr. Fenwa Milhouse—widely known as “Your Favorite Urologist”- is a board-certified urologist and fellowship-trained sub-specialist in Urogynecology and Reconstructive Pelvic Surgery.

She is the current President of the Chicago Urological Society—making history as the first Black woman to hold this position. 


In this episode, you will hear:

  • Hormonal Changes During Perimenopause
  • Understanding Multifactorial Low Desire
  • Barriers To Menopause Treatment
  • Spontaneous Versus Responsive Desire
  • Painful Sex And Vaginal Health
  • Systemic And Vaginal Hormone Therapy
  • Choosing Safer Personal Lubricants
  • Medications For Low Libido
  • GLP-1s And Sexual Desire
  • Rediscovering Pleasure After Menopause

A Woman's Guide to Reviving Sex Drive

https://oasis2care.com/how-to-increase-your-libido/


Book An Appointment With Dr. Nazanin Moali

https://oasis2care.clientsecure.me  


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Podcast Produced by Vaudeo Productions




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Curiosity about human sexuality is universal, yet finding grounded, evidence-based conversations can be surprisingly difficult. That’s where Sexology comes in. Hosted by clinical psychologist and sex therapist Dr. Nazanin Moali, this weekly series moves beyond sensationalism and stigma to bring you thoughtful dialogues with leading experts, researchers, and therapists. Each episode delves into the nuanced psychology of sex, intimacy, and relationships, translating complex findings into relatable insights. You’ll hear conversations that address the questions many ponder but hesitate to voice, covering everything from desire and communication to the science of pleasure and emotional connection. Dr. Moali’s background in both couple therapy and sex education ensures these discussions are both academically rigorous and deeply practical. Rather than offering quick fixes, this podcast provides a compassionate space to understand the multifaceted nature of our sexual selves. Tuning in feels like gaining access to a candid, confidential forum where nothing is off-limits and everything is examined with respect and intellectual curiosity. For anyone seeking to deepen their understanding of personal or relational dynamics, Sexology offers a trusted, enlightening resource that demystifies the complexities of human sexuality through a scientific and therapeutic lens.
Author: Language: English Episodes: 50

Sexology
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