April 23, 2025

Is Low Sex Drive Normal? Understanding Libido in Midlife Women

Is Low Sex Drive Normal? Understanding Libido in Midlife Women

In this powerful and deeply insightful conversation, Dr. Kelly Casperson—urologist, sex educator, and author—dives into the complex world of women’s libido, desire, and sexual health in midlife


We explore why so many women experience changes in their libido during perimenopause and menopause, and why it’s not just about hormones. Dr. Casperson explains the brain-body connection in sexual desire, busts myths about testosterone and estrogen, and sheds light on how sociocultural conditioning impacts sexual expression.



We also cover topics like:

  • What “normal” libido looks like (hint: there is no one-size-fits-all)
  • The truth about “duty sex” and why many women feel guilt around intimacy
  • The problem with cosmetic genital surgery and unrealistic porn-based expectations
  • How to reignite sexual desire and build intimacy in long-term relationships
  • The power of body literacy and why looking at your vulva matters



Whether you're navigating midlife sexuality, exploring your sexual identity, or supporting a partner, this episode will give you knowledge, validation, and tools to feel more empowered in your body.



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Disclaimer: This podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice. Information is provided for educational and entertainment purposes only.



00:00:00 – Why We Need to Talk About Women's Libido and Sexual Health

00:00:14 – What Is Libido? 

00:02:35 – Menopause, Hormones & Low Sex Drive

00:04:23 – Sex That Hurts

00:07:05 – Orgasm 101

00:09:18 – Why Body Literacy Matters

00:09:56 – Revolutionising Menopause Care

00:11:28 – Sex Ed & Culture:

00:12:44 – Using Correct Terms

00:15:07 – Labia, Porn & Plastic Surgery

00:17:49 – Why Sex Hurts for Young Women

00:21:04 – Mismatched Libidos in Relationships

00:22:47 – How Couples Can Optimise Intimacy and Connection


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  • menopause
  • perimenopause
  • women’s health
  • sex drive
  • how to increase libido in women naturally
  • low sex drive during menopause
  • sexual health after 40
  • libido changes in perimenopause
  • is low libido normal in women
  • how to talk about sex with your partner
  • body image and women’s sexuality
  • why women lose desire after 40
  • duty sex in long-term relationships
  • how hormones affect female desire
  • women reclaiming sexuality
  • normalize vulvas
  • body positivity and sexual health
  • hormone therapy for libido
  • Dr. Kelly Casperson podcast