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

* libido
* 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