ABOUT THIS EPISODE
You used to want sex. Now, mostly, you don't, and you're not sure whether that's a problem, whose problem it is, or whether you're even allowed to bring it up.
In this episode of The Appointment from Selfority, Rachelle Kuramoto asks the question: where did my libido go?
Dr. Sarah Berg, board-certified OB-GYN and Menopause Society Certified Practitioner, explains why that last-minute question is one of the most common she hears, and why you are far from alone in asking it.
In this episode, you'll learn the four legs of the "desire table" (biology, psychology, sociocultural, and interpersonal) and why fixing one leg may not steady the whole table.
Dr. Berg explains genitourinary syndrome of menopause (GSM), a common and often overlooked cause of painful sex, recurring UTIs, and vaginal changes. She also covers where testosterone fits in and where it doesn't.
Most importantly, you'll get the simple sentence you need to start the conversation.
Chapters:
- 0:00 — "Can I ask you one last thing?"
- 0:48 — Today's appointment: libido and sex
- 0:58 — The hand-on-the-doorknob moment
- 2:10 — You are not alone
- 2:45 — The desire table
- 3:49 — It's not just hormones
- 4:20 — Biology
- 5:05 — Genitourinary syndrome of menopause (GSM)
- 7:24 — Psychology
- 7:53 — Sociocultural
- 8:24 — Interpersonal
- 9:11 — Your brain is your biggest sex organ
- 10:58 — Testosterone
- 12:55 — The write-down moment
The Write-down Moment:
"I want to talk about my libido. It's changed, and I know it could be coming from more than one place. I just want to start the conversation."
Subscribe to The Appointment wherever you get your podcasts, and share this episode with someone who needs it — the more women who have this information, the better every one of these conversations gets.
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- Email us at hello@selfority.com with a question you're sitting on — we'll ask it for you.
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The Appointment is a source of medically grounded answers and assurance, but it is for informational and educational purposes only. It is not medical advice. Please work with your healthcare provider to make decisions that are right for you.