
My So-Called Midlife with Reshma Saujani Revisit: You’re Not Broken, Your Sex Education Was Just Bad with Kelly Casperson
Nov 26, 2025
Dr. Kelly Casperson, a urologist and passionate advocate for women's sexual health, unpacks the myths surrounding midlife sex. She reveals that common beliefs about declining desire are often misguided. Kelly discusses the complex nature of libido and introduces concepts like responsive desire, illustrating how midlife can enhance intimacy. She also addresses the stigma surrounding women's sexuality, offering practical tips like communication and lubricant usage to improve sex lives. Plus, she highlights the importance of understanding hormones beyond stereotypes.
AI Snips
Chapters
Books
Transcript
Episode notes
Libido Is Biopsychosocial
- Libido is not just biology; it's biopsychosocial and shaped by brain, relationship, and society.
- Midlife desire can increase when context, freedom, and reduced pregnancy worry align.
Cured Patient Sparked New Focus
- Kelly switched focus to sexual health after a cured bladder-cancer patient cried about her sexless marriage.
- That moment sparked years of learning and eventually launching her podcast to fill the education gap.
Create Sexual Context
- Create sexual context intentionally to trigger responsive desire: relax, set mood, and start the act.
- Use context rather than waiting for spontaneous desire to improve frequency and enjoyment.





