In this enlightening conversation, Dr. Sheryl Kingsberg, a leading expert in reproductive biology and sex during perimenopause, joins Yumi Stynes to tackle the intricacies of sexual health at this life stage. They discuss personal stories of intimacy challenges, decreased libido, and the often-taboo topic of vaginal dryness. Dr. Kingsberg offers practical advice on hormone therapy and opens the door to embracing change, encouraging women to advocate for their sexual health. This vibrant exchange blends humor and hope, making the subject both relatable and empowering.
Perimenopause can lead to significant changes in women's sexual health, requiring proactive communication and advocacy for effective solutions.
Localized hormone therapies and sexual aids can alleviate discomfort during sex, helping women maintain intimacy and pleasure in their relationships.
Deep dives
Understanding Perimenopause and Sexual Health
Perimenopause significantly affects women's sexual health due to declining estrogen levels, which can lead to vaginal atrophy. This condition results in thinner, drier vaginal tissues, causing discomfort during sex. Many women may not realize that these changes are a common aspect of aging, with statistics suggesting that 70 to 80% of women may develop genitourinary syndrome of menopause (GSM). The emotional impact of these physical changes can be profound, leading to frustration and a sense of loss regarding one's sexual identity.
Navigating Desire and Intimacy
The podcast explores two types of sexual desire: spontaneous desire, which tends to decline as women age, and responsive desire, which may become necessary for many. As women experience changes in their bodies, they often find that the initiation of sexual activity requires more conscious effort and planning. Acknowledging the importance of communication in relationships, the conversation highlights that discussing sexual health with partners can alleviate feelings of disconnect. Engaging in playful banter about sexual challenges may also help ease the discomfort surrounding this sensitive topic.
Solutions and Treatments for Sexual Dysfunction
Women experiencing discomfort during intercourse due to GSM have several treatment options available. Localized hormone therapies, such as creams or rings, can effectively restore vaginal health and improve lubrication. Additionally, incorporating sexual aids like vibrators may enhance stimulation and pleasure during sex. The key takeaway is that women should actively advocate for their sexual health by seeking advice and exploring various solutions to maintain a fulfilling sex life as they age.
What happens to your sex life in perimenopause? When Salt-N-Pepa wrote Let's Talk About Sex, they didn't get to that bit. Well, Yumi Stynes is here to update the lyrics! In this no-holds-barred episode she meets women who have experienced changes to their libido and sexual function during this phase of life and finds out what help is at hand. Yumi chats to women about what got them back in the groove and sits down with sex and perimenopause specialist Dr Sheryl Kingsberg, Professor in Reproductive Biology, Urology and Psychiatry at Case Western University.
This episode contains references to perimenopause, sex, painful sex, relationships, marriage, libido, vaginal dryness, irritation, genito-urinary syndrome of menopause and menopausal hormone therapy, or MHT.
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