Will You Ever Want Sex Again? Low Libido, Hormones & Desire with Dr. Kelly Casperson

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Written By Guest User

Low libido in women is often blamed on stress, aging, or relationship problems, but changes in desire may begin years before menopause and can involve hormones, medications, pain, sleep, blood flow, and the difference between spontaneous and responsive desire. 

Dr. Natalie Crawford sits down with board-certified urologist Dr. Kelly Casperson, author of “You Are Not Broken” and “The Menopause Moment,” to explain why women may stop wanting sex, how testosterone and estrogen affect sexual health, and what to discuss with a clinician when something feels different. They also examine birth control and SSRI side effects, hormone therapy, vaginal estrogen, and why women’s sexual health deserves greater attention.


Will You Ever Want Sex Again? Low Libido, Hormones & Desire with Dr. Kelly Casperson

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IN THIS EPISODE:

  • 00:00 Why Women Can Lose Desire Before Menopause

  • 02:10 Can Your Hormones Change While You Still Have a Period?

  • 03:38 Why Testosterone Matters in Women

  • 05:41 Can Birth Control Lower Your Libido?

  • 08:04 How Estrogen Affects Desire, Arousal, and Vaginal Health

  • 10:02 What Does Low Libido Actually Mean?

  • 10:56 When Low Libido Is Really Painful Sex

  • 13:15 Spontaneous vs. Responsive Desire

  • 15:25 Are You Having Sex Worth Desiring?

  • 16:53 What Causes Arousal Problems in Women?

  • 17:20 How SSRIs Can Affect Sexual Function

  • 17:50 How Couples Can Navigate Mismatched Sex Drives

  • 21:05 Why Perimenopause Can Make You Feel Unlike Yourself

  • 21:24 How Sleep, Estrogen, and Progesterone Affect Desire

  • 21:50 Testosterone’s Role in the Brain, Mood, and Motivation

  • 24:40 How Is Testosterone Prescribed to Women?

  • 27:15 What Happens When Testosterone Is Too High?

  • 30:30 Can Testosterone Affect More Than Libido?

  • 32:00 Testosterone, Wound Healing, and Bone Health

  • 33:25 Could Testosterone Support Hip-Fracture Recovery?

  • 34:00 Can Hormone Therapy Still Help Women Over 60?

  • 36:00 Systemic vs. Vaginal Estrogen

  • 37:00 Why Hormone Treatment May Begin Before Menopause

  • 39:55 Can You Get Pregnant During Perimenopause?

  • 41:41 When Vaginal Estrogen May Help

  • 46:12 How to Talk to Your Doctor About Hormones

  • 48:25 Where to Find Dr. Kelly Casperson

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