Ep #86: Sexual Health and Perimenopause and Menopause with Dr. James Simon

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Andrea Donsky, Nutritionist, Research and Menopause Educator, and Co-Founder of We Are Morphus, interviews Dr. James Simon. He's a board-certified obstetrician, gynecologist, and reproductive endocrinologist. 

He answers many of the questions you may not have asked about your sexual health in perimenopause and menopause.

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1:56 Dr. Simon talks about Women's Sexual Health, Libido, Perimenopause, and Menopause from a biological, psychological, and social perspective.

5:53 Hormonal changes and their relationship to libido.

9:17 How hormone replacement therapy (HRT) can affect libido. The differences between lubricants and moisturizers for the vagina.

20:42 Discussing how the body reacts differently to moisturizer by holding onto the moisture but absorbing hormones that are applied vaginally. Dr. Simon talks about how each is applied and how frequently a woman might want to use each.

23:42 The types of estradiol may be available, and what to ask your doctor for.

27:36 News about Selective Estrogen Receptor Modulators.

29:01 How to know which solution would work best for you.

30:53 Discussing urinary tract infections (UTIs) and the link to hormones.

32:37 When to start using hormone therapy and its importance as we age.

34:43 Discussing the use vaginal hormones and HRT together.

36:16 Bacterial vaginosis, what is it, and how do you treat it.

38:39 Discussion in douching, boric acid, and cleansing the vaginal area.

43:51 Help for the loss of spontaneous desire.

49:32 Tools to increase sensation.

52:04 Discussing women who experience increased libido in perimenopause and menopause.

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