Many women experience changes in their desire and comfort with intimacy as they move through midlife. What once felt natural or easy may begin to feel distant, inconsistent, or harder to access. These shifts are common, yet they’re rarely talked about, which can leave women uncertain about what’s normal and unsure of where to turn for support.

In this episode, Dr. Miranda Naylor is joined by Dr. Christine Vaccaro, a urogynecologist and women’s sexual health expert. She explains how hormonal fluctuations, stress, relationship dynamics, and changes in genital tissue can influence libido and sexual comfort. She shares supportive, evidence-based approaches — including hormone therapy, vaginal tissue care, and lifestyle strategies — that help women restore comfort, improve pleasure, and feel more connected in their intimate relationships.

✔️ How hormonal shifts in perimenopause and menopause can influence libido and sexual comfort
✔️ The role of genital tissue health in arousal, lubrication, and pleasure
✔️ Evidence-based approaches to support desire — including hormone therapy and localized vaginal treatments
✔️ Lifestyle and relationship factors that can either support or suppress sexual connection
✔️ Practical ways to rebuild comfort, confidence, and intimacy in midlife

If you’ve ever wondered how to navigate the ups and downs of your cycle with confidence, this conversation offers practical insight into hormonal patterns, symptom awareness, and when to seek the right support.

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Dr. Christine Vaccaro is a double board-certified urogynecologist and pelvic reconstructive surgeon with advanced training in sexual medicine, specializing in pelvic floor disorders, vulvar pain, bladder pain syndrome, and changes in libido and arousal across midlife. She provides thoughtful, evidence-based, and individualized care, integrating hormonal support, vaginal and vulvar tissue therapies, and lifestyle approaches to help women restore comfort, pleasure, and confidence in their intimate well-being.

Website: https://www.sheplusfoundation.com/sexual-health-research
Instagram: https://www.instagram.com/drchristinevaccaro/

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