When hormones decline, intimacy can start to feel like a chore—but it doesn’t have to. In this conversation, we break down what’s really happening during perimenopause and menopause, and how hormone therapy for low libido can support sexual wellness without shame or confusion.

We discuss how hormonal shifts affect arousal, sensitivity, vaginal dryness, and pleasure, and why many women see improvements with personalized hormone therapy using estrogen, progesterone, and/or testosterone.

We also explore additional in-office treatments for women who need more support beyond hormones, including PRP-based therapies, targeted injections, and non-surgical wellness technologies designed to improve comfort and function.

If you’re considering HRT for low libido, or you’re already on hormone therapy but still don’t feel like yourself, this episode helps you understand your options and find what fits your body and goals.

Timestamps:

00:00 – Low hormones & why intimacy can feel like a chore
00:26 – Perimenopause & menopause: why libido changes
00:44 – How HRT supports arousal, intimacy & orgasm
01:07 – Why sexual wellness matters
01:55 – PRP options: O-Shot & G-Shot overview
03:13 – Topicals, medications & oxytocin explained
04:20 – Non-surgical pelvic wellness therapies
06:48 – Vaginal dryness & tissue support options
08:22 – Painful sex: post-treatment solutions
09:03 – Next steps: working with a women-led care team

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