In this episode, we talk about the intersection between sex and menopause. Between 17% and 45% of postmenopausal women say they find sex painful, and that’s where Dr. Debra Wickman comes in. She is Director of Female Sexual Medicine Vulva Disorders and Menopause Health at Banner University Medical Center in Phoenix, Arizona. Wickman talks about how women often tolerate painful sex and why embracing our intimate anatomy can be the first step toward healing.

We know many women will experience menopausal symptoms, and they don’t just happen at home. Tamsen Fadal, an Emmy-Award winning TV journalist and now menopause advocate, talks about navigating those symptoms at work. We’ll also hear from Dr. Jewel Kling, a professor of medicine and chair of the division of Women's Health Internal Medicine at Mayo Clinic in Scottsdale, Arizona.

We’re calling this episode Menopausal Hormone Therapy 101. We won’t cover everything. Think of it like a primer so you can more comfortably talk to your provider — or know when to walk away. Joining us is Dr. Stephanie Faubion, director of Mayo Clinic Center for Women's Health in Florida; she’s also medical director of the Menopause Society.

The menopausal transition can affect our cardiovascular health in ways that can’t be explained by age alone. Dr. Rebecca Thurston is a principal investigator for SWAN, the Study of Women’s Health Across the Nation, and also leads the MSHEART and the MSBRAIN studies, which look at menopause and the cardiovascular/brain connection.

Vasomotor symptoms, aka hot flashes and night sweats, are the most common manifestations of menopause. Women of all cultures have different names for it and ways to cope. We talk to Professor Lynette Sievert, a biological anthropologist at UMASS Amherst, whose studies of menopausal women span the globe.

In this episode, Kathy dives into the big why. Why do we go through "the change?" Anthropology professor Kristen Hawkes takes us to Africa, where the study of one of the last hunter-gatherer tribes led her to this conclusion: menopause is an adaptive advantage.