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🎙️ Welcome to Fit in Your 40s Podcast

If intimacy feels different than it used to — low libido, vaginal dryness, discomfort during sex, or a disconnect you don’t recognize — this episode is for you.

So many women in their 40s and beyond assume these changes are just part of aging. Our mothers stayed silent. Our grandmothers stayed silent. And many women today are still suffering quietly, believing there’s nothing they can do.

That stops here.

In today’s conversation, Doucky is joined by Dr. Betsy A.B. Greenleaf, a board-certified urogynecologist and internationally recognized expert in menopause, pelvic health, and sexual wellness.

Together, we break the silence around sexual health in perimenopause and menopause — and explain why low libido and vaginal dryness are common, treatable, and not something you have to live with.

This episode blends medical insight with a holistic lens, helping women understand what’s really happening in their bodies — and how hormones, stress, nervous system overload, gut health, and lifestyle all intersect when it comes to desire and comfort.

🎧 In This Episode, You’ll Learn:

• Why so many women experience low libido and vaginal dryness in perimenopause — and assume it’s just aging
• Why women believe they’re “the only one” struggling, even though these issues are incredibly common
• How hormone shifts after 40 affect desire, arousal, and vaginal health
• Why libido is not just about testosterone
• How chronic stress and cortisol suppress sex hormones
• Why sex and stress can’t coexist in the body
• Why simply adding hormones doesn’t work if the nervous system is overwhelmed
• How lifestyle stressors (work, kids, aging parents, poor sleep, under-fueling) impact desire
• Why cortisol patterns matter more than cortisol levels
• How gut health and inflammation influence hormones and libido
• What a true whole-body approach to sexual wellness looks like in midlife

📲 Links & Resources:

📸 Follow Dr. Betsy Greenleaf on Instagram
👉https://www.instagram.com/drbetsygreenleaf/?hl=en

🛍️ Get 10% Off The Pelvic Floor Store
Use code BFF at checkout
👉 https://pelvicfloorstore.com/discount/BFF

📘 Learn About the BFF Method
Nutrition + training designed for women 40+
(Plus free resources to get started)

🎯 🎯 Book a Free Fat Loss Strategy Call

💬 Let’s Stay Connected:

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