4 juli 2026
67 min
If you've ever wondered why you don't want your husband to walk through the door and rip your clothes off anymore, this episode is for you. If you've ever quietly believed something was wrong with you because you don't orgasm easily, or at all, this episode is for you too.
I sat down with Dr. Sally Greenwald, a board-certified OB/GYN with specialized training in menopause medicine, and what she shared genuinely stopped me in my tracks. We were taught to protect ourselves from pregnancy and disease. We were never taught how our bodies actually work. No one explained the difference between the desire that hits you out of nowhere and the desire that shows up once you're already in the moment. No one drew us a map of our own anatomy. No one told us what happens to any of it once perimenopause and menopause enter the picture.
Dr. Greenwald walks us through the real data on desire, arousal, and orgasm. Why only a small percentage of women maintain the "spontaneous" desire we see on TV, and why that has nothing to do with being broken. What actually happens to your body hormonally and physically during this stage of life, and why so many women are quietly suffering through pain, dryness, or a total loss of interest without knowing there's a name for it and a way through it. We get into the anatomy no one taught us in school, the science behind why vibrators aren't just for fun anymore, and why scheduling sex might be the most underrated tool in your relationship.
This conversation will change how you think about your own body. It might also make you a little angry about what you were never told. Both are fair.
In This Episode, We Cover:
This episode is for the woman who loves her partner but doesn't understand why she doesn't want sex anymore. It's for the woman who has never had an easy time reaching orgasm and has spent years quietly thinking that meant something was wrong with her. It's for anyone entering perimenopause or menopause and noticing changes in their body that no one prepared them for. And it's for every woman who is tired of comparing her real life to what she sees on a screen.
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Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve?
At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.
Book your FREE Hormone Discovery Call
Find out what's really driving your symptoms and what your next best steps are.
Visit the website: https://karenmartel.com
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Your host:
Karen Martel
Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert
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The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health
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