Will You Ever Want Sex Again? Low Libido, Hormones & Desire with Dr. Kelly Casperson

Low libido in women is often blamed on stress, aging, or relationship problems, but changes in desire may begin years before menopause and can involve hormones, medications, pain, sleep, blood flow, and the difference between spontaneous and responsive desire. 

Dr. Natalie Crawford sits down with board-certified urologist Dr. Kelly Casperson, author of “You Are Not Broken” and “The Menopause Moment,” to explain why women may stop wanting sex, how testosterone and estrogen affect sexual health, and what to discuss with a clinician when something feels different. They also examine birth control and SSRI side effects, hormone therapy, vaginal estrogen, and why women’s sexual health deserves greater attention.

IN THIS EPISODE:

00:00 Why Women Can Lose Desire Before Menopause

02:10 Can Your Hormones Change While You Still Have a Period?

03:38 Why Testosterone Matters in Women

05:41 Can Birth Control Lower Your Libido?

08:04 How Estrogen Affects Desire, Arousal, and Vaginal Health

10:02 What Does Low Libido Actually Mean?

10:56 When Low Libido Is Really Painful Sex

13:15 Spontaneous vs. Responsive Desire

15:25 Are You Having Sex Worth Desiring?