Sexual Health and Perimenopause and Menopause

madman

Super Moderator

Andrea Donsky, Nutritionist, Research and Menopause Educator, and Co-Founder of We Are Morphus, interviews Dr. James Simon. He's a board-certified obstetrician, gynecologist, and reproductive endocrinologist.

He answers many of the questions you may not have asked about your sexual health in perimenopause and menopause.


1:56 Dr. Simon talks about Women's Sexual Health, Libido, Perimenopause, and Menopause from a biological, psychological, and social perspective.
5:53 Hormonal changes and their relationship to libido.
9:17 How hormone replacement therapy (HRT) can affect libido. The differences between lubricants and moisturizers for the vagina.
20:42 Discussing how the body reacts differently to moisturizer by holding onto the moisture but absorbing hormones that are applied vaginally. Dr. Simon talks about how each is applied and how frequently a woman might want to use each.
23:42 The types of estradiol may be available, and what to ask your doctor for.
27:36 News about Selective Estrogen Receptor Modulators.
29:01 How to know which solution would work best for you.
30:53 Discussing urinary tract infections (UTIs) and the link to hormones.
32:37 When to start using hormone therapy and its importance as we age.
34:43 Discussing the use vaginal hormones and HRT together.
36:16 Bacterial vaginosis, what is it, and how do you treat it?
38:39 Discussion in douching, boric acid, and cleansing the vaginal area.
43:51 Help for the loss of spontaneous desire.
49:32 Tools to increase sensation.
52:04 Discussing women who experience increased libido in perimenopause and menopause.
 




 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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