About this episode

The episode discusses how perimenopause and menopause affect women's sex drive and explores hormone optimization solutions.

She used to want it. Now she doesn't. And you're not sure if it's you, the kids, the stress — or something that's quietly shifted inside her. A lot of the time, it's her hormones. Specifically, perimenopause or menopause. Here's what most people don't know: perimenopause doesn't start at 45 years old. Dr. Debra Durst — an MD who left traditional medicine to specialize in hormone optimization and sexual wellness — is seeing it in women in their 30s, and sometimes even their 20s. And the first hormones to drop aren't estrogen -- they're progesterone and testosterone. Which means your partner may be dealing with sleep disruption, anxiety, a shorter fuse, brain fog, low libido, and body composition changes — while her doctor keeps saying her labs look "normal." Here, Dr. Durst breaks down what perimenopause actually is (it can last a decade or more), why most gynecologists aren't trained to address it, and what comprehensive hormone optimization actually looks like. We get into why testosterone is, surprisingly, the most abundant hormone circulating in a woman's body — and what happens to a couple's sex life when it's properly restored (hint: sometimes you're back to doing it twice a…

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