Self-Led in Bed, an IFS and Sexuality Podcast24 Jul 2025

14: Menopause, Multiplicity & Medical Care, with Dr. Pebble Kranz

“Sexual health is about being in your body now and finding pleasure in the present moment.” –

Dr. Pebble Kranz

Disclaimer: This episode contains discussion of sexuality, genitals, menopause, and related topics. Listener discretion is advised.

Moodiness, hot flashes, poor sleep, libido shifts…the menopausal transition which half the world’s population will experience goes smoothly for some women and can wreak havoc for others, disrupting their sense of self, emotional stability, and sexual satisfaction. While menopause is starting to come out of the closet in popular culture, there are still far too few medical providers who know when to bring it up, what to ask, how to listen, and what options are most helpful for the emotional, physical, and sexual well-being of their patients.

Today’s guest shows us how different this can be. Not only is Dr. Pebble Kranz a Family Physician and a Sexual and Menopause Medicine Specialist, she also is IFS-informed and brings compassionate and affirming care to her patients of all genders. Pebble shares her journey from theater to family medicine , driven by a passion for stories. The conversation delves into the lack of medical training around sexual health, the impact of menopause on physical and emotional well-being, and the transformative power of trauma-informed pelvic exams. Pebble offers practical insights, including three key questions to center patients’ sexual goals and desires, and emphasizes the importance of present-moment pleasure and self-advocacy in medical settings.

Pebble Kranz, MD, FECSM, IF, MSCP graduated from Brown University's Medical School in 2007 and completed residency with the University of Rochester Family Medicine Residency Program in 2011. After serving as residency faculty and a primary care doctor for the University of Rochester, Dr. Kranz pursued additional training in sexual, menopause, and gender medicine, earning fellowships from the European Committee on Sexual Medicine, the International Society for the Study of Women's Sexual Health, certification from the Menopause Society as a menopause medicine practitioner, as well as status as an Advanced Practitioner in Optimal Sexual Experiences Group Couples Therapy. She serves on the board of the Scientific Network on Female Sexual Health and Cancer and is a consultant to the University of Rochester’s Pluta Breast Center’s Sexual Wellness Clinic. She is founder and medical director for The Rochester Center for Sexual Wellness, providing comprehensive care for sexual, relational, and gender concerns in Western New York. Dr. Kranz is committed to educating healthcare professionals at all levels and the community on medical care for sexual concerns.

Connect with Pebble:www.RochesterCenterForSexualWellness.com

https://www.facebook.com/rochestercsw

https://www.linkedin.com/in/pebble-kranz-md/

https://www.instagram.com/rochestersexualwellness/

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