Why She Doesn't Want Sex Anymore (And What To Do About It) | Ep. 186

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One in three midlife couples is living in a sexless marriage — and almost nobody is talking about it. In this episode of Taboo To Truth, I break down why so many women lose interest in sex during perimenopause and menopause, covering the real physiological, emotional, and relational causes: hormonal chaos, genitourinary symptoms, the shift from spontaneous to responsive desire, painful sex, stress, and unresolved relationship friction. I reframe the silence not as a sign the relationship is over, but as the absence of a roadmap — and lay out concrete paths forward, from HRT and testosterone therapy to lube, communication, and trying something new together. I close with a challenge: name the one conversation you've been avoiding, and take the first step.

In This Episode:

00:00 — Aria.fyi (Code TRUTH15)

00:41 — Welcome to Taboo to Truth

00:56 — The Most Common Complaint I Hear

01:37 — You're Not Alone (And It's Biopsychosocial)

02:09 — Why Couples Never Talk About Sex

03:02 — The Real Reasons She's Lost Interest

04:18 — The Hope: HRT, Testosterone & Hormone Truths

04:53 — Fixing Desire, Arousal & Painful Sex

05:25 — Stress, Creativity & the Relationship Check

06:09 — The Silence That Breaks Connection — And Your Next Move

Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

If this episode gave you something to think about, share it with someone who needs it — and leave a review if you're listening on Apple or Spotify Podcasts.

About The Host:

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.

This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.

Looking for some fresh perspective on sex in midlife? You can find me here:

Email: karen@taboototruth.com

Website: https://www.taboototruth.com/

Instagram: https://www.instagram.com/taboototruth

YouTube: https://www.youtube.com/@taboototruthpodcast

Substack: https://karenbigman.substack.com

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