#371 – Women's sexual health: desire, arousal, and orgasms, navigating perimenopause, and enhancing satisfaction | Sally Greenwald, M.D., M.P.H.

Hey everyone, welcome to the Drive Podcast. I'm your host, Peter Atia. This podcast, my website, and my weekly newsletter all focus on the goal of translating the science of longevity into something accessible for everyone. Our goal is to provide the best content in health and wellness, and we've established a great team of analysts to make this happen. It is extremely important to me to provide all of this content without relying on paid ads.

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Sally is an OBGYN who specializes in women's sexual health from a hormonal and physiologic perspective. with a clinical focus that spans desire, arousal, pelvic floor function, contraception, menopause, and perimenopause care, and evidence based strategies to improve sexual well being. In this episode, we discuss why sexual health is a core part of overall health and life quality for both men and women, a practical framework for desire, the accelerator and brake model, and how patterns change across life, anatomy for sexual function, the clitoral complex and vaginal anatomy, and why understanding it matters both for men and women, orgasm realities and myths, and varied pathways to orgasm beyond penetrative sex, vaginal tissue health, lubrication, moisturizers, and when local estrogen is helpful, pain with sex, the common causes, evaluation, and a multidisciplinary approach to treating it, perimenopause and menopause, symptom patterns and the roles of estradiol, progesterone, progestins, and testosterone, contraception across the reproductive years, and how different methods interact with hormones and sexual function,

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