03/23/2026
Let’s talk about something that doesn’t get talked about enough… libido in midlife.
Because for so many people, the shift can feel sudden, confusing, and honestly… a little isolating.
It’s easy to assume it’s “just hormones.”
It’s not.
In our latest MiDOViA podcast episode, we sit down with Sarah Berg, MD FACOG MSCP, board-certified OB-GYN and Certified Menopause Practitioner, to unpack what’s actually happening in the body and why desire can change during menopause.
This is a real, honest conversation that replaces shame with clarity.
We talk about:
• Why s*x can become uncomfortable and what’s happening biologically
• What genitourinary syndrome of menopause (GSM) really is and why it matters
• The pain-tension cycle and why it doesn’t just “go away” on its own
• How pelvic floor physical therapy can be a game changer
• Where treatments like vaginal estrogen and testosterone fit (and where they don’t)
• And the piece that often gets overlooked… the mental load, exhaustion, and why desire doesn’t thrive in survival mode
Perhaps most importantly, we talk about starting the conversation, because too many people are navigating this silently or being dismissed when they do speak up.
This episode is direct, informative, and exactly the kind of conversation we need more of.
🎧 Listen here or on your favorite podcast platform: https://podcasts.apple.com/us/podcast/episode-61-why-libido-changes-during-menopause/id1732534331?i=1000756405213
Because understanding what’s happening in your body changes everything.
Podcast Episode · The MiDOViA Menopause Podcast: Real Talk on Hormones, Work, and Wellness for Midlife · March 20 · 42m