About this episode
Hormone therapy helps. But it does not fix everything.In this episode, I sit down with Dr. Diane Mueller to break down why libido often fades again after the initial HRT boost.You learn why desire is multi-layered, why lab work often misses real problems, and how blood flow, thyroid health, nervous system overload, pelvic floor function, and relationship dynamics all shape your sex drive.We also talk about erotic repair, redefining sex, rebuilding safety, and why pleasure is a health practice, not a luxury.If you feel frustrated, broken, or confused about why hormones did not solve your libido, this episode gives you clarity and next steps.Timestamps:0:00 Celebrating 150 episodes and why none of us are broken1:22 What Taboo To Truth is really about2:30 Why HRT feels great. Then libido disappears5:05 Chronic problems need more than one fix8:10 Why standard labs miss real issues11:05 Thyroid testing mistakes and energy loss13:30 Blood flow inflammation and nervous system disruption16:10 Pelvic floor myths women and men get wrong18:40 Blood sugar and numbness in arousal20:20 Desire mismatch and getting back on the same team22:55 Erotic repair and redefining what sex means25:40 Presence pleasure and why women dissociate28:10 Orgasms stress regulation and vibrators30:30 Libido as a health warning and where to start 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!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.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube:
