Karen Bigman's path to becoming a menopause sex educator is one of the most unexpectedly compelling origin stories we've heard on this podcast. She started in technology. She raised children. She worked in restaurants. And then, in her early 50s, newly separated after a 25-year marriage and struggling to orgasm with a new partner, she found her way to a sexual medicine practice run by Dr. Bat Sheva Marcus, where a nurse practitioner handed her a little blue bullet vibrator, suggested she try it in the next room, and Karen came back five minutes later saying "you just changed my life".

That moment is the seed of everything Karen has built since. Her platform, Taboo to Truth, is dedicated to dismantling the two most pervasive myths she encounters in her work: that sex is something people stop having at a certain age, and that it's a topic too taboo to discuss openly. Her course, Men Meet Menopause, is built on the radical premise that male partners, often the most confused and the most shut out from the conversation, deserve their own education, their own language, and their own practical tools for showing up during one of the most significant transitions their partner will experience.

In this episode, Karen joins Jenni and Daniel for a conversation that covers a remarkable amount of ground with warmth, humor, and genuine clinical depth. They dig into why menopause remains under-discussed even in 2026, the lingering shadow of the Women's Health Initiative, the male reluctance to name what they're observing, the shame women carry about bodies that are changing in ways they didn't expect. Daniel introduces the compassion sandwich, leading with care rather than observation, as the reframe that changes how every difficult conversation lands. Karen talks about the five pillars underlying sexual disconnection in midlife couples, and what it looks like when one of them wobbles.

Jenni brings in the Cheesecake of Pleasure- her clinical framework for expanding a couple's repertoire beyond intercourse as the only available flavor, and the conversation around grief, creativity, and what it means to look forward to something bigger than what you're losing becomes one of the richest exchanges of the season. Karen's concept of sex snacks sits beautifully alongside it. Both frameworks point to the same clinical truth: when intercourse is temporarily or permanently off the table, the answer is not resignation. It's creativity. It's building a palette of pleasure that belongs to this season rather than mourning the one that's passed.

Karen closes with the line that may be the most important thing in the episode: don't give up. Don't accept the myth that this is done. Don't believe that sex is only for young people or for other people or for the version of your relationship that existed before all of this. The research shows that women over 60 can have the best sex of their lives if they want. The invitation: for women navigating menopause and for the partners who love them, is to join the journey together and find out what's on the other side.

Karen Bigman's path to becoming a menopause sex educator is one of the most unexpectedly compelling origin stories we've heard on this podcast. She started in technology. She raised children. She worked in restaurants. And then, in her early 50s, newly separated after a 25-year marriage and struggling to orgasm with a new partner, she found her way to a sexual medicine practice run by Dr. Bat Sheva Marcus, where a nurse practitioner handed her a little blue bullet vibrator, suggested she try it in the next room, and Karen came back five minutes later saying "you just changed my life".
That moment is the seed of everything Karen has built since. Her platform, Taboo to Truth, is dedicated to dismantling the two most pervasive myths she encounters in her work: that sex is something people stop having at a certain age, and that it's a topic too taboo to discuss openly. Her course, Men Meet Menopause, is built on the radical premise that male partners, often the most confused and the most shut out from the conversation, deserve their own education, their own language, and their own practical tools for showing up during one of the most significant transitions their partner will experience.
In this episode, Karen joins Jenni and Daniel for a conversation that covers a remarkable amount of ground with warmth, humor, and genuine clinical depth. They dig into why menopause remains under-discussed even in 2026, the lingering shadow of the Women's Health Initiative, the male reluctance to name what they're observing, the shame women carry about bodies that are changing in ways they didn't expect. Daniel introduces the compassion sandwich, leading with care rather than observation, as the reframe that changes how every difficult conversation lands. Karen talks about the five pillars underlying sexual disconnection in midlife couples, and what it looks like when one of them wobbles.
Jenni brings in the Cheesecake of Pleasure- her clinical framework for expanding a couple's repertoire beyond intercourse as the only available flavor, and the conversation around grief, creativity, and what it means to look forward to something bigger than what you're losing becomes one of the richest exchanges of the season. Karen's concept of sex snacks sits beautifully alongside it. Both frameworks point to the same clinical truth: when intercourse is temporarily or permanently off the table, the answer is not resignation. It's creativity. It's building a palette of pleasure that belongs to this season rather than mourning the one that's passed.
Karen closes with the line that may be the most important thing in the episode:&nbsp;don't give up. Don't accept the myth that this is done. Don't believe that sex is only for young people or for other people or for the version of your relationship that existed before all of this. The research shows that women over 60 can have the best sex of their lives if they want. The invitation: for women navigating menopause and for the partners who love them, is to join the journey together and find out what's on the other side.

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

Links: 

drjenniskyler.substack.com

The Intimacy Institute Roadmap to Intimacy online courses

 

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
Links:&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com</a>
<a href="https://www.intimacyinstitute.org/roadmap">The Intimacy Institute Roadmap to Intimacy online courses</a>
&nbsp;

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology.

Sex and the Psyche

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics. 

As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life. 

drjenniskyler.substack.com  

intimacyinstitute.org/roadmap

Sex and the Psyche is hosted by clinical sex therapists, Dr. Jenni Skyler and Daniel Lebowitz. Married with two children, Jenni and Daniel, take listeners behind the scenes on how they talk shop on a deeper level as they conceptualize the intersection of relationships, sex, and psychology. With over 16 years of helping couples and individuals enhance and optimize their sexual function, pleasure, and knowledge of human sexuality, Sex and the Psyche covers the issues that affect most everyone from desire discrepancy, erectile issues, painful sex, porn obsessions, premature and delayed ejaculation, and healing from affairs among many other topics.&nbsp;
As a husband-wife team and co-directors of 'The Intimacy Institute for Sex and Relationship Therapy', Jenni and Daniel share their expertise from real life scenarios, bringing a unique angle to understanding relationships while offering listeners helpful communication skills through thoughtful and intelligent conversations designed to help connect the more complicated dots for manifesting a more satisfying and sustainable sex life.&nbsp;
<a href="https://drjenniskyler.substack.com/">drjenniskyler.substack.com&nbsp; </a>
<a href="https://www.intimacyinstitute.org/roadmap">intimacyinstitute.org/roadmap</a>

Sex and the Psyche 

Karen Bigman didn't start out as a sex educator. She started in technology, raised kids, worked in restaurants and then, in her late 50s, found her way to a sexual medicine practice that handed her a blue bullet vibrator and changed the trajectory of her professional life. Now she runs Taboo to Truth, a platform dedicated to dismantling the myth that sex is something that ends at a certain age, and her program Men Meet Menopause is teaching male partners how to show up for one of the most misunderstood transitions in a woman's life. In this episode, Karen joins Jenni and Daniel for a warm, funny, and genuinely useful conversation about menopause, intimacy, the cheesecake of pleasure, the compassion sandwich, and why women over 60 can have the best sex of their lives if they want!