Sex, desire and intimacy can change during perimenopause and menopause – but too often, women are left navigating those changes with little information and even less support.
In this episode of Thriving in Menopause, Prevention Australia editor Zoe Meunier speaks with Dr Kelly Casperson, a renowned US urologist, international speaker and leading advocate for women’s sexual health. Dr Casperson is the author of the bestselling book You Are Not Broken and host of the globally popular podcast of the same name, where she challenges outdated narratives about female desire, pleasure and midlife sexuality.
Drawing on her clinical experience and deep understanding of the science behind hormones, relationships and sexual wellbeing, Dr Casperson explains why so many women feel confused or dismissed when their bodies change – and what they can do to reclaim confidence, comfort and connection.
From the role of hormones and vaginal health to the psychology of desire, this empowering conversation explores how women can move from frustration and uncertainty to knowledge, agency and thriving in midlife.
With her signature mix of science, honesty and compassion, Dr Casperson offers a refreshing reminder that midlife sexuality is not something women should quietly give up on – it’s something they deserve to understand, support and enjoy.

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S14 E6 Em Rusciano's menopause mission
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S14 E5 Making menopause everyone's business
29:21