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Explore Low Libido in Menopause: What's Really Going On and How to Reignite Desire with 1,098 views, 1 likes, and 0 comments. Experience the impact of this video content that has captured audience attention.

Low libido in perimenopause and menopause is incredibly common — and deeply misunderstood. It is not just about hormones. Naturopathic Doctor and Menopause Society Certified Practitioner Julia Fountain (Wellness MD, Oakville, Ontario) takes a whole-person look at what drives low desire in midlife and what actually helps — from lifestyle changes to hormone therapy and beyond. If you are in Canada and looking for compassionate, evidence-informed support for low libido or sexual health in menopause, our team at Wellness MD in Oakville, Ontario is here for you. 📅 Book a menopause or libido consultation with Dr. Fountain: 👉 https://wellnessmdhealth.com 🌿 WHAT YOU'LL LEARN ✔ Why low libido is so common in perimenopause and menopause ✔ The truth about hormones and sex drive — it is more complex than you think ✔ How relationship factors, mental health, and physical health affect desire ✔ Vaginal dryness, pain with sex, and reduced arousal — what helps ✔ The role of lubricants, moisturizers, and pelvic floor physiotherapy ✔ Understanding responsive desire — and why scheduling sex can work ✔ Vaginal estrogen, whole-body estrogen, and testosterone therapy for women ✔ What Flibanserin (the pink pill) is and who it is for ✔ A whole-person roadmap to improving intimacy in midlife ⏱️ CHAPTERS 00:03 Introduction — reigniting desire: a whole-person approach to libido 00:22 How common is sexual dysfunction in midlife women? 00:39 The four areas of sexual dysfunction: desire, arousal, orgasm, pain 00:58 Is low libido a hormone problem? Estrogen and testosterone explained 01:18 How ovulation changes affect libido in perimenopause 01:36 Why blood tests cannot diagnose low libido 01:52 Research: sex drive in midlife is about more than hormone levels 02:13 Relationship factors, physical health, and mental health and libido 02:33 Medications, fatigue, vaginal dryness, and weight as libido factors 02:50 Mental health: self-esteem, body image, anxiety, trauma, and stress 03:09 Where to start: making intimacy pain-free and pleasurable first 03:26 How estrogen decline affects vaginal tissue, lubrication, and orgasm 03:44 Pelvic floor changes and their impact on arousal 04:02 Lubricants, vaginal moisturizers, and pelvic floor physiotherapy 04:20 Arousal gels and sexual aids to improve the experience 05:01 The parasympathetic nervous system — desire needs calm, not stress 05:22 Does libido return on vacation? What that tells you about stress 05:40 Ruling out fatigue, thyroid issues, and nutrient deficiencies 06:01 Responsive desire and why scheduling intimacy can help 06:26 How scheduling sex builds anticipation and reduces avoidance 06:50 Psychotherapy, sensate focus, CBT, and mindfulness for libido 07:26 Hormone therapies and their role in improving libido 07:43 Vaginal estrogen: dryness, circulation, pelvic floor, and arousal 08:05 Whole-body estrogen: energy, mood, sleep, hot flashes 08:37 Testosterone therapy for hypoactive sexual desire disorder 08:56 Evidence and research for testosterone in perimenopausal women 09:35 What randomized trials show about testosterone and sexual satisfaction 09:53 Off-label uses of testosterone — cognitive function, mood, bone density 10:24 Side effects and risks of testosterone therapy 11:00 Testosterone and breast cancer — what the current research says 11:20 How testosterone is tested and monitored 11:56 How testosterone is accessed in Canada 12:44 Flibanserin (the pink pill) — a non-hormonal option 13:03 How Flibanserin works and its side effects 13:23 The whole-person approach to libido — putting it all together 14:03 When testosterone is used with or without estrogen 14:24 How to reach Wellness MD for a collaborative care consultation 👩‍⚕️ ABOUT DR. JULIA FOUNTAIN Dr. Julia Fountain is a Naturopathic Doctor and Menopause Society Certified Practitioner at Wellness MD. Her primary focus is midlife women's health, sexual wellness, and integrative menopause care. 💡 ABOUT WELLNESS MD Wellness MD is a physician-led menopause and lifestyle medicine clinic based in Oakville, Ontario, Canada. Our collaborative team includes medical doctors, naturopathic doctors, nurses, coaches, and therapists — all focused on supporting women through midlife with care that is whole, practical, and deeply human. You deserve an intimate life that feels good — at every stage. If you are in Canada, our team at Wellness MD in Oakville, Ontario is ready to support you with a personalized whole-person approach. 📅 Book your consultation now: 👉 https://wellnessmdhealth.com 🎁 FREE RESOURCE Free Stress & Resilience Mini Module: 👉 https://wellnessmdhealth.com/stressminimodule 📲 FOLLOW WELLNESS MD YouTube: https://youtube.com/channel/UCZLrMoxNBcqCP3O90nxh6BQ Instagram: https://instagram.com/wellnessmdhealth LinkedIn: https://www.linkedin.com/company/wellnessmdhealth/ Facebook: https://facebook.com/Wellnessmdhealth #LowLibidoMenopause #SexualHealthMenopause #MenopauseIntimacy #Perimenopause #WellnessMD

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