Sex Therapy in Midlife
Dr. Kelly Casperson, M.D.
9,373 views
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause.
They explore the complexities of women's sexual health, the impact of hormonal changes, and the importance of communication in relationships. Dr. Boyle shares her journey into understanding perimenopause, the effectiveness of EMDR therapy for trauma, and the cultural pressures women face regarding their bodies and sexuality.
The conversation emphasizes the need for qualified therapists and the significance of creating safe spaces for women to explore their desires and experiences.
Chapters
00:00 Introduction to Healing and Sexual Health
02:43 Understanding EMDR and Trauma Therapy
05:21 Rachel's Journey into Perimenopause and Menopause
08:09 The Impact of Perimenopause on Relationships
10:58 Exploring Women's Sexual Desire and Pleasure
13:43 Navigating Communication in Sexual Relationships
16:21 The Power of Midlife and Changing Perspectives
18:57 Hormonal Changes and Mental Health
22:01 The Role of Sleep in Trauma and Recovery
24:51 Exploring Desire and Openness to Sex
27:51 Consensual Non-Monogamy and Communication
30:38 The Importance of Safety in Sexual Relationships
33:15 Finding a Qualified Sex Therapist
36:01 Debunking Myths about Women's Sexual Health
38:51 Cultural Pressures and Body Image
41:34 The Complexity of Desire and Sexual Satisfaction
44:28 The Role of Erotica in Sexual Exploration
47:06 Final Thoughts on Relationships and Therapy
Takeaways
Low libido can be a message rather than a problem.
Healing trauma doesn't require reliving it, but releasing it.
Perimenopause can last for many years, affecting women's health.
EMDR therapy helps process traumatic memories effectively.
Women often bear the emotional labor in relationships, leading to stress.
Communication about sex is crucial for healthy relationships.
Desire for sex can be influenced by hormonal changes and emotional safety.
Cultural attitudes towards women's bodies impact their sexual health.
Consensual non-monogamy requires clear communication and boundaries.
Therapists should be trained in women's sexual health issues.
https://www.rachelboyle.com/
To my fellow clinicians: listen to this podcast on Pinnacle to earn CME credit for FREE! -- https://learnatpinnacle.com/education
Subscribe: @kellycaspersonmd
Dr. Kelly Casperson is a board-certified urologic surgeon, sex educator, and CEO of The Casperson Clinic, specializing in hormones, sexual health, and midlife wellness. This channel is your go-to resource for science-backed insights on intimacy, desire, and thriving in midlife.
Through expert advice and candid conversations, Dr. Kelly helps women overcome myths about sexual health, demystify hormones, and create fulfilling relationships. Whether you’re navigating menopause, seeking to improve intimacy, or simply want to prioritize your health, this channel offers practical tips to help you live confidently and vibrantly.
If you love the "You Are Not Broken" podcast, don’t forget to like, subscribe, and share it with someone who needs to hear it!
Your support helps more people find this life-changing information — and keeps the conversations we should have been having all along going strong.
🎯 Want more?
Check out courses, clinic info, and all things midlife mastery at kellycaspersonmd.com.
📚 Books by Dr. Kelly Casperson:
Grab You Are Not Broken: Stop Should-ing All Over Your Sex Life at Barnes & Noble, Amazon, or your favorite local bookstore. https://a.co/d/h8SOIrV
And don’t miss Menopause Matters: Science, Hormones, and Mindset for Optimal Longevity — available for pre-order now! Coming September 16, 2025. https://amzn.to/42Y2DrG
Medical Disclaimer:
This content is for informational, educational, and entertainment purposes only. It’s not medical advice and shouldn’t replace talking with your own healthcare team. Always reach out to your doctor or qualified provider with any questions about your health. Use this information at your own risk.
#youarenotbroken #drkellycasperson #hormonetherapy
Let’s Connect...
Website: https://www.kellycaspersonmd.com
Podcast: https://open.spotify.com/show/4iZ4pa5...
IG: Instagram: kellycaspersonmd
FB: Facebook: youarentbroken
Threads: https://www.threads.net/@kellycaspers...
Substack: https://substack.com/@kellycaspersonmd
Subscribe: @kellycaspersonmd
20 Comments
I can't wait to read " Let's Talk About That " please do it ❤
1. What about the women who say they have not and do not suffer any menopause symptoms or have hormone issues? I have a couple of women in my life that do not seem to have to deal with any of this stuff. I find it annoying.
2. Also, what is the purpose of consensual non monogamy? Having one man, my husband, and all of the changes we are both going through, why would anyone want more tgan one partner? I find it strange that women at postmenopausal would want to do this. I wonder what is wrong with me!? 😂🤣
OK one more comment. Cutting up the labia is horrible. I am post menopausal and had prolapse surgery and I have lost a lot of feeling in my vagina and around my labia. It was not a choice because everything was falling out in 2020 but to do it all over willingly, no flipping way. It was a painful recovery and sex is different for me now. Too long of a story to write here.
Sex Therapy in Midlife
Dr. Kelly Casperson, M.D.
9,373 views
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause.
They explore the complexities of women's sexual health, the impact of hormonal changes, and the importance of communication in relationships. Dr. Boyle shares her journey into understanding perimenopause, the effectiveness of EMDR therapy for trauma, and the cultural pressures women face regarding their bodies and sexuality.
The conversation emphasizes the need for qualified therapists and the significance of creating safe spaces for women to explore their desires and experiences.
Chapters
00:00 Introduction to Healing and Sexual Health
02:43 Understanding EMDR and Trauma Therapy
05:21 Rachel's Journey into Perimenopause and Menopause
08:09 The Impact of Perimenopause on Relationships
10:58 Exploring Women's Sexual Desire and Pleasure
13:43 Navigating Communication in Sexual Relationships
16:21 The Power of Midlife and Changing Perspectives
18:57 Hormonal Changes and Mental Health
22:01 The Role of Sleep in Trauma and Recovery
24:51 Exploring Desire and Openness to Sex
27:51 Consensual Non-Monogamy and Communication
30:38 The Importance of Safety in Sexual Relationships
33:15 Finding a Qualified Sex Therapist
36:01 Debunking Myths about Women's Sexual Health
38:51 Cultural Pressures and Body Image
41:34 The Complexity of Desire and Sexual Satisfaction
44:28 The Role of Erotica in Sexual Exploration
47:06 Final Thoughts on Relationships and Therapy
Takeaways
Low libido can be a message rather than a problem.
Healing trauma doesn't require reliving it, but releasing it.
Perimenopause can last for many years, affecting women's health.
EMDR therapy helps process traumatic memories effectively.
Women often bear the emotional labor in relationships, leading to stress.
Communication about sex is crucial for healthy relationships.
Desire for sex can be influenced by hormonal changes and emotional safety.
Cultural attitudes towards women's bodies impact their sexual health.
Consensual non-monogamy requires clear communication and boundaries.
Therapists should be trained in women's sexual health issues.
https://www.rachelboyle.com/
To my fellow clinicians: listen to this podcast on Pinnacle to earn CME credit for FREE! -- https://learnatpinnacle.com/education
Subscribe: @kellycaspersonmd
Dr. Kelly Casperson is a board-certified urologic surgeon, sex educator, and CEO of The Casperson Clinic, specializing in hormones, sexual health, and midlife wellness. This channel is your go-to resource for science-backed insights on intimacy, desire, and thriving in midlife.
Through expert advice and candid conversations, Dr. Kelly helps women overcome myths about sexual health, demystify hormones, and create fulfilling relationships. Whether you’re navigating menopause, seeking to improve intimacy, or simply want to prioritize your health, this channel offers practical tips to help you live confidently and vibrantly.
If you love the "You Are Not Broken" podcast, don’t forget to like, subscribe, and share it with someone who needs to hear it!
Your support helps more people find this life-changing information — and keeps the conversations we should have been having all along going strong.
🎯 Want more?
Check out courses, clinic info, and all things midlife mastery at kellycaspersonmd.com.
📚 Books by Dr. Kelly Casperson:
Grab You Are Not Broken: Stop Should-ing All Over Your Sex Life at Barnes & Noble, Amazon, or your favorite local bookstore. https://a.co/d/h8SOIrV
And don’t miss Menopause Matters: Science, Hormones, and Mindset for Optimal Longevity — available for pre-order now! Coming September 16, 2025. https://amzn.to/42Y2DrG
Medical Disclaimer:
This content is for informational, educational, and entertainment purposes only. It’s not medical advice and shouldn’t replace talking with your own healthcare team. Always reach out to your doctor or qualified provider with any questions about your health. Use this information at your own risk.
#youarenotbroken #drkellycasperson #hormonetherapy
Let’s Connect...
Website: https://www.kellycaspersonmd.com
Podcast: https://open.spotify.com/show/4iZ4pa5...
IG: Instagram: kellycaspersonmd
FB: Facebook: youarentbroken
Threads: https://www.threads.net/@kellycaspers...
Substack: https://substack.com/@kellycaspersonmd
Subscribe: @kellycaspersonmd
Life was meaningless, lonely and dull, actually I'm understating; life had been torture for 2 decades! And I had 0 support from anyone.
I'm in a better place now but my youth is gone. Wish I could have a do-over and take care of myself with testosterone starting in my 30's.