# Why Women Feel Completely Different After Menopause | Tanya Leake Page: https://stenobird.com/podcast/sex-advice-for-seniors-podcast-5576148/why-women-feel-completely-different-after-menopause-tanya-leake Text version: https://stenobird.com/podcast/sex-advice-for-seniors-podcast-5576148/why-women-feel-completely-different-after-menopause-tanya-leake.md Podcast: [Sex Advice for Seniors Podcast](https://stenobird.com/podcast/sex-advice-for-seniors-podcast-5576148) Published: 2026-05-13T15:00:00+00:00 Episode link: https://www.sexadviceforseniors.com/p/why-women-feel-completely-different Audio file: https://pscrb.fm/rss/p/prfx.byspotify.com/e/api.substack.com/feed/podcast/197210079/216d0d0c19f888c3bda525ffdde561d3.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/sex-advice-for-seniors-podcast-5576148/episodes/why-women-feel-completely-different-after-menopause-tanya-leake Duration seconds: 1877 ## Resource What I Discussed with Tanya Leake… - What clitoral atrophy is and why many women have never heard of it. - How menopause can affect sensation, arousal and orgasm. - The connection between clitoral health, blood flow and hormonal changes. - What clitoral adhesions are and how they can develop over time. - Whether regular sexual activity can help maintain sexual function during menopause. - The role of vaginal oestrogen, testosterone and other treatment options. - Non-hormonal approaches that may support vaginal and sexual health. - Why many women struggle to get accurate information about menopause-related sexual changes. And much more... Episode Chapters 00:00 Introduction 02:40 What Is Clitoral Atrophy? 05:00 How Menopause Affects Sexual Function 07:40 Blood Flow, Sensation and Pleasure 09:30 Does Sexual Activity Help? 13:20 Treatment Options and Hormonal Support 18:30 Why Women's Sexual Health Is Often Overlooked 22:00 Menopause Care and Healthcare Gaps 26:00 Breast Cancer, Menopause and Sexual Function 28:30 Non-Hormonal Treatments and Emerging Research 32:00 Advocating for Your Sexual Health Episode Description Why does nobody talk about clitoral atrophy? Most women have heard about hot flushes, brain fog and vaginal dryness during menopause. Far fewer know that menopause can also affect the clitoris, potentially impacting sensation, arousal and sexual pleasure. In this episode, I speak with Tanya Leake , menopause mindset and lifestyle coach, about a topic that remains surprisingly absent from many conversations about women's health. Together, we explore what clitoral atrophy is, why it happens, and how hormonal changes can affect sexual function during and after menopause. We discuss the role of blood flow, tissue health and nerve sensitivity, as well as practica… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/sex-advice-for-seniors-podcast-5576148/episodes/why-women-feel-completely-different-after-menopause-tanya-leake/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/sex-advice-for-seniors-podcast-5576148/why-women-feel-completely-different-after-menopause-tanya-leake.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.