# Ep. 90: Sex, Menopause & Desire: Understanding Low Desire, Pleasure & What’s Possible with Dr. Lori Brotto, MD

Page: https://stenobird.com/podcast/the-fit-physician-6748155/ep-90-sex-menopause-desire-understanding-low-desire-pleasure-what-s-possible-with-dr-lori-brotto-md
Text version: https://stenobird.com/podcast/the-fit-physician-6748155/ep-90-sex-menopause-desire-understanding-low-desire-pleasure-what-s-possible-with-dr-lori-brotto-md.md
Podcast: [The Fit Physician](https://stenobird.com/podcast/the-fit-physician-6748155)
Published: 2026-04-27T13:00:00+00:00
Episode link: https://the-fit-physician.captivate.fm/episode/ep-90-sex-menopause-desire-understanding-low-desire-pleasure-whats-possible-with-dr-lori-brotto-md
Audio file: https://episodes.captivate.fm/episode/2701d139-f60a-4b17-9b4a-500fd1f72dda.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-fit-physician-6748155/episodes/ep-90-sex-menopause-desire-understanding-low-desire-pleasure-what-s-possible-with-dr-lori-brotto-md
Duration seconds: 3049

## Resource

For too long, women’s sexual health has been overlooked, misunderstood, or simply not talked about. In this eye-opening conversation, we sit down with world-renowned sexual health researcher Dr. Lori Brotto to unpack the science of desire, what really changes during menopause, and why so many women have been led to believe they’re “broken” when they’re not. We explore spontaneous vs. responsive desire, why low desire is often deeply misunderstood, and how mindfulness may be one of the most powerful and overlooked tools for improving sexual well-being. We also dive into pain with sex, the role of hormones and relationships, and how women (and clinicians) can start having more open, shame-free conversations about sexual health. This is a practical, compassionate, and deeply validating episode that sheds light on a topic that impacts quality of life in profound ways but rarely gets the attention it deserves. -- 💪 Click here to learn more about The Fit Physician Coaching

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## Transcript

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