Science-based information to get your libido to kick in and your clitoral nerve endings to wake up
What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort?
Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about.
Existing information about arousal and orgasm generally only addresses psychosocial and relationship aspects. You don’t need to be told to have a glass of wine and plan a date night if your inability to orgasm is due to a biological problem.
Decreased blood flow because of aging, low estrogen, and damage to blood vessels from medical issues such as diabetes, cancer treatments, or vascular disease all sabotage the ability of nerve endings to respond.
If you are one of the millions of women who lost their libido and want to find it, sex hurts like hell, or are wondering if you will ever orgasm again, COME AGAIN is for you
How to Listen to COME AGAIN
COME AGAIN is AD-free, has no sponsors, and is supported by paid subscribers.
Free substack subscribers have access to limited episodes and previews of paid content
Paid subscriptions (monthly or annual) get weekly episodes
All paid Substack subscribers are invited to the monthly Ask Me Anything Webinar series
New episodes will be delivered by e-mail to your inbox, you can listen on this site, or you can copy the RSS feed and listen on APPLE or SPOTIFY.
Monthly and Annual Subscribers to Menopause: The Inside Info
Each weekly episode will be released on Thursday and available for two weeks before it is archived.
Inside Info PLUS Subscribers
Inside Info PLUS subscribers get access to the archive of ALL EPISODES and can listen to any episode on demand. Inside Info PLUS subscribers also get bonus episodes and additional video content.
My goal is to educate you and entertain you while giving you science-based information, solutions, and strategies.
If you haven’t been given a solution, it doesn’t mean there isn’t a solution
Listen to the first 2 episodes
The WHAT, the WHY and the WHO of COME AGAIN Listen to this before you subscribe so you know what you are getting (FREE)
Part One: Sexual Function and Obstacles to Orgasm
Available March 2025
The first 16 episodes are an overview of female sexuality, arousal, and orgasm, what it takes for an orgasm to occur, and what can happen as a consequence of menopause, medical conditions, and aging.
Episodes
The WHAT, the WHY and the WHO of COME AGAIN Listen to this before you subscribe so you know what you are getting (FREE)
SEX Has Many Meanings The Definition of Sex is Not Straightforward with Dr. Rachel Zar
What Could Go Wrong? Unfortunately, a lot.
Is It Menopause or Mid-life? It’s Not Just Your Hormones That Are Sabotaging Your Sex Life
“I’d like to Buy an O please” An overview and historical look at orgasm
A View From My Side of the Stirrups- Making Your Privates Less Private
Requirements to Get the Job Done Estrogen is not on the list
Why Orgasm Tanks in Menopause But estrogen helps
Whose Vulva is This and How Did it Get On My Body? How Dry I Am
When Pain is an Obstacle to Orgasm- Dryness is not the only thing that makes sex hurt
Medical Conditions That Make Your Clitoris Malfunction
How “Hygiene” Can Harm -A Walk down the Fem Hygiene Aisle
Vaginal Orgasms are a Thing- But Not for Everybody
Has Your Hysterectomy Hijacked Your Orgasm?
Faking It -Acting Lessons are Not the Answer
Part Two-Orgasm Solutions-Everyone Come!
Part Two focuses on solutions -both hormonal and non-hormonal to eliminate pain, boost arousal, and wake up your clitoris. I include issues that result from menopause, and also medications, medical problems like diabetes or heart disease, and other specific circumstances.
Episodes
Orgasm SOLUTIONS: My approach
Turning PAIN into PLEASURE-lubes and moisturizers are not the same thing
Prescription Rings, Creams, and Other Things-
When and Why Treatment Fails-a bucket full of estrogen is not always the answer
How HORMONES Help -estrogen, DHEA hey, hey!
Say YES to TESTOSTERONE -but pellets are a problem
Arousal Creams- what works, and what might work
Can CANNABIS Make You Come?
Why VIBRATORS Work So Well-The scientific explanation
Is the Only Thing that Vibrates Your Cell Phone? It’s time to go shopping
Getting Your PARTNER on Board
HYSTERIA! The history of the vibrator
A Personal Trainer for Your PELVIC FLOOR- Meet the Vagicians
Here COMES the PAIN! When orgasm is excruciating
Did Your SSRI or Other MEDICATION Make Your O Go? You have options
These Prescription Options May Be your Answer-waking up your brain
Masturbation and Sensate Focus-
WEIRD Things That Might Happen When You O-Laughing when nothing is funny
Potential Bonus Episodes (Bonus episodes are available to Inside Info PLUS subscribers)
How Masturbation Can Kill You: Of Historical Interest
Ergonomics of Sex Yes, that’s a thing
Peeing on Your Partner: Incontinence and Sex
Cancer and Sex Yes, they do go together
Pain for Pleasure? The O Shot and Other Things People Do to O
Sex After a Long Hiatus It’s never too late
Sex After Heart Attack- How to Make Sure You Come and Don’t Go