Menopause: The Inside Info
COME AGAIN: Post Menopause Sexuality and Orgasm
Episode 4: What Could Go Wrong?
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Episode 4: What Could Go Wrong?

A sexual problem and a sexual dysfunction are not the same thing
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The four categories of problems include loss of libido, pain with sex, inability to become aroused, and difficulty with orgasm.

But having a sexual problem and having a sexual dysfunction are not the same thing.

This episode explains:

  • The difference between sexual problems and sexual dysfunction

  • The four types of female sexual dysfunction and how common each is

  • Factors that determine the likelihood that someone is having sex

  • Factors that impact libido

  • Why sexual problems are so common as women age.

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  • COME AGAIN is science-based information to get your libido to kick in and your clitoral nerve endings to wake up while also being wildly entertaining

  • COME AGAIN: Sexuality and Orgasm is a limited podcast series

  • COME AGAIN is intended for both healthcare professionals and the general public.

  • COME AGAIN requires a paid subscription to DrStreicher’s Substack.

EPISODES

Part One- Sexual Function and Obstacles to Orgasm

The WHAT, the WHY and the WHO of COME AGAIN Listen to this before you subscribe so you know what you are getting (FREE)
Are YOU Having Good Sex? A visit with Dr. Ruth (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-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, medications, medical problems like diabetes or heart disease, and other specific circumstances.

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

For more information on Dr. Streicher and the COME AGAIN podcast

About Menopause: The Inside Information

Inside Information-Menopause, Midlife, and More Podcast

Glossary of Medical Terminology

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

Bio and CV

Rachel Zar PhD, LMFT, CST, holds a doctorate in clinical sexology, a Master of Science in Marriage and Family Therapy from Northwestern University, and certificates in sex therapy and sexuality education from the University of Michigan and is an AASECT-certified sex therapist. Her clinical interests and areas of expertise include painful sex, difficulty or inability to orgasm, and low or diminished libido. She is trauma-trained and informed.

For more information: https://www.rachelzartherapy.com/

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