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SHE MD

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NEW Episode 170 · Season 1 Oct 13, 2026 · 1 hr 4 min

Naomi Watts on Menopause, Desire & Having Better Sex

Naomi Watts joins SheMD alongside renowned sexual arousal researcher Dr. Cindy Meston for a candid conversation about sex, desire and what happens to women’s bodies during perimenopause and menopause.Naomi shares her experience learning in her 30s that she was likely entering early menopause, the shame and isolation she initially felt and how opening up about her changing body ultimately transformed her relationship with intimacy.Dr. Meston explains why female sexual desire may work differently than many women have been taught, including why arousal can sometimes come before desire. She also breaks down the physical and psychological factors that can affect sex, from hormones, blood flow and vaginal changes to stress, sleep, body image and relationships.Dr. Thaïs Aliabadi discusses treatment options for women experiencing painful sex, vaginal dryness and changes in libido, including vaginal moisturizers, lubricants, vaginal estrogen and testosterone.Plus, Naomi explains why she believes menopause can be an empowering new chapter rather than the end of pleasure, intimacy or good sex.SponsorsSarah Pharmaceuticals / The PreTRM Test: Learn more about the PreTRM test at pre-term.com and talk with your healthcare provider about whether it may be appropriate for you.Momentous: Try Momentous Signature Spec Creatine at livemomentous.com and use code GMD or CMD POD for up to 35% off your first order.David Protein: Buy four cartons and get the fifth free at davidprotein.com/cmd.Talkiatry: Visit talkiatry.com/cmd to complete a short assessment and get matched with an in-network psychiatrist.What You’ll LearnWhy Naomi Watts' personal experience with early menopause inspired her to help change the conversation around women's health.The lesser-known symptoms of perimenopause and menopause, including brain fog, sleep disruption, dry eyes, vaginal dryness, and painful sex.How hormonal changes can affect vaginal health, lubrication, and urinary symptoms.Why sexual arousal can precede desire for many women, particularly during perimenopause and menopause.How stress, exercise, relationship dynamics, and negative thoughts can influence sexual arousal and intimacy.What treatment options are available for vaginal dryness and painful sex, including moisturizers, lubricants, vaginal estrogen, and other therapies.Why open communication with your partner and a knowledgeable healthcare provider is essential to navigating changes in sexual health.How Naomi's experiences and conversations with women inspired Stripes' sexual wellness products.Why menopause can be a new chapter of confidence, self-advocacy, and sexual fulfillment rather than the end of a satisfying sex life.Key Timestamps00:00 Naomi Watts on why good sex doesn't have an age limit04:51 The overlooked symptoms of perimenopause and menopause07:32 Vaginal dryness, painful sex, and recurring UTIs12:32 How arousal, body image, and negative thoughts affect intimacy18:55 Naomi's experience navigating menopause in a new relationship22:08 The science of arousal, exercise, and blood flow31:42 Vaginal estrogen and long-term vaginal health40:31 How stress, sleep, and relationship dynamics affect desire42:00 Why women should never feel they have to tolerate painful sex45:24 The connection between psychological arousal, physical response, and communication51:16 Testosterone therapy and the Mona Lisa laser56:38 Naomi's menopause tips, favorite Stripes products, and rapid-fire questions58:05 The language around menopause that needs to change1:00:38 Dr. Meston's advice for women navigating menopause1:02:29 Reframing menopause as an empowering new chapterKey TakeawaysMenopause affects more than hot flashes. Hormonal changes can influence sleep, mood, cognition, skin, eyes, vaginal health, and sexual comfort, sometimes years before menopause itself.Female desire and arousal don't always follow a linear pattern. For many women, particularly as they age, arousal can come before desire. Understanding this can help

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