343. Sex Therapy in Midlife

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.8 • 1.1K Ratings

🗓️ 9 November 2025

⏱️ 56 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause. They explore the complexities of women's sexual health, the impact of hormonal changes, and the importance of communication in relationships. Dr. Boyle shares her journey into understanding perimenopause, the effectiveness of EMDR therapy for trauma, and the cultural pressures women face regarding their bodies and sexuality. The conversation emphasizes the need for qualified therapists and the significance of creating safe spaces for women to explore their desires and experiences. Takeaways Low libido can be a message rather than a problem. Healing trauma doesn't require reliving it, but releasing it. Perimenopause can last for many years, affecting women's health. EMDR therapy helps process traumatic memories effectively. Women often bear the emotional labor in relationships, leading to stress. Communication about sex is crucial for healthy relationships. Desire for sex can be influenced by hormonal changes and emotional safety. Cultural attitudes towards women's bodies impact their sexual health. Consensual non-monogamy requires clear communication and boundaries. Therapists should be trained in women's sexual health issues. https://www.rachelboyle.com/ To my fellow clinicians: listen to this podcast on ⁠⁠⁠Pinnacle for FREE to earn CME credit⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0	Welcome to the You Are Not Broken Podcast. I'm your host, Dr. Kelly Casperson, a board-certified
0:09.8	jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.
0:16.8	Enjoy the show. Hey everybody, welcome to the You're Not Broken podcast. What if your low libido isn't a problem, but rather a message?
0:23.9	What if healing trauma doesn't mean reliving it, but finally releasing it?
0:27.8	And what if sex in midlife could be better, not over?
0:31.3	And what about if therapy wasn't about fixing you, but about finding you?
0:35.4	So today I have an amazing sex therapist who is an expert in the
0:39.2	not so small niche of perimenopause and menopause, Dr. Rachel Boyle. Thank you for coming.
0:45.2	Dude, for the people who are seeing this and not just listening on the podcast, I have to describe,
0:48.9	we just pulled up to like interview and we're both wearing striped collared shirts and it's
0:53.8	hilarious. Yeah, we and it's hilarious.
0:55.7	Yeah, we did it.
0:56.6	Welcome.
0:58.0	I said you're a doctor.
0:59.0	Am I wrong?
0:59.5	I don't know.
1:00.0	Correct me.
1:00.5	What have you done?
1:01.5	What should I call you?
1:02.5	Okay, so you just call me Rachel.
1:04.5	So I have a master's degree in marriage and family therapy.
1:07.6	So that doesn't equal PhD.
	...

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