Let’s Talk About Sex: Hormones, Intimacy, and Owning Your Health | Shieva Ghofrany, MD

As a Woman

Natalie Crawford

Health & Fitness, Medicine

4.8 • 1.1K Ratings

🗓️ 1 July 2025

⏱️ 43 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dr. Natalie Crawford and Dr. Sheiva Ghofrany dive into the often-unspoken world of women's sexual health. From hormonal changes to relationship dynamics, this episode breaks down the science and stigma surrounding libido, offering candid insights and empowering advice for women at every life stage. Key Topics: 1. Hormones and Sex Drive - The role of testosterone, estrogen, and cortisol - How hormonal changes impact intimacy 2. Perimenopause and Sexual Health - Recognizing hormonal transitions - Managing libido changes 3. Medical Insights - Contraception and sexual side effects - Vaginal health and non-hormonal options 4. Empowerment and Self-Care - Breaking down shame and stigma - Loving your body through different life stages Follow Dr. Shieva Ghofrany on Instagram ⁠@drshievag⁠ Check out her website to learn more about Dr. Shieva Ghofrany and her practice. h⁠ttps://www.drshievag.com/⁠ Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content and freebies. If you haven’t already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out Natalie’s YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode! This episode is brought to you by The Pinnacle Podcast Network! Learn more about Pinnacle at learnatpinnacle.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	These hormone changes are actually a huge part of why our sex drive is decreasing too.
0:04.8	Right?
0:05.4	Many women don't realize this that you and I probably learned later in life.
0:08.7	I didn't learn this in residency that we have more testosterone than estrogen in our body.
0:13.3	And you need all of those to affect your libido.
0:15.4	It's a losing game because, again, our hormones are constantly in flux.
0:18.5	It would be painful to have sex and it's nature's way of
0:20.9	stopping you from wanting to have sex. So it's natural and normal. And that's just one of many
0:24.8	touch points in our lives as women where we feel bad or insecure or broken or responsible for sex
0:30.2	and how we're doing it wrong. Welcome back to the As a Woman podcast. I'm Dr. Natalie Crawford
0:36.7	and today we are going all the way there.
0:39.0	Because the truth is that most women are never taught how their hormones affect their sex drive, their relationships, or their connection to their own bodies.
0:46.3	Joining me as someone who doesn't shy away from the real talk, Dr. Shiva Gafrani.
0:51.0	She's a board-certified OBGYN cancer survivor and fierce advocate for women
0:55.5	learning to embrace the chaos of their health with curiosity and not shame. In this episode,
1:00.5	we're going to talk about what's really going on when your sex drive disappears,
1:04.6	how hormones like estrogen, testosterone, and cortisol shape intimacy, and why open
1:09.3	conversations about pleasure, pain, and desire are long overdue.
1:13.3	Whether you're navigating TTC, perimenopause, or just feel disconnected from your libido,
1:18.3	this is a safe space to get informed, feel seen, and take back the narrative.
1:22.7	So let's talk about sex.
1:24.5	Welcome.
	...

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