Orgasm After Menopause: Vibrators, Testosterone & Solutions with Dr. Lauren Streicher (Pt. 2)

unPAUSED with Dr. Mary Claire Haver

Mary Claire Media, LLC

Medicine, Health & Fitness, Society & Culture

4.8 • 1.2K Ratings

🗓️ 18 December 2025

⏱️ 42 minutes

🔗️ Recording | iTunes | RSS

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Summary

In our last episode of unPAUSED, we began a conversation with Dr. Lauren Streicher about orgasm, sexual function, and why these topics are still so taboo. Because there was so much to talk about, we decided to make this a two part episode. So today, Dr. Mary Claire Haver continues this conversation. Dr. Streicher is a professor of Obstetrics and Gynecology at Northwestern University Feinberg School of Medicine, the host of Dr. Streicher's Inside Information Podcast, and the creator of Come Again, a 30 episode audio series on sexuality and sexual function. She's been at the forefront of sexual medicine for decades, pushing conversations forward that most clinicians still avoid. In this episode, we're diving into why vibrators work when nothing else does and what the research shows about vibration versus other types of stimulation. Dr. Streicher explains non-hormonal arousal creams, CBD oil for the clitoris, and whether these products actually help. We discuss the role of neurotransmitters in orgasm and walk through the FDA-approved libido drugs Addyi and Vyleesi, including why testosterone is often the preferred option for women and why pellets are problematic. Dr. Streicher breaks down the orgasm gap between men and women and explains why it actually narrows with age. She walks us through her clinical approach when a patient comes in struggling with orgasm, why pain must always be addressed first, and how to find a sexual medicine expert. We also talk about what gives her hope for the future of this field and why not every woman needs to have an orgasm for sex to be pleasurable and successful. Guest links: Dr. Streicher Dr. Streicher (Instagram) Dr. Streicher’s Inside Information: Menopause, Midlife, and More (Apple Podcasts) Lauren Streicher - Faculty Profile (Northwestern Medicine) Dr. Streicher (YouTube) Subscribe to COME AGAIN: Sexuality and Orgasm DrStreicher.com/comeagain Use code UNPAUSED20 for 20% off (This code expires Dec 23) Dr. Streicher's Podcast Dr. Streicher’s Inside Information: Menopause, Midlife and More DrStreicher’s Substack https://drstreicher.substack.com/ Gyne Hacks! (Including how to How to Get a Hands-free Free Vulvar View) Books: “Slip Sliding Away: Turning Back the Clock on Your Vagina,” by Dr. Lauren Streicher “Hot Flash Hell-A Gynecologist's Guide to Turning Down the Heat (Dr. Streicher's Inside Information),” by Dr. Lauren Streicher “The Essential Guide to Hysterectomy: Advice from a Gynecologist on Your Choices Before, During, and After Surgery,” by Dr. Lauren Streicher “Sex Rx: Hormones, Health, and Your Best Sex Ever,” by Dr. Lauren Streicher “She Comes First: The Thinking Man's Guide to Pleasuring a Woman,” by Dr. Ian Kerner“The New Perimenopause,” by Dr. Mary Claire Haver ⁠"The New Menopause"⁠ by Dr. Mary Claire Haver For full show notes, please click here. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Transcript

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0:00.0	Yeah, sex ed, we know is all about how not to get pregnant or get an STI.
0:03.9	It has something to do with pleasure.
0:05.4	But the guys are not taught that.
0:06.9	The guys are taught you should have pleasure.
0:08.2	So this part of the problem is that there isn't the expectation.
0:12.1	So are they upset?
0:13.3	I think the ones that expect pleasure are the ones who know how to have pleasure.
0:17.5	So older women, different story.
0:20.2	So we have an older patient who comes into your
0:22.5	clinic and she says, I am struggling with orgasm. I used to have them. They're great and I still
0:29.2	want them. What's your first step? Walk me through. The first step is unless you're running a
0:33.4	sexual medicine clinic, the likelihood of that happening is about zero. Let's be honest,
0:38.0	how many of patients, when you were doing general OBGYN, walked in your door and said,
0:42.0	hey, Dr. Haver, I can't have an orgasm. Will you help me?
0:53.9	The views and opinions expressed on unpaused are those of the talent and guests alone and are provided for informational and entertainment purposes only.
1:02.5	No part of this podcast or any related materials are intended to be a substitute for professional medical advice, diagnosis, or treatment.
1:13.9	Welcome back to Unpaused. I'm Dr. Mary Claire Haver. In our last episode, Dr. Lauren Streaker and I started an in-depth conversation about
1:20.2	orgasm, sexual function, and why these topics are still so difficult to talk about, even in
1:26.4	doctor's offices. There was so much ground
1:29.3	to cover on this topic that we decided to split this conversation into a two-part episode. So
1:34.6	today, we're picking up right where we left off. If you're just joining us, let me tell you about
1:40.8	Dr. Stryker. She's a professor of obstetrics and gynecology at Northwestern
	...

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