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In this episode, Dr. Brandon and Dr. Morgentaler talk about how sexual changes with age affect both men and women, what’s normal biologically, and the practical, compassionate ways therapy, mindset shifts, and hormone support can help people stay connected and fulfilled.
- 00:24 – Changes are Common: Dr. Brandon and Dr. Morgentaler talk about why sexual changes with age are common, multifaceted, and often misunderstood, and why it’s important to openly discuss the biology behind them.
- 02:22 – Female Changes: They also talk about how women experience changes like decreased lubrication, vaginal atrophy, and reduced sensitivity over time, and why hormones play a major role.
- 03:50 – Male Changes: They talk about the sexual changes men may notice as they age, including erections, sensitivity, and why perceived penile changes are usually about blood flow and physiology, not loss.
- 05:13 – Hormone Therapy: They also talk about how hormone therapy for both women and men can safely relieve many age-related sexual symptoms and improve overall quality of life when appropriately used.
- 10:49 – Strategies and Tools: They close off the talk by sharing practical, therapist-friendly strategies like slowing down, expanding intimacy beyond performance, using tools when helpful, and reminding listeners that fulfilling sex is still very possible with age.
Resources
U.S. Department of Health and Human Services (HHS). (2025, November 10). HHS Advances Women’s Health, Removes Misleading FDA Warnings on Hormone Replacement Therapy. U.S. Food and Drug Administration.
