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Natassia Miller's avatar

Hi everyone, this post took on a life of its own and there are a few points to clarify in the comments, so I'm pinning it here.

This post is a response to an anonymous question I received. It’s also a common one I get from married men.

My response is a stepping stone, meaning I bring up a few foundational pieces of advice to get started. It's not all-encompassing advice, nor should it be. That is where my 1:1 work comes in, and if during my health intake or during any sessions anything medical arises, I will refer clients to the appropriate medical practitioner.

Which is where the subject of hormones comes in.

Sometimes, hormones can be a factor, of course. However, research testing 6 hormonal factors (including testosterone) to understand how it impacts women with low desire demonstrated that none of them was significantly predictive of low desire (Brotto et al, 2011).

Rather, they found the significant predictors to be "developmental history, psychiatric history and psychosexual history".

The cultural narrative strongly sways to hormones because it's easier to think it has to do with that (and thus taking medication), rather than with life factors, like relationship satisfaction, stress, burnout, trauma and other emotional factors (which are frankly harder to resolve).

So unless there is a medical issue, your hormones aren't the problem. The context in which you experience sex is. And changing the context is critical. Here in this article, I share a few initial steps to take in that direction.

All of my clients are perimenopausal and menopausal. I am a big fan of HRT if you are eligible for it.

I have also found in my work that sexual education, communication, exploration, permission and conflict resolution have been transformational, despite hormonal imbalances.

Lastly, I want to say that of course it is natural for you to go through periods where sex is on the back burner because of certain life circumstances. My advice is for those who want to find their way back to each other. Thank you.

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Alma's avatar

This whole essay missed the part about differences in hormones. Both in men and women but also in females during different stages of life. There are times in woman's life when sex is just meh and that is perfectly fine. It's supposed to be like that. No amount of discovering your sexuality or sharing chores will change it.

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