Hormone therapy helps. But it does not fix everything.

In this episode, I sit down with Dr. Diane Mueller to break down why libido often fades again after the initial HRT boost.

You learn why desire is multi-layered, why lab work often misses real problems, and how blood flow, thyroid health, nervous system overload, pelvic floor function, and relationship dynamics all shape your sex drive.

We also talk about erotic repair, redefining sex, rebuilding safety, and why pleasure is a health practice, not a luxury.

If you feel frustrated, broken, or confused about why hormones did not solve your libido, this episode gives you clarity and next steps.

Timestamps:

0:00 Celebrating 150 episodes and why none of us are broken

1:22 What Taboo To Truth is really about

2:30 Why HRT feels great. Then libido disappears

5:05 Chronic problems need more than one fix

8:10 Why standard labs miss real issues

11:05 Thyroid testing mistakes and energy loss

13:30 Blood flow inflammation and nervous system disruption

16:10 Pelvic floor myths women and men get wrong

18:40 Blood sugar and numbness in arousal

20:20 Desire mismatch and getting back on the same team

22:55 Erotic repair and redefining what sex means

25:40 Presence pleasure and why women dissociate

28:10 Orgasms stress regulation and vibrators

30:30 Libido as a health warning and where to start

Want a deeper look? Watch the full episode on YouTube for a more visual experience of today’s discussion. This episode is best enjoyed on video—don’t miss out!

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.

This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.

Looking for some fresh perspective on sex in midlife? You can find me here:

Email: karen@taboototruth.com

Website: https://www.taboototruth.com/

Instagram: https://www.instagram.com/taboototruth

YouTube: https://www.youtube.com/@taboototruthpodcast

About the Guest:

Dr. Diane Mueller, ND, DAOM, Board-Certified Sexologist (American Board of Sexology), is your go-to libido expert who’s been through the trenches herself. With dual doctorates in Naturopathic Medicine and Acupuncture & Oriental Medicine, she founded MyLibidoDoc.com and hosts The Libido Lounge podcast to help women rediscover their pleasure and feel alive again.

Connect with Dr. Diane Mueller:

Website: https://mylibidodoc.com

Instagram: