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:

You were probably taught to fear masturbation. I see this every day in my work with men and women. The problem is not self pleasure. The problem is guilt, misinformation, and nervous system disconnection. In this episode, I break down the biggest masturbation myths and explain what actually supports sexual health, erections, confidence, and pleasure after 50. I talk about porn use, erectile dysfunction, testosterone fears, technique, frequency, and shame. I also explain why orgasms act like pelvic floor training and why mindful self pleasure strengthens partner sex instead of replacing it. This is a no shame conversation about choice, awareness, and reclaiming pleasure as part of wellness.

In this episode:

0:00 You were lied to about masturbation

0:28 What masturbation is really linked to

1:10 Why people feel guilt and anxiety around self pleasure

1:55 Orgasms and pelvic floor health

2:35 Why masturbation supports sexual function

3:05 Myth one porn is the problem

3:55 Myth two masturbation causes erectile dysfunction

4:40 Myth three guilt is harmless

5:15 Myth four technique does not matter

5:55 Myth five masturbating too much

6:25 Testosterone fears and final reframing of pleasure

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!

Mindful Masturbation For Men: Last Longer, Feel More, Perform Better with Kevin Anthony | Ep. 129 https://youtu.be/abRZQbLYaJ0

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

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:

In this episode, I sit down with Jim Benson to break down what multi orgasmic pleasure really means for men and why most men never learn it. Jim explains the difference between ejaculation and orgasm, why pleasure does not need to end with climax, and how presence, relaxation, breath, and body awareness change everything. They explore how men learn these skills over time, why partners play a powerful role in success, and how aging does not signal the end of sexual growth. This episode reframes male pleasure as something expansive, learnable, and deeply connected to emotional safety and presence.

In This Episode:

00:00 Why men believe orgasm equals ejaculation

02:10 What multi orgasmic pleasure really means

04:05 Why relaxation creates more sensation

06:20 Breath and body awareness explained

08:30 Orgasms without erection or ejaculation

10:40 How partners support the learning process

13:00 Practicing alone versus with a partner

15:10 How long it takes to feel real change

17:25 Aging, presence, and deeper pleasure

19:40 Why sexual growth does not end with age

21:10 Final thoughts and resources

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:

Jim Benson has dedicated his life to helping men of all ages and backgrounds love themselves more fully.

For the past 20 years, he has been coaching guys to “breakthroughs in the bedroom.” His Awakened Masculine program blends best practices across disciplines to create a powerful transformative environment for men to experience more personal pleasure and relationship satisfaction.

Connect with Jim Benson:

Website: https://awakenedmasculine.com/

Use code KBIG50 to save $50 off The Multi-Orgasmic Lover course

https://awakenedmasculine.com/program/

Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life,