Pearls & Perspectives: Sexual Health and Intimacy in Midlife, With Karen Bigman, MBA

Welcome back to Pearls and Perspectives!

In this episode of Pearls & Perspectives, host Amy Pearlman, MD, sits down with Karen Bigman, MBA, host of the Taboo to Truth: Life & Sex After 50 podcast, to discuss the sexual health and relationship topics that often go unaddressed in midlife. From menopause and andropause to sexual wellness products and alternative relationship dynamics, Karen’s podcast aims to provide information and open conversations around subjects that many people may be hesitant to discuss with their partners or health care professionals.

The conversation highlights some of the gaps in sexual health education for adults over 50, particularly when it comes to communication between partners and conversations with clinicians. Karen notes that menopause has historically received limited attention in the medical setting, while men may be reluctant to seek care or discuss concerns such as erectile dysfunction, changes in testosterone, or sexual intimacy. Pearlman and Karen also discuss the role of sexual wellness products and how stigma or misconceptions may prevent people from considering these tools as part of their sexual health.

Pearlman and Karen also explore the challenges that can arise when partners experience changes in sexual desire at different stages of life. For couples navigating menopause, low desire, sexual pain, or a long period without intimacy, Karen emphasizes the importance of understanding what each partner may be experiencing and creating opportunities for communication. Ultimately, the discussion underscores the importance of making sexual health and intimacy more approachable topics for both patients and clinicians, particularly as individuals and couples navigate relationships later in life.