Sex and desire can change in midlife in ways that feel sudden, personal, and isolating. We wanted to pull this topic out of the shadows and put real language around what is actually happening in your body, your brain, and your life. Our guest, Dr. Sarah Berg, is a board-certified OBGYN and certified menopause practitioner known for a direct, honest approach, and she helps us replace shame with clarity.

We dig into why menopause libido changes are rarely “just hormones.” Dr. Berg breaks down the biology that can make sex uncomfortable including vaginal dryness, tissue changes, pH shifts, and urinary symptoms that raise UTI risk or create fear of leakage. We define genitourinary syndrome of menopause (GSM) in plain terms, explain why it affects the vulva, vagina, urethra, and bladder, and talk through how painful sex can create a lasting pain-tension cycle that takes time to unwind. You will also hear why pelvic floor physical therapy can be a game changer for both function and pleasure, and what to expect if you book an evaluation.

We also get practical about treatment options and expectations. Dr. Berg explains where vaginal estrogen fits, why it is different from systemic hormone therapy, and why it matters for comfort and UTI prevention. We cover testosterone as a possible tool for carefully selected cases, plus the real first step many women skip: bringing it up with your clinician and asking for time to address sexual health properly. If you are carrying the mental load, running on no sleep, or caring for everyone but yourself, we talk about that too because desire does not thrive in survival mode.

Dr. Sarah Berg is a board-certified OB-GYN and Certified Menopause Practitioner who spent over a decade caring for women across all life stages. After seeing too many women feel dismissed or confused in midlife, she made it her mission to change that through education.

She is the founder of Selfority, a science-based women’s health education platform designed to make menopause information accessible, engaging, and empowering. Dr. Berg writes for Katie Couric Media, Parents.com, and Unbiased Science, and is a national speaker known for her honest, direct, and slightly “spicy” approach to women’s health.

Her work helps women better understand their bodies, advocate for their care, and feel confident navigating the menopause transition.

Website: https://www.selfority.com/

Let’s Talk Menopause Menoposium/ Boston: https://www.eventbrite.com/e/lets-talk-menopause-live-boston-ma-tickets

www.letstalkmenopause.org

MiDOViA LINKS:

Website: https://www.midovia.com/
Instagram: https://www.instagram.com/mymidovia
LinkedIn: http://www.linkedin.com/midovia
Email Us: info@midovia.com

MiDOViA is dedicated to changing the narrative about menopause by educating, raising awareness & supporting women in this stage of life, both at home and in the workplace. Visit midovia.com to learn more.

The information, including but not limited to, text, graphics, images & other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment.

Menopause can feel like you woke up in a different brain, but what if the real story is that your brain has always worked this way and hormones are simply turning up the volume? We sit down with leadership coach and R.E.A.L Women founder Chellie Adler to talk about the often-missed link between perimenopause, menopause, and neurodivergence, especially ADHD in women and autism in women who were never identified in childhood.

We dig into what happens when estrogen shifts disrupt dopamine regulation and executive functioning, why your carefully built “scaffolding” of coping tools can suddenly collapse, and how that can show up as distractibility, emotional reactivity, sensory overload, and the infamous string of “side quests” that derails the day. Chellie also explains why many women finally recognize the pattern when their kids get evaluated, and how to think about screening tools like the Adult ADHD Self-Report Scale (ASRS) as a starting point rather than a diagnosis.

From there, we zoom out to the workplace: masking fatigue, burnout, and why so many experienced midlife women leave roles they’re actually great at. We talk practical supports for individuals (qualified evaluation, therapy with ADHD/autism training, medication options, executive function support, and how hormone therapy may help some women) and concrete accommodations employers can make, from lighting and temperature to benefits and culture.

If this conversation hits home, share it with a friend, subscribe for more, and leave a review so more women can find the support and language they’ve been missing. What’s one change that would make your workday easier right now?

Chellie is a Licensed Professional Counselor (LPC) who specializes in supporting women navigating ADHD and AuDHD, particularly those who have spent years feeling overlooked or misunderstood while appearing “fine” on the outside. Her work focuses on helping women better understand their brains through a neurodivergent-affirming lens so they feel validated, empowered, and supported.

At Everlasting Wellness LLC, Chellie provides ADHD assessments and therapy using a trauma-informed, client-centered approach. She integrates cognitive behavioral therapy, executive functioning skill-building, and practical strategies to help clients manage anxiety, burnout, perfectionism, and major life transitions.

Earlier in her career, Chellie worked across multiple areas of human services in New York, including at-risk youth, geriatric mental health, community colleges, and DOJ/OMH collaborations. Today, she is especially passionate about helping high-achieving individuals who carry significant responsibilities yet feel stretched thin find clarity, resilience, and sustainable ways to thrive.

Website: https://www.kristinswansonconsulting.com/

MiDOViA LINKS:

Website: https://www.midovia.com/
Instagram: https://www.instagram.com/mymidovia
LinkedIn: http://www.linkedin.com/midovia
Email Us: info@midovia.com

MiDOViA is dedicated to changing the narrative about menopause by educating, raising awareness & supporting women in this stage of life, both at home and in the workplace. Visit midovia.com to learn more.

The information, including but not limited to, text, graphics, images & other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment.

Silence around menopause helps no one—especially when cancer or surgery fast‑forwards the transition. We sit down with mindset and executive coach Kristin Swanson, a breast cancer survivor who navigated surgical menopause, to explore how data, values, and intuition can coexist when the path ahead is anything but clear. Kristin walks us through the moment she chose a double mastectomy, the journaling prompt that cut through fear, and the relief of hearing a surgeon say her choice aligned with what the pathology later proved.

From there, we open up the realities of surgical menopause: the symptoms no one warned about, the lonely middle ground for survivors who can’t use standard HRT, and the practical ways to build a care team that actually fits your life. Kristin shares how she balanced oncology with functional medicine, therapy, and coaching; why “speaking the words” changes your energy; and how to move forward with one small, safe, doable step—sleep first, then stack other habits. We also talk about reducing overwhelm, reframing the inner critic, and using community in unexpected places to find answers faster.

Throughout, a simple idea threads everything together: trust yourself. Not as a substitute for evidence, but as the compass that helps you weigh tradeoffs, ask better questions, and decide what kind of story you want to live. If you’ve felt dismissed, stuck, or scared to switch doctors, this conversation gives you language, tools, and permission to advocate for what you need. Subscribe, share with a friend who needs it, and leave a review with the one step you’re taking next—we’d love to hear how you’re turning a whisper into action.

Kristin Swanson helps female founders finish the Soul Led Projects they are afraid to say out loud. As a coach for entrepreneurs and a former executive, she blends practical strategies with mindset work to overcome resistance and follow through - consistently. As a breast cancer survivor, Kristin learned the importance of getting out of her own way and stop the habit of waiting until "someday" to make a unique impact. Realizing deeply that "you only live once," she gained the perspective needed to see through the illusions fear creates. She coaches founders to overcome overwhelm and inner hesitation to finish those soul-led goals.

Website: https://www.kristinswansonconsulting.com/

MiDOViA LINKS:

Website: https://www.midovia.com/
Instagram: https://www.instagram.com/mymidovia
LinkedIn: http://www.linkedin.com/midovia
Email Us: info@midovia.com

MiDOViA is dedicated to changing the narrative about menopause by educating, raising awareness & supporting women in this stage of life, both at home and in the workplace. Visit midovia.com to learn more.

The information, including but not limited to, text, graphics, images & other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment.