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Heads and Tails

Episode 19: Dr. Kelly Casperson: Sex, Menopause and Desire

March 13, 2026·50 min
Episode Description from the Publisher

Desire mismatch in midlife is common — and it does not mean your relationship is broken. In this episode, Dr. Kate White and Jay White sit down with sexual medicine expert Dr. Kelly Casperson of the You Are Not Broken podcast to talk about why differing levels of desire show up so often in long-term relationships, especially in midlife. What you'll take away from this conversation You'll come away with a more compassionate and realistic understanding of sex in long-term relationships: that good sex is not automatic, that intimacy often requires intention, and that midlife is not the end of desire — it's often the beginning of a different, more informed, more connected version of it.   Questions answered in this episode: • Why don't I want sex the way I used to? • Is responsive desire normal? • What helps couples when desire doesn't match? • Why does sex sometimes feel harder in midlife? • What kinds of stimulation work better for women in perimenopause and menopause? Mentioned in this episode: • Dr. Kelly Casperson's podcast: You Are Not Broken • Books: You Are Not Broken and The Menopause Moment • The Explorer Vibrator from Elixir Play • Discount code: NOTBROKEN20 • Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life — Justin J. Lehmiller • Magnificent Sex: Lessons from Extraordinary Lovers — Peggy J. Kleinplatz and A. Ménard • Dr Laurie Mintz — Becoming Cliterate and  A Tired Woman's Guide to Passionate Sex  Subscribe, like, and share with someone who needs this conversation.

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