DiscoverHealth Trip Podcast | Jill Foos WellnessWhen Midlife Sex Changes: Tools for Navigating Pain and Pleasure - #128
When Midlife Sex Changes: Tools for Navigating Pain and Pleasure - #128

When Midlife Sex Changes: Tools for Navigating Pain and Pleasure - #128

Update: 2025-11-27
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Many women notice real shifts in desire, arousal, and physical comfort during the menopause transition. Yet most of us were never taught how to talk about these changes, or how to support our sexual health as part of overall midlife wellness. Sexual pleasure is a key marker of health. It’s linked to hormones, cardiovascular function, sleep quality, mental health, and even long-term longevity.

Because of stigma and a lack of open conversation, too many women quietly accept pain, low desire, or the belief that sexuality fades after midlife. It doesn’t. Menopause changes sex, but it doesn’t end it.

In this episode, we break down what really happens to the body during midlife, how pleasure evolves, and practical ways to rebuild a healthy, satisfying sex life on your own terms. As I often say, every woman has her own unique health equation, and that includes sexual pleasure. There is no single path that works for everyone.

My guest today is Dr. Rachel Zar, a Licensed Marriage and Family Therapist and AASECT-Certified Sex Therapist. She holds a Master of Science in Marriage and Family Therapy from The Family Institute at Northwestern University, a PhD in Clinical Sexology from Modern Sex Therapy Institutes, and advanced certificates in sex therapy and sexuality education from the University of Michigan. Dr. Zar is the Clinical Director at Avid Intimacy, a sex and relationship therapy practice specializing in evidence-based support for individuals and couples.

Medical Disclaimer:

By listening to this podcast, you agree not to use this podcast as medical advice or to make lifestyle changes to treat any medical condition in yourself or others. Always consult your own physician for any medical concerns. This disclaimer also applies to any guests featured on the podcast.

Find Dr. Zar:

Website: https://www.rachelzartherapy.com/

IG: @rachelzartherapy

FB: @rachelzartherapy

Stay connected to JFW:

Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videos

Follow me on Instagram: https://www.instagram.com/jillfooswellness/

Follow me on Facebook: https://www.facebook.com/jillfooswellness

Grab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-products

Enjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:

https://us.fullscript.com/welcome/jillfooswellness

Subscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Create Your Menopause Health Equation Ebook.

Schedule your complimentary 30-minute Zoom consultation here:

https://calendly.com/jillfooswellness/30-minute-zoom-consultations

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When Midlife Sex Changes: Tools for Navigating Pain and Pleasure - #128

When Midlife Sex Changes: Tools for Navigating Pain and Pleasure - #128

Jill Foos