Episode Details

This week on the podcast, we're talking about something that so many women quietly experience but that very few of us actually talk about...

Sex... Perimenopause...Libido... Desire...Orgasms... How our attraction changes as our hormonal levels shift. It's a big topic and one to listen to in a safe space away from small ears!

So many women notice changes in their libido, attraction, intimacy or sexual confidence during perimenopause and menopause. For late-diagnosed neurodivergent women, these understanding shifts can feel even more confusing as hormones, attention, the nervous system and relationships all intersect.

In this episode of the ADHD Women’s Wellbeing Podcast, Kate is joined by Dr Angela Wright, a trauma-trained clinical sexologist, sex medicine practitioner and menopause clinician with a specialist interest in the overlaps between trauma, ADHD, PMDD and menopause.

Together we explore the often unspoken intersection between hormones, menopause, libido and sexual wellbeing, particularly for neurodivergent women. Many women notice shifts in their bodies, desire, or relationships during perimenopause and menopause, yet these changes are rarely explained in a way that helps them understand what’s really happening.

This conversation opens up space to talk honestly about the changes women may experience during this stage of life, and how understanding the relationship between hormones, the nervous system and ADHD can help make sense of shifts in intimacy, attraction and connection.

In this episode, we explore:

1. How hormonal changes during perimenopause can impact libido and sexual desire
2. Why techniques or dynamics that once worked sexually may change as hormones shift
3. The connection between ADHD, novelty and desire in long-term relationships
4. How hormones, the nervous system and attention interact to shape sexual experience
5. Why some people experience a loss of interest in sex during midlife
6. How orgasms can support relaxation, tension release and hormone regulation
7. The importance of communication in relationships, including using “I” statements to express needs
8. How treatments such as vaginal oestrogen and hormonal support can help during perimenopause
9. The impact of progesterone and testosterone

This episode offers reassurance, insight, and practical language for women navigating changes in their bodies and relationships, helping to reduce the confusion and isolation that can accompany these experiences.

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