Clinically, when we look at sexual health in the post-reproductive years, it becomes clear that hormonal change is only part of the picture. Tissue changes, reduced spontaneous desire, and discomfort often reflect a broader shift across biology, mindset, and environment. Effective care isn’t about restoring libido on demand, but supporting the body’s capacity to adapt as these systems change.
In this conversation, we sit down with Kath Berry for a clinical discussion on sexual vitality and menopause through the lens of Chinese medicine.
We explore how changes like vaginal dryness, loss of elasticity, and decreased desire are often interconnected, and why maintaining stimulation and circulation to the tissues—“use it or lose it”—can play a key role in long-term function. We also discuss how desire shifts from spontaneous to responsive, requiring intention, safety, and time rather than expectation.
We also talk about the impact of environment. Stress, poor sleep, alcohol, and life pressures can deprioritise intimacy, making sexual health fall away unless it’s consciously supported. Alongside this, mindset and education help patients understand what’s happening and how to work with it.
Supporting sexual wellbeing during menopause isn’t about pushing the body or chasing a younger state. It’s about working with what’s present, creating the conditions for connection, and helping the system remain functional, responsive, and engaged.
In midlife, low libido is often a signal of overload, not dysfunction. Address sleep, stress and vaginal comfort, as well as educate about responsive desire. And take the lead in creating a safe space for open, honest conversations patients often won’t initiate.
Kath Berry is an Australian-born acupuncturist and women’s health specialist with over 30 years experience. She is the co-author of Menopause: A Comprehensive Guide for Practitioners and through her online platform TreatingWomen.com, she helps clinicians around the world support women through midlife with more clarity, confidence and vitality.
In 2025 she gave a TEDx talk called “Sexercise for Menopause – Taking Matters Into Your Own Hands,” a bold and evidence-based deep dive into the benefits of masturbation for vaginal health. The response was huge and led to her being invited to become Sex Ed. teacher at the International High School in Ibiza, a role she absolutely adores.
She’s passionate about straight-talking honesty on topics that really matter.
Come back to yourself.
Start with the R.A.I.N meditation by Tara Brach
Then unwind with Points of Stillness on Spotify
Ready to go deeper? Explore Menopause & Fertility: Advanced Hormone Health l Expert Level Clinical Training
And for a powerful shift in perspective, watch Kath Berry’s TEDx talk.
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