03 Nov 2025
1h 52m

#371 – Women's sexual health: desire, arousal, and orgasms, navigating perimenopause, and enhancing satisfaction | Sally Greenwald, M.D., M.P.H.

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The Peter Attia Drive

In this episode of The Drive, Peter Attia interviews Dr. Sally Greenwald, an OBGYN specializing in women's sexual health, about the importance of sexual health as a core component of overall health and life quality for both men and women. They discuss a practical framework for understanding desire, anatomy for sexual function, orgasm realities and myths, vaginal tissue health, pain with sex, perimenopause and menopause, contraception, medications for low desire or arousal, the use of vibrators and other devices, the impact of substances like cannabis and SSRIs, pregnancy and postpartum considerations, safer sex practices, and communication and sexual health education for kids. Dr. Greenwald emphasizes the significance of anatomical knowledge, addressing desire discordance, and dispelling myths around female sexuality, providing actionable insights for improving sexual well-being and overall health.

Outlines

Part 1: Introduction and Basics

Part 2: Female Anatomy and Sexual Function

Part 3: Hormones and Desire

Part 4: Factors Affecting Sexual Health

Part 5: Practical Advice and Pharmacology

Part 6: Postpartum and Education

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