Latest / Libido Lounge / What Every Woman Should Know About Her Desire Levels with Dr. Iris Crawford

Transcript

What Every Woman Should Know About Her Desire Levels with Dr. Iris Crawford · Libido Lounge

0:07
Stress impacts our ability to make our hormones in normal healthy amounts And so this is a
0:15
connection that is kind of missing a lot of the time in when we think about our hormones, we
0:19
think about, you know, our sex hormones like estrogen, progesterone, and testosterone.
0:24
But what we don't look at is what the impact of stress is on the production of those hormones.
0:32
It feels like different symptoms like fatigue or sleep disturbance or weight gain that you're
0:40
that is unexplained or it could be mood things.
0:43
It could be anxiety or depression.
0:44
It could be foggy brain.
0:46
You know, there's so many different things that can show up and you might not know that it's
0:50
because of stress.
0:52
One of the things that I that I think is so important is the fact that women approaching
1:00
midlife and perimenopause, they they're kind of led to believe a little bit that so I believe
1:07
in the elegant use of hormone replacement and that is several factors.
1:12
First is
1:13
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Now back to our show.
2:16
Hey, everybody.
2:18
Welcome to another episode of the Libido Lounge.
2:22
I'm your host and board certified sexologist, doctor Diane Mueller, and I have with me today
2:28
a new friend, somebody I'm so excited to introduce you to, the hormone boss, a fellow
2:34
naturopathic physician.
2:35
We're gonna talk about all things hormones today.
2:38
We're gonna really talk about some of the connections with hormones and libido, and I
2:42
know some of you listening already know things that such as hormones can impact sexual health.
2:49
So today, we're gonna get everybody up to speed on that, but we're also gonna go a lot deeper
2:53
and really understand what you need to know.
2:57
We're gonna dispel, like, myths, bust down stereotypes, get over some fears around this
3:02
topic, and a whole lot more.
3:04
So doctor Iris, thank you for joining me today.
3:07
Thank you so much, that was a lovely welcome.
3:10
I'm really excited to be here with you.
3:12
Yeah, I'm excited for more time.
3:14
Every time we've chatted, I've just enjoyed the conversation so much.
3:18
So let's just lay the foundation, So as I know, like I said, like, do know some people are
3:23
aware of hormones and impact on libido and sex drive, and I also know there's some people that
3:29
have, like, a entry level awareness or maybe have heard of this and don't know a whole lot.
3:34
So let's just, like, start the foundation here.
3:36
Can you just help lay us, like, the some of the connection between hormonal health and libido
3:43
and sexual health?
3:45
Yes.
3:46
Well, first of all, women can experience issues with libido at any stage of their life, right?
3:55
So the biggest real connection that I'm really passionate about and that I like to highlight
4:02
is how stress impacts our ability to make our hormones in normal healthy amounts.
4:09
And so this is a a connection that is kinda missing a lot of the time in when we think
4:14
about our hormones, we think about, our sex hormones like estrogen and progesterone and
4:19
testosterone, but what we don't look at is what the impact of stress is on the production of
4:26
those hormones.
4:28
And so throughout our entire lives we can have this effect on being able to actually make your
4:35
own hormones in the right amount for your age and how that can impact libido, just looking at
4:43
like estrogen levels.
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A woman at any age can be low in estrogen.
4:48
Testosterone levels, which is directly impacted by stress.
4:52
So that's kind of the the place I like to begin because it is the foundation of our hormone
4:57
production.
4:59
So I wanna ask you now a question about stress because I feel like, you know, stress is like
5:03
this cliche thing that we can say, and sometimes I know people are like, oh, yeah.
5:08
Stress.
5:08
I've heard it before.
5:09
And it's so easy, I think, to hear this and just be like, okay, doctor d.
5:13
Okay, doctor Iris.
5:14
Like, I got this.
5:15
I've heard this.
5:16
Stress is bad.
5:17
Right?
5:17
But but there's two things that that kinda bring up that I have to, you know, say about
5:21
this or I really want to ask you about this.
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First is sometimes I think there are situations where people think they're not stressed because
5:29
they don't actually feel like that anxiety or that tension in their body.
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Like, I'll give you an example of myself.
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Like, right now, I just reactivated my aura range, so I'm tracking my my, you know, some
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stats again.
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And I've I've had this turned off for a couple years, but historically, one of the things that
5:48
has been just awful with my tracking device is my heart rate variability.
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And we know that how variable our heart rate is, like, the more variable, like, the better,
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and stress is one of the big factors that turned down our HRV.
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So lo and behold, you know, it's like I wanted to check and see where I am because last I
6:08
left, this was not good despite trying a bazillion things.
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And so I activate it, and it's still it's slightly better than it was, but it's still
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relatively crappy at, like, 20 to 24, which is, you know, half of where I would want it to be
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at least.
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So my question for you here is how do people actually recognize sometimes that they're
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stressed?
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Because I think there's some people that are like, oh, yeah, I know I'm stressing, you know,
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there's anxiety, there's these feelings, but for other people it's like, well, clearly my
6:40
body is reacting to stress, like I can see it in in this.
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But in my body itself, I don't actually like, I feel pretty chill.
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Right?
6:50
I can have good days, you know, almost every day.
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So how do you like, do you have senses, you know, sense for people around, like, okay.
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Step one, if this is one of the biggest things is with stress is our impact, how do we take a
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step back and say, okay, well, is this true for me?
7:04
Yes.
7:05
That's such a great point because it's true.
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You know, your your ability to your resilience against stress can actually protect you from
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really feeling the effects of it, at least in the beginning.
7:16
And there's, you know, there's what stress causes is adrenal, glandular output.
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Right?
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And we make cortisol as one of the main fight or flight hormones and that hormone is designed
7:29
to protect you against the effects of stress.
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So in the beginning, you should be able to fight off stress, not really feel the effects
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of that stress.
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You don't feel stressed even though there is just daily stress and our lizard brain
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perceives that stress, but we might not, you know, consciously be aware of it.
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So, and this is kind of more stage one adrenal fatigue where you're able to make a bunch of
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cortisol, feel protected against the stress, and then, you know, it it might take quite a
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significant amount of time with prolonged stress before you start feeling the effects of
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it.
8:08
Now what does that feel like?
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It it feels like different symptoms like fatigue or sleep disturbance or weight gain
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that you're that is unexplained, or it could be mood mood things.
8:25
It could be anxiety or depression.
8:27
It could be foggy brain.
8:29
You know, there's so many different things that can show up, you might not know that it's
8:34
because of stress.
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So I do think, you know, in the beginning, you know, we do feel protected against stress and
8:41
we feel like we can handle stress fine.
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But what happens is over time, it really depletes the adrenal gland's function and
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ability to make all that cortisol so your adrenals become start to become fatigued.
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So sometimes even after, you know, traumatic events, can take even up to two years after the
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fact of of that trauma or that experience, that stressful situation, to kind of crash.
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And so sometimes that delayed effect, you know, can be a little bit, confusing when we're like,
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what what is happening?
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So, yeah, I think symptoms, any different symptoms you might not know related to stress,
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that's kind of how to do an inventory and see if stress may be affecting me because all of
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those symptoms can be, you know, rooted in that one stress response cause.
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I really want to pinpoint something you said because I think it's so important for people to
9:34
hear this part again, which is that sometimes the impact, right, the crash or whatever it is,
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might not happen right away.
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So we can have like a really intense time, and we might not even notice some of the symptoms
9:49
that that stress created for, you know, a year or two after.
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So I just wanted to emphasize that because I think it's a really good point.
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And then my other, you know, question and and to our listeners, like like, just hang with me
10:01
if you're like, I'm here for hormones.
10:02
We're gonna get there.
10:03
Like, this is what we're doing, but we wanna lay that foundation of, okay.
10:06
What is really happening here from a standpoint of the root causes as far as hormonal
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dysfunction?
10:12
So then my other question before we move on just in relationship to your kinda intro
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statement on on stress is, what about the people that are just, like, almost in this
10:21
world of, okay.
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Like, serious can this be from a standpoint of stress?
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Because, like I said, like, I do, and I imagine you you are similar, like like, this is so
10:32
important, and yet it's, one of the most, like, cliche things that I think just gets, like,
10:35
thrown around, and we're like, yeah.
10:37
Drink more water.
10:37
Yeah.
10:38
Like, you know, live a stress free, you know, lifestyle and all those things.
10:42
So I wanna make sure we are being cautious for our listeners of, like, you know, going deeper
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than that.
10:47
So if somebody's listening and they're like, okay, docs, I've heard this before.
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Stress is bad.
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I've heard this before.
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What would you say to them to help, like, really help them understand that, like, yeah,
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this is something that is talked about a lot, and at the same time, it's not cliche.
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It's one of those, you know, fundamental things.
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So do you have anything that you would add there to just support those people?
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Absolutely.
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So the thing is is it is kind of cliche to talk about stress.
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Everyone's talking about it because you can't escape it.
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Yeah.
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It's everywhere every day, and the thing though that that I think is a huge takeaway is that
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the onus is not up to us to avoid stress or to spend hours a day doing stress management
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things.
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That's not feasible.
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Right?
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So what isn't offered as much is solutions to how to handle stress better, how to be more
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resilient, how to not feel overwhelmed all the time.
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And that has to do with many factors.
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It has to do with your own stress response system, that HPA axis, the hypothalamic
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pituitary adrenal axis, that's your stress response system.
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And everyone has a different functionality of their stress response system, and it's based
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on, you know, your childhood.
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It's based on the stress that you've experienced, traumas you've experienced, what
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you've inherited from your family, and what you've learned growing up about how to respond
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to stress.
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There's a lot of different factors there, and we can actually impact the way our HPA axis,
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our stress response system functions with a whole class of botanical medicines.
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And that's something that, you know, and other things too.
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There are lifestyle things.
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There's nutrition.
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There's exercise, all these things.
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But but that's the real key that I think that women it's gonna really leverage women in in
12:46
their ability to, maintain and optimize their hormone production is by leveraging those those
12:54
botanical natural botanical medicines to be able to improve and optimize your stress
12:58
response system.
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So that okay.
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So that's wonderful.
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So now we know, hey.
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This is, like, no matter how cliche this is, no and and really the word there too is common,
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that this is actually extremely real.
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And I do think it's an important point point around, like, we're not it's not like we're
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gonna we can't live in a cave.
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We can't nobody that I know can, like, spend their whole day in meditation and escaping from
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the world and doing all these, like, stress resiliency techniques.
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So it is it's it's less about, hey.
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We can, like, avoid these and more around how do we keep the body balanced.
13:33
So then we talked about, okay, stress causes dysfunction in our sex hormones and of course
13:38
with the dysfunction in the sex hormones, that can be one reason why somebody has a sexual
13:43
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Now let's get back to our episode.
14:40
When it comes to like hormones and sexual health, like to me, like, okay, so that covers
14:45
some of the basics.
14:47
What about myths around like hormones and sexual health?
14:51
Are there any like myths that you see like come up, just like things that are like
14:55
misunderstood in the eye of the public that you think are important to mention?
15:00
Well, I think the under, like, I think what's oftentimes kind of overlooked is the role of
15:06
testosterone in women's health, and women's libido and and all of that, but also just brain
15:11
health, mood health, bone density, all of these things that testosterone is really important.
15:19
Now a lot of hormone savvy or, you know, health savvy women do know a little bit more about how
15:26
testosterone is a thing.
15:29
It's a women's hormone.
15:31
And I think that that but there's a lot of women also that that don't get much information
15:38
about that, right?
15:39
And so I think that they they think testosterone is a male hormone.
15:44
Yes, men have more testosterone, but we also require testosterone to have optimum health and
15:51
energy and libido and all of that.
15:54
I think that's probably the biggest one I can think of right now.
15:57
Yeah.
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I think it's an important one because I think it's true.
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I mean, it like, the fact that testosterone is not even, like, FDA approved for women to use
16:07
is, like, a kind of a shocking thing where we actually look at, you know, research on well,
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one, you know, we know from medicine that women do have testosterone, like you mentioned, and
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then two, you look at the dramatic impact on sex hormones and on, I mean, on sexual health,
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and the fact that testosterone is really in many, you know, ways not even a a part of the
16:29
conversation, I think is a major, major problem.
16:33
Well, let's talk about aging because you also mentioned early on that, okay, we can have
16:37
these hormone abnormalities at any age.
16:40
Right?
16:41
So then what do you feel from a standpoint of like, where does aging play a role in our
16:47
hormones?
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What is like a natural change as far as hormones and aging, and what is like say a
16:53
dysfunctional change with hormones and aging?
16:56
That's a great question.
16:57
So one of the things that I think is so important is the fact that women approaching
17:05
midlife and perimenopause, they're kind of led to believe a little bit that when they start
17:14
having symptoms of perimenopause that it's just because they're getting older and they have to
17:19
live with it.
17:20
Now the thing is is that women arrive at perimenopause with pre existing hormonal
17:28
deficiencies and imbalances.
17:30
And the problem is that when it's just blamed on perimenopause or menopause, the whole, you
17:37
know, situation is kind of overlooked.
17:39
And even if you're just treating with HRT, you know, hormone replacement therapy, for example,
17:44
you're still missing the fact that her body is not actually producing her own hormones in the
17:49
right amount for her age and in the right balance.
17:53
And so that, if you are able to address that before reaching perimenopause, then it's going
17:59
to change the trajectory of the way you age.
18:02
And those hormones, you should be able to make your own hormones in optimal amounts so that
18:08
you can have the vitality that those hormones are providing to you.
18:12
They're powerful steroid anti inflammatories.
18:14
They help reduce chronic pain and, joint degeneration.
18:18
They help with skin health, prevent aging of skin.
18:23
There's just so many things to, you know, look at with having healthy hormones and how that
18:28
slows the aging process.
18:31
And HRT has a role too in that if you want to, use that, I believe in the elegant use of HRT,
18:40
and maybe not in every case, but not every woman wants to do it, but there is a way to do
18:45
it that is kind of an elegant way to use it that will also continue to slow the aging
18:51
process and prevent things like dementia, bone, you know, osteoporosis, you know, heart
18:58
disease, all these things that really go up in risk in women's health after a certain age, you
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know, in your forties and fifties, your risk goes way up for all those things, and it's
19:07
because hormones are declining.
19:10
But, yeah, so I think that that if you are able to come to that that stage already having
19:18
optimized hormones, then you're going to actually have a much slowed aging process.
19:26
So so everybody, we're gonna talk.
19:28
I'm gonna ask doctor Ira something here, and we're gonna talk in more detail in our
19:31
exclusive content in part two about testing and about some of the problems, the pros and cons
19:38
with standard testing, things to look out, truths, lies, that sort of thing.
19:41
So look for that in the exclusive content in part two.
19:45
You can find out how to join for that in the show notes.
19:49
But here, and that's like my next question with this is in thinking about, okay, perimenopause,
19:55
menopause, and even, you know, andropause for men, these times in life with hormones where
19:59
hormones start to change, when do you, from a timing perspective, recommend, like, oh, wow.
20:05
I should be thinking about looking at my hormone health?
20:08
Like, is there certain times you recommend just like your whole life throughout years?
20:13
Like when do you recommend like, hey, we better start looking and seeing what's happening here?
20:19
Well, so I mean, I think we should be empowered with knowledge about our hormone health our
20:26
entire lives because it is very it's an underserved area in medicine.
20:32
It's very difficult to actually find someone who is knowledgeable enough to help women
20:36
optimizing their hormone health at at every at every stage of life actually.
20:42
The woman who I I tested, the youngest woman I've tested and had, she had a deficiency was
20:49
16 years old.
20:51
So it can start as early as, you know, in just after puberty.
20:58
It can start then because stress is that that factor that's depleting our ability to make our
21:04
hormones.
21:05
So every age really is an opportunity to optimize your hormones, but absolutely for
21:12
sure, in your once you've reached you know, you're over 40, it is time.
21:18
You you have to really I mean, otherwise, you're you're most likely going to have a rough
21:23
time through perimenopause and menopause.
21:25
It's, you know, and that's every time that I've tested someone who, I mean, of course, lot of
21:30
women come to me with a bunch of symptoms.
21:31
Right?
21:32
But, when I I test their hormones, even if they're on HRT and they're still deficient and
21:37
still out of balance.
21:39
So, I think after 40 is really the most crucial time to get this optimized because then you're
21:46
going to have a more smooth transition as your hormones start to naturally decline through
21:51
perimenopause.
21:53
Yeah.
21:53
So I hope everybody's really listening to that because I do think so often, like, we wait too
21:58
late, you know, and I shouldn't say necessarily too late.
22:00
That's not the way I should say it because in many ways, anything we do for our health, the
22:04
fact that we're starting is better, you know, better to start now than never.
22:08
So I correct myself on the too late, but we wait later than is ideal.
22:12
Right?
22:12
We wait later than we need to, and we wait later than is best for our optimal transition
22:18
throughout, you know, this this time period as well, just like for optimal health.
22:22
So in the conversation of, like like, what you mentioned was you recommend in many cases, not
22:28
all you had said, an an elegant approach to working with hormones.
22:32
What do you mean by that?
22:34
Yes, great question.
22:35
Well, so I believe in the elegant use of hormone replacement and that is several
22:41
factors.
22:41
First is making sure that the underlying cause of hormonal deficiency and imbalance is
22:47
addressed.
22:48
K?
22:48
So making sure that you're looking at what what could be playing a role into your hormone
22:56
production.
22:57
So optimizing that so that you can bring everything into the optimum amount for your
23:02
age, right, then looking at and seeing what is needed.
23:08
Because there are normal ranges for even menopausal levels.
23:12
We still make our hormones after menopause.
23:15
This is another thing a lot of women don't know.
23:17
You still make these hormones and you should be able to make them for normal menopausal ranges,
23:22
which the range is lower than when you're in your thirties or forties, but you still should
23:27
be able to make all of these hormones.
23:29
So addressing the root cause, making sure that you're making the right amount of hormones for
23:35
your age and the right balance, that's number one.
23:37
Number two is, not doing a protocol.
23:42
Okay?
23:42
So right now HRT is very it's very talked about.
23:46
It's a very hot topic.
23:48
And right now it's like the pendulum has swung from no hormones because they cause cancer and
23:52
they're scary to every woman have to have hormones or she won't be healthy.
23:56
I, you know, I believe that the protocols that women get put on tend to cause a lot of side
24:03
effects.
24:03
So really having someone who understands hormones, you know, on a deep level, being able
24:10
to test the right things in the right way, and creating a totally personalized approach.
24:18
And then also using bioidentical hormones rather than synthetic hormones, that's
24:23
definitely very important.
24:27
And I don't think, you know, I don't believe in oral forms of hormones.
24:33
I prefer topical just because, you know, so often I find women having side effects or, you
24:42
know, GI side effects or even I've tested so many women who are on the oral progesterone and
24:47
their levels are still coming up deficient.
24:50
So bioidentical, no protocols, getting to the root cause, and making sure that your hormones
25:00
are actually in the right balance.
25:02
I think that is what is not looked at with most hormone kind of therapy approaches is they're
25:09
not testing your progesterone to estrogen ratio.
25:13
And that is so key.
25:15
If you're taking estrogen, you want to have an optimized progesterone to estrogen ratio
25:20
because that's what helps make you feel good, but also because your hormone receptors all
25:24
over your body, it's not just about whether you have a uterus or not.
25:27
Every woman deserves to not be estrogen dominant, even if she doesn't have a uterus.
25:33
So I know that progesterone is that, you know, it's very protective against estrogen when
25:38
you're taking it.
25:39
The right balance is really, really key as well.
25:43
Amazing.
25:44
And, yeah, I think one of the key things in that, and there's a lot of great things she
25:48
said, I think one of them just hone in on is, like, the fact that it's not a protocol.
25:52
Like, the work you do is not a protocol, and it's, like, really understanding the uniqueness
25:57
of every individual and saying, hey.
26:00
This is what you need, and this is the combination of what we need to do to address
26:03
the stress and the root cause and the hormones, whether that's HRT or otherwise, that's not
26:09
necessarily gonna be the same for the next person that walks through your door.
26:13
Right?
26:13
Yeah.
26:14
And and and the and the final point too is that that you're not overdosed.
26:20
Yeah.
26:21
This is, I run into that all the time as well.
26:24
So I don't believe in in, you know, bringing your your hormone levels up to a level that
26:31
your body has never seen before.
26:33
Bringing your hormone levels up to what it was in your twenties or thirties, that's fine, but
26:39
when it's when it goes way beyond that, I I don't think that that I don't think that the
26:43
body is used to those that amount of hormones, and I and I think that that's where there can
26:49
be a lot of problems.
26:50
Yeah.
26:51
That's physiological dosing around, is what my body this is what my body is, like, designed to
26:56
be able to work with, that knows how to work with, those kind of things.
26:59
I couldn't agree more, and I wanna wrap up this episode and let people everybody know, I'm
27:05
gonna let you tell them about this in a moment, that doctor Iris has free consultations for
27:09
people that are interested in working with her, which is just amazing.
27:13
So we're gonna have links for that in the show notes of how you can get yours.
27:17
And and before we I let you say that, just as a reminder, everybody, also remember if you want
27:22
part two, we're gonna talk about testing.
27:24
We're gonna talk about some of these HRT myths.
27:27
We're gonna talk about some of the, you know, the spelling, some of the fears around around
27:31
HRT, what you can do about it as well as, like I said, how to get the proper testing.
27:35
So look down below for that in our show notes.
27:38
But before we go, please tell everybody about our your free consultation.
27:43
Yeah, so the free consultation is actually directly with me.
27:46
So it's a one hour consultation where I can actually listen to what's happening with you,
27:53
what your symptoms are, and kind of assess what might be happening and whether I whether or not
28:02
working together might significantly help you.
28:05
So it really is a chance to meet with an expert and be able to get some insight as to what
28:12
might be going on and also develop like a three step plan that you can either take and
28:20
implement on your own, or we can talk about what it might look like to have us help you
28:25
implement that.
28:26
And then you do work with people all around the world, correct?
28:30
I work with people, my comprehensive programs are actually with people in The United States,
28:37
just because they include testing and supplements and things like that, and it's
28:42
kinda hard to, but for consulting educational, I do have an offering for international, so
28:47
there is an option for that.
28:49
It just isn't the extensive service.
28:51
Okay.
28:52
Perfect.
28:52
Yeah.
28:53
So we'll have all of that in the show notes, and thank you again everybody for joining us
28:57
today.
28:57
Thank you, Doctor.
28:58
Iris, for being here.
28:59
Please do check out Doctor.
29:01
Iris's free consultation.
29:02
Go ahead and sign up for the exclusive content and I'll see you all real soon.
29:07
Ciao for now.
29:08
Thank you.
29:12
Thank you for listening to the Libido Lounge.
29:14
Please don't keep me a secret.
29:16
Please share this with your friends.
29:18
You can find me on YouTube, on Instagram, as well as how to work with me at mylibidodoc.com.