Latest / Uncluttered and Unfiltered: The Podcast For Women Over 50 / ENCORE EPISODE: THE INFAMOUS 'SEX OVER 50 EPISODE' WITH DR. REBEKAH RICHMOND

Transcript

ENCORE EPISODE: THE INFAMOUS 'SEX OVER 50 EPISODE' WITH DR. REBEKAH RICHMOND · Uncluttered and Unfiltered: The Podcast For Women Over 50

• 0:00
  Welcome to Uncluttered and Unfiltered, the podcast urging
• 0:04
  you to let it go and don't look back, with nationally acclaimed
• 0:08
  professional organizer Christine Stone and self-proclaimed Hot
• 0:13
  Damn Mess radio and TV personality Eden Kendall.
• 0:18
  Welcome to our Valentine's Day special of Uncluttered and
• 0:22
  Unfiltered, the podcast where we say if you, it's welcome,
• 0:25
  everyone's welcome. But if you're over 50, you have
• 0:27
  found your people. Christine Stone of neatly
• 0:29
  designed as a professional organizer.
• 0:31
  I'm Eden Kendall. We have a special guest we'll
• 0:33
  introduce shortly, but we've been teasing this for a while.
• 0:37
  For our Valentine's Day episode, we are going to talk about it.
• 0:41
  We're going to talk about sex over 50.
• 0:43
  We are. But we're not going to just sit
• 0:45
  here and talk about it amongst ourselves.
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  The the doctor that is joining us, the physician, she is
• 0:50
  actually my OBGYN and she's wonderful.
• 0:53
  She has held my uterus in her hands, and she is.
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  OK, OK. There we go.
• 0:59
  There's no such thing as TMI in this episode.
• 1:01
  I was going to. Tell you I know I have to get
• 1:03
  the. Giggles out.
• 1:03
  Get your giggles out, because we're going to be talking
• 1:05
  talking about sex. We're going to be talking about
• 1:07
  sex toys. We're going to be talking about
• 1:08
  arousal. OK, word orgasm might come up.
• 1:12
  OK. Are you turning red?
• 1:14
  I'm ready. I've been anticipating this
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  episode, so I'm ready. Doctor Rebecca Richmond,
• 1:22
  welcome. Hi girls.
• 1:24
  I'm excited. Well.
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  Good, good. Let's let's get right into it
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  because sex over 50, If you were to ask somebody in their 20s if
• 1:33
  that still happened, they might even say what that happens over
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  50. It does.
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  It can. Yeah.
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  And and so do you find that this is a concern of your patients
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  that are over 50? So it's a big complaint for
• 1:47
  sure. You know, and honestly really
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  starts in your 30s. Our hormones start to change in
• 1:53
  our 30s and then average age of menopause is 51.
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  So, you know, hormones drastically change at that
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  point. And it's a a big question, big
• 2:03
  concern. Now, hormones is certainly a big
• 2:07
  reason for it. There are probably a lot of
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  other reasons too why like somebody's sex drive would wane
• 2:13
  that that that are beyond that. But but let's focus in on the
• 2:18
  hormones. Is there one particular hormone
• 2:20
  that drives it? Without getting too technical?
• 2:22
  So yeah, you're right, absolutely.
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  There's 1000 reasons to have a low libido or a low sex drive.
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  But after 50, yes, our estrogen and progesterone in our bodies
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  starts to decrease. And with that decrease that's
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  really estrogen driven. With that decrease in estrogen,
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  then a lot of things start to happen.
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  Yeah, mainly we, we get some vaginal dryness, which which is
• 2:47
  kind of the beginning of the end.
• 2:51
  Yeah, right, right. And so, you know, as our bodies
• 2:54
  are made to procreate and after 50 or you know, we, we don't
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  procreate. So the thought process, why
• 3:01
  should we want to have sex if we can't procreate?
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  But clearly that's not the case. And so we have ways around that.
• 3:08
  We have ways to give back estrogen and and help improve
• 3:11
  that. What about for the women who
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  can't use estrogen either due to, you know, breast cancer
• 3:17
  linking or, you know, anything? Is there anything beside because
• 3:21
  I, I think estrogen, like she said, plays a huge role.
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  So if you can't, if you can't supplement it or do anything
• 3:30
  because of a cancer family history, is there anything else?
• 3:34
  Yeah, great question. So, so estrogen certainly is our
• 3:39
  first line therapy and we do have very low dose, minimal
• 3:43
  amounts of estrogen that we can often give in the vagina even in
• 3:46
  patients that have breast cancer.
• 3:48
  OK. But beyond estrogen, our, our,
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  our really first go to is to make sure patients know you need
• 3:55
  lubrication and, and that's the main, the main thing to start
• 4:00
  intercourse going. And so I always tell patients,
• 4:04
  sit with some lubrication by your bedside.
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  Put that on before anything starts to happen.
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  Bring it into foreplay. Just make sure you have a bottle
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  lubrication. My favorite is Uber Lube.
• 4:15
  You can buy it on Amazon. Comes in a beautiful plastic.
• 4:19
  Why is it your favorite? It's the base for the
• 4:23
  lubrication. Makes it easier, not as sticky,
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  doesn't get dry. You know when you've been, when
• 4:28
  you've been at intercourse for a while and it starts to get dry
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  and then you got to add more lubrication, then it's just
• 4:33
  sticky and nasty. It takes you out of the mood.
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  So, so Uber Lube's a really good lubrication for maintenance
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  therapy. In patients who do have breast
• 4:42
  cancer and want to stay away from estrogen, we use some
• 4:46
  products with hyaluronic acid in them.
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  The hyaluronic acid builds up that collagen in the vagina, so
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  just helps again with lubrication, natural
• 4:56
  lubrication. And it's little gels or or
• 4:59
  inserts that you use about every three days and it's maintenance.
• 5:02
  You got it. You got to stay.
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  With it. So don't buy the hyaluronic acid
• 5:06
  off the like face area at CVS. Exactly.
• 5:09
  Totally different. Nope.
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  Good question. Yeah, no, it goes, it goes right
• 5:14
  into the vagina, doesn't burn. It's just, I know it sounds a
• 5:17
  little caustic, but it's not not but it does.
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  It builds up collagen so it's a really good option.
• 5:23
  Is there a Viagra for women? So that's a great.
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  Question, don't we need that? Right, right.
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  No, there's not a Viagra for women.
• 5:31
  We are very complicated human beings.
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  And so unfortunately it's it's not that easy.
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  It's not that simple. There's different parts of our
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  brain that lead to different parts in our vagina and our
• 5:44
  clitoris that really requires stimulation.
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  And so it's not as simple as giving Viagra.
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  There are certain medications that we can use that are geared
• 5:53
  towards libido. One on the market right now is
• 5:57
  called Addie. I heard about that, yeah.
• 6:00
  Yeah. So Addies, Addies, an option
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  that came over to the US from Europe quite a few years ago and
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  came with a few warnings which we've been able to take away.
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  And it works sometimes, you know, but you have to have
• 6:15
  realistic goals. It's not going to make you want
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  to have sex every day again. But if we're at a once a month
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  and we want to get to A once a week, it might be something
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  that's an option. Well, there you have just
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  stumbled upon another big question.
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  What is the right amount? And let's say now, obviously
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  it's different if you're if you're single and dating or if
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  you're a married couple and if you're newly, I mean, every
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  family is different. But let's just go with, you
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  know, you're in your 50s, you've been with the same partner for
• 6:41
  many, many, many years. Is there a how many times a week
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  is normal? Or is that just a dangerous
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  thing to even consider? You know, it's different for
• 6:49
  everybody, but, and it depends what works in your relationship.
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  And let's face it, the men are sometimes going through some
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  changes too. And so, so really it's a
• 7:00
  conversation to have with your partner.
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  On average, I will say when we've done the studies and we
• 7:08
  looked at testosterone in the past, you know, when we've done
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  all these studies, we have found with intervention we're looking
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  at more sexually satisfying episodes per month.
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  And so the interventions often improve sexually satisfying
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  episodes by one to two times per month.
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  So on average I would say once a week sex is is something that
• 7:33
  works for both partners. OK.
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  And the interventions you're talking about is, you know,
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  actually sitting down and really discussing, really thinking
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  about it, maybe adding a hormone, adding a different kind
• 7:44
  of lubricant, the hyaluronic acid, those kind of things.
• 7:46
  Starting with vaginal health first, get that in tip top shape
• 7:50
  with good lubrication because because you know, if you're
• 7:52
  having pain from vaginal dryness and who's going to want to have
• 7:55
  sex, right, right, right. So and some of those
• 7:58
  interventions, the vaginal estrogen can bring more blood
• 8:02
  flow back to the clitoris. So you know, I often ask
• 8:05
  patients, once you do start having sex, are you able to
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  achieve an orgasm and is that orgasm just as good as it used
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  to be? Because sometimes those go away.
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  Those go away too Well, that. Is my question what it seems
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  like I know, and this is probably estrogen related as
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  well, but desire, you know when you don't feel desired or you
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  don't feel like you know, you feel felt like when you were in
• 8:30
  your 20s, thirties, 40s and so the desire kind of wanes.
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  Is that also estrogen related or is that mind related?
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  So that's a good question. It's a lot, yes, I would say
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  primarily estrogen driven, but you know, in our 50s maybe we've
• 8:47
  been with our partner for a while.
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  You got to still want to have sex with your partner.
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  So if you reach that point where, oh God, yeah, you know,
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  you got to still like him. So, so that's the first aspect.
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  So we do a lot of behavioral modifications, date night, have
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  a few glasses of wine. Quite often I'll have patients
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  schedule sex. So I always tell them, you know,
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  either Freaky Friday or Sexy Saturday, you pick one, you
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  know, and just know that we, we're going to have sex.
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  Have your partner know this is the night.
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  It's not that, Oh God, is he going to tap me on the shoulder?
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  Is he going to want to have sex tonight?
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  You know it if Friday nights are for sex.
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  And so once you know it, it kind of takes that pressure off of
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  your partner, you know, cuz he knows he's, they know they're
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  going to, they're going to get it, You know what to expect.
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  And then sometimes, too, as a woman, if maybe you're getting a
• 9:43
  little frisky and your partner turns the other way, boy, what a
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  blow to our ego. So.
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  So, you know, if you schedule sex, I know it doesn't sound
• 9:53
  fun, but that scheduled sex actually can help get that body
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  more used to it. OK, here we go.
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  Yeah. That makes sense.
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  It makes a lot of sense because sometimes if you then then you
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  don't run the risk of the rejection feeling right.
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  The other days you. Know for for either one of you,
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  but so that's a little bit of the behavioral modification.
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  Absolutely 100% buy a new vibrator.
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  I tell all my 50 year olds you got to get a new vibrator.
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  OK, note to self. Let's let's talk about that.
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  Let's talk about that. Why do you do you do you tell
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  that to your women of all ages that come to.
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  All ages. I love my little young girls who
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  are just now becoming sexually active because no one has, you
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  know, no one says to the young girls too, hey, listen, sex is
• 10:42
  not about the boys. It's about the girls too.
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  And I mean, let's face it, boys are pretty dumb.
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  The clitoris is really high and they just, you know, need to
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  miss it. You miss it, You need to get
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  that stimulated. So at a very early age you need
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  to learn how to self stimulate the clitoris as well.
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  So, but in the vibrators are important because most of us as
• 11:04
  women cannot achieve orgasms with intercourse alone.
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  So that whole G Spot thing that used to be in the 70s they used
• 11:10
  to always talk about in movies and whatever is that.
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  Real, you know the it's never been in any of my medical
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  textbooks. Yeah, I feel like that's been
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  overrated a little bit. I mean, because for me I'm like
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  outside stuff. Outside, yeah, it's the best
• 11:23
  now. Now there are nerves and
• 11:25
  everything that are, that make their way inside the vagina as
• 11:28
  well for sure. So, but knowing yourself how to
• 11:31
  stimulate, that's really important.
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  And then the, and the vibrators, that's what they're there for.
• 11:37
  And there's hundreds of different vibrators out on the
• 11:39
  market nowadays and, and they're really fun to test and try and
• 11:43
  find the one for you. But there's some with some
• 11:46
  clitoral sucking mechanisms. Those are a bit powerful.
• 11:51
  And then there's some, you know, the little pocket vibrators,
• 11:54
  that's all they do. They just provide a little
• 11:56
  vibration, but you know it. It does a couple things, gets
• 11:59
  you stimulated. They did #1 but #2 you tell your
• 12:02
  husband I'm getting a new vibrator.
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  Oh my God, you know that. That's a whole that in itself
• 12:07
  that's going to help your sex life.
• 12:09
  Oh, just telling him that. Just telling him.
• 12:12
  That's right. So couple, couple of thoughts I
• 12:15
  want to mention on that. Have you seen the show on
• 12:18
  Netflix, Grace and Frankie, Jane Fonda and Lily Tomlin?
• 12:21
  Well, one of the seasons was all about how they invented a
• 12:24
  vibrator for women who were senior citizens because their
• 12:27
  arthritis was making it difficult.
• 12:29
  For them to use. Funny.
• 12:30
  So they had a whole thing about that.
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  Of course they're over. I think they're in their 70s on
• 12:35
  that show. But I thought that was funny.
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  And then another thing is they have all those parties, or they
• 12:40
  used to. It used to be a bigger thing, I
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  think in the 90s and early 2000s, where people would have
• 12:44
  those parties, like a Tupperware party, but for sex toys, Yeah.
• 12:47
  Yeah, yeah, yeah. And so they were selling a hair
• 12:51
  brush that vibrated and everyone's like at the party.
• 12:55
  And they were like, that is so that if someone hears through
• 12:57
  the door, the vibrating sound you can open up like just my
• 13:00
  hair brush. Oh my gosh, that's great.
• 13:04
  I have to say, they've come a long way with vibrators.
• 13:06
  And so, yeah, they're, it's it's not your mother's vibrator.
• 13:10
  Yeah, I I feel like people think when they think of a vibrator,
• 13:13
  they think of a, an an without. I'm not like trying to pander or
• 13:17
  get, you know, gross. But there's the word dildo,
• 13:19
  which to me always means something that you stick up
• 13:22
  there, right? And then there's like outside.
• 13:24
  So there's different, there are different kinds.
• 13:27
  Lots of different kinds. I think that's a big teehee hee
• 13:30
  and very personal. Like I rarely have conversations
• 13:33
  with other women about that kind of thing.
• 13:35
  But it's something that could be normalized, I guess.
• 13:38
  Yeah, you know, but it's really not that.
• 13:40
  They sell them on Amazon now. In fact, they sell them at at
• 13:43
  your local CVS as well. That's right.
• 13:47
  That's right. They do.
• 13:48
  So there you have it. So, OK, we've, we've covered
• 13:51
  how, how often we've covered some of the medical reasons why
• 13:55
  and some of the psychological reasons why.
• 13:58
  What about, and I know we have a lot of people listening right
• 14:01
  now that are, and I actually looked up some questions women
• 14:04
  over 50 might have about sex. And so we, I know for a fact we
• 14:07
  have some single women. And so do you, once you know
• 14:12
  that you're not going to get pregnant anymore, do you still
• 14:15
  need to worry about condoms and birth control?
• 14:18
  And I hi, it's Eden. That's it would have to be yes
• 16:17
  because of STD's but you. Absolutely.
• 16:20
  Yeah. The and it's an an interest,
• 16:23
  interesting topic to bring up, especially in the wake of HPV
• 16:27
  and and what to do with abnormal pap smears and that kind of
• 16:31
  thing. And so, yes, a lot of times I
• 16:33
  have women, newly divorced women who are coming in and maybe
• 16:37
  interested in starting to date. And so I tell them, you know
• 16:40
  what, hey, listen, the Gardasil vaccine that we give to our
• 16:43
  young girls to help prevent cervical cancer, something that
• 16:47
  I would consider and any woman going through a divorce that's
• 16:50
  going to have new sexual partners.
• 16:53
  So. And and you do still worry about
• 16:55
  STD's. So condom news, yes.
• 16:58
  Birth control. Nope.
• 17:00
  Nope. We've come out of that.
• 17:01
  Yeah. As long as you're in official
• 17:03
  menopause now you have to, we have to know that you're in
• 17:06
  menopause because you can get pregnant at 50 if you're still
• 17:09
  ovulating. I'm.
• 17:12
  Way I'm way. Past that.
• 17:15
  I liked oof spelled oof. Yeah, but but if it if that's
• 17:20
  not, you know, on your agenda to have another baby at over 50,
• 17:23
  you know, then, yeah. So the the did you have anything
• 17:27
  else? Well, I, I think a lot.
• 17:29
  Of it for women over 50 is also psychological either, like you
• 17:36
  said, they've been divorced and they're getting back out there
• 17:38
  again. And it's such a different world
• 17:40
  now. I mean, it's the dating apps and
• 17:43
  you know, a lot, a lot has been talked about porn and what men
• 17:47
  see versus what's real, right? Right.
• 17:50
  And that I. Think psychologically has hurt
• 17:53
  women only because they're being compared to something that
• 17:56
  really isn't realistic, right? Absolutely.
• 18:00
  And you know, let's face it, in menopause, our bodies are
• 18:03
  changing and, and peri and premenopause, our bodies are
• 18:06
  changing, metabolism changes. And so, you know, it's a, it's
• 18:11
  psychologically, it's a hard thing, a very difficult thing
• 18:15
  for women to see in the mirror. And what starts our desire is
• 18:19
  how we feel about ourselves. So you're absolutely right and
• 18:23
  it and it is tough. Let's let's talk to you about
• 18:27
  vaginal rejuvenation, which is I, I, I think it was ATV show I
• 18:33
  was watching or something. I mean, I get a lot of a lot of
• 18:36
  my references are just from fictional TV shows, so you'll
• 18:38
  have to forgive me. But in this particular episode
• 18:41
  there was a guy talking about how he's out in the dating
• 18:43
  world. But if they've had babies, they
• 18:45
  better have had the surgery, the vaginal review.
• 18:48
  But like, I think about that. I'm like, Oh my gosh, how would
• 18:50
  you know? Like if you were all the sudden
• 18:52
  thrust back out there, I wouldn't know what the the
• 18:55
  expected body hair situation du jour is these days.
• 18:59
  I wouldn't know if I'm, you know, tight enough, you know,
• 19:03
  like you don't know. No.
• 19:04
  Yeah. These are all these are all
• 19:06
  things that go through everybody's mind.
• 19:08
  And and so not just in newly single women and starting to
• 19:12
  date, but in, you know, in all women.
• 19:15
  You know, my gosh, is my vagina tiny enough?
• 19:17
  What's going on down there? So, you know, in menopause, once
• 19:21
  our bodies lack estrogen, actually things do go in the
• 19:24
  opposite direction. And unfortunately, we get a
• 19:26
  little too tight sometimes and it becomes painful for us as
• 19:30
  women, which is where that vaginal estrogen comes into
• 19:33
  play, where the lubrication comes into play.
• 19:36
  But along the lines of vaginal rejuvenation, you know, gravity
• 19:40
  is going to take effect everywhere.
• 19:42
  And, and our labia does change. Our labia majora starts to droop
• 19:47
  our labia minora. That's the smaller lips on the
• 19:50
  inside get a a bit bigger and and they hang more and they can
• 19:54
  get in the way. Or some women just worry about
• 19:58
  what it looks like down there and, and can we fix that?
• 20:01
  I mean, yeah, there are some surgical procedures we can do to
• 20:04
  help. I always try everything else
• 20:07
  before that because you know, you're cutting on nerves that
• 20:11
  are pretty important down there. But there are things that can
• 20:15
  help. Certainly if it is a
• 20:16
  psychological barrier, then let's take care of it because if
• 20:19
  you're going to have better sex because you've gotten past that
• 20:22
  barrier, then fine, we'll do it. But there's new products out on
• 20:26
  the market. Mona Lisa, I don't know if
• 20:28
  you've heard of that these vaginal lasers at the end of the
• 20:32
  day, they're all there to stimulate collagen because it's
• 20:35
  that collagen stimulation that tightens and firms things up so
• 20:39
  when you're. Watching these shows and they're
• 20:42
  showing you the the lasers that you like sit on the chair and
• 20:46
  all that, that actually does have a so.
• 20:48
  The chair that's a lot for some urinary incontinence to to build
• 20:53
  up muscle floor and get that nice and tight so speaking.
• 20:56
  Of the pelvic floor, yeah. Could that have a big bearing
• 21:01
  also? So if your pelvic floor is out
• 21:03
  of whack or not strong, can that have a big bearing on sexual
• 21:10
  intimacy? It can.
• 21:11
  It can. Now again, if pain is part of
• 21:14
  the process of and the barrier for sex, then yes, for sure.
• 21:18
  And you know, it's a vicious cycle.
• 21:20
  If you have pain when you have sex, then it affects your brain
• 21:23
  and then why in the world would you want to have?
• 21:25
  Why would you want to do something that causes pain?
• 21:27
  So yeah, the pelvic floor can play a role and we do have great
• 21:32
  pelvic floor physical therapist here in Jacksonville that can
• 21:36
  really help out with that. And they get up close and
• 21:39
  personal for sure, and they use a lot of good biofeedback.
• 21:42
  But the pelvic floor physical therapy can help really work
• 21:46
  those muscles. And I always tell my patients,
• 21:49
  you've got a personal trainer for your vagina and that's what
• 21:52
  you know, that's what they do. If your biceps weak, what are
• 21:55
  you going to do? You're going to go work out your
• 21:57
  bicep and build that up. Same thing with the pelvic
• 21:59
  floor. Absolutely.
• 22:00
  And our kegels. Really, as important as they say
• 22:03
  they are, I. Mean it helps with it helps with
• 22:06
  the musculature for sure. Kegels, it goes even beyond, you
• 22:11
  know, kegels really. And there's some good
• 22:13
  biofeedback you can do to figure out which muscles to strengthen.
• 22:17
  Then sometimes you can over Kegel actually and, and that can
• 22:21
  create a little bit of tightness down there that's unwanted.
• 22:25
  So, so there's a fine line there.
• 22:28
  But yes, absolutely helps and one other.
• 22:30
  Thing I know this is for women over 50, but if you've been
• 22:34
  married a long time and you have a spouse that's over 50, I feel
• 22:38
  like, you know, menopause is a real thing.
• 22:41
  I don't think men ever in a million years will ever talk
• 22:44
  about it because they just won't.
• 22:47
  But I think that women sometimes can get a bad rap when it comes
• 22:52
  to men not having desire either, or men not wanting to talk about
• 22:57
  the changes going on in their own body.
• 22:59
  And then that kind of leads back to how a woman is feeling,
• 23:03
  right? Because we all think
• 23:04
  everything's about us or, you know, that we're doing something
• 23:07
  wrong or blah, blah, blah. But I do in from women of my own
• 23:13
  age. It's it's a thing.
• 23:15
  Yeah. It's.
• 23:15
  It is, you're absolutely right. And so sometimes that's where
• 23:19
  that scheduling sex can help because maybe they do need a
• 23:23
  little Viagra or a little help there in their department.
• 23:28
  And, and honestly, it's much easier to help that department
• 23:31
  than it is to help ours, right? So, you know, but they do have
• 23:35
  to have the courage to talk to their physicians as well.
• 23:39
  But it does. It gets a bit turned around on
• 23:42
  us, Right. And so, yeah, the boys are a
• 23:49
  little bit trickier when it comes to admitting there's an
• 23:53
  issue. Yeah.
• 23:55
  Now not. Every gynecologist is as
• 23:59
  researched as you are on this. I mean, you've really made this.
• 24:02
  You're a very forward thinking, very sexual positive.
• 24:06
  I don't know how you would describe that.
• 24:08
  I mean, although you've, although you've, like I said,
• 24:10
  you know, you perform a hysterectomy.
• 24:12
  You know, you've delivered so many babies in Jacksonville, but
• 24:14
  this is something where you really have honed in and you're
• 24:18
  you're very open and willing to talk about it and passionate
• 24:21
  about it. Is that do you think that's rare
• 24:24
  or do you think that's common? Well, I think.
• 24:26
  You know, when we're going through residency and through
• 24:28
  training, we're trying to keep our head above water.
• 24:31
  We're trying to learn everything there is to know about keeping
• 24:33
  women alive through childbirth. And we don't, we don't focus a
• 24:37
  lot on menopause. So, you know, we're doing a
• 24:40
  little bit better job now. But I think it's kind of you
• 24:44
  learn yourself. And let's face it, I'm a woman
• 24:46
  too. And unfortunately, I went
• 24:48
  through menopause at 39. Wow.
• 24:50
  So I had to figure a lot of things out on my own.
• 24:53
  And, and I think I've told Eden before, if it's out there, I've
• 24:57
  tried it. Yeah, I try everything to say.
• 25:00
  And and you know, there's, there's lots of different
• 25:03
  preparations that come with risks.
• 25:05
  Any any intervention you're going to have risks and
• 25:08
  benefits. And I think testosterones, the
• 25:10
  new big one that everybody's hearing a lot about and a lot of
• 25:13
  interest in and, and testosterone and high and high
• 25:17
  enough doses, it works. I mean you'll, but do you get
• 25:20
  the side? Effects like the acne and can
• 25:24
  you. Can growth of the hair.
• 25:26
  Facial hair. The clitoris.
• 25:27
  Can get bigger, you can Yep yeah, she isn't it's not a
• 25:32
  terrible thing to have a bigger clitoris if it but they.
• 25:36
  But that can, but it can't. It can.
• 25:38
  The testosterone can help. Unfortunately, it's not FDA
• 25:43
  approved for women, so we don't have a formulation for women for
• 25:48
  testosterone. It was studied years ago.
• 25:51
  There was a beautiful article in the New England Journal of
• 25:53
  Medicine that actually showed some possible risks with
• 25:56
  testosterone. So, so we really again, not
• 26:00
  always our first line therapy, but in, you know, and it depends
• 26:05
  where you are in life. If, if we're in a new
• 26:07
  relationship in our 50s or if you know, or if it's something
• 26:11
  that's affecting our sex life and affecting our marriage, then
• 26:15
  absolutely something we may want to try.
• 26:17
  Now, this may be different in our 70s or 80s.
• 26:20
  I have an 80 year old though, who comes in very sexually
• 26:23
  active. She's a hoot and so she's
• 26:27
  doesn't want to let go of any of her hormones.
• 26:30
  God love her. I know, right?
• 26:31
  Yeah. So I I.
• 26:33
  Know you can't really speak. Talk in specifics.
• 26:35
  Is she single? Is she dating around or like
• 26:37
  what she's dating? OK, she's dating.
• 26:39
  Gosh, I love. That's none of my business.
• 26:42
  I just kind of think, you know, love her.
• 26:44
  Out. Love her.
• 26:44
  Yeah, I know. Goals gotta have.
• 26:47
  Goals gotta have. Goals.
• 26:49
  Exactly. Right, so.
• 26:50
  But yeah, the testosterone's a good one.
• 26:53
  And so, so I've kind of, I've been through it and, and I think
• 26:58
  maybe that's why I feel so passionately about it.
• 27:01
  There is, there are some true medical organizations in the
• 27:04
  fields of gynecology that carry that have meetings every year
• 27:08
  that I go to. And, and so we deal a lot with
• 27:11
  sexual health and it's just getting, it's more out there and
• 27:14
  it's being spoken about more. And I think as we are as women
• 27:20
  becoming more and more important in society, that it's getting a
• 27:24
  bit more studied and evaluated and and we're getting a little
• 27:28
  more help there. I feel, pardon me, fulfilled by
• 27:33
  this podcast. Very interesting, interesting
• 27:37
  choice of words. No, it's I feel like we've
• 27:40
  checked a lot of boxes and at the very least it might inspire
• 27:43
  someone listening to reach out to their physician to, you know,
• 27:47
  or see what's. Available for them.
• 27:49
  Or you know. Maybe feel more confident in
• 27:52
  pursuing some of of these interventions, Right, Right.
• 27:56
  I would. You know, I would caution some
• 27:59
  because there are some young stay young and rejuvenated
• 28:06
  clinics out there. Be careful, be careful.
• 28:09
  Yeah, talk to your gynecologist. They're they should be well
• 28:12
  studied in these areas and able to provide benefit risk ratios
• 28:16
  to everybody and, and you'll. Know if they're if they're not
• 28:19
  like if you're in a conversation and and it doesn't seem to be as
• 28:23
  expansive of conversation is what you're hearing right now.
• 28:26
  If you you know now that you know what the possibilities are
• 28:30
  in speaking with a physician who's actually put in the time
• 28:33
  and effort and passion to study it, now you have a, a basis for
• 28:36
  what you're looking for, right? And a doctor to discuss this
• 28:39
  particular subject with, right? And maybe.
• 28:41
  Set aside an appointment just for that.
• 28:43
  Not as a not as the physicians walking out the door.
• 28:46
  Hey, do you have anything? Yeah, right.
• 28:50
  Yeah, it's a it's a great visit and also.
• 28:53
  So I took away everybody's different.
• 28:56
  I mean, every age is different. Every woman feels different.
• 29:00
  Some people, like you said, may struggle with something and some
• 29:03
  women don't. I mean, you know, everybody has
• 29:07
  different feelings going on or different expectations of what's
• 29:12
  going on. Married, single, you know,
• 29:15
  divorced right there you. Go.
• 29:17
  And in another episode of our podcast, we talked about
• 29:20
  Christine's mom in her 80s, and she's a social, a butterfly.
• 29:24
  Do you think we should sit her down and ask her?
• 29:26
  No, I. Definitely do not.
• 29:29
  I definitely do not. Something I don't want to hear,
• 29:32
  no. Definitely not.
• 29:33
  No. Nope, Nope, Nope.
• 29:35
  Doctor Rebecca Richmond. And where can people reach out
• 29:38
  to you? I don't know if you're taking
• 29:39
  new patients, certainly this is absolutely about that.
• 29:41
  But where can people find you? I am at beaches.
• 29:44
  OBGYN out in Jacksonville Beach, happy to take new patients, OK.
• 29:49
  Very good. And we appreciate that.
• 29:51
  And we close our show kind of the same way.
• 29:53
  We ask everybody to do all the things that you do with
• 29:56
  podcasts, like subscribe and give us five stars.
• 29:58
  And you know, if you mean it, if you truly mean it and if if you
• 30:03
  recommend to a friend, that's great.
• 30:04
  You can share this podcast with somebody specific.
• 30:07
  You might want your husband or boyfriend or partner to listen
• 30:10
  to this too. Yeah, this is a.
• 30:11
  Great Valentine's Day gift and I know this is.
• 30:14
  Late in the game for me to bring this part up, but I feel like it
• 30:17
  should be said that there's a lot of this that applies to same
• 30:21
  sex relationships as well. Absolutely.
• 30:23
  So I want to. Make sure that we put that out
• 30:25
  there as well. And having said that, it is time
• 30:27
  for us to say to you, you can let it go and don't look.
• 30:31
  Back.