Host: Jennifer Marie Summers, Board Certified Sexologist, Certified Sex Coach, menopause coach in training
Guest: Dr. Christine Hart Cress, DNP, APRN, WHNP-BC, MSCP. CEO of a telemedicine practice for midlife and menopause care, Menopause Society Certified Practitioner, Air Force veteran, co-host of The Dusty Muffin.
If your brain says “let’s get it on” but your body says “let me sleep,” this one’s for you. We talk responsive vs spontaneous desire, why faking orgasms backfires, how clitoral stimulation actually works, and what evidence-based options can help with arousal and orgasm in midlife. We dig into testosterone, Addyi, Vyleesi, vaginal estrogen, DHEA, lube and moisturizers, and the not-so-sexy basics that change everything like sleep and stress. The theme of the day is empowerment. You are not broken.
What we cover
Why most medical training skipped sexual health and how that is changing
The full clitoral anatomy and why penetration alone rarely does it
Responsive vs spontaneous desire and how to work with both
Tools that can help: vibrators, clitoral stimulators, and why solo practice matters
Hormone therapy myths vs facts, plus when to consider transdermal options
Testosterone for women, timelines, common dosing formats, and realistic expectations
Addyi and Vyleesi basics, where they fit, and cost access tips discussed in the show
Vaginal estrogen and DHEA for comfort, arousal, and orgasm support
Why sleep, mood, strength training, and protein quietly drive libido
The mindset shift that unlocks desire in midlife
Resources mentioned
Vibrators and clitoral stimulators for blood flow and arousal
Testosterone gel or compounded cream under clinician guidance
Addyi and Vyleesi as options for certain women
Vaginal estrogen and vaginal DHEA for GSM comfort and orgasm support
Daily vulvar moisturizers and quality lubricants for pain-free play
Talk to a qualified clinician to determine what is right for you.
Find Dr. Christine Cress
Telemedicine practice for midlife and menopause care
Co-host of The Dusty Muffin podcast
Boards: Bite Me Cancer Foundation, Empower Scholarship FundWebsite | Instagram | YouTube
Work with Jennifer
Sex and intimacy coaching for women and couples
Perimenopause and menopause coaching in training
Parties, workshops, and my podcast SIP With Summers
Shop Intimacy Products | Connect on Socials
Enchanted Rose Vulva Balm
Lubricants for sex, pleasure, and comfort
Disclaimer
Educational content only. Not medical advice. Consult your own clinician.
midlife libido, perimenopause sex, menopause desire, clitoral anatomy, orgasm difficulty, testosterone for women, Addyi, Vyleesi, vaginal estrogen, DHEA, vibrator benefits, responsive desire