This episode explores the often-overlooked challenges of menopause and its impact on women's sexual health. Against the backdrop of a global population exceeding one billion women experiencing menopause by 2025, the discussion highlights the significant underreporting of sexual issues associated with menopause, such as vaginal dryness and decreased libido. More significantly, the conversation delves into the "bedroom gap," a disparity in sexual expectations and capabilities between men and women in midlife, exacerbated by factors like the readily available treatment for male erectile dysfunction and insufficient medical training on menopause for doctors. For instance, the speakers discuss the Women's Health Initiative study and its unintended consequences on hormone replacement therapy prescriptions. The interview then pivots to address the myths surrounding hormone therapy and its potential benefits, emphasizing the importance of distinguishing between vaginal and systemic estrogen. Finally, the discussion concludes with actionable advice for women approaching menopause, advocating for open communication with healthcare providers and partners, and promoting a shift towards a more inclusive and gender-neutral understanding of sexual health and pleasure. This means a greater need for comprehensive sex education and improved medical training to ensure women receive adequate care and support during this significant life stage.