Dear DSO: "Is It Menopause.... Or Something Else?"

22 Jan 2024 · 17 min
Dad Starting Over

22 Jan 2024 · 17 min

0:00

In this episode of the Dad Starting Over podcast, host Ralph Brewer reads a listener’s letter (Mr. Blank) describing a stark sexual mismatch with his wife, who entered menopause in her early 40s. Brewer explains the biological timeline of perimenopause and menopause, noting that many women experience a dramatic drop in libido as a natural, evolution‑driven response to the end of reproductive capacity. He discusses how this physiological shift can leave a healthy, sexually active husband feeling lonely, resentful, and anxious. Brewer highlights anxiety‑driven sexual inhibition (e.g., the wife only engaging in sex after alcohol) and suggests that therapy, open communication, and possibly hormone replacement therapy (HRT) for the wife or testosterone therapy for the husband could help. He also explores non‑monogamous arrangements as a cultural coping strategy, acknowledges common misconceptions about HRT (cancer fears, medical misunderstanding), and urges listeners to seek specialist care. Throughout, he interweaves personal anecdotes, humor, and a disclaimer that he is not a medical professional but is married to a surgeon, positioning himself as a relatable guide for men navigating mid‑life sexual challenges.

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