In midlife sex is not over! Sexual health expert, Dr Lyndsey Harper joins me in this episode. The questions that are top of mind even if not tip of tongue are what we’re tackling today.  Here’s how I know. In opening applications for the Flipping 50 TV shows the questions about libido were so prevalent that I gave in and episode 3 was about how to modify exercise to help, or at the least not sabotage your libido.  We have a little library of episodes for you if sexual health questions are top of mind for you too and we’ll link to those in the show notes.  My Guest:   Dr. Lyndsey Harper is a Board Certified Ob/Gyn, Associate Professor of Ob/Gyn for Texas A&M COM, a Fellow of The American Congress of Obstetricians and Gynecologists, and a Fellow of the International Society for the Study of Women’s Sexual Health. Dr. Harper is the founder and CEO of Rosy, a women’s health technology company that connects women who have sexual health concerns with hope, community, and research-backed solutions. She has been named Forbes Top 53 Women Disrupting Healthcare, People Newspapers’ 20 Under 40, a Top Innovator in North Texas for 2020 and a DBJ Top Woman in Tech. Questions We Answer in This Episode: If you lose your libido during menopause is it gone for good? Even with HRT? What treatments are there for vaginal atrophy post menopause? Meno has kinda made the Big O a small o. How can I fix that? The Big O was always toe-curling and several minutes of luscious spasms and an hour of ooey gooey oxytocin, but now not so much. Is there a natural alternative to Estradiol vaginal cream used to help prevent UTI’s? Can regular use of antihistamine (h1, Claritin &h2, Pepcid) affect libido & cause fatigue? Taking for MCAS currently. What can I do for painful intercourse? Tried KY jelly and the like but the pain is excruciating. How to prevent UTI’s (beyond the basics)? I have started using D-Manose, a women’s probiotic which seems to help but wondering if there are any other suggestions. Any recommendations for keeping things fulfilling if spouse has ED? Can estradiol vaginal cream or estrogen HRT cause bleeding for those with fibroids and a thin endometrial membrane?  Libido. Even though I’m on HRT it’s virtually non-existent. Difficult when your partner’s libido stays healthy. What can I do about this? What are the best exercises for tightening up the pelvic floor muscles please? The info out there can seem confusing as to which exercises actually work the best. Do the toning balls that are inserted? What is more effective than basic kegels? Connect with Dr. Lyndsey: Website: https://meetrosy.com/ On Social: Instagram:  https://www.instagram.com/meet_rosy/ https://www.instagram.com/lyndseyharpermd/ LinkedIn: https://www.linkedin.com/in/lyndseyharpermd/ TikTok:  https://www.tiktok.com/@meet_rosy Resources:  C60 Purple Power https://www.flippingfifty.com/c60 Get Your Libido Back: Episode 3 https://www.flippingfifty.com/get-your-libido-back-episode-3/ Other Episodes You Might Like:  What you really want to know about “urinary leakage” (Part I) https://www.flippingfifty.com/what-you-really-want-to-know-about-urinary-leakage-part-i/ What you really want to know about “urinary leakage” Part II https://www.flippingfifty.com/urinary-incontinence-leakage/ Sex Dysfunction in the City Just Like That https://www.flippingfifty.com/sex-dysfunction/