Ep #229: Seasons of Sexuality with Doctor Evgenia Polosina

What if midlife intimacy wasn’t disappearing…

but simply evolving into a new season?

In this episode, Dr. Sonia sits down with board-certified gynecologist and longevity specialist Dr. Evgenia Polosina for a powerful, compassionate, and eye-opening conversation about hormones, sexuality, pleasure, and the changing seasons of intimacy in midlife.

Because so many women believe something is wrong when desire begins to shift.

But what if nothing is broken?

What if your body is simply changing

the way it was always meant to?

Together, Dr. Sonia and Dr. Polosina explore how intimacy naturally evolves throughout a woman’s life—and why the version of sexuality we experience in our 20s was never meant to stay exactly the same forever.

Not because something has gone wrong.

But because life changes.

Our bodies change.
Our hormones shift.
Our responsibilities grow.
Our stress increases.
And our relationship with intimacy becomes more nuanced, intentional, and deeply connected to our emotional and physical well-being.

And when women understand that…

everything begins to shift.


💎 In This Episode, You’ll Discover:

💎 Why women experience different “seasons of sexuality” throughout life
💎 Why midlife desire often becomes more responsive than spontaneous
💎 The connection between stress, hormones, and libido
💎 Why intimacy can begin to feel like another item on the to-do list
💎 What’s happening hormonally during perimenopause and menopause
💎 What’s actually happening to the vulva and vaginal tissue during hormonal shifts
💎 How estrogen impacts blood flow, sensation, and urinary health
💎 The difference between topical and systemic hormone replacement therapy (HRT)
💎 Why sleep, emotional overwhelm, and mental load affect desire so deeply
💎 Why there is often a larger “gap” between wanting intimacy and feeling physically ready in midlife
💎 How intentional intimacy can actually become richer and more pleasurable with age
💎 Why pleasure requires permission
💎 The importance of understanding your anatomy and learning your body
💎 Why self-pleasure and curiosity matter in midlife
💎 How education, hormones, toys, and self-compassion all become part of a woman’s intimacy toolbox


💎 Why This Matters

So many women in midlife are walking around believing a painful story:

“That version of me is gone.”
“My body is failing me.”
“I should still feel the way I used to.”
“Something must be wrong with my libido.”

But what if your body isn’t failing?

What if it’s adapting?

What if intimacy in midlife was never meant to be identical to intimacy at 25?

Because by midlife…

you’ve lived.

You’ve carried responsibilities.
Managed stress.
Taken care of families.
Worked careers.
Pushed through exhaustion.
Held emotional labor for years.

Of course your body responds differently now.

And that doesn’t make your sexuality less valuable.

In many ways…

it creates the opportunity for intimacy to become more intentional, more connected, and more deeply pleasurable than ever before.

When women stop expecting themselves to stay exactly the same…

they can begin learning what their bodies need now.

More support.
More communication.
More emotional connection.
More understanding.
More time to shift into intimacy.
More permission to experience pleasure without shame.

Because desire does not disappear simply because life changes.

It evolves.

And when you stop judging yourself…

you can begin reconnecting with your body in an entirely new way.


💎 A Question to Reflect On

What if this season of intimacy isn’t the end of pleasure…

but the beginning of a deeper, wiser, more intentional version of it?

What would change if you stopped comparing yourself to who you were at 25…

and started honoring the woman you are now?

Because your body is not broken, Diamond.

It may simply be asking for a new way forward.


💎 Ready to Go Deeper?

If you’re ready to build confidence, strengthen your boundaries, and create the intimacy you truly desire, come join us inside the Diamond Intimacy Collective.

This is where your transformation becomes real.

✨ Coaching
✨ Community
✨ Conversations that matter

Because your intimacy will not change unless you do.

And your future self?

She’s waiting for you. 💎

👉 Diamond Intimacy Collective

🔥 Mentioned in this episode

The Diamond Intimacy Collective is Amazing and open for enrollment. Commit to a year and create the intimacy you deserve! 👉Click Here For More Information👈

Listen to the Full Episode:

Featured on the Show:
Full Episode Transcript

Sonia Wright (00:40)
You are listening to the Midlife Sex Coach for Women podcast, episode 229. What? So amazing. Hello, hello, hello, Diamonds. Today I have such a special guest. I’m super excited to tell you about her and to introduce you to her. So let’s get started.

Dr. Sonia (01:01)
Hello, Hello Diamonds!

I cannot believe that I scored this person today to be on my podcast. I can’t even tell you she is fabulous. She’s knowledgeable. She’s got a good heart. She loves the work that she does and she is super smart. So today I am talking to Dr.

Evgenia Polosina and she is fabulous and amazing. She is, I’m to read a little bit about her so that you know how great she is. She is a board certified gynecologist and the founder of the Longevity Club MD. She is dedicated to advancing women’s health and sexual wellness through personalized, curated, longevity focused care. my goodness, Dr. Polosina, thank you.

Evgenia Polosina, MD, FACOG (01:45)
Thank you for

having me. Thank you. Thank you. Thank you. Such an honor.

Dr. Sonia (01:46)
Thank you for being here.

I am super excited. Do you know why I’m so excited? Because we’re going to be talking about longevity and the focus that I have for the Midlife Sex Coach for Women podcast is on creating sexual intimacy for the next 30 years and beyond, right? And when you said longevity, I was like, yes, I have to have this woman on. I need to know all of the secrets.

Evgenia Polosina, MD, FACOG (01:53)
Tell me.

I love it. I love it.

Dr. Sonia (02:16)
So we’re going to have such a great conversation. So I just want to talk to you. You mentioned a little bit before when we were talking before the podcast about this concept of seasons of life, seasons of sexuality for a woman. Can you tell me a little bit more about that concept? And then we’re going to get into all the things.

Evgenia Polosina, MD, FACOG (02:36)
Absolutely, absolutely. I do believe that woman’s life and definitely sexuality have seasons, right? So there are seasons where we are more sexually active when we are having higher libido and desire. And there are seasons when we don’t feel like that. And I guess this concept came to my mind to explain to the patients that

nothing is broken and nothing is wrong. That’s okay not to have high libido all the time. That’s absolutely fine. That’s okay to feel sometimes not having sex. And obviously we talk about other things, but I think the concept of it that nothing is broken and nothing is wrong.

Dr. Sonia (03:27)
Yeah, I love that idea and I have gone so far as to call the libido more like neutral libido. Like it’s not broken, it’s just coming from a different place. where neutrally you could be like, maybe I could be interested in sexual intimacy or maybe I could do the dishes over here. And it doesn’t mean that it’s the end of the world and it is different.

I would say yes, it’s different from what the libido might have been like before. And then there’s this concept of a responsive libido. And they talk about how 70 % of women live in a responsive libido state. Yeah. But I love this concept of just seasons. And if we can get this idea out of our mind that we are broken, because

Evgenia Polosina, MD, FACOG (04:02)
I believe in it.

Dr. Sonia (04:13)
The fallacy, if there is a fallacy, then the fallacy would be around the fact that we’re supposed to stay the same throughout our life. That is the fallacy. That’s the belief that is causing problems. Like, we don’t stay. Like you talked about the different seasons. Yes, there’s that season in the beginning where like maybe, can you talk about more like what our libido and sexual interest looks like in our 20s and early 30s? What that looks like?

Evgenia Polosina, MD, FACOG (04:43)
Absolutely, I think it’s probably would be I would define it is probably the highest the highest or peak of sexuality when ⁓ Well, you’re young you’re beautiful you’re very Self-oriented right there. No not a lot of stress not a lot of ⁓ baggage ⁓ Usually no children no husband or any other stressors in your life

and your hormonal levels are high, right? Your estrogen is there, it’s beautiful. Your ovaries work very well. You ovulate, you have your progesterone, you have an amazing amount of testosterone, so your sex drive is there, right? So that’s the woman when she is already, let’s say, to inter reproductive age. And that would be probably definition of 20s.

like 20s, early to mid to late 20s. And unfortunately, that is taken as a baseline for women’s sexuality. Like, I don’t feel it anymore.

Dr. Sonia (05:54)
Yeah, I have to interrupt here

because you’re completely right. Like that is the basis at which everything else is compared to. but like if you were to talk about like, ⁓

Evgenia Polosina, MD, FACOG (06:04)
Absolutely.

Dr. Sonia (06:09)
who a woman is and what she is in her essence and what her life is like. That’s just a small part of her life that does not last for very long. What period of a woman’s life doesn’t have stress and it doesn’t have children, doesn’t have a partner, doesn’t have a job, doesn’t have bills, doesn’t have like all those things, right? It’s a relatively short period of time. If I were to go back to a state where I didn’t have a job, I didn’t have bills, I didn’t have kids, I didn’t have a mortgage, I didn’t have like my busy job or anything,

like

that. You know, I think right now at 60 my sex level would be pretty high. I’d be sleeping all the time, you know. So I think there’s a context of the life at that point in time as well that we really need to take into consideration. So what happens in our like mid-30s to mid-40s? What season would you describe that as?

Evgenia Polosina, MD, FACOG (06:48)
Absolutely.

I think it’s probably the midlife season, right? When our hormones are shifting, are still there, they’re still doing fabulous job as much as they can. You ovulate, you still have your estrogen levels, progesterone, testosterone. However, those numbers are going down. So they do say that by age of 35, let’s say the estrogen goes down by about 30%.

Yes, you still have your period. Yes, you still have it, hopefully, every month. But the hormonal shifts is quite, I mean, it’s there, right? Plus, you have the midlife and all the baggage of the midlife when you have, as describe all of those things which can contribute to stress. And that’s…

Season may not come with a high sexuality as your 20s. And I believe that’s the time when women start questioning themselves and they’re like, well, is anything is wrong with me? Like I just don’t feel like having sex anymore, right? My partner approaches me and it’s just like, don’t feel like doing it. It’s like another job, which adds to my list of.

to do things and as you probably know as women we have a long to-do list all day every day, right? So quite often I hear that it’s just another job, another chore which you have to do essentially. ⁓ Yeah, that’s what I would describe as a midlife season which usually comes with a lower sexuality.

Dr. Sonia (08:40)
would have to say it.

I’d have to say since I’m hitting 60, that the 35 to 45 range, that would be the early, early part of midlife, right? Because like having gone through even more, yeah, so yes, definitely you still have some estrogen in there, still have some testosterone or whatever, but your responsibilities are shifting in life, right? And you’re right, this is about the time that people start realizing that they’re…

Evgenia Polosina, MD, FACOG (08:53)
yes, absolutely, absolutely, absolutely.

Dr. Sonia (09:09)
that sex is becoming more of on the to-do list, and I call it to-do list sex, right? Where you’re just like, it’s another duty if I can get this thing over as fast as I can so I can get to sleep or take care of the kids or have a minute for myself or get in the bath or whatever it is. So that begins. And then, you know the interesting part of like, if we were to go to 45 to 55, that’s when it’s on, right? That’s when we’re smack in midlife and that’s when our hormones are shifting the most, right?

Evgenia Polosina, MD, FACOG (09:40)
absolutely

Dr. Sonia (09:41)
What’s happening in that stage, the 45 to 55 stage?

Evgenia Polosina, MD, FACOG (09:46)
Absolutely. So when we talk about 45 to 55, I would say it’s probably perimenopausal transition and it can be early one or the late one. When your ovaries are still there, they’re doing as good job as they can, right? They still occasionally ovulate. So your period become irregular.

your hormones are going down with it. And I believe this is probably the most prominent, the most prominent shift which women acknowledge, right? Like they’re just something is not going right, right? When they used to track their period or whatnot, when they used to have that irregularity in how they feel, like they don’t really feel.

Regular anymore like I’m not talking about the period right? I’m talking about the mood swings. I’m talking about poor sleep. I’m talking about you know And obviously the sexuality we’re talking about sex right lower libido and that Season when women usually Come to us because that’s more prominent The changes are more prominent to them

Dr. Sonia (11:04)
Yeah, so I’m hearing 45 to 55 is when people are showing up in your office. Would you say that?

Evgenia Polosina, MD, FACOG (11:10)
I would say it’s

probably like 90 % of my patients.

Dr. Sonia (11:13)
Okay, well that’s good to know. okay, say that I’m back in that 45 to 55 range and I could just tell you what I’m dealing with because like not being able to sleep, brain fog, you know, I’ve definitely gone to a number of like sexual medicine doctors and you know, just midlife women doctors and things like that. but when I was having a lot of the symptoms, like hot flashes,

Evgenia Polosina, MD, FACOG (11:23)
Yes, tell me.

Dr. Sonia (11:38)
brain fog, like not being able to sleep, feeling shifting in my libido, like those type of things. Now, ⁓ how do you address that? Because you come from a longevity standpoint, you know? So if I were to show up in your office, how would you address all the stuff that I have going on from a longevity perspective? What would that look like?

Evgenia Polosina, MD, FACOG (12:00)

absolutely. I think the first thing what we do in our practice, we do look at the hormonal levels. We’ll look at your estrogen, we’ll look at your progesterone, we’ll look at your testosterone, and we really take a really deep dive into the symptoms and issues you might be having or you’re wanting to address. When we talk about HRT, right? Like now everybody talks about HRT. I really believe this is probably the era of, I call it,

hormonal renaissance, right? Like where everybody is like really acknowledging the health. From the longevity standpoint, we do provide good quality HRT and it does help to address the issues you just mentioned, right? The brain fog, the poor sleep, the bone health.

the cognition, right? ⁓ The memory and so on and so forth. So I have to be really careful what I’m actually saying right now because there are some controversial information about, well, not controversial, guess conflicting information about the cognition in HRT because they did come up with a recent information that a late introduction of HRT can actually result in dementia.

I can’t really say that it helps with cognition, but yes, I agree. I think the sleep is probably the cause of the brain fog. If I would choose probably addressing sleep, would probably address the brain fog with HRT. But anyway, so going back to the conversation, it’s a side note as I’m thinking about it. So we do address women’s…

how from one JVS standpoint to make sure that she doesn’t have osteoporosis when she gets older, right? We make sure that she doesn’t have gender urinary syndrome or panopause, make sure that she doesn’t develop lot of hygenosclerosis and ⁓ vaginal atrophy and so forth and so forth. So they’re multidisciplinary, I would say, multifactorial approach we take to take care of our patients.

Dr. Sonia (14:21)
So thank you for listing out some of those things that are happening. I’m wondering, just so all of our listeners are clear, what specifically is happening to our vulva? Because I think that this is something that’s really important to know what specifically is happening to our vulva and what hormones are impacting what’s happening to our vulva.

Evgenia Polosina, MD, FACOG (14:46)
Absolutely. What’s happening to our vulva? So let’s talk about the vulva, right? So, and we talk about external organs, so we talk about internal as well.

Dr. Sonia (14:56)
I’m talking about the outer lips, the inner lips, the clitoris, of course, you know, any innervation that’s happening there. Like anything that you want to tell us about the vulva, I’m here to hear.

Evgenia Polosina, MD, FACOG (15:10)
Okay,

anything I want to tell about vulva. Okay, so the most important thing which happening with the hormonal changes are atrophy, right? So the atrophy can be internal and external. The atrophy can come with less blood supply. the decreased blood supply obviously can cause ⁓ nerve.

I wouldn’t call it the nerve damage, Like it’s not, it should not really resolve into the nerve damage, but definitely dullness in sensation and can affect woman’s life and sexuality.

Dr. Sonia (15:49)
⁓ there’s like an increased risk of urinary tract infection. like why that would have an increased risk of urinary tract infection?

Evgenia Polosina, MD, FACOG (15:57)
So a vagina has its own flora, right? Like we have the good bacteria, we have ⁓ the bacilli and so forth and so forth. So when the atrophy or decreased hormonal levels causing the atrophy, those shifts, flora in the vaginal canal, right? When the vaginal…

canal flora shifts, the atrophy also can affect the urethra. So the bad bacteria, so you don’t have enough blood supply and you don’t have enough good support of the good bacteria to fight the bad bacteria. I mean, that’s probably the best way I can explain. And UTI, UTI, obviously the result of it.

Dr. Sonia (16:51)
And I hear like that’s something to be aware of whether or not you’re sexual. Like this is something that most women should be aware of that there’s an increase.

Evgenia Polosina, MD, FACOG (16:58)
Or

absolutely, yes, absolutely. But if you are sexually active or not, unfortunately, the vaginal atrophy can result in frequent UTIs.

Dr. Sonia (17:08)
And so what is like, what would you say is the number one sexual concern that your clients, your patients come to you about?

Evgenia Polosina, MD, FACOG (17:19)
I think it’s pain and discomfort during intercourse, right? So, I mean, think about, as we’re talking about of libido, think about how much of the negative reinforcement you get from having pain with sex. I mean, who would want to do that?

Dr. Sonia (17:38)
Yeah,

right. And your body’s not gonna want you to do that, right? So your body’s gonna be like, how can I reinforce this so that we don’t have sex, right? Let’s shut it all down.

Evgenia Polosina, MD, FACOG (17:44)
Absolutely.

Absolutely,

and this is probably one of the most, well, I would say decreased libido and pain was probably the most to the most common complaints I hear from the patients.

Dr. Sonia (18:03)
And ⁓ if you can talk a little bit, I know you can’t talk like about everything, but I know there’s HRT, systemic HRT. And then what form does the systemic HRT come in? Is it mainly patches? Are there pills? What are the different forms of the systemic?

Evgenia Polosina, MD, FACOG (18:21)
Absolutely,

there’s so many, so many forms. I mean, it’s all about the vehicles of delivery for HRT. And when we talk about systemic HRT, so there are two types of HRT, right? One is topical, and topical is for the woman’s health would be the vaginal HRT, right? Ostrichin, which basically treats…

Local local changes and there is a systemic one which we introduce the hormones into your body through either Patches I really well there is oral oral and transdermal approach and depending on what hormones we’re talking about if we’re talking about The estrogen there is a oral form there is transdermal form and transdermal form can come into the patches sprays gels mists

⁓ creams. I think those are the most common ones I can think about.

Dr. Sonia (19:20)
Okay, okay, that’s good to know that there’s a number of different ways. And do you, how do you decide on the different ways of getting the estrogen? Is it dependent on each woman, what works better for her? How do you know which one is better?

Evgenia Polosina, MD, FACOG (19:35)
Or absolutely,

I really, when you look into the studies, the most safe way to introduce estrogen transdermal approach because it bypasses the liver, right? So it decreases risk of DVT and VT. ⁓ The way we usually decide on what form to get, I mean, just chatting with women, right? Like if she loves patches, great, like we can go with FDA-approved bioidentical patches, which…

which is easy to get. If it doesn’t work for any reason then we can obviously can try different vehicles of introduction whatever it is in mist, gel, cream and so forth.

Dr. Sonia (20:16)
now when somebody comes to you, what is the most important thought or concept that you want to get across to them? ⁓ They’re coming either they’ve got pain with sex, things are shifting in their body, they’re going through perimenopause, menopause, they’re just trying to figure it all out. What is like the number one message do you want to make sure that they get?

Evgenia Polosina, MD, FACOG (20:38)
Okay, well, there concepts I kind of talk to my patients quite often about is desire and arousal, right? So going back to the seasons of life, when you’re in your 20s or woman in their the thought or desire, right? And they have arousal, which comes quite…

quite fast, so there is like no gap between desire and arousal. And that concept shifts quite significantly in midlife, right? So there are some, there is a little bit of a delay between the desire and desire would define as a thought of having sex, right? Either your partner approaches you.

or you have a thought like, okay, we’re going to have sex or maybe a thought about sex. So that’s your desire. And arousal, which is a physical readiness to have intimacy. And I believe in significant gap, the older you get, the more of that gap you have between your thought of having sex and being ready to have sex.

So if anybody comes to me with a low libido, pain, discomfort, and so forth and so forth, if I would change one concept is to educate them about desire and arousal. Because if you have a desire and a thought to have sex, it doesn’t mean that you are ready, like next 30 seconds for intimacy. You may take a little bit of time to get yourself ready.

whatever it is, foreplay, whatever it is, whatever works for the couples, that probably the concept I would introduce more often than not.

Dr. Sonia (22:30)
love that concept because when you sit and you tell women this ahead of time and normalize it, I think this is the important aspect of it, that you’re gonna have a desire and then there’s arousal in your body and then you’re gonna go on to have sexual intimacy. Between those two places is a gap and maybe the gap…

is like this when you’re in your 20s. So you don’t even notice that there is one, right? Maybe it’s like that at like one centimeter. And maybe by the time we’re in midlife, it’s like a ruler length or something like that. In terms of time and space or whatever, maybe it takes you 20 minutes. Maybe it took a minute when you’re in your 20s and maybe it’s 20 minutes now that you’re in your 40s and 50s. If we can normalize the concept that that is okay. And I would love to put forth, who knows,

I I just like to put forth things. I would love to put forth that sex gets to be even better because you have that gap. Like when we are intentional about anything, I think that it gets to have like a deeper quality, right? Just because we’re like ready at 20, that could be a five minute sex session. Boom, wham, bam, thank you. ⁓

Evgenia Polosina, MD, FACOG (23:41)
So

listen.

Dr. Sonia (23:42)
But like when you’re more intentional and it might take a little bit longer to get things to the like you feel things you need to be in your body more you’re connected more you’re more intentional about it and it might just like be an amazing experience right and so

Evgenia Polosina, MD, FACOG (23:59)
absolutely.

Dr. Sonia (24:01)
just because there’s a gap, the gap doesn’t necessarily have to be wrong. Like maybe that gap is like, I don’t even know, do we, like I’m wondering, there a concept that we can use? Yeah, yeah. Like more of an investment, know, like something to make it in, like, yeah.

Evgenia Polosina, MD, FACOG (24:11)
warm up it’s like a warm-up stage right like you just need a little bit warm up before before the activity

Dr. Sonia (24:25)
like to make it even better quality or whatever, you know? ⁓ that is something that I love that idea of a gap because I think we need to have a different way of looking at this and to recognize how important like this gets to be. And you’re mentioning about the different seasons, right? And I know I’m older than you. I’m probably like a good 20 years older than you. And so that being the case, like I’m heading into the fall season.

Evgenia Polosina, MD, FACOG (24:54)
Thank you.

Dr. Sonia (24:55)
fall season, right? And so I can say that, like, sex in my 20s was great, but sex now is fabulous too. It’s more intentional. Yes, there is a gap there. But if women all went into their fall, you know, or their autumn part of their life with this concept that sexual intimacy gets to be better than it ever was before, I wonder how like

If we have a goal, we have a belief that something is just naturally going to or can be potentially even better, like then we figure out how to get there. society is saying, ⁓ sex when you get older is just not going to be that great. Like, so right now we’re feeding a message and a narrative to women that we need to shift that narrative. What narrative would you like?

to shift or to give women.

Evgenia Polosina, MD, FACOG (25:53)
The narrative of the…

I mean, you just really have to love yourself to have pleasure. And it’s okay to feel pleasure and it’s okay to desire the pleasure. And that probably would be the one.

Dr. Sonia (26:03)
Yeah.

Yeah, I think that that’s so important that we like this gets to be our time, right? We get to focus on the pleasure. We get to focus on the quality. We get to do whatever work we need to do to focus on us, right? How do you help your clients focus on them and their pleasure?

Evgenia Polosina, MD, FACOG (26:34)
through education, through open conversations about practices, through open conversation about the concerns, through enhancement and the techniques we have to enhance their pleasure and so forth and so forth. So we have a toolbox of

things we can offer to our patients.

Dr. Sonia (27:03)
some things like you talked about the topical hormones and there’s the systemic hormones. There’s like this concept of making sure that you know more about your body and how it works, know, open conversations.

you Evgenia and Sonia, we together are going to make a toolbox for women.

Evgenia Polosina, MD, FACOG (27:28)
Let’s do it.

Dr. Sonia (27:29)
And I think that that would be a great idea. ⁓ Now I’m going to give you the option of what medical stuff that you would put in there. And I’m gonna put in there, ⁓ like I’m gonna put in there permission for toys. Like I’m gonna put in toys to explore your body. Cause I think that that’s important. ⁓ What is something that one thing you might put in there and then I’ll add something. We’ll just, we’ll go back and forth.

Evgenia Polosina, MD, FACOG (27:55)
Absolutely.

Probably the first thing I would say HRT, support throughout the lifetime. Absolutely.

Dr. Sonia (28:04)
Yeah,

so this is something that women, just to be clear, women have to take through their whole lifetime, the HRT. Once they start it, they’re gonna continue it.

Evgenia Polosina, MD, FACOG (28:14)
It really depends. ⁓ It really depends. I think if you really want to hijack the nature, right? Like when we’re trying to look into our health from longevity standpoint, you can take it as long as you don’t have contraindications. Although I do believe that a lot of patients naturally discontinue them at some point in life. So whatever.

you know, whatever, they just don’t want to take it anymore or they don’t see the benefit or whatnot, or it just became became another another thing for them to take.

Dr. Sonia (28:54)
And so

that gets me a choice that they get to make. So you would put in the toolbox of midlife around sexuality, HRT, and hormones. And I think that’s a great idea. And then let’s see, what else? said I would put in toys. reason I would put toys in there is because, or just self pleasure. You can choose if you want to add in the toys or not. But I think women need to know their body and we need to be at that place in our body where we’re like, like,

Honestly, what my orgasms and pleasure felt like previously and what they feel like now are different. Our body’s constantly changing. So we need to understand our body and the best way to understand it is through self pleasure. So that would be something else that I would put in the toolbox. Evgenia and Dr. Polosina you had mentioned permission. I think that that’s pretty cool. What permission would you put in the toolbox?

Evgenia Polosina, MD, FACOG (29:49)
permission to allow yourself to feel pleasure, right? So just like have that permission of eliminating all the noise, all the noise, all the pressure, all the thoughts of the society. So that’s your body and you are giving yourself permission to have pleasure. That would be my permission.

Dr. Sonia (30:14)
That is so cool.

I love that. That is so good. I’m to add in ⁓ education. ⁓

Evgenia Polosina, MD, FACOG (30:23)
Mmm.

Dr. Sonia (30:24)
know what their vulva area looks like. They don’t even know the difference between a vulva and a vagina. And this is ⁓ not to shame anybody, but I think we need to understand what the differences are. We need to know how it works. Like even just looking at it, we may not have looked at our vulva. So I’m going to add in there self-education about anatomy and what’s happening with our bodies during midlife and GSM. you want to add?

Evgenia Polosina, MD, FACOG (30:50)
is so

amazing. Yes, you know I was listening to your podcast episode about being cliterate And I never thought of the concepts of, you know, men having penises and women have vaginas, right? I mean, that’s not the equal. It’s like even throughout the development, it’s not the same thing.

So anyway, I thought it was a really interesting concept, which even made me smile. I’m how did I not even think about it ever? Right?

Dr. Sonia (31:24)
I can tell you, because this world is made for the patriarchy, which needs a hole. I don’t even know. And so the focus is going to be on the hole that women have as opposed to the clitoris. But we are going to put that focus on all different aspects. There’s so many different ways for women to have pleasure. And so we get to enjoy all aspects of our vulva, not just our vagina. We are just amazing. Women are amazing. And so I think that.

The work that you do is so important and the longevity aspect of it is so important. Any last things that you’d like to add as we kind of wrap up this podcast episode?

Evgenia Polosina, MD, FACOG (32:07)
Live your life, allow yourself to have pleasure, take care of yourself. Yeah, all the best. Love yourself.

Dr. Sonia (32:16)
So good.

And where is it that you practice just in case anybody wants to come find you?

Evgenia Polosina, MD, FACOG (32:21)
Absolutely.

My practice is in Folsom, California. It’s in Northern California.

Dr. Sonia (32:26)
in Northern California. All righty. And we will make sure to have all the information on Dr. Polosina’s practice in the show notes. And thank you so much for coming on the podcast.

Evgenia Polosina, MD, FACOG (32:37)
Thank you for having me, Sonia.

I really appreciate it. I really appreciate it. What a highlight of the week.

Dr. Sonia (32:42)
So good. Alrighty. Thank you so much.

Sonia Wright (32:46)
thank you so much for spending this time with me today on the Midlife Sex Coach for Women podcast. If today’s episode resonated with you, I want you to remember this, your body is not failing you and not tonight is not the end of intimacy. You may be just heading into a new season of intimacy. This is information, it’s communication, it’s an invitation to get curious instead of critical.

The midlife intimacy is not about forcing yourself into desire. It’s about understanding yourself in a deeper way than ever before. And my beautiful diamond, that changes everything. If you’re ready to continue this work with support, community, and deeper guidance, I’d love to guide you into the diamond intimacy collective.

Inside the collective, we’re having real conversations about intimacy, desire, relationships, emotions, nervous system regulation, pleasure, and what it truly means to reconnect with yourself in midlife. As you know, we have Q and A’s and pajama parties and coaching, and now we have introduced new foundational intimacy modules. So there’s learning as well. There’s so much happening here.

and you get to create amazing intimacy for the next 30 years of your life. You don’t have to do this alone.

Look at the show notes in order to learn more about the Diamond Intimacy Collective. And if this episode helped you today, make sure you subscribe, leave a review, and share it with another woman who needs to hear this message. Because we are changing the conversation around intimacy and midlife one diamond at a time. Lots of love and remember, your pleasure matters. Dr. Sonia out.

 

 
Interested in Learning More About The Diamond Intimacy Collective? Click Here for more Information.
 
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About

Sonia Wright MD

Hi, I’m Dr. Sonia Wright and I’m YOUR SEX COACH! I’m on a mission to end the pain and isolation associated with sexual difficulties and to help women create satisfying sex lives.

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