As a gynecologist, I help women with the physical, hormonal, and medical aspects of sexual response: eliminate sexual pain, and help women who can’t orgasm due to an SSRI, diabetes or vascular disease. I am not a therapist. I do not treat the psychosocial aspects of sexual difficulties or address the mind-body connection. And that is why the work I do depends on experts like my guest today, Dr. Lori BrottoDr. Lori Brotto is a registered psychologist, researcher, and global leader in women’s sexual health. A Professor at the University of British Columbia and Distinguished University Scholar, she has spent more than two decades developing and validating evidence-based treatments for women’s sexual concerns and is widely recognized for pioneering the use of mindfulness in sexual health. She co-developed eSense to translate this body of research into accessible, evidence-based care beyond traditional clinical settings. Dr. Brotto has authored more than 280 scientific publications and is also the author of Better Sex Through Mindfulness and its companion workbook. In this episode: Why a sex therapist and medical clinician need to collaborate How mindfulness helps arousal and libido once there is no pain with sexual activity How well mindfulness works to increase libido The difference between mindfulness and cognitive behavioral therapy Why women avoid sex (besides pain) The circular sexual response cycle If most sex therapists are aware of the impact of menopause symptoms The role of systemic testosterone and libido The eSense Health tool for individualized digital access to CBT and mindfulness Why Dr. Brotto developed eSense Health What eSense is How eSense works and how well it works Who eSense is for How this tool helps women Living with a cancer diagnosis PTSD History of trauma History of sexual abuse With different cultural and religious backgrounds What to expect during an eSense session The cost of eSense Linked In https://www.linkedin.com/in/lori-brotto-9974a236/ Instagram @drloribrotto Information about eSense HEALTHeSense Health is a digital health company focused on closing the care gap in women’s sexual health. The e-Sense program is based on proven therapeutic approaches, including CBT and mindfulness, and turns them into a structured self-guided experience that women can access privately. It offers support that’s similar to what you might receive in therapy, but in a more accessible and affordable format. To learn more and sign up for updates, visit: https://esensehealth.com/contact/ IG: https://www.instagram.com/esensehealth/ YouTube: Episode 195 Vulvar Relief with Dr. Andrew GoldsteinCOME AGAIN is a 30-part audio series to address the biological, hormonal, and medical issues that can sabotage your sex life. This solution-driven, science-based guide will help get your libido to kick in and your clitoral nerve endings to wake up.For more information, go to DrStreicher.com/COMEAGAINDr. Streicher is on SUBSTACK DrStreicher.Substack.com Articles Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Lauren Streicher MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s Substack Information About COME AGAIN Dr. Streicher’s CV and additional bio information To Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.