Burn The Rulebook Podcast: Real Talk On Menopause Mental, Health & Relationships
The Four Pillars Of Perimenopause
07 Oct 2025
In this episode of the Burn the Rulebook Podcast, Rachel Boyle discusses the complexities of sex and intimacy during perimenopause. She introduces the concept of the four pillars of sex, which include medical factors, relationship dynamics, personal sexual satisfaction, and cultural messages. By understanding these pillars, women can navigate the changes in their bodies and relationships, ultimately leading to a more fulfilling sexual experience in midlife.TakeawaysSex and perimenopause can feel confusing.Hormonal shifts affect mood, libido, and overall well-being.Relationship dynamics play a crucial role in sexual desire.Women often need to explore what kind of sex they want.Cultural messages can negatively impact women's sexual experiences.Responsive desire is common in perimenopausal women.Therapy can help address relationship issues affecting intimacy.Women can rewrite outdated cultural scripts about sex.Addressing all four pillars can enhance sexual experiences.There is nothing wrong with you; it's a transition. Tags:perimenopause, sex, intimacy, hormonal changes, relationship dynamics, cultural messages, sexual health, libido, emotional well-being, therapy
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