Women’s Sexual Health News: Insights to Boost Desire, Arousal, and Comfort in 2026

Explore women’s sexual health with Sally Greenwald, M.D., covering desire, arousal, orgasms, and managing perimenopause using contraceptives and hormone therapy.

MELA AI - Women’s Sexual Health News: Insights to Boost Desire, Arousal, and Comfort in 2026 | #371 ‒ Women’s sexual health: understanding desire

TL;DR: Understanding Women’s Sexual Health and Empowering Change

Women’s sexual health is shaped by complex factors including hormones, stress, emotional connection, and biology. Dr. Sally Greenwald highlights key topics:

Sexual desire: Women experience both spontaneous and responsive desire, influenced by lifestyle, hormones, and emotional well-being.

Hormonal impacts: Changes during perimenopause and menopause affect arousal, libido, and satisfaction, often addressed with hormone therapy or personalized care.

Anatomy awareness: Knowledge of the clitoral structure and overall anatomy is central to fulfillment.

Small lifestyle changes, open communication, and tailored medical care can significantly enhance sexual health. Advocate for your well-being today!


In recent years, conversations around women’s sexual health have become more open and nuanced, yet misconceptions still linger. With research and expert voices driving the discussion forward, Dr. Sally Greenwald, M.D., M.P.H., has emerged as a leading advocate for breaking down the biological, hormonal, and emotional complexities of women’s sexuality. Her insights offer much-needed clarity on topics like desire, arousal, orgasms, perimenopause, and sexual satisfaction.

What Drives Sexual Desire in Women?

Sexual desire, often misunderstood, is rarely as simple as flipping a switch. Dr. Greenwald explains how desire in women can be broadly categorized into spontaneous and responsive types. The former pertains to a natural, seemingly random inclination, while the latter emerges as a reaction to a particular stimulus, whether emotional connection or physical touch. Societal myths often portray men as having greater libidos, but the reality suggests women’s desire is simply influenced by more complex factors, such as stress, relationship dynamics, hormonal fluctuations, and even diet.

To address low libidos, Dr. Greenwald highlights both psychological and physiological approaches. Mindfulness, open communication with partners, and lifestyle changes, like stress reduction, exercise, and a balanced diet rich in specific nutrients, are key. In some cases, medical interventions, including testosterone therapy and medications like flibanserin, may help those experiencing hypoactive sexual desire disorder (HSDD).

Why Are Hormonal Shifts So Impactful?

Hormone levels play an enormous role in shaping sexual health for women, particularly during perimenopause and menopause. Declines in estrogen and testosterone can lead to vaginal dryness, lower libido, and difficulty reaching orgasm, leaving many women distressed. For women navigating these changes, Dr. Greenwald underscores the value of personalized approaches. Hormone replacement therapy (HRT), for instance, can be life-changing when tailored to individual needs.

When it comes to contraception during perimenopause, a time framed by unpredictable hormonal shifts, Dr. Greenwald recommends weighing options carefully. Beyond preventing pregnancy, certain contraceptives can help regulate irregular cycles and manage symptoms like hot flashes and mood swings, while others may inadvertently dampen sexual desire.

Understanding Anatomy Is Key to Sexual Fulfillment

Women’s anatomy, especially the clitoral structure, is more biologically int


FAQ on Women’s Sexual Health, Hormones, and Satisfaction

What factors influence sexual desire in women?

Sexual desire in women is influenced by a combination of biological, psychological, and relational factors. Dr. Sally Greenwald identifies two primary types of desire: spontaneous, which feels natural and random, and responsive, which arises from external stimuli like physical touch, emotional connection, or sensual environments. Stress, diet, hormone levels, and relationship dynamics play critical roles in shaping libido. Addressing low desire often involves holistic approaches such as mindfulness, open communication with a partner, lifestyle changes like exercise and balanced nutrition, and, in some cases, medical interventions like hormone therapy or medications like flibanserin. Learn more insights into libido variations and management strategies from Dr. Greenwald at The Peter Attia Drive podcast.


How do hormonal changes during perimenopause affect sexual health?

During perimenopause, hormonal fluctuations, particularly declines in estrogen and testosterone, can significantly impact sexual health. Common issues include vaginal dryness, decreased libido, and difficulty reaching orgasm. Dr. Greenwald emphasizes personalized care with options like Hormone Replacement Therapy (HRT), which can help alleviate these symptoms. Additionally, contraception during perimenopause may serve dual purposes: regulating cycles and minimizing hot flashes or mood swings. However, some contraceptives may reduce sexual desire, requiring careful selection. For detailed guidance on navigating perimenopause, visit Sally Greenwald’s practice page.


How can understanding anatomy improve sexual satisfaction?

Understanding women’s anatomy, especially the clitoral structure, is essential for sexual fulfillment. Many women need clitoral stimulation to achieve orgasm, which is often overlooked due to myths centered around penetration. Dr. Greenwald advocates for sexual education that includes the clitoral complex, nerve pathways, and lubrication techniques to enhance comfort and satisfaction. Tools like vibrators and personal lubricants can be beneficial. Practical tips and anatomical insights are shared in detail in Dr. Greenwald’s podcast episode on women’s sexual health.


What are safe contraceptive options during perimenopause?

Contraceptive choices during perimenopause must balance hormone regulation and sexual health. Options such as oral contraceptives may help control irregular cycles and alleviate symptoms like hot flashes or mood swings. However, Dr. Greenwald advises that some contraceptives may dampen libido, requiring personalized recommendations. For women navigating diverse needs during this stage, consulting a certified menopause practitioner ensures tailored approaches. Explore comprehensive contraceptive discussions in Sally Greenwald’s detailed talks featured by The Peter Attia Drive.


Are men’s roles critical in improving women’s sexual health?

Men play an integral role in enhancing their partner’s sexual health. Dr. Greenwald advises that emotional support, understanding anatomy, and communicating openly about desires and boundaries help couples achieve mutual satisfaction. She encourages partners to educate themselves about female sexual health through resources such as specialized podcasts and medical articles, which address sensitivity and inclusivity within relationships. For actionable ways to foster intimacy, visit Sally Greenwald’s educational platform.


How can restaurants in Malta help women prioritize health during hormonal transitions?

Restaurants have the unique opportunity to offer health-conscious meals that support hormonal balance for women during perimenopause and menopause. For instance, dishes rich in phytoestrogens found in lentils, tofu, and flaxseeds can help modulate estrogen levels. Healthy fats from avocados and nuts support hormone production. If you’re a diner in Malta or Gozo seeking restaurants that cater to women’s health needs, the MELA AI – Malta Restaurants Directory makes finding balanced options easy. With the “MELA sticker” marking those committed to well-being, it’s the go-to resource for health-conscious dining.


What are the benefits of the “MELA sticker” for health-conscious diners in Malta?

The “MELA sticker” is awarded to restaurants in Malta and Gozo that prioritize healthy menu offerings. For diners, this designation means guaranteed access to meals crafted with balanced nutrition, supporting individual health goals. Whether you’re navigating hormonal changes, weight management, or dietary concerns, the MELA AI directory helps you locate establishments aligned with your needs. Features include restaurant ratings, dish highlights, and transparency about ingredients. Visit MELA AI to explore Malta’s healthier dining scene.


Can physical therapy help with sexual discomfort and pain?

Pelvic floor dysfunction, childbirth injuries, or menopause-related changes often contribute to discomfort during sex. Dr. Greenwald recommends pelvic floor therapy as a highly effective, evidence-based method for pain relief and improved sexual function. Therapists guide women through exercises and relaxation techniques to strengthen and reposition pelvic muscles while addressing underlying tensions. Incorporating medical-grade lubricants alongside therapy can enhance results. Seek advice from a certified sexual health expert for individualized solutions.


What is vaginal dryness and how is it treated?

Vaginal dryness is a common issue, particularly during menopause, caused by declining estrogen levels. It can lead to discomfort during intimacy and daily activities. Dr. Greenwald advises treatments such as over-the-counter vaginal moisturizers or lubricants, topical estrogen creams, or hormone therapy for more severe cases. Hydration and eating foods rich in omega-3 fatty acids (salmon, chia seeds) also support better lubrication. For long-term care strategies, listen to menopause-specific content from Sally Greenwald’s professional talks.


How can women enhance orgasm quality?

Enhancing orgasm quality involves physical stimulation, emotional connection, and addressing any medical concerns like hormonal imbalances. Dr. Greenwald highlights the importance of extended foreplay, personalized experimentation, and open communication between partners to heighten pleasure. She also emphasizes understanding the clitoral complex and using tools like vibrators when needed. For those experiencing diminished responses due to hormonal changes, HRT or medical therapies like topical testosterone might provide relief. Access practical strategies from expert guides in podcasts led by Sally Greenwald.

About the Author

Violetta Bonenkamp, also known as MeanCEO, is an experienced startup founder with an impressive educational background including an MBA and four other higher education degrees. She has over 20 years of work experience across multiple countries, including 5 years as a solopreneur and serial entrepreneur. Throughout her startup experience she has applied for multiple startup grants at the EU level, in the Netherlands and Malta, and her startups received quite a few of those. She’s been living, studying and working in many countries around the globe and her extensive multicultural experience has influenced her immensely.

Violetta Bonenkamp’s expertise in CAD sector, IP protection and blockchain

Violetta Bonenkamp is recognized as a multidisciplinary expert with significant achievements in the CAD sector, intellectual property (IP) protection, and blockchain technology.

CAD Sector:

  • Violetta is the CEO and co-founder of CADChain, a deep tech startup focused on developing IP management software specifically for CAD (Computer-Aided Design) data. CADChain addresses the lack of industry standards for CAD data protection and sharing, using innovative technology to secure and manage design data.
  • She has led the company since its inception in 2018, overseeing R&D, PR, and business development, and driving the creation of products for platforms such as Autodesk Inventor, Blender, and SolidWorks.
  • Her leadership has been instrumental in scaling CADChain from a small team to a significant player in the deeptech space, with a diverse, international team.

IP Protection:

  • Violetta has built deep expertise in intellectual property, combining academic training with practical startup experience. She has taken specialized courses in IP from institutions like WIPO and the EU IPO.
  • She is known for sharing actionable strategies for startup IP protection, leveraging both legal and technological approaches, and has published guides and content on this topic for the entrepreneurial community.
  • Her work at CADChain directly addresses the need for robust IP protection in the engineering and design industries, integrating cybersecurity and compliance measures to safeguard digital assets.

Blockchain:

  • Violetta’s entry into the blockchain sector began with the founding of CADChain, which uses blockchain as a core technology for securing and managing CAD data.
  • She holds several certifications in blockchain and has participated in major hackathons and policy forums, such as the OECD Global Blockchain Policy Forum.
  • Her expertise extends to applying blockchain for IP management, ensuring data integrity, traceability, and secure sharing in the CAD industry.

Violetta is a true multiple specialist who has built expertise in Linguistics, Education, Business Management, Blockchain, Entrepreneurship, Intellectual Property, Game Design, AI, SEO, Digital Marketing, cyber security and zero code automations. Her extensive educational journey includes a Master of Arts in Linguistics and Education, an Advanced Master in Linguistics from Belgium (2006-2007), an MBA from Blekinge Institute of Technology in Sweden (2006-2008), and an Erasmus Mundus joint program European Master of Higher Education from universities in Norway, Finland, and Portugal (2009).

She is the founder of Fe/male Switch, a startup game that encourages women to enter STEM fields, and also leads CADChain, and multiple other projects like the Directory of 1,000 Startup Cities with a proprietary MeanCEO Index that ranks cities for female entrepreneurs. Violetta created the “gamepreneurship” methodology, which forms the scientific basis of her startup game. She also builds a lot of SEO tools for startups. Her achievements include being named one of the top 100 women in Europe by EU Startups in 2022 and being nominated for Impact Person of the year at the Dutch Blockchain Week. She is an author with Sifted and a speaker at different Universities. Recently she published a book on Startup Idea Validation the right way: from zero to first customers and beyond, launched a Directory of 1,500+ websites for startups to list themselves in order to gain traction and build backlinks and is building MELA AI to help local restaurants in Malta get more visibility online.

For the past several years Violetta has been living between the Netherlands and Malta, while also regularly traveling to different destinations around the globe, usually due to her entrepreneurial activities. This has led her to start writing about different locations and amenities from the POV of an entrepreneur. Here’s her recent article about the best hotels in Italy to work from.

MELA AI - Women’s Sexual Health News: Insights to Boost Desire, Arousal, and Comfort in 2026 | #371 ‒ Women’s sexual health: understanding desire

Violetta Bonenkamp

Violetta Bonenkamp, also known as MeanCEO, is an experienced startup founder with an impressive educational background including an MBA and four other higher education degrees. She has over 20 years of work experience across multiple countries, including 5 years as a solopreneur and serial entrepreneur. Throughout her startup experience she has applied for multiple startup grants at the EU level, in the Netherlands and Malta, and her startups received quite a few of those. She’s been living, studying and working in many countries around the globe and her extensive multicultural experience has influenced her immensely.