Low Libido & Sexual Health in Perimenopause & Beyond
Understand the real drivers of low desire — hormonal, physiological, and contextual, and learn an evidence-informed framework for addressing them with clarity and confidence.
Approached with clinical clarity and respect, free of judgment or oversimplification.Low Libido Is Common, But It's Rarely Explained Well
Changes in sexual desire are among the most common concerns women bring to their healthcare providers, and among the least well-addressed. Many women are told it's "just stress" or "normal for your age," without any real exploration of what's driving it.
- You've noticed a significant change in your desire but don't know why
- You've been told it's normal but that answer doesn't feel sufficient
- You're unsure whether hormones, stress, medications, or relationship factors are involved
- You feel uncomfortable or uncertain about how to raise this with your provider
- You've tried general advice without understanding your specific situation
A Clinically Grounded Approach to Sexual Health
This course provides a structured, respectful framework for understanding low libido — covering the hormonal, physiological, psychological, and relational factors that influence sexual desire.
You'll leave with a clearer picture of what may be contributing to your experience, what options exist, and how to approach the topic with your healthcare provider from a position of knowledge.
See What's Inside
What You'll Learn
- How sexual desire works and what influences it across the lifespan
- The hormonal drivers of libido — estrogen, testosterone, progesterone, and how they change
- How stress, sleep, and nervous system dysregulation affect desire
- The role of medications, including hormonal contraceptives and antidepressants, on libido
- Physical contributors such as pain, dryness, and pelvic floor factors
- Evidence-informed approaches and treatment options
- How to raise this topic with your healthcare provider confidently
This Course Is Designed For
- Women experiencing a change or decline in sexual desire
- Those who want to understand the root causes before exploring treatment options
- Women navigating perimenopause or postmenopause with sexual health concerns
- Anyone who wants to approach this topic from a place of information rather than guesswork
What's Included
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01
Understanding Sexual Desire
How libido works, the difference between spontaneous and responsive desire, and what influences it.
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02
Hormonal Drivers of Libido
The roles of estrogen, testosterone, and progesterone — and how hormonal changes affect sexual health.
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03
Stress, Sleep & the Nervous System
How chronic stress and poor sleep suppress desire, and what the evidence says about addressing them.
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04
Medications & Physical Contributors
Common medications and physical factors that affect libido — and what options exist.
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05
Evidence-Informed Treatment Options
An overview of available approaches — hormonal, non-hormonal, lifestyle, and therapeutic.
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06
Navigating Care & Next Steps
How to advocate for yourself and have a productive conversation with your healthcare provider.
Dr. Sarah Goulding, ND
Naturopathic Doctor — Women's Health, Libido, Stress & BurnoutDr. Sarah Goulding is a self-proclaimed health nerd. She loves hearing the full story of how her patients got to where they are in their health—and geeking out over lab results to help uncover what may be contributing to their concerns.
She created this course after working with countless patients experiencing changes in sexual desire during perimenopause and after menopause. Despite being incredibly common, low libido is a concern that many people still feel uncomfortable bringing up, even with their healthcare providers. She created this course to open up that conversation, fill in the gaps, and address an important part of women's health that too often goes unspoken.
Dr. Goulding earned her BSc in Neuroscience and Biology from Dalhousie University in 2004 before completing her four-year naturopathic medical training at the Canadian College of Naturopathic Medicine in 2010. Since then, she has accumulated more than a decade of clinical experience and refined her practice to focus on women's health, sexual health and libido, stress, and burnout.
As a registered naturopathic doctor in Ontario, Dr. Goulding is licensed by the College of Naturopaths of Ontario (CONO). She is a member of the Canadian Association of Naturopathic Doctors (CAND), the Ontario Association of Naturopathic Doctors (OAND), and the International Society for the Study of Women's Sexual Health (ISSWSH).
Frequently Asked
No. This course is for educational purposes only and is not a substitute for personalized medical care.
Yes. Sexual health is approached with clinical clarity and respect — free from judgment, shame, or oversimplification.
You will have ongoing access to the course materials after purchase.
Due to the digital nature of our courses, all sales are final. If you experience a technical issue, please contact us.
Understand what's driving your experience. Approach your care with confidence.
$197 CAD One-time payment — ongoing accessThis course is designed for educational purposes only and does not replace individualized medical advice, diagnosis, or treatment. Always consult your healthcare provider before making changes to your health regimen.