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Home » What's New » Ep 78 – Have We Failed Women? Why Intimacy, Sexual Health & Sexual Agency Change in Perimenopause with Dr. Juliana Hauser

Ep 78 – Have We Failed Women? Why Intimacy, Sexual Health & Sexual Agency Change in Perimenopause with Dr. Juliana Hauser

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Have We Failed Women? Why Intimacy, Sexual Health & Sexual Agency Change in Perimenopause with Dr. Juliana Hauser

Welcome back to Uncover Your Eyes with Dr. Meenal! Join us as we uncover our lives as healthcare professionals.

In this powerful episode of the Uncover Your Eyes podcast, Dr. Meenal Agarwal sits down with therapist, sexuality educator, and author of A New Position On Sex, Dr. Juliana Hauser, to unpack a topic we don’t walk about enough: why intimacy shifts during perimenopause and what women can do to reclaim sexual agency, connection, and pleasure. Watch the video episode on YouTube and listen to the audio episode on Apple Podcasts, Spotify, and your other favorite podcast spots – follow and leave a 5-star review if you’re enjoying the show!

  • Episode Summary & Player
  • Show Notes
  • Learn more about Uncover Your Eyes with Dr. Meenal
  • Learn more about Dr. Meenal Agarwal

Uncover Your Eyes with Dr. Meenal Episode #78: Have We Failed Women? Why Intimacy, Sexual Health & Sexual Agency Change in Perimenopause with Dr. Juliana Hauser

Up to 50% of women in midlife reported a decline in sexual satisfaction, yet so many of us suffer in silence. Nearly 1 in 2 women experience changes in intimacy and desire during perimenopause that affect relationships, confidence, and mental health.

In this eye-opening episode of the Uncover Your Eyes podcast, Dr. Meenal Agarwal sits down with therapist, sexuality educator, and author of A New Position On Sex, Dr. Juliana Hauser, to unpack a topic we don’t walk about enough: why intimacy shifts during perimenopause and what women can do to reclaim sexual agency, connection, and pleasure.

Whether you’re in the middle of perimenopause, noticing changes in your intimacy, or supporting a partner through this transition, this is a must-listen conversation that blends healthcare education, mental health, and wellness with real, practical insights.

At Uncover Your Eyes, Dr. Meenal Agarwal shines a light on the hidden struggles of healthcare—bringing powerful conversations around self-advocacy, healthcare education, mental health, wellness, and healthcare innovations that help us live longer, fuller lives.

Here’s a small sample of what you will hear in this episode:

  • How to recognize the sexual changes tied to perimenopause & menopause
  • The 5 steps of sexual agency and how to apply them in real life
  • The 9 pillars of sexuality every woman should know
  • How outside forces shape our beliefs and silence our voices
  • Why self-advocacy is essential for intimacy, relationships, and sexual satisfaction

Learn more about Dr. Juliana Hauser on social media @DrJulianaHauser, at Dr-Juliana.com, and check out her book A New Position on Sex

Subscribe to Uncover Your Eyes on your favorite podcast platform and YouTube, and learn more about Dr. Meenal on Instagram @Dr.MeenalAgarwal.

Check out the episode and show notes below for much more detail.

Show Notes

  • Have We Failed Women? Why Intimacy, Sexual Health & Sexual Agency Change in Perimenopause with Dr. Juliana Hauser
    • [0:43] Welcome to Uncover Your Eyes with Dr. Meenal
    • [1:03] Welcome, Dr. Juliana Hauser, to the show!
    • [2:27] What happens during the hormonal shift of perimenopause?
    • [5:52] Why don’t we talk about sexual health during menopause?
    • [9:01] How can women identify the signs of change?
    • [10:19] Pleasure vs. sexual wellbeing
    • [11:47] Understanding sexual agency
    • [16:48] How can we navigate shifting desires in long-term relationships?
    • [19:57] Take the wheel, not staircase approach
    • [22:26] How to remove the “shoulds” and redesign expectations
    • [26:38] The nine pillars of sexuality and connection
    • [29:50] What is the role of male partners?
    • [32:38] What has Dr. Hauser’s personal journey been like?
    • [35:27] How does society affect sexual agency?
    • [38:16] What are the system barriers to appropriate care?
    • [40:02] Why do providers struggle with sexual health education?
    • [45:56] How to find supportive healthcare and the right provider
    • [47:13] The ripple effect of sex education failure
    • [50:31] How we can break the stigma
    • [51:23] Learn more about Dr. Juliana Hauser on social media @DrJulianaHauser, at Dr-Juliana.com, and check out her book A New Position on Sex
    • Subscribe to Uncover Your Eyes on your favorite podcast platform and YouTube, and learn more about Dr. Meenal on Instagram @Dr.MeenalAgarwal
    • Theme Song: “Upbeat Motivational Pop Rock” by Alexey Anisimov

What is Uncover Your Eyes with Dr. Meenal?

Thanks for listening to Uncover Your Eyes with Dr. Meenal. Being an eye doctor makes life easy, right? Not so fast. Join us as we uncover our lives as healthcare professionals. In each episode, you will face reality and vulnerability. You’ll hear how to manage your wellbeing, culture, and physical and mental health. You’ll also navigate self-improvement and professional development, all while uncovering innovation in patient care from experts in our healthcare system. Let’s do this while keeping it “real” and authentic. Hosted by Dr. Meenal Agarwal, Expert Optometrist, Entrepreneur, Speaker, and Mom of 3.

Who is Dr. Meenal Agarwal?

With three clinics in Toronto and sought-after experience, Dr. Meenal Agarwal is an expert in vision and eyecare innovation. She is a leading voice on patient care, technology, professional development, and wellness in the healthcare industry.