In this episode of The Lifestyle Prescription with Pharmacy Planet, host Rena Dipti Annobil speaks with Rachel Gold, a Sex and Relationship Coach and Therapist, about a topic that is often misunderstood, rarely discussed openly, and surrounded by unnecessary shame: women’s sexual health and libido.

From changes in sexual desire to the realities of intimacy in long-term relationships, the conversation explores the many factors that influence women’s sex drive — including stress, hormonal changes, body image, motherhood, lifestyle pressures and relationship dynamics.

For many women, a decrease in libido can feel confusing or isolating. Yet as Rachel explains, fluctuations in sexual desire are far more common than most people realise. The key is understanding the underlying causes and finding ways to rebuild connection, confidence and communication.

Together, Rena and Rachel discuss mismatched sex drives between partners, intimacy after childbirth, the impact of perimenopause and menopause, and why open conversations about sexual wellbeing are essential for healthy relationships.

Listen on Apple & Spotify

Why Women’s Libido Changes Over Time

One of the central themes of the episode is that female libido is not static.

Unlike common cultural myths suggesting that sexual desire should remain constant, women’s sex drive is influenced by a wide range of factors throughout life.

These can include:

  • Stress and burnout
  • Relationship dynamics
  • Hormonal changes
  • Sleep and overall health
  • Body image and confidence
  • Life transitions such as pregnancy or menopause

Rachel explains that many women interpret changes in libido as a problem with themselves, when in reality these shifts are often a natural response to life circumstances.

Understanding these influences is the first step toward rebuilding sexual wellbeing.

Mismatched Sex Drives in Relationships

A challenge many couples face is mismatched libido, where one partner experiences a higher level of sexual desire than the other.

Rachel highlights that this situation is extremely common in long-term relationships and doesn’t necessarily indicate deeper problems between partners.

What often matters most is how couples communicate about intimacy.

Open conversations about expectations, needs and emotional connection can help reduce feelings of pressure or rejection. When partners approach these discussions with empathy rather than blame, it becomes easier to find solutions that work for both individuals.

Body Image and Sexual Confidence

Another important aspect of sexual wellbeing is self-confidence and body image.

Many women struggle with feeling comfortable in their own bodies, particularly after major life events such as childbirth or during periods of hormonal change.

Rachel emphasises that sexual confidence isn’t about meeting unrealistic standards of attractiveness. Instead, it’s about feeling connected to one’s body and comfortable expressing desire and vulnerability within a relationship.

Rebuilding this confidence can take time, but it plays a crucial role in restoring intimacy.

Perimenopause, Menopause and Sexual Health

Hormonal changes during perimenopause and menopause can also significantly affect libido.

Changes in oestrogen levels may influence mood, energy levels, vaginal health and overall sexual desire. However, Rachel explains that these changes don’t mean intimacy has to disappear.

Understanding the physical and emotional effects of menopause can help women make informed decisions about their health and seek appropriate medical support when needed.

For some, speaking to a GP about symptoms such as loss of libido can be an important step toward identifying underlying causes or treatment options.

Intimacy After Children

For many couples, the arrival of children can dramatically reshape intimacy.

New parents often face sleep deprivation, physical recovery, emotional adjustments and increased responsibilities — all of which can affect sexual desire.

Rachel notes that rebuilding intimacy after childbirth is not about rushing back into previous routines. Instead, couples may need to redefine what intimacy means during this stage of life, focusing on emotional connection and mutual understanding.

Small steps toward closeness can gradually help restore physical intimacy over time.

Communicating About Sex Without Embarrassment

Despite being a fundamental part of many relationships, sex can still feel like a difficult topic to discuss openly.

Rachel encourages couples to move away from embarrassment and approach conversations about intimacy in a supportive, non-judgmental way.

This might involve discussing:

  • Emotional needs
  • Boundaries and comfort levels
  • Expectations around intimacy
  • Changes in desire over time

When communication improves, couples often find it easier to navigate challenges such as mismatched libido or lifestyle pressures.

Quality Over Quantity

A key insight from the discussion is that a healthy sex life isn’t defined by frequency alone.

Cultural expectations can sometimes create unrealistic ideas about how often couples “should” be intimate. Rachel encourages couples to focus instead on the quality of connection and the emotional meaning behind intimacy.

For some, this might involve scheduling time together, creating opportunities for closeness or simply prioritising meaningful moments within busy lives.

The goal isn’t perfection — it’s connection.

Debunking Myths Around Women’s Sexuality

Throughout the episode, Rachel also addresses several common misconceptions about female sexuality.

These include the idea that women should always experience spontaneous desire or that changes in libido indicate a failing relationship.

In reality, sexual desire often develops through emotional connection, relaxation and feeling safe within a relationship.

Recognising these differences helps remove unnecessary pressure and allows couples to approach intimacy with greater understanding.

Lifestyle Prescription: Yoga Nidra and Nervous System Regulation

As with every episode of The Lifestyle Prescription, the conversation ends with a practical wellbeing takeaway.

Rachel highlights the importance of regulating the nervous system, particularly for individuals experiencing stress or burnout — both of which can significantly impact libido.

Practices such as Yoga Nidra, mindfulness and spending time in nature can help reduce stress levels and create the mental space needed for emotional and physical connection.

When the body moves out of a constant stress response, many aspects of wellbeing — including intimacy — can begin to improve naturally.

Watch the Full Episode

This episode offers an open, thoughtful conversation about women’s sexual health — a topic that deserves far more attention and understanding.

If you’ve ever wondered about the causes of low libido, navigating intimacy in long-term relationships, or how life stages like motherhood and menopause affect sexual wellbeing, this discussion provides valuable insights.

???? Watch the full episode of The Lifestyle Prescription with Rachel Gold.

Guest Links

Rachel Gold – Sex and Relationship Therapist

https://www.rachelgold.co.uk/rachelgold-sextherapist.php

Instagram: https://www.instagram.com/racheldayagold/

BBC Appearance: https://www.bbc.co.uk/programmes/m002hdn8

Follow Rena Dipti Annobil

Instagram: https://www.instagram.com/renadannobil/

Instagram: Sisterhood of Mummy Imperfect
https://www.instagram.com/sisterhoodofmummyimperfect/

Pharmacy Planet

Website: https://www.pharmacyplanet.com/

Instagram: https://www.instagram.com/pharmacyplanetuk/

Spotify Podcast: https://open.spotify.com/episode/1yvVDHND8rn304lChfw6JG

Apple Podcast: https://podcasts.apple.com/gb/podcast/understanding-intimacy-relationship-changes-rachel/id1824147479?i=1000751561301

Podcast Transcript

Rachel Gold : [00:00:00] You know, there's different degrees of loss of libido. You could just feel not very much like having sex. You could have pain during sex. There's all different variants of what could stop you wanting to have sex. It's, I really would like to encourage people to just see intimacy in the biggest sense, whether that's, like I said, just stroking each other's hands, arms, right?

Being together, eye gazing, snuggling together, enjoying different, different experiences rather than having a force. Intercourse experience.

Rena Annobil: Hello, I'm Rena Annabel, and you are tuned into the Lifestyle prescription on Pharmacy Planet. So just a little word of warning before we get into this episode. We are gonna be talking about grown. Folk stuff. By that, yes. I mean SEX. So make sure that any K id Zs are not in the vicinity when you are listening to this.