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Lisa Fitzpatrick
Australian pelvic and sexual health physiotherapist, yoga teacher, and author of "Sexy Menopause" with 30+ years of clinical experience in women's midlife health.
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APPEARANCES
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Oct 6, 2026
Sexy Menopause: Midlife Desire, Pelvic Health & Pleasure with Lisa Fitzpatrick.
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11:24Lisa FitzpatrickGUEST
So with the changes in our hormones, including estrogen, um, that slowly winds up if we're in a fairly well-supported environment.
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11:35Lisa FitzpatrickGUEST
If we're in a, a, a fairly erratic, stressful environment, estrogen can often do a lot of roller-coasting.
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11:42Lisa FitzpatrickGUEST
But in either case, um, estrogen as a hormone is a very, um, fluid-retaining, juicy kind of a hormone that allows us a lot of our excessive energy when we're younger.
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11:56Lisa FitzpatrickGUEST
It actually comes from a Latin word called, um, oestrus, which means gadfly, which is kind of like a dragonfly that busy buzzies itself around the place.
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12:07Lisa FitzpatrickGUEST
Now, when we start to lose estrogen or it starts to become erratic, it does change tissue in the body, so we start noticing more wrinkles on our face, and I also, um, would liken what happens to the face to what happens to the vulva and vagina as well [laughs] that we have these tissue changes.
11 MINS LATER
Sexy Menopause: Reclaiming the Female Body, Pleasure and Power in Midlife with Lisa Fitzpatrick
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8:49ShamiHOST
So I'd love for you to just clarify, you know, what is the difference between libido, arousal? Because I think we loosely use all of those words.
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9:01Lisa FitzpatrickGUEST
Libido really is that, the key in the door for desire to be triggered either spontaneously or with a more conscious and considered effort.
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9:13Lisa FitzpatrickGUEST
And I think with libido in particular, menopause brings about the need for a more conscious effort to be made to stoke the fires of libido.
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9:24Lisa FitzpatrickGUEST
Because libido, when it does leave the building, you know, a lot of women do say, "Yes, I feel quite content about this." And then the biggest travesty of justice I think I see as a result of that is when a woman then decides she wants to reengage, it's often quite uncomfortable to reengage.
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9:44Lisa FitzpatrickGUEST
But also, the pelvic health side of things is very overlooked with the libido loss being accepted.
8 MINS LATER
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17:36ShamiHOST
... expect if they do see someone like you?
Lost Your Libido in Menopause?
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5:24Lisa FitzpatrickGUEST
I felt as though all of my youthful vigor and bloom had packed up and left the building and that I would be washed up, old, bitter, twisted, and incredibly non-sexual.
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5:37Lisa FitzpatrickGUEST
And that was devastating to me because I've always enjoyed being in my body.
28 MINS LATER
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33:55Kelly NicholsHOST
And if somebody comes to, and I'm sure this happens all the time, comes to you specifically with that issue of saying, I've lost my libido, I've lost my mojo, what are some of the things that you might say to her, some of the advice that you might give her?
120 | From Holding On to Letting Go: Your Pelvic Floor in Midlife, with Lisa Fitzpatrick, Female Pelvic & Sexual Health Educator, Physiotherapist, & Author of Sexy Menopause
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15:16kind of physiological changes that do happen as we age? And what are some of the things that we can be doing, like you suggested, that help us not reverse them, but support them?
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15:31Lisa FitzpatrickGUEST
I think tissue change is a very gradual process that takes a long period of time.
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15:37Lisa FitzpatrickGUEST
But like you said, not until it reaches a critical mass point do we start then feeling sometimes the symptoms are too strong to ignore.
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15:46Lisa FitzpatrickGUEST
And unfortunately, with menopausal change, often there's a peak in symptoms around that menopausal turning point where we are noticing that something like a birth scar or even a mild pelvic organ prolapse will feel more pronounced as we lose estrogen.
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16:03Lisa FitzpatrickGUEST
And there's actually a couple of things that I think are really easy correlations.
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16:09Lisa FitzpatrickGUEST
And one of them for a lot of women is that the tissue's ability to feel plump and hydrated changes.
26 MINS LATER
146 - Sexy and Spiritual in Menopause: Lisa Fitzpatrick on Reclaiming Your Sensuality and Sovereignty in Midlife
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4:10Lisa FitzpatrickGUEST
It started with me being on the floor, sobbing my heart out, completely heartbroken, um, with the news that my fiancé and partner of nine years had decided that he was in love with me, but not in love with me anymore, and he was leaving me.
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4:34Lisa FitzpatrickGUEST
So I was 51, and I was, you know, just about sort of like facing that menopausal year where we hopefully clock 12 months, 13 months without a cycle.
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4:44Lisa FitzpatrickGUEST
And I was thinking, "Yeah, this has been quite harrowing for me, this menopausal shift," um, in that I've been feeling overweight, I've been feeling frumpy, I've been feeling unsexy.
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4:57Lisa FitzpatrickGUEST
I've been feeling, um, all of the things that, um, women, I guess, face, and not knowing how to manage them.
14 MINS LATER
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18:51Amy WilkinsonHOST
How do we start to repair that relationship, not just to our bodies, but to spirit, to source, to our purpose? How do we begin to cultivate that?
Who you gonna call? - The BASW/SWU Advice & Representation Team
19:48
45:15

Lynne GargiuloGUEST
to listen through to what the issues are and hopefully be able to give some advice and guidance.
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19:54Lisa FitzpatrickGUEST
Yeah, just to add to what Lynn said, I was just thinking through, you know, some of the scenarios and the discussions, recent discussions.
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20:05Lisa FitzpatrickGUEST
It's just important, I think, to remember and for employers to remember, because they often forget, in my view, that social workers have needs too.
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20:20Lisa FitzpatrickGUEST
So in A&R, what's important is that our main role is to work with formal processes that exist, that are set down by policy and are interlinked with law as well.
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20:34Lisa FitzpatrickGUEST
So, for example, sickness absence meetings that are also linked to... you know workers have rights around if they've got health and disability issues we've got the equality act to work with alongside so it's just so we work with formal processes and we work with policy and we work alongside law um and and social workers have needs too in that what we know is that um We work with many social workers who are often, not always, but often, sometimes they've been off sick, they're off at home, they feel isolated, they feel alone.
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21:19Lisa FitzpatrickGUEST
They have HR departments that they can only send online forms to, they can only email.
24 MINS LATER

Jonny AdamsonHOST
What would you say to social workers listening to this just now who can identify with this problem?
Lisa Fitzpatrick | Pelvic Health Physiotherapist + Yoga Teacher
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12:35Lisa FitzpatrickGUEST
Um, and the pelvic floor muscles are like a hammock, and if we tend to be in a lot of lordosis or a, or a diminished lordosis, that's a, a lumbar curve, we are absolutely at risk of, um, tipping the pelvic physiology into a state of, um, uh, imbalance, which will actually affect its function.
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12:56Lisa FitzpatrickGUEST
So that's one part of the posturing, um, equation, and then the other part of posturing is about whether or not we hold posture inside our muscle physiology.
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13:06Lisa FitzpatrickGUEST
So when we're holding a lot of stress and tension, so this is where the nervous system really comes in, if we hold a lot of stress and tension, um, quite often our breath pattern might come into the upper body.
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13:22Lisa FitzpatrickGUEST
Our respiratory diaphragm no longer then descends on the inhalation, and we tend to breathe up instead of down.
34 MINS LATER
