Zandra Polard and Madison Gulli discuss the impact of menopause on sexual health. Gulli explains that perimenopause, which can last 5-10 years, often starts in the 40s and includes symptoms like hot flashes, night sweats, and vaginal dryness. She emphasizes the importance of addressing these issues with healthcare providers, noting that traditional hormone replacement therapy (HRT) has been debunked and that bioidentical hormones are now recommended. Gulli also highlights the need for lifestyle changes, such as prioritizing sleep, exercise, and a balanced diet, and stresses the importance of communication with partners and maintaining social connections.