MMD BLOG


CATEGORY:

You + Your Partner

FROM POSTPARTUM TO PERIMENOPAUSE: REAL TALK ON SEX, HORMONES, AND HEALTH WITH DRS. SARA TWOGOOD AND ALYSSA QUIMBY

 Modern Mommy Doc


PUBLICATION DATE:

October 3, 2024

FROM POSTPARTUM TO PERIMENOPAUSE: REAL TALK ON SEX, HORMONES, AND HEALTH WITH DRS. SARA TWOGOOD AND ALYSSA QUIMBY

 Modern Mommy Doc

CATEGORY: You + Your Partner

About the Episode:


In this insightful and empowering episode of the Modern Mommy Doc podcast, Dr. Whitney is joined by Dr. Sarah Twogood and Dr. Alyssa Quimby, board-certified OB-GYNs from Cedars Sinai and co-founders of Fem.Ed. Together, they explore critical topics surrounding women’s sexual health, perimenopause, hormones, and the mental and physical changes that occur after childbirth and as women age. This episode dives deep into often-taboo topics with clarity and candor, offering listeners a comprehensive guide to navigating their sexual wellness.


Key Discussion Points:

  • Postpartum & Long-Term Sexual Health: After childbirth, many women expect their sex lives to normalize as their children grow, only to find that low libido and a lack of sexual connection with their partner continue. The doctors discuss common struggles and offer actionable solutions for reviving sexual desire in long-term relationships.


  • Mental Load & Relationship Dynamics: Dr. Twogood and Dr. Quimby break down how carrying the mental load of household tasks can dampen libido and disrupt intimacy. They emphasize the importance of having open, adult conversations with partners to redistribute responsibilities and improve sexual satisfaction.


  • Perimenopause & Hormones: The doctors explain what perimenopause looks like, including its symptoms, like mood changes, vaginal dryness, and irregular bleeding, which can start as early as the 40s. They also clarify misconceptions about hormone replacement therapy (HRT) and who should consider it.


  • Vaginal Health Myths: From the dangers of douching to common mistakes women make in vaginal care, Dr. Twogood and Dr. Quimby offer essential tips for maintaining vaginal health. They also debunk myths around using lubricants and encourage women to view them as tools to enhance sexual pleasure, regardless of age.


  • Communication & Sexual Pleasure: Many women avoid discussing sex with their partners, leading to dissatisfaction. The doctors recommend starting small with these conversations, introducing topics like lubricants or new sexual practices to open a dialogue and deepen sexual intimacy.


  • Empowering Female Sexuality: Dr. Casares and her guests stress the importance of female empowerment through sexual health and wellness. Whether it's learning about perimenopause or exploring new ways to enhance pleasure, women deserve to own their sexual health confidently.


About Our Guests:


  • Dr. Sarah Twogood: Board-certified OB-GYN at Cedars Sinai, mother of two, with a passion for educating women on sexual wellness and reproductive health.


  • Dr. Alyssa Quimby: Board-certified OB-GYN at Cedars Sinai, mother of two, specializing in sexual health, perimenopause, and holistic wellness for women.


  • Website: femalehealthed.com
  • Access a variety of free resources including blog posts, a weekly newsletter, and a sexual wellness workshop.
  • Follow on Instagram: @fem.ed


Don’t forget to subscribe to the Modern Mommy Doc podcast for more conversations on how to thrive as a modern mom! Subscribe, share, and leave a review using the hashtag #ModernMommyDoc.


More Blogs and Podcasts:


Raising Body-Confident Kids Starts at the Doctor's Office!

START NOW
By Modern Mommy Doc • October 9, 2026
About the Episode: There’s so much parenting advice out there, and most of it doesn’t matter nearly as much as the internet wants you to think. (Seed oils? We have bigger fish to fry.) In this solo episode, Dr. Whitney gets back to basics and shares the six evidence-based parenting principles she focuses on as a pediatrician, the ones she dug into with a leading child development researcher. She also shares how these play out in real life as a mom of two neurodivergent kids, because guidance only helps if it actually fits your family. Key takeaways: Be sensitive and responsive. Simple practices like mirroring your child’s emotions and “serve and return” interactions build a loving, trusting foundation. Dr. Whitney shares how a Halloween decorating session turned into a deep conversation about religion once she slowed down and got curious. Meet kids where they are, especially at their worst. Drawing on Tina Payne Bryson, co-author of The Whole-Brain Child , Dr. Whitney explains that soothing a meltdown isn’t giving in. It’s letting your child know they’re not alone in a big feeling. Model self-regulation, and repair when you lose it. Self-regulation predicts academic success better than IQ. The goal isn’t staying calm all the time, it’s understanding why you got dysregulated, coming back to baseline, and offering yourself some self-compassion. Set limits for your kids and yourself. Every child’s needs are different (screen time affects Dr. Whitney’s two daughters very differently), but all kids need limits, and so do parents. Taking time for yourself models something healthy. Aim for authoritative, not permissive. High expectations paired with warmth and grace is the sweet spot. “Gentle parenting” can blur into permissiveness, which research shows is as harmful as authoritarian parenting. Protect unstructured time. Kids need boredom and free play to become self-directed. For ADHD and autistic kids, Dr. Whitney recommends offering a few options and letting kids choose. Support internal motivation. Using a “mirrors facing outward” image from her own therapist, Dr. Whitney explains why we want kids to trust their own instincts rather than constantly look outward for approval. Want to Start Raising Body-Confident Kids Today? 📘 Order the Books Raising Body-Confident Kids If you've ever caught yourself saying something to your kid about their body that sounded exactly like what your mother said to you, this book is for you. Raising Body-Confident Kids is a research-backed, judgment-free guide for parents who want to break the cycle of diet culture and body shame without swinging into toxic positivity or giving up all structure around food and movement. It answers the real questions parents are actually asking about Ozempic, about picky eaters, about what to say when your kid is being bullied for their body, and about social media influences. This is a practical, values-based game plan you can actually use, even if your own relationship with your body is still a work in progress. My One-of-a-Kind Body My One-of-a-Kind Body gives kids the language and understanding they need to care for their bodies with respect without fear, shame, or appearance-based messaging. Through inclusive illustrations and evidence-based health education, the book teaches body literacy, boundaries, and self-trust in a way kids can actually grasp. 👉 www.raisingbodyconfidentkids.com/books
By Modern Mommy Doc • October 5, 2026
What really matters when it comes to college admissions (for you and for them).
By Modern Mommy Doc • September 17, 2026
Kids going off to college are mean for a reason.
By Modern Mommy Doc • September 10, 2026
Maybe winning back to school isn't what we really want, after all.
By Modern Mommy Doc • August 27, 2026
First-class service has a lot to do with first-class parenting.

Welcome! Get the information you need to win at parenting without losing yourself.

LEARN MORE

My Kids' Book on Body Confidence


Trying to break the cycle of body shame and diet culture?


Overwhelmed by all the parenting advice out there?


SIGN UP FOR THE FREE STARTER KIT: UNBOTHERED. IT'S FREE. CLICK HERE



FRESH

ON THE PODCAST


By Modern Mommy Doc • October 9, 2026
About the Episode: There’s so much parenting advice out there, and most of it doesn’t matter nearly as much as the internet wants you to think. (Seed oils? We have bigger fish to fry.) In this solo episode, Dr. Whitney gets back to basics and shares the six evidence-based parenting principles she focuses on as a pediatrician, the ones she dug into with a leading child development researcher. She also shares how these play out in real life as a mom of two neurodivergent kids, because guidance only helps if it actually fits your family. Key takeaways: Be sensitive and responsive. Simple practices like mirroring your child’s emotions and “serve and return” interactions build a loving, trusting foundation. Dr. Whitney shares how a Halloween decorating session turned into a deep conversation about religion once she slowed down and got curious. Meet kids where they are, especially at their worst. Drawing on Tina Payne Bryson, co-author of The Whole-Brain Child , Dr. Whitney explains that soothing a meltdown isn’t giving in. It’s letting your child know they’re not alone in a big feeling. Model self-regulation, and repair when you lose it. Self-regulation predicts academic success better than IQ. The goal isn’t staying calm all the time, it’s understanding why you got dysregulated, coming back to baseline, and offering yourself some self-compassion. Set limits for your kids and yourself. Every child’s needs are different (screen time affects Dr. Whitney’s two daughters very differently), but all kids need limits, and so do parents. Taking time for yourself models something healthy. Aim for authoritative, not permissive. High expectations paired with warmth and grace is the sweet spot. “Gentle parenting” can blur into permissiveness, which research shows is as harmful as authoritarian parenting. Protect unstructured time. Kids need boredom and free play to become self-directed. For ADHD and autistic kids, Dr. Whitney recommends offering a few options and letting kids choose. Support internal motivation. Using a “mirrors facing outward” image from her own therapist, Dr. Whitney explains why we want kids to trust their own instincts rather than constantly look outward for approval. Want to Start Raising Body-Confident Kids Today? 📘 Order the Books Raising Body-Confident Kids If you've ever caught yourself saying something to your kid about their body that sounded exactly like what your mother said to you, this book is for you. Raising Body-Confident Kids is a research-backed, judgment-free guide for parents who want to break the cycle of diet culture and body shame without swinging into toxic positivity or giving up all structure around food and movement. It answers the real questions parents are actually asking about Ozempic, about picky eaters, about what to say when your kid is being bullied for their body, and about social media influences. This is a practical, values-based game plan you can actually use, even if your own relationship with your body is still a work in progress. My One-of-a-Kind Body My One-of-a-Kind Body gives kids the language and understanding they need to care for their bodies with respect without fear, shame, or appearance-based messaging. Through inclusive illustrations and evidence-based health education, the book teaches body literacy, boundaries, and self-trust in a way kids can actually grasp. 👉 www.raisingbodyconfidentkids.com/books
By Modern Mommy Doc • October 5, 2026
What really matters when it comes to college admissions (for you and for them).
By Modern Mommy Doc • September 17, 2026
Kids going off to college are mean for a reason.