Episode 27: What happens when orgasm used to happen—and then suddenly doesn't?

In this episode of Heads and Tails, Dr. Kate White and Jay White sit down with Dr. Laurie Mintz, licensed psychologist, certified sex therapist, author of Becoming Cliterate, and professor emeritus of psychology at the University of Florida, and Dr. Suzette Johnson, board-certified OB-GYN with expertise in menopause, hormone health, and women's sexual medicine.

Together, they explore secondary anorgasmia: the loss of orgasm after previously being able to orgasm. This conversation brings together the "heads and tails" of sexual function—the psychology, biology, relationship dynamics, cultural messaging, medication effects, menopause changes, and practical treatment options.

Dr. Mintz and Dr. Johnson discuss their work with Mojo and their program, Rebuild Your Orgasm, designed to help women understand why orgasm can change and what can be done to support pleasure, sensation, confidence, and connection.

In this episode, we discuss:

• The difference between primary and secondary anorgasmia

• Why orgasm dysfunction is more common than women realize

• How SSRIs, stress, sleep disruption, menopause, and hormone changes can affect orgasm

• Why clitoral stimulation matters

• The role of topical sildenafil-based cream and why it is applied externally

• How vaginal estrogen, pelvic health, and menopause care fit into sexual function

• Why couples need to stop making orgasm a performance test

• What partners should—and should not—say when orgasm becomes difficult

• Why women have a right to pursue pleasure without shame

• How the Mojo program combines biology, psychology, communication, and education

This is not a "try harder" episode. It is not a "you're broken" episode. It is a conversation about science, self-advocacy, relationships, and hope.

As always, this episode is for information and entertainment purposes only and is not a substitute for individualized medical, psychological, or sexual health care.

What happens when orgasm used to happen—and then suddenly doesn't?

In this episode of Heads and Tails, Dr. Kate White and Jay White sit down with Dr. Laurie Mintz, licensed psychologist, certified sex therapist, author of Becoming Cliterate, and professor emeritus of psychology at the University of Florida, and Dr. Suzette Johnson, board-certified OB-GYN with expertise in menopause, hormone health, and women's sexual medicine.

Together, they explore secondary anorgasmia: the loss of orgasm after previously being able to orgasm. This conversation brings together the "heads and tails" of sexual function—the psychology, biology, relationship dynamics, cultural messaging, medication effects, menopause changes, and practical treatment options.

Dr. Mintz and Dr. Johnson discuss their work with Mojo and their program, Rebuild Your Orgasm, designed to help women understand why orgasm can change and what can be done to support pleasure, sensation, confidence, and connection.

In this episode, we discuss:

• The difference between primary and secondary anorgasmia

• Why orgasm dysfunction is more common than women realize

• How SSRIs, stress, sleep disruption, menopause, and hormone changes can affect orgasm

• Why clitoral stimulation matters

• The role of topical sildenafil-based cream and why it is applied externally

• How vaginal estrogen, pelvic health, and menopause care fit into sexual function

• Why couples need to stop making orgasm a performance test

• What partners should—and should not—say when orgasm becomes difficult

• Why women have a right to pursue pleasure without shame

• How the Mojo program combines biology, psychology, communication, and education

This is not a "try harder" episode. It is not a "you're broken" episode. It is a conversation about science, self-advocacy, relationships, and hope.

As always, this episode is for information and entertainment purposes only and is not a substitute for individualized medical, psychological, or sexual health care.

Becoming Cliterate by Dr Laurie Mintz

A Tired Woman's Guide to Passionate Sex: Reclaim your Desire And Reignite Your Relationship

Rebuild Your Orgasm