A Sexual Health Resource | Perimenopause and Beyond

Intimacy is an important part of our lives. MiddlesexMD is a reliableconfidential women's sexual health resource for information and products that can help you keep this part of your life vital and joyful for as long as you choose, for sex after 40, after 50, and beyond--sex after menopause.

Featured Products

We at MiddlesexMD have sought out a range of effective, safe, and high-quality products to meet the various needs of midlife women and their partners. Every so often, something comes across our desks that we encourage every woman to consider. Here are a few of our current favorites, and remember that when you spend $50 standard delivery is free to U.S. addresses!.


Vyleesi: A new drug for low desire

August 21, 2019

As I’ve described before, women often experience a drop in sexual desire approaching and after menopause. Your body doesn’t produce as much testosterone, which is an important driver of desire in women, as well as in men. The medical name for it is hypoactive sexual desire disorder (HSDD), and in September, a new treatment will be available.  Vyleesi is the first as-needed treatment for HSDD, so I expect it to generate some buzz. You self-administer the drug by injection into your abdomen or thigh 45 minutes to 12 hours before sexual activity. In the clinical trials, about a quarter of participants taking Vyleesi reported some increase in desire. While trials of HSDD drugs are complicated, it’s worth noting that most...

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