Beyond Libido: Testosterone, Desire, and Whole-Body Health with Dr. Nikitha Paluri, MD

Send us Fan MailIn this episode of The Vocal Pelvic Floor, Dr. Ginger Garner welcomes Dr. Nikitha Paluri for a nuanced conversation about testosterone, women’s sexual health, libido, metabolism, menopause, and nervous system regulation.Together, they explore why testosterone in women is often reduced to libido, even though women’s hormone biology is far more complex. They discuss where the evidence for testosterone is strongest, how to avoid both medical dismissal and hormone hype, and why sexual health must be understood through a whole-body lens.This episode also looks at the many contributors to low desire — including pain, sleep disruption, stress, pelvic floor dysfunction, relationship safety, medications, metabolic health, and perimenopause. It is a validating and practical conversation for women who have been told their symptoms are normal, insignificant, or simply part of aging.Read the blog post here!Resources:IG @nikithapalurimd & @drnikisbotanicaFacebook: Dr. Nikitha PaluriKeep up with Dr. Paluri on LinkedInEnjoying The Vocal Pelvic Floor? Leave us a review!Reviews help more people discover the podcast and keep these critical discussions going! Thanks for your support—you’re helping grow this community and amplify the voices that need to be heard. 💛-If you’ve found value in the content we share on women’s and pelvic health—including topics like endometriosis and pelvic pain—please consider supporting the show with a contribution. Your support helps us continue producing high-quality, evidence-based episodes. At this time, we don’t receive any funding to create the podcast, and production costs are coming entirely out of pocket. Every bit of support makes a meaning.Support the show