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Low Libido and Lichen Sclerosus: Can You Get It Back?

Low Libido and Lichen Sclerosus: Can You Get It Back?

For today’s video, I am joined by the brilliant Dr. Lori Brotto to discuss all things low libido and lichen sclerosus. We chat about what libido is, different categories of libido, lichen sclerosus, and libido, and different ways to work on increasing libido with lichen sclerosus.

*Disclaimer: This video is for educational and entertainment purposes only. Please consult with your medical provider before making any changes to your health plan.

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Image of Dr. Lori Brotto on the left hand side wearing a yellow shirt with a white blazer over top with shoulder length brown hair looking off in the distance with a smile on her face.

Dr. Lori Brotto is a Professor in the UBC Department of Obstetrics and Gynaecology, where she holds a Canada Research Chair in Women’s Sexual Health. In this role, she is focused on developing safe, effective, and accessible treatments to address highly prevalent sexual concerns in women. She is especially interested in equity issues and as such has increasingly focused on digital health technologies to ensure that more women have access to treatments.

Dr. Brotto is also the Executive Director for the Women’s Health Research Institute—one of only three institutes in Canada devoted to advancing research in women’s health. In this role she supports nearly 500 members across the province to collectively advance our knowledge in all domains of women’s health.

Given the known barriers that women experience in getting accurate health information, Dr. Brotto is also frequently featured in the media, radio, and features in a recent Netflix series, The Principles of Pleasure. She also has two books focused on mindfulness and sexual health (2018 & 2022).

Dr. Brotto believes in the importance of personal story and lived experience in shaping science. As such, she maintains an active practice as a Registered Psychologist where she sees a variety of individuals who want to improve their sex lives.

She is a strong advocate for empowering women to take on leadership roles, and will jump at the chance to speak with young women about pursuing a career in science, technology, engineering, and medicine.

She is active on IG and Twitter at @DrLoriBrotto

Timestamps on Low Libido and Lichen Sclerosus

0:00 – Introduction

2:00 – Dr. Brotto's background and journey into the sexual health space

5:25 – What is libido

8:55 – How Common are low libido issues in folks with vulvas

15:15 – Low libido and lichen sclerosus

16:31 – Shame, low libido, and lichen sclerosus

18:51 – Is there hope for folks to increase their libido?

20:46 – How to increase desire with mindfulness and being present

21:09 – The science behind mindfulness and low libido

22:45 – The importance of good psychoeducation

23:36 – Cognitive behavioral therapy & medications for low libido

26:10 – Jaclyn's experience with psychoeducation and mindfulness for chronic pain and illness

29:49 – What kind of mindfulness is best for low libido and lichen sclerosus & where to start

38:38 – Finding a sex therapist and/or mindfulness-based therapist

40:10 – How often should we meditate to see improvement in sexual health

42:42 – How can Dr. Brotto's workbook help with libido and sexual health, especially if you do not have access to sex therapy

49:00 – Other resources for low libido

52:30 – Summary and Outro

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Videos on Sexual Health

Sexual Health Symptoms and Lichen Sclerosus Overview

Pain with Sex, Lichen Sclerosus, and Overactive Pelvic Floor Ft. Dr. Chauhan

Decreased clitoral sensation and 3 evidence-based ways to unfuse your clitoris

Blogs on Sexual Health

Compilation of sexual health and lichen sclerosus blog posts

Resources Mentioned

Dr. Brotto's Website and Dr. Brotto's Free Mindfulness Recordings

Her books can be purchased here or here or here.

Book: When Sex Hurts by Goldstein, Pukall, Goldstein and Krapf

Another book recommendation: “Come as You Are” by Emily Negoski

Natalie Rosen and Sophie Bergeron – for partner communication and partner factors

Mindfulness Apps like Headspace, Insight Timer, etc.

Dipsea erotica audio stories


In sum, we hope you found this video to be a helpful resource for low libido and lichen sclerosus. We hope that we have provided a number of way to work on increasing libido.

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