Your hormones are running your sex life — and most doctors aren’t telling you the whole story. In this episode of The Purple Passion Project, clinical sexologist and sex coach Dr. Stacy Friedman sits down with Tia Bowden, Board Certified Nurse Practitioner and Hormone Specialist at Coastal Vitality and Anti-Aging in Delray Beach, Florida, for the hormone conversation midlife men and women have been waiting for.
Whether you’re dealing with low libido, painful sex, zero energy, or a drive that has completely disappeared — this sexologist talk is going to change the way you think about what’s happening in your body. Tia and Dr. Stacy break down why testosterone matters for women, what the removal of the HRT black box warning means for you, how microplastics, SSRIs, and opioids are quietly wrecking your hormone levels, what nitric oxide is and how to test it at home, why men’s morning erections are a major health indicator, and the cutting-edge world of peptides like PT-141.
In This Episode You Will Learn:
- Why testosterone is critical for women’s desire and wellbeing — and why many doctors aren’t testing for it
- What the removal of the HRT black box warning means and why it changes everything for women who’ve been afraid to try hormone therapy
- How SSRIs, opioids, and microplastics are quietly destroying hormone levels in both men and women
- What nitric oxide is, why it matters for sexual function, and how to test your levels at home
- What peptides like PT-141 are and how they’re being used to reignite desire when other options haven’t worked
Guest Bio
Tia Bowden is a Board Certified Nurse Practitioner and Hormone Specialist endorsed by The Menopause Association, with 15 years of experience in primary care and additional specialty training in functional medicine, nutrition, and dietary supplementation. She is the owner of Coastal Vitality and Anti-Aging, where she combines in-depth testing and hormone balancing protocols to get to the root of hormone dysfunction — improving and optimizing health and wellness for both men and women. After years of watching the traditional allopathic system disregard the importance of hormonally healthy patients, Tia became an agent of change — one lab panel at a time.
Connect with Tia Bowden:
- Website: www.mycoastalvitality.com
- Instagram: @CoastalVitalitySouthFlorida
- Facebook: Coastal Vitality Delray Beach
- Email: info@mycoastalvitality.com
Host Bio — Dr. Stacy Friedman
Dr. Stacy Friedman is a Clinical Sexologist, Certified Sex & Intimacy Coach, and the unapologetically bold host of The Purple Passion Project — on a mission to make midlife the hottest chapter of your sex life yet. With over 26 years in the medical field and 20+ years working in sexuality, Dr. Stacy helps men and women break down taboos, communicate clearly, and build hotter, healthier intimacy — without apology.
She specializes in the unique desire challenges that come with midlife — hormonal shifts, erectile changes, mismatched sex drives, alternative lifestyles, women who experience painful sex, and the LGBTQ+ community. Known for blending expertise with humor and heart, Dr. Stacy makes conversations about sex feel empowering, entertaining, and long overdue.
✨ Everything you need is one click away:
🔥 Vibe Tribe — Dr. Stacy’s private midlife community. Live sessions, courses, and conversations that go way beyond the surface. Try it free for a week.
📖 Pleasure Playbooks — Step-by-step guides for real bedroom results. Because great sex doesn’t just happen — it’s built.
💋 Shop catalog for adult products (code PURPLE for 20% off)
📅 Free 30-minute intimacy consult — let’s talk about what’s possible for your sex life.
🎁 Free PDF library to include: 10 Things They Really Want in Bed (But Won’t Say Out Loud) — grab yours at drstacyfriedman.com
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Follow Dr. Stacy @drstacyfriedman on Instagram, TikTok, Facebook, YouTube, LinkedIn, and all social media platforms.
