Science-based information to get your libido to kick in and your clitoral nerve endings to wake up
A premium on-demand masterclass series by Dr. Lauren Streicher
30 episodes. Real science. No shame. Choose your tier—general audience or healthcare professional.
If you are one of the millions of women who lost their libido and want to find it, sex hurts like hell, or are wondering if you will ever orgasm again, COME AGAIN is for you.
If you are a healthcare professional who is looking for information on evaluating and treating sexual dysfunction, COME AGAIN is for you.
What COME AGAIN Is
COME AGAIN is a limited series podcast intended for both health care professionals and non-health care professionals that explores the biological, hormonal, and medical reasons (and solutions) for loss of libido, pain with sexual activity, and post-menopause difficulty with arousal and orgasm.
✔ 30 episodes
✔ Full program notes for each episode
✔ Bonus clinical explanations
✔ Optional supplemental materials (videos + PDFs)
Episode List
Episode 1 WELCOME to COME AGAIN- The Why, What and Who of COME AGAIN
Episode 2 Are YOU Having GOOD SEX? A Visit with Dr. Ruth
Episode 3: Sex: A Word with MANY MEANINGS The Definition is Not Straightforward
Episode 4 What Could Go WRONG? The four categories of sexual problems
Episode 5 Is It MENOPAUSE or MID-LIFE? It’s not just your hormones
Episode 6 I’d Like to BUY an “O” Please Of Historical Interest
Episode 7 The VIEW From My Side of the Stirrups Make your privates, less private
Episode 8 REQUIREMENTS to Get the Job Done Estrogen is not on the list
Episode 9 Why ORGASM TANKS in Menopause Why estrogen helps
Episode 10 Whose VULVA is This and How Did It Get on My Body? Genitourinary Syndrome of Menopause
Episode 11 Over-the-Counter OPTIONS to Make Things More SLIPPERY Which lubricants and moisturizers HELP, not HURT
Episode 12 PRESCIPTION Rings, Creams, and Other Things Estrogen is Not the Only Option.
Episode 13 I’m Using Vaginal Estrogen but …SEX STILL HURTS Like Hell When and why treatment fails and tips to get the most out of your prescription
Episode 14 How HYGIENE Can HARM A Trip Down the Feminine Hygiene aisle
Episode 15 When Non-hormonal PAIN is an Obstacle to Arousal and Orgasm
Episode 16 MEDICAL CONDITIONS That Make Your Clitoris Malfunction Diabetes, cardiovascular disease, multiple sclerosis…There are over 50 medical conditions and medications that impact the ability to orgasm.
Episode 17 HOW I TREAT ORGASM ISSUES Everybody Come! Faking it is not a solution!
Episode 18 How HORMONES Help ORGASM Estrogen, DHEA Hey, Hey!
Episode 19 When to Say Yes to TESTOSTERONE And why PELLETS are a problem
Episode 20 Non-Hormonal AROUSAL OPTIONS What works, and what might work: Neutraceuticals, Arousal Creams, Viagra and more..
Episode 21 SEX and the BRAIN Sexy neurotransmitters and prescription options that may be your answer: Vyleesi and Addyi
Episode 22 Will WEED Wake Up a Waning Libido? Will Cannabis Help You Come?
Episode 23 Why VIBRATION Works so Well And How to Get Your Partner on Board
Episode 24 A Personal Trainer for Your PELVIC FLOOR Meet the Vagicians
Episode 25: VAGINAL ORGASMS are a Thing But not for everyone
Episode 26 Here COMES the PAIN! When orgasm causes PAIN instead of PLEASURE
Episode 27: Has Your HYSTERECTOMY Hijacked Your Orgasm? Things your surgeon probably never mentioned
Episode 28 Did Your SSRI or Other Medication Make Your O Go? Strategies to get it back
Episode 29 CANCER, Sex,…and Estrogen? What to Expect and if Estrogen is an Option
Episode 30 BREAST CANCER, Sex, …and Estrogen? Why topical, and even systemic estrogen, may be an option
Episode 31 WEIRD THINGS That Might Happen when You O Laughing, crying, foot pain, headaches, squirting..and more
What You Get
General Audience Access — $37
You’ll get:
✔ Full access to all 30 COME AGAIN episodes
✔ Program notes for each episode
✔ Stream-only access (no downloading)
✔ Access anytime from your private member portal
Healthcare Professional Access — $190
You’ll get:
Everything in Tier 1 PLUS:
✔ 5–6 exclusive clinical teaching videos
✔ A complete packet of PDF resources
✔ Deeper clinical explanations
✔ Tools to use with your patients
✔ Ideal for MDs, NPs, PAs, therapists, pelvic floor PTs, and educators
What Listeners Are Saying
⭐ 1. Testimonial — Healthcare Professional
“COME AGAIN has become my go-to resource for patient education. Dr. Streicher presents complex sexual health topics with clarity, compassion, and evidence-based guidance. The supplemental videos alone are worth the entire price.”
— Dr. Vanessa Kim, OB/GYN
⭐ 2. Testimonial — General Audience
“I thought I understood my own body… until this series opened my eyes. Dr. Streicher breaks down misinformation in a way that finally makes sense. I feel more confident, informed, and empowered than ever.”
— Jennifer L., Chicago
⭐ 3. Testimonial — Therapist / Practitioner
“As a pelvic floor therapist, I recommend COME AGAIN to every new patient. It’s informative without being overwhelming, and Dr. Streicher’s clinical explanations are spot-on. The PDFs and notes save me hours every week.”
— Michelle Ortega, PT, DPT
⭐ 4. Testimonial — Subscriber Who Bought the Public Version First
“I purchased the original limited podcast on Substack, but this full collection is on another level. The program notes and structured access make everything easier, and the additional content for professionals is outstanding.”
— Daniel S., NP
⭐ 5. Testimonial — General Audience
“I wish this series existed years ago. Dr. Streicher delivers honest, science-backed information in a way that feels safe and judgment-free. This should be required listening for everyone.”
— Alicia Mendoza
Sample Episodes
Why Dr. Streicher Created This
What if suddenly your tried-and-true maneuvers that consistently ended in orgasm no longer worked? Or it took so long and the climax so pathetic it was hardly worth the effort?
Along with hot flashes, sandpaper sex, and a loss of libido, add the inability to have an orgasm to the list of post-menopause surprises your mom "forgot" to warn you about.
Existing information about arousal and orgasm generally only addresses psychosocial and relationship aspects. You don’t need to be told to have a glass of wine and plan a date night if your inability to orgasm is due to a biological problem.
Decreased blood flow because of aging, low estrogen, and damage to blood vessels from medical issues such as diabetes, cancer treatments, or vascular disease all sabotage the ability of nerve endings to respond.
FAQ
How do I access the content?
You’ll receive instant login credentials to your private members-only portal.
Can I download the episodes?
No. To protect intellectual property, all content is stream-only.
Can I gift access?
Yes—use the “Gift Access” button and enter the recipient’s email at checkout.