Why Women Struggle With Pleasure, Low Libido & Painful Sex | Somatic Sexologist Explains

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What if it's not something wrong with you, but your body asking for more safety?

In this episode of The Inner Script, integrative nurse practitioner Stephanie Baubie sits down with somatic sexologist Ruby Josif for a deeply honest conversation about women's sexuality, nervous system regulation, and pleasure. Ruby has spent nearly a decade helping women reconnect with their bodies, their sexuality, and ultimately themselves, and she brings that experience into a conversation about why so many women feel disconnected during sex, even after years of traditional talk therapy.

Ruby breaks down the real difference between sex therapy and somatic sexology, explaining why understanding the "why" behind our patterns isn't always enough to change how we feel in our bodies. She and Stephanie talk through emotional safety, the myths around orgasm and female pleasure, why painful sex is often the body's way of communicating rather than something to push through, and how unprocessed emotions can quietly settle into the pelvic region. It's a conversation that treats low libido, disconnection, and painful sex not as things to fix, but as signals worth listening to.

This episode also gets into what keeps intimacy alive in long-term relationships, why the "honeymoon phase" doesn't have to be the peak of anyone's sex life, and how nervous system dysregulation shows up in the bedroom for high-functioning women. Whether you're navigating low desire, feeling stuck in your head during sex, or simply craving a deeper connection with your own body, this conversation offers a gentle, grounded place to start.

This episode is for you if…

  • You struggle with low libido or feeling disconnected during sex

  • You feel "in your head" during intimacy

  • You experience pain with sex or difficulty orgasming


Episode Timestamps

00:00 Introduction
03:20 Sex therapy vs. somatic sexology
09:05 Why women feel disconnected
15:42 Emotional safety and pleasure
24:30 Low libido and dysregulation
31:18 Orgasm myths and realities
40:50 Understanding pain during sex
49:26 Emotions stored in the pelvis
56:41 Simple somatic practices
01:02:44 Intimacy in long-term relationships


Resources & Mentions

Curious about a supplement Steph has mentioned in the episode?

If you’re looking for products Steph personally recommends in practice, you can browse her dispensary here: Stephanie’s Fullscript dispensary

Please consult your healthcare provider before starting any new supplement. Food, lifestyle, and nervous system support always come first.


A Gentle Nervous System & Intimacy Check-In

This free reflection guide pairs simple journaling prompts with a short somatic practice to help you slow down, notice where you feel tension or disconnection, and reconnect with your body's own signals around pleasure and intimacy. Download it here: Patreon companion resource

You can also join Steph’s free Patreon community here:
The Inner Script Patreon


Meet Ruby Josif

Ruby Josif is a somatic sexologist with nearly a decade of experience in the sexuality space, where she has helped hundreds of women feel wildly confident in sex, intimacy, and relationships. Her diverse background spans somatic sexology, neo-tantra, and counselling, giving her a grounded, holistic, and non-judgmental lens on the many different ways women experience sex, love, and relationships. She works at the intersection of the body, the emotions, and the nervous system, helping women move beyond just understanding their patterns to actually feeling safe, present, and at home in their bodies. Website: https://www.ruby-josif.com
Instagram: https://www.instagram.com/ruby.josif.sex.coach

Ruby’s Website & Ruby’s Instagram


Stephanie Baubie, NP, smiling sitting on a dark green couch. She's wearing an Oura ring, a simple gold necklace, and her blond hair is long and straight.

Meet Your Host

Stephanie Baubie, NP is an integrative nurse practitioner and the host of The Inner Script Podcast, where she explores the deeper stories behind health, healing, identity, and transformation. Through a blend of functional medicine, nervous system awareness, emotional insight, and honest conversation, Stephanie helps women better understand their bodies while questioning the narratives they’ve inherited about wellness, worth, and what it means to truly feel well.

On The Inner Script, Stephanie sits down with physicians, founders, thought leaders, and experts in women’s health, while also sharing solo reflections on the transitions and inner shifts that shape our lives.

Follow Steph on Instagram.


FAQs

Can chronic stress and survival mode affect your skin?

Yes. Chronic stress can influence inflammation, sleep, recovery, and daily habits, all of which may affect how your skin looks and feels. In this episode of The Inner Script, Michelle Doan shares how decades of living in fight-or-flight mode coincided with chronic inflammation and ongoing skin struggles.

Stephanie and Michelle also discuss how breakouts, redness, hives, and irritation may become more noticeable during emotionally difficult or highly stressful seasons. Skin concerns can have many causes, so persistent symptoms should always be discussed with a qualified healthcare provider.

Why won’t my cystic acne improve even though I use skincare?

Cystic acne may not respond to simply adding more skincare products. Michelle explains that she spent years visiting dermatologists and trying medications, harsh topical products, and heavy makeup before learning that some ingredients in her routine were clogging or irritating her skin.

Her experience led her to examine comedogenic ingredients, product formulations, skin sensitivity, and the relationship between cosmetics and breakouts. She emphasizes that more products are not always better, especially when the skin barrier is already inflamed or reactive.

What is the connection between stress, inflammation, and skin health?

Stress can affect the body’s inflammatory response and may also influence sleep, digestion, hormone balance, immune function, and skincare habits. In this conversation, Michelle describes the physical effects of living in survival mode, while Stephanie shares patterns she has observed among patients experiencing stress-related skin flare-ups.

The episode does not suggest that every skin condition is caused by stress. Instead, it encourages listeners to consider skin health as one part of a larger picture that may include emotional wellbeing, lifestyle, recovery, environment, and medical factors.

What skincare ingredients are best for sensitive or aging skin?

There is no single ingredient that is right for everyone, but Michelle recommends paying attention to what she calls the “three Ps”: potency, penetration, and proof.

Potency refers to whether an active ingredient is present at an effective but tolerable percentage. Penetration considers whether the formulation can deliver ingredients effectively. Proof means looking for clinical evidence, transparent information, or credible testimonials rather than relying only on marketing claims.

She also discusses niacinamide, probiotics, peptides, vitamin C, gentle exfoliation, and products that support the skin microbiome.

Can over-exfoliating make your skin look dull or irritated?

Yes. Exfoliating too frequently or using products that are too harsh for your skin may contribute to redness, dryness, sensitivity, or damage to the skin barrier.

Michelle recommends gentle exfoliation rather than using a strong exfoliating cleanser every day, particularly for people with dry, mature, or reactive skin. The goal is to support healthy skin turnover without continually stripping or irritating the skin.

Can gratitude and mindset improve your health?

Gratitude and mindset are not replacements for medical treatment, but they may help change how you experience stress, daily responsibilities, and difficult seasons.

Michelle shares how changing “I have to” into “I get to” helped her see ordinary experiences as privileges rather than burdens. She also describes finding joy through simple gratitude practices, such as appreciating coffee, a warm shower, her bed, or a quiet moment in the morning.

Over time, these practices helped her become more aware of the good in her life and less consumed by problems, pressure, and fear.

How do you move out of survival mode?

Moving out of survival mode is usually not a single decision or quick mindset shift. It may involve becoming aware of your stress patterns, changing difficult relationships, creating healthier boundaries, reducing negative media consumption, developing a supportive morning routine, and practicing more intentional self-talk.

Michelle compares mindset work to physical exercise: one practice may not create an immediate transformation, but consistent repetition can gradually change the way you respond to stress and interpret your life.

Disclaimer

Everything shared in this episode is for educational purposes and personal reflection only. It is not medical advice. Always work with your own healthcare provider for individual care.

We sometimes include links to products and services we find interesting. These may or may not be affiliate links. Thanks for your support.

Podcast production by Jamie Brooke.

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