Somatic Sexology and Sensory Neuroplasticity:
what medicine still cannot deliver during menopause
the woman who did everything right — and still felt nothing
She came to me saying:
“I’ve had hormone replacement therapy, I watch what I eat, I’ve started exercising again, I do yoga. But I still feel like my body is shut down. No desire, no pleasure. It’s like something is missing and I don’t know how to get it back.”
This is a common story — but one that is rarely talked about.
Women who, even with the “menopause checklist” complete, continue to have bodies in a state of silence.
Bodies that are regulated, but not alive.
Clinically resolved, but without pleasure.
What's missing?
Medicine provides many important answers.
It regulates hormonal collapse.
But it rarely talks about another type of collapse:
Sensory mismatch.
During perimenopause and menopause, the nervous system often goes into protection mode.
To protect the brain from excessive stimulation, it begins to cut off sensory pathways—pathways of touch, pleasure, arousal, and fine skin perception.
The result: you don’t feel anything.
No pain. No pleasure. No energy.
Just a vague tiredness. A strange discomfort. An absence that becomes the new norm.
This is where somatic sexology comes in.
Somatic sexology is an approach that unites sexuality, body, and perception.
It is based on science — but applied to the body, in simple, concrete, and respectful practices.
It considers:
- how your nervous system responds to touch
- how past experiences influence your enjoyment today
- how your body can learn to feel again, with lightness and consent
In practice, the work involves exercises that awaken dormant sensations—safely and precisely.
Neuroplasticity applied to intimacy: the MPPV Method
Over more than 10 years of clinical practice and study, I have developed the MPPV Method — Minimum Possible Positive Viable.
A somatic approach that respects the body’s time and strategically activates new sensory connections.
The logic is simple:
- small activations → regulate the nervous system
- forgotten routes → can be reactivated
- good feelings → make room for pleasure, clarity, motivation
All this without mysticism. Without magical promises.
With substance. With context. With direction.
But why does this matter during menopause?
Because menopause isn’t just about hormones.
It’s about your body changing.
It’s about your brain adapting.
It’s about your senses being renegotiated every day.
And if you don’t teach your body to feel again, it will continue to function—but in minimal mode.
In automatic mode.
In survival mode.
You can live like that.
Or you can choose to reactivate.
And how does that work in practice?
Somatic sexology is not a casual conversation, nor is it a single technique.
It is a methodical approach, with a beginning, middle, and continuity—respecting the body and nervous system’s timing.
Therefore, the process is built in layers and begins gently: with listening, sensory observation, and minimal, neuroprotective practices.
Often, the first step is an orientation session, where the person begins to identify — with help — what is active, what is dormant, and what can be safely reactivated.
But no real transformation happens in a single session.
In clinical practice, we work with structured plans, ranging from three to ten sessions.
Each case is unique. But all processes follow the same principle:
Re-educating the sensory system to sustain good sensations with autonomy and clarity.
It is a protocol that goes from the person’s Main Erotic Trait to the sensory reactivation of the skin, touch, pleasure, and intimacy.
And most importantly:
All of this is done with consent, without forcing anything, and respecting the limits of the real body.
Conclusion: what medicine starts, the body can complete
Medicine regulates hormones.
But it won’t teach you how to feel your new skin, your new possibilities for pleasure.
It comes from within — when your body feels safe to feel again.
If you feel that everything is fine in your tests, but everything is wrong with your skin…
Maybe it’s time to look at it from another angle.
*Educational, integrative, and complementary content. Does not replace medical supervision.*