https://linktr.ee/SexMedDoc, http://evelindacker.com/

Evelin Molina Dacker, Salem, OR (2025)

05/16/2025

Join me in June for the free summit.
FreeYourMenopause dot com to sign up. It’s free!

05/16/2025

As above, So below.

05/14/2025

Since a lot of you were shocked by my last post, let me explain why testosterone is a Schedule III controlled substance—and why there’s no formulation made specifically for women in the U.S.⁣
⁣
Testosterone landed in Schedule III (alongside drugs like ketamine and Tylenol with codeine) 𝐛𝐞𝐜𝐚𝐮𝐬𝐞 𝐨𝐟 𝐚𝐛𝐮𝐬𝐞 𝐛𝐲 𝐛𝐨𝐝𝐲𝐛𝐮𝐢𝐥𝐝𝐞𝐫𝐬 𝐚𝐧𝐝 𝐚𝐭𝐡𝐥𝐞𝐭𝐞𝐬 𝐢𝐧 𝐭𝐡𝐞 ‘𝟖𝟎𝐬 𝐚𝐧𝐝 ‘𝟗𝟎𝐬. Congress passed the Anabolic Steroid Control Act in 1990, lumping in all anabolic steroids—including testosterone—without much nuance.⁣
⁣
So even when it’s being used appropriately for hormone replacement therapy, the red tape is the same. That’s why I can prescribe it for others, but still can’t get mine refilled without a big hassle. (And no, a microdose in a compounded dropper is not turning me into the Hulk.)⁣

But here’s what’s even more maddening:⁣
𝐓𝐡𝐞𝐫𝐞’𝐬 𝐍𝐎 𝐅𝐃𝐀-𝐚𝐩𝐩𝐫𝐨𝐯𝐞𝐝 𝐭𝐞𝐬𝐭𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐞 𝐩𝐫𝐨𝐝𝐮𝐜𝐭 𝐦𝐚𝐝𝐞 𝐟𝐨𝐫 𝐜𝐢𝐬 𝐰𝐨𝐦𝐞𝐧 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐜𝐨𝐮𝐧𝐭𝐫𝐲.⁣

Why? A mix of:⁣
*Lack of investment in women’s s*xual health⁣
*Deep-rooted discomfort with the idea of female desire (especially post-menopausal)⁣
*And zero financial incentive for pharma to research small-dose therapies that can’t be patented in a lucrative way⁣
⁣
To be fair, some attempts were made (like Intrinsa, a testosterone patch for postmenopausal women), but the FDA blocked it—citing “𝐢𝐧𝐬𝐮𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐭 𝐥𝐨𝐧𝐠-𝐭𝐞𝐫𝐦 𝐬𝐚𝐟𝐞𝐭𝐲 𝐝𝐚𝐭𝐚” even though the risks were mild and well-known.⁣
⁣
So what do we do instead?⁣
We scrape a 𝘵𝘦𝘯𝘵𝘩 of a man’s gel packet and guess. Or we compound it (like I do for my patients) to get a reasonable dose in a consistent delivery. And still, women and AFAB folks are often met with suspicion or told their pain is “𝐣𝐮𝐬𝐭 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐚𝐠𝐢𝐧𝐠.”⁣
⁣
This isn’t just bad medicine.⁣
It’s a systemic failure.⁣
And it’s time we start talking about it.⁣
⁣
⁣
⁣

05/13/2025

𝐃𝐢𝐝 𝐲𝐨𝐮 𝐤𝐧𝐨𝐰 𝐭𝐞𝐬𝐭𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐞 𝐢𝐬 𝐚 𝐒𝐜𝐡𝐞𝐝𝐮𝐥𝐞 𝐈𝐈𝐈 𝐝𝐫𝐮𝐠?⁣
⁣
Yep—same category as opioids. Which means it’s tightly regulated, even when prescribed for women’s hormone replacement therapy.⁣
⁣
Here’s the kicker: I’m a menopause expert, and I can’t even get my own testosterone refilled.⁣
⁣
My P*P won’t add it to my topical estradiol prescription because she is not familiar with compounds. My PA used to refill it without a problem, but under my new employer’s rules, she’s no longer allowed to prescribe scheduled drugs. Understandable from a policy standpoint—but 𝘳𝘪𝘥𝘪𝘤𝘶𝘭𝘰𝘶𝘴 in practice.⁣
⁣
And while I don’t feel the need to justify it, I will explain: I have a condition caused by birth control pills that tanked my testosterone levels. Without HRT, I experience debilitating vaginal pain. I’ve been managing this effectively for over 15 years.⁣
⁣
Here’s what really pi**es me off:⁣
𝐓𝐡𝐞𝐫𝐞 𝐢𝐬 𝐧𝐨 𝐅𝐃𝐀-𝐚𝐩𝐩𝐫𝐨𝐯𝐞𝐝 𝐭𝐞𝐬𝐭𝐨𝐬𝐭𝐞𝐫𝐨𝐧𝐞 𝐦𝐚𝐝𝐞 𝐟𝐨𝐫 𝐰𝐨𝐦𝐞𝐧 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐜𝐨𝐮𝐧𝐭𝐫𝐲. None.⁣
What’s prescribed is a dose designed for men. Women are told to “just use a tiny bit”—like one-tenth of a daily male packet. Which, newsflash, is almost impossible to measure consistently.⁣
⁣
That’s why I have it compounded into drops for my patients—because it actually works, and it’s safer and more precise. But even with my expertise, I’m jumping through hoops to prove I’m not “abusing” it. How can we abuse it when trans women and men get doses 100x higher than mine and still are alive? ⁣
⁣
It’s beyond frustrating.⁣
⁣
𝐎𝐮𝐫 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐬𝐲𝐬𝐭𝐞𝐦 𝐰𝐚𝐬 𝐧𝐨𝐭 𝐛𝐮𝐢𝐥𝐭 𝐟𝐨𝐫 𝐰𝐨𝐦𝐞𝐧—𝐚𝐧𝐝 𝐢𝐭 𝐬𝐡𝐨𝐰𝐬.

04/18/2025

Thought on Attunement

Lately, I’ve been sitting with the idea of attunement. What it means to truly feel with someone. To sense their emotions, body, nervous system. To sync up, not from logic or effort—but from something deeper. Something primal.

Is attunement our natural state?
And is it the noise of culture—expectations, roles, trauma—that clouds it?

I think of how animals attune to their pack, their environment. For safety. For survival. For connection.
Then I think of humans… and how often we’re praised for “performing” empathy, while deep relational presence remains rare.

So what is attunement?

Is it presence?
Is it regulation?
Is it being so connected to our own body that we can feel the resonance—or dissonance—of another’s?

And here’s the paradox that intrigues me most:
Some people who struggle with social cues—like folks on the autism spectrum—can still be exquisitely attuned during moments of intimacy or sensory immersion. So maybe attunement isn’t about social rules or reading faces. Maybe it lives in the body. Maybe it blooms when we’re free from performance and pressure.

So maybe the real work isn’t learning how to attune.
Maybe it’s unlearning everything that blocks us from our innate ability to connect.
To slow down. To notice. To feel.
To be with—without performance.

We live in a time of constant digital contact, but so often we’re more disconnected than ever. Screens give the illusion of intimacy, but without embodied attunement, we’re left with performance, misunderstanding, and discord.
We crave closeness, but we’ve forgotten how to actually be with one another.

Attunement is the key to true connection.
Connection is what makes healing possible.
Connection is what softens trauma, transforms relationships, and brings nervous systems into safety.

Attunement is primal.

If we can unlearn, we can attune.
If we can attune, we can heal.
And if we can heal, maybe we can remember how to be together again.

04/15/2025

I am the woman seasoned by time.
Rooted in my body,
comfortable in my skin,
unleashed in ways youth could never understand.

There is a power that comes
with knowing who I am.
Not guessing. Not proving.
Just being.

My allure isn’t in smooth skin or tight curves—
it’s in the way I move,
the way I listen,
the way I can hold you
and never lose myself.

I don’t chase attention.
I command presence.

I’ve lived,
loved deeply,
laughed loudly,
and risen from heartache
more radiant than before.

I no longer strive to be “more.”
I’ve learned that depth,
wisdom,
and true beauty
only grow with time.

To all my sisters walking this path—
you are not fading.
You are blooming
in the most powerful season of all.

🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥

Calling women 55 years or older for an upcoming project called Wise, Wild, and Wanting: Unleashing the untold stories of midlife desire, power, and reclamation.

I want to share the stories of women who have awakening to their s3g uality, power, and pleasure through the sacred passage of perimenopause and beyond.

These are the stories we were never told.
These are the stories we all need to hear.
These are the stories we are all finally ready to live.

~ Please DM me if you are interested in telling your story~

04/13/2025

I wish someone had told me long ago that the secret to feeling truly safe wasn’t in my brain or emotions, but in listening to my body. Instead, I spent years living fast and furiously— from the grind of med school to 80-hour work weeks, mothering, wifing, doctoring, surviving (but not truly living), until finally getting hit with the Great Change.

My brain, conditioned to push through, convinced me I was built for this. Safety was an afterthought. Survival was the priority.

Then the Great Change happened and my hormones staged a rebellion. It took shutting down all s*xual desire like a power outage — that forced me to finally slow the f**k down and listen. It was in that moment, during the complete disruption of my life, I knew I had a choice to make:

*Lose the story and gain my life…
*Or lose my mind to anxiety, fear, and burnout.

Through this journey, I’ve learned to build a relationship with my body and honor my nervous system in a way I had never done before. And wow, has this reclamation been a game-changer.

How did I do this?

I stop and breathe. Not the shallow breaths that keep me functioning, but deep, intentional breaths that ground me in the present.

I remind myself that my thoughts, emotions, and desires are often projections — reflections of my fears, needs, and old narratives — not necessarily the truth.

Most importantly, I check in with my nervous system.
~Am I breathing calmly, or is my breath shallow?
~Are my shoulders relaxed, or on high alert?
~Is my body open and grounded, or am I holding myself apart?

Turns out, my nervous system is a damn good indicator of whether I feel safe, seen, and heard. And when I slow down and actually listen, I stop confusing my truth with my stories.

This isn’t about achieving some perfect state of calm. It’s about cultivating a relationship with myself where I can finally trust what my body is telling me. And through that trust, I’m not just surviving anymore. I’m living.

Maybe it’s time to take a breath and ask…
“What’s my body saying right now?”

❤️
Art by

04/13/2025

We talk so much about s*xual health like it’s something that lives in our heads—decisions, words, risks, logic. But real s*xual health? It lives in the body.

Somatic practices—breath, touch, movement, awareness—invite us back into the body, where true healing and liberation happen. When we reconnect with our physical selves, shame starts to melt. Pleasure expands. And we begin to feel what’s real, instead of just thinking about it.

This embodiment doesn’t just benefit us. It helps us attune to others. It makes consent more than a yes or no—it becomes a felt sense. A knowing.

Because consent isn’t just words. It’s a body saying yes, a nervous system saying safe, a heart saying here I am.

When we listen to the body, we begin to reclaim the wholeness of our s*xual health—not just as a function or risk, but as a source of connection, joy, and truth.

This is the kind of s*xual health I practice. The kind I teach. And the kind I want to see in this world.

Let’s get in our bodies. That’s where the magic is.

I am growing this practice through courses I am taking through the *xualhealthalliance

04/12/2025

Learning to self-regulate is a revolutionary act.

Not because it looks impressive on the outside—often, it doesn’t.
It looks like pausing. Breathing.
Stepping away. Placing your hand on your heart.
Crying in the shower. Shaking. Screaming. Stretching.
Whispering, “I am safe. I am here. I belong to myself.”

Self-regulation is not about perfection.
It’s about bringing yourself back to *safety*—not the kind that’s about locks and alarms,
but the kind that lives deep in your body.
Somatic safety.
The felt sense that your system can breathe again.

When we’re activated by stress, world events, relationship dynamics—
our nervous system kicks into overdrive.
Fight. Flight. Freeze. Fawn. Shame.
Suddenly we’re no longer choosing—we’re reacting.
We lose our capacity to think clearly, to connect with others,
to respond from our truth instead of our trauma.

This world wants us dysregulated.
Capitalism thrives on urgency. White supremacy thrives on fear.
Patriarchy thrives when we stay small, shut down, and disconnected from our bodies.

So when you slow down…
When you notice your state and choose to return to yourself—
You are doing the work.
You are reclaiming your power.
You are creating the internal conditions for freedom.

That’s not just self-care.
That’s creating a new world of connection.

03/25/2025

Advocating for Medicare coverage of anti-obesity medications.

03/24/2025

As a family physician, I don’t just advocate for comprehensive s x education, s x ua l healthcare or women’s medicine, I also care about chronic illness. I’m heading to DC to fight for broader access to obesity medications. The reality is harsh: the people who need these meds the most often can’t afford them. Current policies and insurance loopholes benefit corporations, while the cost of GLP-1 medications in the U.S. — ranging from $500 to $1,500 per month — puts them out of reach for many. Ironically, those who can afford them are often not the ones who need them the most.

I provide obesity care. I prescribe GLP-1s. I witness, every day, how these medications transform lives.

But let’s be clear — medication alone isn’t the answer.

We still need affordable, nourishing food.
We still need movement and joyful ways to connect with our bodies.
We still need to address how trauma lives in our tissues.

We need community.
We need a culture that values care.
We need tools to calm and regulate our nervous systems.

I’m going to DC because someone has to speak up for those who are unheard and unseen. I’m going because I can. I don’t know how much impact one voice can make in today’s political climate — but I refuse to stay silent when given the opportunity to shout.

Evelin Molina Dacker

05/16/2025

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