You Are Not Broken (Kelly Casperson, MD)

Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum. She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency. Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC. IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats. What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan. She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers). Physical therapy is vital in educating women about their bodies and bodily function. Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension. Tips for stress management!!! Healing from pelvic pain takes time. There is no magic wand! It takes time and work. Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants. Dr. Gerig’s goal is to get her patients OFF medication eventually. Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements. Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain. Tips and tricks for self advocacy for pelvic pain. www.apta.com .    www.hermanwallace.com What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Motives between the Sheets: Understanding Obligation for Sex at Midlife and Associations with Sexual and Relationship Satisfaction Monika Georgieva et al. · https://doi.org/10.1080/00224499.2022.2076278 This study investigated reasons for sex at last sex, with a focus on obligation (an avoidance motivation) and doing something nice for a partner (an approach motivation), and their associations with sexual and relationship satisfaction, while controlling for marital duration, age, and sexual desire. We investigated these reasons among married, midlife Canadian women (n = 324), men (n = 275), and 25 non-binary/gender queer participants 40 to 59 years of age. Darling, Come Lay with Me or Talk with Me: Perceived Mattering and the Complementary Association between Sex and Communication within Marital Relationships Haeyoung Gideon Park et al https://doi.org/10.1080/00224499.2021.2018393 Kovacevic, K.*, Tu, E.*, Raposo, S.*, Rosen, N. O., & Muise, A. (2023). Is spontaneous sex ideal? Beliefs and perceptions of spontaneous and planned sex and satisfaction in romantic relationships. Journal of Sex Research. Not enough early breast cancer survivors on Vag E. – Dr. Menn - ------- Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Oct 6;114(10):1347-1354. doi: 10.1093/jnci/djac112. PMID: 35854422; PMCID: PMC9552278. Member question: On the topic of pain with penetrative sex, what can go awry during the healing process from vaginal surgery for hysterectomy and prolapse repairs that might contribute to this? Pelvic floor therapy, lubricants, moisturizers, estrogen and dialators are the armenatarium used but what happens when they are used long term but there is still pain upon insertion even a year out from surgery? NAMS practice Pearl on Testosterone https://www.menopause.org/docs/default-source/professional/practice-pearl-testosterone_.pdf Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This audio is pulled from a conference I was fortunate to lecture at.  The conference was for physicians who are trained as life coaches. Here I talk about sex, female sex "facts", and how to clean up your own mind about your thoughts about sex. I hope you enjoy if you are a physician, a life coach, both, or none at all. -Kelly --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

242. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer In this episode, Dr. Kelly Casperson shares updates on the podcast and announces the four-year anniversary. She discusses her plans for the future, including moving the podcast to a new category and manifesting success in the health and fitness industry. Dr. Casperson also announces a retreat and offers live group coaching sessions. She encourages listeners to sign up for the retreat and get a lifetime membership to her monthly membership program. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding physicians and therapists specializing in menopause issues. Finally, she debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy.Takeaways Dr. Casperson is celebrating the four-year anniversary of the podcast and shares her plans for the future. She announces a retreat and offers live group coaching sessions for listeners. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding specialized healthcare providers. She debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy. Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. doi: 10.1097/GME.0000000000002267. Epub 2023 Oct 18. PMID: 37847875 Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The MASTER CLASS is starting soon!  From boring to mind blowing!  Sex education and coaching! www.kellycaspersonmd.com Thoughts about sex Let’s hear about a “typical” woman who comes to me for sexual issues. KY Jelly is the Betty Crocker of lube – it is everywhere, but not always great. Figure out what your sexual goals are. Your thoughts about sex influence your sexual satisfaction. Your thoughts are not facts. If your goal is to be a happy sexual person but your thoughts tell you otherwise, we are stuck! Sometimes thoughts are put in your head by other people, things, society. Especially about sex. I can’t get you to comfortable enjoyable sex if your thought is, “I am not a sexual being” Your body is listening to your thoughts. Sex and body image. Thoughts create our feelings which create our actions. Some of our thoughts aren’t serving us anymore. Sometimes we can’t make a thought go away, but we can see it for what it is – not a fact and not helping you. You can work on replacing your thoughts. Negative thoughts can’t get you to a positive solution. Sex coaching! Your biggest sex organ is your brain. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

236 – Prolapse – Surgical and Non-Surgical Options This podcast is sponsored by Femselect Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. In this episode, we talk a lot about prolapse and touch on-  ·      What is pelvic organ prolapse? ·      Why prolapse needs a rebranding – so much shame ·      Risk factors for prolapse ·      What are the signs and symptoms? ·      Our tips for treating constipation ·      Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength. ·      The impact of prolapse on those suffering ·      Why we hate calling it “bladder prolapse” ·      How the bladder can be affected by vaginal prolapse and what may and may not improve ·      How do we know if we have prolapse ·      How do we know if we should treat prolapse ·      Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery ·      What is a pessary and what are the risks of a pessary. ·      Can you be sexually active with prolapse? ·      The role of pelvic floor physical therapy and prolapse. ·      Surgical treatment options: o   One size does not fit all. o   Obliterative surgery – colpocliesis o   Hysteropexy vs. hysterectomy o   Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures o   New treatment options (EnPlace) benefits and data o   The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. ·      Modern prolapse repair is safe, effective and recovery is not too stressful for most women. ·      Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy ·      The risk of recurrent prolapse ·      When to consider adding a sling to your prolapse procedure ·      Just because someone or something said you have prolapse, doesn’t mean you need surgery Instagram.com/allurebydrsonya https://allurepelvicwellness.com/ #EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth My previous Prolapse episodes 21 – pelvic organ prolapse master class 138 – February Live – Hormones, prolapse, pelvic floor PT and more 161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Best Sex Ed You Never Had   We all got a sex education – it just wasn’t accurate.   My Sex Ed course is coming out this Month!  Get on the email list to join when it opens.   This was a talk I gave to medical doctors for a residency program continuing education lecture.   Seasons of sexuality Stress and sexuality The importance of self-care in sexuality Communication and sexuality Sex as a skill that can be improved   Sexuality and gender equality   Stop Should-ing all over your sex life       If you got decent sex ed you were lucky   Sex is Complex – therefore so so interesting Biopsychosocial   Your sexuality is not a fixed asset   Orgasms are good for us   Your biggest sex organ is your brain   Night shifts wreak your sexual function – any gender   Sex is dopamine, and we have cheaper dopamine in our current society which competes with sex.   Defining heteronormativity   What Society tell us about sex (and is wrong about)  Pro tip: desire mismatch is normal Pro tip: Why do you want to have sex?  FEELINGS – list three -       If partnered: do you know theirs?   Orgasmic Inequality is real.   The Heteronormative Theory of Low Desire in Women Partnered with Men   How Freud messed us up in regards to sex.   Do you actually “fall out of love” or does your brain habituate and you are craving newness and dopamine?   Cognitive distractions are bad for good sex.  Mindfulness and meditation can help.   How to improve sex as a skill Relationship between sex and sexuality (sensuality) and ways to improve sex drive How to have a balanced life, not put sexual health on the back burner Stress effects on sexuality Resources -       You are not broken book -       Becoming Cliterate -       Your body is not an apology -       Sex and Sexuality podcast -       How to find a sex therapist o   AAASECT.org   Take one action toward achieving a fulfilled life   Why does sex end when the male ejaculates?   The heteronormative definition of sex is not good for anybody.   What we make lubrication mean.   How does your pelvic know that it is sexy time?  Remember brain and pelvic arousal.   Our lack of ability to communicate to our partner’s about why we want sex hurts us.   So many things about sex are aren’t actually about sex.   How to help post partum people and their partner’s understand what is happening after birthing a baby. The biologic and psychosocial component behind this   Even though we are not taught about sex, we are told things about sex all the time.   Women: men didn’t get any more sex ed than we did….we have to communicate our needs to them.   How to communicate about sex.   What does sensuality mean?   Don’t forget to desire things you already have.   What are your top three feelings you want to have during sex.   If you can’t turn off your frontal lobe you may have trouble with orgasms.   Challenge your limiting beliefs about sex.   Figure out your obstacles to a good sex life – now you have the pathway. The obstacles are the way.   Tips from people who have magnificent sex.   Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome to Day two of my thoughts on the 2022 ISSWSH conference! How to talk to your kids about sex Sex after cancer Sex after baby --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Listen to this with your partner! So much talk about partner communication I am so excited to talk to Dr. Alexandra Stockwell. We officially met on a panel for sexperts in October 2020! Which are really the only panels I should sit on these days as they are so fun! She is on a mission to change the cultural narrative around long-term relationships from one of stagnation and companionship to the delectable joy a couple can feel when they build passion and excitement to nourish them both. How do you define a “juicy” relationship? Why people compromise in their relationships. Great sex in a long-term relationship is no accident – talk about the myth of why people think it should be easy or not take work. Tips for becoming a better lover. Why did you write “uncompromising intimacy”? There is a couple – late 60’s – early 70s….he watches porn, turns down her advances – she keeps asking for sex…she states she is torn between divorce and suicide……where would you start? So many women fake orgasm – give me your thoughts on that. You have said that “Humans learn by observation or modeling” – I totally fell in love with that statement. How does that apply to your work? We were talking in January about a stat that 49% of women in their 50s stop having sex – then we had to nerd out and look that up. What do we tell women in their 40s/50s about the next decade of life with their spouse? People are afraid to talk about sex – but it is the vulnerability and communication that actually builds intimacy – people feel entitled to intimacy without doing the hard work. Underneath every complaint is a desire. How to have sex like a woman! Okay, tell us about your programs, how to find/follow you and get your book! Uncompromising Intimacy: Turn your unfulfilling marriage into a deeply satisfying, passionate partnership. https://amzn.to/2UCQZmA The Marriage Podcast with Dr. Alexandra Stockwell: https://podcasts.apple.com/us/podcast/the-marriage-podcast/id1548060690 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

What if low desire is not your fault? Join me as I drink coffee and read (and editorialize) the best sex research paper to come out of 2021!  The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. by Sari M van Anders, Debby Herbenick, Lori A Brotto, Emily A Harris, Sara B Chadwick Join me in a few days as my next episode will be an interview with Dr. Sari van Anders Link here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382213/ CME for this episode here: https://earnc.me/RxoV55 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Maria Uloko, a urologist specializing in comprehensive sexual health, discusses her journey into urology and sex medicine. She shares how she became interested in urology through a serendipitous encounter with a female urologist and her passion for surgery. Dr. Uloko also talks about the importance of representation in medicine and her research on vulvar health. She highlights the need for better healthcare policies and advocacy to improve patient care and physician well-being. The conversation touches on the challenges of the current healthcare system, including the degradation of the doctor-patient relationship and the lack of support for physicians. Dr. Maria Uloko discusses the importance of physicians being involved in health tech and the need for their expertise in decision-making. She shares her journey into health tech and her passion for democratizing healthcare, particularly in women's health. Maria highlights the gendered access to healthcare and the lack of patient resources. She explains her vision for VULVAI, an AI-powered platform that provides accurate and evidence-based information to empower patients in their healthcare decisions. Dr. Maria emphasizes the need for patients to be educated and advocates for themselves, and the importance of challenging misinformation in healthcare. Takeaways Representation in medicine is crucial for inspiring and diversifying the field. The current healthcare system is not sustainable and needs significant policy changes. Physicians are facing burnout and leaving the profession due to lack of support and excessive workload. The doctor-patient relationship is deteriorating, and there is a need to prioritize and protect it. Advocacy and education are essential for improving patient care and addressing healthcare disparities. Physicians should be involved in health tech and decision-making processes to ensure that solutions are effective and work for patients. There is a need to democratize healthcare, particularly in women's health, and provide equal access to resources and information. VULVAI is an AI-powered platform that aims to empower patients by providing accurate and evidence-based information for their healthcare decisions. Patients should be educated and empowered to advocate for themselves and challenge misinformation in healthcare. https://vulvai.co/ https://www.instagram.com/mariaulokomd/ https://www.mariaulokomd.com/ Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. ALLOY Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life" Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode 58 - Stephen Snyder, MD A sex therapist, relationship therapist, and sexual medicine specialist — Dr. Snyder has dedicated his entire career to helping individuals and couples with sex and relationship concerns. Over 30+ years, he’s helped over 1,500 individuals and couples regain closeness and satisfaction in their relationships. I heard him on a podcast “sexology” and needed to read his book and get him on my podcast. I loved the male perspective, and he offered ways for women to understand the male model of sex in a long-term relationship. - How did you go from MD to sex therapist? - Women are the “chief sexual officer” in the relationship - How women and men are different - The “two step” plan for good sex - In his book, he writes, “your wife is not a lawn mower” – we discuss - He writes – "Good sex definitely make you dumber. And great sex can make you downright stupid." - Sex knots and how to untie them - Why men “go missing” in bed - Tips for talking to your male partner about better sex - Talk about shame and sex! - FIOS – for it’s own sake – enjoy arousal for it’s own sake. He discusses what “simmering” is and why we should enjoy it more. - Why humans are not steam engines - “Everyone over 35 should have a dimmer switch in the bedroom” - ANTs – automatic negative thoughts – so many women have these and body image issues – help please! - Desire – it is becoming an object of FDA approved medications – yet you talk so differently about it, such that it is not needed at all. Please educate us! https://www.sexualityresource.com/ An amazing blog post about female sexual desire: https://www.sexualityresource.com/blog/womens-sexual-desire-and-why-men-often-dont-recognize-it His book is amazing! Find it at: https://read.amazon.com/kp/embed?asin=B073Z8CBQ4&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_PKDWP0312DYJZ99H8YZ4&tag=kellycasperso-20 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The WEBSITE IS UP!!!  www.kellycaspersonmd.com Announcement!  Sept 21st course registration is open! www.instagram.com/kellycaspersonmd The Software - Desire and Orgasm Do I actually need a loading dose of estrogen cream? What is vaginal DHEA for? What to do if estrogen cream burns? Desire and orgasm. My why - why did I learn about this stuff. Desire in long term relationships. Reactive and spontaneous desire I can’t make you like something that is painful. The theory behind why women can have multiple orgasms Why women’s arousal is necessary to prevent pain with sex Basson’s model of women’s sexual cycle. How many times a week am I supposed to have sex. Orgasm Inequality. Correction from audio - Dr. Laurie Mintz, Phd - she wrote “Becoming Clitorate.” The Melted Ice cream analogy for desiring sex. The FDA approved meds for hypoactive sexual desire disorder. Filbanserin and Bremelanotide. Why do men who wash dishes have more sex? Testosterone and women. NOT FDA approved and is not dosed for women. What do you do? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

On social media A woman asked – my vagina is so dry that sex is painful, how can I fix this? Wikipedia: Gaslighting is a colloquialism, loosely defined as making someone question their own reality. The answer provided on social media to this question: - Regular sexual activity, self stimulation and pelvic floor exercise can help keep your vagina health. - IS THIS ACTUALLY TRUE? - This doctor said “I tell women to avoid sugar and use probiotics to make sure their entire ecosystem is “humming along” – NO evidence that oral probiotics affect vaginal microbiome – then she plugs her diet and her probiotic products - She then goes on to say – two additional ways to counteract vaginal dryness is to strengthen the pelvic floor by doing kegel exdrcises and using a “holistic formulation” that helps maintain optimal levels of natural moisture, and “supports a healthy vulva and vagina”. – this is her product – which states it “prevents leaks” and costs 70 dollars. Also claims to “reignight desire” – WTF I searched in J sex med - does intercourse delay or treat vaginal atrophy? – can’t find a damn thing I found on an internet site - “Regular sexual activity, with or without a partner, can help maintain healthy vaginal tissues through increased blood flow and avoid or lessen the effects of vaginal atrophy.” - No citations, so again I went to J Sex med – can’t find a thing On menopause.org - Regular vaginal sexual activity is important for vaginal health after menopause because it stimulates blood flow, helps keep your vaginal muscles toned, and maintains your vagina’s length and stretchiness. - No citations, and furthermore, the vaginal muscles are smooth muscles controlled by the autonomic nervous system – you can’t tone them with sexual activity - I will buy that stretching the vagina frequently probably allows it to be stretched frequently without pain – but is there evidence and why sex, why not just dilation? Current treatment options for postmenopausal vaginal atrophy Iuliia Naumova1 and Camil Castelo-Branco2 Int J Womens Health. 2018; 10: 387–395. It is important not to forget about the positive effect of sexual intercourse on the improvement of vaginal health – no citations (JAMA 1983;249:2195-2198) Vaginal Atrophy in the Postmenopausal WomanThe Importance of Sexual Activity and Hormones - But this study was not randomized – perhaps the less atrophy allowed the women to be sexually active and not vice versa? How do we know the sexual activity caused less atrophy? We don’t have any studies. Another paper on vaginal atrophy gave this recommendation - Regular sexual activity should be encouraged to maintain vaginal health. (II-2B) - Usefulness/efficacy is less well established by evidence/opinion Why is level 2-2B evidence cited as scientific fact? Pro-tip – Billionaire Marc Cuban just started an online pharmacy for low cost generic drugs https://costplusdrugs.com/ - vaginal estrogen tabs for < 10 bucks, cream for 54 dollars. What other myths do you want me to bust? Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/C7gjrk --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

We define what low sex and sexless marriages are We talk about two books that have the word "desire" in them. We talk about two papers discussing hormones and desire.  www.kellycaspersonmd.com to get on the email list to see when I go live! Reclaiming Desire Dr. Andrew Goldstein https://amzn.to/31VnArp Rekindling Desire Barry McCarthy https://amzn.to/3F80USX --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This one is for the dudes!  And the women who love the dudes! Truthfully, it works for same sex couples too. Let's talk about changing your partner - ha!  You can't!!! Starting from a place of appreciation. Avoid assumptions. Erectile Dysfunction Loving what is.  Intimacy avoidance. Avoiding being critical. Discover what makes your partner feel loved. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome to episode 56!  We are going to hit 20k listens with this one!!  I know it!  Thanks for being one of them and sharing the love! Today I riff about: Arousal and vaginal physiology Side effects of waxing What is normal in regards to vaginal discharge Moisture and arousal "Premature penetration" - don't do it! Correlation with erectile dysfunction Why good blood flow is good, and things that decrease and increase blood flow When to go get your pelvis checked out Arousal desire discrepancy/mismatch Prescription options The sex education that nobody got --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Emergency Department Care of the Menopausal Female   Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLA David Geffen School of Medicine   Common things midlife women go to the ED for – irregular bleeding and prolapse Heart attacks present differently in women than in men. How to work up abnormal vaginal bleeding – questions to ask. Do ED docs know how to do a pelvic exam? Indications for a pelvic exam and optimal positioning Recurrent UTIs, and estrogen possibly 1st line rx so something to keep in mind Asymptomatic bacteruria - if doc says you have a UTI but you have no UTI sx, question whether abx indicated, pending the urine culture             - change in cognition in elderly human – don’t just treat for a UTI? Elder abuse – what is it – when to suspect it? Cardiac symptoms in perimenopause Heart attacks present differently in women than in men. “Sometimes a doctor’s job is to tell you what it isn’t” – workups that don’t show anything dangerous. How to use a tennis ball to do myofascial release for muscle pain The devastating effects of a hip fracture.   www.instagram.com/drpdyne Pelleton: singerpam   Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Come see me in Tacoma October 3 Come See the M Factor documentary premier in Bellingham October 20th In this episode of the You Are Not Broken podcast, I discuss key insights from the recent Menopause Society Conference, covering a range of topics related to menopause, perimenopause, hormonal impacts, mental health, sexual health, and the importance of advocacy for women's health. The conversation emphasizes the need for better understanding and treatment options for women experiencing menopause, as well as the role of lifestyle changes in managing symptoms and improving overall health. Takeaways Understanding female sexuality is crucial for healthy relationships. Perimenopause symptoms can start before periods become irregular. Hormonal changes during menopause can impact mental health significantly. Hot flashes are linked to cognitive decline and memory issues. The Mediterranean diet is beneficial for mental health and depression. Hormones can help alleviate symptoms of depression and anxiety during menopause. Bone health is critical, and hormone therapy can improve bone density. Advocacy for women's health is essential in changing perceptions about menopause. Nutrition and lifestyle changes play a significant role in managing menopause symptoms. Education about menopause is lacking, and many women feel unprepared. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hollywood Ruined Us – Sex Therapist Brooke Bralove Brooke Bralove, LCSW-C is a Licensed Clinical Social Worker, Psychotherapist, Master Accelerated Resolution Therapy (ART) Practitioner, AASECT Certified Sex Therapist, and Certified Daring Way™ Facilitator.  Brooke specializes in treating adults, couples, and groups with anxiety, trauma, and relationship challenges. Brooke’s new passion is Accelerated Resolution Therapy, a brief treatment modality using bilateral eye movements that provides lasting relief and healing to patients with PTSD, trauma, addiction, anxiety, and depression.  She has maintained a private practice in Bethesda, Maryland for 20 years.   Summary In this episode, Dr. Kelly Casperson interviews Brooke Bralove, a licensed clinical social worker and certified sex therapist, about her work in treating sexual health issues and trauma. Brooke discusses her evolution into specializing in sexual health and the importance of education and normalizing sexual issues. She explains the benefits of accelerated resolution therapy (ART) in treating trauma and shares success stories. Brooke also addresses the role of vulnerability in intimacy, the spectrum of trauma, and the integration of therapy into medical practice. She provides resources for finding an ART therapist. Takeaways Education and normalizing sexual issues are crucial in helping individuals and couples address sexual health challenges. Accelerated resolution therapy (ART) is a brief treatment modality that uses bilateral eye movements to provide lasting relief and healing for trauma and sexual health issues. Vulnerability is essential for intimacy, and therapy can create a safe space for open communication and healing. Trauma can manifest in various forms, including sexual trauma, medical trauma, and developmental trauma. Finding a therapist who is trauma-informed and trained in specialized therapies like ART can be beneficial for individuals seeking help.  www.brookebralove.com FB: brookebralovepsychotherapy IG: @brookebralovepsychotherapy Tik Tok: @bbralovepsychotherapy Acceleratedresolutiontherapy.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

I get so many hormone questions!  So I needed a podcast to refer people to. I hope I did okay covering the basics and deep diving into some more complicated details. Enjoy! 1. Sex and Menopause 2. Systemic versus Vaginal Hormones 3. Estrogen Doesn't Cause Cancer 4. We gendered hormones and how this hurts women 5. Natural is a weapon waged to keep us in our place 6. Pellets and compounds are to be avoided if better options are available 7. You never need to stop hormones 8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease).  (bonus) I hate the word "balanced" when discussing hormones.  Pro tip - people are probably just trying to sell you something.  Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Check me out being interviewed for the amazing "Hit Play Not Pause" podcast with Selene Yeager!   Your brain is your largest–and arguably your most important–sex organ. It’s also the most overlooked, especially during the menopausal transition when we spend a whole lot of time talking about our vaginas (which are important, too, of course!). I am her guest and we talk about all of it in a show that drives home the mind-vagina connection during menopause and midlife. Follow her at www.instagram.com/fitchick3 www.instagram.com/feistymenopause Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/45W2PS --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You're Not Broken podcast, Kelly Casperson, MD, and Tamsen Fadal discuss the M-Factor documentary, which aims to educate and inform women about menopause. They share insights into the creation process, the importance of real stories, and the impact of the documentary on audiences and communities. The conversation highlights the need for open discussions about women's health and the significance of representation in media. In this engaging conversation, Tamsen and Dr. Kelly Casperson discuss the future of their documentary on menopause, emphasizing the importance of community engagement and the need for accessible resources. They explore the significance of relationships during menopause, the surprising reactions from men who view the film, and Tamsen's personal journey through her experiences. The challenges of documentary production are highlighted, along with reflections on personal growth and the importance of making information accessible to all. The conversation concludes with a focus on international outreach and the ongoing mission to empower women and their communities. Takeaways The M-Factor documentary combines expert insights with real women's stories. Creating the documentary involved collaboration with various professionals and women. The premiere events have sparked significant audience engagement and discussions. Community screenings are essential for spreading awareness about menopause. The documentary aims to create real-time change in how menopause is perceived. Understanding menopause requires accessible and actionable information. The film addresses various aspects of women's health, including workplace issues and hormone therapy. Real stories from women help others feel seen and understood. The documentary has received positive feedback from both audiences and medical professionals. Future screenings and translations are planned to reach a wider audience. International outreach is a priority for future initiatives. Building community connections is essential for empowerment. Relationships play a crucial role during menopause. Men's perspectives on menopause are often overlooked but valuable. Personal experiences shape understanding and empathy. Documentary production involves overcoming significant challenges. Access to information is vital for community health. The journey of creating the documentary was transformative. Engaging men in the conversation can foster understanding. Future screenings are planned internationally to broaden reach. PBS M Factor Link https://themfactorfilm.com/ Tamsen on IG Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

National LS day is Jan 17th so I thought we would bring back Dr. Jill Krapf to help educate us on this silent condition that affects our sexuality so profoundly.  What is Lichen Sclerosus. Can it be prevented? How it affects sexuality Classic signs and standard treatments What about lasers for LS? Why is it important to be on maintenance therapy How can partners be supportive? Dr. Krapf's important research. https://www.instagram.com/jillkrapfmd/ https://www.lichensclerosus.org/ Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/VUemhu --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This is an IG live I did with Dr. Prabakar, OBGYN, who is known as The Fibroid Doc on IG! We talk all about female pelvic bleeding and issues! What are fibroids? How do you get fibroids? What are symptoms of fibroids? What is adenomyosis and endometriosis The perimenopause transition and how it affects bleeding We discuss ablation and lifestyle changes to help with quality of life www.instagram.com/thefibroiddoc https://www.youtube.com/channel/UCyPUtuVimf7GpprOiuXVWaw Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/652eyN --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Kate Roberts has 30 years of experience working in global development, philanthropy and business. She has tackled some of the most challenging women’s issues, including HIV/AIDS, sexual reproductive health, menstrual hygiene, sanitation, maternal health and gender-based violence. She is a founder of The Body Agency, which provides a single source for all things fem-care, normalizing the conversation around women's natural being and eliminating fem-shame once and for all. What did you do that led you to create the body agency? How going through trauma may result in doing advocacy work – our journeys. How are sexual health needs similar and different in different countries? We discuss Fem Tech “Our vaginas do not smell of roses” – Kate Roberts “The female body works the same way in every country” – Kate Roberts Kate’s opinion on how to be a sex positive family. Discrimination that women have against their bodies Why can’t we say vulva on IG? What is your message to women? She has a message for men too. https://www.instagram.com/the.body.agency/ https://www.thebodyagency.com/ Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/A15l1w --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews pharmacist Tara Thompson, discussing the intersection of women's sexual health and pharmacology. They explore the role of compounding in hormone therapy, the education gaps in pharmacy regarding hormones, and the influence of media on public perception of hormone replacement therapy. The conversation also addresses the challenges women face in obtaining testosterone prescriptions, the implications of hazardous medication labels, and the nuances between generic and brand name medications. They delve into the efficacy of different forms of progesterone and the potential benefits of extended-release formulations. In this engaging conversation, Dr. Kelly Casperson and Dr. Tara Thompson delve into the complexities of pharmacology, particularly focusing on hormone replacement therapy (HRT) and the various delivery methods available. They discuss the innovative approaches in different countries, the importance of understanding different dosage forms like troches and buccal delivery, and the pharmacokinetics involved in hormone absorption. The conversation also highlights the interactions between hormones, particularly estrogen and thyroid management, and the benefits of injectable estrogen. They emphasize the need for personalized treatment options and the role of compounding pharmacies in providing tailored solutions for patients. The discussion concludes with a reminder that there are always options available for patients seeking hormonal therapies. Takeaways Pharmacists often lack training in women's sexual health and hormones. Education is crucial for pharmacists to support women's health effectively. Media can misrepresent the risks associated with hormone replacement therapy. Hazardous medication labels can create unnecessary fear around hormone therapy. Compounding pharmacies can provide tailored hormone therapies for women. There are significant challenges in prescribing testosterone for women. The differences between generic and brand name medications can affect efficacy. Topical progesterone may not provide the same benefits as oral forms. Extended-release formulations of progesterone can improve patient outcomes. Troches and buccal delivery offer unique advantages. Transdermal testosterone may be preferred over oral forms. Hormonal interactions require careful monitoring. Injectable estrogen can provide steady-state delivery. Personalized hormone therapy is essential for patient care. Compounding pharmacies can offer tailored solutions. Patients should not feel limited in their options. Education on hormone therapy is crucial for healthcare providers. There is always an option for patients in need. Things discussed: ISSWSH.org Study on HRT and Lupus Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

275 Delaying Menopause - Understanding the Ovary Dr. Jennifer Garrison, a researcher and assistant professor at the Buck Institute for Research on Aging, discusses her work on women's health and aging. She explains that her goal is to understand the underlying mechanisms of aging and develop interventions that promote women's health. Dr. Garrison focuses on the role of the hypothalamus, a part of the brain that controls various homeostatic systems in the body, including reproductive function. She emphasizes the importance of studying bioactive peptides, which act as chemical signals between the brain and other tissues. Menopause is defined as the cessation of menstruation for 12 months, but it also coincides with changes in ovarian function and the production of various chemical signals. Dr. Garrison highlights the need for further research to understand ovarian function and develop interventions to extend ovarian health. The conversation explores the work of the Center for Reproductive Longevity and Equality and the importance of maintaining ovarian function for healthy aging in women. The center funds grants to scientists and clinicians studying ovarian aging and has seen significant progress in the field. The discussion also touches on the use of frozen ovarian tissue for preserving fertility in cancer patients and the role of peptides in reproductive function. The conversation emphasizes the need to reframe the narrative around women's health and highlights the inequality in health span between men and women. Takeaways Understanding the underlying mechanisms of aging can lead to interventions that promote women's health. The hypothalamus plays a crucial role in regulating various homeostatic systems in the body, including reproductive function. Bioactive peptides act as chemical signals between the brain and other tissues, influencing various physiological processes. Menopause is defined as the cessation of menstruation for 12 months, but it also involves changes in ovarian function and the production of chemical signals. Further research is needed to understand ovarian function and develop interventions to extend ovarian health. The Center for Reproductive Longevity and Equality funds grants to study ovarian aging and has seen significant progress in the field. Frozen ovarian tissue can be used to preserve fertility in cancer patients. Peptides play a crucial role in reproductive function, but caution should be exercised when using peptide therapies. The narrative about women's health needs to be reframed to focus on maintaining ovarian function for healthy aging. Women live longer than men on average but spend a longer portion of their lives in poor health, highlighting an inequality in health span. https://www.buckinstitute.org/lab/garrison-lab/ https://www.linkedin.com/in/drjennifergarrison/ https://gcrle.org/ Special thanks to our sponsor, Solv Wellness! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

242. Modern Sex Challenges with Dr. Marianne Brandon Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Dr. Marianne Brandon is a clinical psychologist and Diplomate in sex therapy.  Dr. Brandon is the author of “Monogamy: The Untold Story” and the ebook “Unlocking the Sexy in Surrender: Using the Neuroscience of Power to Recharge Your Sex Life”. She is co-author of the book “Reclaiming Desire: 4 Keys to Finding Your Lost Libido.”  Dr. Brandon makes cutting edge research on relationships and intimacy accessible for the general public — advice that the people are clearly starving for. Consider the stats:   Over 50% of marriages end in divorce    Over 40% of women and 30% of men report a sexual concern     20% of marriages are “sexless”     Over 20% of women report “marked distress” about their sexual relationships  Approximately 30% of spouses have had an affair Dr. Marion Brandon highlights the challenges of sex in society, the lack of comprehensive sex education, and the nuances of pornography. Dr. Brandon also explores the complexities of monogamy, the impact of AI and sex tech, and the role of power dynamics in relationships. She emphasizes the importance of treating couples, not just individuals, and the benefits of having a biopsychosocial perspective. The conversation explores the importance of hormone changes in midlife and the impact it has on sexual health. It highlights the lack of awareness and treatment of genital urinary syndrome, which can significantly affect relationship dynamics. The discussion also addresses the lack of knowledge among physicians regarding available treatments. The impact of intimate connection on overall well-being is emphasized, and Marianne Brandon's Psychology Today blog is recommended as a valuable resource. Comprehensive sex education is lacking, particularly in the digital age. Pornography can be a complex topic, with both positive and negative aspects. Monogamy can be challenging and requires effort, communication, and mindfulness. The rise of AI and sex tech presents both opportunities and concerns. Power dynamics can play a role in sexual relationships and can be explored in a healthy way. Understanding hormone changes and desire discrepancy is important in addressing sexual issues. Treating couples as a unit is crucial for addressing sexual concerns. Taking a biopsychosocial perspective can provide a more comprehensive understanding of sex and relationships. Midlife hormone changes can have a significant impact on sexual health and overall well-being. What to do when the man has a low libido. Genitourinary syndrome is often under-treated and can lead to changes in relationship dynamics. Physicians may lack knowledge about available treatments for sexual health issues. A satisfying intimate connection has a profound impact on relationships and overall life satisfaction. Marianne Brandon's Psychology Today blog is a valuable resource for information on sexual health. The testosterone conference for clinicians is an important event for learning about biopsychosocial and hormonal aspects of sexual health. She asks her clients about their best sex ever because I can learn a lot about them from this memory.    https://www.drbrandon.net/ https://www.psychologytoday.com/us/blog/the-future-intimacy twitter @drbrandon https://www.instagram.com/drmbrandon/   Harvard Testosterone Course https://hmstestosteronecourse.com/ Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sign up for my sex education class starting September 21st! www.kellycaspersonmd.com First, we need to hear the importance of erections from the male perspective. Okay, now that we did that, what should we do when couples stop having sex after erectile dysfunction.  In this episode we will specifically talk about prostate cancer as an example. We learn why erections can falter after treatment for cancer.   We learn how relationships change. We learn that the embarrassment in talking about this actually hurts couples because they can't think of what to do after their sex life has changed. Communication is key! But we have to start by acknowledging that this is a really really hard topic for couples to talk about. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report They were on my podcast # 181 – sex talks with social media’s sex educators Justin Dubin’s paper on Blaming women for erectile dysfunction Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection Sex toys in the middle east Mindfulness with Female Sexual dysfunction Clinical practice guidelines for use of T in Women https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Why Dr. Harper created ROSY www.meetrosy.com https://www.instagram.com/meet_rosy/ https://www.facebook.com/MeetRosyApp/ How I met Dr. Harper and how she got started in creating a sexual health wellness app. She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year! What is low sexual desire? Distressingly low sexual desire. How can a woman bring up this topic with her doctor. Tips and tricks. We discuss the myth that women’s sexual health is complicated. It is not! We discuss reactive (responsive) desire. It is totally normal! We talk about loss of trust in a relationship and how that affects desire. Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting. Resources Rosy provide for health professionals? Future plans for Rosy – Telehealth started in Texas June 1, 2020. Erase shame and isolation! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health In this engaging conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson explore various aspects of sexual health, focusing on the importance of language, the journey into understanding female sexual health, and the complexities of erectile dysfunction and libido in men. They emphasize the need to treat couples as a sexual unit and discuss the role of testosterone in overall health. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into the complexities of testosterone therapy, its historical context, and the stigma surrounding hormone replacement. They discuss the importance of hormones in aging and mental health, the need for responsible hormone management, and the innovations in sexual health products. The dialogue emphasizes the necessity of rebranding hormones and addressing misconceptions to improve patient care and access. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into various aspects of sexual health, focusing on male sexual response, the effects of medications on sexual function, and innovative procedures for penile enhancement. They discuss the psychological factors influencing men's desire for enhancement, the importance of understanding the male sexual response, and the implications of medications like statins and finasteride on libido and testosterone levels. Takeaways Understanding female anatomy is crucial for effective treatment. Pain during sex is a common issue that needs addressing. Sex should not be limited to penetration; intimacy can take many forms. Couples should be treated as a unit in sexual health discussions. Erectile dysfunction can exist independently of libido. Do GLP1s affect desire or other aspects of intimacy? Testosterone plays a significant role in both male and female sexual health. Screening for low testosterone should be standard practice? Hormones should be treated similarly to other medications. Historical regulations on testosterone are outdated and need reform. The stigma around testosterone affects both men and women. Hormones play a crucial role in aging and cognitive function. Deregulation of testosterone could enhance patient access. Are statins affecting testosterone or libido? Penile Fillers Supplements to increase ejaculation volume https://testosteroneproject.com/ https://joshuagonzalezmd.com/ https://www.shoppopstar.com/ For more education about low T and getting started on possible therapy, visit Kyzatrex Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Here we go!  Week two!   Learn about how birth control affects sex DHEA And enjoy DC's premier cliterologist!   Find her on Facebook at https://www.facebook.com/DrRachelRubin/ Find her at https://intimmedicine.com/ Instagram: https://www.instagram.com/drrachelrubin/ Twitter @rachelsrubin1 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The brain is either having sex or In survival mode. Dr. Vanessa Calderón, MD, MPP is a Life Coach and Scientist and emergency medicine physician. She uses the perfect combination of evidence-based tools and thought work to help working women solve everyday problems. She’s the Wellness and Resilience Director for a national physician organization She has spent over half a decade reconnecting healthcare providers to their original purpose in medicine through education and professional coaching. We were in the same life coach school and we certified in April 2020! So fun to coach with her! She has training in resiliency and stress management and was hoping we could talk about burnout/stress, it's effect on sex drive/relationships Let’s talk about how to not get stuck in the "stress and no-sex" cycle. Learn how stress turns off the reproductive cycle Stress affects the physical and psychological system – and both affect your sex life Taking initiative to improve one’s sex life means often getting started with something you have never done before – we talk about goals and how it is the journey that matters. Women’s wandering minds and sex - why mindfulness is key. How to break the stress cycle. We treat sex like it is a scarcity. It is actually plentiful, abundant. One thing we learn about in life coach school is how our thoughts create our feelings. I think Desire is a fun topic because it can be a C, a T, a F and probably an action or a Result – crazy! How do you think about Desire? https://www.vanessacalderonmd.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hormones throughout our life. Today I am so excited to interview Dr. Rashmi Kudesia. She is a practicing infertility specialist at CCRM Fertility in Houston, Texas. https://www.ccrmivf.com/houston/rashmi-kudesia/ www.instagram.com/RKudesia www.facebook.com/RKudesia She did medical school at Duke, then a OB/Gyn Residency at Cornell.  She then did additional fellowship training in Reproductive endocrinology and Infertility, as well as a Masters in Clinical Research, at Albert Einstein, and now practices in Houston. Part One – Hormones throughout life and sex while trying to conceive. 1) What is a reproductive endocrinologist? 2) Can you talk about how infertility affects a couple’s sex life – turning it into work. 3) What are the sexual side effects of a. Birth control b. Infertility treatments c. Menopause d. PCOS BIRTH CONTROL SE – what do do about periods 4) What are the roles of hormones in sexual health estrogen, progesterone, thyroid, androgens 5)  Why are women so afraid of estrogen in our society? The “shame” of being hormonal combined with the WHI study. The myth that birth control affects fertility. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Maria Sophocles discusses her TED Talk on sex in midlife and the bedroom gap between men and women. She explains the physiological changes that occur in the vulva and vagina during midlife and how they can affect a woman's sex life. She emphasizes the importance of vaginal estrogen as a preventative medicine and the need for better education and communication between clinicians and patients. Dr. Sophocles also highlights the need for couples to have open and honest conversations about their sex life and the role of sex therapy in addressing sexual health issues. The conversation covers various topics related to gender roles, sexual pleasure, and the impact of menopause on libido. It emphasizes the importance of communication and breaking societal norms in order to achieve gender equity in the bedroom. The fear and misconceptions surrounding estrogen and its association with cancer are also addressed. The conversation concludes with a discussion on the power of education and open dialogue in changing societal attitudes towards sex and pleasure. Takeaways Physiological changes in the vulva and vagina during midlife can affect a woman's sex life. Vaginal estrogen is a safe and effective preventative medicine for addressing genitourinary changes. There is a need for better education and communication between clinicians and patients regarding sexual health. Couples should have open and honest conversations about their sex life to bridge the bedroom gap. Sex therapy can play a crucial role in addressing sexual health issues. Gender roles and societal norms often dictate women's role in the bedroom, leading to a lack of sexual pleasure and resentment. Women should feel empowered to prioritize their own pleasure and communicate their needs and desires to their partners. The loss of libido during menopause is a common concern for many women, but there are options available to address this issue. Fear and misconceptions surrounding estrogen and its association with cancer can prevent women from seeking treatment that could improve their sexual health. Education and open dialogue are essential in challenging societal attitudes towards sex and pleasure and promoting gender equity in the bedroom. https://www.instagram.com/mariasophoclesmd/ Dr. Sophocles TED talk https://mariasophoclesmd.com/ Special thanks to our sponsor, SOLV Wellness! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Women Waking Up - Perimenopause, Hormones, and Personal Growth with Marcella Hill Calling all the women who think they're going insane! You have found your people. Marcella Hill shares her journey of awakening and finding her true self during perimenopause and hormone therapy. She discusses the lack of support for women's hormonal health and the challenges women face in getting the help they need. Marcella also explores the impact of hormone therapy on relationships and the process of reclaiming sexual empowerment. She offers tips for waking up and discovering one's true self. In this conversation, Marcella Hill and Kelly Casperson, MD discuss the importance of breaking labels and embracing individuality. They explore the concept of safety versus curiosity and the need for a future-forward vision. They emphasize the power of living in the present and finding joy in everyday life. They also discuss the dangers of defining self-worth by titles and the importance of pursuing passions. The conversation highlights the challenges women face in the healthcare system and the need for women to take control of their own health. Perimenopause and hormone therapy can lead to a journey of self-discovery and awakening. There is a lack of support and education for women's hormonal health, leading to many women not getting the help they need. Hormone therapy can have a significant impact on relationships, requiring couples to navigate changes and redefine their dynamics. Reclaiming sexual empowerment and exploring one's desires and preferences is an important part of the awakening process. Asking oneself questions and challenging societal norms can lead to a deeper understanding of one's true self. Break free from labels and embrace your individuality. Challenge the notion of safety and explore curiosity. Find joy in everyday life and live in the present moment. Define your self-worth beyond titles and pursue your passions. Take control of your own health and advocate for yourself. https://www.wakeherup.co/ https://www.instagram.com/beingmarcellahill/ https://www.tiktok.com/@beingmarcellahill Facebook Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. Alloy Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Washington DC. She is prominent on IG @jillkrapfmd and you can find her at vulvodynia.com Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition. What is the vulva? What is vulvar pain and what are the causes? Myths on social media Where should a woman start if she has vulvar pain? Tips for women with vulvar pain when it comes to sex? What is “pelvic floor dysfunction”? What prompted you to go to social media with your message? Tips for women who aren’t sexually active but are looking to partner up soon? “uti” after sex – talk about when this is NOT a UTI I recently saw a young women with vaginal discharge x 5 years. She had been told by her friends that it wasn’t normal, had a good extensive workup by a gyn clinic. Can you comment on what is normal “down there”. CBD suppositories and lubricants On that note, can you talk about the care and maintenance of the vulva/vagina. She talks about what it is like to write a book! So Cool! When Sex Hurts https://amzn.to/2R771DE --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Such a good talk with Rachel Hughes for Perry app! Check it out! https://www.heyperry.com/ https://www.instagram.com/ohhelloperry/ https://www.facebook.com/groups/heyperry https://apps.apple.com/us/app/perry-perimenopause-community/id1544428724 This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/gNdtcd --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Required listening for anyone who has been told they have prolapse.  1) what it is  2) why women get it  3) non-surgical options  4) surgical options  5) post op expectations  6) risks of surgery --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

271. What Every Couple Needs To Know About Women's Hormones In this episode, Dr. Kelly Casperson discusses women's hormones and their impact on sexual health with sex therapist, Amanda Louder on her "Sex For Saints" podcast. She emphasizes that libido is influenced by biological, psychological, and social factors. The conversation focuses on perimenopause and postmenopause, highlighting the lack of education and information available to women in these stages of life. Dr. Casperson addresses the fear surrounding hormone replacement therapy (HRT) and explains that the Women's Health Initiative study in 2002 contributed to this fear. However, she emphasizes the numerous benefits of HRT, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders. We discuss the importance of vaginal estrogen in maintaining vaginal health and preventing urinary tract infections (UTIs). We highlight the issues of cost and the FDA's black box warning on estrogen products, which she believes are outdated and misleading. Dr. Casperson also addresses the misconception around bioidentical hormones, explaining that they are the same as the hormones produced by the body and can be obtained through insurance-approved medications. She emphasizes the need for individualized hormone therapy and the importance of communication in navigating menopause and sexual health. Takeaways Libido is influenced by biological, psychological, and social factors. Perimenopause and postmenopause are stages of life that lack sufficient education and information for women. The fear surrounding hormone replacement therapy (HRT) is largely due to the Women's Health Initiative study in 2002. HRT has numerous benefits, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders. Finding a knowledgeable healthcare provider and advocating for oneself is crucial in addressing women's sexual health concerns. Vaginal estrogen can be highly beneficial for women's sexual health, particularly in addressing issues such as chronic UTIs. Vaginal estrogen helps maintain vaginal health and reduces the risk of urinary tract infections (UTIs) by promoting a healthy acidic environment in the vagina. The cost of vaginal estrogen can vary significantly, but there are ways to find more affordable options, such as using online pharmacies and discount coupons. The FDA's black box warning on estrogen products is outdated and does not differentiate between systemic and vaginal estrogen. The safety of vaginal estrogen has been supported by multiple studies. Bioidentical hormones are the same as the hormones produced by the body and can be obtained through insurance-approved medications. The term 'bioidentical' is often used as a marketing tool. https://www.instagram.com/christiansexcoach/ https://amandalouder.com/blog/podcast/ Special thanks to our sponsor, Solv Wellness! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy ONE MILLION DOWNLOADS!   So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it! How can iIget my partner to have more sex with me? 1. Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way. 2. Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex. 3. Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you. 4. Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship. 5. Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues. 6. Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship. 7. Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner. It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

My last summary of the amazing ISSWSH conference! Such amazing topics Sex post baby Porn in heterosexual long term couples - getting to the deeper issues Pre-menstrual Dysphoria Disorder Perimenopause Sex after Pelvic Surgery --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Infertility and Sex In this conversation, Dr. Sophia Goodridge and Dr. Gillian Stearns discuss infertility, stress, and sex. They share their personal experiences and journeys with infertility, highlighting the emotional toll it can take on individuals and relationships. The conversation also addresses the lack of education and support surrounding infertility and the challenges faced by women in balancing their careers and fertility. The importance of open communication, humor, and seeking support is emphasized throughout the discussion. Takeaways We define infertility Infertility is a common and often taboo topic that affects many individuals and couples. The emotional toll of infertility can strain relationships and impact sexual intimacy. Education and support are crucial in navigating the challenges of infertility. The role of IVF drugs on your sex life. We discuss the world they wish to see in regards to education and normalizing infertility. Open communication, humor, and seeking support can help maintain strong partnerships during infertility struggles. Dr. Sophia Delpe Goodridge is board certified in Urology and Female Pelvic Medicine and Reconstructive Surgery. Her current  practice is in Roswell, GA and her interests include pelvic floor dysfunction, voiding dysfunction, urinary incontinence, overactive bladder and pelvic organ prolapse.    Dr. Gillian Sterns is a Urologist at Atrium Health, Director of Medical Student Education at Wake Forest, North Carolina FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠solvwellness.com⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Check out details for my retreat: https://ascendretreats.com/2024-kellycasperson-sedona/ Listen to my Tedx Talk: Why we need adult sex ed   Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The book comes out June 28th! https://amzn.to/3A447Up I read the intro! Free signed paperback when you sign up to the premium podcast group coaching membership through July!  www.kellycaspersonmd.com/membership The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/gDWMk5 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Louise Newson, a menopause specialist, shares her journey and passion for increasing awareness and knowledge of perimenopause and menopause. She discusses the importance of understanding menopause as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms. The conversation also highlights the alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms. Dr. Newson emphasizes the need for comprehensive care and access to safe hormone treatments to improve the quality of life for women experiencing menopause. The conversation between Louise Newson and Kelly Casperson, MD covers various topics related to menopause and hormone therapy. They discuss the importance of helping women feel better and the role of doctors in achieving this. They also delve into the impact of hormones on aging, frailty, and chronic diseases. The conversation highlights the significance of hormones in maintaining bone health, muscle strength, and overall independence in older age. They challenge the misconceptions and limitations surrounding hormone therapy, particularly in relation to heart disease. The conversation concludes with a discussion about Louise Newson's upcoming theater tour and the Balance App, which aims to provide women with information and support for their hormonal health. Takeaways Menopause should be recognized as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms. There is an alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms. Comprehensive care and access to safe hormone treatments are essential to improve the quality of life for women experiencing menopause. The role of doctors is to help women feel the most like themselves that they can. Hormone therapy can play a crucial role in preventing frailty and maintaining independence in older age. Hormones, such as estrogen and testosterone, have anti-inflammatory effects and can improve heart health. The use of synthetic hormones, like conjugated equine estrogens, may have different effects compared to natural hormones. The Balance App provides women with information, support, and the ability to monitor their symptoms and make informed choices about their hormonal health. https://www.instagram.com/menopause_doctor/ Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare. Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy. She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage. In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers. She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging. Takeaways Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea. Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil. Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative. Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional. Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers. Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process. Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging. It's important to be discerning when it comes to skincare and haircare products and choose what works best for you. https://gendlerdermatology.com/ https://www.instagram.com/ellengendlermd/ Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. ALLOY Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life" Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

I am SO excited to release this interview! In this episode, I talk to Master Sex Coach Danielle Savory. You can connect with Danielle on Instagram @thesexcoachforwomen or via her web site daniellesavory.com/group 01:10 – How Danielle got into being a Life/Sex coach 11:22 – Desire 13:05 – Talking about the role of “Should” 15:37 – Talking about self-compassion 18:53 – Talking about orgasms 19:49 – Finding yourself in a sexless marriage – How do we get there? 25:24 – Stop living in your head… 26:45 – Scheduled sex 29:29 – Thinking of sex as pleasure for someone else 34:12 – Teaching about sex using fear 34:32 – How do we take responsibility for our own pleasure? 39:33 – How meditation can help sex lives 42:34 – The paradox of long-term relationships 45:57 – Danielle’s thoughts on common limiting beliefs about women having sex 47:49 – Where would Danielle like to see women in regards to sex in 10 yrs? 49:50 – The effects of the internet on sex --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Here is the 2022 NAMS Hormone Therapy Position Statement! https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf 1) For women aged younger than sixty years or who are within ten years of menopause onset and have no contra indications the benefit risk ratio is favorable for treatment of bother some vasomotor symptoms and prevention of bone loss for women who initiate hormone therapy more than ten years from menopause onset. 2) We discuss safety 3) We discuss decreased mortality in women 50-60 in the WHI trial. 4) We discuss the absolute risk reduction for: all cause mortality, fracture, diabetes, and breast cancer in women aged younger than sixty years 5) Their statement on compounded and pelleted hormones 6) Vasomotor symptoms are assoicated with diminished sleep quality and reduced quality of life 7) Hormones for genitourinary syndrome of menopause 8) We discuss cognition and weight gain 9) The critical window or "healthy cell" hypothesis Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Becky Lynn is back! Previous on Episode #44 and #43 where we talked about vaginismus and endometriosis and sex after breast cancer (44) and hormones (43). So check them out! She is the founder of Evora Women’s Health in Missouri Dr. Lynn  recently authored the paper: Low Sexual Desire in Breast Cancer Survivors and Patients: A Review - Sexual dysfunction is 30-100% of women with breast cancer. And low desire is 5-87% - What happens when we do surgery on the breasts o Does it matter if we had radical mastectomy versus lumpectomy, with or without reconstruction? - Role of Chemotherapy on sexual function - Role of anti-estrogen meds on sexual function - Role of couples therapy - Data on vaginal moisturizers on sexual function - Role and safety of vaginal estrogen after breast cancer treatment – ACOG statement paper - Trial of Bupropion – open study shows improvement – randomized controlled trial versus placebo pending - Role of vaginal testosterone cream in pts on Aromatase Inhibitors – lowers estrogen in the body - There is a study looking at intravaginal DHEA on sexual function in breast cancer - Abstract at ISSWSH on Addyi (filbanserin) in breast cancer population - Role of hormones after breast cancer Dr. Lynn is a proponent of medical marijuana for better sex 34% OF WOMEN WHO REPORTED USING MARIJUANA BEFORE SEXUAL ACTIVITY SAID IT INCREASED THEIR SEX DRIVE, IMPROVED ORGASM, AND DECREASED PAIN. Luo F, Link M, Grabenhorst C, Lynn B. Low Sexual Desire in Breast Cancer Survivors and Patients: A Review. Sex Med Rev. 2022 Jul;10(3):367-375. website:   https://evorawomen.com/ FB/IG @evorawomenshealth TikTok:  @dr.beckylynn FB/IG Becky Kaufman Lynn, MD YouTube:  search Dr. Becky Lynn YouTube:  search Evora Women's Health Twitter:  @Becky Lynn Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/jWTmnn Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street Journal In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention. Takeaways The amyloid hypothesis has dominated Alzheimer's research but has significant flaws. Whistleblowers play a crucial role in exposing misconduct in scientific research. The FDA's approval process for drugs can be influenced by industry relationships. Lifestyle factors such as diet and exercise can impact Alzheimer's risk. There is a growing interest in alternative theories for Alzheimer's treatment. AI can assist in detecting research fraud but also poses risks for falsification. Misinformation in health media can lead to public harm and confusion. Independent agencies are needed to investigate scientific misconduct effectively. The scientific community must improve transparency and accountability. There is hope for progress in Alzheimer's research despite current challenges. Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

“Low Libido is Not a Problem to Me” - Caffyn Jesse Caffyn Jesse is a queer elder, sacred intimate, teacher and writer who revels in the power and pleasures of the erotic. They are a renowned teacher of sex, intimacy and healing trauma with pleasure.  Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com   She tells us how she went through her journey at age 40 and found her erotic energy   "You are not broken" is the name and theme of my podcast – She tells us how her work relates to this? In your book, “Science for Sexual Happiness” she says – “Can you imagine a way of being sexual that is energized and playful, passionate and flowing? “ - I think for so many people it is a hell no. How they would work with pain with penetrative sex. How they would work with low libido. We have so much experience consenting to things we don’t really want” – Caffyn Jesse Tips for being stuck in a sexual rut? How can erotic massage change our experience of sex? In your book “Intimacy Educator: teaching through touch” – you have a whole chapter on touching a vulva owner.  Tips. How they deal with erectile dysfunction What do you do on your retreats?   Science for Sexual Happiness by Caffyn Jesse Intimacy Educator: Teaching Through Touch by Caffyn Jesse https://ecstaticbelonging.com/ https://www.facebook.com/caffynjesse/ https://www.instagram.com/caffynjesse/   Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vanessa’s a licensed psychotherapist with 20 years of experience in the sex therapy field. Xander’s a regular dude who’s been married to a sex therapist for over a decade Their hot take on desire. Their top three causes of low libido that they see 1) Painful sex 2) Unpleasurable sex 3) Relationship issues “Our libido gets affected by everything in our lives” – Vanessa Marin “Is my life actually supporting my libido?” – Vanessa Marin Let’s talk about initiation – tips, couples get stuck in old scripts that stop working as relationships change “You get rejected once and you think you are unlovable” – Dr. Casperson “initiation should feel like an invitation” – Vanessa “Initiation takes a large amount of vulnerability” – Vanessa “There are a lot of unhealthy gender dynamics that come up with initiation” – Xander Marin According to their online poll, only 2% of breast owners like the “boob honk” as a way to initiate sex. Spouses who avoid talking about sex – they are writing a book! What to do when a partner stonewalls the conversation – don’t start with the problems. Connected to feel like sex or sex to feel connected – often one of each in a partnership At what point should couples consider bringing in a therapist? How to find out how much sex is “right” for someone’s relationship Woman says – he doesn’t care about my pleasure – what to do? Vibrator envy – help for the woman when the partner doesn’t understand and being able to advocate for your pleasure. Consent and the problem of “I just do it for him” Avoiding sex because of erectile dysfunction. They help us trouble shoot. 2023 new book! Sex Talks: The 5 Conversations That Will Transform Your Love Life Hardcover – February 7, 2023 https://www.instagram.com/vanessamarintherapy/ https://vmtherapy.com https://podcasts.apple.com/us/podcast/pillow-talks/id1569466131?i=1000577319619 Sex Talks Book: Pre-Order - https://amzn.to/3CR8OT9 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Layla London of “The Curious Girl Diary” joins us and tells us her sexual awakening story. Her focus has been to make my sex life a priority and help us as well. She has been normalizing sex as a valuable part of who we are, exploring all our sexual desires, and for some completely resurrecting that side of ourselves we’ve almost let die out. She went 3.5 years without sex – then what happened? How do women get turned on and play an active role in enjoying sex? How to talk to your partner about your interest in sexual awakening. The role of vulnerability and rejection in changing your sex life. So many women want to want sex for their partner – thoughts? 30 day masturbation challenge and what it did for her. What about women who think, “I don’t have enough time”. How sex in the bedroom can lead to success in the bedroom. Communication is easier than the alternative. 3 reasons to prioritize your sex life now 1) Orgasms are fantastic 2) Intimacy and closeness through a bonded sexual experience is wonderful 3) For yourself and how the benefits extend to other parts of your life Easy steps to make a sizzling hot sex bucket list. 1) Acknowledge you want to make a change 2) Think about times when you were really turned on 3) Explore other ideas 4) Never say never 5) The role of curiosity and humor “There is no expiration on sexy” – Layla London https://www.thecuriousgirldiaries.com/ https://www.instagram.com/the_curiousgirldiaries/ https://www.facebook.com/TheCuriousGirlLayla https://podcasts.apple.com/us/podcast/the-curious-girl-diaries/id1264706714 Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/zbqQJv --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Jim Simon discusses the importance of hormones in sexual health and the intersectionality of ISSWSH and NAMS. He emphasizes the need for all healthcare providers to be comfortable talking about sex and hormones. Dr. Simon also talks about his paper on menopausal hormone therapy and the misconceptions surrounding hormone therapy and breast cancer. He highlights the importance of individualized risk assessment and informed decision-making. The conversation also covers the future of hormones, the role of lifestyle factors in healthy aging, and the development of new drugs for hot flashes, including Fezolinetant and a new one coming on the market in one year. In this conversation, Dr. James Simon and Dr. Kelly Casperson discuss various topics related to women's health, including the challenges of getting a female dosed testosterone approved by the FDA, of treating sexual dysfunction, the underutilization of certain medications, and the importance of advocating for better access to care. They also touch on the off-label use of medications and the need for comprehensive education on hormones and sex medicine. Additionally, they explore the role of hormones in sleep issues and the impact of anxiety on menopausal women. Takeaways Healthcare providers should be comfortable discussing sex and hormones with their patients. Individualized risk assessment is crucial when considering hormone therapy. Lifestyle factors, such as diet and exercise, play a significant role in healthy aging. New drugs for hot flashes offer more options for women who cannot or should not use hormones. Advocacy is crucial in improving access to care for women's sexual health issues. Certain medications for sexual dysfunction are underutilized and may be more cost-effective options. Off-label use of medications can be beneficial and should be considered when appropriate. Comprehensive education on hormones and sex medicine is needed for healthcare professionals. Sleep issues in menopausal women should be addressed beyond hot flashes and night sweats. Anxiety is a common concern for menopausal women and should be treated alongside other symptoms. Dr. Jim Simon was previously on YANB episode #111 – go back and check it out! Dr. James A. Simon is a D.C.-based physician providing patient-focused care for women across the reproductive life cycle, from adolescence to childbirth, and through the menopause transition. His unique approach to care encourages women to be a part of their own wellness, disease prevention, treatment and recovery; and through his renowned clinical research efforts, he offers one-of-a-kind opportunities for patients to experience the latest innovations in women’s health. Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Jul 1;144(1):12-23. doi: 10.1097/AOG.0000000000005553. Epub 2024 Mar 14. PMID: 38484309. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Sonia Wright joins me today to talk about your sex life. We talk about consent and safety. Adult play is supposed to be fun! What are your thoughts around kink? Different things turn different people on. We go over some definitions – sub and dom – and maybe be surprised who has the power in these roles. We talk about consent in a long term relationship – what is your reason for having sex “for you” sex described and how to start with pleasure If you don’t know what kind of sex you want, start with identifying what you don’t want. Tips for communication with your partner. What we can learn from the sub/dom/kink culture. And remember what the whole point is of all of this is – FUN! Connection! Growth! https://soniawrightmd.com/ https://podcasts.apple.com/us/podcast/the-midlife-sex-coach-for-women-podcast/id1532337565 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Booty Play and Butt Stuff I am back with Jenn Mason!  Check out our older episodes on toys and more #45, #49 and #52 Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com The more people are empowered in their sexuality, hopefully this will decrease the bad things. What is booty play and let’s define what it is and what the body parts are. How do people get started with butt stuff? No one gets extra points for going up in size with booty play. Tips for starting to explore. Consent and doing stuff because my partner wants me to. The importance of communication. Is booty play guaranteed pain? Pain is a sign to slow down or stop. How to people prepare for receptive booty play. How messy is booty play in real life? Lube lube lube Is it okay to ejaculate in the rectum? Rules for booty play Do you need to use condoms? What anuses are supposed to look like. Is there a lube that is specific for booty play? Anal play safety Does booty play make me gay? How to talk to your health care provider about anal sex. If someone wants anal sex does that mean he is weird? Can receptive anal play mess up my body? Does the penis have to be a certain type of hard for penetrative play?   Why does this not go well sometimes?   “No one gets a trophy for getting a penis into a butt” – Jenn Mason https://winkwinkboutique.com/ https://instagram.com/winkwinkboutique Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Celebrating Five Years of the 'You Are Not Broken' Podcast Happy New Year! This week, as we step into 2024, I’m reflecting on the incredible journey of the podcast and the amazing guests who’ve joined me along the way. Five years ago, on January 1, 2020, I launched the very first episode of You Are Not Broken. At the time, Instagram wasn’t even part of the equation for me and now I just hit 200K, I hadn’t published a book, hadn’t done a TEDX talk and the term "menopause expert" wasn’t something that I was. Looking back, I can confidently say: that first episode was pretty good! Thank you to all of the sponsors, prescribers, everyone who supports ISSWSH and treats women for sexual health issues. I just did a course about sexual health and prescribing testosterone with Dr. Heather Hirsch’s academy. In honor of this milestone, let’s revisit some of the highlights and wisdom shared by the brilliant minds who’ve graced the podcast. 1.My very first episode - short, sweet and mission driven, this is how it all started. 2. Dr. Mary Claire Haver – April 2023 episode 208 Long before “the new menopause” and the buzz around medications like Ozempic, Dr. Haver was here dropping timeless advice. 3. Dr. Sari Van Anders and the Science of Desire – march 2022 – Epiosde 147 Dr. Van Anders insights reshaped how we think about desire. Her research challenged the heteronormative theory of low desire in women partnered with men, emphasizing that desire is far more complex than we often assume. She explained how sexual thoughts and behaviors can influence our hormones, showing that thinking sexy thoughts can actually increase testosterone levels. This idea—that our minds and bodies are deeply connected—has inspired so many listeners to explore what turns them on and why. 4. Dr. Avrum Bluming and the Hormone Window – Epiosde 222 July 2023 Dr. Bluming joined me to discuss the "10-year window" and the incredible "window of opportunity" when it comes to hormone therapy. We now know that the main risk associated with oral estrogen is clotting in veins, which is why transdermal (TD) estrogen is the preferred option. He reminded us of the critical role hormones play in bone health, as hip fractures kill as many people each year as breast cancer. 5. The Lancet Rebuttal: Are We Overtreating Menopause? – April 2024, #259 This powerful panel discussion featured Dr. Lauren Streicher, Dr. Aoife O’Sullivan, Dr. Heather Quaile, Dr. Heidi Flagg, and Dr. Mary Claire Haver. Together, we explored whether menopause is being overtreated in 2024. Spoiler: the answer is no. 6. Dr. Marty Klein and the Complexities of Fantasy episode 169 – July 2022 Dr. Klein’s book, His Porn, Her Pain, sparked a fascinating conversation about the nature of fantasy. His insights challenged us to think deeply about what fantasy means for us as individuals and how it shapes our relationships. As we celebrate five years, I want to thank everyone who listens, shares, and prescribes for women. Your support fuels this mission to empower and educate. Here’s to another year of breaking myths, sharing stories, and embracing the science of living our best lives. Happy New Year, Dr. Kelly Casperson Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein Dr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes. Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia). Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia. In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain. Takeaways Cervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking. Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally. Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases. Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments. The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia. Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia. Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients. Pain control should be prioritized during procedures, such as IUD insertion. Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings. https://vulvodynia.com/ https://www.gyncancer.org/ Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. ALLOY Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sexual dysfunction expert! Today I am so excited to talk to Dr. Sophocles. She is a gynecologist and sexual medicine specialist practicing in Princeton NJ. She appears regularly on the radio program Sirius XM Doctor Radio. She sees women for menopause and sexual dysfunction concerns as well as general gynecology. You can find her at www.princetongyn.com Welcome! How did you get into menopause and sexual dysfunction treatment? Why do you think sexual dysfunction is so common? Biggest misconception about menopause that you see? Talk about perimenopause – when does it start? How do you transition a woman from birthcontrol/IUD to menopause hormones? When is the right time age wise to start hormones? How long can women be on hormones now? Can hormones help sex lives? Do you have any favorite non-hormonal vaginal moisturizers? @femmepharma Lichen Sclerosis Resources Let’s talk about vaginal lasers. How do you incorporate them into a woman’s plan? Tips for keeping sexually active in the mid-life? What’s in the future for you with this work? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Morgentaler, is a leading international figure in the fields of testosterone therapy, prostate cancer, and male sexuality. He graduated from Harvard College in 1978, and Harvard Medical School in 1982. Dr. Morgentaler is credited with shattering the decades-old belief that testosterone therapy is risky for prostate cancer, and pioneering the modern use of testosterone in men. More recently, Dr. Morgentaler has been a leading scientific figure in the global discussion regarding cardiovascular risks of testosterone therapy. Summary Dr. Morgantaler, an expert in testosterone therapy, joins the podcast to debunk myths and misconceptions surrounding testosterone. He discusses the importance of testosterone beyond sex, challenges gender bias and stereotypes, and highlights the impact of the Women's Health Initiative study on testosterone therapy. Dr. Morgantaler also addresses the reluctance of doctors to advocate for testosterone therapy and the challenges of off-label use and insurance coverage. He shares exciting developments in testosterone therapy and presents evidence that contradicts the belief that testosterone increases the risk of prostate cancer. He concludes by explaining the paradox of lowering testosterone and its effect on prostate cancer. The conversation explores the relationship between testosterone and prostate cancer, highlighting the misconception that testosterone drives prostate cancer growth. It is explained that there is a specific range of testosterone levels, around 250 nanograms per deciliter, where prostate growth is optimal. The concept of saturation is introduced, emphasizing that testosterone deprivation is more accurate than testosterone driving cancer. The discussion then shifts to the idea that different tissues may have different saturation points for testosterone. The importance of testosterone for quality of life is emphasized, with anecdotes from patients who experienced improved well-being on testosterone replacement therapy. The conversation concludes by addressing the trivialization of hormone deficiency and the need to prioritize quality of life in medical care. Takeaways Testosterone has important functions beyond sex, including impacts on brain function, muscle and bone health, fat distribution, and red blood cell production. Misconceptions and gender bias have led to skepticism and reluctance among doctors to consider testosterone therapy for various conditions. The Women's Health Initiative study had a significant impact on the perception of testosterone therapy, leading to a decline in its use. The FDA's role in regulating testosterone therapy and insurance coverage limitations have created challenges for patients seeking treatment. Recent research, including the Traverse trial, has debunked the myth that testosterone therapy increases the risk of prostate cancer.   FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠solvwellness.com⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024   Listen to my Tedx Talk: Why We Need Adult Sex Ed   Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Carol Tavris, a renowned social psychologist and feminist. They discuss the evolving definition of feminism, the impact of cognitive dissonance on women's health, and the collaboration between Dr. Tavris and Dr. Avrum Blooming on hormone therapy. The conversation highlights the importance of staying curious, the role of fear in controlling women, and the challenges women face in navigating medical information. Dr. Tavris emphasizes the need for women to advocate for their health and to question outdated medical warnings. In this conversation, Dr. Kelly Casperson and Carol Tavris discuss the complexities surrounding hormone therapy, particularly estrogen, and the societal and medical biases that influence women's health. They explore the implications of labeling estrogen as hazardous, the challenges of mobilizing women for advocacy, and the cognitive biases that affect perceptions of hormone therapy. The discussion emphasizes the need for informed activism, understanding causation versus correlation, and the evolution of medical beliefs over time. Dr. Tavris offers insights on how to engage effectively with both the medical community and the public to foster change in women's health policies. Takeaways Feminism is about equality and justice for all genders. Cognitive dissonance can hinder our ability to accept new information. Women have historically been misrepresented in medical research. Collaboration between psychology and medicine can improve women's health. Fear is a powerful tool used to control women's choices. Women must navigate a complex landscape of medical information. The medical community often overlooks women's health needs. Outdated medical warnings can create unnecessary fear. Women should advocate for their health and question misinformation. Understanding cognitive dissonance can help in making informed decisions. Estrogen patches are being labeled as hazardous without proper justification. Women need to mobilize and organize for advocacy efforts. Apathy among women in advocacy is a significant barrier to change. Cognitive biases can distort perceptions of hormone therapy. Correlation does not imply causation, especially in health matters. Personal anecdotes can shape beliefs about medical treatments. The evolution of medical beliefs often requires a critical mass of evidence. Activism should focus on engaging those who are open to change. Mistakes in medicine are common, and learning from them is essential. Holding beliefs lightly allows for adaptation to new evidence. Dr. Tavris' Books: Estrogen Matters Mistakes Were Made (but not by me) Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

I am interviewing Jenn Mason again!  So Good! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique The Stigma of sex toys Sex toys can level the orgasmic inequality in a partnership – level the playing field Types of toys How toys can help people with disabilities Options in the toy department --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this enlightening episode of You’re Not Broken, Dr. Kelly Casperson sits down with Dr. Steven Gundry, renowned cardiothoracic surgeon turned gut health advocate. Dr. Gundry shares the personal and professional journey that led him from the operating room to the forefront of nutritional science. He breaks down the concept of leaky gut and how it contributes to autoimmune diseases, emphasizing how dietary changes can radically transform health outcomes. Together, Dr. Gundry and Dr. Casperson dive into the deep connection between gut health and mental health, the underrated power of vitamin D, and the hidden dangers lurking in our food supply and personal care products. They also tackle the pharmaceutical industry's influence on medical training and why it’s time for a paradigm shift in how we understand disease and wellness. If you've ever wondered how your gut impacts everything from anxiety to skin health—or why your mouthwash might be raising your blood pressure—this episode is for you. Top Takeaways: Dr. Gundry left a thriving surgical career after witnessing remarkable patient healing through nutrition. Leaky gut is a real, measurable condition that drives many autoimmune disorders. Genetics are less impactful than lifestyle, behavior, and environmental factors. Whole food diets can reverse chronic illness and improve quality of life. The gut microbiome plays a central role in immunity, skin health, and brain function. Modern agriculture and personal care products can damage the microbiome. Vitamin D is a foundational nutrient for both gut and mental health. Gut health is deeply tied to emotional states like anxiety and depression. Mouthwash can disrupt the oral microbiome and raise blood pressure. Probiotics and prebiotics are helpful—but only when used with care and intention. We must become more aware of what we eat, apply, and ingest daily. Personalized medicine is the next frontier in optimizing gut health. https://www.instagram.com/drstevengundry/ The Gut Brain Paradox - Releases April 15th https://gundrymd.com/ Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Martha Boone, a urologist and author, discusses alternative therapies in urology, the importance of quality information, and the changing landscape of hormone therapy. She shares her experiences with alternative treatments for bladder health, pelvic pain, and urinary tract infections. Dr. Boone also discusses the journey of testosterone and prostate cancer, highlighting the shift in understanding and treatment approaches. She emphasizes the importance of considering quality of life in medical decision-making and the need for individualized care. In this conversation, Dr. Martha Boone discusses her experiences in urology practice and her transition to writing. She highlights the challenges urologists face in providing comprehensive care within limited time constraints. Dr. Boone also shares her journey as a writer, including the publication of her books. The conversation explores the differences between writing fiction and nonfiction, as well as the difficulties of writing memoir. The unreliability of memory is also discussed, emphasizing the subjective nature of personal recollections. The conversation concludes with gratitude and encouragement for the next generation of urologists. Takeaways Alternative therapies can play a valuable role in urology, providing patients with additional options for treatment and symptom management. Access to quality information is crucial for patients to make informed decisions about their health and navigate the overwhelming amount of information available online. The journey of testosterone and prostate cancer highlights the evolving understanding of hormone therapy and the importance of individualized care. Considering quality of life is essential in medical decision-making, as it can greatly impact a patient's overall well-being and satisfaction with treatment. Urologists often face challenges in providing comprehensive care within limited time constraints. Transitioning from a medical career to writing requires discipline and adaptation to different genres. Writing fiction and nonfiction require different storytelling skills and approaches. Writing memoir can be particularly challenging due to the subjective nature of personal recollections. Memory is unreliable, and individual recollections of events can vary significantly. Gratitude and encouragement for the next generation of urologists. Martha B. Boone, M.D.Author of: The Big Free, The Unfettered Urologist, and Mother CharityMarthaBoone.comTwitter: @drmarthabooneFB: MarthaBBoone FirmTech sponsors this podcast today. Go to ⁠⁠myfirmtech.com⁠⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠⁠solvwellness.com⁠⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠⁠myalloy.com⁠⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Check out details for my retreat: ⁠https://ascendretreats.com/2024-kellycasperson-sedona/⁠ Listen to my Tedx Talk: ⁠Why We Need Adult Sex Ed⁠ Take my NEW Adult Sex Ed Master Class: ⁠https://www.kellycaspersonmd.com/adult-sex-ed⁠ Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! ⁠www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health - With Dr. Kelly Casperson This is an interview I did with Lesley McShane for her podcast “Redesigning Midlife” and it was just such a good interview I asked her if I could share it again.  1. Basics:  a. Menopause means it’s been one year and one day since your last period. b. The average age of menopause is around 51. and c. for ten years prior to menopause, women go through peri-menopause, where hormones are doing a reverse puberty. 2.  A lot of women stop or have pain during penetrative intercourse during this time due to a decrease in natural lubricant and collagen, but this can be easily treated. 3. Even if you don't have menopause symptoms, if you are over the age of approximately 51, you have gone through it. 4. The most sexually satisfied people aren’t young people, it is people in their 50s, 60s, 70s. 5. Great sex is not a passive thing. It’s an active process, just like someone that is physically fit. It has to be prioritized. 6. Use of lube increases your success of orgasm by 70-80%. Silicone based lube is best because you don’t absorb it like you do the water based. 7. There is no “how long” should I use Vaginal Estrogen cream. The use of it is like using sunscreen or wearing a seat belt. 8. You don’t need a “sex drive”. We do things because they are awesome.  If you aren’t having awesome sex, don’t wonder why you don’t desire it. 9. We feel entitled to a spontaneous sex drive that has been sold to us by media. And when we don’t achieve that, we end up feeling broken. 10. Putting something in the vagina only leads to female orgasm 30% of the time so special focus need to be paid to the female body. Your largest sex organ is your brain. 11. Don’t sit passively by waiting for spontaneous desire to happen. Get dressed up and go to the party even if you don’t think you want to. Chances are you’ll have a good time once you get there. 12. Control of stress and cortisol levels in our bodies will help us desire more intimacy. 13. If there is a desire mis-match in your relationship, normalize it by talking about it. 14. Communication with our partner about menopausal symptoms and what we are going through is important to our relationship. 15. Get educated on hormone replacement therapy as an option. When women start thinking about how they want to live as they get older and get educated, then they see how beneficial HRT could be for them. 16. Women between the age of 50-60 that are on hormone therapy live 3-4 years longer than women in the same age group not on hormone therapy. 17. For our young adult children that are starting their own sexual lives, the biggest thing they need to know from the start is about consent. 18. They need to be aware of is orgasmic equality. 19.We have to educate our girls that pleasure is for everybody.  Lesley McShane's podcast: https://podcasts.apple.com/us/podcast/redesigning-midlife-workout-motivation-over-50-weight/id1549596974 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Join me to answer listeners questions, hear their success stories, learn about hormones, vaginal estrogen, preventing UTI, preventative medicine versus treating disease, libido, pain with sex, birth control versus hormones in perimenopause, and how to find a menopause doctor, oh, also....vaginal estrogen shortage in Canada!  What!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson addresses a series of questions related to intimacy, sexual health, and relationships in midlife and menopause. She emphasizes the importance of sexual education, communication, and understanding one's body to enhance intimacy and sexual satisfaction. The conversation covers various topics including sexual health tips, overcoming shame, the role of hormones, and the significance of pleasure in sexual experiences. Dr. Casperson also highlights the need for professional help when dealing with sexual dysfunction and encourages listeners to prioritize their sexual health and well-being. Takeaways Midlife sexual health care tips include cardiovascular fitness and lubrication. Understanding your body and prioritizing intimacy can reignite sexual drive. Sex education and communication skills are crucial for healthy relationships. Overcoming ingrained beliefs about sexuality is essential for personal growth. Testosterone can be beneficial for libido but is not a one-size-fits-all solution. Communication about sexual preferences is key to a fulfilling relationship. Painful sex can often be addressed with hormonal treatments and therapy. There are many ways to experience orgasm, and it's not a competition. Post-menopause, pleasure should be the primary focus of sexual experiences. Resources for sexual education and therapy are available and valuable. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Erin Keating, founder of Hotter Than Ever, joins Kelly Casperson on the You Are Not Broken podcast to discuss women in comedy, the power of humor, and the journey of self-discovery and reinvention in midlife. Erin shares her personal story of leaving a successful career, going through a divorce, and reclaiming pleasure and joy in her life. She emphasizes the importance of women embracing their power and agency and the need for deeper conversations and connections in midlife. Erin also talks about her experiences with dating and sex in midlife and the process of reconnecting with her body and desires. In this conversation, Erin Keating shares her experiences with online dating and how it helped her reconnect with herself and her pleasure. She emphasizes the importance of being honest, direct, and authentic in online dating and encourages women to date like grown-ass women. Erin also discusses the significance of setting boundaries and communicating openly in relationships. She advises women to prioritize their happiness and joy, challenge societal expectations, and embrace their authentic selves. The conversation concludes with a discussion of the connection between stand-up comedy and sobriety. Takeaways Comedians are truth tellers who say the things on our minds that we wish we could say. Women in comedy often face personal risks and challenges, but their voices are essential. Comedy is a coping mechanism and a way to share joy and laughter. Midlife is a time for women to prioritize pleasure, joy, and fun, and to not be scared of taking risks and trying new things. Women have never been more powerful and have more agency than they do now. Reclaiming pleasure, including sexual pleasure, is an important part of self-discovery and reinvention in midlife. Online dating can be a powerful tool for reconnecting with oneself and exploring pleasure. Being honest, direct, and authentic in online dating can lead to more meaningful connections. Setting boundaries and communicating openly are essential in relationships. Prioritizing personal happiness and joy is crucial, and it's important to challenge societal expectations. Stand-up comedy and sobriety often go hand in hand, as both require facing and expressing emotions. https://www.instagram.com/erindkeating/ https://www.hotterthaneverpod.com/ https://hotterthanever.substack.com/ Special thanks to our sponsors! Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5 ADDYI Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this conversation, Dr. Kelly Casperson discusses a significant study on the effects of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women. She emphasizes the importance of addressing hormonal changes and their impact on women's mental health, particularly during menopause. The study reveals that testosterone therapy can lead to improvements in mood and cognitive function, challenging the notion that there is insufficient data on testosterone's benefits for women. Dr. Casperson also critiques the study's limitations and calls for further research in this area, while engaging with her audience on related questions and concerns. Takeaways Testosterone therapy can improve mood and cognitive symptoms in women. The study involved 510 women with persistent low libido and mood symptoms. Mood improvements were more significant than cognitive improvements. Testosterone does not drop off a cliff with menopause; it declines gradually. Hormonal changes during menopause can lead to increased risk of depression and cognitive impairment. Testosterone therapy may be a safer alternative to SSRIs for mood issues in perimenopausal women. The study highlights the need for more research on testosterone's effects in women. Libido is closely linked to mood; improving one can enhance the other. Transdermal testosterone is generally safe and easy to administer. Women should be informed about their options for hormone therapy. Study LINK Glynne S, Kamal A, Kamel AM, Reisel D, Newson L. Effect of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women: a pilot study. Arch Womens Ment Health. 2024 Sep 16. doi: 10.1007/s00737-024-01513-6. Epub ahead of print. PMID: 39283522. Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This audio is from a FB and IG live that got uploaded to Youtube!  I finally got around to pulling the audio for the podcast!   Everything you knew and didn't know about vaginal estrogen! Who is it for, when to start it, do you need progesterone, application types, how it helps......you know, the basics!  Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Pre order the book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life" In this conversation, Dr. Kelly Casperson answers various questions related to hormones, menopause, sexual dysfunction, and hormone replacement therapy. She discusses topics such as testosterone levels, DHEA, estrogen, the use of hormones in skincare, the role of estrone in inflammation, consent in sexual activity, FSH in menopause, the conversion of testosterone to estrogen, and the importance of advocating for research on older women. Dr. Casperson also addresses the use of hormones in perimenopause, the impact of hormones on liver enzymes, the benefits of vaginal estrogen, and the need for more studies on hormones and women's health. She provides insights on the use of hormones in SSRI-induced sexual dysfunction, the role of acupuncture in female sexual dysfunction, and the use of birth control pills in perimenopause. Dr. Casperson emphasizes the importance of finding a hormone specialist and the need for individualized treatment plans. In addition, in this episode, Dr. Kelly Casperson answers various questions from her Instagram followers. She addresses topics such as strength training after prolapse repair, the effects of menopause on gastrointestinal health, PTNS for urgency incontinence, optimal hormone levels for women in their 60s, 70s, and 80s, arguments for testosterone supplementation in perimenopausal women, side effects of testosterone supplementation, and safe options for hormone replacement therapy. She also discusses the differences and treatments for cystocele and rectocele, the use of progesterone after a hysterectomy, the risk of blood clots from estrogen patches, and the use of estradiol on the face causing pigmentation. Dr. Casperson emphasizes the importance of personalized hormone therapy and the need to consult with hormone specialists for individualized treatment plans. Thanks to our show sponsors! ADDYI See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. SOLV Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Are you having boring Sex in a Long Term Relationship? Listen today! Meet Dr. Corey Allan – Host of the long running, since 2011, “Sexy Marriage” Podcast and a Phd in Family Therapy. The beginning of relationships is a dopamine high. You don’t “fall out” of love, you just get more knowledge. We discuss “roommate life” and how that affects our sexuality. When marriage is not easy is when it starts. “Marriage is more about becoming a better human than it is about the two people being happy. And when you keep things simple, you can experience more in marriage and life.” Dr. Corey Allan Why Dr. Allan thinks so many people think a good sex life is so hard? Myth: Marriage is hard work – Dr. Allan discusses this. “As humans we spend a lot of time distracting ourselves from ourselves.” – Dr. Allan How do we incorporate spirituality into a sexy marriage? – Why are they not mutually exclusive. Boring sex – help! We talk about what do we do with boredom in the bedroom. Duty sex and checklist sex – help! Advice to men who want their wives to have more sex with them. “Be someone worth having good sex with” – Dr. Allan Advice to women who feel their husband is disengaged and avoids sex. Tips for communicating with your partner. https://smrnation.com/ Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/vmsUUN --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Liz O’Riordan  - – a breast surgeon with breast cancer. Her mission is to help cancer patients cope with life outside the hospital by showing health care professionals that it’s the little things that matter. She co-wrote ‘The Complete Guide to Breast Cancer: How to Feel Empowered and Take Control’, to help patients and their families as they go through treatment. She tells us her story. What do you wish people knew about breast cancer? Let’s talk about controllable risk factors for breast cancer – Alcohol and adiposity Give us some frank advice about sex and relationships How to cope with the emotional burden of breast cancer Let’s talk about self image The role of weight lifting and exercise How can the partners help? How does the sexual role change when care giving roles change? Talk about the collateral damage of breast cancer treatment could be thanks to an instant menopause and chronic pain. Vaginal atrophy on Anastrazole and Tamoxifen and chemo – options ACOG statement on use of Vag E in breast cancer pts. The Complete Guide to Breast Cancer: How to Feel empowered and take control https://amzn.to/37E1woz https://liz.oriordan.co.uk/ https://podcasts.apple.com/gb/podcast/don-t-ignore-the-elephant/id1588554895 https://www.instagram.com/oriordanliz/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today we are learning about the role of testosterone in female desire disorders.  A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more! You will learn: The myth that testosterone is a male hormone. How aromatase affects one’s active testosterone, in both men and women. How testosterone plays a role in sexual desire and overall health. How well does testosterone work for HSDD (hypoactive sexual desire disorder). The role of placebo in sexual health studies including the Viagra studies. Side effects of too  much testosterone. Who shouldn’t take testosterone. Myths of testosterone. Why is there no FDA approved testosterone product for women? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Rubin’s NY Times article! My book is now on Audible! And Q&A · Can you talk about IC? · What are other options for testosterone? This is the first time I’m hearing that pellets are harmful. I’ve done two rounds of HRT and getting ready for my third. Although to be honest not completely happy with the testosterone pellet as it is elevated at the beginning and begins to drop off after a couple weeks. · What are your thoughts on getting an ablation to stop my period? I’m 50 and went back on the pill to regulate my period, but it’s suppressing everything else! · Can you discuss whether surgery before or after menopause is advisable for prolapse? · We aren’t talking enough about female hormones and their impact on mood. PMS, PMDD etc. It's a roller coaster every month and I have no doubt it has some serious implications for some. · I am wondering about peri menopause- I am 44 and still on birth control pills- I have been listening a lot about your suggestions to take a low dose estrogen to keep everything in good aging health during menopause, is it ok to do this while still on the pill? Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Menopause Society President – Dr. Lisa Larkin. This episode is sponsored by Solv Wellness®, makers of Via™, a vaginal moisturizer that can also be used as a lubricant. To get Via, visit ⁠via4her.com⁠ for 30% off your first purchase. Discount automatically applied at checkout. Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Larkin Trained at Yale and the University of Chicago, Dr. Lisa Larkin is a women’s health internist, menopause, sexual medicine, and medical breast expert and a women’s health physician and consumer educator who has been practicing in both academics and private practice for over 30 years. She is Founder and CEO of Ms.Medicine, a national health care organization dedicated to advancing women’s health on a broader scale and Founder and CEO of Concierge Medicine of Cincinnati, an Internal Medicine and Women’s Health practice where she continues to practice clinically. Dr. Larkin is the President of the Menopause Society.   Why did NAMS (North American Menopause Society) rebrand to Menopause Society?   “We can’t pigeon hole women’s health into the Ob/Gyns” – Dr. Casperson   “Women’s health doesn’t belong to any one specialty” – Dr. Larkin   Dr. Larkin shares her story about not being trained in menopause and her career journey and how she understands the WHI study.   We talk about fezolinetant (Veozah) – the new non-hormonal medication for hot flashes.   One of Dr. Larkin’s favorite thing to talk about is breast cancer risk assessment and prevention so we discuss this.   We define dense breasts.   Why alcohol just doesn’t make sense in midlife   Dr. Larkin shares her personal journey with menopause symptoms and sexual dysfunction. And shares non-hormonal options. And what you can do without seeing your doctor.   The role of confidence in midlife - lack of confidence in what to do and how Menopause Society/her clinic/my podcast can help - and what we see when women get confident and educated in midlife. What excites Dr. Larkin about menopause and the women’s health space   https://www.menopause.org/ https://www.instagram.com/drlarkin/ https://www.mymsmedicine.com/dr-lisa-larkin   Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Really? Is it true? How do we know? Learn about this new study being talked about all over the Internet right now. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy! 1. The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers 2. 𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price ⁣ 3. 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO. ⁣ 4. 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time. ⁣ 5. 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks. ⁣ 6. 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis. ⁣ 7. 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory. Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558. www.winkwinkboutique.com Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Kelly Casperson shares her experience at the BC Sexual Health Research Networking Event at the University of British Columbia. She discusses various topics including sexual health, dating apps, virtual reality for vaginismus, and more. The event highlighted the importance of understanding the bio-psycho-social aspects of sexual health and the need for better sexual education. Dr. Casperson emphasizes that there are researchers and professionals dedicated to improving people's sex lives and that individuals are not alone in their struggles. Takeaways Sexual health encompasses the bio-psycho-social aspects of a person's well-being. Dating apps can perpetuate a narrative that dating is difficult and can have negative effects on mental health. Virtual reality shows promise as a tool for desensitization in the treatment of vaginismus. There is a need for better sexual education that addresses consent, gender-based violence, and the impact of technology. Special thanks to our sponsor, Solv Wellness! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon Malone Dr. Malone is a nationally known expert in women’s health and a vocal advocate for menopause awareness and evidence-based information about hormone replacement therapy. A certified Menopause Practitioner, she believes that all women should be able to make decisions regarding their health and quality of life based on facts – not fear. Her first book, Grown Woman Talk: Your Guide to Getting and Staying Healthy, is out now and is a New York Times Bestseller! Dr. Sharon Malone, an expert in women's health and menopause, discusses her transition from traditional OB-GYN practice to menopause care and her role at Alloy Women's Health. She emphasizes the importance of telehealth in providing access to care for perimenopausal and menopausal women. Dr. Malone also addresses misconceptions about hormone replacement therapy and the need for individualized treatment decisions. She highlights the gender disparities in medicine and the need for more research on women's health. Additionally, Dr. Malone discusses the role of testosterone in menopause and the challenges in accessing and prescribing it for women. In this conversation, Dr. Sharon Malone and Dr. Kelly Casperson discuss various topics related to women's health, including the lack of FDA approval for testosterone preparation for women and the need for more research on testosterone in women. They also highlight the additional struggles faced by African American women and minorities in menopause and emphasize the importance of advocating for women's health and quality of life. The conversation provides practical advice on how to advocate for oneself in medical conversations and emphasizes the importance of being prepared and efficient in doctor's visits. Lastly, they debunk the inaccurate breast cancer risk statistic of one in eight. There is a need for FDA approval of testosterone preparation for women and more research on testosterone in women. African American women and minorities face additional struggles in menopause and may have difficulty accessing appropriate treatments. Advocating for women's health and quality of life is crucial, and patients should be prepared and efficient in medical conversations. Knowing one's medications and their purpose is important for effective communication with healthcare providers. The commonly cited breast cancer risk statistic of one in eight is inaccurate and can cause unnecessary fear. https://www.drsharonmalone.com/ https://www.instagram.com/smalonemd/ https://twitter.com/smalonemd Grown Woman Talk: Your Guide to Getting and Staying Healthy Solv Wellness To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. ALLOY Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Learn more about your ad choices. Visit podcastchoices.com/adchoices

For the Men!! Oh come on, it is for the women too! Body part warning:  I call a male body part a name in this podcast - truly I mean no harm and no shame and no hate.  It is only to point out that we can question what we are doing and break down the idea that PIV sex is the default and gold standard.  All my love to ALL BODIES and ALL BODY PARTS.  Suffering from a dry spell with your partner? Do you feel like your sex life has tanked? In this podcast, I collaborate with Dr. Rena Malik, a fellow urologist, to share with you 7 tips to help increase your female partner's pleasure! Dr. Kelly Casperson's Backstory  Tip #1 Schedule time for Sex  - Desire isn't even necessary - don't take this the wrong way - I NEVER mean do it when you don't want to do it - rather that for a lot of women, desire arises while doing.  And some people don't believe in scheduling as it makes it a "chore" - think of it more as prioritizing your intimate life with yourself and your partner.  Like you will forget to go on a date unless it is scheduled because life gets too busy - kind of thing.  Tip #2 Know your Female Anatomy -  What exactly is the G-Spot? Focus on the Outside Structures  Tip #3 Prioritize her, it's not all about you  Tip #4 Go Slow  Tip #5 Use Lubricants  Tip #6 Meet in the middle based on your desires  Tip #7 Communication is key Dr. Malik hosts a popular YouTube Channel https://www.youtube.com/c/RenaMalikMD/videos Find her her also at www.instagram.com/renamalikmd and https://renamalikmd.com/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

PART 1 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!! Or in her day job Dr. Shieva Ghofrany. She is a medical doctor, who is an OB/GYN practicing in Connecticut. You can find her at biglovefiercejuju.com On IG at biglovefiercejuju -she as 23k followers! Through the BIG LOVE FIERCE JUJU Foundation, Dr. Shieva Ghofrany plans to help people engage in their mindset and "lose the fear" of VERY common, everyday, but admittedly anxiety-provoking issues. 01:19 – Origin of the name Big Love Fierce Juju 02:42 – Talking about Ovarian Cancer – her personal journey 06:!5 – Surgical Menopause – how is this different than “regular” menopause 08:39 – Managing Hot Flashes – natural non-hormonal options 12:35 – Vaginal Dryness 22:18 – Libido Check out her TRIBECALLEDV - www.instagram.com/tribecalledv Where she increases your knowledge about your female health to decrease your anxiety! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

I went live in the Galveston Diet private FB group and here is the audio - get to know me better My why – the patient that changed the course of my life How our society conditioned us to have crappy sex lives Good sex takes communication skills – with yourself and your partner My thoughts about “low desire” Our Narrow viewpoint about sex Transitioning to a body that can calm and open enough to have sex Anatomy lessons Books I recommend – She comes first, Becoming Clitorate, Come As You Are, Woman’s Anatomy of Arousal Estrogen cream and Genitourinary Syndrome of Menopause and tips for finding cheap prescriptions in your town. Desire mismatch is normal The two top reasons women stop having sex in menopause! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Vaginal Lasers How a male can introduce my book to his female partner Unopposed Estrogen can cause harm Q&A from listeners: Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations? I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions? I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly? I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right. Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Genitourinary Syndrome of Menopause 101. This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar. Why I care about women and sex and hormones The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise Genitourinary Syndrome of Menopause The types of bladder leakage and how estrogen can help The different types of estrogen – vaginal and systemic Why we need vaginal estrogen even when we are not sexually active Why I have a cream bias with vaginal estrogen, and other options. Vaginal estrogen will not help your hot flashes. Myths about who can and can’t use vaginal estrogen. Biologic changes of the skin of the vulva after menopause      How the clitoris works. Scream Cream – what it is and does it work. Favorite lubes and I explain why I like what I like Gen X is the lowest users of vibrators in America There are many papers showing transdermal estrogen does not increase your clot risk above what it already is. I explain the Women’s Health Initiative study and how it hurt women by creating fear. Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications.  Why not restore function instead of taking the side effects of the overactive bladder medications? When should you stop using your seatbelt, sunscreen and vaginal estrogen? Urinary tract infections put people in the hospital and kill them – this is not a hangnail. Can estrogen alone help all pain with sex? What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them. The role of androgens and testosterone in the genitals.   ACOG Position Statement of using vaginal estrogen in breast cancer patients https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off   https://www.instagram.com/myalloy/   Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken   Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership   --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

A woman was feeling bad that she was avoiding sex because it was taking her partner too long to orgasm via her vagina.  I set the record straight and offer some tips and tricks.  Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/G98XnL --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode #70!!!  OMG! Check out our sponsor and use code YANB15 for 15% off all three of their products! https://mysteryvibe.com/ www.instagram.com/mysteryvibe This is our April live recording and I was so happy to have Dr. Sonia Wright, the Midlife Sex Coach, on to share some FAQ with me! So many great coaching topics, how to think and communicate about your intimate relationship with your partner, some hormone questions at the end, and a brief intro to kink.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

What is the role for systemic testosterone in women post menopausal?   Global Consensus Position Statement on the Use of Testosterone Therapy for Women https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079 International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women https://www.liebertpub.com/doi/10.1089/jwh.2021.29037 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today I am lucky enough to interview Sarah Chadwick, author of “The Sweetness of Venus”. She is passionate about sex equality, gender studies, humor and learning. Her book is dedicated to: “This book is for all those who have a clitoris, or the opportunity to engage with one.” Why she wrote this book! You talk about how the clitoris is lost and found and lost and found throughout documented history. “17th-century under-the-table narrative about sex has a strong emphasis on mutual pleasure that is noticeably lacking in many of today’s sex-ed books and in too many sex-ed classes.” Why don’t we tell girls and boys about this aspect of a woman’s anatomy? We discuss the female condition of being frigid – now we have a medical disorder if we don’t orgasm with PIV sex. In 1994 U.S. Surgeon General Dr. Jocelyn Elders suggested sex should be mentioned as safe and healthy in school curricula. In answer to a question at the UN Conference on AIDS as to whether she thought teaching about masturbation in schools might reduce unsafe sex, she replied: “I think that is something that is part of human sexuality and it’s part of something that should perhaps be taught. But we’ve not even taught our children the very basics.” She was forced to resign by Bill Clinton as a consequence.” 1966 – The sexually adequate female “Frank S. Caprio, M.D., recommends “psychiatric assistance” for any woman who prefers clitoral stimulation to other forms of sexual activity. ” How did views about female morality come to be bound up with women’s sexuality? How is sharing this on social media going? Are we allowed to say clitoris? Can you talk about the American versus UK approach to menopause care? Our emphasis on “natural” and the pressure to be “natural” https://www.instagram.com/its.personalgirls/ The Sweetness of Venus: A History of the Clitoris Sarah Chadwick https://amzn.to/3ppAzd5 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today we will meet an emergency department physician who has started a company to help women take control of their health, weight, and mindset. How we think about our bodies affects our sex life!  So we can't neglect the whole body in our discussions! https://www.wholisthealth.com/ https://podcasts.apple.com/us/podcast/curate-your-health/id1478410990 Join us as she shares how she created a space for helping women use food and exercise as medicine to prevent and reverse disease. The side effect of this is weight loss and comfortableness with themselves. What is a health curator? Someone to specifically fit the needs someone has in their life. What is lifestyle medicine? A new specialty in medicine. Using the evidence behind food, sleep and medicine to help prevent and reverse disease. Neuroplasticity allows us to rethink the way we think about food and choose to be healthy. It takes work, but it is entirely possible. We make 700 neurons a day. Can you use mindfulness to help your sex life? Heck yeah! Negative body image affects your sex satisfaction. What do you wish women knew about exercise? Skill with how we eat and exercise is a mindset issue. Relying on motivation won’t get the job done. Discussing peri and post menopause. Mindset work – who you are, who you want to be. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

272 When Medicine Fails You - Start A Company Monica Molenaar and Anne Fulenwider, co-founders of Alloy, discuss their journey into menopause and the creation of their company. They highlight the lack of information and inconsistent advice they received from doctors, leading them to start a platform that provides women with credible information, support, and access to hormone replacement therapy. They emphasize the importance of validation and listening to women's concerns, as well as the need for streamlined and efficient menopause care. They also discuss the barriers to accessing testosterone for women and the need for change in regulations and education. The conversation explores the safety and benefits of hormone replacement therapy (HRT) for menopausal women. The speakers discuss the fear and misinformation surrounding HRT, emphasizing that it is a safe and effective treatment for menopause symptoms and can also have protective effects on the heart, bones, and brain. They highlight the importance of preserving function and quality of life in menopausal women and the need for a shift in the conversation around hormones from disease prevention to preservation of function. The speakers also discuss the international perspective on menopause and the challenges women face in accessing hormone therapy in different countries. Takeaways The lack of information and inconsistent advice from doctors led Monica and Anne to start Alloy. This platform provides women with credible information, support, and access to hormone replacement therapy. Validation and listening to women's concerns are crucial in menopause care, as many women have been dismissed or invalidated by healthcare providers. The barriers to accessing testosterone for women include its classification as a schedule three drug, the lack of FDA-approved dose for women, and the need for in-person prescriptions by knowledgeable practitioners. The stigma around menopause needs to be challenged, as it is a powerful time in a woman's life where she can take control and live life on her own terms. The telehealth technology and behavior changes during the COVID-19 pandemic have created an opportunity for improved access to menopause care. Alloy is focused on creating solutions for the problems women face in perimenopause and menopause, including addressing vaginal health, systemic hormones, and skincare. The safety and efficacy of hormones, including testosterone, need to be emphasized to overcome misconceptions and provide women with the full range of benefits. Hormone replacement therapy (HRT) is a safe and effective treatment for menopause symptoms and can have protective effects on the heart, bones, and brain. The fear and misinformation surrounding HRT are unfounded, and women should have access to this treatment to improve their quality of life. The conversation around hormones should shift from disease prevention to preservation of function and quality of life in menopausal women. Access to hormone therapy is a challenge in many countries, and there is a need to spread awareness and improve access to treatment internationally. https://www.myalloy.com/ https://www.instagram.com/monica.molenaar/ https://www.instagram.com/annefulenwider/ Special thanks to our sponsor, Solv Wellness! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit podcastchoices.com/adchoices

Religion and Sex – Can They Be Bedfellows? Today we discuss the Muslim culture, sex, and vaginismus with Dr. Sadaf Lodhi, OBGyn and sex coach for Muslim women. She is host of the Muslim Sex Podcast – we discuss her origin story Religion can have a profound effect on one’s sex life/sexuality. Islam is a sex positive religion. When the Muslim countries were colonized they tended to become more puritanical. Islam discusses sex within the context of marriage. Many times women experience shame and people don’t talk about women’s pleasure. Common things Dr. Lodhi sees women coming to her with: Seeing sex as a duty Low libido Beliefs like sex is dirty or sex will be painful One of her most important things she likes to do is empower women through education. Women get pressure from their partner and an expectation that it is a duty. And they are failing them and God. Vaginismus – the involuntary contraction of the muscles surrounding the lower 1/3rd of the vagina. 1/3rd of Muslim culture may struggle with vaginismus. The role of mindfulness in helping vaginismus and low desire. “People make putting something in the vagina a big freaking deal” – Dr. C. The role of PT in treating vaginismus. There are no FDA approved medications for vaginismus. Dr. Lodhi shares a huge win with us. It is not about the number of times of sex a week. The role of the scholars and the males in helping women feel sex positive. Follow her on Social Media: Muslim Sex Podcast www.drsadaf.com Facebook: @DrSadafobgyn Instagram: @DrSadafobgyn TikTok: @DrSadafobgyn Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This is audio shared from my facebook live video talking about Responsive Desire. Feeling broken in a male-centric world. Feeling broken in a sex-shaming society. Some people think that sex and desire aren't "drives" at all. Want to improve your sex life? Emily Nagoski says change your context. Women are way more "context driven" in regards to sexual activity.  Men tend to be more visual. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sex Coaching for Beginners In this conversation, Dr. Kelly Casperson interviews Kristine D'Angelo, a sex coach, about her journey into sex coaching and the difference between sex therapy and sex coaching. They discuss common barriers to pleasure, the impact of childhood messages on sexuality, and the importance of redefining sex in heterosexual relationships. Kristine provides tips for women to get into their bodies and invites them to explore sexual content and invite pleasure. They emphasize the importance of communication in relationships and the need to overcome anxiety in conversations about sex. The conversation concludes with a discussion on reconnecting with pleasure in everyday life and improving sex life through communication and understanding. In this conversation, Kristine D'Angelo, a certified sex coach, discusses the importance of exploring sexual fantasies and the challenges people face in sharing them. She also provides insights on finding a sex coach and the benefits of working with one. Kristine shares various platforms where people can connect with her and access her resources. Takeaways Sex coaching focuses on future-focused problem-solving and helping individuals achieve their goals for a more fulfilling sex life. Common barriers to pleasure include being stuck in the headspace, overthinking, and trying to meet unrealistic expectations. Tips for women to get into their bodies Common Barriers to Pleasure Childhood messages and societal norms can create barriers to pleasure and a lack of understanding of one's own sexual needs and desires. Transitioning from a task-oriented mindset to a pleasure-oriented mindset is important for enjoying sexual experiences. Communication and understanding are key to improving sex life and maintaining a strong foundation in a long-term relationship. Many people struggle with sharing their sexual fantasies and may feel shame or avoid the topic altogether. Overcoming anxiety in conversations about sex Finding a sex coach can be done through organizations like the World Association of Sex Coaches (WASC), online searches, or social media platforms. Working with a sex coach can provide support, guidance, and education to enhance sexual well-being and relationships. “Assumptions are the termites in long term relationships” - Kristine D'Angelo IG: sexcoachkristine Podcast: IG So I Married A Sexologist Doyoursexlifeafavor.com Youtube https://worldassociationofsexcoaches.org/   Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

One day away from my course launch!   Go to www.kellycaspersonmd.com Today we learn about how the penis can have trouble when the mind is being tricky.   --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

241. Myths and Truths - GSM and Pelvic Hormones Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Myths about vaginal estrogen What is GSM - genitourinary syndrome of menopause? The original “use it or lose it” paper. Communication in adult sex ed is very important. Non-hormonal options for GSM We discuss vaginal DHEA My opinion about loading doses for vaginal estrogen Hacks to get cheaper vaginal estrogen – Cost Plus Drugs, Good Rx, Amazon Pharmacy Medication options for GSM and why I have a cream bias Access issues for vaginal estrogen When vaginal estrogen doesn’t work Why vaginal estrogen is a life long medicine Women post menopause have less estrogen in their bodies than men. Vaginal Estrogen is a preventative medicine. It’s role in preventing genitourinary syndrome of menopause. My opinion on the applicator for vaginal estrogen cream. How vaginal estrogen helps overactive bladder symptoms. When our understanding of estrogen is minimal, we don’t understand how it affects our overall health. Should we be treating the female partner when we give men Viagra? I discuss the gender bias in treating humans in medicine with aging issues. How can the medical community do better? The problem with the FDA black box warning on the vaginal estrogen product. Is it okay to put estrogen cream on the penis? How to help our kids and the next generation. https://uronurse.com/ Check out details for my retreat: https://ascendretreats.com https://marcella-hill.mystagingwebsite.com/wake-her-up-retreat/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy Third Birthday and New Year’s Resolutions - Will hit 1 million in January! New year’s wishes - Male birth control - Say no and have it be okay - Vaginal E for everyone who wants it o Good Rx  Estradiol 0.01% 42 G tube o Amazon Pharmacy – 28.13  Interlude – get interlude  20 off your first order - Decreased fear around estrogen o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd https://peterattiamd.com/caroltavris-avrumbluming/  2021 update from the authors - :the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.” - Desire mismatch is not a problem - Orgasmic equality - Hope is not a game plan o Wishing your desire was different does nothing – it does worse than nothing o Resisting reality, resisting what is - Healthy relationship with your body o Speak kindly o Sleep, exercise, food o Stop shoulding all over your body - Healthy relationship with sex o Stop shoulding o Stop doing it for other people o Be present o It is okay to fail, to not feel like it Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership https://www.getinterlude.com/?utm_source=affiliate&utm_campaign=promo-kc-notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices