You Are Not Broken

Dr. Eve Henry, an internal medicine physician, joins Dr. Kelly Casperson on the You Are Not Broken podcast to discuss the importance of optimizing health span and preventing disease. They emphasize the need for a shift in the medical system from disease management to wellness and prevention. They also highlight the role of hormones in women's health, particularly during perimenopause. They discuss the benefits of hormone therapy for symptom management and prevention of conditions like Alzheimer's disease. They address common myths and misconceptions about hormones and provide insights into the use of progesterone and birth control options for perimenopausal women. In this part of the conversation, Eve and Kelly discuss the dosing and cycling of hormones during perimenopause and menopause. They talk about the variability in dosing and the benefits of cycling hormones. They also touch on the use of progesterone and estradiol in hormone therapy and the importance of finding the right doses for each individual. They discuss the role of DHEA in perimenopause and the potential benefits of supplementing with it. They also emphasize the importance of comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, to assess cardiovascular risk and overall health. Takeaways The medical system needs to shift from disease management to wellness and prevention. Hormone therapy can be beneficial for symptom management and prevention of conditions like Alzheimer's disease. Progesterone is an important hormone during perimenopause and can help alleviate symptoms. There are various birth control options available for perimenopausal women. Regular monitoring and individualized treatment are key in hormone therapy. Dosing and cycling of hormones during perimenopause and menopause can vary based on individual needs and symptoms. Progesterone is used to protect the uterus and is typically dosed at 100 milligrams for uterine protection during continuous hormone therapy. Cycling hormones can be beneficial for some women, but it may be challenging to track and can be discontinued if it causes discomfort. DHEA supplementation may be helpful for increasing testosterone levels and improving symptoms of low testosterone. Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are important for assessing cardiovascular risk and overall health during perimenopause and beyond. https://www.instagram.com/drevehenry/ Special thanks to our sponsor, SOLV! 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

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! 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

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! 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

267. Kelly and Stacy London on "Hello Menopause" Dr. Kelly Casperson discusses the lack of education and research around menopause, the role of testosterone in female physiology, and the challenges of hormone therapy. She emphasizes the need for more funding for human research and the importance of individualized treatment for menopause. Dr. Casperson also addresses the restrictions and challenges in prescribing testosterone for women. The conversation covers a wide range of topics related to menopause, hormone therapy, and women's health. It delves into the challenges women face in accessing appropriate healthcare, the impact of hormone imbalance on mental health, and the importance of hormone therapy in midlife. The conversation also highlights the need for better understanding and treatment of menopause-related issues, as well as the role of preventative medicine in women's health. Takeaways The lack of education and research around menopause is a significant issue that affects the understanding and treatment of menopausal symptoms. Testosterone plays a crucial role in female physiology, and its decline during menopause can have a significant impact on various aspects of health and well-being. Individualized treatment for menopause is essential, and the challenges in prescribing testosterone for women highlight the need for more accessible and effective hormone therapy options. The importance of affordable and accessible hormone therapy for women in midlife. The impact of hormone imbalance on mental health and the need for appropriate treatment. The need for better understanding and treatment of menopause-related issues. The role of preventative medicine in women's health and the importance of advocating for oneself in healthcare decisions. Thank you to our podcast 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. 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 https://www.instagram.com/kellycaspersonmd

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

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

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

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.

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

Unlocking Pleasure: Exploring Sexuality & Relationship Dynamics In this episode, Caitlin V. Neal, a sexologist and researcher, discusses her journey into sex education and coaching. She shares her experience working with individuals and couples to improve their sexual performance and pleasure. Caitlin also introduces the concept of the Erotic Blueprints, which categorizes different types of sexual preferences and desires. Additionally, she addresses the common myths and concerns surrounding premature ejaculation and provides insights on how to address this issue. In this conversation, Caitlin V and Dr. Kelly Casperson discuss various topics related to sexuality and relationships. They explore the impact of conditioning on premature ejaculation, the understanding of female squirting, navigating sexual expectations in heterosexual relationships, the invisibility of bisexual women, and the discrimination against non-monogamous relationships. Takeaways Premature ejaculation can be influenced by conditioning and unrealistic expectations placed on men. Female squirting is a normal and natural phenomenon that can be learned and experienced by many individuals. Open and honest communication is essential in navigating sexual expectations and desires in heterosexual relationships. Bisexual women often face invisibility and discrimination due to societal misconceptions and stereotypes. Non-monogamous relationships are often stigmatized and judged, leading to discrimination and lack of acceptance. youtube.com/caitlinv https://www.instagram.com/caitlinvictoriousx https://www.caitlinvneal.com/ 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 Via vaginal moisturizer from Solv Wellness, visit via4her.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

260. Women and Testosterone I join Dr. Harper on her “Women’s Power Hour” in the UK on IG live and it was such a good chat she let me have the audio for the podcast. Dr. Kelly Casperson and Dr. Harper discuss the importance of testosterone for women's health, including muscle mass, metabolism, mental health, and the health of the genitourinary tract. They address common questions and misconceptions about testosterone, such as why it isn’t easy to prescribe and the normal ranges for women. They also explore the use of testosterone in the treatment of genetic urinary syndrome of menopause and its potential benefits for breast cancer survivors. The conversation highlights the need for personalized hormone therapy and the importance of considering other factors that may impact libido and overall well-being. Why are there many urologists who are experts in female pelvic health and hormones? There are no “perfect” testosterone levels; we don’t treat it to a level, but rather, there is a range. How Testosterone helps with genitourinary syndrome of menopause (GSM). In perimenopause, sometimes testosterone is the first thing we start for symptoms. Sometimes testosterone supplementation takes several months to have effects. What to do if you don’t feel effects.  Dr. Harper shares some tips and tricks. Testosterone is important for women's health, including muscle mass, metabolism, mental health, and the health of the genital, urinary tract. There are misconceptions and challenges surrounding the prescription of testosterone for women, including the lack of a female-licensed product and the off-label use of male testosterone products. Testosterone can be beneficial for women with genetic urinary syndrome of menopause and breast cancer survivors, but individualized treatment and monitoring of hormone levels are important. Hormone therapy should be personalized, and other factors that may impact libido and overall well-being should be considered. Testosterone positively affects brain function and mental clarity, which can greatly improve the quality of life for women. Should we use hormones for preventative health? We make estrogen via the androgen pathway. Reasons that we benefit from testosterone. There is no female-licensed product in either the UK or the USA. https://www.instagram.com/drshahzadiharper/ https://theharperclinic.com/ 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 Via vaginal moisturizer from Solv Wellness, visit via4her.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

In this episode, my panel of menopause expert physicians and nurse practitioners discuss the recent four-part article series on menopause published in The Lancet (link below). We address the agenda behind these articles and the implications for menopause care. The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues. We also criticize the suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms, highlighting the barriers to access and the lack of evidence supporting its effectiveness. The panel advocates for a comprehensive and individualized approach to menopause care. The conversation methodically identifies the principal themes discussed in the Lancet article on menopause. We cover topics such as biased review articles, the citation of the author's own studies, the lack of balance in the article, possible reasons for publication, surprising reactions from colleagues, the lack of education and training, the dismissal of women's experiences, ageism in medicine, the importance of treating perimenopause, ignoring the suffering of perimenopause, setting the stage for future health issues, empowerment through hormone therapy, misconceptions about hormone therapy and breast cancer, estrogen's protective effects on breast cancer, lifestyle factors and breast cancer risk, advocating for access to menopause specialists, and the importance of seeing a menopause specialist. Takeaways The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues. The suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms is criticized due to barriers to access and lack of evidence supporting its effectiveness. The panel highlights the need for a comprehensive and individualized approach to menopause care, taking into account the diverse needs and experiences of menopausal individuals. The Lancet articles were criticized for misrepresenting the benefits of hormone therapy and failing to acknowledge the impact of menopause on mental health and overall well-being. Review articles should present a balanced view by citing studies that prove and disprove a point, rather than cherry-picking data. The Lancet article on menopause fell short of presenting a balanced view and may have been rushed for publication. Many healthcare providers lack education and training on menopause, leading to dismissive attitudes towards women's experiences. Hormone therapy is an important tool for treating perimenopause and menopause symptoms and can have protective effects on breast cancer. Advocacy is needed to improve access to menopause specialists and expand telehealth services. https://www.thelancet.com/series/menopause-2024 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

Sexual Empowerment, Reframing Pain,  Autism Experiences, Sex Work and More This is a wide-ranging conversation, and I hope you enjoy it! Suzannah Weiss is a feminist writer and sexologist. She is the author of Subjectified: Becoming a Sexual Subject, which describes her search for sexual empowerment and her vision for a world where women are subjects, not just objects, of desire. As a sex educator certified by the American Association of Sexuality Educators, Counselors, and Therapists, Suzannah has taught courses and given talks on topics including consent, orgasms, childbirth, non-monogamy, and neurodiversity. Offering a deeply personal account and powerful critique of sexual empowerment movements, Suzannah Weiss presents a way forward that focuses more on what women desire, and less on what men desire from them. She makes a bold yet compassionate call for women everywhere to inhabit their bodies and hearts ― to remain connected to their inner eye and their inner "I," even in a world where they are disproportionately "you," "she," or "them." Takeaways Reframing attitudes towards menopause is important to celebrate the positives of this life phase and challenge societal beliefs that devalue women in menopause. The objectification of older women in medical contexts can lead to dismissive treatment of issues related to desire and pleasure, highlighting the need for more inclusive and comprehensive healthcare. Understanding and addressing period pain requires recognizing that pain experiences vary among individuals, and it is essential to validate and investigate severe pain rather than dismissing it as normal. The orgasmic birthing movement promotes a positive and pleasurable birthing experience, emphasizing presence, breathwork, and sensory awareness to enhance the intensity and pleasure of childbirth. Supporting autistic individuals in dating and sexuality involves celebrating their strengths and unique experiences, promoting positive relationships, and challenging societal stereotypes and assimilation efforts. Pleasing and empowering women in the bedroom requires men to understand and respect boundaries, communicate openly, and prioritize mutual pleasure and consent. Changing attitudes towards masculinity and sex work involves recognizing the potential for men to use their sexuality for good, promoting respect and consent, and challenging societal shame and stigma around sex work. Teaching meaningful consent and embodied consent involves tuning into one's body and feelings to determine consent, promoting open communication, and reframing consent as an ongoing process rather than a one-time agreement. Subjectified by Suzannah Weiss You can find her on Twitter (@suzannahweiss) or Instagram (@weisssuzannah). 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

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

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

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

254. The Fortune-Telling Genitals and/or I hate the Word "Cock" In this conversation, Dr. Kelly Casperson and Dr. Ashley Winter discuss various topics related to male and female sexual health. They cover the importance of sexual health advocacy on social media, the role and safety of cock rings, the link between erectile dysfunction and cardiovascular disease, the future of sexual health monitoring with smart wearables, and the development of a clitoral smart wearable device. They emphasize the need for research and funding in the field of sexual health and highlight the importance of normalizing discussions about sexual health for all genders. Takeaways Sexual health advocacy on social media can help educate and change lives. Cock rings can be a safe and effective tool for enhancing erections. Erectile dysfunction can be a sign of underlying cardiovascular disease. Smart wearables have the potential to revolutionize sexual health monitoring. The clitoris plays a crucial role in female sexual health and should be studied and understood. Further research and funding are needed to advance the field of sexual health. Ashley Winter, MD is a board certified urologist based in Los Angeles. She completed her urology residency at New York Presbyterian- Weill Cornell Medical center, and a fellowship in male and female sexual dysfunction with Dr. Irwin Goldstein at San Diego Sexual medicine.  She is working on a smart wearable device for the clitoris with FirmTech (⁠www.myfirmtech.com⁠). She can be found influencing patients and physicians all over the world through her  socialmedia @ashleygwinter (most active on Twitter/X) but trying to be more present on Insta/TikTok. Princeton ConsensusGuidelines on Erectile Dysfunction 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 https://www.instagram.com/ashleygwinter/ email: ashley@myfirmtech.com twitter/X - https://x.com/AshleyGWinter   The non profit research team mentioned in this episode: 21st Century Sexual Fitness and HealthCare Foundation Contact elliot@myfirmtech.com for information and to make donations. 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! https://kellycaspersonmd.com/membership/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

https://ascendretreats.com/2024-sedona-retreat-robyntigermd/ Dr. Kelly Casperson and Dr. Robin Tiger discuss their upcoming retreat in Sedona and their journeys in women's health. The retreat aims to provide education on menopause, perimenopause, and sexual health without PowerPoint presentations. The chapters cover topics such as the importance of education on women's health, understanding menopause, empowering women with hormone education, the power of coaching and mindset shifts, and the invitation to join the retreat. The retreat in Sedona offers a unique approach to teaching without PowerPoint presentations, focusing on experiential learning and community building. Education on menopause, perimenopause, and sexual health is crucial for empowering women and addressing the challenges they face. Understanding menopause as a profound hormonal change and embracing it as a gift can lead to a more positive experience. Coaching and mindset shifts can be transformative in personal and professional development, allowing individuals to take control of their lives. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Sit down and buckle up. a long podcast but so so so many topics and though provoking ideas from the research and presentation from the just finished ISSWSH conference. Dr. Kelly Caspersen shares insights from the International Society for the Study of Women's Sexual Health (ISSWSH) Conference. She discusses the importance of lifelong learning and the mission of ISWSH to promote sexuality for all. Topics covered include polysexuality, monogamy and polygamy, shockwave therapy for erectile dysfunction and more, supporting sexual wellbeing in people with developmental disabilities and ADHD and, immune dysfunction and vulvar pain, hypoactive sexual desire disorder, and the role of healthcare providers in addressing quality of life. This conversation covers a wide range of topics related to sexual health, hormones, and the impact of technology. Some of the key themes include the role of role modeling and accountability in personal fitness, the misconceptions about menopause and desire, the influence of hormones in personal training, the potential use of clitoral ultrasound for evaluating cardiovascular health, the effects of stress on sexual desire, the relationship between diabetes and sexual function, the concerns and considerations of hormone replacement therapy, the impact of coffee on a new menopause medication, the importance of advocacy and education in sexual health, the connection between orgasm and pain, the use of sex tech and its effects on sexual function, the importance of human touch in sexual experiences, and the debunking of myths surrounding semen retention and rough sex. Enjoy! Reminder to follow, subscribe and share for more! Take Aways Lifelong learning is important for staying up-to-date with evolving knowledge about sexual health and hormones. Sexuality is a human right and should be appreciated as part of the human experience. Definitions and labels in sexuality can vary and it is important to ask individuals how they define themselves. The microbiome and immune function play a role in vulvar pain and sexual desire. Healthcare providers should prioritize addressing quality of life and understanding the unique needs of their patients. Accountability and role modeling can be powerful tools in personal fitness and wellness. Menopause does not always lead to low desire, and the quality of a long-term committed relationship can be a risk factor for low desire. Hormones play a significant role in personal training and muscle recovery. Clitoral ultrasound may have potential applications in evaluating cardiovascular health in women. Stress can have both positive and negative effects on sexual desire and function. Diabetes can impact sexual function, and physical activity can help protect against sexual dysfunction in women with diabetes. The use of hormone replacement therapy should be carefully considered, and the marketing of hormone-free alternatives can be misleading. Coffee may have an impact on the efficacy of certain medications, including new menopausal medications for hot flashes. Advocacy and education are crucial in promoting sexual health and debunking myths. The brain plays a significant role in sexual pleasure and pain perception. Sex tech can enhance sexual experiences but should not and can not replace human connection and touch. There is a need for knowledge translation in research to ensure that findings are effectively communicated and applied in clinical practice. It is important to prioritize consent and safety in sexual activities, and to debunk myths and misconceptions surrounding rough sex and choking. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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