I am back with Caroline Labouchere! Our conversation explores the topic of libido and the factors that can affect it, such as upbringing, education, relationships, and hormones. It emphasizes the importance of understanding one's own thoughts and beliefs about sex and prioritizing a healthy sex life. The discussion also touches on the use of hormones and medications, such as Addyi and Vyleesi, to address low libido. The conversation highlights the complexity of sexuality and the need for a holistic approach to addressing low desire. In this conversation, Dr. Kelly Casperson discusses various topics related to menopause, hormones, and sexual health. She addresses the use of on-demand medications for low libido, the cost of hormone medications, and the difficulty of finding doctors who specialize in menopause and sex medicine. Dr. Casperson also explains how Viagra works and its potential use for women. She emphasizes the importance of education and communication in addressing sexual health issues and provides information on vaginal estrogen and its benefits. The conversation concludes with a discussion on hormone therapy and its relationship to cancer treatment. Takeaways Libido is a complex topic influenced by various factors, including upbringing, education, relationships, and hormones. Understanding and addressing one's thoughts and beliefs about sex is crucial for improving libido. Hormones, such as estrogen and testosterone, can play a role in libido and may be used as treatment options. Medications like Addyi and Vyleesi are available for low libido, but they may not work for everyone and can have side effects. Prioritizing a healthy sex life and cultivating novelty and communication in relationships can contribute to a satisfying sexual experience. On-demand medications can be used to address low libido, similar to how Viagra is used for men. The cost of hormone medications can be high, making it difficult for some women to afford them. Finding doctors who specialize in menopause and sex medicine can be challenging. Viagra is a vasodilator that improves blood flow, but it does not directly affect desire or orgasm in women. Vaginal estrogen is a safe and effective treatment for symptoms such as pain with sex and dryness. Hormone therapy can be considered after cancer treatment, depending on the individual's situation and risks. Education and communication are crucial in addressing sexual health issues and advocating for proper care. https://www.instagram.com/carolinelabouchere/ 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 megaphone.fm/adchoices

My book comes out this week! Order it here! In this conversation, Dr. Kelly Casperson and Dr. Lauren Streicher discuss the topic of testosterone. They address the challenges of discussing testosterone in short social media posts and the misconceptions surrounding its use. They emphasize the importance of educating women about testosterone and the need for more research in this area. The conversation covers various aspects of testosterone, including its role as a human hormone, its use in women who have had their ovaries removed, and its potential benefits for bone health, brain function, and overall well-being. The doctors also discuss the safety of testosterone therapy and the limitations of lab tests in determining optimal levels. In this conversation, Dr. Lauren Streicher and Dr. Kelly Casperson discuss various topics related to hormone therapy and women's health. They touch on the use of testosterone therapy, the role of sex hormone binding globulin (SHBG), the importance of checking thyroid levels, and the potential risks of using hormone pellets. They also emphasize the need for individualized treatment plans and the importance of education and communication in women's sexual health. Dr. Casperson shares insights from her book, 'You Are Not Broken: Stop "Should'ing" All Over Your Sex Life,' which aims to provide adult sex education and debunk myths surrounding women's sexual health. Takeaways Educating women about testosterone is important, as there are many misconceptions surrounding its use. More research is needed to fully understand the benefits and risks of testosterone therapy in women. Testosterone may have potential benefits for bone health, brain function, and overall well-being in women. Lab tests for testosterone levels are not always reliable indicators of the effects of testosterone in the body. Safety is a key consideration in testosterone therapy, and individualized treatment plans are necessary. Testosterone therapy can be used to address various symptoms in women, but the dosage and approach should be individualized. High levels of sex hormone binding globulin (SHBG) can reduce the effectiveness of testosterone therapy, and it may be necessary to explore other options or address underlying causes. Thyroid dysfunction can masquerade as menopause symptoms, so it's important to check thyroid levels in women experiencing hormonal changes. Hormone pellets are not recommended due to the potential for side effects and lack of control over hormone levels. Education and communication are crucial in women's sexual health, and there is a need for adult sex education to address common misconceptions and provide accurate information. Hormone therapy should be seen as a preventive measure rather than a treatment for existing health issues, and it should be part of a comprehensive approach that includes lifestyle factors like exercise and nutrition. https://www.instagram.com/drstreich website: Dr. Streicher.com Dr. Streicher's Podcast: Inside Information Podcast 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 megaphone.fm/adchoices

Is your sex life everything you want it to be? If you're like most women, the answer might be "no." But it?s not your fault. Hollywood's fantasies and society?s silence have set us up for disappointment. We're rarely taught what truly makes sex fulfilling for women?why understanding our bodies matters, and how prioritizing our pleasure isn't just important, but essential. In You Are Not Broken, Dr. Kelly Casperson?a urologist, coach, and woman who?s also asked, "Is this really it?"?offers a fresh perspective. She dives deep into the science of female sexuality, providing tools to shift your mindset and embrace your unique physiology. Discover how better sex can transform your relationship and empower you to live the life you've always wanted. With real-life stories, journaling prompts, and conversation starters, this book is your guide to reclaiming your sexual health and happiness. Order your book on Amazon here Order your book on Barnes and Nobel here Learn more about your ad choices. Visit megaphone.fm/adchoices

Pre Order my book: You Are Not Broken: Stop "Should-ing" All Over Your Sex Life Dr. Kelly Casperson and Dr. Naomi Potter discuss menopause myths and misconceptions, focusing on topics such as vaginal estrogen, hormone replacement therapy (HRT), and testosterone. They highlight the importance of educating women about the safety and benefits of these treatments, as well as the need for women to advocate for themselves in healthcare. They also address the cultural stigma around menopause and the natural aging process, emphasizing the role of hormones in maintaining women's health and quality of life. Takeaways Vaginal estrogen is safe and has advantages, including reducing urinary tract infections. HRT is beneficial for women's health, including reducing the risk of heart disease and dementia. Women need to advocate for themselves and seek multiple opinions when it comes to hormone therapy. There is a cultural stigma around menopause and the use of hormones, which limits women's access to beneficial treatments. The healthcare system needs to catch up with the evidence and provide better education and options for women. https://www.instagram.com/dr_naomipotter Thanks to our sponsor 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 megaphone.fm/adchoices

Pre Order my book: You Are Not Broken: Stop "Should-ing" All Over Your Sex Life In this conversation, Kelly Casperson and Caroline Labouchere discuss the topic of testosterone in women. They cover various aspects of testosterone, including its effects, misconceptions, and benefits. They also touch on related topics such as hormone replacement therapy, sexual desire, and the use of medications like Addyi. The conversation emphasizes the importance of individualized treatment and the need for more research and education on testosterone in women. Takeaways Testosterone is an important hormone for women and has benefits beyond just libido. There are many misconceptions and biases against testosterone in women. Hormone replacement therapy, including testosterone, can be a safe and effective option for women. Individualized treatment and monitoring of hormone levels is important for optimal results. More research and education are needed to better understand and utilize testosterone in women. https://www.instagram.com/stories/carolinelabouchere Thank you to our Sponsor 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 megaphone.fm/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 megaphone.fm/adchoices

Dr. Jayne Morgan, a cardiologist, joins Dr. Kelly Casperson to discuss the connection between hormones and heart health in midlife women. They highlight the importance of addressing heart disease, the number one killer of women, and the need to raise awareness about it. Dr. Morgan shares her journey from being a cardiologist to focusing on menopause and women's health during the COVID-19 pandemic. They discuss the symptoms of heart disease in women, the role of cholesterol and statins, and the potential impact of testosterone on heart health. They also touch on the protective effects of hormone therapy for cardiovascular disease and the slow progress in integrating this knowledge into cardiology practice. Dr. Jayne Morgan and Dr. Kelly Casperson discuss the importance of addressing menopause and its impact on heart health. They highlight the need for more research, clinical trials, and data on menopause and its effects on various aspects of health. They also discuss the lack of representation and diversity in medical research and the importance of including minority populations in clinical trials. The conversation covers topics such as hot flashes, heart palpitations, glucose levels, and the significance of APOB and lipoprotein A in cardiovascular health. Dr. Morgan emphasizes the importance of personalized medicine and encourages women to prioritize their heart health and seek support during midlife. Takeaways Heart disease is the number one killer of women, and it becomes more prevalent during perimenopause and menopause. Symptoms of heart disease in women can be different from those in men, and it is important to recognize and normalize these symptoms. Cholesterol and statins are somewhat controversial in relation to heart disease prevention in women, but statins are generally recommended for women at risk. Testosterone may play a role in heart health for women, and further research is needed to understand its effects. Hormone therapy has been shown to reduce the risk of cardiovascular disease in women, but there is still resistance to integrating this knowledge into cardiology practice. More research, clinical trials, and data are needed on menopause and its effects on various aspects of health. There is a lack of representation and diversity in medical research, and it is important to include minority populations in clinical trials. Hot flashes and heart palpitations are common symptoms of menopause and may be indicators of cardiovascular disease. Glucose levels, including pre-diabetes levels, can be a bellwether for future cardiovascular health. APOB and lipoprotein A are important factors to consider in cardiovascular health, and personalized medicine can play a significant role in treatment. Women should prioritize their heart health, seek support, and make informed decisions about their health during midlife. 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 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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

Dr. Kelly Casperson,is interviewed by Dr. Maria Uloko. She shares her journey and passion for women's sexual health and menopause. She discusses how urology protected her soul and allowed her to stay in medicine. She emphasizes the importance of educating patients and being a medical translator to bridge the gap between research and patient care. Dr. Casperson also addresses the issue of medical gaslighting and the need for doctors to have open and honest conversations about the potential side effects of treatments. She highlights the power of an educated patient and the role they play in advocating for their own health. Dr. Kelly Casperson discusses her journey in writing books about women's sexual health and the importance of advocating for better healthcare. She emphasizes the need for accessible and practical sex education that addresses the biopsychosocial aspects of women's sexual health. Dr. Casperson also highlights the inequality in healthcare when it comes to menopause and hormone therapy, and the need for women to advocate for themselves. She draws inspiration from the AIDS epidemic and the power of grassroots movements to bring about change. Overall, Dr. Casperson encourages women to educate themselves, be curious about their health, and take charge of their well-being. Takeaways Urology can protect a doctor's soul and prevent burnout by providing instant gratification and a focus on quality of life after treatment. Doctors need to be educated about women's sexual health and menopause to provide better care and have meaningful conversations with patients. An educated patient is a powerful patient who can advocate for their own health and have higher-level conversations with their doctors. Medical gaslighting is a common issue in women's health, and doctors need to address potential side effects and have open discussions with patients. The role of a medical translator is crucial in bridging the gap between research and patient care, and doctors should provide patients with reputable resources. Women need accessible and practical sex education that addresses the biopsychosocial aspects of their sexual health. There is inequality in healthcare when it comes to menopause and hormone therapy, and women need to advocate for themselves. Grassroots movements have the power to bring about change in healthcare, as seen in the AIDS epidemic. Women should educate themselves, be curious about their health, and take charge of their well-being. Dr. Maria's podcast: Salvaging Sex https://www.mariaulokomd.com/ Special thanks to our sponsors! Sprout Pharmaceuticals 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 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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

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 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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

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: [email protected] twitter/X - https://x.com/AshleyGWinter   The non profit research team mentioned in this episode: 21st Century Sexual Fitness and HealthCare Foundation Contact [email protected] 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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/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 megaphone.fm/adchoices

The BIO in Biopsychosocial ? Medications for Sexual Health In this episode, Dr. Mona Gupta and Dr. Melissa Dahir join Dr. Kelly Casperson to discuss the importance of sexual health and the misconceptions surrounding it. They emphasize that sexual health is a bio-psycho-social issue and should be treated as such. The panel also addresses the black box warnings and misconceptions associated with sexual desire drugs, highlighting the benefits and considerations of these medications. They debunk the myth that alcohol is unsafe to consume while taking these drugs and discuss the positive effects of these medications on sleep. The panel also explores the sexual side effects of antidepressants and provides strategies for managing them. They delve into the use of testosterone replacement therapy and its impact on sexual health. Finally, they offer advice on navigating medications and seeking help for sexual health issues. Takeaways Sexual health is a bio-psycho-social issue that should be treated holistically. Addyi ? how it works, its influence on sleep, and it?s safety profile, and it works in pre and post menopausal women. Black box warnings and misconceptions surrounding sexual desire drugs should be reevaluated, as these medications can have significant benefits for individuals. Alcohol consumption is not necessarily unsafe while taking sexual desire drugs, and the effects of these medications on sleep can be positive. The sexual side effects with SSRI?s and common psychiatric medications. Antidepressants can have sexual side effects, but there are strategies for managing these issues, such as adjusting the dosage or adding complementary medications. Testosterone replacement therapy can be an effective treatment for sexual health issues, particularly when used in conjunction with other therapies. When seeking help for sexual health issues, it is important to find a provider who is knowledgeable and supportive.    Dr. Melissa Dahir, DNP, IF has been the Midwest?s leading healthcare expert in sexual medicine and vulvar pain disorders since 2006. In 2012 the International Society for the Study of Women?s Sexual Health (ISSWSH) named her an ISSWSH Fellow (IF) which is a top distinction in this field. She strongly believes that ongoing research is the key to advancing women?s sexual health. https://melissadahir.com/    Dr. Mona Gupta, a renowned psychiatrist with seven practices and growing in North Carolina, is a forward-thinking key opinion leader in psychiatry. Specializing in breaking down patients' problems into manageable components, she facilitates easier tackling. Dr. Gupta, a passionate advocate for women's sexual health, emphasizes its undervalued role in mental health and overall wellbeing. Dr.Gupta: https://www.guptapsychiatry.com/  https://www.facebook.com/GuptaPsych https://twitter.com/GuptaPsychiatry https://youtube.com/@guptapsychiatrywellness1740?si=Fxud1VWQj1ADCV6 https://www.tiktok.com/@guptapsychiatry1 Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe 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 megaphone.fm/adchoices

Check out details for my retreat: https://ascendretreats.com/ In this episode, Dr. Kelly Casperson discusses the connection between the brain and sex, the role of hormones in desire and arousal, and tips for increasing desire and overcoming mental blocks. She also addresses common concerns such as painful intercourse, bladder issues, and changes in sexual sensation after surgery. Dr. Casperson emphasizes the importance of communication, seeking professional help when needed, and understanding that everyone's sexual journey is unique. In this conversation, Dr. Kelly Casperson discusses various topics related to sexual health. She emphasizes the importance of prioritizing sex and the role of dopamine in our desire for pleasure. She addresses challenges with painful sex and low libido, providing recommendations for overcoming these issues. Dr. Casperson also highlights the need to expand the definition of sex beyond penetration and explores ways to achieve orgasm and pleasure. Additionally, she discusses the impact of diet on sexual health and provides guidance on finding a reputable sex therapist. Takeaways:The Connection Between Sex and the Brain The Role of Hormones in Desire and Arousal Tips for Increasing Desire and Overcoming Mental Blocks Using Erotica and Visuals to Spark Imagination Navigating Sexual Frequency and Expectations Managing ADHD and Staying Present During Sex Using Vibrators and Addressing Painful Intercourse Improving Communication and Intimacy in Long-Term Relationships Understanding Burning Sensations After Ejaculation Addressing Bladder Issues and Prolapse Using Vaginal Estrogen for Dryness and Atrophy Managing Libido and Pleasure with Various Factors Addressing Changes in Sexual Sensation After Hysterectomy Exploring the Effectiveness of Libido-Boosting Products The Importance of Prioritizing Sex Challenges with Painful Sex and Low Libido Recommendations for Overcoming Challenges Expanding the Definition of Sex Achieving Orgasm and Pleasure The Impact of Diet on Sexual Health Finding a Reputable Sex Therapist www.heytabu.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 megaphone.fm/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 megaphone.fm/adchoices

Sex Symposium: Launching the First Annual Event Today I drink coffee with Dr. Rachel Rubin, fellow urologist and sex med physician and we run through ALL THE THINGS that happend when I co-hosted the first annual sex symposium with Dr. Emily Morse and with The Swell founder Alisa Volkman in New York City. Want to stay connected to hear about more upcoming events with me and the future ones with the Swell? Follow me on IG at www.instagram.com/kellycaspersonmd Check out details for my retreat March 2024: 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 megaphone.fm/adchoices

246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy In this conversation, Katey Armstrong shares her journey of discovering Dr. Kelly Casperson and the impact of hormone education on her life. She discusses her experience with prolapse and the challenges she faced in accessing hormone treatment in Canada. Katey emphasizes the importance of taking responsibility for one's health and wellness and the need for individualized approaches. She also highlights the positive impact of hormones on her fitness and overall well-being. Katey expresses curiosity about trying testosterone in the future. In this conversation, Katey Armstrong and Dr. Kelly Casperson discuss the use of estrogen and progesterone in hormone therapy. They cover topics such as the application and benefits of estrogen, the routine and benefits of vaginal estrogen, and the use of oral progesterone. They also discuss the timeline for feeling better after starting hormone therapy and the challenges of getting dexa scans. The conversation concludes with a discussion on the long-term benefits of hormone therapy and the importance of personal empowerment in taking control of one's health. Takeaways Education and self-advocacy are crucial in navigating hormone treatment. Individual experiences with hormones can vary, and it is important to find what works best for each person. Taking responsibility for one's health and wellness is empowering. Hormones can have a positive impact on fitness and overall well-being. Estrogen gel can be applied topically and provides benefits such as improved skin health and reduced hot flashes. Vaginal estrogen can be used to improve vaginal dryness and overall comfort. Oral progesterone is often taken in the evening to help with sleep. It can take several weeks to start feeling better after starting hormone therapy, and it's important to give the body time to adjust. Getting dexa scans to assess bone health can be challenging in some areas. Estrogen receptors need time to regulate and upregulate in response to hormone therapy. Hormone therapy has long-term benefits for conditions such as dementia, heart disease, and bone health. It's important to educate oneself and take control of one's health, rather than relying solely on healthcare providers. Gratitude and appreciation for the conversation and the opportunity to share experiences and knowledge. www.healthyevolution.ca www.instagram.com/healthyevolutionbykatey/ FB https://www.facebook.com/katey.kirkwood.5 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 megaphone.fm/adchoices

Changing Women?s Healthcare From Inside Medicine Dr. Sarah Cigna (She/Her) is an Assistant Professor of Obstetrics & Gynecology with The George Washington University. She is the current Director of the SAGA (Sexual Health and Gender Affirmation) Center and Director of the first Sexual Medicine Fellowship in the country for OBGYN physicians. She is active in the International Society for the Study of Women's Sexual Health (ISSWSH); she has served on the education committee for several years and will be taking over as the Education Chair this year. She is a Fellow of ISSWSH and runs a busy sexual medicine outpatient service, teaching medical students, residents, fellow clinicians and patients the wonders of sex medicine! She still enjoys birth work (delivering babies), and benign GYN surgery. She hopes to model the role of sexual medicine specialist in an academic setting for aspiring sex detectives.  Dr. Sarah Cigna, an expert in sexual medicine, discusses the importance of sexual health education, challenges in talking about sexual health, the need for comprehensive vulvar examinations, improving access to sexual medicine education, expanding sexual medicine fellowships, addressing side effects of birth control, individualized contraceptive options, improving pain control for IUD placement, and the misconception of testosterone as the desire hormone. The conversation explores the complexity of hormones and desire, emphasizing that there isn't just one hormone responsible for desire and that they all play together. The importance of individualized treatment and its impact on quality of life is discussed, highlighting the life-changing nature of sexual medicine. The significance of referrals and second opinions is emphasized, encouraging healthcare providers to seek help from specialists and patients to seek multiple perspectives. The need for expanding sexual medicine fellowships is addressed, calling for advanced learning opportunities for all healthcare professionals. Takeaways Sexual health education is crucial for healthcare providers to better serve their patients. Comprehensive vulvar examinations are essential for diagnosing and treating sexual health issues. Expanding sexual medicine fellowships can help train more clinicians in this specialized field. Individualized contraceptive options should be offered to patients based on their specific needs and preferences. Improving pain control options for IUD placement can make the procedure more comfortable for patients. Testosterone is not the sole hormone responsible for desire, and other factors, such as estrogen, play a significant role. Hormones and desire are complex, and there isn't just one hormone responsible for desire. Individualized treatment in sexual medicine can greatly improve quality of life. Referrals and second opinions are important in sexual medicine to ensure patients receive the best care. Expanding sexual medicine fellowships is crucial for advancing the field and providing evidence-based care. IG @drsarahcigna @gwsagacenter  NYC Sex Symposium www.theswell.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe 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 megaphone.fm/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 megaphone.fm/adchoices

243. UnF*ck Your Brain: Body Image, Desire and Coaching with Kara Loewentheil Kara Loewentheil, J.D., is a Master Certified Coach, host of the top-rated podcast UnF*ck Your Brain, and creator of the Clutch: A feminist mindset revolution. A graduate of Yale College and Harvard Law School, she did what every Ivy League feminist lawyer should do: Quit a prestigious academic career to become a life coach!  Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ In this conversation, Kelly Casperson interviews Kara Loewentheil about thoughtwork and its impact on desire and pleasure. They discuss the influence of society on women's thoughts and desires, the historical context of women's desire, and the concept of object of affirmation desire. They also explore body image and self-criticism, the importance of communication in relationships, and the process of changing thoughts and self-criticism. Overall, the conversation highlights the power of thoughtwork in transforming women's relationship with desire and pleasure. In this conversation, Kara Loewentheil discusses the impact of society's expectations on women and how thought work can help break free from sexist thinking. She emphasizes the transformational power of thought work and the importance of commitment and practice. Kara shares her personal experiences and how thought work has changed various aspects of her life. She also highlights the need to embrace the human experience and let go of the fantasy of constant improvement. The conversation concludes with an announcement about Kara's book, 'Take Back Your Brain.' Takeaways Society plays a significant role in shaping women's thoughts and desires. Women are often socialized to see themselves as objects of desire and believe that their desirability is dependent on others. Body image and self-criticism can negatively impact women's relationship with desire and pleasure. Communication is essential in fostering healthy and fulfilling sexual relationships. Changing thoughts and self-criticism is a gradual process that requires patience and self-compassion.   www.instagram.com/karalowentheil https://unfuckyourbrain.com/ Take Back Your Brain https://amzn.to/3RufcoX https://unfuckyourbrain.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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

240. Sex After Cancer What are possible sexual issues after cancer? What are treatment options? How can we do better talking about it? Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Laila Agrawal is a medical oncologist specializing in breast cancer in a community setting at Norton Cancer Institute in Louisville, KY.  She is a fellow of the International Society for the Study of Women?s Sexual Health and has a sexual health clinic for women with cancer.  How she went from oncology into sexual health after cancer? The importance of vaginal health after cancer treatment. Why does no one talk about breasts as sexual organs?  How does this affect the breast cancer conversation? We discuss options. Things to know about sexual health after cancer diagnosis: It is biopsychosocial The role of body image in impacting sexual health The role of prevention of sexual dysfunction after radiation ? vaginal dilators. The ACOG statement supporting the safety of vaginal estrogen after cancer. We discuss different vaginal estrogen products and vaginal DHEA. The role of testosterone when you are on aromatase inhibitor after breast cancer. Use of non hormonal FDA approved products for low sexual desire.   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  https://www.instagram.com/drlailaagrawal/ @drlailaagrawal on X --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Menopause in the Workplace and Estrogen After Breast Cancer 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 -       Female physicians want to back off work secondary tomenopause symptoms -       The huge financial burden and loss to the workforce because of untreated menopause -       One of the largest groups in poverty in America is women over age 80 -       I report on the Evernow survey of menopause in the workforce -       I discuss Avrum Bluming?s article in the May 2022 Cancer Journal ? Estrogen After Breast Cancer ? is it time? -       I discuss the progression of prostate cancer survivors being given testosterone over my career and how I think breast cancer will be headed this way too. -       The efficacy of estrogen in preventing hip fractures. -       The longevity benefit of taking estrogen The risk of pulmonary embolism with pregnancy, birth control and menopause hormone therapy  -       I discuss three paradigms coming in the future with hormones ? hormones after breast cancer, hormones in women greater than 10 years post menopause, and hormones in perimenopause Evernow menopause in the workplace Dr. Avrum Bluming?s article Bluming, Avrum Zvi MD. Hormone Replacement Therapy After Breast Cancer: It Is Time. The Cancer Journal 28(3):p 183-190, 5/6 2022. | DOI: 10.1097/PPO.0000000000000595 Estrogen Matters Book 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 megaphone.fm/adchoices

238. Testosterone: An Education  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. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas:  Men?s Health, sexual medicine, and hormone replacement therapy.   His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the field of sexual medicine and Men?s Health. Why is testosterone so interesting to Dr. Khera? Testosterone and prostate cancer ? what do we know. Is a lowering Testosterone in men "natural"? and if it isn?t, what causes low testosterone in men? What do the new weight loss drugs do to testosterone levels and male fertility? We discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido. The role of chronic pain and testosterone and pain meds. The mechanism of how your testosterone goes up when you lose body fat. The four pillars of health for natural testosterone production ? diet, exercise, sleep, stress reduction Erectile dysfunction is a harbinger for heart attack and heart disease. ?There is not a better barometer of a man?s overall health than his sexual health? ? Dr. Khera The role of DHEA (a mild androgen made in the adrenals) in men and women. The link with Peyronies disease and Testosterone. And we discuss penile stretching devices. We discuss a 2013 Finkelstein article ? they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen? Dr. Khera was  part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse trial. Conclusions: In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events.  Barriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it ? similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay. He clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this condition? Testosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline testosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal. 50% of men don?t talk to their doctor about their erectile dysfunction, and 44% of those men don?t talk to their partner about it. www.instagram.com/drmohitkhera Dr. Mohit and Dr. Morgentaler?s testosterone course ?NEJM article discussed: Gonadal Steroids and Body Composition, Strength, and Sexual Function? ?Traverse Trial https://drmohitkhera.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 megaphone.fm/adchoices

237. Libido/Desire Differences in Partners Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com  Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Dr. Jennifer Vencill (she/her) is an assistant professor, board certified clinical health psychologist, and AASECT certified sex therapist at the Mayo Clinic in Rochester. Her research focuses on sexual health and health disparities in marginalized sexual and gender communities. Dr. Lauren Fogel Mersy (she/her) is a licensed psychologist and an AASECT certified sex therapist. She received her doctorate in clinical psychology and completed her postdoctoral training at the University of Minnesota?s Institute for Sexual and Gender Health. She has advanced training in Emotionally Focused Couple Therapy and Gottman Method Couple Therapy. She specializes in sexual health and relationships and owns her own private practice in Minnesota.  Why did they needed to write a book about desire? Desire discrepancy should be part of adult sex education "Your desire should match your partner" is a myth. Why do we want to blame someone or make someone be the problem in a relationship for having a low libido. The stereotype is that the low libido person is the female ? but that is not always the case. We define responsive desire. Four requirements for responsive desire ? consent, pleasure, focus, time When you have sex for your partner or fulfill a duty ? if this is the default or only motivator for sex it can really affect your desire. Tips for getting out of this pattern. We talk about shame and sex. Your sexuality does not exist in a bubble. We suss out asexuality versus low desire. Asexuality is a self-identity label and a valid sexual orientation. What to do when not attracted to a partner anymore? Is attraction as fluid as desire is? We talk about ?sexual destiny? beliefs versus sexual growth beliefs and how these can hurt and benefit our relationships.   Tips for the high libido partner. Reducing pressure on their partner and managing their rejection and disappointment reactions. Consider what you are longing for when you seek sexual connection or sexual frequency. Tips for ?trying to conceive" low libido Is ?desire discrepancy? in a relationship a deal breaker? Not usually. What to do when your partner stonewalls you or doesn?t want to work on the relationship.   Dr. Fogel Mersy Instagram, Facebook, and TikTok @drlaurenfogelmersy  Dr. Vencill www.instagram.com/drjennifervencill. Get their desire book onAmazon Desire: An Inclusive Guide to Navigating Libido Differences in Relationships.   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 megaphone.fm/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 megaphone.fm/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 megaphone.fm/adchoices

Dr. Sonia Wright interviews me on genitourinary syndrome of menopause - AKA: The Senile Vagina and The Super Penis 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 history of getting to the name ?genitourinary syndrome of menopause? GSM happens not just in menopause The labia goes away after menopause unless hormones are supplies Recurrent urinary tract infections are in the top 10 reasons women go to the doctor Why you get more urinary tract infections after menopause When we treat erectile dysfunction are we treating the partner? We talk about sex ed for adults and what I would put in a curriculum. The role of vaginal estrogen Where to get cheap vaginal estrogen ACOG statement on vaginal estrogen after breast cancer ?estrogen is not trying to kill you? The FDA black box warning on vaginal estrogen is wrong Can I just use lube? Issues with sensitive skin when starting vaginal estrogen Why I don?t use a loading dose with vaginal estrogen When to consider adding testosterone to your vulva or DHEA to your vagina How to talk to your health care provider about genitourinary syndrome of menopause and ask to try a prescription product. Vaginal estrogen can help overactive bladder and urge leakage The myth of needing to finish your periods prior to starting vaginal estrogen https://soniawrightmd.com/ https://www.instagram.com/drsoniawright 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 megaphone.fm/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 megaphone.fm/adchoices