You Are Not Broken

In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy. Takeaways Millions of women feel they have been overlooked in hormone therapy discussions. The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence. The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes. The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy. Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis. Many women experience symptoms beyond hot flashes that can persist for years after menopause. The risks associated with hormone therapy are often overstated and misunderstood. Women over 60 should not be denied hormone therapy based solely on age or years since menopause. Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices. Women need to advocate for their health and seek out hormone therapy options that are safe and effective. Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this engaging conversation, Dr. Kelly Casperson and Dr. Heather Hirsch discuss the critical aspects of women's health, particularly focusing on menopause, hormone therapy, and sexual health. They explore the importance of education in these areas, the complexities of desire, and the need for personalized approaches to hormone therapy. The discussion highlights the evolving landscape of women's health care and the necessity for continued research and advocacy to improve the quality of life for women as they age. Takeaways Menopause is a significant gap in women's health care. Education is crucial for empowering women about their health. Hormones play a vital role in sexual health and desire. The medical community needs to adapt to the changing needs of women. Personalized hormone therapy can greatly improve quality of life. Women are increasingly aware of their health needs and options. The stigma around hormone therapy is slowly changing. Open discussions about sexual health are essential. The future of women's health looks promising with ongoing advocacy. Women should be empowered to make informed decisions about their health. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

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

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

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson and her brother Hans share their personal journey of sobriety, discussing the challenges and triumphs they faced while quitting alcohol. They explore the emotional triggers associated with drinking, the importance of community support, and the health benefits of living a sober life. The conversation also touches on navigating social situations, the impact of sobriety on relationships, and the emotional work required to maintain a sober lifestyle. Ultimately, they emphasize the positive changes that come from choosing sobriety and the importance of reframing the narrative around quitting drinking. Takeaways Sobriety can lead to greater presence and energy. Understanding urges is crucial in the journey to sobriety. Support from the community and meetings can be invaluable. Social situations can be navigated without alcohol. Sobriety has significant health benefits beyond physical health. Emotional management skills improve when alcohol is removed. Quitting drinking can break generational patterns of alcohol use. The language we use around quitting drinking matters. Emotional work is essential for long-term sobriety. Trusting the process is key to overcoming fears about sobriety. Quit Like A Woman Sober Curious 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 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. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

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

Dr. Vonda Wright discusses the musculoskeletal syndrome of menopause and the importance of recognizing and addressing the symptoms. She emphasizes the need for doctors to listen to women's concerns and provide appropriate care. Dr. Wright also highlights the role of hormones in musculoskeletal health and the potential benefits of hormone replacement therapy. She advocates for a proactive approach to bone health and overall well-being, emphasizing the importance of mobility and exercise. Dr. Wright encourages women to be active participants in their healthcare and to advocate for themselves. Takeaways The musculoskeletal syndrome of menopause affects 70-80% of women in perimenopause and can manifest in various musculoskeletal symptoms. Women often face challenges in getting a proper diagnosis and treatment for their symptoms, with many being told that their symptoms are all in their head or simply a part of aging. Hormone replacement therapy can be effective in reducing symptoms and improving musculoskeletal health in menopausal women. Preventive measures, such as anti-inflammatory nutrition, building lean muscle mass, and maintaining mobility, can help support musculoskeletal health. Women should be active participants in their healthcare and advocate for themselves, seeking out doctors who are knowledgeable about menopause and its impact on musculoskeletal health. https://www.instagram.com/drvondawright/ Dr. Wright's Health Summit Read Dr. Wright's article here 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

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

Max Lugavere discusses his journey into researching dementia prevention and the importance of lifestyle factors in maintaining brain health. He emphasizes the need for early intervention and the identification of biomarkers that can indicate risk for cognitive decline. The conversation also touches on the influence of the alcohol and food industries on public health guidelines, the role of physicians in prevention, and the power of individual agency in making healthy choices. In this conversation, Max Lugavere and I discuss various topics related to brain health, nutrition, and lifestyle. They touch on the confusion surrounding processed foods and veganism, the role of cholesterol in health, the importance of exercise for brain health, and the potential benefits of hormone replacement therapy. Max shares his personal experience with his mother's battle with dementia and emphasizes the need for individuals to take control of their own health and advocate for themselves. Takeaways Dementia prevention requires early intervention and the identification of biomarkers that can indicate risk for cognitive decline. The alcohol and food industries have significant influence on public health guidelines, which may not always prioritize prevention. Physicians may not be incentivized to advocate for prevention, and the responsibility for wellness ultimately lies with individuals. There is no one-size-fits-all diet for brain health, but diets low in ultra-processed foods and added sugar tend to be beneficial. The conversation around prevention is growing, but public health statistics show that there is still work to be done. Processed foods can be a source of confusion and stress, leading to unhealthy dietary choices. While veganism can be a personal choice, making health claims and demonizing animal-sourced foods without strong evidence is misleading. Cholesterol is often misunderstood, and the risks associated with it may be exaggerated. LDL cholesterol should be viewed as a check engine light rather than a definitive indicator of health. Exercise is crucial for brain health and can help prevent and slow the progression of conditions like Alzheimer's and Parkinson's diseases. Hormone replacement therapy (HRT) can have potential benefits for brain health, and the risks are often overblown. Individuals should take control of their own health, stay informed, and be open to updating their knowledge based on new evidence. https://www.instagram.com/maxlugavere/ Documentary Little Empty Boxes https://www.maxlugavere.com/ Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi 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

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