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You Are Not Broken
You Are Not Broken
Author: Kelly Casperson, MD
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© Kelly Casperson, MD
Description
Welcome to the podcast that rewrites everything you thought you knew about sex, hormones, and midlife. I help women—and the people who love them—reconnect with their bodies, their minds, and their partners through science, mindset, and a whole lot of humor. Whether you’re navigating perimenopause, rediscovering desire, or just curious what’s possible, this show will remind you: you are not broken. (No medical advice here, just truth bombs and good conversation.)
345 Episodes
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In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney.
They discuss Jennifer's unique journey from law to healthcare, the importance of ethics in medical practice, and the need for informed consent in patient care.
The conversation also touches on the role of hormones in women's health, the impact of social media on healthcare discussions, and the future of hormone therapy. Throughout the episode, they emphasize the importance of empowering patients with knowledge and fostering open communication between healthcare providers and patients.
Takeaways
Jennifer transitioned from law to healthcare to focus on patient care.
Ethics in healthcare needs to be redefined to include the harm of inaction.
Informed consent should involve thorough discussions, not just signatures.
Patients are increasingly educated and should be empowered in their healthcare decisions.
Hormone therapy can play a crucial role in women's health and should be discussed openly.
Social media influences patient perceptions and can complicate doctor-patient relationships.
The future of hormone therapy is promising, but access and education are key.
Healthcare providers must navigate the complexities of patient education in a fast-paced environment.
The importance of shared decision-making in patient care cannot be overstated.
The conversation around menopause and hormone therapy is evolving, and more research is needed.
Jennifer on IG
https://www.washington-gyn.com/
To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
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THE WORLD IS CHANGING!!! Erasing fear with evidence, science and facts!
This conversation delves into the significant impact of hormone replacement therapy (HRT) on women's health, particularly in the context of menopause. Dr. Rubin, Casperson and Makary discuss the recent FDA decision to remove black box warnings associated with HRT, which have perpetuated fear and misinformation for decades. They emphasize the importance of educating both clinicians and patients about the benefits and risks of HRT, highlighting the long-term health advantages it offers, such as reducing the risk of heart disease and osteoporosis. The discussion also addresses the need for informed consent and the importance of empowering women to make educated decisions about their health.
Takeaways
50 to 70 million women have been denied health benefits from HRT.
The FDA's removal of black box warnings is monumental.
Misconceptions about HRT have persisted for decades.
Education is crucial for both clinicians and patients.
Hormone therapy can significantly reduce heart disease risk.
Women often face barriers in accessing HRT.
Informed consent is essential for women's health decisions.
Long-term benefits of HRT include reduced risk of osteoporosis.
The healthcare system needs to better address women's health issues.
A collaborative approach is needed to improve women's health outcomes.
FDA DIRECT podcast
Dr. Makary's "Blind Spots" book
To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause.
They explore the complexities of women's sexual health, the impact of hormonal changes, and the importance of communication in relationships. Dr. Boyle shares her journey into understanding perimenopause, the effectiveness of EMDR therapy for trauma, and the cultural pressures women face regarding their bodies and sexuality.
The conversation emphasizes the need for qualified therapists and the significance of creating safe spaces for women to explore their desires and experiences.
Takeaways
Low libido can be a message rather than a problem.
Healing trauma doesn't require reliving it, but releasing it.
Perimenopause can last for many years, affecting women's health.
EMDR therapy helps process traumatic memories effectively.
Women often bear the emotional labor in relationships, leading to stress.
Communication about sex is crucial for healthy relationships.
Desire for sex can be influenced by hormonal changes and emotional safety.
Cultural attitudes towards women's bodies impact their sexual health.
Consensual non-monogamy requires clear communication and boundaries.
Therapists should be trained in women's sexual health issues.
https://www.rachelboyle.com/
To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Sara Reardon, a board-certified pelvic floor physical therapist, discuss the importance of pelvic floor health for women at every stage of life.
They explore common misconceptions, the need for better education, and the role of physical therapy in addressing pelvic health issues such as incontinence and pain during sex.
Dr. Reardon emphasizes the importance of proactive care, the impact of hormones, and the necessity of normalizing conversations around women's health. The episode also highlights the challenges of accessing care and the growing awareness of pelvic floor therapy as a vital resource for women.
https://thevagwhisperer.com/
The Book "Floored"
To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
What do you get when a top New York news anchor, a journalist, and a perimenopausal powerhouse writes a book? You get How to Menopause — a no-BS guide to midlife, straight from someone who lived it, confused, anxious, and totally unsupported.
In this episode, I sit down with my friend and author Tamsen Fadal to talk about what it was like to unknowingly navigate perimenopause during a high-profile career, the moment she literally hit the bathroom floor, and why she turned her personal chaos into a mission to educate others. We talk hormones, misdiagnoses, pelvic floor surprises, brain fog on live TV, and why body composition matters now.
Oh, and yes — she verbed “menopause.”
This one’s raw, real, funny, and totally relatable. Whether you’re in the middle of it or still wondering what the hell is going on, this episode (and her book) is for you.
🎙️ Listen now and learn how to menopause — your way.
https://www.instagram.com/tamsenfadal
HOW TO MENOPAUSE BOOK
To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Juliana Hauser discuss the themes of holistic sexuality, emphasizing the importance of unlearning societal norms and embracing body acceptance. They explore the journey of self-discovery, the impact of sexual confidence, and the necessity of communication in relationships. The conversation also touches on the consequences of medications like Viagra, the need for more sex therapists, and the misconceptions surrounding female sexuality. Ultimately, they highlight the significance of arousal and connection as essential components of a fulfilling sexual experience.
Takeaways
Sexuality is a necessity, not a luxury.
Unlearning societal norms is crucial for sexual confidence.
Body compassion can transform one's relationship with self.
Self-discovery is a journey that enhances sexual experiences.
Communication is key in sexual relationships.
Viagra's impact on sexual dynamics needs to be addressed.
There is a gender bias in sexual health treatments.
More sex therapists are needed to support women's sexual health.
Misconceptions about female sexuality hinder self-acceptance.
Arousal should be embraced as a valuable part of sexuality.
https://dr-juliana.com/
https://www.instagram.com/drjulianahauser
A New Position On Sex
To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
We are back again with Susan Bratton! I’m thrilled to welcome my friend and sex and intimacy expert Susan Bratton back to the podcast for another eye-opening conversation. Susan always brings the real talk, and today we’re going even deeper—literally and figuratively—into the world of sexual wellness.
We covered so much in this episode:
💫 Yoni massage—what it is, why it’s powerful, and how it can help women reconnect with their bodies
🧠 The science (and magic) behind orgasmic activation
🔍 Why understanding female anatomy is essential for better sex—for everyone
💉 The importance of blood flow, hormones, and tools for managing erectile dysfunction
📣 And of course, why communication is the real MVP when it comes to intimacy
We also touched on the realities of STIs in midlife, why sexual wellness is a lifelong journey, and how dropping the shame around pleasure opens the door to true empowerment.
This conversation is a blend of science, wisdom, and no-BS practical advice. Whether you’re curious about new techniques, want to support your partner better, or are just exploring what sex can look like in this next chapter of life—Susan brings it all to the table.
Let’s keep normalizing the conversations we never got to have. Because guess what? You’re not broken—and pleasure is not optional.
— Kelly
https://susanbratton.com/
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Dr. Heather Hirsch joins Dr. Kelly Casperson to discuss the complexities of perimenopause and menopause. They explore the importance of understanding hormonal health, the misconceptions surrounding these transitions, and the need for better education and treatment options for women. The conversation emphasizes the significance of quality of life and the role of hormone therapy in managing symptoms. They also address the challenges in the medical community regarding women's health and the necessity for a shift in how these topics are approached.
Dr. Hirsh's Book
Want more honest, empowering conversations like this one? Order my New Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.
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Another live author Q&A for my newly released 2nd book "The Menopause Moment" - get your copy today!
In this episode we talk a lot about mindset and how important it is in midlife - and then I take a bunch of questions about hormones and more!
Get your copy now!
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 GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.
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The book is out! This was one of two author Q&A's I did with the amazing humans who pre-ordered the book. But there is something in here for everyone. Enjoy the show!
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 GennaMD by Solv Wellness, visit for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com
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Publication date is September 16th!
What if everything you've been told about midlife and menopause is wrong?For too long, women have been fed fear and confusion about hormones, aging, and what it means to navigate midlife. The result is a generation of women left guessing about their own bodies, misinformed by outdated science, and held back by myths that serve no one.This book is not here to tell you what to do; it's here to give you the knowledge to decide for yourself because women like you are smart. You'll learn the truth about what happens to your body in midlife, how hormones actually work (without the hype or fearmongering), and evidence-based strategies to feel your best and the power to live life on your terms - in health and with science-backed strategies for your longevity.Midlife isn't an ending. It's an evolution. And when you understand what's happening in your body, you can step into this next chapter with confidence, clarity, and power.Are you ready to take back the narrative?
Get your copy now!
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 GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
Episode 334 of the You Are Not Broken podcast, Dr. Kelly Casperson discusses her upcoming book tour for 'The Menopause Moment' and dives into the relationship between menopause, hormones, and skin health.
She emphasizes the importance of understanding how hormonal changes during menopause affect skin quality and overall health, advocating for the use of hormone replacement therapy (HRT) to mitigate these effects. The conversation highlights the need for better education on the benefits of hormones and challenges misconceptions surrounding their use.
Takeaways
The Menopause Moment book is available for pre-order.
Estradiol and Estriol can be beneficial for skin health.
Skin changes during menopause are significant and often distressing.
Hormones play a crucial role in skin quality and health.
There is a lack of awareness about the effects of low hormones on skin.
HRT can improve skin elasticity and hydration.
Many women are not informed about hormone therapy options.
The decline in estrogen leads to decreased collagen and moisture in the skin.
Preventative health measures should be supported, including hormone therapy.
Skin Paper by Viscomi et al
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
Hey friends—today I’m diving deep into the world of intimacy, libido, and sexual health with none other than Susan Bratton. If you don’t know Susan yet, get ready—she’s a powerhouse in the space of sex education and intimacy coaching. We’re talking practical, unapologetic advice for creating more connected, pleasure-filled relationships—especially in midlife.
We covered a lot:
🔥 Why so many women feel disconnected from desire—and what to do about it
🧠 The science behind libido, arousal, and how midlife hormones impact it all
💬 Communication tools to talk to your partner about what you really want
🛏️ Techniques for deeper pleasure and emotional connection
💡 Susan’s take on sexual regenerative therapies (yes, we went there)
This episode is about reclaiming your sex life—without shame, and with actual useful information. Whether you’re in a long-term relationship or figuring things out solo, Susan drops gems that will absolutely shift your mindset around intimacy.
As always, we go there—with science, humor, and zero judgment.
Let me know what you think and don’t forget to share this one with a friend who needs a reminder that they’re not broken—especially in the bedroom.
https://susanbratton.com/
pleasureprotocol.com
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
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 GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
In Episode 332, I sit down with Dr. Vonda Wright, a double board-certified orthopedic surgeon, to explore the often-overlooked impact of menopause on musculoskeletal health. Together, we uncover the critical role of hormones in maintaining bone and joint health and share practical strategies for managing menopause-related changes.
Key Discussion Points:
The role of estrogen in bone density and joint health.
Common musculoskeletal issues during menopause, including osteoporosis and arthritis.
The benefits and considerations of hormone replacement therapy.
Lifestyle changes and exercises to support musculoskeletal health.
Personal stories and insights from Dr. Wright's experiences and research.
Conclusion: Empower yourself with knowledge and strategies to navigate menopause with strength and resilience. Don't miss this insightful conversation that sheds light on the intersection of menopause and musculoskeletal health.
Dr. Wright's book Unbreakable
Tickets to Orlando Event 2025
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of You Are Not Broken, Dr. Kelly Casperson recaps the recent FDA event dedicated to women’s health, spotlighting the critical role of hormones like testosterone and estrogen. She shares key insights from expert panels, explains why better education and prescribing practices are urgently needed among physicians, and reveals exciting details about her upcoming book on menopause. Kelly also explores the mental health impact of hormonal changes during perimenopause and offers a preview of her nationwide book tour aimed at rewriting the conversation around midlife health.
Key Takeaways
The You Are Not Broken podcast has surpassed 4 million downloads.
The FDA event brought women’s health—and hormones—into the spotlight.
There is a critical need for female-dose testosterone to be recognized and approved.
Changing outdated prescribing habits is key to improving women’s health care.
Hormones are powerful tools for preventing disease and improving quality of life.
Menopause and hormonal health education remain dangerously underrepresented in medicine.
Kelly’s upcoming book aims to bust myths and empower women with facts.
Her book tour will bring this conversation to cities across the country.
Hormonal changes in perimenopause can drive significant mental health challenges.
Advocacy for women’s hormone therapy is essential for better health outcomes.
Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
This week I’m joined by Dr. Christopher Wallis, a urologist and researcher whose groundbreaking work shows something that might just change the way you think about surgery and medicine: patients are more likely to survive—and thrive—when operated on by a female surgeon and physician.
We dive deep into the data, including studies across multiple countries and specialties, and unpack the consistent 5% reduction in 30-day mortality rates when the surgeon is a woman. Dr. Wallis also discusses how female anesthesiologists impact outcomes, why communication and trust matter so much in surgery, and how female physicians are often unfairly penalized for complications.
This episode is more than stats—it’s about challenging the system, confronting bias, and empowering both patients and physicians to make more informed, conscious choices. If you’ve ever wondered whether gender matters in medicine, or how we can build a better, fairer healthcare system—don’t miss this one.
We cover:
✔️ Why female surgeons lead to better outcomes
✔️ The role of bias and the “rigged” system women in medicine face
✔️ What patients should look for in a surgical team
✔️ Why systemic change is long overdue in healthcare
Let’s get into it.
DOI:10.1097/SLA.0000000000006217
http://dx.doi.org/10.1136/bmj-2023-075484
https://uofturology.ca/directory/faculty/wallis-chris/
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
This week on the You Are Not Broken podcast, I'm joined by the incredible Dr. Rocio Salas-Whalen, an expert in obesity medicine who breaks down the real science behind GLP-1 medications like Ozempic and Wegovy. Spoiler: they’ve actually been around since 2005 for diabetes, and only now are we waking up to their potential in treating obesity as the complex disease it is—not a failure of willpower.
We talk about how COVID changed the national conversation on obesity, shifting it from “personal choice” to a serious health risk that deserves real medical treatment. We get into how GLP-1s work, why maintaining muscle is critical during weight loss, and the often-ignored psychological shifts that happen when your body changes rapidly.
Dr. Salas-Waelin also clears up the noise: Are GLP-1s safe? Are they just for the ultra-rich? Will they be lifelong meds or stepping stones? And what’s next in hormone-based obesity treatment?
This is a must-listen if you’re using—or considering—GLP-1s, working in healthcare, or just want to understand what’s really going on behind the headlines.
In this episode, we cover:
Why GLP-1s aren’t actually new—and why that matters
How COVID helped the world reframe obesity as a disease
The importance of muscle preservation during weight loss
How to make sure your protein intake supports your body
What happens to your brain when your body changes fast
Myths and misconceptions about the safety and use of GLP-1s
The future of GLP-1s: personalized care, better formulations, and smarter dosing
Why body composition (not just weight) should be part of the conversation
This episode is about science, empowerment, and getting real with the tools we have to help people feel better in their bodies—inside and out.
🎧 Tune in and share with someone who's navigating weight, health, or hormones.
https://www.nyendocrinology.com/
https://www.instagram.com/drsalaswhalen
Pre Order Dr. Salas-Whalen's book "Weightless"
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
Episode 328: Should I take hormones?
In this episode, I dive deep into the evolving conversation around hormone therapy—where we’ve been, where we are, and where we need to go. If you’ve been confused, scared, or unsure about hormones, this one’s for you. I break down the myths, share the science, and explain why education—not fear—should drive our health decisions.
I talk about the crucial difference between vaginal and systemic hormones, the benefits of both, and why so many women are missing out simply because they’ve never been properly informed. I also touch on the role of GLP-1 medications, not just for weight, but as part of a broader discussion around midlife health.
We also get into the realities of perimenopause—what’s normal, what’s not, and how to stop dismissing symptoms as “just aging.” I explain why hormone therapy isn’t just about hot flashes—it’s a longevity and quality-of-life tool. The truth? Living decades post-menopause without hormones can come with real risks. But with the right education, you get to choose what’s right for you.
Reminder: knowledge is power—and the foundation of empowered healthcare.
Takeaways:
The narrative around hormone therapy is changing—from fear-based to informed and empowering.
Education is the single most important tool in making good decisions about your health.
Vaginal estrogen and DHEA are safe and effective for many postmenopausal women.
Perimenopause isn’t just “normal aging”—hormonal shifts can cause real symptoms worth treating.
GLP-1 medications are part of a bigger picture of metabolic and hormonal health.
It’s never too late: women post-menopause can still benefit from hormone therapy.
Hormones play a critical role in preventive health, including protecting your bones and brain.
We need to stop misunderstanding breast cancer risk in the context of hormone therapy.
Choosing to live without hormones comes with its own set of risks—know them before deciding.
Want more honest, empowering conversations like this one?
Preorder my Next Book , share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
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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
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Episode 327: Bladder Leakage Is Common, But That Doesn’t Mean It’s Normal — with Dr. Alex Rogers
I’m joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage.
We’re two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you’re dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you’re just confused about what’s going on down there, this episode is for you.
We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!).
Dr. Rogers and I dive into:
Why bladder leakage is so common — and why we shouldn’t normalize it
The real science behind overactive bladder
Why Botox is an underutilized but super effective treatment option
How pelvic floor therapy fits into the bigger picture
What’s new and exciting in urology (hello, neuromodulation and telehealth)
The frustrating role of insurance in limiting access to care
How to find a provider who actually knows what they’re doing when it comes to bladder health
This isn’t just a “deal with it” issue — it’s a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let’s talk.
Takeaways:
Bladder leakage is common but under-discussed
Hormonal changes play a huge role in bladder function
Overactive bladder ≠ stress incontinence — and treatments vary
Botox is a powerful and underutilized option
Telemedicine and new tech are changing the game
Education empowers patients to advocate for better care
Insurance hurdles are real — and we need to fight for better access
Find the right specialist — not all care is created equal
Let’s stop suffering in silence and start empowering ourselves and our patients with facts, not shame.
🎧 Listen now and share with someone who needs to know they're not alone — and that bladder leakage is treatable.
https://www.bladderboutique.com/
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices
326. Australia, Testosterone, Mast Cells and More
In this episode, I sit down with Dr. Ceri Cashell for a wide-ranging conversation that spans continents and dives deep into women’s health—from hormones to mast cells to medical mindset. Dr. Cashell and I talk about what we’re seeing in clinical practice and what women around the world are still fighting for: access, advocacy, and actual answers.
We unpack the critical role of testosterone in women’s health (yes, women have and need testosterone), and explore how cultural perceptions—especially around sexuality—still shape what treatments women are offered or denied. We also talk about mast cell activation syndrome and how it might explain so many symptoms that often get brushed off or misdiagnosed in women.
We get into why vaginal DHEA is so underutilized, how lifestyle changes make a real impact, and why curiosity in medicine is a superpower. There’s also a deep dive into the hormone–mental health connection and why so many women are struggling in silence because of outdated medical thinking.
This episode is a reminder: women’s health is not niche, and we deserve better.
Takeaways:
Testosterone isn’t optional—it’s vital for women’s health, especially during midlife.
Cultural norms around sexuality still impact the care women receive.
Mast cell activation syndrome might be the missing puzzle piece for many women with unexplained symptoms.
We need more advocacy to break through the outdated thinking that limits women’s treatment options.
Lifestyle changes matter—more than most doctors admit.
Staying curious as a clinician can change the game for patients.
Vaginal DHEA is safe, effective, and overlooked far too often.
Hormones are deeply connected to mental health—this isn’t just about libido.
Access to hormone therapy is often blocked by stigma, not science.
Education and awareness are the keys to transforming women’s healthcare.
Australian petition to put Androfeme on PBS
https://www.instagram.com/drcericashell/
https://www.healthyhormones.au/
https://drcericashell.com/
Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
My Website
Interested in my sexual health and hormone clinic? Waitlist is open
Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause
Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com
Learn more about your ad choices. Visit podcastchoices.com/adchoices




Someone's got to be first... I've already said that @kellycaspersonmd is the holy Grail for women and probably men if they listened with an open mind. For me my only regret is not knowing all of this year's ago but thank goodness others are learning now. I just want all women to bbe this educated.