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You Are Not Broken

By: Kelly Casperson MD
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  • Summary

  • Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives. Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy and health. Nothing in this podcast is personal medical advice, of course.
    Kelly Casperson, MD
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Episodes
  • 271. What Every Couple Needs To Know About Women's Hormones

    271. What Every Couple Needs To Know About Women's Hormones
    Jun 30 2024
    271. What Every Couple Needs To Know About Women's Hormones In this episode, Dr. Kelly Casperson discusses women's hormones and their impact on sexual health with sex therapist, Amanda Louder on her "Sex For Saints" podcast. She emphasizes that libido is influenced by biological, psychological, and social factors. The conversation focuses on perimenopause and postmenopause, highlighting the lack of education and information available to women in these stages of life. Dr. Casperson addresses the fear surrounding hormone replacement therapy (HRT) and explains that the Women's Health Initiative study in 2002 contributed to this fear. However, she emphasizes the numerous benefits of HRT, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders. We discuss the importance of vaginal estrogen in maintaining vaginal health and preventing urinary tract infections (UTIs). We highlight the issues of cost and the FDA's black box warning on estrogen products, which she believes are outdated and misleading. Dr. Casperson also addresses the misconception around bioidentical hormones, explaining that they are the same as the hormones produced by the body and can be obtained through insurance-approved medications. She emphasizes the need for individualized hormone therapy and the importance of communication in navigating menopause and sexual health. Takeaways Libido is influenced by biological, psychological, and social factors. Perimenopause and postmenopause are stages of life that lack sufficient education and information for women. The fear surrounding hormone replacement therapy (HRT) is largely due to the Women's Health Initiative study in 2002. HRT has numerous benefits, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders. Finding a knowledgeable healthcare provider and advocating for oneself is crucial in addressing women's sexual health concerns. Vaginal estrogen can be highly beneficial for women's sexual health, particularly in addressing issues such as chronic UTIs. Vaginal estrogen helps maintain vaginal health and reduces the risk of urinary tract infections (UTIs) by promoting a healthy acidic environment in the vagina. The cost of vaginal estrogen can vary significantly, but there are ways to find more affordable options, such as using online pharmacies and discount coupons. The FDA's black box warning on estrogen products is outdated and does not differentiate between systemic and vaginal estrogen. The safety of vaginal estrogen has been supported by multiple studies. Bioidentical hormones are the same as the hormones produced by the body and can be obtained through insurance-approved medications. The term 'bioidentical' is often used as a marketing tool. https://www.instagram.com/christiansexcoach/ https://amandalouder.com/blog/podcast/ Special thanks to our sponsor, SOLV! 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
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    1 hr and 2 mins
  • 270. Progesterone and Perimenopause

    270. Progesterone and Perimenopause
    Jun 23 2024
    Dr. Eve Henry, an internal medicine physician, joins Dr. Kelly Casperson on the You Are Not Broken podcast to discuss the importance of optimizing health span and preventing disease. They emphasize the need for a shift in the medical system from disease management to wellness and prevention. They also highlight the role of hormones in women's health, particularly during perimenopause. They discuss the benefits of hormone therapy for symptom management and prevention of conditions like Alzheimer's disease. They address common myths and misconceptions about hormones and provide insights into the use of progesterone and birth control options for perimenopausal women. In this part of the conversation, Eve and Kelly discuss the dosing and cycling of hormones during perimenopause and menopause. They talk about the variability in dosing and the benefits of cycling hormones. They also touch on the use of progesterone and estradiol in hormone therapy and the importance of finding the right doses for each individual. They discuss the role of DHEA in perimenopause and the potential benefits of supplementing with it. They also emphasize the importance of comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, to assess cardiovascular risk and overall health. Takeaways The medical system needs to shift from disease management to wellness and prevention. Hormone therapy can be beneficial for symptom management and prevention of conditions like Alzheimer's disease. Progesterone is an important hormone during perimenopause and can help alleviate symptoms. There are various birth control options available for perimenopausal women. Regular monitoring and individualized treatment are key in hormone therapy. Dosing and cycling of hormones during perimenopause and menopause can vary based on individual needs and symptoms. Progesterone is used to protect the uterus and is typically dosed at 100 milligrams for uterine protection during continuous hormone therapy. Cycling hormones can be beneficial for some women, but it may be challenging to track and can be discontinued if it causes discomfort. DHEA supplementation may be helpful for increasing testosterone levels and improving symptoms of low testosterone. Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are important for assessing cardiovascular risk and overall health during perimenopause and beyond. https://www.instagram.com/drevehenry/ Special thanks to our sponsor, SOLV! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership
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    1 hr
  • 269. The Bedroom Gap with Dr. Sophocles

    269. The Bedroom Gap with Dr. Sophocles
    Jun 16 2024
    Dr. Maria Sophocles discusses her TED Talk on sex in midlife and the bedroom gap between men and women. She explains the physiological changes that occur in the vulva and vagina during midlife and how they can affect a woman's sex life. She emphasizes the importance of vaginal estrogen as a preventative medicine and the need for better education and communication between clinicians and patients. Dr. Sophocles also highlights the need for couples to have open and honest conversations about their sex life and the role of sex therapy in addressing sexual health issues. The conversation covers various topics related to gender roles, sexual pleasure, and the impact of menopause on libido. It emphasizes the importance of communication and breaking societal norms in order to achieve gender equity in the bedroom. The fear and misconceptions surrounding estrogen and its association with cancer are also addressed. The conversation concludes with a discussion on the power of education and open dialogue in changing societal attitudes towards sex and pleasure. Takeaways Physiological changes in the vulva and vagina during midlife can affect a woman's sex life. Vaginal estrogen is a safe and effective preventative medicine for addressing genitourinary changes. There is a need for better education and communication between clinicians and patients regarding sexual health. Couples should have open and honest conversations about their sex life to bridge the bedroom gap. Sex therapy can play a crucial role in addressing sexual health issues. Gender roles and societal norms often dictate women's role in the bedroom, leading to a lack of sexual pleasure and resentment. Women should feel empowered to prioritize their own pleasure and communicate their needs and desires to their partners. The loss of libido during menopause is a common concern for many women, but there are options available to address this issue. Fear and misconceptions surrounding estrogen and its association with cancer can prevent women from seeking treatment that could improve their sexual health. Education and open dialogue are essential in challenging societal attitudes towards sex and pleasure and promoting gender equity in the bedroom. https://www.instagram.com/mariasophoclesmd/ Dr. Sophocles TED talk https://mariasophoclesmd.com/ Special thanks to our sponsor, SOLV! To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership
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    55 mins
Physical Illness & Disease Hygiene & Healthy Living
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