You Are Not Broken Kelly Casperson, MD

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein
Dr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes.
Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia).
Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia.
In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain.
Takeaways
Cervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking.
Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally.
Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases.
Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments.
The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia.
Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia.
Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients.
Pain control should be prioritized during procedures, such as IUD insertion.
Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings.
https://vulvodynia.com/
https://www.gyncancer.org/

Solv Wellness
To learn more about Solv Wellness and their products for female pelvic health, visit solvwellness.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.
Listen to my Tedx Talk: Why we need adult sex ed
Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership

263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon Malone
Dr. Malone is a nationally known expert in women’s health and a vocal advocate for menopause awareness and evidence-based information about hormone replacement therapy. A certified Menopause Practitioner, she believes that all women should be able to make decisions regarding their health and quality of life based on facts – not fear.
Her first book, Grown Woman Talk: Your Guide to Getting and Staying Healthy, is out now and is a New York Times Bestseller!
Dr. Sharon Malone, an expert in women's health and menopause, discusses her transition from traditional OB-GYN practice to menopause care and her role at Alloy Women's Health. She emphasizes the importance of telehealth in providing access to care for perimenopausal and menopausal women. Dr. Malone also addresses misconceptions about hormone replacement therapy and the need for individualized treatment decisions.
She highlights the gender disparities in medicine and the need for more research on women's health. Additionally, Dr. Malone discusses the role of testosterone in menopause and the challenges in accessing and prescribing it for women. In this conversation, Dr. Sharon Malone and Dr. Kelly Casperson discuss various topics related to women's health, including the lack of FDA approval for testosterone preparation for women and the need for more research on testosterone in women.
They also highlight the additional struggles faced by African American women and minorities in menopause and emphasize the importance of advocating for women's health and quality of life. The conversation provides practical advice on how to advocate for oneself in medical conversations and emphasizes the importance of being prepared and efficient in doctor's visits. Lastly, they debunk the inaccurate breast cancer risk statistic of one in eight.
There is a need for FDA approval of testosterone preparation for women and more research on testosterone in women.
African American women and minorities face additional struggles in menopause and may have difficulty accessing appropriate treatments.
Advocating for women's health and quality of life is crucial, and patients should be prepared and efficient in medical conversations.
Knowing one's medications and their purpose is important for effective communication with healthcare providers.
The commonly cited breast cancer risk statistic of one in eight is inaccurate and can cause unnecessary fear.
https://www.drsharonmalone.com/
https://www.instagram.com/smalonemd/
https://twitter.com/smalonemd
Grown Woman Talk: Your Guide to Getting and Staying Healthy
Solv Wellness
To learn more about Solv Wellness and their products for female pelvic health, visit solvwellness.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
 ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.

Women Waking Up - Perimenopause, Hormones, and Personal Growth with Marcella Hill
Calling all the women who think they're going insane!
You have found your people.
Marcella Hill shares her journey of awakening and finding her true self during perimenopause and hormone therapy. She discusses the lack of support for women's hormonal health and the challenges women face in getting the help they need. Marcella also explores the impact of hormone therapy on relationships and the process of reclaiming sexual empowerment. She offers tips for waking up and discovering one's true self. In this conversation, Marcella Hill and Kelly Casperson, MD discuss the importance of breaking labels and embracing individuality. They explore the concept of safety versus curiosity and the need for a future-forward vision. They emphasize the power of living in the present and finding joy in everyday life. They also discuss the dangers of defining self-worth by titles and the importance of pursuing passions. The conversation highlights the challenges women face in the healthcare system and the need for women to take control of their own health.

Perimenopause and hormone therapy can lead to a journey of self-discovery and awakening.

There is a lack of support and education for women's hormonal health, leading to many women not getting the help they need.

Hormone therapy can have a significant impact on relationships, requiring couples to navigate changes and redefine their dynamics.

Reclaiming sexual empowerment and exploring one's desires and preferences is an important part of the awakening process.

Asking oneself questions and challenging societal norms can lead to a deeper understanding of one's true self. Break free from labels and embrace your individuality.

Challenge the notion of safety and explore curiosity.

Find joy in everyday life and live in the present moment.

Define your self-worth beyond titles and pursue your passions.

Take control of your own health and advocate for yourself.

https://www.wakeherup.co/
https://www.instagram.com/beingmarcellahill/
https://www.tiktok.com/@beingmarcellahill
Facebook

Solv Wellness
To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
Alloy
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.
Listen to my Tedx Talk: Why we need adult sex ed
Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership

Unlocking Pleasure: Exploring Sexuality & Relationship Dynamics
In this episode, Caitlin V. Neal, a sexologist and researcher, discusses her journey into sex education and coaching. She shares her experience working with individuals and couples to improve their sexual performance and pleasure. Caitlin also introduces the concept of the Erotic Blueprints, which categorizes different types of sexual preferences and desires. Additionally, she addresses the common myths and concerns surrounding premature ejaculation and provides insights on how to address this issue. In this conversation, Caitlin V and Dr. Kelly Casperson discuss various topics related to sexuality and relationships. They explore the impact of conditioning on premature ejaculation, the understanding of female squirting, navigating sexual expectations in heterosexual relationships, the invisibility of bisexual women, and the discrimination against non-monogamous relationships.
Takeaways

Premature ejaculation can be influenced by conditioning and unrealistic expectations placed on men.

Female squirting is a normal and natural phenomenon that can be learned and experienced by many individuals.

Open and honest communication is essential in navigating sexual expectations and desires in heterosexual relationships.

Bisexual women often face invisibility and discrimination due to societal misconceptions and stereotypes.

Non-monogamous relationships are often stigmatized and judged, leading to discrimination and lack of acceptance.


youtube.com/caitlinv
https://www.instagram.com/caitlinvictoriousx
https://www.caitlinvneal.com/
FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today.
Our other amazing podcast sponsors
To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024

Listen to my Tedx Talk: Why we need adult sex ed

Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership

260. Women and Testosterone

I join Dr. Harper on her “Women’s Power Hour” in the UK on IG live and it was such a good chat she let me have the audio for the podcast.

Dr. Kelly Casperson and Dr. Harper discuss the
importance of testosterone for women's health, including muscle mass, metabolism, mental health, and the health of the genitourinary tract. They address common questions and misconceptions about testosterone, such as why it isn’t easy to prescribe and the normal ranges for women. They also explore the use of testosterone in the treatment of genetic urinary syndrome of menopause and its potential benefits for breast cancer survivors. The conversation highlights the need for personalized hormone therapy and the importance of considering other factors that may impact libido and overall well-being.

Why are there many urologists who are experts in female pelvic health and hormones?

There are no “perfect” testosterone levels; we don’t treat it to a level, but rather, there is a range.

How Testosterone helps with genitourinary syndrome of menopause (GSM).

In perimenopause, sometimes testosterone is the first thing we start for symptoms.

Sometimes testosterone supplementation takes several months to have effects.

What to do if you don’t feel effects.  Dr. Harper shares some tips and tricks.

Testosterone is important for women's health,
including muscle mass, metabolism, mental health, and the health of the genital, urinary tract.

There are misconceptions and challenges surrounding the prescription of testosterone for women, including the lack of a female-licensed product and the off-label use of male testosterone products.

Testosterone can be beneficial for women with
genetic urinary syndrome of menopause and breast cancer survivors, but individualized treatment and monitoring of hormone levels are important.

Hormone therapy should be personalized, and
other factors that may impact libido and overall well-being should be considered.

Testosterone positively affects brain function and mental clarity, which can greatly improve the quality of life for women.

Should we use hormones for preventative health?

We make estrogen via the androgen pathway.

Reasons that we benefit from testosterone.

There is no female-licensed product in either
the UK or the USA. https://www.instagram.com/drshahzadiharper/

https://theharperclinic.com/

FirmTech sponsors this podcast today. Go to
⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today.

Our other amazing podcast sponsors

To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.

Women of all ages deserve to feel fantastic.
And we can—because there is relief to be found. Go to ⁠myalloy.com⁠
to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20
off any purchase, one time use, and expires July 31, 2024

Listen to my Tedx Talk: Why we need adult sex ed

Take my NEW Adult Sex Ed Master Class:
https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

www.kellycaspersonmd.com/membership


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In this episode, my panel of menopause expert physicians and nurse practitioners discuss the recent four-part article series on menopause published in The Lancet (link below).

We address the agenda behind these articles and the implications for menopause care. The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues.

We also criticize the suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms, highlighting the barriers to access and the lack of evidence supporting its effectiveness.

The panel advocates for a comprehensive and individualized approach to menopause care. The conversation methodically identifies the principal themes discussed in the Lancet article on menopause.

We cover topics such as biased review articles, the citation of the author's own studies, the lack of balance in the article, possible reasons for publication, surprising reactions from colleagues, the lack of education and training, the dismissal of women's experiences, ageism in medicine, the importance of treating perimenopause, ignoring the suffering of perimenopause, setting the stage for future health issues, empowerment through hormone therapy, misconceptions about hormone therapy and breast cancer, estrogen's protective effects on breast cancer, lifestyle factors and breast cancer risk, advocating for access to menopause specialists, and the importance of seeing a menopause specialist.

Takeaways


The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues.

The suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms is criticized due to barriers to access and lack of evidence supporting its effectiveness.

The panel highlights the need for a comprehensive and individualized approach to menopause care, taking into account the diverse needs and experiences of menopausal individuals.

The Lancet articles were criticized for misrepresenting the benefits of hormone therapy and failing to acknowledge the impact of menopause on mental health and overall well-being. Review articles should present a balanced view by citing studies that prove and disprove a point, rather than cherry-picking data.

The Lancet article on menopause fell short of presenting a balanced view and may have been rushed for publication.

Many healthcare providers lack education and training on menopause, leading to dismissive attitudes towards women's experiences.

Hormone therapy is an important tool for treating perimenopause and menopause symptoms and can have protective effects on breast cancer.

Advocacy is needed to improve access to menopause specialists and expand telehealth services.


https://www.thelancet.com/series/menopause-2024

FirmTech sponsors this podcast today. Go to
⁠⁠myfirmtech.com⁠⁠ and enter code NOTBROKEN for 15% off today.

Our other amazing podcast sponsors

To learn more about Solv Wellness and their products for female pelvic health, visit ⁠⁠solvwellness.com⁠⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout.

Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠⁠myalloy.com⁠⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20
off any purchase, one time use, and expires July 31, 2024



Listen to my Tedx Talk: ⁠Why we need adult sex ed⁠

Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

⁠www.kellycasperson