You Are Not Broken Kelly Casperson, MD

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/
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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!

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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

Sexual Empowerment, Reframing Pain,  Autism Experiences, Sex Work and More

This is a wide-ranging conversation, and I hope you enjoy it!

Suzannah Weiss is a feminist writer and sexologist. She is the
author of Subjectified: Becoming a Sexual Subject, which describes her search for sexual empowerment and her vision for a world where women are subjects, not just objects, of desire.
As a sex educator certified by the American Association of Sexuality Educators, Counselors, and Therapists, Suzannah has taught courses and given talks on topics including consent, orgasms, childbirth, non-monogamy, and neurodiversity.

Offering a deeply personal account and powerful critique of
sexual empowerment movements, Suzannah Weiss presents a way forward that focuses more on what women desire, and less on what men desire from them.

She makes a bold yet compassionate call for women everywhere to inhabit their bodies and hearts ― to remain connected to their inner eye and their inner "I," even in a world where they are disproportionately "you," "she," or "them."



Takeaways


Reframing attitudes towards menopause is important to celebrate the positives of this life phase and challenge societal beliefs that devalue women in menopause.

The objectification of older women in medical contexts can lead to dismissive treatment of issues related to desire and pleasure, highlighting the need for more inclusive and comprehensive healthcare.

Understanding and addressing period pain requires recognizing that pain experiences vary among individuals, and it is essential to validate and investigate severe pain rather than dismissing it as normal.

The orgasmic birthing movement promotes a positive and pleasurable birthing experience, emphasizing presence, breathwork, and sensory awareness to enhance the intensity and pleasure of childbirth.

Supporting autistic individuals in dating and sexuality involves celebrating their strengths and unique experiences, promoting positive relationships, and challenging societal stereotypes and assimilation efforts.

Pleasing and empowering women in the bedroom requires men to understand and respect boundaries, communicate openly, and prioritize mutual pleasure and consent.

Changing attitudes towards masculinity and sex work involves recognizing the potential for men to use their sexuality for good, promoting respect and consent, and challenging societal shame and stigma around sex work.

Teaching meaningful consent and embodied consent involves tuning into one's body and feelings to determine consent, promoting open communication, and reframing consent as an ongoing process rather than a one-time agreement.


Subjectified by Suzannah Weiss

You can find her on Twitter (@suzannahweiss) or Instagram (@weisssuzannah).



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

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

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



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

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

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

www.kellycaspersonmd.com/membership


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Dr. Morgentaler, is a leading international figure in the fields of testosterone therapy, prostate cancer, and male sexuality. He graduated from Harvard College in 1978, and Harvard Medical School in 1982.


Dr. Morgentaler is credited with shattering the decades-old
belief that testosterone therapy is risky for prostate cancer, and pioneering the modern use of testosterone in men. More recently, Dr. Morgentaler has been a leading scientific figure in the global discussion regarding cardiovascular risks of testosterone therapy.


Summary
Dr. Morgantaler, an expert in testosterone therapy, joins
the podcast to debunk myths and misconceptions surrounding testosterone. He discusses the importance of testosterone beyond sex, challenges gender bias and stereotypes, and highlights the impact of the Women's Health Initiative study on testosterone therapy. Dr. Morgantaler also addresses the reluctance of doctors to advocate for testosterone therapy and the challenges of off-label use and insurance coverage. He shares exciting developments in testosterone therapy and presents evidence that contradicts the belief that testosterone increases the risk of prostate cancer. He concludes by explaining the paradox of lowering testosterone and its effect on prostate cancer. The conversation explores the relationship between testosterone and prostate cancer, highlighting the misconception that testosterone drives prostate cancer growth. It is explained that there is a specific range of testosterone levels, around 250 nanograms per deciliter, where prostate growth is optimal. The concept of saturation is introduced, emphasizing that testosterone deprivation is more accurate than testosterone driving cancer. The discussion then shifts to the idea that different tissues may have different saturation points for testosterone. The importance of testosterone for quality of life is emphasized, with anecdotes from patients who experienced improved well-being on testosterone replacement therapy. The conversation concludes by addressing the trivialization of hormone deficiency and the need to prioritize quality of life in medical care.


Takeaways


Testosterone has important functions beyond sex, including impacts on brain function, muscle and bone health, fat distribution, and red blood cell production.

Misconceptions and gender bias have led to skepticism and reluctance among doctors to consider testosterone therapy for various conditions.

The Women's Health Initiative study had a significant impact on the perception of testosterone therapy, leading to a decline in its use.

The FDA's role in regulating testosterone therapy and insurance coverage limitations have created challenges for patients seeking treatment.

Recent research, including the Traverse trial, has debunked the myth that testosterone therapy increases the risk of prostate cancer.
 


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


Our other amazing podcast sponsors

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


Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024
 
Listen to my Tedx Talk: Why We Need Adult Sex Ed
 
Take my NEW Adult Sex Ed Master Class:
https://www.kellycaspersonmd.com/adult-sex-ed
 
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership




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Dr. Martha Boone, a urologist and author, discusses alternative therapies in urology, the importance of quality information, and the changing landscape of hormone therapy. She shares her experiences with alternative treatments for bladder health, pelvic pain, and urinary tract infections. Dr. Boone also discusses the journey of testosterone and prostate cancer, highlighting the shift in understanding and treatment approaches. She emphasizes the importance of considering quality of life in medical decision-making and the need for individualized care. In this conversation, Dr. Martha Boone discusses her experiences in urology practice and her transition to writing. She highlights the challenges urologists face in providing comprehensive care within limited time constraints. Dr. Boone also shares her journey as a writer, including the publication of her books. The conversation explores the differences between writing fiction and nonfiction, as well as the difficulties of writing memoir. The unreliability of memory is also discussed, emphasizing the subjective nature of personal recollections. The conversation concludes with gratitude and encouragement for the next generation of urologists.

Takeaways


Alternative therapies can play a valuable role in urology, providing patients with additional options for treatment and symptom management.

Access to quality information is crucial for patients to make informed decisions about their health and navigate the overwhelming amount of information available online.

The journey of testosterone and prostate cancer highlights the evolving understanding of hormone therapy and the importance of individualized care.

Considering quality of life is essential in medical decision-making, as it can greatly impact a patient's overall well-being and satisfaction with treatment. Urologists often face challenges in providing comprehensive care within limited time constraints.

Transitioning from a medical career to writing requires discipline and adaptation to different genres.

Writing fiction and nonfiction require different storytelling skills and approaches.

Writing memoir can be particularly challenging due to the subjective nature of personal recollections.

Memory is unreliable, and individual recollections of events can vary significantly.

Gratitude and encouragement for the next generation of urologists.


Martha B. Boone, M.D.Author of: The Big Free, The Unfettered Urologist, and Mother CharityMarthaBoone.comTwitter: @drmarthabooneFB: MarthaBBoone



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



Our other amazing podcast sponsors

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

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



Check out details for my retreat: ⁠https://ascendretreats.com/2024-kellycasperson-sedona/⁠



Listen to my Tedx Talk: ⁠Why We Need Adult Sex Ed⁠



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



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

⁠www.kellycaspersonmd.com/membership


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Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message