270 episodes

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.

You Are Not Broken Kelly Casperson, MD

    • Health & Fitness
    • 5.0 • 1 Rating

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.

    270. Progesterone and Perimenopause

    270. Progesterone and Perimenopause

    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

    • 59 min
    269. The Bedroom Gap with Dr. Sophocles

    269. The Bedroom Gap with Dr. Sophocles

    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

    • 54 min
    268. Sex in Canada

    268. Sex in Canada

    Dr. Kelly Casperson shares her experience at the BC Sexual Health Research Networking Event at the University of British Columbia.
    She discusses various topics including sexual health, dating apps, virtual reality for vaginismus, and more. The event highlighted the importance of understanding the bio-psycho-social aspects of sexual health and the need for better sexual education.
    Dr. Casperson emphasizes that there are researchers and professionals dedicated to improving people's sex lives and that individuals are not alone in their struggles.
    Takeaways

    Sexual health encompasses the bio-psycho-social aspects of a person's well-being.

    Dating apps can perpetuate a narrative that dating is difficult and can have negative effects on mental health.

    Virtual reality shows promise as a tool for desensitization in the treatment of vaginismus.

    There is a need for better sexual education that addresses consent, gender-based violence, and the impact of technology.


    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

    • 42 min
    267. Kelly and Stacy London on "Hello Menopause"

    267. Kelly and Stacy London on "Hello Menopause"

    267. Kelly and Stacy London on "Hello Menopause"
    Dr. Kelly Casperson discusses the lack of education and research around menopause, the role of testosterone in female physiology, and the challenges of hormone therapy. She emphasizes the need for more funding for human research and the importance of individualized treatment for menopause. Dr. Casperson also addresses the restrictions and challenges in prescribing testosterone for women. The conversation covers a wide range of topics related to menopause, hormone therapy, and women's health. It delves into the challenges women face in accessing appropriate healthcare, the impact of hormone imbalance on mental health, and the importance of hormone therapy in midlife. The conversation also highlights the need for better understanding and treatment of menopause-related issues, as well as the role of preventative medicine in women's health.
    Takeaways

    The lack of education and research around menopause is a significant issue that affects the understanding and treatment of menopausal symptoms.

    Testosterone plays a crucial role in female physiology, and its decline during menopause can have a significant impact on various aspects of health and well-being.

    Individualized treatment for menopause is essential, and the challenges in prescribing testosterone for women highlight the need for more accessible and effective hormone therapy options. The importance of affordable and accessible hormone therapy for women in midlife.

    The impact of hormone imbalance on mental health and the need for appropriate treatment.

    The need for better understanding and treatment of menopause-related issues.

    The role of preventative medicine in women's health and the importance of advocating for oneself in healthcare decisions.


    Thank you to our podcast sponsor!
    Solv Wellness: To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.

    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
    https://www.instagram.com/kellycaspersonmd

    • 57 min
    266. Health Tech - Revolutionizing Vulvar Health with Dr. Uloko

    266. Health Tech - Revolutionizing Vulvar Health with Dr. Uloko

    Dr. Maria Uloko, a urologist specializing in comprehensive sexual health, discusses her journey into urology and sex medicine.
    She shares how she became interested in urology through a serendipitous encounter with a female urologist and her passion for surgery.
    Dr. Uloko also talks about the importance of representation in medicine and her research on vulvar health. She highlights the need for better healthcare policies and advocacy to improve patient care and physician well-being.
    The conversation touches on the challenges of the current healthcare system, including the degradation of the doctor-patient relationship and the lack of support for physicians.
    Dr. Maria Uloko discusses the importance of physicians being involved in health tech and the need for their expertise in decision-making. She shares her journey into health tech and her passion for democratizing healthcare, particularly in women's health. Maria highlights the gendered access to healthcare and the lack of patient resources.
    She explains her vision for VULVAI, an AI-powered platform that provides accurate and evidence-based information to empower patients in their healthcare decisions. Dr. Maria emphasizes the need for patients to be educated and advocates for themselves, and the importance of challenging misinformation in healthcare.
    Takeaways
    Representation in medicine is crucial for inspiring and diversifying the field.
    The current healthcare system is not sustainable and needs significant policy changes.
    Physicians are facing burnout and leaving the profession due to lack of support and excessive workload.
    The doctor-patient relationship is deteriorating, and there is a need to prioritize and protect it.
    Advocacy and education are essential for improving patient care and addressing healthcare disparities. Physicians should be involved in health tech and decision-making processes to ensure that solutions are effective and work for patients.
    There is a need to democratize healthcare, particularly in women's health, and provide equal access to resources and information.
    VULVAI is an AI-powered platform that aims to empower patients by providing accurate and evidence-based information for their healthcare decisions.
    Patients should be educated and empowered to advocate for themselves and challenge misinformation in healthcare.
    https://vulvai.co/
    https://www.instagram.com/mariaulokomd/
    https://www.mariaulokomd.com/
    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 Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
    Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life"
    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

    • 51 min
    265. Estrogen For Your Face

    265. Estrogen For Your Face

    In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare.
    Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy.
    She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage.
    In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers.
    She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging.
    Takeaways
    Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea.
    Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil.
    Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative.
    Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional.
    Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers.
    Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process.
    Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging.
    It's important to be discerning when it comes to skincare and haircare products and choose what works best for you.
    https://gendlerdermatology.com/
    https://www.instagram.com/ellengendlermd/
    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 Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
    Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life"
    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

    • 50 min

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