In this enlightening episode of You’re Not Broken, Dr. Kelly Casperson sits down with Dr. Steven Gundry, renowned cardiothoracic surgeon turned gut health advocate. Dr. Gundry shares the personal and professional journey that led him from the operating room to the forefront of nutritional science. He breaks down the concept of leaky gut and how it contributes to autoimmune diseases, emphasizing how dietary changes can radically transform health outcomes. Together, Dr. Gundry and Dr. Casperson dive into the deep connection between gut health and mental health, the underrated power of vitamin D, and the hidden dangers lurking in our food supply and personal care products. They also tackle the pharmaceutical industry's influence on medical training and why it’s time for a paradigm shift in how we understand disease and wellness. If you've ever wondered how your gut impacts everything from anxiety to skin health—or why your mouthwash might be raising your blood pressure—this episode is for you. Top Takeaways: Dr. Gundry left a thriving surgical career after witnessing remarkable patient healing through nutrition. Leaky gut is a real, measurable condition that drives many autoimmune disorders. Genetics are less impactful than lifestyle, behavior, and environmental factors. Whole food diets can reverse chronic illness and improve quality of life. The gut microbiome plays a central role in immunity, skin health, and brain function. Modern agriculture and personal care products can damage the microbiome. Vitamin D is a foundational nutrient for both gut and mental health. Gut health is deeply tied to emotional states like anxiety and depression. Mouthwash can disrupt the oral microbiome and raise blood pressure. Probiotics and prebiotics are helpful—but only when used with care and intention. We must become more aware of what we eat, apply, and ingest daily. Personalized medicine is the next frontier in optimizing gut health. https://www.instagram.com/drstevengundry/ The Gut Brain Paradox - Releases April 15th https://gundrymd.com/ Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. 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 the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Lara Pack, founder of Elixir Play, to explore why it’s time to take vibrators seriously—as both a pleasure tool and a legitimate part of women’s health. Lara opens up about her personal journey from navigating painful sex due to endometriosis to creating a high-quality vibrator company focused on thoughtful design and real-world results. Together, they unpack the stigma still surrounding female pleasure, how cultural and religious messaging shapes our understanding of sexuality, and why quality matters more than price when it comes to vibrators. They also dive into: The surprising interest from men in women's pleasure products Challenges with big-name companies entering the vibrator market The role of communication in improving sexual wellness Why research matters when it comes to vibrators and health outcomes How well-designed pleasure products can meet diverse needs This conversation is a must-listen for anyone ready to challenge outdated norms, elevate the discussion around women's pleasure, and embrace vibrators as a powerful tool for healing, connection, and empowerment. 🎯 Health & Wellness Vibrators can play a significant role in women's health and wellness. Research shows vibrators can improve pelvic health. The experience of using a vibrator is both psychological and physiological. There is a need for more studies on the health benefits of vibrators. ✨ Personal Empowerment & Stigma Lara’s journey to creating Elixir Play was influenced by her own pain and stigma. Many customers share stories of healing and empowerment through vibrator use. Empowering women to explore their pleasure supports overall well-being. Education is essential for breaking down sexual health and pleasure stigma. Cultural and religious backgrounds shape perceptions of sexuality and pleasure. Stigmas often stem from concerns about male partners' feelings. 🛠 Product Quality & Industry Insight Quality and customer service are crucial in the vibrator industry. Investing in well-designed products enhances the experience of pleasure. Big companies often prioritize profit over product quality and authenticity. Designing pleasure products should consider individual anatomy and preferences. 💬 Communication & Shifting Perspectives Communication about pleasure is key to sexual satisfaction. Vibrators can enhance sexual experiences for both partners. A growing number of men are purchasing vibrators, showing a shift in attitudes toward women's pleasure. The conversation around female pleasure is evolving but still faces barriers. Understanding the science of pleasure helps destigmatize its use. http://elixirplay.com/ and use code NOTBROKEN20 for 20% off. Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. 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 episode 311 of the You're Not Broken podcast, Kelly Casperson, MD, hosts Marcella Hill and her husband to discuss their journey through hormonal changes and their impact on their relationship. They explore the challenges of libido loss, the role of therapy, and the transformative effects of testosterone therapy. The conversation highlights the importance of understanding hormonal health in relationships and the awakening of self-awareness that comes with it. I n this conversation, Marcella Hill and Dr. Kelly Casperson explore the complexities of libido, sexual shame, and the transformative power of hormones in midlife relationships. They discuss the importance of self-discovery, emotional honesty, and the need for patience in navigating personal and relational growth. The dialogue emphasizes that pleasure and desire are not solely for others but are essential for individual fulfillment and connection. Takeaways The relationship was initially strong but faced challenges due to hormonal changes. Libido loss can lead to feelings of anxiety and disconnection in relationships. Therapy can help with communication but may not directly address libido issues. Medical interventions, like hormone therapy, can significantly impact well-being. Testosterone therapy revitalized Marcella's energy and libido, transforming her relationship. Awakening to a new self can create challenges in long-term relationships. Couples can navigate hormonal changes together for better understanding and support. Increased awareness of hormonal health can improve communication and intimacy. Hormones play a crucial role in mental health and overall well-being. Understanding the effects of hormones can lead to proactive health measures. Women often feel shame about their sexual desires. Listening to uncomfortable content can help challenge sexual shame. Orgasm is not just a sexual act; it's about personal joy and passion. Women deserve to feel turned on for their own pleasure, not just for others. Men's enjoyment in relationships often comes from seeing their partner's pleasure. Communication about sexual needs is crucial for both partners. Exploring sexuality can enhance intimacy and connection in relationships. Emotional honesty leads to a more expansive and fulfilling relationship. Hormone therapy can reignite passion and feelings in midlife. Learning to feel emotions is essential for personal growth and connection. https://marcellahill.com/ https://www.instagram.com/beingmarcellahill https://www.wakeherup.co/welcome Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. 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 the You Are Not Broken podcast, Kelly Casperson, MD, engages in a deep conversation with Traver Boehm about redefining masculinity, the importance of emotional intelligence, and the journey of helping men navigate their feelings and relationships. Traver shares his experiences from the Year to Live Project, the impact of his book on men's lives, and the necessity of creating safe spaces for women. The discussion also touches on the differences in how men and women perceive safety and the importance of understanding these perspectives in fostering healthier relationships. In this conversation, Kelly Casperson, MD, and Traver explore the complexities of emotional awareness, therapy for men, gender differences in relationships, the evolving independence of women, and the foundational role of sexuality in partnerships. They discuss the importance of self-awareness in managing emotions, the need for therapy that resonates with men, and the societal shifts that have changed relationship dynamics. The conversation emphasizes the necessity of understanding and communication between genders to foster healthier relationships. In this conversation, Traver and Dr. Kelly Casperson explore the complexities of relationships, focusing on the business aspects of marriage, the importance of communication, the impact of pornography, and the challenges surrounding menopause. They emphasize the need for emotional maturity and understanding in relationships, advocating for open discussions about sexual satisfaction and the human experience. The dialogue highlights the evolving dynamics between men and women, the significance of consent, and the necessity of education regarding women's health issues. Traver's IG Man Uncivilized Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson engages with the co-founders of the SheMD podcast Mary Alice Haney and Dr. Aliabadi, discussing their journey in women's health advocacy. They explore the challenges women face with conditions like endometriosis and PCOS, the importance of education in healthcare, and the need for better diagnosis and treatment options. The conversation highlights the systemic issues in women's health and the role of podcasts in empowering women to advocate for their health. In this conversation, the speakers delve into the complexities of PCOS and endometriosis, discussing the importance of accurate diagnosis, the role of insulin resistance, and the need for innovative solutions in women's health. They emphasize the significance of validating patients' experiences and the impact of education in empowering women to advocate for their health. The discussion also covers hormone replacement therapy, addressing common myths and misconceptions, and highlights the necessity of treating both PCOS and endometriosis for better health outcomes. Takeaways The SheMD podcast was born out of a desire to help women navigate health issues. Endometriosis is a common yet often misdiagnosed condition affecting many women. Education is key in empowering women to advocate for their health. Many women experience chronic pelvic pain without a proper diagnosis. The healthcare system often dismisses women's health concerns, leading to delayed treatment. Laparoscopic surgery is the gold standard for treating endometriosis. Robotic technology could revolutionize women's health care. Women need to be informed about their health conditions to seek appropriate care. The emotional toll of chronic health issues can lead to depression. Advocacy and awareness are crucial in improving women's health outcomes. 75% of women with PCOS are undiagnosed. PCOS and endometriosis often coexist. Insulin resistance is a key factor in PCOS. Validation of symptoms is crucial for patients. Education can empower women to advocate for their health. Hormone replacement therapy can be beneficial for women with PCOS. Diet and exercise alone may not suffice for PCOS management. Innovative platforms can help diagnose and manage PCOS. Women often feel dismissed by healthcare providers. Understanding the metabolic aspects of PCOS is essential. Mary Alice Haney IG Dr. Aliabadi IG SHE MD IG SHE MD Podcast Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Check it out! To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Kelly Casperson and Dr. Emily Jamea discuss the evolution of sexual satisfaction, exploring the concept of 'good enough sex' and the pursuit of deeper intimacy through the flow state. They emphasize the importance of safety, communication, and connection in relationships, while addressing common barriers to sexual desire such as complacency and societal expectations. The conversation highlights the need for couples to actively engage in their sexual lives and prioritize emotional safety to enhance their experiences. In this conversation, Emily Jamea and Kelly Casperson, MD, explore the intricate dynamics of relationships, focusing on the concept of flow state, the importance of preparation and communication, and the impact of self-identity on sexual expression. They discuss how reconnecting with innate qualities can enhance intimacy, the role of novelty and curiosity in maintaining desire, and the balance between connection and independence in relationships. The conversation emphasizes the significance of touch and the need for effective communication to foster deeper connections. Takeaways Dr. Jamea's book offers a next-level perspective on sexual satisfaction. The honeymoon phase is temporary; couples seek more than just 'good enough' sex. Flow state is crucial for experiencing heightened sexual satisfaction. Safety in relationships is foundational for women to enjoy sex. Communication is key to understanding each partner's needs and desires. Complacency is a major barrier to sexual desire in couples. Sex should be seen as an opportunity for enjoyment, not obligation. Gender socialization impacts women's perceptions of their sexual desires. Attunement between partners enhances sexual satisfaction. Creating rituals for connection can improve intimacy and sexual experiences. Flow state requires a balance of challenge and skill. Too much novelty can lead to anxiety in relationships. Preparation and communication are crucial for intimacy. We are born with qualities that enhance our sexual experiences. Self-identity significantly impacts sexual expression. Novelty in life can enhance sexual experiences. Touch is essential for relationship satisfaction. Emotional connection is vital for sexual desire. Gentle communication can improve intimacy. Understanding dynamics of desire can enhance relationships. Anatomy Of Desire by Dr. Emily Jamea Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Check it out. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street Journal In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention. Takeaways The amyloid hypothesis has dominated Alzheimer's research but has significant flaws. Whistleblowers play a crucial role in exposing misconduct in scientific research. The FDA's approval process for drugs can be influenced by industry relationships. Lifestyle factors such as diet and exercise can impact Alzheimer's risk. There is a growing interest in alternative theories for Alzheimer's treatment. AI can assist in detecting research fraud but also poses risks for falsification. Misinformation in health media can lead to public harm and confusion. Independent agencies are needed to investigate scientific misconduct effectively. The scientific community must improve transparency and accountability. There is hope for progress in Alzheimer's research despite current challenges. Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, and Naomi Watts discuss the complexities of menopause, the intersection of infertility and hormonal changes, and the importance of education and self-advocacy in women's health. Naomi shares her personal journey of writing her book, 'Dare I Say It,' aimed at providing a fun and informative guide for women navigating menopause. The conversation highlights the need for open discussions about hormonal health, the challenges women face in the medical system, and the shift in societal narratives around aging and empowerment. Takeaways Naomi Watts wrote a book to help women feel less isolated during menopause. Menopause can intersect with infertility, creating unique challenges. Women often suffer in silence due to societal expectations. Education and advocacy are crucial for navigating menopause. Self-advocacy is essential in healthcare for women. The narrative around aging is shifting towards empowerment. Hormonal changes can significantly impact women's health. Community and shared experiences can alleviate feelings of isolation. The media has historically created fear around hormone therapy. Women are increasingly taking control of their health and wellness. Dare I Say It by Naomi Watts Naomi Watts IG Stripes Beauty by Naomi Watts Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this engaging conversation, Cindy Gallop shares her journey from a successful marketing career to founding Make Love Not Porn, a platform aimed at normalizing and destigmatizing sex through real-world demonstrations. She discusses the challenges faced in the adult content industry, the importance of communication in sexual relationships, and how her platform has positively impacted countless lives. Gallop emphasizes the need for societal change regarding sexual attitudes and encourages open discussions about sex to foster healthier relationships. In this conversation, Cindy Gallop and Dr. Kelly Casperson discuss the importance of communication in relationships, particularly in the context of sexual health and empowerment. They explore how women can take charge of their sexual experiences, the significance of self-care in midlife, and the vision for Make Love Not Porn as a platform for positive sexual education. They also address the urgent need to combat rape culture and the importance of funding female-led initiatives to create safer online spaces. Takeaways Without good sex ed, porn becomes the sex ed default Cindy Gallop's background in marketing aids her current mission. Make Love Not Porn was born from personal experiences with younger partners. The platform aims to provide real-world sex education. Gallop highlights the challenges of operating in the adult content space. Communication is key to great sexual experiences. The platform has changed many lives and saved relationships. Gallop encourages people to talk about sex openly. She believes in empowering individuals to create change. The importance of complimenting partners to enhance intimacy. Change in sexual attitudes requires collective micro-actions. Communication through demonstration is key in relationships. Women should embrace their sexuality and use tools like vibrators without fear. Lube enhances sexual experiences and should be normalized. Midlife can be a time of empowerment and self-discovery. It's essential to prioritize personal happiness and desires. Women are often conditioned to prioritize others' happiness over their own. Make Love Not Porn aims to change perceptions of consensual sex. Sex education should be accessible and age-appropriate for all. Funding female founders can lead to safer online environments. Creating safe spaces for open conversations about sex is crucial. https://www.instagram.com/cindygallop/ Make Love Not Porn We Funder Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Jocelyn Fitzgerald, a urogynecologist specializing in pelvic floor disorders. They discuss the importance of open conversations about women's health, particularly regarding prolapse and the misconceptions surrounding childbirth. Dr. Fitzgerald shares her journey into social media advocacy, the challenges women face in understanding their health, and the need for better education and separate specialties in women's health. The conversation highlights the systemic issues in healthcare that affect women's treatment and the importance of empowering women with knowledge about their bodies. In this conversation, Dr. Jocelyn Fitzgerald and Dr. Kelly Casperson discuss the complexities of women's health, particularly focusing on menopause, the role of healthcare providers, and the challenges faced in the healthcare system. They emphasize the need for a multidisciplinary approach to women's health, the importance of vaginal health, and the radical nature of urogynecology as a feminist act. The discussion also touches on the future of OB-GYN, reproductive rights, and the necessity for women to take action in advocating for their health. Takeaways Prolapse is often misunderstood and not openly discussed. Education can reduce anxiety about childbirth and its consequences. Women often feel ashamed or broken due to health issues post-childbirth. IUD placement pain is often inadequately addressed in women's health. Obstetrics and gynecology should be separate specialties for better care. The healthcare system often undervalues women's health procedures. Women need to be informed about the risks associated with childbirth. Empowering women with knowledge can lead to better health outcomes. Ob-Gyns often lack knowledge about menopause-related issues. A multidisciplinary approach is essential for women's health. The healthcare system can be toxic and burdensome for providers. Urogynecology plays a crucial role in women's health post-childbirth. Vaginal estrogen is vital for maintaining vaginal health. Incontinence is a leading cause of nursing home admissions. Reproductive rights are under threat and require advocacy. Reliable male birth control could change societal dynamics. https://www.instagram.com/jjfitzgeraldmd/ Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this conversation, Dr. Kelly Casperson discusses a significant study on the effects of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women. She emphasizes the importance of addressing hormonal changes and their impact on women's mental health, particularly during menopause. The study reveals that testosterone therapy can lead to improvements in mood and cognitive function, challenging the notion that there is insufficient data on testosterone's benefits for women. Dr. Casperson also critiques the study's limitations and calls for further research in this area, while engaging with her audience on related questions and concerns. Takeaways Testosterone therapy can improve mood and cognitive symptoms in women. The study involved 510 women with persistent low libido and mood symptoms. Mood improvements were more significant than cognitive improvements. Testosterone does not drop off a cliff with menopause; it declines gradually. Hormonal changes during menopause can lead to increased risk of depression and cognitive impairment. Testosterone therapy may be a safer alternative to SSRIs for mood issues in perimenopausal women. The study highlights the need for more research on testosterone's effects in women. Libido is closely linked to mood; improving one can enhance the other. Transdermal testosterone is generally safe and easy to administer. Women should be informed about their options for hormone therapy. Study LINK Glynne S, Kamal A, Kamel AM, Reisel D, Newson L. Effect of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women: a pilot study. Arch Womens Ment Health. 2024 Sep 16. doi: 10.1007/s00737-024-01513-6. Epub ahead of print. PMID: 39283522. Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews pharmacist Tara Thompson, discussing the intersection of women's sexual health and pharmacology. They explore the role of compounding in hormone therapy, the education gaps in pharmacy regarding hormones, and the influence of media on public perception of hormone replacement therapy. The conversation also addresses the challenges women face in obtaining testosterone prescriptions, the implications of hazardous medication labels, and the nuances between generic and brand name medications. They delve into the efficacy of different forms of progesterone and the potential benefits of extended-release formulations. In this engaging conversation, Dr. Kelly Casperson and Dr. Tara Thompson delve into the complexities of pharmacology, particularly focusing on hormone replacement therapy (HRT) and the various delivery methods available. They discuss the innovative approaches in different countries, the importance of understanding different dosage forms like troches and buccal delivery, and the pharmacokinetics involved in hormone absorption. The conversation also highlights the interactions between hormones, particularly estrogen and thyroid management, and the benefits of injectable estrogen. They emphasize the need for personalized treatment options and the role of compounding pharmacies in providing tailored solutions for patients. The discussion concludes with a reminder that there are always options available for patients seeking hormonal therapies. Takeaways Pharmacists often lack training in women's sexual health and hormones. Education is crucial for pharmacists to support women's health effectively. Media can misrepresent the risks associated with hormone replacement therapy. Hazardous medication labels can create unnecessary fear around hormone therapy. Compounding pharmacies can provide tailored hormone therapies for women. There are significant challenges in prescribing testosterone for women. The differences between generic and brand name medications can affect efficacy. Topical progesterone may not provide the same benefits as oral forms. Extended-release formulations of progesterone can improve patient outcomes. Troches and buccal delivery offer unique advantages. Transdermal testosterone may be preferred over oral forms. Hormonal interactions require careful monitoring. Injectable estrogen can provide steady-state delivery. Personalized hormone therapy is essential for patient care. Compounding pharmacies can offer tailored solutions. Patients should not feel limited in their options. Education on hormone therapy is crucial for healthcare providers. There is always an option for patients in need. Things discussed: ISSWSH.org Study on HRT and Lupus Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

In episode 301 of the You're Not Broken podcast, Dr. Kelly Casperson discusses 15 things she wishes would change in women's health, focusing on hormonal health, the healthcare system, sexual health, and education. She emphasizes the importance of choice regarding hormone therapy after breast cancer, the need for better sex education, and the challenges posed by the current healthcare system. Dr. Casperson also shares her aspirations for future clinics and the importance of addressing orgasmic inequality and healthcare costs. Takeaways Hormones after breast cancer should be a choice. There is a need for FDA-approved female-dosed testosterone products. Healthcare costs are a significant barrier to accessing care. Sex education in the U.S. is inadequate and needs reform. Orgasmic inequality is prevalent, particularly in heterosexual relationships. Vaginal estrogen is safe and should not carry a cancer warning. Healthcare providers need better work-life balance to prevent burnout. Education is key to improving sexual health and understanding. The healthcare system should prioritize patient care over profits. Future clinics are needed to support women's health and hormonal optimization. [M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

EPISODE THREE HUNDRED Y'ALL!!! In this episode of the You're Not Broken podcast, Dr. Kelly Casperson celebrates the milestone of 300 episodes by sharing key insights on women's health, including the importance of vaginal estrogen, testosterone, and the realities of menopause. She emphasizes the need for longer patient visits and the significance of understanding the nuances of healthcare. Additionally, she discusses upcoming events and retreats focused on women's health education. Takeaways Vaginal estrogen is safe and effective for postmenopausal women. Testosterone is present in both men and women, and is crucial for health. Short medical visits hinder effective healthcare delivery. Menopause is a natural process, and suffering through it is not necessary. Alcohol consumption is linked to several types of cancer. Osteoporosis can be improved with the right interventions. Estrogen does not inherently cause cancer; it can support health. Regular exercise is essential for overall health and well-being. Understanding the difference between correlation and causation is vital in healthcare. The myth of 'use it or lose it' regarding vaginal health is misleading. [M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 Order 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 Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. Katie Kennedy, a pathologist, discusses the intersection of aging, health, and the effects of alcohol on the body. The conversation explores how alcohol impacts various organs, particularly the liver and brain, and its connection to inflammation and cancer. The role of estrogen in women's health and the implications of aging on inflammation are also examined, providing insights into how these factors affect quality of life. In this conversation, Dr. Kelly Casperson and Dr. Katie Kennedy discuss various aspects of women's health, particularly focusing on postmenopausal issues such as bladder health, the importance of vaginal estrogen, and the role of pathology in understanding these conditions. They delve into the significance of bone health and osteoporosis, emphasizing the need for preventative measures against hip fractures and frailty. The discussion also highlights the connection between breathing, oral health, and overall well-being, advocating for a holistic approach to health that considers the entire body. Takeaways Pathology is the study of diseases and their effects on tissues. Alcohol has a significant impact on liver health, leading to conditions like fatty liver disease. Fatty liver disease can be reversed if caught early and with proper support. Alcohol is classified as a carcinogen, contributing to various cancers. Chronic alcohol consumption can lead to memory loss and increase the risk of dementia. The loss of estrogen during aging creates a synergistic effect with alcohol on brain health. Inflammation is a common response in aging and is linked to estrogen loss. Women metabolize alcohol differently than men, making them more susceptible to its effects. Inflammation can be observed in various tissues, not just localized areas. Understanding the impact of alcohol on health is crucial for making informed choices. Postmenopausal women often suffer from bladder issues that are under-discussed. Vaginal estrogen should be a standard part of women's health care. Thin vaginal mucosa can lead to increased infections and complications. Preventative measures for osteoporosis should start early in life. Hip fractures are a significant health risk for older women. Mouth breathing can lead to various health issues, including sleep apnea. Strengthening the tongue is crucial for preventing aspiration and improving swallowing. Holistic health considers the entire body and its interconnected systems. Education and awareness are key to improving women's health outcomes. Regular health evaluations should include assessments of bone and muscle strength. Dr. Kennedy's Website Dr. Kennedy's IG Order 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 Adult Sex Ed Master Class: Interested in my sexual health and hormone clinic? Starts February 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

Midlife hair loss! way more common than you think!! In this conversation, Dr. Omer Ibrahim discusses the complexities of hair loss, particularly in women, and the importance of understanding its causes and treatments. He emphasizes the significance of hair in women's identity and the emotional impact of hair loss. The discussion covers various aspects, including preventative measures, nutrition, the role of supplements, innovative treatments like PRP and exosomes, and the need for more research on the effects of hormones on hair health. The conversation also touches on the terminology used in the field and the stigma surrounding female hair loss. They explore the significance of understanding androgenetic alopecia, the impact of testosterone, and the importance of monitoring hormone levels. The discussion also covers the effectiveness of minoxidil and the use of DHT blockers like spironolactone and finasteride. They highlight the frequent misdiagnosis of hair loss conditions in women and emphasize the need for specialized dermatological care. Order 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 Adult Sex Ed Master Class: Interested in my sexual health and hormone clinic? Starts January 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit megaphone.fm/adchoices

Celebrating Five Years of the 'You Are Not Broken' Podcast Happy New Year! This week, as we step into 2024, I’m reflecting on the incredible journey of the podcast and the amazing guests who’ve joined me along the way. Five years ago, on January 1, 2020, I launched the very first episode of You Are Not Broken. At the time, Instagram wasn’t even part of the equation for me and now I just hit 200K, I hadn’t published a book, hadn’t done a TEDX talk and the term "menopause expert" wasn’t something that I was. Looking back, I can confidently say: that first episode was pretty good! Thank you to all of the sponsors, prescribers, everyone who supports ISSWSH and treats women for sexual health issues. I just did a course about sexual health and prescribing testosterone with Dr. Heather Hirsch’s academy. In honor of this milestone, let’s revisit some of the highlights and wisdom shared by the brilliant minds who’ve graced the podcast. 1.My very first episode - short, sweet and mission driven, this is how it all started. 2. Dr. Mary Claire Haver – April 2023 episode 208 Long before “the new menopause” and the buzz around medications like Ozempic, Dr. Haver was here dropping timeless advice. 3. Dr. Sari Van Anders and the Science of Desire – march 2022 – Epiosde 147 Dr. Van Anders insights reshaped how we think about desire. Her research challenged the heteronormative theory of low desire in women partnered with men, emphasizing that desire is far more complex than we often assume. She explained how sexual thoughts and behaviors can influence our hormones, showing that thinking sexy thoughts can actually increase testosterone levels. This idea—that our minds and bodies are deeply connected—has inspired so many listeners to explore what turns them on and why. 4. Dr. Avrum Bluming and the Hormone Window – Epiosde 222 July 2023 Dr. Bluming joined me to discuss the "10-year window" and the incredible "window of opportunity" when it comes to hormone therapy. We now know that the main risk associated with oral estrogen is clotting in veins, which is why transdermal (TD) estrogen is the preferred option. He reminded us of the critical role hormones play in bone health, as hip fractures kill as many people each year as breast cancer. 5. The Lancet Rebuttal: Are We Overtreating Menopause? – April 2024, #259 This powerful panel discussion featured Dr. Lauren Streicher, Dr. Aoife O’Sullivan, Dr. Heather Quaile, Dr. Heidi Flagg, and Dr. Mary Claire Haver. Together, we explored whether menopause is being overtreated in 2024. Spoiler: the answer is no. 6. Dr. Marty Klein and the Complexities of Fantasy episode 169 – July 2022 Dr. Klein’s book, His Porn, Her Pain, sparked a fascinating conversation about the nature of fantasy. His insights challenged us to think deeply about what fantasy means for us as individuals and how it shapes our relationships. As we celebrate five years, I want to thank everyone who listens, shares, and prescribes for women. Your support fuels this mission to empower and educate. Here’s to another year of breaking myths, sharing stories, and embracing the science of living our best lives. Happy New Year, Dr. Kelly Casperson 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 for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order 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 Adult Sex Ed Master Class: Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Carol Tavris, a renowned social psychologist and feminist. They discuss the evolving definition of feminism, the impact of cognitive dissonance on women's health, and the collaboration between Dr. Tavris and Dr. Avrum Blooming on hormone therapy. The conversation highlights the importance of staying curious, the role of fear in controlling women, and the challenges women face in navigating medical information. Dr. Tavris emphasizes the need for women to advocate for their health and to question outdated medical warnings. In this conversation, Dr. Kelly Casperson and Carol Tavris discuss the complexities surrounding hormone therapy, particularly estrogen, and the societal and medical biases that influence women's health. They explore the implications of labeling estrogen as hazardous, the challenges of mobilizing women for advocacy, and the cognitive biases that affect perceptions of hormone therapy. The discussion emphasizes the need for informed activism, understanding causation versus correlation, and the evolution of medical beliefs over time. Dr. Tavris offers insights on how to engage effectively with both the medical community and the public to foster change in women's health policies. Takeaways Feminism is about equality and justice for all genders. Cognitive dissonance can hinder our ability to accept new information. Women have historically been misrepresented in medical research. Collaboration between psychology and medicine can improve women's health. Fear is a powerful tool used to control women's choices. Women must navigate a complex landscape of medical information. The medical community often overlooks women's health needs. Outdated medical warnings can create unnecessary fear. Women should advocate for their health and question misinformation. Understanding cognitive dissonance can help in making informed decisions. Estrogen patches are being labeled as hazardous without proper justification. Women need to mobilize and organize for advocacy efforts. Apathy among women in advocacy is a significant barrier to change. Cognitive biases can distort perceptions of hormone therapy. Correlation does not imply causation, especially in health matters. Personal anecdotes can shape beliefs about medical treatments. The evolution of medical beliefs often requires a critical mass of evidence. Activism should focus on engaging those who are open to change. Mistakes in medicine are common, and learning from them is essential. Holding beliefs lightly allows for adaptation to new evidence. Dr. Tavris' Books: Estrogen Matters Mistakes Were Made (but not by me) 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 for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order 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 Adult Sex Ed Master Class: 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 Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson addresses a series of questions related to intimacy, sexual health, and relationships in midlife and menopause. She emphasizes the importance of sexual education, communication, and understanding one's body to enhance intimacy and sexual satisfaction. The conversation covers various topics including sexual health tips, overcoming shame, the role of hormones, and the significance of pleasure in sexual experiences. Dr. Casperson also highlights the need for professional help when dealing with sexual dysfunction and encourages listeners to prioritize their sexual health and well-being. Takeaways Midlife sexual health care tips include cardiovascular fitness and lubrication. Understanding your body and prioritizing intimacy can reignite sexual drive. Sex education and communication skills are crucial for healthy relationships. Overcoming ingrained beliefs about sexuality is essential for personal growth. Testosterone can be beneficial for libido but is not a one-size-fits-all solution. Communication about sexual preferences is key to a fulfilling relationship. Painful sex can often be addressed with hormonal treatments and therapy. There are many ways to experience orgasm, and it's not a competition. Post-menopause, pleasure should be the primary focus of sexual experiences. Resources for sexual education and therapy are available and valuable. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order 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 Adult Sex Ed Master Class: 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 Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this conversation, Kelly Casperson discusses the complexities of perimenopause and its associated symptoms, particularly focusing on incontinence and the role of hormone therapy. She emphasizes the importance of vaginal estrogen as a treatment option, debunks common myths surrounding hormone therapy, and highlights the need for early intervention to prevent long-term health issues. The discussion also covers alternative treatments, the connection between hormones and pelvic floor health, and the risks and benefits of hormone therapy, ultimately advocating for patient empowerment and informed decision-making in women's health. Takeaways Vaginal estrogen is a safe and effective treatment for urinary issues during perimenopause. Hormones play a crucial role in preventing diseases associated with aging. Many women experience urinary symptoms during perimenopause, which can be alleviated with proper hormone therapy. There is a misconception that hormone therapy is only for post-menopausal women; it can be beneficial during perimenopause as well. Vaginal estrogen can significantly reduce the risk of urinary tract infections. Patients should advocate for their health and seek second opinions if necessary. Hormone therapy can improve quality of life and reduce symptoms of menopause. Education about hormone therapy is essential for both patients and healthcare providers. Pelvic floor physical therapy is a valuable resource for managing incontinence. The medical community needs to shift towards preventative care rather than reactive treatment. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order 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 Adult Sex Ed Master Class: 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 Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices