You Are Not Broken

260. Women and Testosterone I join Dr. Harper on her “Women’s Power Hour” in the UK on IG live and it was such a good chat she let me have the audio for the podcast. Dr. Kelly Casperson and Dr. Harper discuss the importance of testosterone for women's health, including muscle mass, metabolism, mental health, and the health of the genitourinary tract. They address common questions and misconceptions about testosterone, such as why it isn’t easy to prescribe and the normal ranges for women. They also explore the use of testosterone in the treatment of genetic urinary syndrome of menopause and its potential benefits for breast cancer survivors. The conversation highlights the need for personalized hormone therapy and the importance of considering other factors that may impact libido and overall well-being. Why are there many urologists who are experts in female pelvic health and hormones? There are no “perfect” testosterone levels; we don’t treat it to a level, but rather, there is a range. How Testosterone helps with genitourinary syndrome of menopause (GSM). In perimenopause, sometimes testosterone is the first thing we start for symptoms. Sometimes testosterone supplementation takes several months to have effects. What to do if you don’t feel effects.  Dr. Harper shares some tips and tricks. Testosterone is important for women's health, including muscle mass, metabolism, mental health, and the health of the genital, urinary tract. There are misconceptions and challenges surrounding the prescription of testosterone for women, including the lack of a female-licensed product and the off-label use of male testosterone products. Testosterone can be beneficial for women with genetic urinary syndrome of menopause and breast cancer survivors, but individualized treatment and monitoring of hormone levels are important. Hormone therapy should be personalized, and other factors that may impact libido and overall well-being should be considered. Testosterone positively affects brain function and mental clarity, which can greatly improve the quality of life for women. Should we use hormones for preventative health? We make estrogen via the androgen pathway. Reasons that we benefit from testosterone. There is no female-licensed product in either the UK or the USA. https://www.instagram.com/drshahzadiharper/ https://theharperclinic.com/ FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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

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

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

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

Infertility and Sex In this conversation, Dr. Sophia Goodridge and Dr. Gillian Stearns discuss infertility, stress, and sex. They share their personal experiences and journeys with infertility, highlighting the emotional toll it can take on individuals and relationships. The conversation also addresses the lack of education and support surrounding infertility and the challenges faced by women in balancing their careers and fertility. The importance of open communication, humor, and seeking support is emphasized throughout the discussion. Takeaways We define infertility Infertility is a common and often taboo topic that affects many individuals and couples. The emotional toll of infertility can strain relationships and impact sexual intimacy. Education and support are crucial in navigating the challenges of infertility. The role of IVF drugs on your sex life. We discuss the world they wish to see in regards to education and normalizing infertility. Open communication, humor, and seeking support can help maintain strong partnerships during infertility struggles. Dr. Sophia Delpe Goodridge is board certified in Urology and Female Pelvic Medicine and Reconstructive Surgery. Her current  practice is in Roswell, GA and her interests include pelvic floor dysfunction, voiding dysfunction, urinary incontinence, overactive bladder and pelvic organ prolapse.    Dr. Gillian Sterns is a Urologist at Atrium Health, Director of Medical Student Education at Wake Forest, North Carolina 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

254. The Fortune-Telling Genitals and/or I hate the Word "Cock" In this conversation, Dr. Kelly Casperson and Dr. Ashley Winter discuss various topics related to male and female sexual health. They cover the importance of sexual health advocacy on social media, the role and safety of cock rings, the link between erectile dysfunction and cardiovascular disease, the future of sexual health monitoring with smart wearables, and the development of a clitoral smart wearable device. They emphasize the need for research and funding in the field of sexual health and highlight the importance of normalizing discussions about sexual health for all genders. Takeaways Sexual health advocacy on social media can help educate and change lives. Cock rings can be a safe and effective tool for enhancing erections. Erectile dysfunction can be a sign of underlying cardiovascular disease. Smart wearables have the potential to revolutionize sexual health monitoring. The clitoris plays a crucial role in female sexual health and should be studied and understood. Further research and funding are needed to advance the field of sexual health. Ashley Winter, MD is a board certified urologist based in Los Angeles. She completed her urology residency at New York Presbyterian- Weill Cornell Medical center, and a fellowship in male and female sexual dysfunction with Dr. Irwin Goldstein at San Diego Sexual medicine.  She is working on a smart wearable device for the clitoris with FirmTech (⁠www.myfirmtech.com⁠). She can be found influencing patients and physicians all over the world through her  socialmedia @ashleygwinter (most active on Twitter/X) but trying to be more present on Insta/TikTok. Princeton ConsensusGuidelines on Erectile Dysfunction 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 https://www.instagram.com/ashleygwinter/ email: ashley@myfirmtech.com twitter/X - https://x.com/AshleyGWinter   The non profit research team mentioned in this episode: 21st Century Sexual Fitness and HealthCare Foundation Contact elliot@myfirmtech.com for information and to make donations. Check out details for my retreat: https://ascendretreats.com/ 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! https://kellycaspersonmd.com/membership/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

https://ascendretreats.com/2024-sedona-retreat-robyntigermd/ Dr. Kelly Casperson and Dr. Robin Tiger discuss their upcoming retreat in Sedona and their journeys in women's health. The retreat aims to provide education on menopause, perimenopause, and sexual health without PowerPoint presentations. The chapters cover topics such as the importance of education on women's health, understanding menopause, empowering women with hormone education, the power of coaching and mindset shifts, and the invitation to join the retreat. The retreat in Sedona offers a unique approach to teaching without PowerPoint presentations, focusing on experiential learning and community building. Education on menopause, perimenopause, and sexual health is crucial for empowering women and addressing the challenges they face. Understanding menopause as a profound hormonal change and embracing it as a gift can lead to a more positive experience. Coaching and mindset shifts can be transformative in personal and professional development, allowing individuals to take control of their lives. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Sit down and buckle up. a long podcast but so so so many topics and though provoking ideas from the research and presentation from the just finished ISSWSH conference. Dr. Kelly Caspersen shares insights from the International Society for the Study of Women's Sexual Health (ISSWSH) Conference. She discusses the importance of lifelong learning and the mission of ISWSH to promote sexuality for all. Topics covered include polysexuality, monogamy and polygamy, shockwave therapy for erectile dysfunction and more, supporting sexual wellbeing in people with developmental disabilities and ADHD and, immune dysfunction and vulvar pain, hypoactive sexual desire disorder, and the role of healthcare providers in addressing quality of life. This conversation covers a wide range of topics related to sexual health, hormones, and the impact of technology. Some of the key themes include the role of role modeling and accountability in personal fitness, the misconceptions about menopause and desire, the influence of hormones in personal training, the potential use of clitoral ultrasound for evaluating cardiovascular health, the effects of stress on sexual desire, the relationship between diabetes and sexual function, the concerns and considerations of hormone replacement therapy, the impact of coffee on a new menopause medication, the importance of advocacy and education in sexual health, the connection between orgasm and pain, the use of sex tech and its effects on sexual function, the importance of human touch in sexual experiences, and the debunking of myths surrounding semen retention and rough sex. Enjoy! Reminder to follow, subscribe and share for more! Take Aways Lifelong learning is important for staying up-to-date with evolving knowledge about sexual health and hormones. Sexuality is a human right and should be appreciated as part of the human experience. Definitions and labels in sexuality can vary and it is important to ask individuals how they define themselves. The microbiome and immune function play a role in vulvar pain and sexual desire. Healthcare providers should prioritize addressing quality of life and understanding the unique needs of their patients. Accountability and role modeling can be powerful tools in personal fitness and wellness. Menopause does not always lead to low desire, and the quality of a long-term committed relationship can be a risk factor for low desire. Hormones play a significant role in personal training and muscle recovery. Clitoral ultrasound may have potential applications in evaluating cardiovascular health in women. Stress can have both positive and negative effects on sexual desire and function. Diabetes can impact sexual function, and physical activity can help protect against sexual dysfunction in women with diabetes. The use of hormone replacement therapy should be carefully considered, and the marketing of hormone-free alternatives can be misleading. Coffee may have an impact on the efficacy of certain medications, including new menopausal medications for hot flashes. Advocacy and education are crucial in promoting sexual health and debunking myths. The brain plays a significant role in sexual pleasure and pain perception. Sex tech can enhance sexual experiences but should not and can not replace human connection and touch. There is a need for knowledge translation in research to ensure that findings are effectively communicated and applied in clinical practice. It is important to prioritize consent and safety in sexual activities, and to debunk myths and misconceptions surrounding rough sex and choking. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Sex Coaching for Beginners In this conversation, Dr. Kelly Casperson interviews Kristine D'Angelo, a sex coach, about her journey into sex coaching and the difference between sex therapy and sex coaching. They discuss common barriers to pleasure, the impact of childhood messages on sexuality, and the importance of redefining sex in heterosexual relationships. Kristine provides tips for women to get into their bodies and invites them to explore sexual content and invite pleasure. They emphasize the importance of communication in relationships and the need to overcome anxiety in conversations about sex. The conversation concludes with a discussion on reconnecting with pleasure in everyday life and improving sex life through communication and understanding. In this conversation, Kristine D'Angelo, a certified sex coach, discusses the importance of exploring sexual fantasies and the challenges people face in sharing them. She also provides insights on finding a sex coach and the benefits of working with one. Kristine shares various platforms where people can connect with her and access her resources. Takeaways Sex coaching focuses on future-focused problem-solving and helping individuals achieve their goals for a more fulfilling sex life. Common barriers to pleasure include being stuck in the headspace, overthinking, and trying to meet unrealistic expectations. Tips for women to get into their bodies Common Barriers to Pleasure Childhood messages and societal norms can create barriers to pleasure and a lack of understanding of one's own sexual needs and desires. Transitioning from a task-oriented mindset to a pleasure-oriented mindset is important for enjoying sexual experiences. Communication and understanding are key to improving sex life and maintaining a strong foundation in a long-term relationship. Many people struggle with sharing their sexual fantasies and may feel shame or avoid the topic altogether. Overcoming anxiety in conversations about sex Finding a sex coach can be done through organizations like the World Association of Sex Coaches (WASC), online searches, or social media platforms. Working with a sex coach can provide support, guidance, and education to enhance sexual well-being and relationships. “Assumptions are the termites in long term relationships” - Kristine D'Angelo IG: sexcoachkristine Podcast: IG So I Married A Sexologist Doyoursexlifeafavor.com Youtube https://worldassociationofsexcoaches.org/   Check out details for my retreat: https://ascendretreats.com/ 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

The BIO in Biopsychosocial – Medications for Sexual Health In this episode, Dr. Mona Gupta and Dr. Melissa Dahir join Dr. Kelly Casperson to discuss the importance of sexual health and the misconceptions surrounding it. They emphasize that sexual health is a bio-psycho-social issue and should be treated as such. The panel also addresses the black box warnings and misconceptions associated with sexual desire drugs, highlighting the benefits and considerations of these medications. They debunk the myth that alcohol is unsafe to consume while taking these drugs and discuss the positive effects of these medications on sleep. The panel also explores the sexual side effects of antidepressants and provides strategies for managing them. They delve into the use of testosterone replacement therapy and its impact on sexual health. Finally, they offer advice on navigating medications and seeking help for sexual health issues. Takeaways Sexual health is a bio-psycho-social issue that should be treated holistically. Addyi – how it works, its influence on sleep, and it’s safety profile, and it works in pre and post menopausal women. Black box warnings and misconceptions surrounding sexual desire drugs should be reevaluated, as these medications can have significant benefits for individuals. Alcohol consumption is not necessarily unsafe while taking sexual desire drugs, and the effects of these medications on sleep can be positive. The sexual side effects with SSRI’s and common psychiatric medications. Antidepressants can have sexual side effects, but there are strategies for managing these issues, such as adjusting the dosage or adding complementary medications. Testosterone replacement therapy can be an effective treatment for sexual health issues, particularly when used in conjunction with other therapies. When seeking help for sexual health issues, it is important to find a provider who is knowledgeable and supportive.    Dr. Melissa Dahir, DNP, IF has been the Midwest’s leading healthcare expert in sexual medicine and vulvar pain disorders since 2006. In 2012 the International Society for the Study of Women’s Sexual Health (ISSWSH) named her an ISSWSH Fellow (IF) which is a top distinction in this field. She strongly believes that ongoing research is the key to advancing women’s sexual health. https://melissadahir.com/    Dr. Mona Gupta, a renowned psychiatrist with seven practices and growing in North Carolina, is a forward-thinking key opinion leader in psychiatry. Specializing in breaking down patients' problems into manageable components, she facilitates easier tackling. Dr. Gupta, a passionate advocate for women's sexual health, emphasizes its undervalued role in mental health and overall wellbeing. Dr.Gupta: https://www.guptapsychiatry.com/  https://www.facebook.com/GuptaPsych https://twitter.com/GuptaPsychiatry https://youtube.com/@guptapsychiatrywellness1740?si=Fxud1VWQj1ADCV6 https://www.tiktok.com/@guptapsychiatry1 Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Check out details for my retreat: https://ascendretreats.com/ In this episode, Dr. Kelly Casperson discusses the connection between the brain and sex, the role of hormones in desire and arousal, and tips for increasing desire and overcoming mental blocks. She also addresses common concerns such as painful intercourse, bladder issues, and changes in sexual sensation after surgery. Dr. Casperson emphasizes the importance of communication, seeking professional help when needed, and understanding that everyone's sexual journey is unique. In this conversation, Dr. Kelly Casperson discusses various topics related to sexual health. She emphasizes the importance of prioritizing sex and the role of dopamine in our desire for pleasure. She addresses challenges with painful sex and low libido, providing recommendations for overcoming these issues. Dr. Casperson also highlights the need to expand the definition of sex beyond penetration and explores ways to achieve orgasm and pleasure. Additionally, she discusses the impact of diet on sexual health and provides guidance on finding a reputable sex therapist. Takeaways:The Connection Between Sex and the Brain The Role of Hormones in Desire and Arousal Tips for Increasing Desire and Overcoming Mental Blocks Using Erotica and Visuals to Spark Imagination Navigating Sexual Frequency and Expectations Managing ADHD and Staying Present During Sex Using Vibrators and Addressing Painful Intercourse Improving Communication and Intimacy in Long-Term Relationships Understanding Burning Sensations After Ejaculation Addressing Bladder Issues and Prolapse Using Vaginal Estrogen for Dryness and Atrophy Managing Libido and Pleasure with Various Factors Addressing Changes in Sexual Sensation After Hysterectomy Exploring the Effectiveness of Libido-Boosting Products The Importance of Prioritizing Sex Challenges with Painful Sex and Low Libido Recommendations for Overcoming Challenges Expanding the Definition of Sex Achieving Orgasm and Pleasure The Impact of Diet on Sexual Health Finding a Reputable Sex Therapist www.heytabu.com 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Hollywood Ruined Us – Sex Therapist Brooke Bralove Brooke Bralove, LCSW-C is a Licensed Clinical Social Worker, Psychotherapist, Master Accelerated Resolution Therapy (ART) Practitioner, AASECT Certified Sex Therapist, and Certified Daring Way™ Facilitator.  Brooke specializes in treating adults, couples, and groups with anxiety, trauma, and relationship challenges. Brooke’s new passion is Accelerated Resolution Therapy, a brief treatment modality using bilateral eye movements that provides lasting relief and healing to patients with PTSD, trauma, addiction, anxiety, and depression.  She has maintained a private practice in Bethesda, Maryland for 20 years.   Summary In this episode, Dr. Kelly Casperson interviews Brooke Bralove, a licensed clinical social worker and certified sex therapist, about her work in treating sexual health issues and trauma. Brooke discusses her evolution into specializing in sexual health and the importance of education and normalizing sexual issues. She explains the benefits of accelerated resolution therapy (ART) in treating trauma and shares success stories. Brooke also addresses the role of vulnerability in intimacy, the spectrum of trauma, and the integration of therapy into medical practice. She provides resources for finding an ART therapist. Takeaways Education and normalizing sexual issues are crucial in helping individuals and couples address sexual health challenges. Accelerated resolution therapy (ART) is a brief treatment modality that uses bilateral eye movements to provide lasting relief and healing for trauma and sexual health issues. Vulnerability is essential for intimacy, and therapy can create a safe space for open communication and healing. Trauma can manifest in various forms, including sexual trauma, medical trauma, and developmental trauma. Finding a therapist who is trauma-informed and trained in specialized therapies like ART can be beneficial for individuals seeking help.  www.brookebralove.com FB: brookebralovepsychotherapy IG: @brookebralovepsychotherapy Tik Tok: @bbralovepsychotherapy Acceleratedresolutiontherapy.com Check out details for my retreat: https://ascendretreats.com/ 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Sex Symposium: Launching the First Annual Event Today I drink coffee with Dr. Rachel Rubin, fellow urologist and sex med physician and we run through ALL THE THINGS that happend when I co-hosted the first annual sex symposium with Dr. Emily Morse and with The Swell founder Alisa Volkman in New York City. Want to stay connected to hear about more upcoming events with me and the future ones with the Swell? Follow me on IG at www.instagram.com/kellycaspersonmd Check out details for my retreat March 2024: https://ascendretreats.com/ 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy In this conversation, Katey Armstrong shares her journey of discovering Dr. Kelly Casperson and the impact of hormone education on her life. She discusses her experience with prolapse and the challenges she faced in accessing hormone treatment in Canada. Katey emphasizes the importance of taking responsibility for one's health and wellness and the need for individualized approaches. She also highlights the positive impact of hormones on her fitness and overall well-being. Katey expresses curiosity about trying testosterone in the future. In this conversation, Katey Armstrong and Dr. Kelly Casperson discuss the use of estrogen and progesterone in hormone therapy. They cover topics such as the application and benefits of estrogen, the routine and benefits of vaginal estrogen, and the use of oral progesterone. They also discuss the timeline for feeling better after starting hormone therapy and the challenges of getting dexa scans. The conversation concludes with a discussion on the long-term benefits of hormone therapy and the importance of personal empowerment in taking control of one's health. Takeaways Education and self-advocacy are crucial in navigating hormone treatment. Individual experiences with hormones can vary, and it is important to find what works best for each person. Taking responsibility for one's health and wellness is empowering. Hormones can have a positive impact on fitness and overall well-being. Estrogen gel can be applied topically and provides benefits such as improved skin health and reduced hot flashes. Vaginal estrogen can be used to improve vaginal dryness and overall comfort. Oral progesterone is often taken in the evening to help with sleep. It can take several weeks to start feeling better after starting hormone therapy, and it's important to give the body time to adjust. Getting dexa scans to assess bone health can be challenging in some areas. Estrogen receptors need time to regulate and upregulate in response to hormone therapy. Hormone therapy has long-term benefits for conditions such as dementia, heart disease, and bone health. It's important to educate oneself and take control of one's health, rather than relying solely on healthcare providers. Gratitude and appreciation for the conversation and the opportunity to share experiences and knowledge. www.healthyevolution.ca www.instagram.com/healthyevolutionbykatey/ FB https://www.facebook.com/katey.kirkwood.5 Check out details for my retreat: https://ascendretreats.com/ 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Changing Women’s Healthcare From Inside Medicine Dr. Sarah Cigna (She/Her) is an Assistant Professor of Obstetrics & Gynecology with The George Washington University. She is the current Director of the SAGA (Sexual Health and Gender Affirmation) Center and Director of the first Sexual Medicine Fellowship in the country for OBGYN physicians. She is active in the International Society for the Study of Women's Sexual Health (ISSWSH); she has served on the education committee for several years and will be taking over as the Education Chair this year. She is a Fellow of ISSWSH and runs a busy sexual medicine outpatient service, teaching medical students, residents, fellow clinicians and patients the wonders of sex medicine! She still enjoys birth work (delivering babies), and benign GYN surgery. She hopes to model the role of sexual medicine specialist in an academic setting for aspiring sex detectives.  Dr. Sarah Cigna, an expert in sexual medicine, discusses the importance of sexual health education, challenges in talking about sexual health, the need for comprehensive vulvar examinations, improving access to sexual medicine education, expanding sexual medicine fellowships, addressing side effects of birth control, individualized contraceptive options, improving pain control for IUD placement, and the misconception of testosterone as the desire hormone. The conversation explores the complexity of hormones and desire, emphasizing that there isn't just one hormone responsible for desire and that they all play together. The importance of individualized treatment and its impact on quality of life is discussed, highlighting the life-changing nature of sexual medicine. The significance of referrals and second opinions is emphasized, encouraging healthcare providers to seek help from specialists and patients to seek multiple perspectives. The need for expanding sexual medicine fellowships is addressed, calling for advanced learning opportunities for all healthcare professionals. Takeaways Sexual health education is crucial for healthcare providers to better serve their patients. Comprehensive vulvar examinations are essential for diagnosing and treating sexual health issues. Expanding sexual medicine fellowships can help train more clinicians in this specialized field. Individualized contraceptive options should be offered to patients based on their specific needs and preferences. Improving pain control options for IUD placement can make the procedure more comfortable for patients. Testosterone is not the sole hormone responsible for desire, and other factors, such as estrogen, play a significant role. Hormones and desire are complex, and there isn't just one hormone responsible for desire. Individualized treatment in sexual medicine can greatly improve quality of life. Referrals and second opinions are important in sexual medicine to ensure patients receive the best care. Expanding sexual medicine fellowships is crucial for advancing the field and providing evidence-based care. IG @drsarahcigna @gwsagacenter  NYC Sex Symposium www.theswell.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

242. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer In this episode, Dr. Kelly Casperson shares updates on the podcast and announces the four-year anniversary. She discusses her plans for the future, including moving the podcast to a new category and manifesting success in the health and fitness industry. Dr. Casperson also announces a retreat and offers live group coaching sessions. She encourages listeners to sign up for the retreat and get a lifetime membership to her monthly membership program. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding physicians and therapists specializing in menopause issues. Finally, she debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy.Takeaways Dr. Casperson is celebrating the four-year anniversary of the podcast and shares her plans for the future. She announces a retreat and offers live group coaching sessions for listeners. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding specialized healthcare providers. She debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy. Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. doi: 10.1097/GME.0000000000002267. Epub 2023 Oct 18. PMID: 37847875 Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed   Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed   Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

243. UnF*ck Your Brain: Body Image, Desire and Coaching with Kara Loewentheil Kara Loewentheil, J.D., is a Master Certified Coach, host of the top-rated podcast UnF*ck Your Brain, and creator of the Clutch: A feminist mindset revolution. A graduate of Yale College and Harvard Law School, she did what every Ivy League feminist lawyer should do: Quit a prestigious academic career to become a life coach!  Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ In this conversation, Kelly Casperson interviews Kara Loewentheil about thoughtwork and its impact on desire and pleasure. They discuss the influence of society on women's thoughts and desires, the historical context of women's desire, and the concept of object of affirmation desire. They also explore body image and self-criticism, the importance of communication in relationships, and the process of changing thoughts and self-criticism. Overall, the conversation highlights the power of thoughtwork in transforming women's relationship with desire and pleasure. In this conversation, Kara Loewentheil discusses the impact of society's expectations on women and how thought work can help break free from sexist thinking. She emphasizes the transformational power of thought work and the importance of commitment and practice. Kara shares her personal experiences and how thought work has changed various aspects of her life. She also highlights the need to embrace the human experience and let go of the fantasy of constant improvement. The conversation concludes with an announcement about Kara's book, 'Take Back Your Brain.' Takeaways Society plays a significant role in shaping women's thoughts and desires. Women are often socialized to see themselves as objects of desire and believe that their desirability is dependent on others. Body image and self-criticism can negatively impact women's relationship with desire and pleasure. Communication is essential in fostering healthy and fulfilling sexual relationships. Changing thoughts and self-criticism is a gradual process that requires patience and self-compassion.   www.instagram.com/karalowentheil https://unfuckyourbrain.com/ Take Back Your Brain https://amzn.to/3RufcoX https://unfuckyourbrain.com/   Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

242. Modern Sex Challenges with Dr. Marianne Brandon Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Dr. Marianne Brandon is a clinical psychologist and Diplomate in sex therapy.  Dr. Brandon is the author of “Monogamy: The Untold Story” and the ebook “Unlocking the Sexy in Surrender: Using the Neuroscience of Power to Recharge Your Sex Life”. She is co-author of the book “Reclaiming Desire: 4 Keys to Finding Your Lost Libido.”  Dr. Brandon makes cutting edge research on relationships and intimacy accessible for the general public — advice that the people are clearly starving for. Consider the stats:   Over 50% of marriages end in divorce    Over 40% of women and 30% of men report a sexual concern     20% of marriages are “sexless”     Over 20% of women report “marked distress” about their sexual relationships  Approximately 30% of spouses have had an affair Dr. Marion Brandon highlights the challenges of sex in society, the lack of comprehensive sex education, and the nuances of pornography. Dr. Brandon also explores the complexities of monogamy, the impact of AI and sex tech, and the role of power dynamics in relationships. She emphasizes the importance of treating couples, not just individuals, and the benefits of having a biopsychosocial perspective. The conversation explores the importance of hormone changes in midlife and the impact it has on sexual health. It highlights the lack of awareness and treatment of genital urinary syndrome, which can significantly affect relationship dynamics. The discussion also addresses the lack of knowledge among physicians regarding available treatments. The impact of intimate connection on overall well-being is emphasized, and Marianne Brandon's Psychology Today blog is recommended as a valuable resource. Comprehensive sex education is lacking, particularly in the digital age. Pornography can be a complex topic, with both positive and negative aspects. Monogamy can be challenging and requires effort, communication, and mindfulness. The rise of AI and sex tech presents both opportunities and concerns. Power dynamics can play a role in sexual relationships and can be explored in a healthy way. Understanding hormone changes and desire discrepancy is important in addressing sexual issues. Treating couples as a unit is crucial for addressing sexual concerns. Taking a biopsychosocial perspective can provide a more comprehensive understanding of sex and relationships. Midlife hormone changes can have a significant impact on sexual health and overall well-being. What to do when the man has a low libido. Genitourinary syndrome is often under-treated and can lead to changes in relationship dynamics. Physicians may lack knowledge about available treatments for sexual health issues. A satisfying intimate connection has a profound impact on relationships and overall life satisfaction. Marianne Brandon's Psychology Today blog is a valuable resource for information on sexual health. The testosterone conference for clinicians is an important event for learning about biopsychosocial and hormonal aspects of sexual health. She asks her clients about their best sex ever because I can learn a lot about them from this memory.    https://www.drbrandon.net/ https://www.psychologytoday.com/us/blog/the-future-intimacy twitter @drbrandon https://www.instagram.com/drmbrandon/   Harvard Testosterone Course https://hmstestosteronecourse.com/ Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

241. Myths and Truths - GSM and Pelvic Hormones Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Myths about vaginal estrogen What is GSM - genitourinary syndrome of menopause? The original “use it or lose it” paper. Communication in adult sex ed is very important. Non-hormonal options for GSM We discuss vaginal DHEA My opinion about loading doses for vaginal estrogen Hacks to get cheaper vaginal estrogen – Cost Plus Drugs, Good Rx, Amazon Pharmacy Medication options for GSM and why I have a cream bias Access issues for vaginal estrogen When vaginal estrogen doesn’t work Why vaginal estrogen is a life long medicine Women post menopause have less estrogen in their bodies than men. Vaginal Estrogen is a preventative medicine. It’s role in preventing genitourinary syndrome of menopause. My opinion on the applicator for vaginal estrogen cream. How vaginal estrogen helps overactive bladder symptoms. When our understanding of estrogen is minimal, we don’t understand how it affects our overall health. Should we be treating the female partner when we give men Viagra? I discuss the gender bias in treating humans in medicine with aging issues. How can the medical community do better? The problem with the FDA black box warning on the vaginal estrogen product. Is it okay to put estrogen cream on the penis? How to help our kids and the next generation. https://uronurse.com/ Check out details for my retreat: https://ascendretreats.com https://marcella-hill.mystagingwebsite.com/wake-her-up-retreat/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message