In this powerful episode, board-certified urologist Dr. Kelly Casperson exposes the gender bias in medicine and reveals why testosterone may be the missing link in women’s mood, motivation, and longevity.
One of the few female urologists in the U.S., Dr. Kelly is rewriting the narrative on hormones—explaining why testosterone isn’t “just for men” and why, after 90 years, the FDA still hasn’t approved it for women.
Her message is clear: women are not broken. Whether you’re in your 30s, perimenopause, or beyond, this episode will change how you see your biology—and your power.
About Dr. Casperson
Dr. Kelly Casperson is a urologist, author, speaker, and educator transforming the way women understand their bodies. She empowers women of all ages to embrace sexual health, hormone balance, and intimacy with confidence and curiosity. With humor and candor, she dismantles shame-based myths and teaches one powerful truth: You Are Not Broken.
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I’m Louisa Nicola — clinical neurophysiologist — Alzheimer’s prevention specialist — founder of Neuro Athletics.
My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention.
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Topics discussed:
00:00 – Intro
03:14 – From Sex Ed to Menopause
05:15 – FDA Bias & Hormone Approval
07:26 – Redefining HRT as PET (Progesterone, Estrogen, Testosterone)
07:51 – Hormones 101 & Testosterone Misconceptions
10:13 – Perimenopause vs. Stress
11:51 – The “Bricks of the House” Analogy
13:57 – Symptoms of Low Testosterone in Women
15:15 – Lab Values vs. Reality
17:14 – DHEA & Supplementation
20:10 – Emotions on Testosterone
21:23 – Testosterone & Mental Health
22:33 – Vitamin D & Hormone Synergy
23:07 – Debunking Testosterone Myths
26:35 – The “Married-Only” Paradox
27:14 – Perimenopause Misdiagnosis
28:19 – Myth #2 – Masculinization Fear
29:15 – Fertility & Testosterone
30:07 – Pregnancy & Safety
31:01 – Blood Tests Explained
32:41 – Dr. Casperson’s Book & Treatment Guidance
33:24 – Contraindications & Safety
34:06 – Breast-Cancer Data
35:12 – The Menopause Divorce Rate
36:47 – Untreated Menopause & Relationships
39:25 – Testifying at the FDA
41:35 – The Estrogen Box Warning
43:35 – Why the FDA Still Hasn’t Acted
45:59 – Risk Tolerance Gap
46:17 – Systemic Discrimination in Medicine
47:28 – Neurological Protection of Testosterone
48:11 – Alzheimer’s & Hormone Decline
50:11 – Prevention vs. Treatment
52:04 – Brain Receptors & Protection
55:14 – The Brain Literally Eats Itself
57:18 – FDA Hearing Reflection
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