291. Do The Boomers Have A Choice? Rethinking Timing of Hormones Nov 17, 2024

In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy.

Takeaways

Millions of women feel they have been overlooked in hormone therapy discussions.
The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence.
The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes.
The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy.
Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis.
Many women experience symptoms beyond hot flashes that can persist for years after menopause.
The risks associated with hormone therapy are often overstated and misunderstood.
Women over 60 should not be denied hormone therapy based solely on age or years since menopause.
Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices.
Women need to advocate for their health and seek out hormone therapy options that are safe and effective.

Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045.

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290. The Biggest Gap in Women's Healthcare - with Dr. Heather Hirsch Nov 10, 2024

In this engaging conversation, Dr. Kelly Casperson and Dr. Heather Hirsch discuss the critical aspects of women's health, particularly focusing on menopause, hormone therapy, and sexual health. They explore the importance of education in these areas, the complexities of desire, and the need for personalized approaches to hormone therapy. The discussion highlights the evolving landscape of women's health care and the necessity for continued research and advocacy to improve the quality of life for women as they age.

Takeaways

Menopause is a significant gap in women's health care.

Education is crucial for empowering women about their health.

Hormones play a vital role in sexual health and desire.

The medical community needs to adapt to the changing needs of women.

Personalized hormone therapy can greatly improve quality of life.

Women are increasingly aware of their health needs and options.

The stigma around hormone therapy is slowly changing.

Open discussions about sexual health are essential.

The future of women's health looks promising with ongoing advocacy.

Women should be empowered to make informed decisions about their health.

Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.

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289. The M Factor Documentary Nov 03, 2024

In this episode of the You're Not Broken podcast, Kelly Casperson, MD, and Tamsen Fadal discuss the M-Factor documentary, which aims to educate and inform women about menopause. They share insights into the creation process, the importance of real stories, and the impact of the documentary on audiences and communities. The conversation highlights the need for open discussions about women's health and the significance of representation in media. In this engaging conversation, Tamsen and Dr. Kelly Casperson discuss the future of their documentary on menopause, emphasizing the importance of community engagement and the need for accessible resources. They explore the significance of relationships during menopause, the surprising reactions from men who view the film, and Tamsen's personal journey through her experiences. The challenges of documentary production are highlighted, along with reflections on personal growth and the importance of making information accessible to all. The conversation concludes with a focus on international outreach and the ongoing mission to empower women and their communities.

Takeaways

The M-Factor documentary combines expert insights with real women's stories.

Creating the documentary involved collaboration with various professionals and women.

The premiere events have sparked significant audience engagement and discussions.

Community screenings are essential for spreading awareness about menopause.

The documentary aims to create real-time change in how menopause is perceived.

Understanding menopause requires accessible and actionable information.

The film addresses various aspects of women's health, including workplace issues and hormone therapy.

Real stories from women help others feel seen and understood.

The documentary has received positive feedback from both audiences and medical professionals.

Future screenings and translations are planned to reach a wider audience. International outreach is a priority for future initiatives.

Building community connections is essential for empowerment.

Relationships play a crucial role during menopause.

Men's perspectives on menopause are often overlooked but valuable.

Personal experiences shape understanding and empathy.

Documentary production involves overcoming significant challenges.

Access to information is vital for community health.

The journey of creating the documentary was transformative.

Engaging men in the conversation can foster understanding.

Future screenings are planned internationally to broaden reach.

PBS M Factor Link

https://themfactorfilm.com/

Tamsen on IG

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See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi

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

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Join my membership to get these episodes ASAP, a private

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288. Dr. Jim Simon Oct 27, 2024

Dr. Jim Simon discusses the importance of hormones in sexual health and the intersectionality of ISSWSH and NAMS. He emphasizes the need for all healthcare providers to be comfortable talking about sex and hormones.

Dr. Simon also talks about his paper on menopausal hormone therapy and the misconceptions surrounding hormone therapy and breast cancer. He highlights the importance of individualized risk assessment and informed decision-making. The conversation also covers the future of hormones, the role of lifestyle factors in healthy aging, and the development of new drugs for hot flashes, including Fezolinetant and a new one coming on the market in one year.

In this conversation, Dr. James Simon and Dr. Kelly Casperson discuss various topics related to women's health, including the challenges of getting a female dosed testosterone approved by the FDA, of treating sexual dysfunction, the underutilization of certain medications, and the importance of advocating for better access to care. They also touch on the off-label use of medications and the need for comprehensive education on hormones and sex medicine. Additionally, they explore the role of hormones in sleep issues and the impact of anxiety on menopausal women.

Takeaways

Healthcare providers should be comfortable discussing sex and hormones with their patients.

Individualized risk assessment is crucial when considering hormone therapy.

Lifestyle factors, such as diet and exercise, play a significant role in healthy aging.

New drugs for hot flashes offer more options for women who cannot or should not use hormones. Advocacy is crucial in improving access to care for women's sexual health issues.

Certain medications for sexual dysfunction are underutilized and may be more cost-effective options.

Off-label use of medications can be beneficial and should be considered when appropriate.

Comprehensive education on hormones and sex medicine is needed for healthcare professionals.

Sleep issues in menopausal women should be addressed beyond hot flashes and night sweats.

Anxiety is a common concern for menopausal women and should be treated alongside other symptoms.

Dr. Jim Simon was previously on YANB episode #111 – go back and check it out!

Dr. James A. Simon is a D.C.-based physician providing patient-focused care for women across the reproductive life cycle, from adolescence to childbirth, and through the menopause transition. His unique approach to care encourages women to be a part of their own wellness, disease prevention, treatment and recovery; and through his renowned clinical research efforts, he offers one-of-a-kind opportunities for patients to experience the latest innovations in women’s health.

Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Jul 1;144(1):12-23. doi: 10.1097/AOG.0000000000005553. Epub 2024 Mar 14. PMID: 38484309.

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Join my membership to get these episodes ASAP, a private

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287. Sobriety Gifts - A Sibling Story with Kelly and Hans Oct 20, 2024

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson and her brother Hans share their personal journey of sobriety, discussing the challenges and triumphs they faced while quitting alcohol. They explore the emotional triggers associated with drinking, the importance of community support, and the health benefits of living a sober life. The conversation also touches on navigating social situations, the impact of sobriety on relationships, and the emotional work required to maintain a sober lifestyle. Ultimately, they emphasize the positive changes that come from choosing sobriety and the importance of reframing the narrative around quitting drinking.

Takeaways

Sobriety can lead to greater presence and energy.
Understanding urges is crucial in the journey to sobriety.
Support from the community and meetings can be invaluable.
Social situations can be navigated without alcohol.
Sobriety has significant health benefits beyond physical health.
Emotional management skills improve when alcohol is removed.
Quitting drinking can break generational patterns of alcohol use.
The language we use around quitting drinking matters.
Emotional work is essential for long-term sobriety.
Trusting the process is key to overcoming fears about sobriety.

Quit Like A Woman

Sober Curious

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286. Dr. Louise Newson - An Expert's Expert Oct 13, 2024

Dr. Louise Newson, a menopause specialist, shares her journey and passion for increasing awareness and knowledge of perimenopause and menopause. She discusses the importance of understanding menopause as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms.

The conversation also highlights the alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms. Dr. Newson emphasizes the need for comprehensive care and access to safe hormone treatments to improve the quality of life for women experiencing menopause.

The conversation between Louise Newson and Kelly Casperson, MD covers various topics related to menopause and hormone therapy. They discuss the importance of helping women feel better and the role of doctors in achieving this. They also delve into the impact of hormones on aging, frailty, and chronic diseases. The conversation highlights the significance of hormones in maintaining bone health, muscle strength, and overall independence in older age.

They challenge the misconceptions and limitations surrounding hormone therapy, particularly in relation to heart disease. The conversation concludes with a discussion about Louise Newson's upcoming theater tour and the Balance App, which aims to provide women with information and support for their hormonal health.

Takeaways

Menopause should be recognized as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms.

There is an alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms.

Comprehensive care and access to safe hormone treatments are essential to improve the quality of life for women experiencing menopause. The role of doctors is to help women feel the most like themselves that they can.

Hormone therapy can play a crucial role in preventing frailty and maintaining independence in older age.

Hormones, such as estrogen and testosterone, have anti-inflammatory effects and can improve heart health.

The use of synthetic hormones, like conjugated equine estrogens, may have different effects compared to natural hormones.

The Balance App provides women with information, support, and the ability to monitor their symptoms and make informed choices about their hormonal health.

https://www.instagram.com/menopause_doctor/

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285. Musculoskeletal Syndrome of Menopause Oct 06, 2024

Dr. Vonda Wright discusses the musculoskeletal syndrome of menopause and the importance of recognizing and addressing the symptoms. She emphasizes the need for doctors to listen to women's concerns and provide appropriate care. Dr. Wright also highlights the role of hormones in musculoskeletal health and the potential benefits of hormone replacement therapy. She advocates for a proactive approach to bone health and overall well-being, emphasizing the importance of mobility and exercise. Dr. Wright encourages women to be active participants in their healthcare and to advocate for themselves.

Takeaways

The musculoskeletal syndrome of menopause affects 70-80% of women in perimenopause and can manifest in various musculoskeletal symptoms.

Women often face challenges in getting a proper diagnosis and treatment for their symptoms, with many being told that their symptoms are all in their head or simply a part of aging.

Hormone replacement therapy can be effective in reducing symptoms and improving musculoskeletal health in menopausal women.

Preventive measures, such as anti-inflammatory nutrition, building lean muscle mass, and maintaining mobility, can help support musculoskeletal health.

Women should be active participants in their healthcare and advocate for themselves, seeking out doctors who are knowledgeable about menopause and its impact on musculoskeletal health.

https://www.instagram.com/drvondawright/

Dr. Wright's Health Summit

Read Dr. Wright's article here

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284. 2024 Menopause Conference - a Review Sep 29, 2024

Come see me in Tacoma October 3

Come See the M Factor documentary premier in Bellingham October 20th

In this episode of the You Are Not Broken podcast, I discuss key insights from the recent Menopause Society Conference, covering a range of topics related to menopause, perimenopause, hormonal impacts, mental health, sexual health, and the importance of advocacy for women's health. The conversation emphasizes the need for better understanding and treatment options for women experiencing menopause, as well as the role of lifestyle changes in managing symptoms and improving overall health.

Takeaways

Understanding female sexuality is crucial for healthy relationships.

Perimenopause symptoms can start before periods become irregular.

Hormonal changes during menopause can impact mental health significantly.

Hot flashes are linked to cognitive decline and memory issues.

The Mediterranean diet is beneficial for mental health and depression.

Hormones can help alleviate symptoms of depression and anxiety during menopause.

Bone health is critical, and hormone therapy can improve bone density.

Advocacy for women's health is essential in changing perceptions about menopause.

Nutrition and lifestyle changes play a significant role in managing menopause symptoms.

Education about menopause is lacking, and many women feel unprepared.

Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.

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See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi

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

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283. Preventing Dementia - Max Lugavere Sep 22, 2024

Max Lugavere discusses his journey into researching dementia prevention and the importance of lifestyle factors in maintaining brain health. He emphasizes the need for early intervention and the identification of biomarkers that can indicate risk for cognitive decline. The conversation also touches on the influence of the alcohol and food industries on public health guidelines, the role of physicians in prevention, and the power of individual agency in making healthy choices.

In this conversation, Max Lugavere and I discuss various topics related to brain health, nutrition, and lifestyle. They touch on the confusion surrounding processed foods and veganism, the role of cholesterol in health, the importance of exercise for brain health, and the potential benefits of hormone replacement therapy. Max shares his personal experience with his mother's battle with dementia and emphasizes the need for individuals to take control of their own health and advocate for themselves.

Takeaways

Dementia prevention requires early intervention and the identification of biomarkers that can indicate risk for cognitive decline.

The alcohol and food industries have significant influence on public health guidelines, which may not always prioritize prevention.

Physicians may not be incentivized to advocate for prevention, and the responsibility for wellness ultimately lies with individuals.

There is no one-size-fits-all diet for brain health, but diets low in ultra-processed foods and added sugar tend to be beneficial.

The conversation around prevention is growing, but public health statistics show that there is still work to be done. Processed foods can be a source of confusion and stress, leading to unhealthy dietary choices.

While veganism can be a personal choice, making health claims and demonizing animal-sourced foods without strong evidence is misleading.

Cholesterol is often misunderstood, and the risks associated with it may be exaggerated. LDL cholesterol should be viewed as a check engine light rather than a definitive indicator of health.

Exercise is crucial for brain health and can help prevent and slow the progression of conditions like Alzheimer's and Parkinson's diseases.

Hormone replacement therapy (HRT) can have potential benefits for brain health, and the risks are often overblown.

Individuals should take control of their own health, stay informed, and be open to updating their knowledge based on new evidence.

https://www.instagram.com/maxlugavere/

Documentary Little Empty Boxes

https://www.maxlugavere.com/

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282. Libido and The Brain - Midlife Sexual Health Sep 15, 2024

I am back with Caroline Labouchere!

Our conversation explores the topic of libido and the factors that can affect it, such as upbringing, education, relationships, and hormones. It emphasizes the importance of understanding one's own thoughts and beliefs about sex and prioritizing a healthy sex life. The discussion also touches on the use of hormones and medications, such as Addyi and Vyleesi, to address low libido.

The conversation highlights the complexity of sexuality and the need for a holistic approach to addressing low desire. In this conversation, Dr. Kelly Casperson discusses various topics related to menopause, hormones, and sexual health. She addresses the use of on-demand medications for low libido, the cost of hormone medications, and the difficulty of finding doctors who specialize in menopause and sex medicine.

Dr. Casperson also explains how Viagra works and its potential use for women. She emphasizes the importance of education and communication in addressing sexual health issues and provides information on vaginal estrogen and its benefits. The conversation concludes with a discussion on hormone therapy and its relationship to cancer treatment.

Takeaways

Libido is a complex topic influenced by various factors, including upbringing, education, relationships, and hormones.

Understanding and addressing one's thoughts and beliefs about sex is crucial for improving libido.

Hormones, such as estrogen and testosterone, can play a role in libido and may be used as treatment options.

Medications like Addyi and Vyleesi are available for low libido, but they may not work for everyone and can have side effects.

Prioritizing a healthy sex life and cultivating novelty and communication in relationships can contribute to a satisfying sexual experience. On-demand medications can be used to address low libido, similar to how Viagra is used for men.

The cost of hormone medications can be high, making it difficult for some women to afford them.

Finding doctors who specialize in menopause and sex medicine can be challenging.

Viagra is a vasodilator that improves blood flow, but it does not directly affect desire or orgasm in women.

Vaginal estrogen is a safe and effective treatment for symptoms such as pain with sex and dryness.

Hormone therapy can be considered after cancer treatment, depending on the individual's situation and risks.

Education and communication are crucial in addressing sexual health issues and advocating for proper care.

https://www.instagram.com/carolinelabouchere/

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

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

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

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Join my membership to get these episodes ASAP, a private

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281. Testosterone with Dr. Streicher Sep 08, 2024

My book comes out this week! Order it here!

In this conversation, Dr. Kelly Casperson and Dr. Lauren Streicher discuss the topic of testosterone. They address the challenges of discussing testosterone in short social media posts and the misconceptions surrounding its use.

They emphasize the importance of educating women about testosterone and the need for more research in this area. The conversation covers various aspects of testosterone, including its role as a human hormone, its use in women who have had their ovaries removed, and its potential benefits for bone health, brain function, and overall well-being. The doctors also discuss the safety of testosterone therapy and the limitations of lab tests in determining optimal levels.

In this conversation, Dr. Lauren Streicher and Dr. Kelly Casperson discuss various topics related to hormone therapy and women's health. They touch on the use of testosterone therapy, the role of sex hormone binding globulin (SHBG), the importance of checking thyroid levels, and the potential risks of using hormone pellets.

They also emphasize the need for individualized treatment plans and the importance of education and communication in women's sexual health. Dr. Casperson shares insights from her book, 'You Are Not Broken: Stop "Should'ing" All Over Your Sex Life,' which aims to provide adult sex education and debunk myths surrounding women's sexual health.

Takeaways

Educating women about testosterone is important, as there are many misconceptions surrounding its use.

More research is needed to fully understand the benefits and risks of testosterone therapy in women.

Testosterone may have potential benefits for bone health, brain function, and overall well-being in women.

Lab tests for testosterone levels are not always reliable indicators of the effects of testosterone in the body.

Safety is a key consideration in testosterone therapy, and individualized treatment plans are necessary. Testosterone therapy can be used to address various symptoms in women, but the dosage and approach should be individualized.

High levels of sex hormone binding globulin (SHBG) can reduce the effectiveness of testosterone therapy, and it may be necessary to explore other options or address underlying causes.

Thyroid dysfunction can masquerade as menopause symptoms, so it's important to check thyroid levels in women experiencing hormonal changes.

Hormone pellets are not recommended due to the potential for side effects and lack of control over hormone levels.

Education and communication are crucial in women's sexual health, and there is a need for adult sex education to address common misconceptions and provide accurate information.

Hormone therapy should be seen as a preventive measure rather than a treatment for existing health issues, and it should be part of a comprehensive approach that includes lifestyle factors like exercise and nutrition.

https://www.instagram.com/drstreich

website: Dr. Streicher.com

Dr. Streicher's Podcast: Inside Information Podcast

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280. You Are Not Broken - Chapter 1 "Society Got it Wrong" Sep 01, 2024

Is your sex life everything you want it to be?

If you're like most women, the answer might be "no." But it’s not your fault. Hollywood's fantasies and society’s silence have set us up for disappointment. We're rarely taught what truly makes sex fulfilling for women—why understanding our bodies matters, and how prioritizing our pleasure isn't just important, but essential.

In You Are Not Broken, Dr. Kelly Casperson—a urologist, coach, and woman who’s also asked, "Is this really it?"—offers a fresh perspective. She dives deep into the science of female sexuality, providing tools to shift your mindset and embrace your unique physiology. Discover how better sex can transform your relationship and empower you to live the life you've always wanted. With real-life stories, journaling prompts, and conversation starters, this book is your guide to reclaiming your sexual health and happiness.

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279. Top Menopause Hormone Myths - Busted! Aug 25, 2024

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Dr. Kelly Casperson and Dr. Naomi Potter discuss menopause myths and misconceptions, focusing on topics such as vaginal estrogen, hormone replacement therapy (HRT), and testosterone. They highlight the importance of educating women about the safety and benefits of these treatments, as well as the need for women to advocate for themselves in healthcare. They also address the cultural stigma around menopause and the natural aging process, emphasizing the role of hormones in maintaining women's health and quality of life.

Takeaways

Vaginal estrogen is safe and has advantages, including reducing urinary tract infections.

HRT is beneficial for women's health, including reducing the risk of heart disease and dementia.

Women need to advocate for themselves and seek multiple opinions when it comes to hormone therapy.

There is a cultural stigma around menopause and the use of hormones, which limits women's access to beneficial treatments.

The healthcare system needs to catch up with the evidence and provide better education and options for women.

https://www.instagram.com/dr_naomipotter

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278. Demystifying Testosterone in Women: Beyond Libido Aug 18, 2024

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In this conversation, Kelly Casperson and Caroline Labouchere discuss the topic of testosterone in women. They cover various aspects of testosterone, including its effects, misconceptions, and benefits. They also touch on related topics such as hormone replacement therapy, sexual desire, and the use of medications like Addyi. The conversation emphasizes the importance of individualized treatment and the need for more research and education on testosterone in women.

Takeaways

Testosterone is an important hormone for women and has benefits beyond just libido.

There are many misconceptions and biases against testosterone in women.

Hormone replacement therapy, including testosterone, can be a safe and effective option for women.

Individualized treatment and monitoring of hormone levels is important for optimal results.

More research and education are needed to better understand and utilize testosterone in women.

https://www.instagram.com/stories/carolinelabouchere

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277. Ask Me Anything Aug 11, 2024

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In this conversation, Dr. Kelly Casperson answers various questions related to hormones, menopause, sexual dysfunction, and hormone replacement therapy. She discusses topics such as testosterone levels, DHEA, estrogen, the use of hormones in skincare, the role of estrone in inflammation, consent in sexual activity, FSH in menopause, the conversion of testosterone to estrogen, and the importance of advocating for research on older women. Dr. Casperson also addresses the use of hormones in perimenopause, the impact of hormones on liver enzymes, the benefits of vaginal estrogen, and the need for more studies on hormones and women's health. She provides insights on the use of hormones in SSRI-induced sexual dysfunction, the role of acupuncture in female sexual dysfunction, and the use of birth control pills in perimenopause. Dr. Casperson emphasizes the importance of finding a hormone specialist and the need for individualized treatment plans.

In addition, in this episode, Dr. Kelly Casperson answers various questions from her Instagram followers. She addresses topics such as strength training after prolapse repair, the effects of menopause on gastrointestinal health, PTNS for urgency incontinence, optimal hormone levels for women in their 60s, 70s, and 80s, arguments for testosterone supplementation in perimenopausal women, side effects of testosterone supplementation, and safe options for hormone replacement therapy. She also discusses the differences and treatments for cystocele and rectocele, the use of progesterone after a hysterectomy, the risk of blood clots from estrogen patches, and the use of estradiol on the face causing pigmentation. Dr. Casperson emphasizes the importance of personalized hormone therapy and the need to consult with hormone specialists for individualized treatment plans.

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276. Women's Hearts Aug 04, 2024

Dr. Jayne Morgan, a cardiologist, joins Dr. Kelly Casperson to discuss the connection between hormones and heart health in midlife women. They highlight the importance of addressing heart disease, the number one killer of women, and the need to raise awareness about it. Dr. Morgan shares her journey from being a cardiologist to focusing on menopause and women's health during the COVID-19 pandemic.

They discuss the symptoms of heart disease in women, the role of cholesterol and statins, and the potential impact of testosterone on heart health. They also touch on the protective effects of hormone therapy for cardiovascular disease and the slow progress in integrating this knowledge into cardiology practice.

Dr. Jayne Morgan and Dr. Kelly Casperson discuss the importance of addressing menopause and its impact on heart health. They highlight the need for more research, clinical trials, and data on menopause and its effects on various aspects of health.

They also discuss the lack of representation and diversity in medical research and the importance of including minority populations in clinical trials. The conversation covers topics such as hot flashes, heart palpitations, glucose levels, and the significance of APOB and lipoprotein A in cardiovascular health. Dr. Morgan emphasizes the importance of personalized medicine and encourages women to prioritize their heart health and seek support during midlife.

Takeaways

Heart disease is the number one killer of women, and it becomes more prevalent during perimenopause and menopause.
Symptoms of heart disease in women can be different from those in men, and it is important to recognize and normalize these symptoms.
Cholesterol and statins are somewhat controversial in relation to heart disease prevention in women, but statins are generally recommended for women at risk.
Testosterone may play a role in heart health for women, and further research is needed to understand its effects.
Hormone therapy has been shown to reduce the risk of cardiovascular disease in women, but there is still resistance to integrating this knowledge into cardiology practice. More research, clinical trials, and data are needed on menopause and its effects on various aspects of health.
There is a lack of representation and diversity in medical research, and it is important to include minority populations in clinical trials.
Hot flashes and heart palpitations are common symptoms of menopause and may be indicators of cardiovascular disease.
Glucose levels, including pre-diabetes levels, can be a bellwether for future cardiovascular health.
APOB and lipoprotein A are important factors to consider in cardiovascular health, and personalized medicine can play a significant role in treatment.
Women should prioritize their heart health, seek support, and make informed decisions about their health during midlife.

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275. Delaying Menopause - Understanding the Ovary Jul 28, 2024

275 Delaying Menopause - Understanding the Ovary

Dr. Jennifer Garrison, a researcher and assistant professor at the Buck Institute for Research on Aging, discusses her work on women's health and aging. She explains that her goal is to understand the underlying mechanisms of aging and develop interventions that promote women's health. Dr. Garrison focuses on the role of the hypothalamus, a part of the brain that controls various homeostatic systems in the body, including reproductive function. She emphasizes the importance of studying bioactive peptides, which act as chemical signals between the brain and other tissues. Menopause is defined as the cessation of menstruation for 12 months, but it also coincides with changes in ovarian function and the production of various chemical signals. Dr. Garrison highlights the need for further research to understand ovarian function and develop interventions to extend ovarian health. The conversation explores the work of the Center for Reproductive Longevity and Equality and the importance of maintaining ovarian function for healthy aging in women. The center funds grants to scientists and clinicians studying ovarian aging and has seen significant progress in the field. The discussion also touches on the use of frozen ovarian tissue for preserving fertility in cancer patients and the role of peptides in reproductive function. The conversation emphasizes the need to reframe the narrative around women's health and highlights the inequality in health span between men and women.

Takeaways

Understanding the underlying mechanisms of aging can lead to interventions that promote women's health.
The hypothalamus plays a crucial role in regulating various homeostatic systems in the body, including reproductive function.
Bioactive peptides act as chemical signals between the brain and other tissues, influencing various physiological processes.
Menopause is defined as the cessation of menstruation for 12 months, but it also involves changes in ovarian function and the production of chemical signals.
Further research is needed to understand ovarian function and develop interventions to extend ovarian health. The Center for Reproductive Longevity and Equality funds grants to study ovarian aging and has seen significant progress in the field.
Frozen ovarian tissue can be used to preserve fertility in cancer patients.
Peptides play a crucial role in reproductive function, but caution should be exercised when using peptide therapies.
The narrative about women's health needs to be reframed to focus on maintaining ovarian function for healthy aging.
Women live longer than men on average but spend a longer portion of their lives in poor health, highlighting an inequality in health span.

https://www.buckinstitute.org/lab/garrison-lab/

https://www.linkedin.com/in/drjennifergarrison/

https://gcrle.org/

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274. Comedy, Dating, and Sex in Midlife with Erin Keating Jul 21, 2024

Erin Keating, founder of Hotter Than Ever, joins Kelly Casperson on the You Are Not Broken podcast to discuss women in comedy, the power of humor, and the journey of self-discovery and reinvention in midlife. Erin shares her personal story of leaving a successful career, going through a divorce, and reclaiming pleasure and joy in her life. She emphasizes the importance of women embracing their power and agency and the need for deeper conversations and connections in midlife.

Erin also talks about her experiences with dating and sex in midlife and the process of reconnecting with her body and desires. In this conversation, Erin Keating shares her experiences with online dating and how it helped her reconnect with herself and her pleasure. She emphasizes the importance of being honest, direct, and authentic in online dating and encourages women to date like grown-ass women. Erin also discusses the significance of setting boundaries and communicating openly in relationships. She advises women to prioritize their happiness and joy, challenge societal expectations, and embrace their authentic selves. The conversation concludes with a discussion of the connection between stand-up comedy and sobriety.

Takeaways

Comedians are truth tellers who say the things on our minds that we wish we could say.
Women in comedy often face personal risks and challenges, but their voices are essential.
Comedy is a coping mechanism and a way to share joy and laughter.
Midlife is a time for women to prioritize pleasure, joy, and fun, and to not be scared of taking risks and trying new things.
Women have never been more powerful and have more agency than they do now.
Reclaiming pleasure, including sexual pleasure, is an important part of self-discovery and reinvention in midlife. Online dating can be a powerful tool for reconnecting with oneself and exploring pleasure.
Being honest, direct, and authentic in online dating can lead to more meaningful connections.
Setting boundaries and communicating openly are essential in relationships.
Prioritizing personal happiness and joy is crucial, and it's important to challenge societal expectations.
Stand-up comedy and sobriety often go hand in hand, as both require facing and expressing emotions.

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https://www.hotterthaneverpod.com/

https://hotterthanever.substack.com/

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273. Vulnerability, Gaslighting and Advocacy with Dr. C! Jul 14, 2024

Dr. Kelly Casperson,is interviewed by Dr. Maria Uloko. She shares her journey and passion for women's sexual health and menopause. She discusses how urology protected her soul and allowed her to stay in medicine. She emphasizes the importance of educating patients and being a medical translator to bridge the gap between research and patient care.

Dr. Casperson also addresses the issue of medical gaslighting and the need for doctors to have open and honest conversations about the potential side effects of treatments. She highlights the power of an educated patient and the role they play in advocating for their own health. Dr. Kelly Casperson discusses her journey in writing books about women's sexual health and the importance of advocating for better healthcare.

She emphasizes the need for accessible and practical sex education that addresses the biopsychosocial aspects of women's sexual health. Dr. Casperson also highlights the inequality in healthcare when it comes to menopause and hormone therapy, and the need for women to advocate for themselves. She draws inspiration from the AIDS epidemic and the power of grassroots movements to bring about change. Overall, Dr. Casperson encourages women to educate themselves, be curious about their health, and take charge of their well-being.

Takeaways

Urology can protect a doctor's soul and prevent burnout by providing instant gratification and a focus on quality of life after treatment.
Doctors need to be educated about women's sexual health and menopause to provide better care and have meaningful conversations with patients.
An educated patient is a powerful patient who can advocate for their own health and have higher-level conversations with their doctors.
Medical gaslighting is a common issue in women's health, and doctors need to address potential side effects and have open discussions with patients.
The role of a medical translator is crucial in bridging the gap between research and patient care, and doctors should provide patients with reputable resources.
Women need accessible and practical sex education that addresses the biopsychosocial aspects of their sexual health.
There is inequality in healthcare when it comes to menopause and hormone therapy, and women need to advocate for themselves.
Grassroots movements have the power to bring about change in healthcare, as seen in the AIDS epidemic.
Women should educate themselves, be curious about their health, and take charge of their well-being.

Dr. Maria's podcast: Salvaging Sex

https://www.mariaulokomd.com/

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272. Women Empowering Women - Starting A Midlife Telehealth Company Jul 07, 2024

272 When Medicine Fails You - Start A Company

Monica Molenaar and Anne Fulenwider, co-founders of Alloy, discuss their journey into menopause and the creation of their company. They highlight the lack of information and inconsistent advice they received from doctors, leading them to start a platform that provides women with credible information, support, and access to hormone replacement therapy. They emphasize the importance of validation and listening to women's concerns, as well as the need for streamlined and efficient menopause care. They also discuss the barriers to accessing testosterone for women and the need for change in regulations and education. The conversation explores the safety and benefits of hormone replacement therapy (HRT) for menopausal women. The speakers discuss the fear and misinformation surrounding HRT, emphasizing that it is a safe and effective treatment for menopause symptoms and can also have protective effects on the heart, bones, and brain. They highlight the importance of preserving function and quality of life in menopausal women and the need for a shift in the conversation around hormones from disease prevention to preservation of function. The speakers also discuss the international perspective on menopause and the challenges women face in accessing hormone therapy in different countries.

Takeaways

The lack of information and inconsistent advice from doctors led Monica and Anne to start Alloy. This platform provides women with credible information, support, and access to hormone replacement therapy.
Validation and listening to women's concerns are crucial in menopause care, as many women have been dismissed or invalidated by healthcare providers.
The barriers to accessing testosterone for women include its classification as a schedule three drug, the lack of FDA-approved dose for women, and the need for in-person prescriptions by knowledgeable practitioners.
The stigma around menopause needs to be challenged, as it is a powerful time in a woman's life where she can take control and live life on her own terms.
The telehealth technology and behavior changes during the COVID-19 pandemic have created an opportunity for improved access to menopause care.
Alloy is focused on creating solutions for the problems women face in perimenopause and menopause, including addressing vaginal health, systemic hormones, and skincare.
The safety and efficacy of hormones, including testosterone, need to be emphasized to overcome misconceptions and provide women with the full range of benefits. Hormone replacement therapy (HRT) is a safe and effective treatment for menopause symptoms and can have protective effects on the heart, bones, and brain.
The fear and misinformation surrounding HRT are unfounded, and women should have access to this treatment to improve their quality of life.
The conversation around hormones should shift from disease prevention to preservation of function and quality of life in menopausal women.
Access to hormone therapy is a challenge in many countries, and there is a need to spread awareness and improve access to treatment internationally.

https://www.myalloy.com/

https://www.instagram.com/monica.molenaar/

https://www.instagram.com/annefulenwider/

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271. What Every Couple Needs To Know About Women's Hormones Jun 30, 2024

271. What Every Couple Needs To Know About Women's Hormones

In this episode, Dr. Kelly Casperson discusses women's hormones and their impact on sexual health with sex therapist, Amanda Louder on her "Sex For Saints" podcast.

She emphasizes that libido is influenced by biological, psychological, and social factors. The conversation focuses on perimenopause and postmenopause, highlighting the lack of education and information available to women in these stages of life. Dr. Casperson addresses the fear surrounding hormone replacement therapy (HRT) and explains that the Women's Health Initiative study in 2002 contributed to this fear. However, she emphasizes the numerous benefits of HRT, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders.

We discuss the importance of vaginal estrogen in maintaining vaginal health and preventing urinary tract infections (UTIs). We highlight the issues of cost and the FDA's black box warning on estrogen products, which she believes are outdated and misleading.

Dr. Casperson also addresses the misconception around bioidentical hormones, explaining that they are the same as the hormones produced by the body and can be obtained through insurance-approved medications. She emphasizes the need for individualized hormone therapy and the importance of communication in navigating menopause and sexual health.

Takeaways

Libido is influenced by biological, psychological, and social factors.
Perimenopause and postmenopause are stages of life that lack sufficient education and information for women.
The fear surrounding hormone replacement therapy (HRT) is largely due to the Women's Health Initiative study in 2002.
HRT has numerous benefits, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders.
Finding a knowledgeable healthcare provider and advocating for oneself is crucial in addressing women's sexual health concerns.
Vaginal estrogen can be highly beneficial for women's sexual health, particularly in addressing issues such as chronic UTIs. Vaginal estrogen helps maintain vaginal health and reduces the risk of urinary tract infections (UTIs) by promoting a healthy acidic environment in the vagina.
The cost of vaginal estrogen can vary significantly, but there are ways to find more affordable options, such as using online pharmacies and discount coupons.
The FDA's black box warning on estrogen products is outdated and does not differentiate between systemic and vaginal estrogen. The safety of vaginal estrogen has been supported by multiple studies.
Bioidentical hormones are the same as the hormones produced by the body and can be obtained through insurance-approved medications. The term 'bioidentical' is often used as a marketing tool.

https://www.instagram.com/christiansexcoach/

https://amandalouder.com/blog/podcast/

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270. Progesterone and Perimenopause Jun 23, 2024

Dr. Eve Henry, an internal medicine physician, joins Dr. Kelly Casperson on the You Are Not Broken podcast to discuss the importance of optimizing health span and preventing disease. They emphasize the need for a shift in the medical system from disease management to wellness and prevention. They also highlight the role of hormones in women's health, particularly during perimenopause.

They discuss the benefits of hormone therapy for symptom management and prevention of conditions like Alzheimer's disease.

They address common myths and misconceptions about hormones and provide insights into the use of progesterone and birth control options for perimenopausal women. In this part of the conversation, Eve and Kelly discuss the dosing and cycling of hormones during perimenopause and menopause.

They talk about the variability in dosing and the benefits of cycling hormones. They also touch on the use of progesterone and estradiol in hormone therapy and the importance of finding the right doses for each individual.

They discuss the role of DHEA in perimenopause and the potential benefits of supplementing with it. They also emphasize the importance of comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, to assess cardiovascular risk and overall health.

Takeaways

The medical system needs to shift from disease management to wellness and prevention.
Hormone therapy can be beneficial for symptom management and prevention of conditions like Alzheimer's disease.
Progesterone is an important hormone during perimenopause and can help alleviate symptoms.
There are various birth control options available for perimenopausal women.
Regular monitoring and individualized treatment are key in hormone therapy. Dosing and cycling of hormones during perimenopause and menopause can vary based on individual needs and symptoms.
Progesterone is used to protect the uterus and is typically dosed at 100 milligrams for uterine protection during continuous hormone therapy.
Cycling hormones can be beneficial for some women, but it may be challenging to track and can be discontinued if it causes discomfort.
DHEA supplementation may be helpful for increasing testosterone levels and improving symptoms of low testosterone.
Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are important for assessing cardiovascular risk and overall health during perimenopause and beyond.

https://www.instagram.com/drevehenry/

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269. The Bedroom Gap with Dr. Sophocles Jun 16, 2024

Dr. Maria Sophocles discusses her TED Talk on sex in midlife and the bedroom gap between men and women. She explains the physiological changes that occur in the vulva and vagina during midlife and how they can affect a woman's sex life. She emphasizes the importance of vaginal estrogen as a preventative medicine and the need for better education and communication between clinicians and patients.

Dr. Sophocles also highlights the need for couples to have open and honest conversations about their sex life and the role of sex therapy in addressing sexual health issues.

The conversation covers various topics related to gender roles, sexual pleasure, and the impact of menopause on libido. It emphasizes the importance of communication and breaking societal norms in order to achieve gender equity in the bedroom.

The fear and misconceptions surrounding estrogen and its association with cancer are also addressed. The conversation concludes with a discussion on the power of education and open dialogue in changing societal attitudes towards sex and pleasure.

Takeaways

Physiological changes in the vulva and vagina during midlife can affect a woman's sex life.
Vaginal estrogen is a safe and effective preventative medicine for addressing genitourinary changes.
There is a need for better education and communication between clinicians and patients regarding sexual health.
Couples should have open and honest conversations about their sex life to bridge the bedroom gap.
Sex therapy can play a crucial role in addressing sexual health issues. Gender roles and societal norms often dictate women's role in the bedroom, leading to a lack of sexual pleasure and resentment.
Women should feel empowered to prioritize their own pleasure and communicate their needs and desires to their partners.
The loss of libido during menopause is a common concern for many women, but there are options available to address this issue.
Fear and misconceptions surrounding estrogen and its association with cancer can prevent women from seeking treatment that could improve their sexual health.
Education and open dialogue are essential in challenging societal attitudes towards sex and pleasure and promoting gender equity in the bedroom.

https://www.instagram.com/mariasophoclesmd/

Dr. Sophocles TED talk

https://mariasophoclesmd.com/

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268. Sex in Canada Jun 09, 2024

Dr. Kelly Casperson shares her experience at the BC Sexual Health Research Networking Event at the University of British Columbia.

She discusses various topics including sexual health, dating apps, virtual reality for vaginismus, and more. The event highlighted the importance of understanding the bio-psycho-social aspects of sexual health and the need for better sexual education.

Dr. Casperson emphasizes that there are researchers and professionals dedicated to improving people's sex lives and that individuals are not alone in their struggles.

Takeaways

Sexual health encompasses the bio-psycho-social aspects of a person's well-being.
Dating apps can perpetuate a narrative that dating is difficult and can have negative effects on mental health.
Virtual reality shows promise as a tool for desensitization in the treatment of vaginismus.
There is a need for better sexual education that addresses consent, gender-based violence, and the impact of technology.

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267. Kelly and Stacy London on "Hello Menopause" Jun 02, 2024

267. Kelly and Stacy London on "Hello Menopause"

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

Takeaways

The lack of education and research around menopause is a significant issue that affects the understanding and treatment of menopausal symptoms.
Testosterone plays a crucial role in female physiology, and its decline during menopause can have a significant impact on various aspects of health and well-being.
Individualized treatment for menopause is essential, and the challenges in prescribing testosterone for women highlight the need for more accessible and effective hormone therapy options. The importance of affordable and accessible hormone therapy for women in midlife.
The impact of hormone imbalance on mental health and the need for appropriate treatment.
The need for better understanding and treatment of menopause-related issues.
The role of preventative medicine in women's health and the importance of advocating for oneself in healthcare decisions.

Thank you to our podcast sponsor!

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

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266. Health Tech - Revolutionizing Vulvar Health with Dr. Uloko May 26, 2024

Dr. Maria Uloko, a urologist specializing in comprehensive sexual health, discusses her journey into urology and sex medicine.

She shares how she became interested in urology through a serendipitous encounter with a female urologist and her passion for surgery.

Dr. Uloko also talks about the importance of representation in medicine and her research on vulvar health. She highlights the need for better healthcare policies and advocacy to improve patient care and physician well-being.

The conversation touches on the challenges of the current healthcare system, including the degradation of the doctor-patient relationship and the lack of support for physicians.

Dr. Maria Uloko discusses the importance of physicians being involved in health tech and the need for their expertise in decision-making. She shares her journey into health tech and her passion for democratizing healthcare, particularly in women's health. Maria highlights the gendered access to healthcare and the lack of patient resources.

She explains her vision for VULVAI, an AI-powered platform that provides accurate and evidence-based information to empower patients in their healthcare decisions. Dr. Maria emphasizes the need for patients to be educated and advocates for themselves, and the importance of challenging misinformation in healthcare.

Takeaways

Representation in medicine is crucial for inspiring and diversifying the field.

The current healthcare system is not sustainable and needs significant policy changes.

Physicians are facing burnout and leaving the profession due to lack of support and excessive workload.

The doctor-patient relationship is deteriorating, and there is a need to prioritize and protect it.

Advocacy and education are essential for improving patient care and addressing healthcare disparities. Physicians should be involved in health tech and decision-making processes to ensure that solutions are effective and work for patients.

There is a need to democratize healthcare, particularly in women's health, and provide equal access to resources and information.

VULVAI is an AI-powered platform that aims to empower patients by providing accurate and evidence-based information for their healthcare decisions.

Patients should be educated and empowered to advocate for themselves and challenge misinformation in healthcare.

https://vulvai.co/

https://www.instagram.com/mariaulokomd/

https://www.mariaulokomd.com/

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265. Estrogen For Your Face May 19, 2024

In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare.

Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy.

She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage.

In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers.

She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging.

Takeaways

Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea.

Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil.

Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative.

Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional.

Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers.

Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process.

Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging.

It's important to be discerning when it comes to skincare and haircare products and choose what works best for you.

https://gendlerdermatology.com/

https://www.instagram.com/ellengendlermd/

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

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264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein May 12, 2024

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein

Dr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes.

Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia).

Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia.

In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain.

Takeaways

Cervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking.

Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally.

Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases.

Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments.

The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia.

Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia.

Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients.

Pain control should be prioritized during procedures, such as IUD insertion.

Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings.

https://vulvodynia.com/

https://www.gyncancer.org/

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263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon Malone May 05, 2024

263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon Malone

Dr. Malone is a nationally known expert in women’s health and a vocal advocate for menopause awareness and evidence-based information about hormone replacement therapy. A certified Menopause Practitioner, she believes that all women should be able to make decisions regarding their health and quality of life based on facts – not fear.

Her first book, Grown Woman Talk: Your Guide to Getting and Staying Healthy, is out now and is a New York Times Bestseller!

Dr. Sharon Malone, an expert in women's health and menopause, discusses her transition from traditional OB-GYN practice to menopause care and her role at Alloy Women's Health. She emphasizes the importance of telehealth in providing access to care for perimenopausal and menopausal women. Dr. Malone also addresses misconceptions about hormone replacement therapy and the need for individualized treatment decisions.

She highlights the gender disparities in medicine and the need for more research on women's health. Additionally, Dr. Malone discusses the role of testosterone in menopause and the challenges in accessing and prescribing it for women. In this conversation, Dr. Sharon Malone and Dr. Kelly Casperson discuss various topics related to women's health, including the lack of FDA approval for testosterone preparation for women and the need for more research on testosterone in women.

They also highlight the additional struggles faced by African American women and minorities in menopause and emphasize the importance of advocating for women's health and quality of life. The conversation provides practical advice on how to advocate for oneself in medical conversations and emphasizes the importance of being prepared and efficient in doctor's visits. Lastly, they debunk the inaccurate breast cancer risk statistic of one in eight.

There is a need for FDA approval of testosterone preparation for women and more research on testosterone in women.

African American women and minorities face additional struggles in menopause and may have difficulty accessing appropriate treatments.

Advocating for women's health and quality of life is crucial, and patients should be prepared and efficient in medical conversations.

Knowing one's medications and their purpose is important for effective communication with healthcare providers.

The commonly cited breast cancer risk statistic of one in eight is inaccurate and can cause unnecessary fear.

https://www.drsharonmalone.com/

https://www.instagram.com/smalonemd/

https://twitter.com/smalonemd

Grown Woman Talk: Your Guide to Getting and Staying Healthy

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262. Women Waking Up - Perimenopause, Hormones, and Personal Growth with Marcella Hill Apr 28, 2024

Women Waking Up - Perimenopause, Hormones, and Personal Growth with Marcella Hill

Calling all the women who think they're going insane!

You have found your people.

Marcella Hill shares her journey of awakening and finding her true self during perimenopause and hormone therapy. She discusses the lack of support for women's hormonal health and the challenges women face in getting the help they need. Marcella also explores the impact of hormone therapy on relationships and the process of reclaiming sexual empowerment. She offers tips for waking up and discovering one's true self. In this conversation, Marcella Hill and Kelly Casperson, MD discuss the importance of breaking labels and embracing individuality. They explore the concept of safety versus curiosity and the need for a future-forward vision. They emphasize the power of living in the present and finding joy in everyday life. They also discuss the dangers of defining self-worth by titles and the importance of pursuing passions. The conversation highlights the challenges women face in the healthcare system and the need for women to take control of their own health.

Perimenopause and hormone therapy can lead to a journey of self-discovery and awakening.
There is a lack of support and education for women's hormonal health, leading to many women not getting the help they need.
Hormone therapy can have a significant impact on relationships, requiring couples to navigate changes and redefine their dynamics.
Reclaiming sexual empowerment and exploring one's desires and preferences is an important part of the awakening process.
Asking oneself questions and challenging societal norms can lead to a deeper understanding of one's true self. Break free from labels and embrace your individuality.
Challenge the notion of safety and explore curiosity.
Find joy in everyday life and live in the present moment.
Define your self-worth beyond titles and pursue your passions.
Take control of your own health and advocate for yourself.

https://www.wakeherup.co/

https://www.instagram.com/beingmarcellahill/

https://www.tiktok.com/@beingmarcellahill

Facebook

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261. Unlocking Pleasure: Exploring Sexuality & Relationship Dynamics Apr 21, 2024

Unlocking Pleasure: Exploring Sexuality & Relationship Dynamics

In this episode, Caitlin V. Neal, a sexologist and researcher, discusses her journey into sex education and coaching. She shares her experience working with individuals and couples to improve their sexual performance and pleasure. Caitlin also introduces the concept of the Erotic Blueprints, which categorizes different types of sexual preferences and desires. Additionally, she addresses the common myths and concerns surrounding premature ejaculation and provides insights on how to address this issue. In this conversation, Caitlin V and Dr. Kelly Casperson discuss various topics related to sexuality and relationships. They explore the impact of conditioning on premature ejaculation, the understanding of female squirting, navigating sexual expectations in heterosexual relationships, the invisibility of bisexual women, and the discrimination against non-monogamous relationships.

Takeaways

Premature ejaculation can be influenced by conditioning and unrealistic expectations placed on men.
Female squirting is a normal and natural phenomenon that can be learned and experienced by many individuals.
Open and honest communication is essential in navigating sexual expectations and desires in heterosexual relationships.
Bisexual women often face invisibility and discrimination due to societal misconceptions and stereotypes.
Non-monogamous relationships are often stigmatized and judged, leading to discrimination and lack of acceptance.

youtube.com/caitlinv

https://www.instagram.com/caitlinvictoriousx

https://www.caitlinvneal.com/

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260. Women and Testosterone Apr 14, 2024

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/

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259. Lancet Menopause Article Rebuttal - the Menoposse Apr 07, 2024

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

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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

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258. Sexual Empowerment, Reframing Pain, Autism Experiences, Sex Work and More Mar 31, 2024

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).

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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

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257. Testosterone with Dr. Morgentaler Mar 24, 2024

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.

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

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

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256. The Unfettered Urologist - Dr. Boone Mar 17, 2024

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 Charity
MarthaBoone.com
Twitter: @drmarthabooneFB: MarthaBBoone

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To learn more about Solv Wellness and their products for female pelvic health, visit⁠⁠solvwellness.com⁠⁠for 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 to⁠⁠myalloy.com⁠⁠to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024

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255. Infertility and Sex Mar 10, 2024

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

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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

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254. The fortune telling genitals and/or I hate the word "cock" Mar 03, 2024

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.

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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.

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253. Bonus episode - MARCH Retreat Feb 28, 2024

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.

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252. Thought Download - 2024 ISSWSH Conference Feb 25, 2024

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.

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251. Sex Coaching for Beginners Feb 18, 2024

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

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250. The BIO in Biopsychosocial – Medications for Sexual Health Feb 11, 2024

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

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249 - Sex and the Brain - Office Hours with Tabu Feb 04, 2024

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

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248. Hollywood Ruined Us – Sex Therapist Brooke Bralove Jan 28, 2024

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

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247. Sex Symposium: Morning After Review with Dr. Rubin Jan 21, 2024

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

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246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy Jan 14, 2024

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

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245. Changing Women's Healthcare From Inside Medicine Jan 07, 2024

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

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244. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer. Dec 31, 2023

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

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243. UnF*ck Your Brain: Body Image, Desire, and Coaching with Kara Loewentheil Dec 24, 2023

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!

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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.

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242. Modern Sex Challenges with Dr. Marianne Brandon Dec 17, 2023

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

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241. Myths and Truths - GSM and Pelvic Hormones Dec 10, 2023

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

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240. Sex After Cancer Dec 03, 2023

240. Sex After Cancer

What are possible sexual issues after cancer?

What are treatment options?

How can we do better talking about it?

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Dr. Laila Agrawal is a medical oncologist specializing in breast cancer in a community setting at Norton Cancer Institute in Louisville, KY. She is a fellow of the International Society for the Study of Women’s Sexual Health and has a sexual health clinic for women with cancer.

How she went from oncology into sexual health after cancer?

The importance of vaginal health after cancer treatment.

Why does no one talk about breasts as sexual organs? How does this affect the breast cancer conversation? We discuss options.

Things to know about sexual health after cancer diagnosis: It is biopsychosocial

The role of body image in impacting sexual health

The role of prevention of sexual dysfunction after radiation – vaginal dilators.

The ACOG statement supporting the safety of vaginal estrogen after cancer.

We discuss different vaginal estrogen products and vaginal DHEA.

The role of testosterone when you are on aromatase inhibitor after breast cancer.

Use of non hormonal FDA approved products for low sexual desire.

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.

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https://www.instagram.com/drlailaagrawal/

@drlailaagrawal on X

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239. Menopause in the Workplace and Estrogen After Breast Cancer Nov 26, 2023

Menopause in the Workplace and Estrogen After Breast Cancer Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com - Female physicians want to back off work secondary tomenopause symptoms - The huge financial burden and loss to the workforce because of untreated menopause - One of the largest groups in poverty in America is women over age 80 - I report on the Evernow survey of menopause in the workforce - I discuss Avrum Bluming’s article in the May 2022 Cancer Journal – Estrogen After Breast Cancer – is it time? - I discuss the progression of prostate cancer survivors being given testosterone over my career and how I think breast cancer will be headed this way too. - The efficacy of estrogen in preventing hip fractures. - The longevity benefit of taking estrogen The risk of pulmonary embolism with pregnancy, birth control and menopause hormone therapy - I discuss three paradigms coming in the future with hormones – hormones after breast cancer, hormones in women greater than 10 years post menopause, and hormones in perimenopause Evernow menopause in the workplace Dr. Avrum Bluming’s article Bluming, Avrum Zvi MD. Hormone Replacement Therapy After Breast Cancer: It Is Time. The Cancer Journal 28(3):p 183-190, 5/6 2022. | DOI: 10.1097/PPO.0000000000000595 Estrogen Matters Book 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

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238. Testosterone - An Education Nov 19, 2023

238. Testosterone: An Education Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas: Men’s Health, sexual medicine, and hormone replacement therapy. His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the field of sexual medicine and Men’s Health. Why is testosterone so interesting to Dr. Khera? Testosterone and prostate cancer – what do we know. Is a lowering Testosterone in men "natural"? and if it isn’t, what causes low testosterone in men? What do the new weight loss drugs do to testosterone levels and male fertility? We discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido. The role of chronic pain and testosterone and pain meds. The mechanism of how your testosterone goes up when you lose body fat. The four pillars of health for natural testosterone production – diet, exercise, sleep, stress reduction Erectile dysfunction is a harbinger for heart attack and heart disease. “There is not a better barometer of a man’s overall health than his sexual health” – Dr. Khera The role of DHEA (a mild androgen made in the adrenals) in men and women. The link with Peyronies disease and Testosterone. And we discuss penile stretching devices. We discuss a 2013 Finkelstein article – they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen? Dr. Khera was part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse trial. Conclusions: In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events. Barriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it – similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay. He clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this condition? Testosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline testosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal. 50% of men don’t talk to their doctor about their erectile dysfunction, and 44% of those men don’t talk to their partner about it. www.instagram.com/drmohitkhera Dr. Mohit and Dr. Morgentaler’s testosterone course ⁠NEJM article discussed: Gonadal Steroids and Body Composition, Strength, and Sexual Function⁠ ⁠Traverse Trial https://drmohitkhera.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

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237. Libido/Desire Differences in Partners Nov 12, 2023

237. Libido/Desire Differences in Partners

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Dr. Jennifer Vencill (she/her) is an assistant professor, board certified clinical health psychologist, and AASECT certified sex therapist at the Mayo Clinic in Rochester. Her research focuses on sexual health and health disparities in marginalized sexual and gender communities.

Dr. Lauren Fogel Mersy (she/her) is a licensed psychologist and an AASECT certified sex therapist. She received her doctorate in clinical psychology and completed her postdoctoral training at the University of Minnesota’s Institute for Sexual and Gender Health. She has advanced training in Emotionally Focused Couple Therapy and Gottman Method Couple Therapy. She specializes in sexual health and relationships and owns her own private practice in Minnesota.

Why did they needed to write a book about desire?

Desire discrepancy should be part of adult sex education

"Your desire should match your partner" is a myth.

Why do we want to blame someone or make someone be the problem in a relationship for having a low libido.

The stereotype is that the low libido person is the female – but that is not always the case.

We define responsive desire.

Four requirements for responsive desire – consent, pleasure, focus, time

When you have sex for your partner or fulfill a duty – if this is the default or only motivator for sex it can really affect your desire. Tips for getting out of this pattern.

We talk about shame and sex.

Your sexuality does not exist in a bubble.

We suss out asexuality versus low desire. Asexuality is a self-identity label and a valid sexual orientation. What to do when not attracted to a partner anymore?

Is attraction as fluid as desire is?

We talk about “sexual destiny” beliefs versus sexual growth beliefs and how these can hurt and benefit our relationships.

Tips for the high libido partner. Reducing pressure on their partner and managing their rejection and disappointment reactions. Consider what you are longing for when you seek sexual connection or sexual frequency.

Tips for “trying to conceive" low libido

Is “desire discrepancy” in a relationship a deal breaker? Not usually.

What to do when your partner stonewalls you or doesn’t want to work on the relationship.

Dr. Fogel Mersy Instagram, Facebook, and TikTok @drlaurenfogelmersy

Dr. Vencill www.instagram.com/drjennifervencill.

Get their desire book onAmazon Desire: An Inclusive Guide to Navigating Libido Differences in Relationships.

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

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236. Prolapse - Surgical and Non Surgical Options Nov 05, 2023

236 – Prolapse – Surgical and Non-Surgical Options

This podcast is sponsored by Femselect

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Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine.

In this episode, we talk a lot about prolapse and touch on-

· What is pelvic organ prolapse?

· Why prolapse needs a rebranding – so much shame

· Risk factors for prolapse

· What are the signs and symptoms?

· Our tips for treating constipation

· Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength.

· The impact of prolapse on those suffering

· Why we hate calling it “bladder prolapse”

· How the bladder can be affected by vaginal prolapse and what may and may not improve

· How do we know if we have prolapse

· How do we know if we should treat prolapse

· Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery

· What is a pessary and what are the risks of a pessary.

· Can you be sexually active with prolapse?

· The role of pelvic floor physical therapy and prolapse.

· Surgical treatment options:

o One size does not fit all.

o Obliterative surgery – colpocliesis

o Hysteropexy vs. hysterectomy

o Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures

o New treatment options (EnPlace) benefits and data

o The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery.

· Modern prolapse repair is safe, effective and recovery is not too stressful for most women.

· Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy

· The risk of recurrent prolapse

· When to consider adding a sling to your prolapse procedure

· Just because someone or something said you have prolapse, doesn’t mean you need surgery

Instagram.com/allurebydrsonya

https://allurepelvicwellness.com/

#EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth

My previous Prolapse episodes

21 – pelvic organ prolapse master class

138 – February Live – Hormones, prolapse, pelvic floor PT and more

161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

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

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235. Menopause Society President – Dr. Lisa Larkin Oct 29, 2023

Menopause Society President – Dr. Lisa Larkin. This episode is sponsored by Solv Wellness®, makers of Via™, a vaginal moisturizer that can also be used as a lubricant. To get Via, visit ⁠via4her.com⁠ for 30% off your first purchase. Discount automatically applied at checkout. Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Larkin Trained at Yale and the University of Chicago, Dr. Lisa Larkin is a women’s health internist, menopause, sexual medicine, and medical breast expert and a women’s health physician and consumer educator who has been practicing in both academics and private practice for over 30 years. She is Founder and CEO of Ms.Medicine, a national health care organization dedicated to advancing women’s health on a broader scale and Founder and CEO of Concierge Medicine of Cincinnati, an Internal Medicine and Women’s Health practice where she continues to practice clinically. Dr. Larkin is the President of the Menopause Society. Why did NAMS (North American Menopause Society) rebrand to Menopause Society? “We can’t pigeon hole women’s health into the Ob/Gyns” – Dr. Casperson “Women’s health doesn’t belong to any one specialty” – Dr. Larkin Dr. Larkin shares her story about not being trained in menopause and her career journey and how she understands the WHI study. We talk about fezolinetant (Veozah) – the new non-hormonal medication for hot flashes. One of Dr. Larkin’s favorite thing to talk about is breast cancer risk assessment and prevention so we discuss this. We define dense breasts. Why alcohol just doesn’t make sense in midlife Dr. Larkin shares her personal journey with menopause symptoms and sexual dysfunction. And shares non-hormonal options. And what you can do without seeing your doctor. The role of confidence in midlife - lack of confidence in what to do and how Menopause Society/her clinic/my podcast can help - and what we see when women get confident and educated in midlife. What excites Dr. Larkin about menopause and the women’s health space https://www.menopause.org/ https://www.instagram.com/drlarkin/ https://www.mymsmedicine.com/dr-lisa-larkin 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

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234. The Senile Vagina and The Super Penis Oct 22, 2023

Dr. Sonia Wright interviews me on genitourinary syndrome of menopause - AKA: The Senile Vagina and The Super Penis

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The history of getting to the name “genitourinary syndrome of menopause”

GSM happens not just in menopause

The labia goes away after menopause unless hormones are supplies

Recurrent urinary tract infections are in the top 10 reasons women go to the doctor

Why you get more urinary tract infections after menopause

When we treat erectile dysfunction are we treating the partner?

We talk about sex ed for adults and what I would put in a curriculum.

The role of vaginal estrogen

Where to get cheap vaginal estrogen

ACOG statement on vaginal estrogen after breast cancer

“estrogen is not trying to kill you”

The FDA black box warning on vaginal estrogen is wrong

Can I just use lube?

Issues with sensitive skin when starting vaginal estrogen

Why I don’t use a loading dose with vaginal estrogen

When to consider adding testosterone to your vulva or DHEA to your vagina

How to talk to your health care provider about genitourinary syndrome of menopause and ask to try a prescription product.

Vaginal estrogen can help overactive bladder and urge leakage

The myth of needing to finish your periods prior to starting vaginal estrogen

https://soniawrightmd.com/

https://www.instagram.com/drsoniawright

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

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233. Booty Play and Butt Stuff Oct 15, 2023

Booty Play and Butt Stuff

I am back with Jenn Mason! Check out our older episodes on toys and more #45, #49 and #52

Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken

Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment.

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The more people are empowered in their sexuality, hopefully this will decrease the bad things.

What is booty play and let’s define what it is and what the body parts are.

How do people get started with butt stuff?

No one gets extra points for going up in size with booty play.

Tips for starting to explore.

Consent and doing stuff because my partner wants me to.

The importance of communication.

Is booty play guaranteed pain?

Pain is a sign to slow down or stop.

How to people prepare for receptive booty play.

How messy is booty play in real life?

Lube lube lube

Is it okay to ejaculate in the rectum?

Rules for booty play

Do you need to use condoms?

What anuses are supposed to look like.

Is there a lube that is specific for booty play?

Anal play safety

Does booty play make me gay?

How to talk to your health care provider about anal sex.

If someone wants anal sex does that mean he is weird?

Can receptive anal play mess up my body?

Does the penis have to be a certain type of hard for penetrative play?

Why does this not go well sometimes?

“No one gets a trophy for getting a penis into a butt” – Jenn Mason

https://winkwinkboutique.com/

https://instagram.com/winkwinkboutique

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

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232. Lubes! Oct 08, 2023

I am back with Jenn Mason! Check out our older episodes with Jenn on toys and more #45, #49 and #52 Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com What are intimate lubricants and why are they important? When do most people get introduced to lubes? Types of lube Myths about lubes How to incorporate lube into your life How to talk about lube Risks with lubes Novelty lubes What’s coming down the pipeline with lubes Do lubes have expiration dates? Lubes versus intimate moisturizers – an educated difference. A discussion about “natural” and “botanical” and “organic” lubes https://winkwinkboutique.com/ https://instagram.com/winkwinkboutique 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

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231. “Low Libido is Not a Problem to Me” - Caffyn Jesse Oct 01, 2023

“Low Libido is Not a Problem to Me” - Caffyn Jesse

Caffyn Jesse is a queer elder, sacred intimate, teacher and writer who revels in the power and pleasures of the erotic. They are a renowned teacher of sex, intimacy and healing trauma with pleasure.

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She tells us how she went through her journey at age 40 and found her erotic energy

"You are not broken" is the name and theme of my podcast – She tells us how her work relates to this?

In your book, “Science for Sexual Happiness” she says – “Can you imagine a way of being sexual that is energized and playful, passionate and flowing? “ - I think for so many people it is a hell no.

How they would work with pain with penetrative sex.

How they would work with low libido.

We have so much experience consenting to things we don’t really want” – Caffyn Jesse

Tips for being stuck in a sexual rut?

How can erotic massage change our experience of sex?

In your book “Intimacy Educator: teaching through touch” – you have a whole chapter on touching a vulva owner. Tips.

How they deal with erectile dysfunction

What do you do on your retreats?

Science for Sexual Happiness by Caffyn Jesse

Intimacy Educator: Teaching Through Touch by Caffyn Jesse

https://ecstaticbelonging.com/

https://www.facebook.com/caffynjesse/

https://www.instagram.com/caffynjesse/

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

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230. Normalizing Sex - Talking With a Sacred Intimate Practitioner Sep 24, 2023

Normalizing Sex - Talking With a Sacred Intimate Practitioner

How did he choose this career path – or did it choose him? From the military to tech to surrogate partner.

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What is the difference between Surrogate Partner Therapy and Sexological Bodywork?

His approach uses the theory that sexual energy manifests in your body, not your mind – tips for people to access and be comfortable with their body.

Tips for communicating.

He discusses what a sacred intimate is.

How he works with trauma.

His definition of sex. The top reason men and women seek out his work.

How do people stay intimately connected when life gets busy?

So many disempowered people – where do you start?

What is consensual non-monogamy and what does he wish people knew about it?

What he wishes doctors and therapists knew about his job?

www.instagram.com/comingcloserwithandre www.coming-closer.com

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229. Sex Med Advocate and ISSWSH President - Sue Goldstein Sep 17, 2023

Sex Med Advocate and ISSWSH President - Sue Goldstein

Sue Goldstein is an AASECT certified sexuality educator and certified clinical research coordinator. She serves as clinical research manager and program coordinator for San Diego Sexual Medicine

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She is current president of ISSWSH (International Society for the Study of Women’s Sexual Health)

Her story of your career in sexual education and sex med.

Pain associated with oral contraceptives.

There should never be pain with sexual activity.

We pick apart “doing menopause naturally”

We discuss PGAD Persistent Genital Arousal Disorder and the role of education for people and providers. Language matters.

We talk about menopause and pain with sex after menopause.

Is low sex drive the “tip of the iceberg” for testosterone?

We discuss testosterone, SHBG and bioavailable testosterone and explain how this works.

What is a vajay-jay? The importance of using correct words for our anatomy.

Why we love ISSWSH.

Why Sue hates the concept that “women are complicated”

The combo platter of aging PIV intimacy – we need to approach both partners to address the issues.

Sue shares her experience with HSDD

We discuss the issue with delayed ejaculation.

“The educated woman is the empowered woman” – Sue Goldstein

https://www.isswsh.org/

ISSWSH’s Education website https://www.prosayla.com/

Book about vulvas: Petals by Nick Karras

Sue’s Book: When Sex Isn’t Good https://amzn.to/3OKyMMk

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228. GOAT - Dr. Irwin Goldstein Sep 10, 2023

GOAT - Dr. Irwin Goldstein He is the director of San Diego Sexual Medicine. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s. Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training. How do urologists not know who Irwin Goldstein is? He started out in men’s sexual health. Dr. Goldstein tells us his story. Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. He created ISSWSH. https://www.isswsh.org/ He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). Thoughts on DHEA vaginally. Women and Sildenafil – oral versus topical and his thoughts on arousal. Orgasm guidelines are coming!! The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA Other drugs for orgasm The role of testosterone for orgasm issues Sexual side effects of birth control pills Depression side effects of birth control pills Testosterone in women! It is a thing! Estradiol in men – needed for bones and erections. We wrap up with discussing hard flaccid. A hypogastric nerve dysfunction. Any advice for me, for other physicians, for the women and their partners? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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227. Mojo and Empowerment with Deborah Kagan Sep 03, 2023

Mojo and Empowerment with Deborah Kagan Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Deborah Kagan helps women conquer self-doubt and indecision to step into their full power, love who they are and live a turned ON life. She tells us her inspiration and her story. How do we get women to thinking differently? Our bodies are energy and the concept of male and female energy. The four pillars of Deborah’s teaching about MOJO. What is Mojo and how is it different from libido? How do you know if you are disconnected from your body? We discuss masculine and feminine energy. We discuss our thoughts about the Barbie movie. Feeling feelings and using anger for us. We discuss your intuition, your gut intuition and where your mojo lives. We discuss pain and the role of Western medicine and the role of our energy and listening to our body and our relationship with our body. The Real Undressed Podcast: https://podcasts.apple.com/us/podcast/the-real-undressed-with-deborah-kagan/id1494643770 Order Undressed Now Find her on https://www.facebook.com/mojorecoveryspecialist Instagram (@deborahkagan) Twitter (@deborahkagan) Pinterest (/deborahkagan) and LinkedIn (/in/deborahkagan). And for all things mojolicious, check out www.deborah-kagan.com/blog --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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226. Sexual Health is an Equality Issue! – A Chat About Sex, Coaching and Hormones Aug 27, 2023

Sexual Health is an Equality Issue! – A Chat About Sex, Coaching and Menopause This was a live chat that I did with Dr. Ashley Winter. She is the Chief Medical Officer at Odela health! We had a chat about my book and sexual health in general. Is it true that women are “too complicated”? Sexual Health is an Equality Issue The clitoris doesn’t have a place in the traditional medical paradigm – Dr. Winter We don’t teach people medically accurate language – so we can’t communicate with anyone and it ends up hurting you. It is not informed consent if we don’t tell people that medications can cause sexual health issues. Everyone needs to know about menopause. The reason coaching really helps our sex lives. The fallacy of “natural” and challenging the idea that natural is better. We need to stop judging women for their decisions around hormones. We don’t judge men for being on testosterone. The problem with the FDA label on vaginal estrogen. Love Dr. Winter? Go way back to episode 46 https://www.odelahealth.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? 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

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225. Boomers Should be Pissed: Menopause and Hormones in the Modern Era Aug 20, 2023

Menopause and Hormones in the Modern Era AKA: Why the Boomers Should be Pissed

This is a lecture I gave for the Society of Women in Urology about hormones.

If you like this episode also check out number 197.

Genitourinary syndrome of menopause

Men at age 60 have more estrogen in their bodies then women

Why I don’t do a loading dose of vaginal estrogen.

The problem with the vaginal estrogen labeling by the FDA.

How the nation used estrogen prior to the Women’s Health Initiative Scare.

I explain why the WHI study was created and what question it was trying to answer.

Myth: you have to be a year without a period to be on hormones.

I break down the three concerns about progestin and breast cancer from the WHI

1) Was the placebo arm flawed

2) Was it the synthetic progestin and now we use bioidentical

3) Maybe progestin increases risk but it is small and perhaps benefits still outweigh risk as breast cancer is so curable and all the other benefits are worth the small increased risk

I discuss the “critical window” hypothesis and “healthy cell” hypothesis and why hormones are recommended to be started “early” in menopause which means less than ten years. Why I think the Boomers should be pissed.

Vaginal estrogen for all and get an okay from your

Best practices

- If you have a uterus, with systemic estrogen you need a progestin

- You can continue hormones for life as long as your benefit > risks

- Vaginal bleeding after menopause is never normal

- If there is an FDA approved product use it instead of compounded

- Checking hormones is often not necessary

- One size does not fit all

What about hormones for prevention? On a national level the answer is no. But everyone needs their own analysis.

National guidelines on how to give testosterone to women for low desire.

Hormones: are we being equitable to all genders in regards to hormones.

NAMS 2022 guidelines: According to NAMS, “the benefits of hormone therapy outweigh the risks for most healthy symptomatic women who are aged younger than 60 years and within 10 years of menopause onset.” For women with primary ovarian insufficiency and premature or early menopause who are at higher risk of bone loss, heart disease, and cognitive or affective disorders, “hormone therapy can be used until at least the mean age of menopause unless there is a contraindication to its use.”

Where is the black box warning on alcohol?

What about lasers for GSM?

Where are we on removing the FDA black box warning on vaginal estrogen?

My thoughts on online hormone companies.

Estrogen plays a role in the gut microbiome and may affect the risk of osteoporosis.

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224. The State of Sex Education - August Live Podcast Aug 13, 2023

August Podcast Live – the state of sex ed We are going to talk about Sex ed today in celebration of the Tex talk coming out!

https://femtechinsider.com/rescripted-sex-ed-report/

https://pleasurebetter.com/orgasm-statistics/

I answer a listener’s question about being stuck in a sexual script

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035379/

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223. BRCA Gene Previvor, Menopause Activist and Protector Against Corrosion – Monica Molenaar Aug 06, 2023

BRCA Gene Previvor, Menopause Activist and Protector Against Corrosion – Monica Molenaar Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Monica Molenaar is a serial entrepreneur and an advocate for frank talk and common-sense solutions around women’s health and wellness. At the age of 40, Monica tested positive for the BRCA gene and elected to remove her ovaries prophylactically to reduce her risk of breast and ovarian cancers, thereby ending her natural production of estrogen and sending her into surgical menopause overnight. This began a multi-year journey trying to make sense of all the misinformation and lack of clarity around this phase of life. It was only after starting to supplement with estrogen and progesterone that Monica found relief from the menopausal symptoms affecting her quality of life and was able to get back to work. She was inspired to start Alloy to make sure that other women entering menopause would have an easier time than she did accessing credible information, doctors expert in menopause and women's health, effective and safe solutions, and a supportive community. What turned Monica into an estrogen activist? Why do you think it's important that women learn more about their biology in order to take control of how they age? Since when did it become ok to talk about sex the way we are doing it now? Alloy is combo menopause and sexual health – how did that happen? – let’s talk about topical sildenafil The stigma of testosterone in women https://www.instagram.com/myalloy/ https://www.myalloy.com/ CODE: CASPERSON25 for $25 off your order Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? 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

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222. Estrogen Matters with Dr. Avrum Bluming Jul 30, 2023

Estrogen Matters with Dr. Avrum Bluming Avrum Bluming received his MD from the Columbia College of Physicians and Surgeons. He spent four years as a senior investigator for the National Cancer Institute. He organized the first study of lumpectomy for the treatment of breast cancer in Southern California in 1978, and for more than two decades he has been studying the benefits and risks of hormone replacement therapy administered to women with a history of breast cancer. Dr. Bluming has served as a clinical professor of medicine at USC and is the co-author of “Estrogen Matters: why taking hormones in menopause can improve women’s wellbeing and lengthen their lives – without raising the risk of breast cancer” with Dr. Carol Tavris. Hear his story about how he became the advocate for hormones and hormones after breast cancer. So many people think correlation = causation – case with E and breast cancer – just poor education in our population? “we don’t know what causes breast cancer” – can people handle a grey world? Estrogen receptor positive doesn’t mean estrogen caused the cancer – discuss Dispel the myth that early puberty and late menopause is a breast cancer risk – dogma – “lifetime exposure” – but women with lots of pregnancies have lower risk. Should we just work on a re-brand? Go on HRT because if you do get breast cancer you will do better than if you weren’t on it? How do aromatase inhibitors work? People call them “estrogen blockers” so people think estrogen causes cancer and recurrence. Why only in post-menopausal women? What’s with adipose tissue? People always say it is because adipose tissue increases estrogen – is it estrone ?? Or inflammation? Doctors don’t want to be sued. Do you know of any doctor getting sued for giving hormones in general or after breast cancer? If estrogen is FDA approved for prevention of osteoporosis – why did the USPSTF say no to prevention and why are we screening for osteoporosis so late (age 65?) Do you agree with the USPSTF about no for prevention. Your opinion of Progestin causing Breast cancer" Is the placebo arm bad? Is the risk not actually that high – from 2-4% Is it the synthetic progestin? Everyone’s talking about dementia now – Dr. Bluming’s take There are 25 studies showing E is safe after breast cancer and 20 review studies– and the HABITS trial is the only one that shows local recurrence and is flawed – how many studies are enough? Advice for younger physicians who care about this work? Do you think the world is just crazy? How does Dr. Bluming cope? We discuss the new Danish study in the British Medical Journal and dissect the data to dispel the fear. http://www.instagram.com/estrogenmatters https://estrogenmatters.com/ Buy Estrogen Matters https://amzn.to/3POsai5 Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK 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

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221. Genitourinary Syndrome Of Menopause 101 Jul 23, 2023

Genitourinary Syndrome of Menopause 101. This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar. Why I care about women and sex and hormones The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise Genitourinary Syndrome of Menopause The types of bladder leakage and how estrogen can help The different types of estrogen – vaginal and systemic Why we need vaginal estrogen even when we are not sexually active Why I have a cream bias with vaginal estrogen, and other options. Vaginal estrogen will not help your hot flashes. Myths about who can and can’t use vaginal estrogen. Biologic changes of the skin of the vulva after menopause How the clitoris works. Scream Cream – what it is and does it work. Favorite lubes and I explain why I like what I like Gen X is the lowest users of vibrators in America There are many papers showing transdermal estrogen does not increase your clot risk above what it already is. I explain the Women’s Health Initiative study and how it hurt women by creating fear. Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications. Why not restore function instead of taking the side effects of the overactive bladder medications? When should you stop using your seatbelt, sunscreen and vaginal estrogen? Urinary tract infections put people in the hospital and kill them – this is not a hangnail. Can estrogen alone help all pain with sex? What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them. The role of androgens and testosterone in the genitals. ACOG Position Statement of using vaginal estrogen in breast cancer patients https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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220. Orgasmic vs. Hormonal "use it or lose it", Teen Sex Ed, PRP for ED, HPV jabs, Creating Desire, and more on July's Live Podcast Jul 16, 2023

Welcome to July's Live Podcast

Orgasmic versus hormonal Use it or lose it

Studies on Teen Sex Ed, PRP for ED, HPV jabs, Creating Desire and more!

Sex Ed matters:https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11388-2

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

Get in the Free FB group:

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219. When Sex Hurts - With Dr. Krapf Jul 09, 2023

When Sex Hurts – Dr. Krapf

Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Tampa, FL

Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition.

Love Dr. Krapf? Check out my other episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch

Why write a 2nd edition of the book “When Sex Hurts”?

How common is pain with sex for women?

Often times with pain with sex there is a physical cause, but you can’t always see it.

Pelvic pain and pain with sex is very isolating and people feel very alone. People don’t know how to talk about it.

What happens after the pain is fixed.

What does “all in your head” mean and why people don’t like that.

“Those who perceive their partners as kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what! What is adaptive coping?

How to communicate your pain to your partner and your doctor.

What if you are a partner of someone with dyspareunia - - “best partner response is having a partner who engages in what researches call facilitative responses – affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.”

We talk about stress, sex and the gut – things like irritable bowel syndrome related to pain with sex?

The role of birth control pills and pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz (drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months- decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia.

The role of testosterone in pelvic pain – one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain perception

The difficulty in giving testosterone to women and the problem with pellets.

Recurrent Yeast Infections – Dr. Krapf helps us

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218. The Best Sex Ed You Never Had Jul 02, 2023

The Best Sex Ed You Never Had We all got a sex education – it just wasn’t accurate. My Sex Ed course is coming out this Month! Get on the email list to join when it opens. This was a talk I gave to medical doctors for a residency program continuing education lecture. Seasons of sexuality Stress and sexuality The importance of self-care in sexuality Communication and sexuality Sex as a skill that can be improved Sexuality and gender equality Stop Should-ing all over your sex life If you got decent sex ed you were lucky Sex is Complex – therefore so so interesting Biopsychosocial Your sexuality is not a fixed asset Orgasms are good for us Your biggest sex organ is your brain Night shifts wreak your sexual function – any gender Sex is dopamine, and we have cheaper dopamine in our current society which competes with sex. Defining heteronormativity What Society tell us about sex (and is wrong about) Pro tip: desire mismatch is normal Pro tip: Why do you want to have sex? FEELINGS – list three - If partnered: do you know theirs? Orgasmic Inequality is real. The Heteronormative Theory of Low Desire in Women Partnered with Men How Freud messed us up in regards to sex. Do you actually “fall out of love” or does your brain habituate and you are craving newness and dopamine? Cognitive distractions are bad for good sex. Mindfulness and meditation can help. How to improve sex as a skill Relationship between sex and sexuality (sensuality) and ways to improve sex drive How to have a balanced life, not put sexual health on the back burner Stress effects on sexuality Resources - You are not broken book - Becoming Cliterate - Your body is not an apology - Sex and Sexuality podcast - How to find a sex therapist o AAASECT.org Take one action toward achieving a fulfilled life Why does sex end when the male ejaculates? The heteronormative definition of sex is not good for anybody. What we make lubrication mean. How does your pelvic know that it is sexy time? Remember brain and pelvic arousal. Our lack of ability to communicate to our partner’s about why we want sex hurts us. So many things about sex are aren’t actually about sex. How to help post partum people and their partner’s understand what is happening after birthing a baby. The biologic and psychosocial component behind this Even though we are not taught about sex, we are told things about sex all the time. Women: men didn’t get any more sex ed than we did….we have to communicate our needs to them. How to communicate about sex. What does sensuality mean? Don’t forget to desire things you already have. What are your top three feelings you want to have during sex. If you can’t turn off your frontal lobe you may have trouble with orgasms. Challenge your limiting beliefs about sex. Figure out your obstacles to a good sex life – now you have the pathway. The obstacles are the way. Tips from people who have magnificent sex. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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217. Medical Issues Of The Clitoris – 2023 Clitoris Summit Talk Jun 25, 2023

This is my talk I gave at the 2023 Clitoris Summit

https://clitoris.io/summit2023

I discuss the bias that women’s sexual health is all in her head.

We can’t neglect the “bio” part of all bodies.

9% of urologists in the United States are female – which is about 1,000 surgeons.

Orgasms are good for us, but so often are considered “bonuses”

Don’t forget the “psychosocial” part of sexuality.

Clitoral Adhesions

Genitourinary Syndrome of Menopause

Persistent Genital Arousal Disorder

What to do about blunted orgasms? New guidelines on female orgasm coming soon!

Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off

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216. Confidence and Swagger in the Bedroom - YouSeeLogic to the Rescue! Jun 18, 2023

Adult Sexy Time Sucks – YouSeeLogic to the Rescue! Dr. Uchenna “UC” Ossai is a sex-positive pelvic health physical therapist, sexuality educator and counselor. YouSeeLogic is her platform that focuses on improving the sexual intelligence of adults through innovative content and honest discussion that is free of judgement. What was Dr. Ossai’s path to get here? What is intersectionality how does it affect people’s sexuality? What is Burbon talez? Why did you write: Sexy swagger a guide to reimagining your sex life So much of her work surrounds the role of confidence in one’s sexuality – She talks about this and gives us some top tips. Sexual stereotypes hurt all humans – we discuss some stereotypes we might not be aware of and how we can be better informed. Swagger Tip #99: Diversity and inclusion is basically the foundation of good sex. How to own your sexy – and confidence isn’t static. “Confidence is a process” – Dr. Uchenna Swagger Tip #103 : Take up more space. How to communicate with your partner about sex. What does being “erotic” mean? Embrace pleasure as the antidote to oppression! What ! bring us some news here! What is your definition of a good lover? https://www.instagram.com/youseelogic/ https://www.tiktok.com/@youseelogic https://youseelogic.com/ Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off https://myfirmtech.com/?sca_ref=3901627.saeQB3wieI Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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215. Penis Fitness – Sex Tech with FirmTech Founder Dr. Justin Jun 11, 2023

Dr. Elliott Justin – founder and CEO of Firmtech

Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off

FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. Award Winning Tech: Most Innovative Sex Toy (XBIZ); RunnerUp in Fitness & Health (CES Showstoppers)

Firm tech focuses on enjoyable sex for men of all ages, while empowering them to better understand their health and the impact of medications, supplements, personal habits, vices and exercise on their sexual wellness. We want to give you the data to make the best decisions for your sex health.

Dr. Justin started out as an emergency medicine doctor (treating ED - amazing story) – how he transitioned to sex tech and founded a company?

The number of nocturnal erections you have is a marker of vascular health.

The penis is the canary in the coal mine of vascular disease.

No one knows what is normal in terms of numbers of nocturnal erections for men as they age.

“cock killer” drugs for men – SSRI and hypertension drugs, recreational drugs

Is there a number of times a week a man should have sex to “use it or lose it”?

Alcohol has a profound effect on erections.

Dr. Justin explains venous leak syndrome of the penis and what causes it.

How this Firmtech device actually works.

What is coming in the future for clitoral wearables?

https://www.instagram.com/myfirmtech/

https://myfirmtech.com/ use code “NOTBROKEN” for 15% off

https://wefunder.com/firmtech

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214. "I Want To Want" – Desire, Bigger Penises, The Orgasm Gap, Testosterone Decreases Breast Cancer Jun 04, 2023

Member question: Lichen Sclerosis, decreased sensation and libido – I discuss two types of desire – spontaneous and responsive and three options pharmacologically for low desire.

A couple options for if you "want to want": testosterone, Addyi and Vyleesi.

Pneuma for penile girthiness - if you want to be a shower.

The Orgasm Gap - as written by men

Testosterone is not associated with increased cardiovascular risk and associated decreased risk of breast cancer.

P Agrawal and others, Testosterone Therapy in Females Is Not Associated with Increased Cardiovascular Risk – A US Claims Database Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.014, https://doi.org/10.1093/jsxmed/qdad060.014

Sexual Boredom in long term relationships contributes to low desire.

L De Oliveira and others, (055) Sexual Boredom and Sexual Desire in Men and Women in Long-term Relationships: A Latent Profile Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.053, https://doi.org/10.1093/jsxmed/qdad060.053

An obituary of Jaqueline Gold

Our Podcast Sponsor is Firmtech – use code “NOTBROKEN”

FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. ⁠https://myfirmtech.com/⁠

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213. You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer May 28, 2023

You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer

Dr. Corinne Menn is a board certified OBGYN and North American Menopause Society Certified Menopause Practitioner.
She has a special interest in areas often neglected in women's health: Perimenopause and menopause, the unique needs of female cancer survivors and those at high risk for breast cancer.

Dr. Menn tells us her story of breast cancer dx at age 28, going through menopause three times and is now a pro-hormone educator.

Dr. Menn discusses taking systemic hormones and her journey and how it has changed her life.

Why are doctors and patients so afraid of hormones?

Doctors are so risk adverse – but let’s talk about the risks of not treating menopause.

The myth that estrogen causes cancer.

How Tamoxifen works.

Breast cancer nomenclature – estrogen positive – this doesn’t mean estrogen caused the cancer – we clarify.

The nuance of being overweight and risk of breast cancer.

The number one killer of women with history of breast cancer is heart disease.

Safety of systemic hormone replacement therapy in breast cancer survivors

Article in Breast Cancer Research and Treatment · January 2022 – Dr Bluming

- "Twenty-five studies of HRT after a breast cancer diagnosis, published between 1980 and 2013, are discussed, as are the 20 reviews of those studies published between 1994 and 2021. Only 1 of the 25 studies, the HABITS trial, demonstrated an increased risk of recurrence, which was limited to local or contralateral, and not distant, recurrence. None of the studies, including HABITS, reported increased breast cancer mortality associated with HRT. Even in the HABITS trial, the absolute increase in the number of women who had a recurrence (localized only) associated with HRT administration was 22. It is on the basis of these 22 patients that HRT, with its demonstrated benefits for so many aspects of women's health, is being denied to millions of breast cancer survivors around the world."

The problem with the HABITS trial.

Why are we scaring women so much about breast cancer?

Who is the right breast cancer survivor to start hormones? A good candidate?

Are we overtreating with aromatase inhibitors?

Podcast partnership today: Always Discreet

https://www.instagram.com/alwaysdiscreet/

Bluming AZ. Hormone Replacement Therapy After Breast Cancer: It Is Time. Cancer J. 2022 May-Jun 01;28(3):183-190.

Young Survival Coalition https://youngsurvival.org/

Vaginal Estrogen for people with a history of breast cancer: https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer

Dr. Menn is an Alloy Health Medical Advisor and Prescriber www.myalloy.com

http://www.drmenn.com/

https://www.instagram.com/drmennobgyn

https://www.tiktok.com/@drmennobgyn

https://www.facebook.com/drmenn

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212. Sex Med and Urology - Top Takeaways at the 2023 AUA conference May 21, 2023

I went to the 2023 American Urologic Association's National Conference. Here are some top takeaways and thoughts. So much on this week’s podcast! Low hormones in men and women — can increase risk for cardiovascular disease Women have a decreased risk of heart attack and stroke when started on hormones in the safety window of menopause (first 10 years) The Traverse study paper coming out in two months - can’t wait! Testosterone is not a gendered hormone All bones need testosterone Women in early menopause should be on hormones at least until natural age of menopause to decrease risk of cardiovascular disease, osteoporosis (NAMS guidelines and this indication has FDA approval). Equality in healthcare Three new oral testosterone pills on the market for men, not for women We need to focus on brains and bones health in women just as much as we do for men Treat women the same in healthcare Did you know the UK is requiring doctors to talk to their patients at age 50 about menopause? Amazing! If hormones are so dangerous, why don’t we stop estrogen in trans women after the age of 50 - a thought exercise on how we think about giving hormones to all bodies - Is staying on hormones during menopause gender affirming care? Oral DHEA supplements — what’s the deal? Bulkamid — urethral filler for stress incontinence ECoin training Prolapse repair in premenopausal women Should we offer it or no? Male infertility is associated with shorter life expectancy Marijuana affect sperm Using testosterone for maintenance of vaginal health Michael Pearlman balance scale of desire More about Addyi (filbanserin) Importance of elastin and collagen Very small percentage of women have cervical orgasms - but it matters. New technology that @mysteryvibe is releasing to help with period cramps --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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211. Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health May 14, 2023

Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health - With Dr. Kelly Casperson

This is an interview I did with Lesley McShane for her podcast “Redesigning Midlife” and it was just such a good interview I asked her if I could share it again.

1. Basics: a. Menopause means it’s been one year and one day since your last period. b. The average age of menopause is around 51. and c. for ten years prior to menopause, women go through peri-menopause, where hormones are doing a reverse puberty.

2. A lot of women stop or have pain during penetrative intercourse during this time due to a decrease in natural lubricant and collagen, but this can be easily treated.

3. Even if you don't have menopause symptoms, if you are over the age of approximately 51, you have gone through it.

4. The most sexually satisfied people aren’t young people, it is people in their 50s, 60s, 70s.

5. Great sex is not a passive thing. It’s an active process, just like someone that is physically fit. It has to be prioritized.

6. Use of lube increases your success of orgasm by 70-80%. Silicone based lube is best because you don’t absorb it like you do the water based.

7. There is no “how long” should I use Vaginal Estrogen cream. The use of it is like using sunscreen or wearing a seat belt.

8. You don’t need a “sex drive”. We do things because they are awesome. If you aren’t having awesome sex, don’t wonder why you don’t desire it.

9. We feel entitled to a spontaneous sex drive that has been sold to us by media. And when we don’t achieve that, we end up feeling broken.

10. Putting something in the vagina only leads to female orgasm 30% of the time so special focus need to be paid to the female body. Your largest sex organ is your brain.

11. Don’t sit passively by waiting for spontaneous desire to happen. Get dressed up and go to the party even if you don’t think you want to. Chances are you’ll have a good time once you get there.

12. Control of stress and cortisol levels in our bodies will help us desire more intimacy.

13. If there is a desire mis-match in your relationship, normalize it by talking about it.

14. Communication with our partner about menopausal symptoms and what we are going through is important to our relationship.

15. Get educated on hormone replacement therapy as an option. When women start thinking about how they want to live as they get older and get educated, then they see how beneficial HRT could be for them.

16. Women between the age of 50-60 that are on hormone therapy live 3-4 years longer than women in the same age group not on hormone therapy.

17. For our young adult children that are starting their own sexual lives, the biggest thing they need to know from the start is about consent.

18. They need to be aware of is orgasmic equality.

19.We have to educate our girls that pleasure is for everybody.

Lesley McShane's podcast: https://podcasts.apple.com/us/podcast/redesigning-midlife-workout-motivation-over-50-weight/id1549596974

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210. Desire, Mindfulness, and Better Sex - With Dr. Lori Brotto May 07, 2023

Better Sex Through Mindfulness – Dr. Lori Brotto

Dr. Lori Brotto is a psychologist and Director, UBC Sexual Health Laboratory

Canada Research Chair in Women’s Sexual Health Professor, Department of Obstetrics & Gynaecology, UBC Executive Director, Women’s Health Research Institute

“Sex is not just a deficiency in a hormone” – KJC

Dr. Brotto tells us how she started her sex research career by studying rats.

Do stressed out rats want sex?

“Stress is antisexual” – Dr. Brotto

“So many people don’t even know that they are stressed.” - KJC

Dr. Casperson tells her story about finding mindfulness

How Dr. Brotto discovered mindfulness for helping manage pain, anxiety, and desire

Mindfulness During sex.

How anxiety and depression affects our sexuality. And mindfulness can help!

We talk about medications for low desire in women. Filbanserin specifically.

Beliefs are key! We discuss the role of beliefs on our sex life. Mindfulness helps us “see” our beliefs more.

Anorgasmia – how common it is and what is the most common cause.

How to suss out asexuality versus low desire.

Obligatory sex – how to navigate discrepant desire.

The myth of penis and vagina sex and why it excludes so many people.

Mindfulness for sexuality after prostate cancer.

The role of communication with your partner. Do they even want your erect penis?

https://www.loribrotto.com/

Better Sex Through Mindfulness https://amzn.to/42bchpj

Better Sex Through Mindfulness Workbook: https://amzn.to/42abTYc

https://www.instagram.com/drloribrotto/

https://www.cancersexnetwork.org/

https://www.drannekatz.com/

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209. “The Cervix is Dumb” and I Disagree – April Live Apr 30, 2023

“The Cervix is Dumb” and I Disagree – April Live

Giovannetti O, Tomalty D, Gilmore S, Pattison A, Komisaruk B, Goldstein S, Hannan J, Goldstein I, Pukall C, Adams MA. The contribution of the cervix to sexual response: an online survey study. J Sex Med. 2023 Jan 14;20(1):49-56. doi: 10.1093/jsxmed/qdac010

Cochrane review on Cranberry for UTI

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub6/full

Kisspeptin is a protein that is essential for reproductive hormone secretion and fertility

Male kisspeptin study https://pubmed.ncbi.nlm.nih.gov/36735255/

Sexual Tipping Point

https://www.researchgate.net/publication/24001856_The_Sexual_Tipping_PointR_A_MindBody_Model_for_Sexual_Medicine

Oral versus Vaginal DHEA

Vaginal DHEA is awesome – it is a prescription

DHEA oral is a supplement – over the counter

- DHEA oral safety - lack of efficacy good enough reason to not take it?

Dehydroepiandrosterone replacement in women with adrenal insufficiency N Engl J Med 1999 Sep 30;341(14):1013-20. doi: 10.1056/NEJM199909303411401. 50mg oral for 4 months – decreased HDL and total Cholesterol Conclusions: Dehydroepiandrosterone improves well-being and sexuality in women with adrenal insufficiency.

Double-blind treatment of major depression with dehydroepiandrosterone Am J Psychiatry 1999 Apr;156(4):646-9. doi: 10.1176/ajp.156.4.646.

Conclusions: These results suggest that DHEA treatment may have significant antidepressant effects in some patients with major depression. Further, larger-scale trials are warranted.

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208. Better Sex Through Lifestyle Changes – Diet, Sleep, Hormones, Exercise – The Galveston Lifestyle Apr 23, 2023

The Third time Dr. Haver is on my podcast!

The role of sleep, diet, exercise and body image on sex is real.

Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her.

How female body composition changes in peri and menopause

Diets may change hot flashes

Can you measure inflammation?

Fatty liver – goes up in menopause – treatable with diet changes

Anti-inflammatory diet resource: arthritis.org

Supplements for peri/menopause

- Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA

Role of continuous glucose monitors

The loss of estrogen increases gut permeability – role of gut microbiome in bone heath –

Tiktok: drmaryclaire

IG: https://www.instagram.com/thegalvestondiet

Website: https://galvestondiet.com/

The Galveston Diet Book: https://amzn.to/433AsGZ

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Better Sex Through Lifestyle Changes – Diet, Sleep, Hormones, Exercise – The Galveston Lifestyle

Try not to eat like shit.

The role of sleep, diet, exercise and body image on sex is real.

Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her.

How female body composition changes in peri and menopause

Diets may change hot flashes

Can you measure inflammation?

Fatty liver – goes up in menopause – treatable with diet changes

Anti-inflammatory diet resource: arthritis.org

Supplements for peri/menopause

- Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA

Role of continuous glucose monitors

The loss of estrogen increases gut permeability – role of gut microbiome in bone heath –

Tiktok: drmaryclaire

IG: https://www.instagram.com/thegalvestondiet

Website: https://galvestondiet.com/

The Galveston Diet Book: https://amzn.to/433AsGZ

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

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207. Emergency Department Care of the Menopausal Female Apr 16, 2023

Emergency Department Care of the Menopausal Female

Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLA David Geffen School of Medicine

Common things midlife women go to the ED for – irregular bleeding and prolapse

Heart attacks present differently in women than in men.

How to work up abnormal vaginal bleeding – questions to ask.

Do ED docs know how to do a pelvic exam?

Indications for a pelvic exam and optimal positioning

Recurrent UTIs, and estrogen possibly 1st line rx so something to keep in mind

Asymptomatic bacteruria - if doc says you have a UTI but you have no UTI sx, question whether abx indicated, pending the urine culture

- change in cognition in elderly human – don’t just treat for a UTI?

Elder abuse – what is it – when to suspect it?

Cardiac symptoms in perimenopause

Heart attacks present differently in women than in men.

“Sometimes a doctor’s job is to tell you what it isn’t” – workups that don’t show anything dangerous.

How to use a tennis ball to do myofascial release for muscle pain

The devastating effects of a hip fracture.

www.instagram.com/drpdyne

Pelleton: singerpam

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

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206. Increasing Penile Length, How Long Sex Lasts, and Urology YouTube Rockstar Rena Malik, MD Apr 09, 2023

Increasing Penile Length, How Long Sex Lasts, and Urology YouTube Rockstar Rena Malik, MD

Dr. Malik is an associate professor of surgery in the Division of Urology and director of Female Pelvic Medicine and Reconstructive Surgery at the University of Maryland School of Medicine. She has published more than 60 peer-reviewed articles and book chapters.

She has 1.48 Million YouTube subscribers

We go over her most popular videos – most of these questions are “am I normal” questions.

27M views – Scientifically proven ways to increase penile length

Why are men so obsessed with penis size and do women care?

11M views – How long does sex last on average?

10 M views - What exactly is the G spot?

9.4 M views – Can you masturbate too much?

8.9 M views – Can you increase your semen volume?

5.8 M views – Can ejaculating more frequently reduce risk for prostate cancer?

5.7 M views – How to increase testosterone naturally

5.2 M views – Explaining the difference between showers and growers

4.3 M views – Does prostate massage have any health benefits?

3.5 M views – Does science support “no nut November”?

Dr. Malik's Youtube: https://www.youtube.com/channel/UCV66hp0qxx2Xq273N0bo7uQ

https://www.instagram.com/renamalikmd

https://www.tiktok.com/@renamalikmd

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205. Hormone Therapy Position Statement of The North American Menopause Society Apr 02, 2023

Here is the 2022 NAMS Hormone Therapy Position Statement! https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf 1) For women aged younger than sixty years or who are within ten years of menopause onset and have no contra indications the benefit risk ratio is favorable for treatment of bother some vasomotor symptoms and prevention of bone loss for women who initiate hormone therapy more than ten years from menopause onset. 2) We discuss safety 3) We discuss decreased mortality in women 50-60 in the WHI trial. 4) We discuss the absolute risk reduction for: all cause mortality, fracture, diabetes, and breast cancer in women aged younger than sixty years 5) Their statement on compounded and pelleted hormones 6) Vasomotor symptoms are assoicated with diminished sleep quality and reduced quality of life 7) Hormones for genitourinary syndrome of menopause 8) We discuss cognition and weight gain 9) The critical window or "healthy cell" hypothesis Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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204. Sexual Intelligence: What we really want from sex and how to get it Mar 26, 2023

Joining me for the second time on the podcast is world renowned sex therapist, Dr. Marty Klein – Author and sex therapist to Silicon Valley.

If you want our first episode together check out Episode 169 – where we discuss his book “His porn her pain”

Today we are discussing his amazing book: “Sexual Intelligence: What we really want from sex and how to get it”. This book is 10 years old and still completely relevant. And he is still being interviewed about it!

What is sexual intelligence and why did it need to be written about?

“For a lot of people, sex is an opportunity to fail” – Dr. Marty Klein

How do you navigate when one partner wants something and the other doesn’t – oral during a period, PIV sex, kink?

What is your opinion about the “low desire” epidemic and the meds for low desire.

“Most people leave sex for when they are too tired to do anything else” – Dr. Marty Klein

“In a world that is filled with ice cream and Netflix….why would anyone want sex?” – Dr. Marty Klein

You say in the book PIV has symbolic meaning for hetero people – can you talk about why this limits us?

What to do when sex is boring?

What to do with a partner who won’t communicate about sex? Stonewalling?

26:13 Why Dr. Klein doesn’t like the term erectile dysfunction.

I’m not attracted to my partner any more – they gained weight or are getting older – any help?

Tips for desire discrepancy. Communication and more touch.

https://www.martyklein.com/

Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF

Dr. Klein’s book: Sexual Intelligence https://amzn.to/3WLfYi0

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203. March Live - Obligation Sex, Hormones and More Mar 19, 2023

Motives between the Sheets: Understanding Obligation for Sex at Midlife and Associations with Sexual and Relationship Satisfaction Monika Georgieva et al. · https://doi.org/10.1080/00224499.2022.2076278 This study investigated reasons for sex at last sex, with a focus on obligation (an avoidance motivation) and doing something nice for a partner (an approach motivation), and their associations with sexual and relationship satisfaction, while controlling for marital duration, age, and sexual desire. We investigated these reasons among married, midlife Canadian women (n = 324), men (n = 275), and 25 non-binary/gender queer participants 40 to 59 years of age. Darling, Come Lay with Me or Talk with Me: Perceived Mattering and the Complementary Association between Sex and Communication within Marital Relationships Haeyoung Gideon Park et al https://doi.org/10.1080/00224499.2021.2018393 Kovacevic, K.*, Tu, E.*, Raposo, S.*, Rosen, N. O., & Muise, A. (2023). Is spontaneous sex ideal? Beliefs and perceptions of spontaneous and planned sex and satisfaction in romantic relationships. Journal of Sex Research. Not enough early breast cancer survivors on Vag E. – Dr. Menn - ------- Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Oct 6;114(10):1347-1354. doi: 10.1093/jnci/djac112. PMID: 35854422; PMCID: PMC9552278. Member question: On the topic of pain with penetrative sex, what can go awry during the healing process from vaginal surgery for hysterectomy and prolapse repairs that might contribute to this? Pelvic floor therapy, lubricants, moisturizers, estrogen and dialators are the armenatarium used but what happens when they are used long term but there is still pain upon insertion even a year out from surgery? NAMS practice Pearl on Testosterone https://www.menopause.org/docs/default-source/professional/practice-pearl-testosterone_.pdf Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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202. Sex Doesn’t Exist In A Bubble – Be Hard To Kill Mar 12, 2023

Dr Jaime Seeman aka Doctor Fit and Fabulous is a board certified OBGYN. She has a passion for fitness, preventative medicine and empowerment not only in her medical practice but in her own life. She has a podcast called The Fit and Fabulous Podcast with Dr Jaime Seeman and a book called Hard to Kill: Master the Mindset to Maximize Your Years

She was last here episode 148: march 2022: - I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MD

Welcome back! What she has been up to since our last interview.

The connection between sex, body image, feeling good, being strong and confidence.

How to get a lot done.

Finding non-sexual passion in your life.

Confidence is built though action – body and intimacy

Why our internal language is so important.

Muscle is the organ of longevity.

Fat makes hormones – why low fat is bad.

Helping hypothyroidism with diet.

Red meat a more taboo topic than sex?

Why do aging people need more protein?

The role of collagen, and what supplements are okay?

Why does alcohol make you easy to kill?

Hard to Kill Manifesto

https://www.doctorfitandfabulous.com

Hard to Kill Book: https://amzn.to/3QiFGst

https://www.instagram.com/doctorfitandfabulous

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201. Sexual Fantasy with Dr. Lehmiller Mar 05, 2023

Justin Lehmiller, author of Tell Me What You Want: The Science of Sexual Desire and How it can help you improve your sex life. He is a social psychologist and a research fellow at the Kinsey Institute at Indiana University. Why research Fantasy? Should we normalize fantasy? So many people feel shame or like they are cheating. Are there hormones correlated with sexual fantasy? What are Americans Fantasizing about? Shame about fantasy – and who feels more ashamed. Our our fantasies actually truth and should we act on them? The difference between fantasy and desire. Just because you have a fantasy about a threesome – should you do it? Humans are poor predictors of future emotional states – Justin Lehmiller What do people mean when they talk about “getting the spark” back. And is there a role for fantasy. Sex quality versus quantity. In his book Dr. Lehmiller talks about self disclosure and building trust….but it can seem fraught with backfire potential. Should you share your fantasy with you partner? How do you know if it is safe? Novelty – seems so simple but people have the same sex week in and out. Research shows couples who engage in the most acts of novelty tend to be the most sexually satisfied and the most successful at keeping the passion alive. The most common fantasy and the one that doesn’t work out well when done in real life – threesomes. Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life https://amzn.to/3ZkDW5K Sex and psychology podcast https://podcasts.apple.com/us/podcast/sex-and-psychology-podcast/id1505460817 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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200. Talking about Sex and Menopause Is An Act Of Rebellion – With Dr. Gilberg-Lenz Feb 26, 2023

Episode 200!!!!

Suzanne Gilberg-Lenz, MD works at the Women’s Care of Beverly Hills, an obstetrics and gynecology practice that has locations in Beverly Hills and Redondo Beach, California.

Dr. Gilberg-Lenz is involved in women’s empowerment and public education and frequently appears as an expert in women’s health and integrative medicine on TV, in print, and online.

Her book Menopause Bootcamp: optimize your health, empower your self, and flourish as you age is out now.

Why is talking about menopause an act of rebellion?

How many doctors know how to treat menopause and how to find an expert?

We discuss the role of communication and how it builds intimacy.

Normalizing how varied sex can be and getting out of the heteronormative narrow view of penetrative sex.

The role of declining estrogen and giving less fucks.

How can menopause be an opportunity?

Mainstream medicine has a woman problem – and the painful truth is that science fails us.

Why we do not recommend pellets?

How to talk to your doctor about menopause?

Why does no one care about heart disease?

https://www.menopause.org/

https://www.instagram.com/askdrsuzanne

https://www.instagram.com/themenopausebootcamp/

Menopause Bootcamp: Optimize Your Health, Empower Your Self, and Flourish as You Agehttps://amzn.to/3m5ZJzn

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199. Man Up – For Your Other Half – Men’s Sexual Health Feb 19, 2023

Dr. Dubin is a fellowship-trained urologist and andrologist focusing on men’s health. He cares for men with fertility problems, sexual issues (erectile dysfunction, premature ejaculation, delayed ejaculation, etc.), Peyronie’s disease, low testosterone, testicular pain and other problems involving men’s genitalia.

He wants to help men understand that the issues they face are normal and help them find solutions that fit their lifestyle and life goals.

In addition to providing individualized patient care, he is also passionate about providing helpful information to the community. He co-hosts a podcast, “Man Up — A Doctor's Guide to Men’s Health,” in which he discuss various men’s health topics.

Why don't men go to the doctor?

Where do men get most of their sex ed from?

Figuring out the difference between erections, orgasm, ejaculation (and refractory time) and desire.

The five things you need to get a good erection.

The role of testosterone and libido and erections.

Taking testosterone can cause infertility in 60% of men.

Once you take Testosterone are you going to be on it forever?

When a man goes to the doctor for Viagra, should the doctor ask about the partner?

We need more people talking about intimacy without an erect penis.

And if you are comfortable - what to do when you penis doesn't work - I hear over and over about men being able to orgasm with a soft penis and I need some info on this! Are you the person? So many people think sex is over when the penis doesn't work and I need someone to tackle this difficult topic.

Dr. Dubin did a study looking at women getting blamed for their partner’s erectile dysfunction. 1 out of 7 women were blamed.

Tips for when your male partner doesn’t want to talk about intimate issues.

What is with products that make you make more semen?

What is with penis enlarging procedures?

Social media inaccuracies with men’s health – sperm retention!

Does ejaculating decrease prostate cancer?

Does vasectomy cause prostate cancer?

https://www.themanuppod.com/

https://www.instagram.com/themanuppod/

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198. "Use It Or Lose It" Needs To Die and February Live Podcast Feb 12, 2023

Is bigger always better?

The “use it or lose it” myth needs to die.

Vaginal atrophy is a hormonal issue.

Are orgasms good for you?

Can I use vaginal estrogen more than twice a week?

Tips and tricks for vaginal estrogen.

Can you still get BV and yeast infections after menopause?

Painful sex and low libido after a LEEP procedure.

Hi I have a question! I just saw my gynecologist , she has me on vaginal estrogen. I asked if I can go on the estrogen patch she advised me that I don’t need to be on the patch that the tabs are what I need! I’m sorry I should have said explained i had a hysterectomy in my 40’s they left my ovaries a year later I was told I was in full menopause! I’m 60 now and only started vaginal estrogen a year ago due to me complaining about painful intercourse. Should I also be on the estrogen patch.

I’m only 22 and suspecting a stage 3 prolapse . I’m pretty sure I’ve unintentionally caused it due to straining on the toilet,etc. I wanted to know- can I still get pregnant? And can my prolapse heal itself?

Who needs systemic estrogen versus only vaginal estrogen?

The multiple reasons we are undertreating menopause.

I’m a 62 year old guy. Married to a beautiful soul for 40 years. I’d love to get her your book. But, I don’t wanna come off as being “that guy.” Do you have any suggestions?

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197. 2023 Hormone Education 101 Feb 05, 2023

Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones. It is a nice overview and I hope you enjoy it!

The best way to get rid of fear is education
Why the Women’s Health Initiative study took people off of hormones
Understanding the Healthy Cell Hypothesis
Repetition is the key to adult learning
The top two reasons women stop having sex in perimenopause and menopause
What we know about menopause hormone therapy in 2023
The more educated you are, the more you can advocate for yourself
By definition: menopause is one day - 366 days after your last natural period
Average age of menopause in western society is 51
Hormone therapy was popular in the 80’s and 90’s
If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
FDA approved indications for estrogen 1) preventing osteoporosis
2) treatment of vasomotor symptoms
3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
4) GSM
how did we get to the point where we thought estrogen caused cancer?
what does hormone therapy help?
the longer you go without estrogen, your arteries develop a fatty streak or plaque
who can’t be on HRT
who can be on HRT
Best practices for hormone replacement therapy
Non oral estrogen vs oral estrogen
Unanswered questions we have about hormones

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196. ChatGPT and How to Get My Partner to Have More Sex with Me Jan 29, 2023

Happy ONE MILLION DOWNLOADS!
So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it!

How can iIget my partner to have more sex with me?

1. Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way.

2. Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex.

3. Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you.

4. Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship.

5. Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues.

6. Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship.

7. Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner.

It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy.

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195. 8 Truths About Hormones Jan 22, 2023

I get so many hormone questions! So I needed a podcast to refer people to.
I hope I did okay covering the basics and deep diving into some more complicated details.

Enjoy!

1. Sex and Menopause

2. Systemic versus Vaginal Hormones

3. Estrogen Doesn't Cause Cancer

4. We gendered hormones and how this hurts women

5. Natural is a weapon waged to keep us in our place

6. Pellets and compounds are to be avoided if better options are available

7. You never need to stop hormones

8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease).

(bonus) I hate the word "balanced" when discussing hormones. Pro tip - people are probably just trying to sell you something.

Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61

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194. Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast Jan 15, 2023

Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast

Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report

They were on my podcast # 181 – sex talks with social media’s sex educators

Justin Dubin’s paper on Blaming women for erectile dysfunction

Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection

Sex toys in the middle east

Mindfulness with Female Sexual dysfunction

Clinical practice guidelines for use of T in Women

https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button

Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351

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193. Why Good Sex Matters Author Nan Wise, PhD Jan 08, 2023

I have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters"

https://amzn.to/3GaubA5

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192. Happy Third Birthday and New Year's Resolutions! Jan 01, 2023

Happy Third Birthday and New Year’s Resolutions

- Will hit 1 million in January!

New year’s wishes

- Male birth control

- Say no and have it be okay

- Vaginal E for everyone who wants it

o Good Rx

Estradiol 0.01% 42 G tube

o Amazon Pharmacy – 28.13

Interlude – get interlude

20 off your first order

- Decreased fear around estrogen

o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd

https://peterattiamd.com/caroltavris-avrumbluming/

2021 update from the authors

- :the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.”

- Desire mismatch is not a problem

- Orgasmic equality

- Hope is not a game plan

o Wishing your desire was different does nothing – it does worse than nothing

o Resisting reality, resisting what is

- Healthy relationship with your body

o Speak kindly

o Sleep, exercise, food

o Stop shoulding all over your body

- Healthy relationship with sex

o Stop shoulding

o Stop doing it for other people

o Be present

o It is okay to fail, to not feel like it

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191. Discovering the snake clitoris, start your hormones early, and the Economist talks about sex Dec 25, 2022

Happy December live podcast.

I talk about snake clitorises, human clitoris nerve endings, why the American Heart Association wants you to start hormones early, and sex has gone mainstream as the Economist talked about it!

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Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

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190. Sex Ed for health care providers 101 - a Dr. C Lecture Dec 18, 2022

This is the audio of a lecture I gave to Urology and Gyn Residents in 2022. I know you are an advanced audience and can handle graduate level work! Enjoy! Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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 Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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189. Sex and Grief - Common Myths Dec 11, 2022

Krista St-Germain is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too.

The brain love interpretation and drama.

Tell us your story of how you became a coach for widowed moms.

How to define grief – a natural response to perceived loss.

When sex is appropriate while grieving?

How does grief work?

Grief is not golf.

How to respond to someone experiencing grief.

“Feelings are not problems to solve” – Krysta St. Germain

8 myths about sex and grief

- You just want physical touch, not sex

- If you want sex again it means you didn’t love your person of loss

- The first year is the hardest/you shouldn’t have sex the first year

- If you don’t want sex there is something wrong with you

- You should wait for sex until you are done grieving

- If you want sex then you must be trying to escape your grief

- Escaping your grief is wrong

- You can have sex again until it is “the one”

- You aren’t ready to have sex until you don’t have strong emotions

Sex after a health diagnosis

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coachingwithkrista.com

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Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

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188. Making Sex More Awesome: Interview With A Sexological Body Worker Dec 04, 2022

Meet Sylvie B – a sexological body worker in training!

Many people struggle in their intimate relationships, whether because of pain,

perceived dysfunction, loss of libido, mismatched libido and, most pervasively, shame. Many people have also experienced trauma, low self-esteem, and frustration over the limits to their pleasure.

Somatic sex education is about exploring our sexual challenges through breaking down the

autopilot and the worn out old patterns we rely on for whatever reason, which limit our erotic pleasure and full self-expression.

Good sex more than just the absence of pain.

Why do people come see a sexological body worker?

What is Somatic Sex Education and sexological bodywork?

Not many people are used to being asked how they would like to be touched. Some people get really frustrated because they realize they just don’t know. And that they have never looked too deeply into that. That can bring up feelings of guilt or shame.

Tips for squirting

How do you want to feel during sex?

Tips for tuning in to the very subtle frequency of what people actually desire.

What to do when people feel numb?

How do we emerge from shame and trauma?

How do we set and communicate boundaries as women in our relationships?

The pleasure of the soft cock – what to tell men with ED. What to do.

Let’s talk about this problem – middle age pelvis – menopause versus viagra

Find Out More

https://somaticsexeducator.com/

https://www.instagram.com/s3xandsensibility/

https://mysexandsensibility.com/

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187. Sex After Breast Cancer Nov 27, 2022

Dr. Becky Lynn is back! Previous on Episode #44 and #43 where we talked about vaginismus and endometriosis and sex after breast cancer (44) and hormones (43). So check them out!

She is the founder of Evora Women’s Health in Missouri

Dr. Lynn recently authored the paper: Low Sexual Desire in Breast Cancer Survivors and Patients: A Review

- Sexual dysfunction is 30-100% of women with breast cancer. And low desire is 5-87%

- What happens when we do surgery on the breasts

o Does it matter if we had radical mastectomy versus lumpectomy, with or without reconstruction?

- Role of Chemotherapy on sexual function

- Role of anti-estrogen meds on sexual function

- Role of couples therapy

- Data on vaginal moisturizers on sexual function

- Role and safety of vaginal estrogen after breast cancer treatment – ACOG statement paper

- Trial of Bupropion – open study shows improvement – randomized controlled trial versus placebo pending

- Role of vaginal testosterone cream in pts on Aromatase Inhibitors – lowers estrogen in the body

- There is a study looking at intravaginal DHEA on sexual function in breast cancer

- Abstract at ISSWSH on Addyi (filbanserin) in breast cancer population

- Role of hormones after breast cancer

Dr. Lynn is a proponent of medical marijuana for better sex 34% OF WOMEN WHO REPORTED USING MARIJUANA BEFORE SEXUAL ACTIVITY SAID IT INCREASED THEIR SEX DRIVE, IMPROVED ORGASM, AND DECREASED PAIN.

Luo F, Link M, Grabenhorst C, Lynn B. Low Sexual Desire in Breast Cancer Survivors and Patients: A Review. Sex Med Rev. 2022 Jul;10(3):367-375.

website: https://evorawomen.com/

FB/IG @evorawomenshealth

TikTok: @dr.beckylynn

FB/IG Becky Kaufman Lynn, MD

YouTube: search Dr. Becky Lynn

YouTube: search Evora Women's Health

Twitter: @Becky Lynn

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186. A Banned Book, Helping the Next Generation, and Closing the orgasm gap by 2040 Nov 20, 2022

Dr. Carrie Leff is a practicing Internist and Pediatrician in Michigan. She is passionate about Adolescent and Women's health. Dr. Leff is on a mission to educate teens about their bodies and to help parents become more comfortable with difficult conversations with their kids. She is the mother of 3 daughters, a professional multi-tasker and a believer in the power of women.

Dr. Leff co-wrote Celebrate Your Body 2: The Ultimate Puberty Book for Preteen and Teen Girls in 2019. It is a #1 Best seller in in Teen & Young Adult Health Books on Sexuality & Pregnancy on Amazon.

We met at the ISSWSH conference March 2022 in Texas – we were both giving lectures.

“Mommy, I feel like you wrote this book just for me” – Dr. Leff’s daughter

Why she wrote this book and created a program about puberty?

How puberty is like menopause.

She discusses when puberty starts and what first signs are.

What does an all-American puberty education in a public school look like?

“Talking to your kids should be 30 one minute conversations, not one 30 minute conversation” – Dr. Leff

“Our kids aren’t connecting puberty and sex unless we make that connection for them” – Dr. Leff

If you can’t/won’t discuss puberty with your kids then you are teaching them that you aren’t a resource for this information.

I love how you call private parts “personal parts” – why is this important?

So many middle aged women have body shame – when does this start?

How she found out her book was banned.

Consent – example of trying a shirt on at a store - - so important – many middle age women don’t practice consent.

How to close the orgasm gap by 2040 – her plan

A golden question, “how will you know you are ready to have sex?”

Moms buying teens their first vibrators – thoughts and her experience

You didn’t bring up birth control – when to bring it up, how to bring it up, resources for adults.

You wrote an op-ed for the Washington post about your book getting banned: “Some parents believe that telling children the truth about sex and our bodies will spoil their innocence. But innocence and ignorance are not the same.”

Celebrate Your Body 2 Book: https://amzn.to/3dLZzc7

https://turningteen.com/

https://www.instagram.com/drcarrieleff/

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185. Scream Cream, Hormones as Prevention, and How Many Nerves the Clitoris Has - NOV LIVE PODCAST Nov 13, 2022

So Many good topics in the November Live Podcast!

USPSTF opinion on hormones for primary prevention of disease.

https://jamanetwork.com/journals/jama/fullarticle/2797867

Worrying what other people think - vagina and penis broken in older dating

Clitoris has 10k nerve endings

What Kaiser says about having sex - and is it accurate?

We need more research before we tell women they "should" have sex to prevent atrophy - it is just misinformation at this time.

The brain is the biggest sex organ! And the role of "sex negativity" on your sex life.

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184. October Live Podcast - IC, hormones, audio books and more Nov 06, 2022

Dr. Rubin’s NY Times article!

My book is now on Audible!

And Q&A

· Can you talk about IC?

· What are other options for testosterone? This is the first time I’m hearing that pellets are harmful. I’ve done two rounds of HRT and getting ready for my third. Although to be honest not completely happy with the testosterone pellet as it is elevated at the beginning and begins to drop off after a couple weeks.

· What are your thoughts on getting an ablation to stop my period? I’m 50 and went back on the pill to regulate my period, but it’s suppressing everything else!

· Can you discuss whether surgery before or after menopause is advisable for prolapse?

· We aren’t talking enough about female hormones and their impact on mood. PMS, PMDD etc. It's a roller coaster every month and I have no doubt it has some serious implications for some.

· I am wondering about peri menopause- I am 44 and still on birth control pills- I have been listening a lot about your suggestions to take a low dose estrogen to keep everything in good aging health during menopause, is it ok to do this while still on the pill?

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183. Religion and Sex – Can They Be Bedfellows? Oct 30, 2022

Religion and Sex – Can They Be Bedfellows?

Today we discuss the Muslim culture, sex, and vaginismus with Dr. Sadaf Lodhi, OBGyn and sex coach for Muslim women.

She is host of the Muslim Sex Podcast – we discuss her origin story

Religion can have a profound effect on one’s sex life/sexuality.

Islam is a sex positive religion. When the Muslim countries were colonized they tended to become more puritanical.

Islam discusses sex within the context of marriage.

Many times women experience shame and people don’t talk about women’s pleasure.

Common things Dr. Lodhi sees women coming to her with:

Seeing sex as a duty

Low libido

Beliefs like sex is dirty or sex will be painful

One of her most important things she likes to do is empower women through education.

Women get pressure from their partner and an expectation that it is a duty. And they are failing them and God.

Vaginismus – the involuntary contraction of the muscles surrounding the lower 1/3rd of the vagina.

1/3rd of Muslim culture may struggle with vaginismus.

The role of mindfulness in helping vaginismus and low desire.

“People make putting something in the vagina a big freaking deal” – Dr. C.

The role of PT in treating vaginismus.

There are no FDA approved medications for vaginismus.

Dr. Lodhi shares a huge win with us.

It is not about the number of times of sex a week.

The role of the scholars and the males in helping women feel sex positive.

Follow her on Social Media:

Muslim Sex Podcast

www.drsadaf.com

Facebook: @DrSadafobgyn

Instagram: @DrSadafobgyn

TikTok: @DrSadafobgyn

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182. Sex (and menopause) In The City Oct 23, 2022

A rundown of my time in NYC, moderating a Sex Ed panel for "the New Pause" symposium hosted by Stripes and The Swell.

https://theswell.com

https://iamstripes.com

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181. Sex Talks With Social Media’s Sex Educators - Vanessa and Xander Marin Oct 16, 2022

Vanessa’s a licensed psychotherapist with 20 years of experience in the sex therapy field. Xander’s a regular dude who’s been married to a sex therapist for over a decade

Their hot take on desire.

Their top three causes of low libido that they see

1) Painful sex

2) Unpleasurable sex

3) Relationship issues

“Our libido gets affected by everything in our lives” – Vanessa Marin

“Is my life actually supporting my libido?” – Vanessa Marin

Let’s talk about initiation – tips, couples get stuck in old scripts that stop working as relationships change

“You get rejected once and you think you are unlovable” – Dr. Casperson

“initiation should feel like an invitation” – Vanessa

“Initiation takes a large amount of vulnerability” – Vanessa

“There are a lot of unhealthy gender dynamics that come up with initiation” – Xander Marin

According to their online poll, only 2% of breast owners like the “boob honk” as a way to initiate sex.

Spouses who avoid talking about sex – they are writing a book!

What to do when a partner stonewalls the conversation – don’t start with the problems.

Connected to feel like sex or sex to feel connected – often one of each in a partnership

At what point should couples consider bringing in a therapist?

How to find out how much sex is “right” for someone’s relationship

Woman says – he doesn’t care about my pleasure – what to do?

Vibrator envy – help for the woman when the partner doesn’t understand and being able to advocate for your pleasure.

Consent and the problem of “I just do it for him”

Avoiding sex because of erectile dysfunction. They help us trouble shoot.

2023 new book! Sex Talks: The 5 Conversations That Will Transform Your Love Life Hardcover – February 7, 2023

https://www.instagram.com/vanessamarintherapy/

https://vmtherapy.com

https://podcasts.apple.com/us/podcast/pillow-talks/id1569466131?i=1000577319619

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180. Becoming Empowered and Getting Vulnerable with Dr. Casperson Oct 09, 2022

Listen to this very deep and vulnerable conversation I had with my friend Dr. Kathy Zhang on her podcast, The Purpose Filter. There are so many aspects to living a life of fulfillment, but what if there was one area of your life you could improve that would spill over into all others? Sounds like a bit of a life hack. Well, it is, and we want to share it with you on today’s episode. Is your sex life fulfilling, or are you just going through the motions? The empowerment you get from knowing what you want in the bedroom and being able to speak up and ask for it, or the ability to say no, when no means no, is a crucial element to all aspects of your life. If you can stand up for yourself in these very vulnerable and intimate situations, the empowerment that happens outside of the bedroom will come naturally. This all starts with you and your willingness to make a decision to uplevel your life and stop living on autopilot. “Should we care about the people who are sleeping with the people we are giving Viagra to?” “My husband died so now I need to take care of myself”. “It is easy to be average” “She just wants the damn thing to end – which is another reason that women fake orgasm” On faking orgasms - “He thinks it is the end of the party and you were never at the party.” “You can’t just give somebody desire. It is an inside job” “I think working on your sex life is the final frontier of personal growth.” “Everything you do to have a better sex life spills over to other aspects of your life” “What if my whole purpose in life is to tell people to use vaginal estrogen cream?” Tune in to hear how you can create more joy and abundance in your life! Topics discussed in this episode: • Dr. Casperson’s experience in a largely male dominated field • What is it like becoming the first doctor in the family • Bad advice Dr. Casperson received when she was becoming a doctor • Giving yourself permission to step into your power • Why your voice is important and unique • What was Dr. Casperson’s turning point to change the way she lived her life • Applying dying lessons now while we are living • Why women feel their pleasure and themselves are not a priority • How to move past shame and guilt surrounding sex and beyond • Going from being pulled along for the ride to getting into the driver seat • How young people should re-frame purpose • Sharing the gift of awareness and presence Connect with Dr. Kathy Zhang on Intagram https://www.instagram.com/purposefilter/ And on her website: https://luyikathyzhang.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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179. Roommate Syndrome, Giving Couples Hope, and How To Be a Man Worth Desiring with Coach Glen Lovelace Oct 02, 2022

Meet Glen Lovelace! I love his generosity toward helping men in relationships and his masculine energy on this podcast! He shares his story from desperate (even suicidal) plans to living a life of helping others live their best relationships.

When women learn about their sexuality and get empowered, often they feel stuck because of a spouse who they fear is not open to change. I wanted to bring on someone who literally deals with this as his job. Glen helps men who's wives have been transformed in one way or another, usually by coaching education.

Glenn Lovelace is the wingman for men whose wives have transformed from coaching. He is a certified coach through the life coach school. Glenn has coached over 3,000 clients 1 on 1 since 2008.

His transformation started with bodybuilding after being in a very low place in his life. He decided he needed to prioritize himself to be the best spouse and father he could be.

"It’s okay to be uncomfortable."

How to “gently” change your partner (and remember you can’t change anyone who doesn’t want to be changed).

1) Show them how you have changed

2) Bring in a third party influencer

3) Learn how to speak the same language

4) Always remember you two are on the same team

Roomate Syndrome – just existing together and losing touch why you love and are attracted to each other.

If one person does their work, the marriage can get better.

Your spouse is just there to love.

Can couples start speaking the same language? Glen says yes!

Intimacy not in the bedroom is important!

Wanting your spouse to change for you to be happy is a toxic plan.

Happy Wife Happy Life - it’s a lie and Glen explains how it wasn’t good for him.

Each person is in charge of their own pleasure.

Don’t assume what is needed in a situation - - Ask

How to be a man worth desiring? Start dating and desiring your wife. Approach her how she wants to be approached. Date every week. Keep your commitments.

There are seasons to your sexuality.

Foundations of trust in a relationship

- Security, trust, safety, stability

The trouble with saying “divorce isn’t an option”

Talk about your religion – what does your religion say about sex and marriage and how have you navigated any challenges?

“Progress Creates Happiness” – Glen Lovelace

https://glennlovelace.com/

https://www.instagram.com/itsyourwingman

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178. September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More Sep 25, 2022

September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More

- Reassuring data on Estrogen and breast cancer

- social media is associated with sex dysfunction

- define erotica, why are we so scared of this word?

- Why couples don’t have sex – thanks for the inspo www.instagram.com/yourdiagnonsense

- top feelings in your fantasies

- the more you focus on these the more you will enjoy sex, and the farther you get away - and if you aren’t getting these fulfilled, the more breaks you have on. And does society agree with your core feelings? It matters.

- Danish observational study on HT after BCa

- What can I learn from boredom?

- MHT and cholesterol changes

Reassuring data regarding the use of hormone therapy at menopause and risk of breast cancer Pinkerton, JoAnn V.; Wilson, Carolyn S.; Kaunitz, Andrew M. Menopause. 29(9):1001-1004, September 2022.

Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Jul 20:djac112. doi: 10.1093/jnci/djac112.

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177. Me and My Body Are A Team - Teaching Reconnection with Katrina Ubell, MD Sep 18, 2022

A mindwork episode!

Dr. Ubell is one of the first physician life coaches!

She gained and lost the same 40 lbs at least 10 times since puberty and now helps women become a team with their body and stop obsessing over food using the power of mindwork.

She reached out to me to be on the podcast and at first I didn’t know how to connect the dots besides life coaching. I have a podcast episode called “sex while fat” – we are okay at any size. I was worried she just wanted to talk about losing weight.

So I said Okay if we can talk about how mind work in her arena can also relate to a positive body image and sex life.

Like my older episodes talking about money and sex – these topics are more related than we think because of our thoughts about them.

“I am interested in people stopping hating themselves” – Dr. Ubell

What is diet culture?

The concept of mutual respect between you and your body.

Can weight loss goals exist with body positivity?

Shame is useless.

“I haven’t had success so there must be something wrong with me” Dr. Ubell

Why do we get numb or disconnected from our bodies?

Over eating as a trauma response – sexual assault or childhood trauma – I got big to not feel or too attractive.

Changing one’s identity requires changing our thoughts.

Menopause and weight gain/loss – watch what you believe about this.

Acceptance of our bodies as we get older.

Entitlement thoughts! I feel so seen! I am entitled to my latte!

How to stop invalidating your emotions

Relationship with yourself and thoughts about yourself are important for both weight loss and sexuality.

Get her book here! https://amzn.to/3AYTwtU

https://katrinaubellmd.com/

https://www.facebook.com/katrinaubellmd/

https://www.instagram.com/coachkatrinaubellmd/

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176. You Are Not Broken Book Club Sep 11, 2022

This was a Book Club I did with Dr. Rachel Rubin and Andrea Martin, NP last week.

Free first chapter on the website www.kellycaspersonmd.com

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175. “Don’t Say Pleasure” - A Talk With A Sex Toy CEO Sep 04, 2022

Dr. Soum Rakshit is the Co-Founder & CEO of award-winning sexual health company, MysteryVibe. Their mission is to make sexual health accessible to all – across all ages, genders & orientations. From his research & experiences over the past 2 decades, Soumyadip deeply understands that a major challenge in most people’s lives is keeping the ‘mystery’ alive in a long term relationship. This is especially the case after major life events like childbirth, menopause, cancer treatment or surgery. That’s why he decided to combine his defense electronics expertise with medical experts to create devices that address major sexual health issues like ED, dryness & pain during intercourse. At the same time, working closely with sexual health experts, his team has been at the forefront of researching & developing content that act as catalysts for people to start much-needed conversations to reignite their sex life. How did you get into sex toys? How he told his parents he went into a sex toy company. Only 1 in 4 people will see a doctor for their intimacy issues. “Pleasure is seen as a vice” Main barrier to selling sex toys when all social media bans sex. How does vibratory therapy work? Sexual health and how it is often overlooked when it comes to pre- and postmenopausal women. Are sex toys getting too complicated? What to do? How to maintain a sense of mystery in a long-term relationship. Advice for women in bringing a vibrator into the bedroom with a partner. https://mysteryvibe.com/ Rullo JE, Lorenz T, Ziegelmann MJ, Meihofer L, Herbenick D, Faubion SS. Genital vibration for sexual function and enhancement: best practice recommendations for choosing and safely using a vibrator. Sex Relation Ther. 2018;33(3):275-285. doi: 10.1080/14681994.2017.1419558. Epub 2018 Jan 4. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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

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174. Vibrators, Princess Marie Bonaparte, and Motorcycle Coils Aug 28, 2022

First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy!

1. The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers

2. 𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price
⁣
3. 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO.
⁣
4. 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time.
⁣
5. 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks.
⁣
6. 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis.
⁣
7. 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory.

Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558.

www.winkwinkboutique.com

Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration.

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173. August Live Podcast - Lasers, How Estrogen Can Cause Harm, and More! Aug 21, 2022

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

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Vaginal Lasers

How a male can introduce my book to his female partner

Unopposed Estrogen can cause harm

Q&A from listeners:

Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations?

I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions?

I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly?

I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right.

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172. Vulvar Itch - What Could It Be? With Dr. Jill Krapf Aug 14, 2022

Vulvar Itch – What could it be? With Dr. Jill Krapf So lucky to catch Dr. Krapf in her car (sorry for the spotty audio but too good to not share) for this live Q&A we did for my membership - but as you know Car audio isn't perfect - I still think it is worth the share! Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK 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 What can the vulvar itch be? Why is it worse at night? Does low estrogen increase risk of itch? Dr. Jill Krapf discusses Lichen Simplex Chronicus Does a bidet help? Embedded Vulvar yeast Lichen Sclerosis in premenopausal women Flares are real Krapf JM, Smith AB, Cigna ST, Goldstein AT. Presenting Symptoms and Diagnosis of Vulvar Lichen Sclerosus in Premenopausal Women: A Cross-Sectional Study. J Low Genit Tract Dis. 2022 Jul 1;26(3):271-275. https://pubmed.ncbi.nlm.nih.gov/35533256/ https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/ I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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171. Vaginal Estrogen Show and Tell Aug 07, 2022

Vaginal Estrogen Show And Tell

Watch on YouTube: https://youtu.be/eAgTp1dt4W4

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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

Is vaginal estrogen the same as menopause hormone therapy.

Do you need to use a progestin if you use a vaginal estrogen cream?

What is the risk of breast cancer with vaginal estrogen?

I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs.

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170. - July Live Podcast - Sex and Mindfulness, Blood in Urine, and Hormone Q&A Jul 31, 2022

July Live podcast – Mindfulness, blood in urine, and hormone Q&A

I quote from this book: https://amzn.to/3JhCfie

Better Sex Through Mindfulness by Lori Brotto

I talk about mindfulness

What is Hematuria?

Hormone Q&A

1) Breast Cancer and Hormones – Are Any Okay? I've been having issue getting sexually aroused and having an orgasm.

2) My mom is 79 with osteoporosis, she stopped her hormone therapy 20 years ago. Can she restart?

3) I’m going to talk to my doctor about HRT… I’ve been having hot flashes so bad! It’s awful! I’m wondering what exactly I should ask for?

4) What risks do oral estrogen have?

5) Thoughts about Premarin?

See you in the membership! www.kellycaspersonmd.com/membership

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169. His Porn Her Pain - Sex Therapist Marty Klein, PhD Jul 24, 2022

Dr. Marty Klein has been a Licensed Marriage & Family Therapist and Certified Sex Therapist for over 35 years. He has focused his entire career toward a single set of goals: telling the truth about sexuality, helping people feel sexually adequate & powerful, and supporting the healthy sexual & intimate expression and exploration of women & men. He practices in Palo Alto.

He has written 7 books, translated into 11 languages and has given over 1,000 lectures.

Why are people so against porn? Or why not be against porn?

The Ice Cream/Broccoli hypothesis

‘When people have low desire for lousy sex, that is not surprising” – Dr. Klein

Should we worry about porn dehumanizing women?

What is the number one fantasy by women?

Should you actually live our your sexual fantasies?

“Sexual fantasies do not have meaning” – Dr. Marty Klein

Porn addiction – define?

What about porn users who aren’t functionally sexually at home?

Is porn infidelity? What about sexting someone else? Only Fans?

Talk about the power struggles couples get in and think it is about porn

“The ultimate issue in many couples in conflict about pornography is the decline or disappearance of their once enjoyable sex life. While it is common to say that the porn user is selfish and rejecting of their partners, a lot of porn use is actually a desperate attempt to stay in a sexually unfulfilling couple.”

What to do if no longer attracted to your spouse? How is this not porn’s fault if it makes you get off to perfect bodies?

“Desire in middle age does not feel like desire at 23 years old” – Dr. Marty Klein

What he wishes women knew about their male partner’s porn.

What would you like to tell the men?

Why are there not enough sex therapists and what should I do about it?

https://www.martyklein.com/

Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF

Our podcast sponsor is Bonafide

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168. Breast Cancer - Surgeon, Survivor and Advocate: Dr. O'Riordan Jul 17, 2022

Dr. Liz O’Riordan - – a breast surgeon with breast cancer. Her mission is to help cancer patients cope with life outside the hospital by showing health care professionals that it’s the little things that matter. She co-wrote ‘The Complete Guide to Breast Cancer: How to Feel Empowered and Take Control’, to help patients and their families as they go through treatment. She tells us her story. What do you wish people knew about breast cancer? Let’s talk about controllable risk factors for breast cancer – Alcohol and adiposity Give us some frank advice about sex and relationships How to cope with the emotional burden of breast cancer Let’s talk about self image The role of weight lifting and exercise How can the partners help? How does the sexual role change when care giving roles change? Talk about the collateral damage of breast cancer treatment could be thanks to an instant menopause and chronic pain. Vaginal atrophy on Anastrazole and Tamoxifen and chemo – options ACOG statement on use of Vag E in breast cancer pts. The Complete Guide to Breast Cancer: How to Feel empowered and take control https://amzn.to/37E1woz https://liz.oriordan.co.uk/ https://podcasts.apple.com/gb/podcast/don-t-ignore-the-elephant/id1588554895 https://www.instagram.com/oriordanliz/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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167. Femtech Boss! Sold “Female Viagra” for 1 Billion Then Took it Back - Cindy Eckert! Jul 10, 2022

She started with Slate Pharmaceuticals, which redefined long acting testosterone treatment for men then moved to Sprout Pharmaceuticals which broke through with the first ever FDA-approved drug for low sexual desire in women — dubbed “female Viagra” by the media. After selling the company for $1B in 2015, she successfully fought to get the drug back and launch it on her own terms. Meet Cindy Eckert! Addyi - Filbanserin - The first FDA approved medication to treat the condition Hypoactive (low) Sexual Desire Disorder (HSDD), characterized as frustrating low libido, is the most common form of sexual dysfunction in premenopausal women. Though not fully understood, HSDD is believed to be caused by an imbalance of chemicals in the brain. Are we limiting women by “protecting them”? How did Addyi come into her life? Data on Addyi and breast cancer is coming out! Prescription versus supplements and what is “natural”? You make it look glam – but is it a slog? She wants to make 1 Billion of wealth for women! “Success comes from courage” – Cindy Eckert. https://addyi.com https://thepinkceiling.com https://www.instagram.com/cindypinkceo/ https://www.youtube.com/watch?v=DyuSZ80-kZI Love these interviews? Want to join them live with me? https://www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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166. Ask The Sexperts: Desire, Squirting and More! Jul 03, 2022

Ask the sexperts and get CME! Link for this below! The premium membership is up! Want to take this work deeper and really understand yourself and your sexual life? Coaching changes peoples lives, come learn how it can help you. www.kellycaspersonmd.com/membership For US residents, get a free signed copy of the #1 Amazon bestseller: “You Are Not Broken: Stop Should-ing All Over Your Sex Life” when you sign up for the membership in July. Today's podcast is audio from a panel I was on this year at Western Washington University with my good friend and owner of a sex positive store Wink-Wink Boutique, https://winkwinkboutique.com Jenn Mason. Margot Lewis joins us too! What do you wish people knew more? Women are not just small men. What to do if you get triggered with your intimate activities? Defining Spontaneous and responsive desire – the difference. Increasing desire in long term relationship Don’t confuse spontaneous desire with love. What is a sex coach? How to balance sexytime with life. What is squirting? OMGyes.com The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/AtAM2I Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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165. June Live Podcast Jun 29, 2022

The book is out! $2.99 the first week on Amazon! https://amzn.to/3xeUpLK

Want more? Want to uplevel your sexual knowledge, confidence and get coached by me?

Join the private podcast group coaching premium membership!
50% off the first month if you join before July1st. And a free signed paperback copy sent to you if you sign up before July 31st (US residents only).

www.kellycaspersonmd.com/membership

LIMITED TIME PRESALE OFFER!
Get 50% off your first month with coupon code EARLYBIRD before June 30th.

· Can you talk about the Dutch test? - but your feelings on an accuracy, what kind of information does it give ,better than lab test ? pros cons

· So bioidentical hormones are going to be banned?

· Do you know if there are any interactions between estradiol vaginal cream and clobetasol?

· I have an underlying feeling of shame which surfaces from childhood.

· I am 62 years old using vaginal hormonal cream. It does help with lubrication and desire. But I can not reach orgasm. No matter how long and hard we tried. Help please.

· Can you talk about UTIs, antibiotics, and thrush? Why do so many women get UTIs, why do they get worse with menopause, and how can we prevent/manage them?

· I had a terrible reaction to adding estrogen cream

· I have been suffering from postcoital urethral syndrome according to my physician. Is there any definite treatment for it??

· I received a hormone pellet( estrogen and testosterone) and started oral progesterone (oral, once daily). About 4 weeks after I started bleeding for the first time in 1.5yrs (I am post menopausal). I have been bleeding (like a normal period amount) for about 10 days. Is this common?

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

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164. Book Release June 28th - I Read the Intro! Jun 26, 2022

The book comes out June 28th! https://amzn.to/3A447Up I read the intro! Free signed paperback when you sign up to the premium podcast group coaching membership through July! www.kellycaspersonmd.com/membership The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/gDWMk5 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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163. Sharing My Journey - Dr. Kelly Answers some Q&A Jun 19, 2022

A company sent me a list of questions for me to answer for their blog. So I thought I would record it and share it with you. Hope you enjoy!

How would you introduce yourself to a brand new patient?

What is the best piece of advice you’ve ever received?

What is your personal mission with your practice?

How did you develop an interest in urology?

What’s the biggest challenge you’ve faced in your practice?

What is something most women don’t know about their sexual wellness that you want to share?

How do sexual wellness and urology relate to each other?

Have you always focused on the connection between emotional/relationship health and physical health? How did that become a part of your practice?

What inspired you to start the You Are Not Broken podcast?

What have you learned about your medical practice through starting your podcast?

What has your You Are Not Broken audience taught you?

What episode from You Are Not Broken would you recommend to a new listener?

What inspired you to write the You Are Not Broken book?

Sign up for the private podcast/group coaching membership! Starts July 1st.

Anyone who signs up the first month gets a signed copy of my new book: You Are Not Broken: Stop “Shoulding” All Over Your Sex Life.

www.kellycaspersonmd.com

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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162. Pleasure is Medicine – What is Tantra? Jun 12, 2022

Pre-order the book: You Are Not Broken: Stop Should-ing All Over You Sex Life

https://amzn.to/3xeUpLK

Get on the email list to be the first to join the premium podcast membership at www.kellycaspersonmd.com
Anyone who signs up in July gets a signed copy of the book, and the membership is limited to 300 people!

Laurie McCracken is back again!

144 podcast was for her intro and her story. You should listen to it.

What is tantra? It is a spiritual path.

The view that orgasm is profoundly healing.

What is sex for the average person and how does tantra view it differently?

Tantra is feeling safe in your own body.

Trauma is stuck energy.

How she incorporates Tantric techniques into her daily life.

How do you view orgasm now?

What to do when you feel numb?

What is yoni emancipation and somatic healing?

Tantric weekend or where to start?

What does she want to tell people who are resisting things like this?

https://lauriemccracken.com/

https://www.authentictantra.com/

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/V8bSEK

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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161. “I just need to put something in my vagina”, Prolapse, and how PT helps Jun 05, 2022

Amanda Nayfield joins us again. Her first episode was #14

She is a pelvic floor physical therapist and she helps us with common things I see in my office

“I just need to put something in my vagina”

We discuss the fear, the anxiety, the underlying low desire, and the lack of education tied up in this sentence

Eating ice cream for your dopamine is way easier than working on good sex.

The clitoris is not self lubricating.

How to put things in your vagina after years of not doing that

Dilation tips and tricks

Questions about Kegels – a physical therapists opinion.

Muscles need to contract, release, and lengthen

What to do proactively as I enter menopause?

Bowel and bladder health as we age – tips and tricks

Cervical pain during intercourse – we ask a PT

We discuss prolapse – it is NEVER the bladder’s fault.

We discuss upregulation and central sensitivity and the role of fear.

We discuss pessaries.

https://www.connectnwpt.com/

https://www.instagram.com/connectnwpt/

Reclaiming Desire by Barry and Emily McCarthy https://amzn.to/3xiz2dS

Mating in Captivity by Esther Perel https://amzn.to/3xiz2dS

Dilators recommended: Intimate Rose https://amzn.to/3xeQRun

Kegel products – Elvie https://www.elvie.comand Kgoal https://amzn.to/3McHijS

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/igh70E

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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160. Documenting a Sexual Awakening with Layla London. May 29, 2022

Layla London of “The Curious Girl Diary” joins us and tells us her sexual awakening story.

Her focus has been to make my sex life a priority and help us as well.

She has been normalizing sex as a valuable part of who we are, exploring all our sexual desires, and for some completely resurrecting that side of ourselves we’ve almost let die out.

She went 3.5 years without sex – then what happened?

How do women get turned on and play an active role in enjoying sex?

How to talk to your partner about your interest in sexual awakening.

The role of vulnerability and rejection in changing your sex life.

So many women want to want sex for their partner – thoughts?

30 day masturbation challenge and what it did for her.

What about women who think, “I don’t have enough time”.

How sex in the bedroom can lead to success in the bedroom.

Communication is easier than the alternative.

3 reasons to prioritize your sex life now

1) Orgasms are fantastic

2) Intimacy and closeness through a bonded sexual experience is wonderful

3) For yourself and how the benefits extend to other parts of your life

Easy steps to make a sizzling hot sex bucket list.

1) Acknowledge you want to make a change

2) Think about times when you were really turned on

3) Explore other ideas

4) Never say never

5) The role of curiosity and humor

“There is no expiration on sexy” – Layla London

https://www.thecuriousgirldiaries.com/

https://www.instagram.com/the_curiousgirldiaries/

https://www.facebook.com/TheCuriousGirlLayla

https://podcasts.apple.com/us/podcast/the-curious-girl-diaries/id1264706714

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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159. May Live Podcast Recording May 25, 2022

May Live Podcast Recording – Get CME - link below! Books discussed: His Porn, Her Pain: Confronting America’s Pornpanic with Honest Talk About Sex Mary Klein Ph.D. https://amzn.to/3PuKZ7j Sexual Intelligence: What We Really Want From Sex and How to Get It. Marty Klein Ph.D. https://amzn.to/382i75z So much covered in this podcast! Toy Reviews, book reviews and upcoming interview with Marty Klein Genitourinary syndrome of menopause The difference between systemic and pelvic estrogen The increased risks with oral estrogen and why this is so My thoughts on preventative vaginal estrogen How to ask your doctor about systemic testosterone and guidelines. https://www.jsm.jsexmed.org/article/S1743-6095(20)30982-6/fulltext Get on my email list to hear about June’s date and time for the next live podcast recording! www.kellycaspersonmd.com and so much more! The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/5pXypO Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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158. Speculum Trauma, Sex Drive in Menopause, and Aging Well May 22, 2022

Join me today when I talk with my friend Dr. Mary Claire Haver

How alcohol works as a drug and how it can harm us.

Irregular periods as an indication for perimenopause

“Menopause is one day in your life” Dr. Haver

What did you learn with speculum trauma in the office.

How to talk to your doctor about perimenopause and menopause.

Sex drive after Menopause

What is the role for preventative hormones in menopause.

Why should women care about muscles.

We discuss the problem with sugar and how significantly addictive it is.

What is wrong with BMI

Predatory behavior towards menopause and low libido.

What we think about supplements.

Tiktok: drmaryclaire

IG: https://www.instagram.com/thegalvestondiet

Website: https://galvestondiet.com/

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/XiciWO

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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

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157. Orgasm after Menopause and Hot Flash Hell May 15, 2022

Reminder - get CME from listening to this podcast! Link below!

Join me and Dr. Lauren Streicher, a menopause expert as we discuss perimenopause and menopause.

ADHD is “trending” right now and seems to be everywhere. Could some of this undiagnosed perimenopause?

The roller coaster of peri-menopause and what hormones need to be checked.

What is FSH and what it means when it is high and how it can be misleading in perimenopause.

What’s the difference between peri-menopause and menopause.

“Yoga is good for you and it won’t help your hotflashes” – Dr. Streicher

How to be your own advocate for your menopause symptoms. Tips to talk to your doctor and to have a more useful appointment.

The organ where ovarian cancer comes from: hint – it isn’t the ovary.

Orgasm difficulty after menopause – why it can happen and what we can do.

Testosterone isn’t a male hormone – it is a human hormone.

Why we use FDA approved products when we can.

You don’t “go through” menopause – you enter menopause

What is the role of “prophylactic” hormones in menopause.

The socioeconomic effect of menopause.

Dr. Streicher’s books:

The Essential Guide to Hysterecomy https://amzn.to/3FJRq1K

Slip Sliding Away: Turning Back the Clock on Your Vagina https://amzn.to/3FJRq1K

Hot Flash Hell: Turning Down the Heat https://amzn.to/3G12UOR

Dr. Streicher’s Inside Information Podcast: https://podcasts.apple.com/us/podcast/dr-streichers-inside-information-the-menopause-podcast/id1615785832

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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156. Fem-Shame, Fem-Tech, and Changing the World with Kate Roberts May 08, 2022

Kate Roberts has 30 years of experience working in global development, philanthropy and business. She has tackled some of the most challenging women’s issues, including HIV/AIDS, sexual reproductive health, menstrual hygiene, sanitation, maternal health and gender-based violence.

She is a founder of The Body Agency, which provides a single source for all things fem-care, normalizing the conversation around women's natural being and eliminating fem-shame once and for all.

What did you do that led you to create the body agency?

How going through trauma may result in doing advocacy work – our journeys.

How are sexual health needs similar and different in different countries?

We discuss Fem Tech

“Our vaginas do not smell of roses” – Kate Roberts

“The female body works the same way in every country” – Kate Roberts

Kate’s opinion on how to be a sex positive family.

Discrimination that women have against their bodies

Why can’t we say vulva on IG?

What is your message to women?
She has a message for men too.

https://www.instagram.com/the.body.agency/

https://www.thebodyagency.com/

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/A15l1w

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155. Talk to Kids About Sex: 5 Common Mistakes May 01, 2022

Dr. Shannon Widlansky was trained as an Ob/Gyn who is now a life coach.
She has been a gender expert for 8 years. She helps institutions use more gender-inclusive language.
She is a facilitator of the Our Whole Lives curriculum which teaches sexuality to all ages.

She talks about what was wrong with past sexuality education.

The definition of “man” or “woman” is wrapped up in the function of a body part. Which gets shaken up when there are problems with these organs.

You don’t have to talk about the clitoris when your education is only a “disease and pregnancy prevention plan” – Dr. Casperson

5 common mistakes adults make in talking to kids about sexuality

1) Not planning ahead

2) That it is more than sex and puberty

a. 5 circles of sexuality

i. Body image and appreciation, sensualization

ii. Intimacy

iii. Identity

iv. Repro health – puberty changes, infection

v. Sexualization – consent, how media portrays sexuality

3) One and done “the talks” – a lifelong conversation.

4) They have to get it right – don’t expect to get it “right”

5) Inclusive language “most but not all”

Consent – ideally an enthusiastic yes, not something that is coerced.

What country does it well - Netherlands

Other tips – what would your ideal conversations look like? Lead from confidence

Books mentioned

What makes a baby – Corey Silverburg. https://amzn.to/3vuB89w

Sex is a Funny Word – Corey Silverburg. https://amzn.to/39tWfAq

Puberty is Gross but Also Really Awesome https://amzn.to/3y1GvP9

The Everybody Book – Rachel Simon https://amzn.to/37WETLV

https://www.instagram.com/self_revolutionize_coaching/

https://www.facebook.com/Shannon.Widlansky.SRC

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/mpbKrS

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154. April Live Podcast Apr 27, 2022

April Live Podcast!

How do you transition from BioT pellets to systemic estrogen and vaginal cream?
Just started vaginal estrogen and both times had lower abdominal discomfort the next day. Is this a potential side effect? Is there another route besides the cream or ring?
I have been seeing a PFT on and off for about 6 yrs since having a partial hysterectomy. Recently I've had a lot of pressure and feel as though something is stuck in the rectal area. I have seen my GP and I have had a pelvic and rectal exam. He's sending me for an ultrasound this Saturday. I have also seen my PFT. I will see her again in a month. I guess my question is, if I have a prolapse going on would the PFT pick that up with the pelvic exam? and would an ultrasound show a prolapse?
Hormone problems related to COVID? Any insight?
Bartholin Cysts
I am 57 and still having a pretty regular period. Question about Bio_T and hormone labs.
My periods have always been heavy, 7 days… and have gotten even heavier as I’ve gotten older ......I have to say having a pretty regular period at 57 sucks. Based on my labs I can infer I’m not menopausal and all I can say is WTF!
AND MORE!

Get on my email list to get the webinar links to join on the live podcast AND be the first to sign up for the private podcast/coaching membership coming this summer!
Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/qAhGky

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153. Where Does Intimacy Come From? Palliative Care and Sexuality Apr 24, 2022

Where Does Intimacy Come From? Palliative Care and Sexuality – Two Experts

Join me and Palliative care physician Dr. Faryal Michaud.

When your view of sexuality is narrow, it is threatened by health challenges.

The effects of cancer diagnosis on sexuality.

“You are still a man if your penis doesn’t work” – Dr. Casperson

Where does intimacy come from?

Tips for communication

- Talk about sex outside the bedroom

- Curiosity “curiosity is the opposite of judgement” Dr. Faryal

- This is not just one conversation

- Don’t think one person is the problem – it is a couple issue

We discuss sexless marriage

We discuss how common it is to struggle with sexuality after a baby comes into a family

New relationship brains are akin to taking cocaine – we neglect other things besides our new love. This wears off after about 6-18 months.

“You can’t think an orgasm” – Dr. Casperson

“How are you going to be the person worth having sex with?” – Dr. Casperson

“We are so ill prepared to go into long term relationships.” – Dr. Casperson

Anxiety kills sex drive

Awareness, acceptance and acknowledge – three components of dealing with what comes up in life.

Living life on purpose, a view of life as fleeting as a way to make friends with your life and this moment.

Death is certain, suffering is optional.

Live every minute to its full capacity.

The role of gratitude.

www.instagram.com/drfaryalmichaud

Book discussed – Rekindling Desire by Dr. Barry and Emily McCarthy

https://amzn.to/3k65ZTA

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/FUUmMw

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152. Healing the Body to Heal Your Sex Life - Stress and Libido Apr 17, 2022

Reminder you can get CME credit for this podcast! Link below!

Low libido is a gift telling you what needs to change in your life - Dr. Wellenstein

Dr. Wellenstein is a double board-certified doctor who has been working with women for over 20 years and due to her own personal health challenges, she stepped outside the box of conventional medicine to take a radically different approach to heal herself from the deep depths of burnout. Now Dr. Renee empowers women to take control of their health, jumpstart their energy, improve their confidence and reignite their libido!

We discuss burnout and recovery.

Is it too much hard work to exercise, eat right and work on mindset?

How to you get to the point where you realize you are in charge of your life?

How we “should” on ourselves as women and how it affects our health.

Work burden inequality at home and how it affects your stress and health.

Trusting the process when you are in it.

Encouraging women to ask for what they want in and out of the bedroom.

If you are angry and resentful towards your partner you will not have a desire to have sex.

How you view yourself as a sexual being affects your sex life.

Tips for women:

Awareness

Boundaries

Communication

The role of self-love in health.

You have to have something worth desiring in order to desire it.

Low libido is a gift telling you what needs to change in your life.

SOCIAL LINKS:
Website: https://www.drreneewellenstein.com/
Instagram
https://www.instagram.com/drreneewellenstein/
Facebook:
https://www.facebook.com/renee.wellenstein
Youtube:
https://www.youtube.com/c/DrReneeWellenstein
Podcast:
Itunes - https://podcasts.apple.com/us/podcast/love-the-leap-with-dr-renee/id1465483819

Books Discussed: Atomic Habits by James Clear https://amzn.to/3EiWd9S

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/myWUep

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

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151. Sexy Marriage with Corey Allan, PhD Apr 10, 2022

Are you having boring Sex in a Long Term Relationship? Listen today! Meet Dr. Corey Allan – Host of the long running, since 2011, “Sexy Marriage” Podcast and a Phd in Family Therapy. The beginning of relationships is a dopamine high. You don’t “fall out” of love, you just get more knowledge. We discuss “roommate life” and how that affects our sexuality. When marriage is not easy is when it starts. “Marriage is more about becoming a better human than it is about the two people being happy. And when you keep things simple, you can experience more in marriage and life.” Dr. Corey Allan Why Dr. Allan thinks so many people think a good sex life is so hard? Myth: Marriage is hard work – Dr. Allan discusses this. “As humans we spend a lot of time distracting ourselves from ourselves.” – Dr. Allan How do we incorporate spirituality into a sexy marriage? – Why are they not mutually exclusive. Boring sex – help! We talk about what do we do with boredom in the bedroom. Duty sex and checklist sex – help! Advice to men who want their wives to have more sex with them. “Be someone worth having good sex with” – Dr. Allan Advice to women who feel their husband is disengaged and avoids sex. Tips for communicating with your partner. https://smrnation.com/ Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/vmsUUN --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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150. Meds for Low Desire and Clitoral Phimosis with Dr. Rubin Apr 03, 2022

How sexual function is biopsychosocial and the meds that affect the “bio” part of this

There are two FDA approved meds for women with low desire. They work in 50-60%of people that take them. They work by boosting dopamine.

Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss.
It is safe to use if you are on antidepressants.

Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine.

Do we fix hormones first or use these meds first?

How to navigate prescribing these meds as a provider?

Dr. Rubin talks about her work changing national guidelines.

23% of women have clitoral adhesions

Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study

How do we prevent recurrence?

Resources discussed today

https://www.instagram.com/drrachelrubin

https://www.rachelrubinmd.com/

https://www.facebook.com/DrRachelRubin/

ISSWSH Find a provider: https://app.v1.statusplus.net/membership/provider/index?society=isswsh

NAMS find a provider: https://portal.menopause.org/

SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off: NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/X8BGyS

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

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149. March Live Podcast Mar 30, 2022

March Live Podcast

· Thoughts on Joylux vibrator https://joylux.com/

· COVID correlating to hormone imbalance?

· Vaginal estrogen causing yeast infection?

· I have had a heart attack so doctors are saying I cannot do any sort of hormone therapy, is this true?

· How do you know when to see a gynecologist vs urologist vs family practice MD vs dermatologist for issues? I am 40 and I am interested in getting my hormones checked after about 6 months of unusual periods (skipping months followed by months straight of bleeding, spotting etc)? And, after hearing about it on your podcast, I think there's a good chance I have lichen sclerosis. Which type of doctor do I begin with for these 2 issues?

· What’s the difference between estrogen gel and cream?

· If a guy has ED, in your opinion, would the Phoenix device work or is this a ploy to get people to spend big money? https://www.getmyphoenix.com/

· How do you know if your estrogen is low? Is it just a test or is it based on symptoms?

· How do I “shop” for a more educated doctor?

· AND MORE!

March’s Sponsor is Tabu – to prioritize your sexual wellness

www.heytabu.com

CODE: YANB for 15% off your kit

CME Credit here:

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/XKZI1r

Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward CME credits & more. Learn more at about.cmefy.com/cme-info

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148. I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MD Mar 27, 2022

Dr Jaime Seeman aka Doctor Fit and Fabulous - is a board certified OBGYN. She has a passion for fitness, preventative medicine and ketogenic therapy not only in her medical practice but in her own life. She is the co-medical director of Upgrade Performance Institute. Dr Seeman was also Mrs Nebraska 2020, finished Top 15 at Mrs America 2021 and appeared on NBC Titan games with Dwayne “The Rock” Johnson.

She tells us her story about getting unstuck and how to inspire others.

“I can’t ask my patients to do anything that I can’t do myself” – Dr. Seeman

We talk about the importance of changing our internal dialogue – changing your thinking

“Confidence is created through action”

How to create a life audit – we are who we surround ourselves with and who am I?

5 Pillars of Health

Nutrition

Exercise

Sleep

Stress

Environment

If you want to decrease your risk of diabetes – lift weights and prioritize muscle

What do you do when no one is cheering for you? We forget to parent ourselves.

Why do you think so many women don’t believe in themselves?

Her experience with pregnancy and sexuality and body image

“There is nothing sexier than a woman who doesn’t care about what other people think” – Dr. Seeman

We talk about post-partum sexual changes.

One of your areas of expertise is PCOS – tell us what it is and how you educate women on what to do about it.

The relationship of our diet and our thyroid

Facebook: Doctor Fit and Fabulous

Instagram: @doctorfitandfabulous

Twitter: @JaimeSeeman

YouTube Channel: Dr. Fit & Fabulous

March’s Sponsor is Tabu – to prioritize your sexual wellness

www.heytabu.com

CODE: YANB for 15% off your kit

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/O5ZJT7

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

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147. Author Interview - Dr. Van Anders - The Heteronormativity Theory of Low Sexual Desire Mar 23, 2022

Desire is Shaped by our Lived Experiences – The Heteronormative Theory Paper

Dr. Sari van Anders is the Canada 150 Research Chair in Social Neuroendocrinology, Sexuality, and Gender/Sex, and Professor of Psychology, Gender Studies, and Neuroscience, at Queen's University.

Dr. van Anders has published over 80 papers with research that sets out new ways to conceptualize, understand, and map gender/sex, sexual diversity, and sexuality, and also provides unique tools and theories for feminist and queer bioscience, especially within social neuroendocrinology and studies of testosterone.

Can we talk about Gendered behavior for a fast minute – a lot of people – majority people – might not know or believe that they are “socially gendered” – she explains this to us.

How does being gendered as a female affect our desire?

how some aspects of sexuality widely assumed to be hormonal, might actually be better understood with or alongside a sociocultural lens.

Okay – on to the mind blowing paper on “the heteronormativity theory of low sexual desire in women partnered with men” – Archives of Sexual behavior 2021.

- Why did you write this?

- You propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors.

- Four Hypothesis

o Inequitable divisions of household labor

Women have less free time

o Blurring of partner and mother roles – its not that mothers aren’t sexual – it is that the relationship between mothers and those they mother is not a sexual one.

Nurturant experiences decrease testosterone and increase peptides like oxytocin and vasopressin.

Thinking sexual thoughts can change testosterone levels

How Cortisol affects our sexual response

o Objectification of women

Proximity to the norm matters for their desire

Women’s focus on appearance and being sexy instead of sexual

Ignorance about the vulva and clitoris negatively impacts desire in women partnered with men

o Gender norms surrounding sexual initiation.

Discomfort initiating sex contributes to low desire.

If women have to say yes everytime a man wants sex – this contributes to low desire.

“women’s sexual pleasure within heteronormative framings is fraught.”

Women’s duty for sex or inability to say no.

- What do we do now that we know this?

- Orgasm coercion is her future research

The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men

https://link.springer.com/article/10.1007/s10508-021-02100-x

https://www.queensu.ca/psychology/van-anders-lab/

March’s Sponsor is Tabu – to prioritize your sexual wellness

www.heytabu.com

CODE: YANB for 15% off your kit

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/vKccS5

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146. Coffee and The Heteronormativity Theory of Low Desire Mar 20, 2022

What if low desire is not your fault?

Join me as I drink coffee and read (and editorialize) the best sex research paper to come out of 2021!

The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. by Sari M van Anders, Debby Herbenick, Lori A Brotto, Emily A Harris, Sara B Chadwick

Join me in a few days as my next episode will be an interview with Dr. Sari van Anders

Link here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382213/

CME for this episode here: https://earnc.me/RxoV55

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145. Getting Paid to Talk About Sex – Men’s Sexual Health Urologist - Dr. Amy Pearlman Mar 16, 2022

Getting Paid to Talk About Sex – Men’s Sexual Health Urologist - Dr. Amy Perlman

Amy Pearlman is a urologist specializing in men’s health and genitourinary reconstruction in Iowa City.

We discuss a woman’s role in men’s health as a healthcare provider, family member and partner

How can a woman approach concerns with her partner – what not to say.

Sexual health can be a barometer of the health of a relationship

Tips for communicating sexual health issues

How women can hurt men with body shaming and their body functions. Men have insecurities too. Men and women are so similar.

Low T - how to help with lifestyle changes

– is it true that once you start you can’t get off 2/2 shutting down the testes?

https://uihc.org/amy-m-pearlman

https://www.instagram.com/amypearlmanmd/

March’s Sponsor is Tabu – to prioritize your sexual wellness

www.heytabu.com

CODE: YANB for 15% off your kit

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/bTV63Z

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

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144. From Nun to Tantric Practitioner - Embody Your Body with Laurie McCracken Mar 13, 2022

As a former nun, oncology nurse, holistic health coach, and energy medicine practitioner, Laurie McCracken is passionate about supporting the healing and transformation needed to reunite our sexuality with our spirituality. She knows personally the emotional, physical, and mental trauma this “disconnect” can create in one’s life. She has also experienced firsthand the profound healing and transformation Authentic Tantra® offers.

My deepest desire for you is that you feel good about and inspired by your own life! – Laurie McCracken

The body is the portal and gateway to our sexuality

Every orgasm is a glimpse of enlightenment

Working with our sexuality is vulnerable and sacred

She teaches us to do a simple pleasure journal to start on your journey of healing and embracing pleasure in your life

Once we heal our sexuality, everything else in our life opens up

We need to calm our minds to be present in our bodies

Pleasure is the antidote to the trauma in our life

What kind of lover do you want? Be that for yourself first.

https://lauriemccracken.com/

https://www.authentictantra.com/

March’s Sponsor is Tabu – to prioritize your sexual wellness

www.heytabu.com

CODE: YANB for 15% off your kit

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/GuF9oG

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143. Brains and Pains - Healing Chronic Pain with Deb Malkin Mar 09, 2022

Worldwide, the rates of chronic pelvic pain for women of childbearing age range from 14% to 32% Deb Malkin is a plus size, body positive, LCS certified life coach, massage therapist, movement enthusiast, and client zero of her pain recovery coaching work. She had only been taught that pain is related to issues in the tissues and was never taught the link between the brain, nervous system and the experience of chronic pain. Her mission has always been for people of all sizes, abilities and genders to feel at home in their bodies. She shares her story of chronic pain. The brain can continue and perpetuate pain long after the body has healed. Why is chronic pain everywhere? Does pain tell us lies or is it in how we interpret the pain that gets us in trouble? The role of fear and being able to feel. We talk about pain with sex and pelvic pain and tips for that issue. The “perfectionist personality” and suppressed rage and how it is involved with pain. The role of self-acceptance and body image and pain. The process of just being aware changes your brain. The “lazy detective”. “The brain talks to us in thoughts, emotions and body sensations” Deb Malkin CURIOSITY IS THE ANTIDOTE TO FEAR Recommended Book The Way Out by Alan Gordon https://amzn.to/35vybLY 1:1 chronic pain coaching program - www.debmalkin.com https://www.instagram.com/movewithdeb/ Podcast “Move With Deb” - https://movewithdeb.libsyn.com/ March’s Sponsor – Tabu Code YANB for 15% off of your intimacy kit at www.heytabu.com This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/EL95aG --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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142. BONUS! - ISSWSH conference day 3 and 4 Mar 07, 2022

My last summary of the amazing ISSWSH conference! Such amazing topics Sex post baby Porn in heterosexual long term couples - getting to the deeper issues Pre-menstrual Dysphoria Disorder Perimenopause Sex after Pelvic Surgery --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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141. BONUS! Day Two ISSWSH Live Mar 06, 2022

Welcome to Day two of my thoughts on the 2022 ISSWSH conference! How to talk to your kids about sex Sex after cancer Sex after baby --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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140 - BONUS! Day One ISSWSH LIVE Mar 04, 2022

Join me at the ISSWSH conference in Dallas today!

Resources

MYPFM.com

PROSANA.org

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

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139. Interview with Rachel Hughes for Perry App Feb 27, 2022

Such a good talk with Rachel Hughes for Perry app!

Check it out!

https://www.heyperry.com/

https://www.instagram.com/ohhelloperry/

https://www.facebook.com/groups/heyperry

https://apps.apple.com/us/app/perry-perimenopause-community/id1544428724

This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/gNdtcd

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

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138. February Live Podcast - hormones, prolapse, pelvic floor PT and more Feb 23, 2022

Get on the email list to get the live podcast recording invite link to your email at www.kellycaspersonmd.com

1. Hormones 10+ years after menopause, risks and benefits and how to talk to your doctor.

2. pelvic organ prolapse options, surgical and non-surgical

3. What are pellets? Are they effective?

4. Benefits of pelvic floor therapy

5. Can incontinence be treated at home?

6. Views on viagra?

7. Is progesterone necessary if taking vaginal estradiol?

8. Is it a thing to apply estradiol to the face or neck? Are there estrogen creams recommended for the face?

9. What exactly should I ask for when I want to get my hormones tested?

AND MORE!

This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/LxZTpk

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

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137. Sex and Menopause Feb 20, 2022

This is a lecture I gave for a physician course on sex and menopause. The myths and the facts.

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/MxiRLg

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136. Male Orgasmic Disorder Feb 13, 2022

I define Male orgasmic disorder and discuss the common causes and treatments.

Reference: AUA Update Series "Male Orgasmic Disorder"

Find a Sex Therapist: https://www.aasect.org/referral-directory

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/SMg4U

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135. Intravaginal Latency Feb 09, 2022

A woman was feeling bad that she was avoiding sex because it was taking her partner too long to orgasm via her vagina. I set the record straight and offer some tips and tricks.

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/G98XnL

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134. Stop Gaslighting My Vagina Feb 06, 2022

On social media A woman asked – my vagina is so dry that sex is painful, how can I fix this? Wikipedia: Gaslighting is a colloquialism, loosely defined as making someone question their own reality. The answer provided on social media to this question: - Regular sexual activity, self stimulation and pelvic floor exercise can help keep your vagina health. - IS THIS ACTUALLY TRUE? - This doctor said “I tell women to avoid sugar and use probiotics to make sure their entire ecosystem is “humming along” – NO evidence that oral probiotics affect vaginal microbiome – then she plugs her diet and her probiotic products - She then goes on to say – two additional ways to counteract vaginal dryness is to strengthen the pelvic floor by doing kegel exdrcises and using a “holistic formulation” that helps maintain optimal levels of natural moisture, and “supports a healthy vulva and vagina”. – this is her product – which states it “prevents leaks” and costs 70 dollars. Also claims to “reignight desire” – WTF I searched in J sex med - does intercourse delay or treat vaginal atrophy? – can’t find a damn thing I found on an internet site - “Regular sexual activity, with or without a partner, can help maintain healthy vaginal tissues through increased blood flow and avoid or lessen the effects of vaginal atrophy.” - No citations, so again I went to J Sex med – can’t find a thing On menopause.org - Regular vaginal sexual activity is important for vaginal health after menopause because it stimulates blood flow, helps keep your vaginal muscles toned, and maintains your vagina’s length and stretchiness. - No citations, and furthermore, the vaginal muscles are smooth muscles controlled by the autonomic nervous system – you can’t tone them with sexual activity - I will buy that stretching the vagina frequently probably allows it to be stretched frequently without pain – but is there evidence and why sex, why not just dilation? Current treatment options for postmenopausal vaginal atrophy Iuliia Naumova1 and Camil Castelo-Branco2 Int J Womens Health. 2018; 10: 387–395. It is important not to forget about the positive effect of sexual intercourse on the improvement of vaginal health – no citations (JAMA 1983;249:2195-2198) Vaginal Atrophy in the Postmenopausal WomanThe Importance of Sexual Activity and Hormones - But this study was not randomized – perhaps the less atrophy allowed the women to be sexually active and not vice versa? How do we know the sexual activity caused less atrophy? We don’t have any studies. Another paper on vaginal atrophy gave this recommendation - Regular sexual activity should be encouraged to maintain vaginal health. (II-2B) - Usefulness/efficacy is less well established by evidence/opinion Why is level 2-2B evidence cited as scientific fact? Pro-tip – Billionaire Marc Cuban just started an online pharmacy for low cost generic drugs https://costplusdrugs.com/ - vaginal estrogen tabs for < 10 bucks, cream for 54 dollars. What other myths do you want me to bust? Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/C7gjrk --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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133. January Live Q&A Jan 30, 2022

Jan live topics - from hormones to bladder cancer to male questions - I answer them all! If I didn't get to yours join me for February's live Q&A by getting on my email list at www.kellycaspersonmd.com

If I think I need hormone cream.....should I get tested for imbalance??

Is generic estradiol cream as good as Estrace? I’m seeing mixed reviews. The pharmacy gave me generic

Doctor, what will happen, if we don’t take testosterone supplements after bilateral orchiectomy??

A woman writes in about worry about sex after hysterectomy

Tightening cream – oh you get all my thoughts on this one.

Is it too late for my to start hormones if it has been 10 years after menopause?

Screening for STIs in men 🙏

How do you get a doctor to give you vaginal estrogen?

Bladder cancer info

Pain with penetration after orgasm – help!

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/IcBZb9

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132. Anorgasmia and 5 things I say all the time Jan 23, 2022

Anorgasmia = persistent inability to achieve orgasm.

10-15% of women have never had an orgasm and there are so many reasons why.

I talk about the top 5 things I say on repeat

1) vaginal estrogen is for almost everyone

2) systemic versus vaginal estrogen

3) Responsive desire is normal

4) Expand your view of heterosexual sex

5) and of course YANB!

Check out ondrwear.com and use YANB to save 25%

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/WJA2M7

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131. National Lichen Sclerosus Day Jan 16, 2022

National LS day is Jan 17th so I thought we would bring back Dr. Jill Krapf to help educate us on this silent condition that affects our sexuality so profoundly. What is Lichen Sclerosus. Can it be prevented? How it affects sexuality Classic signs and standard treatments What about lasers for LS? Why is it important to be on maintenance therapy How can partners be supportive? Dr. Krapf's important research. https://www.instagram.com/jillkrapfmd/ https://www.lichensclerosus.org/ Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/VUemhu --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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130. Bleeding Through The Lifespan Jan 12, 2022

This is an IG live I did with Dr. Prabakar, OBGYN, who is known as The Fibroid Doc on IG!

We talk all about female pelvic bleeding and issues!

What are fibroids?

How do you get fibroids?

What are symptoms of fibroids?

What is adenomyosis and endometriosis

The perimenopause transition and how it affects bleeding

We discuss ablation and lifestyle changes to help with quality of life

www.instagram.com/thefibroiddoc

https://www.youtube.com/channel/UCyPUtuVimf7GpprOiuXVWaw

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/652eyN

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129. Hit Play Not Pause - Menopause and Sex Jan 09, 2022

Check me out being interviewed for the amazing "Hit Play Not Pause" podcast with Selene Yeager!

Your brain is your largest–and arguably your most important–sex organ. It’s also the most overlooked, especially during the menopausal transition when we spend a whole lot of time talking about our vaginas (which are important, too, of course!). I am her guest and we talk about all of it in a show that drives home the mind-vagina connection during menopause and midlife.

Follow her at

www.instagram.com/fitchick3
www.instagram.com/feistymenopause

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/45W2PS

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Episode 128 - State of the Podcast and Happy New Year! Jan 02, 2022

I reflect on my podcast and me and how we both grew in 2021 - like I got bangs, and quit drinking!

I list my top 4 episodes -

I discuss 2022 plans for me and the podcast

Thanks for your support heading into year 3!

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/uLGR8d

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Episode 127 - December live Podcast Q&A Dec 29, 2021

Each month I do a zoom webinar and IG live.
Sign up for the email's to get on the webinar for live coaching at www.kellycaspersonmd.com

Today we talk about

hormones, vaginal and systemic and why they are indicated and why you might choose to use them

Pelvic pain evaluations

Low desire doesn't live in a bubble

Delayed ejaculation

Vulvar moisturizers versus lube versus vaginal estrogen

Thoughts on "estrogen dominance" and how to tell if you are "low" in estrogen.

Can you use vaginal estrogen if your mother had breast cancer?

At what age do you need to stop systemic hormones?

Don't forget your CME: https://earnc.me/dzvMN0

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Sexual Agency and How to Communicate Better with Dr. Juliana Hauser Dec 26, 2021

Dr. Juliana is a relationship and sex expert with a PhD in Counseling Education; a background in teaching gender studies and therapists at the graduate level; a licensed marriage and family / professional and practicing counselor herself.

She says sex is the final chapter in personal development – I could not agree more!

We learn how to talk, but rarely learn how to listen to feedback - that and more in this wonderful episode.

Our sexuality is so much more than what we were taught. It is so much more than our sex acts.

How does sex relate to everything else in your life?

Let’s talk about sexual agency.

The power of having your own back.

Let’s talk about consent in a marriage and/or a long term relationship – a woman has sex with the partner because he wants to, but she really doesn’t want to and just goes through the moves –

- Is this consent?

- Is she damaging her “desire” or rewiring her brain when she just goes through the motions?

- “It’s okay because it has always been okay is not good enough”

How to receive communication – how to feel safe – we do a fun role play! How to have a conversation about sexual wants. There is always something underneath the ask.

www.dr-juliana.com
www.instagram.com/drjulianahauser

Don't Forget your CME! https://earnc.me/j7Klfq

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State of Sexual Relations and Toy Reviews Dec 22, 2021

I am podcasting while on call, what could possibly go wrong?

I review the poll that www.meetrosy.com did - they asked 1,000 people in committed relationships about their sexual life and I review and provide commentary.

Also, I do a Tenga review (YANB15 for 15% of your order) at https://www.tenga.co/

and a wevibe review.

Book mentioned: https://www.tenga.co/ The Body Is Not an Apology, Second Edition: The Power of Radical Self-Love

Get CME for listening to my podcasts! https://earnc.me/82s5av

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The Topic Formally Known as "sex-ed" - oh, and squirting - with Dr. Teresa Wood Dec 19, 2021

Beta Testing! Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/dMybKs

The topic formally known as Sex-ED

Dr. Teresa Wood trained in Philosophy, she has always been interested in the ways in which science and belief are applied to our bodies, our wellness, our sexuality and our education.

For years thereafter, she used her stage presence, her poetry and her humorous teaching style to help her audience unlearn the old-school Sex Education that created fear and shame in place of respectful sexuality. Her pleasure positive Sexy Seminars replaced Sex-Ed with awareness, empowerment, and access to healthy hotness within relationships.

In 2006, she earned a Medical Doctorate and pursued her interest in Sexual Medicine. She continues to write and work in BC, Canada as a physician, and a Sex/Intimacy & Relationship Coach, revamping the topic formerly known as Sex-Ed.

I love this bio! I just heard sex ed called “preventative reproduction” – it really isn’t sex ed at all is it?

“You get a fair bit of education from silence” – Dr. Wood

“Loss of foreplay is loss of sex for women” – Dr. Wood

She describes low libido as low dopamine in the nucleus accumbens. They are not being rewarded for the sex they are having (because it isn’t satisfying and not releasing dopamine).

““de-goal-ing” penetrative sex is the goal” – Dr. Wood

Female Ejaculation - some people have it and some people don’t – both are okay.
“We don’t care if it is pee, we care if it is glee!” – Dr. Wood

https://www.instagram.com/drteresawood/

https://drteresawood.com/

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Men have sexual problems too. Dec 15, 2021

This is a lecture I gave for women physicians about male sexual health. I hope you learn something and enjoy the info!

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/XPsWwP

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Breathing for Better Sex Dec 12, 2021

Chronic stress is the underlying reason for seeing a primary care doctor. Chronic stress makes you live a shorter life. Chronic stress kills your libido and sex life. I talk with Dr. Robyn Tiger, certified in yoga therapy, meditation and life coaching with specialty certification in trauma. With stress, anxiety, depression and burnout on the rise, and having personally lost 3 medical colleagues to suicide, she is deeply passionate about sharing what she learned with as many people as she can. How to get “that loving feeling” back. Learn about your stress response and how to regulate it and drop into the parasympathetic system (the relaxation response). We need to put the brake pedal on and learn how to do it. She breaks it down for the skeptics. Quick things you can do in 15 minutes. If having a good sex life isn’t good enough, do you want to live longer? How to switch from sympathetic to parasympathetic – ie: from crazy day to wonderful intimacy https://www.stressfreemd.net/ https://www.instagram.com/stressfreemd

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/yN3uhT

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The Sweetness of Venus - A History of the Clitoris Dec 05, 2021

Today I am lucky enough to interview Sarah Chadwick, author of “The Sweetness of Venus”. She is passionate about sex equality, gender studies, humor and learning. Her book is dedicated to: “This book is for all those who have a clitoris, or the opportunity to engage with one.” Why she wrote this book! You talk about how the clitoris is lost and found and lost and found throughout documented history. “17th-century under-the-table narrative about sex has a strong emphasis on mutual pleasure that is noticeably lacking in many of today’s sex-ed books and in too many sex-ed classes.” Why don’t we tell girls and boys about this aspect of a woman’s anatomy? We discuss the female condition of being frigid – now we have a medical disorder if we don’t orgasm with PIV sex. In 1994 U.S. Surgeon General Dr. Jocelyn Elders suggested sex should be mentioned as safe and healthy in school curricula. In answer to a question at the UN Conference on AIDS as to whether she thought teaching about masturbation in schools might reduce unsafe sex, she replied: “I think that is something that is part of human sexuality and it’s part of something that should perhaps be taught. But we’ve not even taught our children the very basics.” She was forced to resign by Bill Clinton as a consequence.” 1966 – The sexually adequate female “Frank S. Caprio, M.D., recommends “psychiatric assistance” for any woman who prefers clitoral stimulation to other forms of sexual activity. ” How did views about female morality come to be bound up with women’s sexuality? How is sharing this on social media going? Are we allowed to say clitoris? Can you talk about the American versus UK approach to menopause care? Our emphasis on “natural” and the pressure to be “natural” https://www.instagram.com/its.personalgirls/ The Sweetness of Venus: A History of the Clitoris Sarah Chadwick https://amzn.to/3ppAzd5 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Tenga Unboxing and Reviews Dec 01, 2021

Tenga reviews

Discount code: YANB15

tenga.co

Lube – hole lotion – $ 15

https://usstore.tenga.co/collections/tenga-hole-lotion-series

Ring Vibrator – SVR Black - $80

https://usstore.tenga.co/collections/tenga-vibrators/products/tsv-001

Iroha Tenga MIZU – 79.99

https://usstore.iroha-tenga.com/collections/rechargeable-vibrators/products/hmt-01

iroha mini Ume-Anzu

https://usstore.iroha-tenga.com/collections/battery-operated-vibrators/products/hmm-02

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November Live Podcast Recording Q&A Nov 28, 2021

This is my November live podcast recording - lots and lots of Q&A in here!

Leave a podcast review by the end of Nov 28th and be entered to win a copy of "Why good sex matters" by Nan Wise, Phd.

TENGA discount code: YANB15

www.usstore.tenga.co

www.instagram.com/tenga_global

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Penis Size Nov 24, 2021

This is the third in a row episode with my good friend Dr. Hart - - - Penis Size

Why is this such a big deal for men (pun intended?)

It is not associated with height, sperm count or any thing else.

Warning – we are going to tell you what is average in length for this body part.

Most people are normal.

What women make their partner's penile function mean and how to talk about it.

Dr. Hart is a sexual medicine physician in Canada at

https://www.sexualfunctionclinic.com

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Virginity is a Social Construct - The Hymen Nov 21, 2021

The myth and the facts of Hymen

What it is and what it isn't

The case for knowing your body.

Dr. Hart is a sexual medicine physician in Canada at

https://www.sexualfunctionclinic.com

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Sex While Fat Nov 17, 2021

Physicians get trained to be biased against overweight individuals - that doesn't help us feel great about ourselves which then can translate into the bedroom.

I LOVE talking with Dr. Hart who a sexual medicine physician in Canada at

https://www.sexualfunctionclinic.com

Body positivity, mindset, myths about body size and sex

The medical system and fat phobia – we are very judgy.

You will “never be good enough to…” if you don’t change your mind.

We discuss chasing “I thought I would be happy when” thoughts.

“if you are having a sex life problem get help, don’t just assume it is your weight”

We discuss black and white thinking when it comes to weight and hear Dr. Hart’s journey.

“A sex therapist is always the answer” – but it isn’t always covered in Canada or the US – here are some tips if you can’t access a therapist.
We discuss mindfulness, our ANTs (automatic negative thoughts) and the flaws in logic about our thinking about our body.

“Body positivity is a journey, not a goal”

“Muscles are associated with longevity and health – and they weigh a lot.”

“We can and should be healthy – we shouldn’t focus on the scale”

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Sexless Marriages, Desire Books and Hormones Nov 14, 2021

We define what low sex and sexless marriages are

We talk about two books that have the word "desire" in them.

We talk about two papers discussing hormones and desire.

www.kellycaspersonmd.com to get on the email list to see when I go live!

Reclaiming Desire Dr. Andrew Goldstein
https://amzn.to/31VnArp
Rekindling Desire Barry McCarthy
https://amzn.to/3F80USX

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Kink, Consent, and Asking For What You Want Nov 07, 2021

Dr. Sonia Wright joins me today to talk about your sex life.

We talk about consent and safety.

Adult play is supposed to be fun!

What are your thoughts around kink?

Different things turn different people on.

We go over some definitions – sub and dom – and maybe be surprised who has the power in these roles.

We talk about consent in a long term relationship – what is your reason for having sex

“for you” sex described and how to start with pleasure

If you don’t know what kind of sex you want, start with identifying what you don’t want.

Tips for communication with your partner. What we can learn from the sub/dom/kink culture.

And remember what the whole point is of all of this is – FUN! Connection! Growth!

https://soniawrightmd.com/

https://podcasts.apple.com/us/podcast/the-midlife-sex-coach-for-women-podcast/id1532337565

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Anxiety, hormones, self care, sex and menopause Nov 03, 2021

This is an IG live I did with Dr. Keira Barr, holistic dermatologist and expert in midlife transitions and hormones. We know good sex doesn't exist when we are stressed, anxious and full of cortisol and our sympathetic flight or fright nervous system, but what can we do about it? We talk about sleep, breathing, hormones, exercise and alcohol. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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October live Q&A Oct 31, 2021

Sex and hormones, sex and hormones, and life coaching.

get on the email list to learn ahead of time when the lives are going to be recorded! www.kellycaspersonmd.com

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Menopause Whisperer - Dr. Jim Simon Oct 24, 2021

Meet the Menopause Whisperer – Dr. Jim Simon

My listeners want the truth! And they are so hungry for it! Why did "we" scare everyone off of hormones, why are doctors so hesitant to be proactive on hormones. What the "actual" risks of taking hormones are.

Set me straight on "progestins" including progesterone and all the others

Breast cancer and the Women’s Health Initiative – we get the facts about hormones and breast cancer risk.

Hormones protect your heart and bones, especially between ages 50-60.

The myth of “you need to stop hormones at a certain age”

Risks of hormone therapy compared to other medications.

How to get smart about hormones?

In menopausal women, the risk of alcohol is higher than the risk of hormones.

What men should know about menopause and menopause hormones.

“Menopause is mid-life” Dr. Simon

The role of testosterone in mid-age. How the “rules of the game” are stacked against women in regards to getting a FDA approved testosterone medicine for women.

https://intimmedicine.com/

Article on prescribing testosterone for women:

https://www.jsm.jsexmed.org/action/showPdf?pii=S1743-6095%2820%2930982-6

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BONUS! Book Club with Dr. Laurie Mintz Oct 20, 2021

Welcome along with me and Dr. Laurie Mintz and a cohort of female physicians as we do a book club on her amazing book, “Becoming Cliterate”

Why she wrote the book.

Why the knowledge of female anatomy and pleasure keeps getting lost.

Her new inspiration to educate young men. And her informal poll on what the guys want.

Learn who started researching the orgasm gap in the first place.

How many different types of orgasms are possible and do they all come from the clitoris or from many different places – and why do we even care?

The idea of “consent” when you have sex that you don’t really want to or do it as a “duty or obligation”

Her wish for physicians to help their patients.

Becoming Cliterate https://amzn.to/3n7nNyK

A Tired Woman’s Guide to Passionate Sex https://amzn.to/3n7nNyK

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Becoming Cliterate – Orgasmic Inequality with Dr. Laurie Mintz Oct 17, 2021

Dr. Laurie Mintz is a feminist author, therapist, professor, and speaker whose life’s work has been committed to helping people live more authentic, meaningful, joyful—and sexually satisfying—lives through the art and science of psychology.

Background story - how she got into sexuality education and therapy?

Everyone cares about a woman’s libido – but I want to ask – are women just having boring sex?

Tell us the stats about orgasmic inequality and how this ties in to affecting a woman’s libido

The orgasm gap is even worse for the hook up culture – can you tell us the data and why it is concerning.

What is her opinion on scheduling sex?

She talks about stress and overwork as top reasons for lowered sex life – my women say “oh yeah” but what should they actually do about it.

She says that “empowerment in the bedroom leads to confidence in the boardroom” – please tell us more.

In her “tired guide” book you say there is no pill for desire – that book was 2009 – now there is a pill and an injection – what are her thoughts about these?

If someone asked me to re-do sex ed for our youth – I would include pleasure, vulvar anatomy, the lie that PIV causes orgasms for women – what would you add?

I want to ask her about three women and hear her advice

A 20 yo single, just starting out

A 38 yo, married, kids, full time job – lost her libido, doesn’t enjoy sex

A 58 yo, post menopause, kids out of the house, husband feels like a roomate

What her opinion of us educators not being able to use or being afraid of saying certain words on

Becoming Cliterate https://amzn.to/373dMe6

The Tired Woman’s Guide to Passionate Sex: https://amzn.to/373dMe6

https://www.instagram.com/drlauriemintz

https://www.drlauriemintz.com/

Magnificent Sex by Peggy Kleinplatz https://amzn.to/3C9UelT

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You Can't Fail At Sex Oct 10, 2021

Jessa Zimmerman is a licensed couples’ counselor and nationally certified sex therapist. She works in private practice in Seattle, WA. Over the course of her therapy career, she has focused almost exclusively on helping couples with their emotional and sexual intimacy.
In her years of clinical experience, Zimmerman has treated hundreds of couples who have struggled to feel sexual desire and fulfillment. Her clients describe having a good relationship in other ways, but their sex life has become difficult to the point that they start to avoid sex. These are people who love each other but are struggling to have a sex life they both enjoy.
She specializes in helping these couples who find that sex has become stressful, negative, disappointing, or pressured. She educates, coaches, and supports people as they go through her 4 pillar experiential process that allows them real world practice in changing their relationship and their sex life, guiding them to become easily intimate.

How do you become “easily intimate”?

How Hollywood messes us up.

You have a video “no libido, no problem” tell us more

Talk about how “low libido” is just desire discrepancy

How can women be more engaged in sex?

Top three mistakes of the lower desire person – believing you are broken, wanting partner to stop initiating, thinking that it is all or nothing

How to create a sex life that has zero stress.

“it’s neuroscience people, it’s okay” – Dr. C

“Obligation is not sustainable” – Jessa Zimmerman

Sex is a playground, not a football field

Link to “Sex Without Stress: A couples guide to overcoming disappointment, avoidance and pressure”

https://amzn.to/3vNPZda

Instagram: www.instagram.com/intimacywithease

Better Sex Podcast: https://podcasts.apple.com/us/podcast/better-sex/id1329973865

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A “Tempest of Wild Raging Menopause Women” Oct 03, 2021

Muscles and Menopause Advocate Amanda Thebe

Fitness and women’s health expert Amanda Thebe went from barely surviving menopause to thriving, by making specific changes to her diet, exercise, and approach to mental health.

I was following you on IG @amanda.thebe and you made a post about women and muscles, which I absolutely love! And here we are! And she was kind enough to send me her book, which I loved, and read and now I get to interview her!

1) Talk to me about your story – personal trainer to menopause advocate

2) Let’s talk about muscles

3) What’s with “balancing hormone” and “re-setting” hormones

4) She calls protein the “queen of food”

5) She says “being strong has transferred over to my everyday life” – discuss

6) You didn’t really scare me until “a woman’s risk of breaking a hip is as much as getting breast, uterine and ovarian cancer combined” – risk of death after a hip fracture is 21 % within a year after the fracture

7) Let’s talk about sleep tips in menopause – and how sex helps sleep

amandathebe.com

Get her book “Menopocalypse” https://amzn.to/2SA4hPJ

“Estrogen Matters” Avrum Bluming, MD and Carol Tavris PhD. https://amzn.to/38YjsHs

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Pellet Soapbox, and hormones in general, Desire is complex, and more! Live Podcast Q&A Sep 29, 2021

No organization recommends pellets.
You know who recommends pellets? People making money off of using pellets.

Rant over!

Enjoy me getting my spice on in this live Podcast recording in Sept.

Testosterone guidelines for treating women:

https://www.prnewswire.com/news-releases/international-experts-provide-consensus-on-how-to-administer-testosterone-to-postmenopausal-women-301261018.html

Pellet Safety:

https://pubmed.ncbi.nlm.nih.gov/33973545/

https://www.mdedge.com/obgyn/article/241740/menopause/hormone-pellet-safety-data-not-very-reassuring-all-women

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Better, Longer, Harder - - SLEEP Sep 26, 2021

Dr. Vonda Wright and I talk about sleep!

Learn the benefits of sleep – better daytime function, memory, sleep and a longer life!

We discuss things that limit our sleep in our modern lives, including untreated menopause symptoms.

Join her with the free “back to sleep challenge” This week!

https://backtosleepchallenge.com/

Podcast Sponsor: https://www.chilisleep.com/

https://www.instagram.com/chilisleep/

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Why I am getting NAMS certified Sep 22, 2021

find a NAMS certified practitioner at https://www.menopause.org/

We also talk about GSM (genitourinary syndrome of menopause) and preventative care as we age.

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For the Men! Sex Surrogacy and Coaching Sep 19, 2021

Today we welcome Erika Davian – we are both certified at the Life coach school and someone connected us!

I had been saying that someone ought to coach the men! And then she showed up in my life!

Today we are learning about surrogate partner therapy with her.

We need to pay attention to the men too! And we are in this episode! She tells us how she got into this niche.

She helps millennial men cultivate the confidence to create the life they want in and out of the bedroom. She helps them show up as themselves.

A myth is that “straight men have it so easy” when in fact they have a lot of pressure to “be” a certain way as much if not more than other people.

She quickly saw that some clients-- particularly younger clients-- thought their sexual dysfunction was purely physiological, when really, the psychological component was playing as big or an even bigger role.

What is a common limiting belief or scenarios that men have about sexuality?

“Anxiety and erections are not good bedfellows”

“there is one way to please a woman” is very pervasive.

“things are problems because we think they are problems”

She says - I’ve seen men encounter sexual dysfunction and shame, simply because their mind was sabotaging their body’s ability to perform.

Tips for men to start talking to their partner about sex.

Tips for premature ejaculation.

You help men manage their mind – what are some common themes that you see?

You can find her at www.sessionswitherika.com

and

erikadavian.com

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Sex for Women and Men - a YANB lecture Sep 15, 2021

Join me on a lecture I gave to some surgeons (some of my favorite people BTW).

I discuss - sexual normative roles and how that affects our personal sex lives.

We were taught “sex negative” education – don’t get pregnancy or infections, save it for marriage

What happens when the novelty of sex wears off

Is desire a circumstance, a feeling, a result? Where do we put it in a coaching model.

Desire and sex for women.

What do I mean by crappy sex?

Sex, surgery and mindfulness

Normalizing responsive desire

Sleep and a happy sex life/drive

What is responsive desire?

How alcohol works with the brain to hurt/help our sex drive

Why older people have great sex

Why our thoughts about our spouse helps or hurts our sex life – and our thoughts are completely under our control.

Do you desire what you already have?

Why textbooks dedicate way more space to male sexual organs than female.

Anatomy lesson

Why PIV sex doesn’t work for female orgasms

Are you “should-ing” all over your sex life?

We finish this episode with some coaching on our sex life – we use the “model” from The Life Coach School.

If you want a good sex life you can’t be passive about it.

What does a sexually satisfied woman do well?

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Hormones and success stories! September live podcast recording Sep 12, 2021

Join me to answer listeners questions, hear their success stories, learn about hormones, vaginal estrogen, preventing UTI, preventative medicine versus treating disease, libido, pain with sex, birth control versus hormones in perimenopause, and how to find a menopause doctor, oh, also....vaginal estrogen shortage in Canada! What!!

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EPISODE 100! And a question of the day Sep 08, 2021

Thank you to the whole world! 100 Episodes and 150,000 listens! Here is to ONE MILLION in the future!

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Meet Dr. Casperson and hear her top lecture on what she loves! Sep 05, 2021

I went live in the Galveston Diet private FB group and here is the audio - get to know me better

My why – the patient that changed the course of my life

How our society conditioned us to have crappy sex lives

Good sex takes communication skills – with yourself and your partner

My thoughts about “low desire”

Our Narrow viewpoint about sex

Transitioning to a body that can calm and open enough to have sex

Anatomy lessons

Books I recommend – She comes first, Becoming Clitorate, Come As You Are, Woman’s Anatomy of Arousal

Estrogen cream and Genitourinary Syndrome of Menopause and tips for finding cheap prescriptions in your town.

Desire mismatch is normal

The two top reasons women stop having sex in menopause!

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Thoughts Aren’t Real and Sex After Cancer Aug 29, 2021

Today I am so excited to interview Dr. Deborah Butzbach, a doctor who treats cancer with radiation (radiation oncologist) in New Jersey and coach who has her own podcast, “Best life After Cancer”.

She is an expert in mindfulness and the power of our thoughts creating our circumstances.

“In life we get to decide how we think about things”

Today we are going to get her thoughts on sex after a cancer diagnosis.

She believes the mental aspect of cancer treatment is everything

How do you see people getting through cancer treatment with intimacy?

Thoughts on body image

What are people’s limiting beliefs when it comes to sex after cancer

How does a cancer diagnosis and surgery etc change body image and hinder sex?

https://www.bestlifeaftercancer.com/

https://podcasts.apple.com/us/podcast/best-life-after-cancer/id1511313907

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Sex, the 4th Trimester, and the Postpartum Journey Aug 22, 2021

Why aren’t we invested in the mom?

Dr. Sonal Patel is a pediatrician, mom of 4 and an entrepreneur! She started the company NayaCare which was created to support moms and families entering life's new chapter.

Tell me why you started NayaCare? Her postpartum journey

What was your biggest surprise after giving birth?

Your mom is a OB – tell me about your sex ed and upbringing and culture

Why do we call it the 4th trimester?

Talk about the role of a doula

Sex and the 4th trimester

We talk about how the morbidity of pregnancy with tears and C-section really complicates sexual desire and intimacy after you have a baby.

Tips for how our partners can support us

Tell me about your journey with IC – interstitial cystitis

How about breastfeeding and intimacy – damn prolactin!

https://www.instagram.com/nayacare

https://www.facebook.com/nayacarecolorado

https://nayacare.org/

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Busy Women - Why We "Should" On Our Sex Lives and What to Know Instead! Aug 15, 2021

I did a successful lecture to the Physician Mom's Group conference and I wanted to pull the audio for you all!
Are you busy, are you a woman, are you a mom? Are you two out of three? Even if you are just one of those you may be experiencing shame and "should's" about your sex life.

Learn why we "should", why a content sex life is part of a healthy body and relationship, and tips and tricks for what you can do instead!

Enjoy! And remember, you are not broken!

Thanks for the Apple and Spotify reviews! They are such an amazing "thank you" to my work and dedication to keep this podcast going! We are being heard around the world!!

Follow me on IG: www.instagram.com/kellycaspersonmd

Sign up for my email to be notified about the future book and the monthly live podcast recordings: www.kellycaspersonmd.com

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Sex, Self Love, and Weight Loss - Master Coach Corinne Crabtree Aug 08, 2021

Corinne Crabtree – Sex and Self Love and Weight Loss

She is the host of “losing 100 pounds with Corinne” – 32 million listens – currently number 8 in Apple for “health and Fitness”

• facebook.com/Losing100Podcast

• IG @Corinne_Crabtree

Losing100Podcast.com

Founder and CEO of The No BS Weightloss Program

Corinne Crabtree is a top ranked health podcaster, Master Weight loss and Life Coach, motivational speaker, and all around badass. She's an expert in the field of weight loss where she teaches her unique No BS Weight loss Program that helps women lose weight the way they want to live their lives. She is known for telling it like it is, showing up looking sassy or showing up with morning hair getting sassy. She lets nothing stop her from helping her women figure out their shit so they can live the healthy life of their dreams.

She has a passion to change women’s lives – she wants to teach every woman to lose weight for good and feel as amazing as she deserves.

What I love about Corinne is she gets women to “stand up” – taking ownership for their lives – which is what I want them to do in the bedroom.

We should talk about desire – so many people think it is a product to have - kinda like weight loss – instead of realizing the power is in their brain. How do you think about sex, desire, wanting and our choice in the matter.

Let’s talk about what self love looks like.

“motivation is earned”

Let’s talk about motivation – for weight loss, for a healthy sex life.

She says “weight loss will only happen on the outside when you learn the skill to change what happens on the inside.”

I will enjoy life/sex when I am thin – talk about how toxic these thoughts are.

Let’s talk about “stop talking shit to yourself”

Body shaming versus telling people they can be the healthiest that they want to be – we discuss a sensitive and complex topic.

“People spend too much time allowing self-doubt to be the main conversation”.

Top 4 things for weight loss!

Okay, practical tip time – late night snacking. Help.

“Don’t make out your thinking to be the problem.....it is also the solution."

“love yourself enough to try”

Advanced Weight loss Certification

www.TheWeightlossUniversity.com

• Applications accepted August 11-13 The first class is September 12

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PMS, Hormones, and Low Desire - July Live Podcast Recording Aug 04, 2021

don't want to miss the live recording? Sign up for monthly alerts at www.kellycaspersonmd.com

Hormones, menopause, definition of bioidentical, PMS and more! I answer the Instagram Q&A's all here!

Whew, all caught up on the Q&A for my IG page! See you next month!

www.instagram.com/kellycaspersonmd

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Sex and Coaches Aug 01, 2021

This audio is pulled from a conference I was fortunate to lecture at. The conference was for physicians who are trained as life coaches.

Here I talk about sex, female sex "facts", and how to clean up your own mind about your thoughts about sex.

I hope you enjoy if you are a physician, a life coach, both, or none at all.

-Kelly

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Vaginal Estrogen Prevents UTIs - But Does It Cause Cancer? Jul 28, 2021

Shout out to Canada and my sex ed doc www.instagram.com/drrachelrubin

A study shows that vaginal estrogen prevents recurrent UTIs without any further treatment 68% of the time.
Amazing!

But does vaginal estrogen cause cancer? Do I need a progestin? What else can I do to decrease my risk of breast cancer?

https://pubmed.ncbi.nlm.nih.gov/33620909/

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7 SIMPLE Ways To INCREASE Her Pleasure Jul 25, 2021

For the Men!!
Oh come on, it is for the women too!

Body part warning: I call a male body part a name in this podcast - truly I mean no harm and no shame and no hate. It is only to point out that we can question what we are doing and break down the idea that PIV sex is the default and gold standard. All my love to ALL BODIES and ALL BODY PARTS.

Suffering from a dry spell with your partner? Do you feel like your sex life has tanked? In this podcast, I collaborate with Dr. Rena Malik, a fellow urologist, to share with you 7 tips to help increase your female partner's pleasure!

Dr. Kelly Casperson's Backstory

Tip #1 Schedule time for Sex - Desire isn't even necessary - don't take this the wrong way - I NEVER mean do it when you don't want to do it - rather that for a lot of women, desire arises while doing. And some people don't believe in scheduling as it makes it a "chore" - think of it more as prioritizing your intimate life with yourself and your partner. Like you will forget to go on a date unless it is scheduled because life gets too busy - kind of thing.

Tip #2 Know your Female Anatomy - What exactly is the G-Spot? Focus on the Outside Structures

Tip #3 Prioritize her, it's not all about you

Tip #4 Go Slow

Tip #5 Use Lubricants

Tip #6 Meet in the middle based on your desires

Tip #7 Communication is key
Dr. Malik hosts a popular YouTube Channel https://www.youtube.com/c/RenaMalikMD/videos

Find her her also at www.instagram.com/renamalikmd

and https://renamalikmd.com/

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The "Stress No Sex" Cycle Jul 21, 2021

The brain is either having sex or In survival mode.

Dr. Vanessa Calderón, MD, MPP is a Life Coach and Scientist and emergency medicine physician. She uses the perfect combination of evidence-based tools and thought work to help working women solve everyday problems.

She’s the Wellness and Resilience Director for a national physician organization

She has spent over half a decade reconnecting healthcare providers to their original purpose in medicine through education and professional coaching.

We were in the same life coach school and we certified in April 2020! So fun to coach with her!

She has training in resiliency and stress management and was hoping we could talk about burnout/stress, it's effect on sex drive/relationships

Let’s talk about how to not get stuck in the "stress and no-sex" cycle.

Learn how stress turns off the reproductive cycle

Stress affects the physical and psychological system – and both affect your sex life

Taking initiative to improve one’s sex life means often getting started with something you have never done before – we talk about goals and how it is the journey that matters.

Women’s wandering minds and sex - why mindfulness is key.

How to break the stress cycle.

We treat sex like it is a scarcity. It is actually plentiful, abundant.

One thing we learn about in life coach school is how our thoughts create our feelings. I think Desire is a fun topic because it can be a C, a T, a F and probably an action or a Result – crazy!

How do you think about Desire?

https://www.vanessacalderonmd.com

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Hello Perry Interview - Peri-menopause Warriors Discuss Female Sexual Health Jul 18, 2021

A great interview discussing female sexual health, myths and dysfunctions with www.instagram.com/ohhelloperry

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You Are Not Broken: A Stop "Should'ing" Lecture Jul 14, 2021

So much value in this one!!!!

Ugh, were to start - - anatomy, heterosexual paradigms, lube, menopause, erectile tissue, Desire, desire mismatch, Resources I love to share, Tips to get in the mood! And so much more!!

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Sex Ed for Our Youth and Institutional Reform - A Sex Educator's Journey Jul 10, 2021

Vanessa Osage is on a mission to leave this world better than she found it. Her mission is to Positively Transform Love, Sexuality & Human Connections. In 2017, she won the "Kickass Single Mom" Award for her work in sexuality education and youth rites of passage. A two-time nonprofit founder, Vanessa Osage is a Certified Sexuality Educator, Consultant & Professional Coach at Love & Truth Rising. https://loveandtruthrising.org Her first book, Can’t stop the Sunrise, is available now. https://amzn.to/3xNtmpJ Tell us the story about how you got started in sex ed. You Are a certified sex educator – how did your journey get to educating teenagers and parents to help young people? What does the data say on teaching kids accurate sex ed? How early should we start? How can we empower teenage females and males to advocate for themselves and their partners? Tell us about “puberty rights of passage” Intimacy is created in the vulnerability of our conversations with our intimate partner. Your recent interest has led you to writing a book and becoming passionate about institutional reform through The Justice CORPS Initiative. And you call this “Defending sexual health on an institutional level" Vanessa is truly an amazing human being! I hope you enjoyed her and our talk as much as I did. https://www.bostonglobe.com/metro/2016/05/06/private-schools-painful-secrets/OaRI9PFpRnCTJxCzko5hkN/story.html https://www.instagram.com/vanessaosage --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Vaginal Estrogen - A Primer Jul 03, 2021

This audio is from a FB and IG live that got uploaded to Youtube! I finally got around to pulling the audio for the podcast! Everything you knew and didn't know about vaginal estrogen! Who is it for, when to start it, do you need progesterone, application types, how it helps......you know, the basics! Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Uncompromising Intimacy Jun 30, 2021

Listen to this with your partner! So much talk about partner communication I am so excited to talk to Dr. Alexandra Stockwell. We officially met on a panel for sexperts in October 2020! Which are really the only panels I should sit on these days as they are so fun! She is on a mission to change the cultural narrative around long-term relationships from one of stagnation and companionship to the delectable joy a couple can feel when they build passion and excitement to nourish them both. How do you define a “juicy” relationship? Why people compromise in their relationships. Great sex in a long-term relationship is no accident – talk about the myth of why people think it should be easy or not take work. Tips for becoming a better lover. Why did you write “uncompromising intimacy”? There is a couple – late 60’s – early 70s….he watches porn, turns down her advances – she keeps asking for sex…she states she is torn between divorce and suicide……where would you start? So many women fake orgasm – give me your thoughts on that. You have said that “Humans learn by observation or modeling” – I totally fell in love with that statement. How does that apply to your work? We were talking in January about a stat that 49% of women in their 50s stop having sex – then we had to nerd out and look that up. What do we tell women in their 40s/50s about the next decade of life with their spouse? People are afraid to talk about sex – but it is the vulnerability and communication that actually builds intimacy – people feel entitled to intimacy without doing the hard work. Underneath every complaint is a desire. How to have sex like a woman! Okay, tell us about your programs, how to find/follow you and get your book! Uncompromising Intimacy: Turn your unfulfilling marriage into a deeply satisfying, passionate partnership. https://amzn.to/2UCQZmA The Marriage Podcast with Dr. Alexandra Stockwell: https://podcasts.apple.com/us/podcast/the-marriage-podcast/id1548060690 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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A Female Pharmaceutical Executive Designs for Us! Jun 26, 2021

Gerianne DiPiano is the Founder and CEO of FemmePharma and serves as the Chairman of the Board. A pharmaceutical industry executive and women’s healthcare expert, Gerianne founded FemmePharma in 1999 in response to the industry’s narrow focus on women’s health needs – such as contraception and hormone replacement therapy – but lack of attention to other important women’s diseases and disorders. Guided by her vision to provide more effective treatment options for women, FemmePharma is focused on improving women’s health by developing prescription pharmaceuticals and over the counter products that are specifically designed for women across a broad range of therapeutic categories.

Learn what she set out to accomplish with FemmePharma

She talks about the disparities between how women and men are treated by the pharmaceutical industry?

Learn how she was developing a product for overactive bladder and “by accident” created a product for vaginal dryness

• Satisfaite is an FDA-cleared personal lubricant and moisturizer for vaginal dryness and pain.

• Satisfem Gel and Satisfem Bud are moisturizers created for vulvar pain and itching.

https://femmepharma.com/

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The Skin Whisperer – A dermatologist focuses on women’s hormones, stress and desire Jun 23, 2021

Blending science with soul, Dr. Keira Barr turns conventional methodologies on their heads so midlife women can feel comfortable in their bodies and love the skin they’re in.

Dr. Barr is a prominent leader in women’s medicine – creating a bridge between hormones, skin and mind-body medicine to optimize women’s mid-life experience.

She is a dermatologist and got into integrative and functional medicine – by healing her own health problems.

Her focus is perimenopause and menopause.

The role of alcohol and our skin, sleep and menopause symptoms

I have been thinking about women and power and I think both of us work to give women their power back. We discuss how some women may be uncomfortable with this and why.

We discuss hair changes in women as they age

She helps us figure out how to deal with stress

How our hormones affect how we feel.

How joy shows up on people’s face

What is the stress, skin and hormone connection?

Her Book: The Skin Whisperer

https://amzn.to/3gPD2cd

https://www.instagram.com/drkeirabarr

https://www.facebook.com/drkeirabarr

drkeirabarr.com

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Integrative Health, Sober Curious, Q&A, Hormones - June Live Recording Jun 20, 2021

I go live for the June podcast recording, special guest Dr. Jessica Krant shows up to discuss the 6 pillars of integrative medicine. We discuss the personal growth opportunity with pulling alcohol out of your life. Then I do some Q&A about hormones, menopause, empowerment and how we talk about our bodies, periods and pregnancy matters.

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ED and PE for Men's Health Month Jun 16, 2021

The most important things to know about erectile dysfunction and premature ejaculation!

Enjoy!

www.instagram.com/kellycaspersonmd

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Two Surgeons Talk about Women Jun 13, 2021

Dr. Vonda Wright interviews me on her podcast: Hot For Your Health

https://www.instagram.com/drvondawright

We discuss being female in male dominated surgical specialties

Kelly’s top tips for great sex.

Female sexuality facts

Sex rules and why we should break them

Fear based education and why that can be a problem

Tips for talking to your partner about sex

We talk about systemic hormones and why so many doctors don’t bring it up.

We riff on movement, muscles and aging well.

I hope you enjoy!

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How You Met My Mother Jun 06, 2021

Meet my mom! She was so cool and gracious to come on my podcast!

Sex in the 1960’s

When did oral birth control come on the scene for her generation.

Resources she had/didn’t have in teaching her kids about sex

Her wishes for women today.

The problem with a narrow, limited view of what sex is.

What she was taught about menopause and what happens after menopause.

Her final thoughts on what is useful for women to know and use for their sex life.

How my mom would teach sex education.

Podcast sponsor today is https://femmepharma.com

Instagram: https://www.instagram.com/femmepharma

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Mysteryvibe Reviews - Poco and Crescendo Jun 02, 2021

https://mysteryvibe.com

Use YANB15 for 15% off of your order.

Book I mentioned about anatomy:

Women's Anatomy of Arousal: Secret Maps to Buried Pleasure Sheri Winston

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Testosterone Quickie May 30, 2021

What is the role for systemic testosterone in women post menopausal?

Global Consensus Position Statement on the Use of Testosterone Therapy for Women

https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079

International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women

https://www.liebertpub.com/doi/10.1089/jwh.2021.29037

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Sex and Menopause May 26, 2021

This was a live lecture I gave on sex and menopause.
See me and my slides in action at: https://www.crowdcast.io/e/sex-after-menopause?utm_source=profile&utm_medium=profile_web&utm_campaign=profile

thanks to winkwinkboutique.com for hosting me!

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#75 - Let's Hear it for the GYNS! - Live podcast recording May 23, 2021

This is May’s live podcast recording with Dr. Jill Krapf and Dr. Becky Lynn

@evorawomenshealth and @beckylynnmd

@jillkrapfmd and @the.cvvd

1) Best way to treat period cramps

2) What is premenstrual dysphoric syndrome – OR premenstrual distress syndrome

3) When can perimenopause start

4) Cannabinoids, CBD and pelvic health and treating pain – and how tough it is to do research on this!

5) Itchy on labia but no skin changes – what could it be?

6) I had a full hysterectomy 3 years ago and have had no estrogen since (I’m assuming). Do I need this? Is this why I’ve gained weight and my libido is lower?

7) Endometriosis

8) What is PCOS?

9) How often should a woman get a pelvic exam and a Pap test

AND MANY MORE!

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Hot for Your Health Lecture May 19, 2021

Join me as I lecture virtually for the Best Of Life Summit - and my hostest extraordinaire is Dr. Vonda Wright.
Desire discrepancy, how our thoughts affect our intimacy, how we need to be in control of our experiences, not our partners. you know, the usual! Enjoy!

You can still sign up for the videos from 25 doctors and industry leaders passionate about women's lives and health.

https://www.instagram.com/drvondawright

https://www.crowdcast.io/e/thebestoflifesummit/register

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Optimal Sex - Learn From the Pros May 16, 2021

Today I report on a paper that interviewed individuals with great sex lives. Yes, surprise, they tended to be older! Older and wiser!

Dr. Kleinplatz is the lead author on this 2009 paper and I run through their six-ish top traits that people with optimized sex lives share. Hint - good sex is not just the absence of dysfunction. AND - NONE of it was "I have a spontaneous sex drive"! This is good news for all of us!

http://juliacolwell.com/wp-content/uploads/2017/05/The-components-of-optimal-sexuality-Kleinplatz-et-al.-2009.pdf

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YANB Bonus Content! - Dr. Kelly's Webinar to the MS Society May 14, 2021

I have too much content so I need to start releasing more than once a week! Eeek! What a good problem to have! This week I did a live webinar to the Multiple Sclerosis society about Sexuality - specifically female but I do talk about viagra (okay I just mention it once). It is a whirlwind talk and I do some great Menopause and Hormone myth busting at the end during the Q&A. This talk applies to everyone! Not just those living or caring for people with MS. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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71. Viva La Vulvar Expert! Dr. Krapf May 09, 2021

Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Washington DC. She is prominent on IG @jillkrapfmd and you can find her at vulvodynia.com

Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition.

What is the vulva?

What is vulvar pain and what are the causes?

Myths on social media

Where should a woman start if she has vulvar pain?

Tips for women with vulvar pain when it comes to sex?

What is “pelvic floor dysfunction”?

What prompted you to go to social media with your message?

Tips for women who aren’t sexually active but are looking to partner up soon?

“uti” after sex – talk about when this is NOT a UTI

I recently saw a young women with vaginal discharge x 5 years. She had been told by her friends that it wasn’t normal, had a good extensive workup by a gyn clinic. Can you comment on what is normal “down there”.

CBD suppositories and lubricants

On that note, can you talk about the care and maintenance of the vulva/vagina.

She talks about what it is like to write a book! So Cool!

When Sex Hurts https://amzn.to/2R771DE

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#70 - Common stories for a sex coach, how to communicate with your partner, and a very brief not scary description of kink May 01, 2021

Episode #70!!! OMG!

Check out our sponsor and use code YANB15 for 15% off all three of their products!

https://mysteryvibe.com/

www.instagram.com/mysteryvibe

This is our April live recording and I was so happy to have Dr. Sonia Wright, the Midlife Sex Coach, on to share some FAQ with me!

So many great coaching topics, how to think and communicate about your intimate relationship with your partner, some hormone questions at the end, and a brief intro to kink.

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Desiring Female Desire - Round two with Dr. Goldstein Apr 25, 2021

We talk about Dr. Goldstein's book, “Reclaiming Desire” – why he wrote it.

https://amzn.to/3mZbILn

His take on female desire.

Masters and Johnson’s model of sexual activity

Pearlman model of sexual function – Inhibition and Excitation

Rosemary Basson “circular” model of sexual function

Global versus situational low desire.

What is the role of estrogen and desire?

Addyi and Vyleesi as medications for low desire

He is working on a topical Sildenafil for women.

I have a lot of doctors and providers listen to the podcast – tips for them when a patient brings up desire or pain concerns?

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When Sex Hurts: Vulvodynia and Lichen Sclerosis expert Dr. Goldstein Apr 18, 2021

Dr. Goldstein is a gynecologist specializing in pelvic floor dysfunction, vulvar disorders and female sexual health and dysfunction. He is an author, engaging speaker and world traveler (before COVID). You can find him at www.vulvodynia.com

My story on my connection with Dr. Goldstein

How did he become an expert in vulvas – and tell us what the vulva is.

As many as 40 percent of women who suffer from pain with sex won't seek medical care. And most medical professionals are still in the dark when it comes to women's sexual pain.

The viscous pain cycle

Let’s talk about your book, “When Sex Hurts”

Why he wrote it

https://amzn.to/3tFvn5P

What is vulvodynia?

Are there any “easy fixes” for vulvodynia?

What is lichen sclerosis.

What is the role of estrogen and lichen sclerosis?

Should women use steroids and estrogen cream for life?

The importance of local vaginal estrogen in preventing UTI

Menopause lasts a lifetime

My “not natural” rant!

Testosterone for women’s health

Can you talk about the role of hormonal birth control, hormone effects, and pelvic pain and dyspareunia?

Low dose birth control for early menopause

What is the role of trauma and abuse in pelvic pain?

His other book: Female Sexual Pain Disorders https://amzn.to/3x6FXoc

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Faking It, Libido Myths, and Filling up Your Piggy Bank - A Superhero Dressed as a Doctor Apr 11, 2021

This is pure gold. Funny, quick and wicked smart, Dr. Stephanie Hart joins me today to talk everything libido!

She is a family doctor in Canada who specializes in sexual health and now that Is her full time practice! Foothills Sexual Function Clinic.

www.sexualfunctionclinic.com

We met on a FB group! We connected when I posted a picture of “A Clinicians guide to systemic sex therapy’

Share your path about how you got to this point in your career.

What is the most common sex issue between couples?

What is anorgasmia? Options?

What myths do non-gender conforming or non-straight couples have?

What is a myth that men have about women’s sexual function? - - -

What is a myth that women have about men’s sexual function? - - -

The analogy of “the piggy bank”

Love Languages

Sharing a sexual success story

https://mojoupgrade.com/

Chore-play!

How can a man help a female partner who struggles with desire?

Talk to us about menopause and sex – myths or special considerations.

How should we talk to our partners about sex?

What to do if a man has low desire or doesn’t want to talk to his partner about sex?

What is your opinion on “scheduling sex”

What are your tips or “must do list” for a woman with low libido.

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#66 - Sexual Dysfunction Expert and More! Apr 04, 2021

Sexual dysfunction expert!

Today I am so excited to talk to Dr. Sophocles.

She is a gynecologist and sexual medicine specialist practicing in Princeton NJ.

She appears regularly on the radio program Sirius XM Doctor Radio.

She sees women for menopause and sexual dysfunction concerns as well as general gynecology.

You can find her at www.princetongyn.com

Welcome!

How did you get into menopause and sexual dysfunction treatment?

Why do you think sexual dysfunction is so common?

Biggest misconception about menopause that you see?

Talk about perimenopause – when does it start?

How do you transition a woman from birthcontrol/IUD to menopause hormones?

When is the right time age wise to start hormones?

How long can women be on hormones now?

Can hormones help sex lives?

Do you have any favorite non-hormonal vaginal moisturizers? @femmepharma

Lichen Sclerosis Resources

Let’s talk about vaginal lasers. How do you incorporate them into a woman’s plan?

Tips for keeping sexually active in the mid-life?

What’s in the future for you with this work?

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Hostage negotiation skills, "early menopause", and sunscreen and seatbelts for your pelvis! My 65th podcast and first LIVE recording! Mar 28, 2021

Here is my first ever live podcast recording! I answer some IG follower’s questions about menopause and then I bring on Dr. Jessica Krant, dermatologist and functional medicine physician and vegan to discuss gut health, exercise, and how a healthy body is good for a healthy sex life.

Hostage negotiating communication tips

How to deal with the thought, “the other person is the whole part of the problem”

Learning about trying to control others. Our manuals for other people.
How not to base our happiness on how other people behave.

What is “young menopause” and life expectancy data on hormone replacement therapy in “young menopause”

Have you ever asked yourself “why do I want to have sex”?

Hormones at your doctor office. Different types.

Review of vaginal estrogen versus systemic.

FDA approved bioidentical estradiol. What does bioidentical mean?

NAMS 2017 guidelines on stopping hormones – what is the evidence for stopping and when?

Tips and options on irritation with vaginal estrogen creams.

Sunscreen and seatbelts for the pelvis – vaginal estrogen!

Why we think there is such an interest in menopause right now.

How sex is a vehicle for personal growth

“You learn what you are accidentally tolerating”

The point is the journey!

#Ellen – become the person worthy of getting on Ellen!

Veganism and skin care

The gut and mental health. Serotonin is created in the gut – say what!!

How exercise is anti-aging!

Book discussed – Never Spit the Difference – Chris Voss

www.instagram.com/drkranttheskinmd

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Am I Normal? Anatomy and Bladder Issues - A Conversation with a Urogynecologist Mar 21, 2021

Dr. Sarah Boyles is an expert urogynecologist (FPMRS) with more than 15 years of clinical experience. She manages her successful group practice, publishes widely in her field and creates national FPMRS quality standards. For years, she has heard her patients regret not knowing more about their bladder function and wishing this information was easier to find outside of a doctor’s office. Recognizing the need for great pelvic floor education in the real world, she has recently pivoted to creating quality content for women that is easy to obtain through electronic resources.

https://www.instagram.com/thewomensbladderdoctor/

https://thewomensbladderdoctor.com/

What is a urogynecologist?

How do i know I am normal? (anatomy wise)

Why is this such a common question these days

What would make me abnormal

Talking about bladder leakage, a huge quality of life problem for women. Women with bladder leakage are less sexually active.

We talk about the two main types of bladder leakage in women – stress and urge incontinence

impact of treating incontinence on sexuality and a woman's quality of life

leaking DURING intercourse - a big deal!

Vulvar tears during vaginal delivery and muscle injury

How to talk to your doctor about your bladder

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A Modern Guide to Women's Intimacy Mar 14, 2021

A Modern Guide to Women’s Intimacy Dr. Jennifer Jane Roelands interviews Dr. Casperson Why aren’t we talking about female intimacy? Bringing neuroscience and urology together to understand sex and desire. What kind of sex education did you get in school or in life and is that serving us? How do we talk to young people about their bodies? Tips and tricks. Tips for focusing on the present in order to focus on your sexual self. Brain training! Why context matters for women. Brain science! Why alcohol does to the brain – not all good, not all bad. Let’s talk about scheduling sex. Why orgasms are good for you. Why making sex a “to do list” isn’t great for desire. Advice for new relationships: talk about sex! Menopause and changing sexual concerns. Sleep deprivation is horrible for libido When to see a physician When to see a sex therapist Wrapping it up with desire mismatch! The Vagina Bible by Dr. Jen Gunter. https://amzn.to/30GlHuL Becoming Cliterate by Dr. Laurie Mintz. https://amzn.to/38EV2TD Come as you Are by Emily Nagoski, PhD. https://amzn.to/38CizEI https://www.meetrosy.com/ www.aasect.org Find Dr. Roelands at https://wellwomanmd.com/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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MENOPAUSE! Week 2 with Dr. Hirsch Mar 07, 2021

You Can't get enough of menopause education and tips! Today we continue to sit with Dr. Heather Hirsch.

She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues.Can you describe peri-menopause and how to thrive during it?

What are the hard stops on who can’t take hormone replacement therapy?

Breasts: The Owner’s Manual – link below

What are the best supplements and vitamins post menopause?

Genitourinary symptoms of menopause and vaginal estrogen

We briefly touch on testosterone.

What is her opinion about pulling a woman off hormones if no sx just because “it has been long enough”

Anything else a woman should know?

https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506

https://www.instagram.com/hormone.health.doc

https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA

https://read.amazon.com/kp/embed?asin=B075PGG4LW&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_ZAMQ6CWZWZQN4RZF8D6G&tag=kellycasperso-20

www.menopause.org

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MENOPAUSE!!! Options with Dr. Heather Hirsch WEEK 1/2 Feb 28, 2021

Today I am so excited to introduce Dr. Heather Hirsch. She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues. She is a board-certified internal medicine doctor who completed a women’s health fellowship at the Cleveland Clinic. You can find her on IG at hormone.health.doc and her website is www.heatherhirschmd.com I met her on a ISSWSH committee? Maybe? Or IG? Her best friend is a urologist, so I knew I had to meet her! How did you become a menopause doctor? Why do women know nothing about menopause except hot flashes? Society is bombarded with misinformation. We discuss the Women’s Health Initiative Study and how the results changed menopause in our country for decades since. Learn about the protective effects of estrogen in women between the ages of 50-60. The average menopause symptoms last for 5-10 years. https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506 https://www.instagram.com/hormone.health.doc https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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#60 - Post-partum Challenges with Dr. Charles Feb 21, 2021

Featured in this week’s episode of You Are Not Broken host Kelly Casperson, MD interviews OBGYN Dr. Meedlen Charles. Dr. Charles will discuss the effects of Postpartum Depression and how women can be embarrassed talking about the issues they have after giving birth.

Dr. Meedlen talks about the importance knowing that women with previous conditions of anxiety and depression are more likely to be affected by Postpartum. However, most women will have effects after birth, and this is a normal part of giving birth that many do not want to discuss. In some cultures, it is frowned upon to talk about what women experience after pregnancy and birth.

Most women will experience many difficult side effects after birth including lack of desire, body issues, anxiety, depression, vaginal dryness, and more. Some women may feel as if these effects are uncommon, but the reality is that many women experience side effects after giving birth. Women may have a difficult time having sex with their partner or breast feeding for a long period of time. When returning to the work force, women might endure a hard time “wearing multiple hats” and managing their role as a new mother. These feelings are normal and common in most cases.

We talk about pain and dryness with sex. Hormones can be a reason for this, so can birth trauma. Tips and tricks and our favorites!

Typically, there are appointments a few short weeks after giving birth to observe if a woman is experiencing postpartum. Unfortunately, many believe that postpartum will stop after 30 days or 3 months, but the reality is that it can last up to a year after giving birth. The highest risk for perinatal suicide occurs between nine months to a year after giving birth.

Learn when Dr. Charles brings in physical therapy to a woman’s healing plan post-partum.

We talk about low libido post-partum. So common and there are so many reasons why.

The best cause of action is to talk honestly to your doctor because while it may feel embarrassing, they are there to help you. They can recommend lotions or oils to make your body feel more comfortable during sex, therapists to help you deal with your anxiety or depression, and more.

Join these physicians as they talk about women and their mental/physical state after having a child. And then be sure to subscribe to the podcast on Spotify and Apple Podcasts.

Important Links:

https://www.kellycaspersonmd.com

https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329

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Neurologic Disorders and Sexuality - A brain expert weighs in - Dr. Mary Rensel Feb 14, 2021

Mary R. Rensel, MD, is a Staff Neurologist in Neuroimmunology at Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research.

She is also Board Certified in Integrative Holistic Medicine. She directs the Pediatric MS and the Wellness programming at the Mellen Center. She is an Assistant Professor at the Cleveland Clinic Learner College of Medicine where she serves as an instructor for the medical students.

www.Instagram.com/MRenselMD

www.linkedin.com/in/mary-rensel-94844b1a

You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber

https://www.facebook.com/mary.rensel.9

@the_brain_fresh

Brainfresh.org

Keep your sex life in your life!

She is a brain doc, a mom, and a coach! Welcome!

I first saw her at the Brave Enough 2019 conference when you were talking about brain health!

For people who don’t know…what is Multiple Sclerosis?

How does it affect one’s sex life – male and female?

Segway into overactive bladder for a bit….formal physical therapy versus googling “kegels”.

How do you incorporate integrative medicine into people’s lives living with neurologic disabilities?

What do we do about fatigue in neurologic conditions?

What do we do about decreased sensations?

Talk to me about coaching. When did you get interested and how do you use it in your life?

https://www.Instagram.com/MRenselMD

www.linkedin.com/in/mary-rensel-94844b1a

You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber

https://www.facebook.com/mary.rensel.9

Brainfresh.org

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The Male Perspective! Episode #58 Dr. Stephen Snyder Feb 07, 2021

Episode 58 - Stephen Snyder, MD

A sex therapist, relationship therapist, and sexual medicine specialist — Dr. Snyder has dedicated his entire career to helping individuals and couples with sex and relationship concerns. Over 30+ years, he’s helped over 1,500 individuals and couples regain closeness and satisfaction in their relationships.

I heard him on a podcast “sexology” and needed to read his book and get him on my podcast. I loved the male perspective, and he offered ways for women to understand the male model of sex in a long-term relationship.

- How did you go from MD to sex therapist?

- Women are the “chief sexual officer” in the relationship

- How women and men are different

- The “two step” plan for good sex

- In his book, he writes, “your wife is not a lawn mower” – we discuss

- He writes – "Good sex definitely make you dumber. And great sex can make you downright stupid."

- Sex knots and how to untie them

- Why men “go missing” in bed

- Tips for talking to your male partner about better sex

- Talk about shame and sex!

- FIOS – for it’s own sake – enjoy arousal for it’s own sake. He discusses what “simmering” is and why we should enjoy it more.

- Why humans are not steam engines

- “Everyone over 35 should have a dimmer switch in the bedroom”

- ANTs – automatic negative thoughts – so many women have these and body image issues – help please!

- Desire – it is becoming an object of FDA approved medications – yet you talk so differently about it, such that it is not needed at all. Please educate us!

https://www.sexualityresource.com/

An amazing blog post about female sexual desire: https://www.sexualityresource.com/blog/womens-sexual-desire-and-why-men-often-dont-recognize-it

His book is amazing! Find it at:

https://read.amazon.com/kp/embed?asin=B073Z8CBQ4&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_PKDWP0312DYJZ99H8YZ4&tag=kellycasperso-20

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Wisdom From Master Sex Coach Danielle Savory Jan 31, 2021

I am SO excited to release this interview!

In this episode, I talk to Master Sex Coach Danielle Savory.

You can connect with Danielle on Instagram @thesexcoachforwomen or via her web site daniellesavory.com/group

01:10 – How Danielle got into being a Life/Sex coach

11:22 – Desire

13:05 – Talking about the role of “Should”

15:37 – Talking about self-compassion

18:53 – Talking about orgasms

19:49 – Finding yourself in a sexless marriage – How do we get there?

25:24 – Stop living in your head…

26:45 – Scheduled sex

29:29 – Thinking of sex as pleasure for someone else

34:12 – Teaching about sex using fear

34:32 – How do we take responsibility for our own pleasure?

39:33 – How meditation can help sex lives

42:34 – The paradox of long-term relationships

45:57 – Danielle’s thoughts on common limiting beliefs about women having sex

47:49 – Where would Danielle like to see women in regards to sex in 10 yrs?

49:50 – The effects of the internet on sex

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Arousal 101 and tips and tricks and products Jan 24, 2021

Welcome to episode 56! We are going to hit 20k listens with this one!! I know it! Thanks for being one of them and sharing the love! Today I riff about: Arousal and vaginal physiology Side effects of waxing What is normal in regards to vaginal discharge Moisture and arousal "Premature penetration" - don't do it! Correlation with erectile dysfunction Why good blood flow is good, and things that decrease and increase blood flow When to go get your pelvis checked out Arousal desire discrepancy/mismatch Prescription options The sex education that nobody got --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Desire, Medications, and Shame - BIGLOVEFIERCEJUJU #2 Jan 17, 2021

PART 2 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!! https://www.tribecalledv.com/

Or in her day job Dr. Shieva Ghofrany. https://www.instagram.com/biglovefiercejuju

She is a medical doctor, who is an OB/GYN practicing in Connecticut.

01:17 – New injectable medications - HSDD

11:23 – Topical Testosterone

15:00 – Shame

17:45 – New company.

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Meet BIGLOVEFIERCEJUJU - an OB/GYN with her own cancer story Jan 10, 2021

PART 1 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!!

Or in her day job Dr. Shieva Ghofrany.

She is a medical doctor, who is an OB/GYN practicing in Connecticut.

You can find her at biglovefiercejuju.com

On IG at biglovefiercejuju -she as 23k followers!

Through the BIG LOVE FIERCE JUJU Foundation, Dr. Shieva Ghofrany plans to help people engage in their mindset and "lose the fear" of VERY common, everyday, but admittedly anxiety-provoking issues.

01:19 – Origin of the name Big Love Fierce Juju

02:42 – Talking about Ovarian Cancer – her personal journey

06:!5 – Surgical Menopause – how is this different than “regular” menopause

08:39 – Managing Hot Flashes – natural non-hormonal options

12:35 – Vaginal Dryness

22:18 – Libido

Check out her TRIBECALLEDV - www.instagram.com/tribecalledv
Where she increases your knowledge about your female health to decrease your anxiety!

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Happy New Year 2021! Tips for impossible goals! Jan 03, 2021

Happy New year! I reflect on the past year. How I got started by listening to the voice in my head. Yeah, kinda like Frozen 2 (which my kids are currently watching).

- You have to deal with your limiting beliefs that aren’t moving you forward

Impossible goal for 2021 – how about intimacy? It is the journey, not the destination – a journey of 1,000 miles starts with a single step.

It is not the YOU when you get there – but the journey

What is your reason for your goal? If it is so you feel better about yourself, ask yourself why you can’t feel good about yourself now. You are worthy now, just as you are. Nothing you can get/obtain will CREATE the worthiness. Feeling of worthiness comes from thoughts, not circumstances.
So, if you want to have a better sex life to feel worthy as a spouse etc etc….what is preventing you from feeling worthy as a spouse now?

Watch out for the SHOULDS!

I also share the top four rules by Dr. Rachel Carlton Abrams in “the Multi-Orgasmic Woman".

Self-cultivation – best renaming EVER!

And in the meantime, remember, you are not broken.

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LUBE! An Overview. Interview with Jenn Mason Dec 27, 2020

Jenn Mason, owner of the sex shop Wink Wink Boutique in Washtington state joins us today!

www.winkwinkboutique.com

IG: www.instagram.com/winkwinkboutique

Lubrication - why people are resistant to the idea of lubrication

How to have a conversation with your partner about sex

Water based lube

Silicone based lube

Hybrid lube

Flavored Lube

Desire Arousal mismatch

Lube doesn’t replace the need for preparing the body for sex

CBD Lube

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2/2 - Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies Dec 20, 2020

Taking it up right where we left off!

Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies.

1) Who is a good candidate for hormone replacement therapy?

2) Who is NOT a good candidate for hormone replacement therapy?

3) Androgens in polycystic ovarian syndrome

4) Where do androgens come from in the female

5) It is so popular now to read about “balancing your hormones” – help us out with that – are people talking about lifestyle habits or what are your thoughts about “balanced hormones”

6) The role of diet in your hormones. The “pro-fertility” diet.

https://www.ccrmivf.com/houston/rashmi-kudesia/

www.instagram.com/RKudesia

www.facebook.com/RKudesia

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EPISODE 50!!! Dr. Rashmi Kudesia - part one - hormones throughout life Dec 13, 2020

Hormones throughout our life.

Today I am so excited to interview Dr. Rashmi Kudesia. She is a practicing infertility specialist at CCRM Fertility in Houston, Texas.

https://www.ccrmivf.com/houston/rashmi-kudesia/

www.instagram.com/RKudesia

www.facebook.com/RKudesia

She did medical school at Duke, then a OB/Gyn Residency at Cornell. She then did additional fellowship training in Reproductive endocrinology and Infertility, as well as a Masters in Clinical Research, at Albert Einstein, and now practices in Houston.

Part One – Hormones throughout life and sex while trying to conceive.

1) What is a reproductive endocrinologist?

2) Can you talk about how infertility affects a couple’s sex life – turning it into work.

3) What are the sexual side effects of

a. Birth control

b. Infertility treatments

c. Menopause

d. PCOS

BIRTH CONTROL SE – what do do about periods

4) What are the roles of hormones in sexual health

estrogen, progesterone, thyroid, androgens

5) Why are women so afraid of estrogen in our society? The “shame” of being hormonal combined with the WHI study. The myth that birth control affects fertility.

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The Spice of Life - Toys! Dec 06, 2020

I am interviewing Jenn Mason again! So Good! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique The Stigma of sex toys Sex toys can level the orgasmic inequality in a partnership – level the playing field Types of toys How toys can help people with disabilities Options in the toy department --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Money and Sex! An interview with Latifat Alli-Akintade, MD Nov 29, 2020

Today I am so excited to talk with Dr. Latifat! She is a GI doctor working in Sacramento, California She is a graduate of the Life Coach School and coaches women on Money Mindset. You can find her on FB at MoneyfitMD and at www.moneyfitmd.com She helps women go from financially overwhelmed to financially confident. It all starts with transforming your relationships with money. Why talk about money on a podcast about sex? When She coaches women about money, They spend a lot of time on the relationship with self and how this money drama is really just a phenotype of a deeper issue. When we heal from the inside, money falls into line. I think this relates to sex as well. Tell us how you got into coaching on money mindset! Sex , money, mindset are so connected. 1) money in relationships. How to money date your partner. What do you mean by this? - We don’t have to like the same things, but communication helps us understand the language we are speaking to each other. - Safe spaces and communicating BEFORE there are issues 2) How to get more (money & sex) 3) Money worries and sex. They can buffer each other . Discuss 4) Developing your other confidence: money confidence. 5) The common beliefs limiting to conquer that will grow your money and sex life. 6) Understanding our capacity to do many, wonderful things 7) Money Scarcity beliefs --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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#47 - Your Partner Is Not Broken Nov 22, 2020

This one is for the dudes! And the women who love the dudes!
Truthfully, it works for same sex couples too.

Let's talk about changing your partner - ha! You can't!!!
Starting from a place of appreciation.

Avoid assumptions.

Erectile Dysfunction

Loving what is. Intimacy avoidance. Avoiding being critical.

Discover what makes your partner feel loved.

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Dr. Ashley Winter - Penis Doctor Nov 15, 2020

Dr. Winter is a urologist. She grew up in New Jersey and went to Rutgers for undergrad.

She did her urology residency at Cornell in NYC.

She did her fellowship with Dr. Irwin Goldstein in San Diego – the only fellowship for women’s sexual health that exists!

She currently works at Kaiser in Portland.

She is active on twitter at @AshleyGWinter

She is on FB at @ashleywintermd

Her podcast is called “the Full Release” which she co-hosts with her husband Mo Mandel.

https://podcasts.apple.com/us/podcast/the-full-release-health-relationships-comedy/id1346835576

So excited to have you!

1) How did you find Urology

2) Why a fellowship?

3) We ponder the lack of education and acknowledgement of the clitoris in exams and education.

4) What is your favorite procedure in urology and why?

5) How do you take care of penis health?

6) Biggest misperception about the penis?

7) How penis bearing people have hurt themselves.

8) Any advice if a penis isn’t working as well as it should?

9) Do OCT penis supplements work?

10) What is Peyronies Disease?

11) Biggest misperception you see with people and sex?

12) How did you find a comedian as a fiancé?

13) How did your podcast come to life?

My favorite tweet of Dr. Winter’s:

The actual text of the review states: "The findings support the role of the clitoris in attaining sexual orgasm." NOTHING NEEDS TO SUPPORT THAT. That would be equal to saying, "This data supports the role of the eyeball in seeing." The clitoris DESERVES BETTER.

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Episode 45! Meet a Sex Coach and a Sex Store Owner! Jenn Mason! Nov 08, 2020

Jenn Mason, owner of the sex shop Wink Wink Boutique in Washington state joins us today!

www.winkwinkboutique.com

IG: www.instagram.com/winkwinkboutique

How Jenn got to the point of owning a sex store. How do you get to that place in life?

Learn how Jenn and Dr. Casperson met.

Learn what has been the most rewarding thing for her in opening her store.

We live in a shame-based culture about sex.

How I get people to be open to exploring the tools and resources available in the store.

What is sex positive education?

The medicalization of “low sexual desire”. Is it possible it is more complex than just neurotransmitters?

The myth of spontaneous desire.

The importance of mindfulness and context – and the difference between people’s brains.

A discussion about erectile dysfunction.

Why Jenn doesn’t like the term “foreplay”.

Jenn’s journey into sex coaching.

Fantasies are normal.

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2/2 Dr. Becky Lynn - Sexual Health and Menopause Physician Nov 01, 2020

Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine.

Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living.

Find her at https://www.evorabydrbeckylynn.com/

IG: https://www.instagram.com/beckyklynnmd/

FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/

Twitter: @beckyklynn

https://www.youtube.com/c/BeckyLynnMD

What is vaginismus? What is the Pelvic floor?

How does endometriosis effect sex?

Can you talk about sexual function after breast cancer and what options are available?

Advice for women who want to talk to their doctors about considering hormones or discussing sexual health?

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Dr. Becky Lynn, Sexual Health and Menopause Physician. First of Two Episode Interview Oct 25, 2020

Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine.

Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living.

Find her at https://www.evorabydrbeckylynn.com/

IG: https://www.instagram.com/beckyklynnmd/

FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/

Twitter: @beckyklynn

https://www.youtube.com/c/BeckyLynnMD

How she went from ballet to gynecology!

How did she get into sex med as a specialty from general gynecology?

How is sexual function changed in peri and menopause? Hormones decline and this affects the pelvic function and libido.

When is it time to consider starting supplemental systemic hormones? A review of the Women’s Health Initiative study and how we got to where we are with hormones having a bad reputation. And where are we now.

Biggest myth about taking hormone supplements in menopause? Vaginal hormones don’t increase your risk of breast cancer.

Why are women so afraid of hormones?

A woman said she tried systemic estrogen but it caused her to gain weight. Thoughts?

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Get Out the Vote!! - Sex Education on the Ballot and a Sex Therapist Weighs in. Oct 18, 2020

Today I am here with sex educator and sex therapist Tracy Dalhstead-Rienstra. She wanted me to talk about this important piece of legislation coming out on the November ballot for people who live in Washington state.

As an expert in the field of sexuality, she talks about the current standard of education that she sees in adults in her practice and what adults who didn’t get a good sex education look like in their struggles in intimate relationships.

BACKGROUND Senate Bill 5395 (SB 5395), passed by the Legislature in 2020, would require Washington’s public schools to provide comprehensive sexual health education instruction that is medically and scientifically accurate, evidence-informed, age-appropriate, aligned with health and learning standards, and inclusive of all students regardless of their protected class status.

A referendum called Referendum 90 will be on the November ballot asking voters to approve or reject Senate Bill 5395.

A 2017 Centers for Disease Control and Prevention (CDC) survey indicates that nearly 40 percent of all high school students report they have had sex, and 9.7 percent of high school students have had sex with four or more partners during their lifetime. Among students who had sex in the three months prior to the survey, 54 percent reported condom use and 30 percent reported using birth control pills, an intrauterine device (IUD), implant, shot or ring during their last sexual encounter.

The birth rate for women aged 15-19 years was 18.8 per 1,000 women in 2017, a drop of 7 percent from 2016. According to CDC, reasons for the decline are not entirely clear, but evidence points to a higher number of teens abstaining from sexual activity and an increased use of birth control in teens who are sexually active. Though the teen birth rate has declined to its lowest levels since data collection began, the United States still has the highest teen birth rate in the industrialized world.

Sex Education and States

All states are somehow involved in sex education for public schoolchildren.

As of October 1, 2020:

§ Thirty states and the District of Columbia require public schools teach sex education, 28 of which mandate both sex education and HIV education.

§ Thirty-nine states and the District of Columbia require students receive instruction about HIV.

§ Twenty-two states require that if provided, sex and/or HIV education must be medically, factually or technically accurate. State definitions of “medically accurate" vary, from requiring that the department of health review curriculum for accuracy, to mandating that curriculum be based on information from “published authorities upon which medical professionals rely.”

Research on sexual abuse shows comprehensive sexual health education is an important and effective prevention strategy. When students learn about and develop skills related to affirmative consent, they are more able to set personal boundaries and respect the boundaries of others. (Schneider, M., & Hirsch, J. S. (2018). Comprehensive sexuality education as a primary prevention strategy for sexual violence perpetration. Trauma, Violence, & Abuse.)

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The Clitoris - Your welcome! Oct 11, 2020

The Clitoris has one job, one job only – pleasure.

But what about the penis? Take a listen to find out.

The glans of the clitoris is the part we “think about” – but there is way more.

You can also see the clitoral shaft/body.

The anatomy issues that can come along with owning a clitoris.

We are designed perfectly!! Darn it!

What does your brain say to you when we talk about the clitoris?

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#40 - A Woman Shares Her Story - Jessica Pin, Anatomy Advocate Oct 04, 2020

Jessica Pin is an author and advocate, publishes frequently on her IG @Jessica_ann_pin and is passionate about education equality in regards to genital anatomy between the sexes.

Her Goal: equitable coverage of the clitoris in medical literature & curricula to prevent harm.

She has even published her own study!

3 top OB/GYN textbooks changed.

Listen to her story about when and how she decided to get a surgery on her labia and what has happened since then.

All labias are normal. All sizes are normal.

Listen to how she has taken her experience into advocacy work.

Her advice for physicians.

She describes anatomy of the vulva for us.

Biggest misconceptions in female anatomy.

Negative body image affects sexual function!

Her final thoughts on changing medicine to help women better!

Thank you Jessica!

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Responsive Desire Sep 27, 2020

This is audio shared from my facebook live video talking about Responsive Desire.

Feeling broken in a male-centric world.

Feeling broken in a sex-shaming society.

Some people think that sex and desire aren't "drives" at all.

Want to improve your sex life? Emily Nagoski says change your context.

Women are way more "context driven" in regards to sexual activity. Men tend to be more visual.

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#38 - Psychological Erectile Dysfunction Sep 20, 2020

One day away from my course launch!

Go to www.kellycaspersonmd.com

Today we learn about how the penis can have trouble when the mind is being tricky.

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Erectile Dysfunction, does the intimacy have to stop after prostate cancer? Sep 13, 2020

Sign up for my sex education class starting September 21st!

www.kellycaspersonmd.com

First, we need to hear the importance of erections from the male perspective.

Okay, now that we did that, what should we do when couples stop having sex after erectile dysfunction. In this episode we will specifically talk about prostate cancer as an example.

We learn why erections can falter after treatment for cancer.

We learn how relationships change.

We learn that the embarrassment in talking about this actually hurts couples because they can't think of what to do after their sex life has changed.

Communication is key! But we have to start by acknowledging that this is a really really hard topic for couples to talk about.

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Thoughts about sex Sep 10, 2020

The MASTER CLASS is starting soon! From boring to mind blowing! Sex education and coaching!

www.kellycaspersonmd.com

Thoughts about sex

Let’s hear about a “typical” woman who comes to me for sexual issues.

KY Jelly is the Betty Crocker of lube – it is everywhere, but not always great.

Figure out what your sexual goals are.

Your thoughts about sex influence your sexual satisfaction.

Your thoughts are not facts.

If your goal is to be a happy sexual person but your thoughts tell you otherwise, we are stuck!

Sometimes thoughts are put in your head by other people, things, society. Especially about sex.

I can’t get you to comfortable enjoyable sex if your thought is, “I am not a sexual being”

Your body is listening to your thoughts.

Sex and body image.

Thoughts create our feelings which create our actions.

Some of our thoughts aren’t serving us anymore.

Sometimes we can’t make a thought go away, but we can see it for what it is – not a fact and not helping you. You can work on replacing your thoughts.

Negative thoughts can’t get you to a positive solution.

Sex coaching! Your biggest sex organ is your brain.

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#35 - Endometriosis and pelvic pain - Talk to a pelvic pain Physiatrist Dr. Ahmed Sep 06, 2020

After spending the last five years honing her skills in outpatient care, Dr. Ahmed is ready to focus on her passion for treating pelvic pain. Dr. Ahmed has chosen a focused practice, because she believes concentrating on a specific field creates the greatest expertise. Chasing that greatness has been her consistent driving force.

https://www.pelvicrehabilitation.com/

www.instagram.com/drtayahmed

Learn how she found her calling in pelvic pain after doing her residency training in New York.

She treats men and women!

Learn how adenomyosis is different from endometriosis.

Adenomyosis is different from fibroids.

The “classic” endometriosis pain characterization. “endobelly”. Pain with periods, urinary symptoms.

The only way to 100% diagnose endometriosis is with diagnostic laparoscopy – which is a surgery.

Relationship between fibromyalgia and pelvic pain and endometriosis.

The power of cognitive behavioral therapy in chronic pelvic pain.

The role of BREATHING in pelvic pain

The role of pelvic floor PT

The role of pelvic floor trigger point injections – releasing pelvic muscle tension

Post partum pelvic pain concerns! It can be many different things.

The role of peri menopause and post menopause in pelvic pain.

Lifestyle improvements people can make if they are living with pelvic pain – made endorphins!!

What is NOT helpful when living with pelvic pain. – stop eating your triggers!

Persistent Genital Arousal Disorder (PGAD) – under-diagnosed, very bothersome, chronic and debilitating.

Learn about “hard/flaccid” – something new to me! Is it a male PGAD?

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#34 - Inventor of leak proof underwear ONDRwear.com founder and urologist - Dr. Lubahn Aug 30, 2020

Meet Dr. Lubahn – Mom, entrepreneur, urologist and creator of https://ondrwear.com/

Learn about both of our crazy stories about becoming urologists.

Incontinence is very common. 50% of women!!!

There are common reasons that people leak.

Stress incontinence – increase in abdominal pressure – leaking with cough, sneeze, laugh. It is a pelvic support problem.

Urge incontinence – “I gotta go now!!” It is a bladder problem.

Overflow incontinence – the bladder can’t empty well, so it overflows with urine.

The myth of “incontinence is normal when we get older”.

Lifestyle changes – watch the amount of fluids you take in. Avoid or decrease caffeine and alcohol. Strengthen your pelvic floor with physical therapy. Use a Pessary or Poise Impressa.

Surgery for Stress Incontinence – urethral bulking agents, midurethral slings

Learn how Dr. Lubahn’s quest for baby diapering solutions lead her to make the perfect underwear for women.

Listen to what advice she has for other people with a great idea sitting in their brain.

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#33 - Let's talk about diet, exercise, mindset (oh and how this affects your sex life) Aug 23, 2020

Today we will meet an emergency department physician who has started a company to help women take control of their health, weight, and mindset.

How we think about our bodies affects our sex life! So we can't neglect the whole body in our discussions!

https://www.wholisthealth.com/

https://podcasts.apple.com/us/podcast/curate-your-health/id1478410990

Join us as she shares how she created a space for helping women use food and exercise as medicine to prevent and reverse disease.

The side effect of this is weight loss and comfortableness with themselves.

What is a health curator? Someone to specifically fit the needs someone has in their life.

What is lifestyle medicine? A new specialty in medicine. Using the evidence behind food, sleep and medicine to help prevent and reverse disease.

Neuroplasticity allows us to rethink the way we think about food and choose to be healthy.

It takes work, but it is entirely possible.

We make 700 neurons a day.

Can you use mindfulness to help your sex life? Heck yeah!

Negative body image affects your sex satisfaction.

What do you wish women knew about exercise?

Skill with how we eat and exercise is a mindset issue.

Relying on motivation won’t get the job done.

Discussing peri and post menopause.

Mindset work – who you are, who you want to be.

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A Urologist interviews a Urologist - and Dr. Casperson is in the interview seat! Aug 16, 2020

Urologist interview king Dr. John Lin interviews Dr. Casperson!

Today’s episode is sponsored by KGOAL. Use the code NOTBROKEN for a 20% discount on your purchase!

www.kgoal.com

Topics discussed today:

Orgasmic Inequality

Why PIV sex doesn’t always work

It takes a female longer to reach climax than a man

Clitoral anatomy – knowing anatomy helps people realize they are normal.

www.OMGyes.com – a great resource for sex education

What do sex therapists do? – they are therapists comfortable talking about sex.

Solo-sexual – having sex with yourself.

Orgasmic inequality – everyone has more orgasms than the heterosexual female

Why? Our society doesn’t value female orgasms as much. Women want to please their partners – but don’t neglect your own pleasure.

HSDD – hypoactive sexual desire disorder – now there are FDA approved medications.

BUT WARNING! If you think that the solution for desire is in a pill, you are likely to get disappointed.

Responsive desire is the majority! You Are Not Broken!

Common female sexual problems I see in clinic

- Not enough lubrication – desire, arousal mismatch.

- A woman takes longer to orgasm than a man does

- Perimenopause and low estrogen status of vulvar tissues

She Comes First – Ian Kerner https://www.amazon.com/She-Comes-First-Thinking-Pleasuring/dp/0060538260

Sex Toys – FEM TECH! they aren’t scary, they are just toys. They will not save your marriage.

https://techcrunch.com/2019/01/08/ces-revokes-award-from-female-founded-sex-tech-company/

https://loradicarlo.com/

The Vagina Bible – Dr. Jen Gunter. https://amzn.to/31AU6ve

Becoming Clitorate – Dr. Laurie Mintz. https://amzn.to/3fMwUz9

Reclaiming Desire – Dr. Andrew Goldstein https://amzn.to/30M6Ks6

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#31 - The Software - Desire and Orgasm Aug 09, 2020

The WEBSITE IS UP!!! www.kellycaspersonmd.com

Announcement! Sept 21st course registration is open!

www.instagram.com/kellycaspersonmd

The Software - Desire and Orgasm

Do I actually need a loading dose of estrogen cream?

What is vaginal DHEA for?

What to do if estrogen cream burns?

Desire and orgasm.

My why - why did I learn about this stuff.

Desire in long term relationships.

Reactive and spontaneous desire

I can’t make you like something that is painful.

The theory behind why women can have multiple orgasms

Why women’s arousal is necessary to prevent pain with sex

Basson’s model of women’s sexual cycle.

How many times a week am I supposed to have sex.

Orgasm Inequality.

Correction from audio - Dr. Laurie Mintz, Phd - she wrote “Becoming Clitorate.”

The Melted Ice cream analogy for desiring sex.

The FDA approved meds for hypoactive sexual desire disorder. Filbanserin and Bremelanotide.

Why do men who wash dishes have more sex?

Testosterone and women. NOT FDA approved and is not dosed for women. What do you do?

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EPISODE 30!!! Dr. Casperson Talks Pelvic Anatomy Aug 02, 2020

This is part one of two episodes where I am publishing my recorded lecture to my local Nurse Practitioner association.

So this may be geared more towards the health professional. But don't we all deserve an education??

Sex and education for busy modern times! First step, learn the organs!

My story - how I got in the business of sex education.

Disclaimer - sex is awkward

Listen to your brain - it will tell you what you already know about sex. Society puts a lot of rules about sex into our brain. Those voices will talk to you.

Vulnerability is the key to connection.

The Hardware - the Pelvic Anatomy

Anatomy about the vulva

Labias are normal

Vulvodynia - pain in the vulva

Clitoral anatomy

Post menopause anatomy changes

Genitourinary symptoms of menopause

How does birth control change the vulva?

Vaginal estrogen does NOT cause breast cancer

When can I stop my vaginal estrogen?

Vaginal DHEA

How to clean and care for your vulva and vagina

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#29 - Dr. Casperson Talks to the Rotary! Jul 26, 2020

So lucky to talk to the Rotary in Duluth, MN!

The mind is the biggest sex organ!

I got into female sex med because of one of my patients and my inability to help her – hear that story.

Sex education in America tends to be shame based and disease and pregnancy prevention based.

1) Talk about desire types

2) Orgasm inequality

3) You can’t desire bad sex

4) Erectile dysfunction

5) Menopause

6) Systemic and vaginal estrogen

Tips and tricks!

Sex works best when you get out of your head! Focus on the present.

How to talk to your partner about sexual desire mismatch.

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Meet ROSY founder Dr. Lyndsey Harper! - an app for female sexual wellness Jul 19, 2020

Why Dr. Harper created ROSY

www.meetrosy.com

https://www.instagram.com/meet_rosy/

https://www.facebook.com/MeetRosyApp/

How I met Dr. Harper and how she got started in creating a sexual health wellness app.

She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year!

What is low sexual desire? Distressingly low sexual desire.

How can a woman bring up this topic with her doctor. Tips and tricks.

We discuss the myth that women’s sexual health is complicated. It is not!

We discuss reactive (responsive) desire. It is totally normal!

We talk about loss of trust in a relationship and how that affects desire.

Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting.

Resources Rosy provide for health professionals?

Future plans for Rosy – Telehealth started in Texas June 1, 2020.

Erase shame and isolation!

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#27 - Interview 2/2 Dr. Rachel Rubin! Jul 12, 2020

Here we go! Week two!

Learn about how birth control affects sex

DHEA

And enjoy DC's premier cliterologist!

Find her on Facebook at https://www.facebook.com/DrRachelRubin/

Find her at https://intimmedicine.com/

Instagram: https://www.instagram.com/drrachelrubin/

Twitter @rachelsrubin1

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Meet a Full Time Female Sexual Medicine Urologist, Dr. Rachel Rubin - Episode 1 of 2 Jul 05, 2020

I can't remember how I met Dr. Rubin but I am so excited I did! A sister urologist to me! Such a great educator and surgeon!

Find her on Facebook at https://www.facebook.com/DrRachelRubin/

Find her at https://intimmedicine.com/

Instagram: https://www.instagram.com/drrachelrubin/

Twitter @rachelsrubin1

How she got into female sexual medicine after urology residency

The biggest misperception about her job

Challenges with menopause and the pelvis

Testosterone’s role in women

How to talk to your partner about sex (hint: bring them to the doctor's appointment).

When you empower someone with how their body works, everybody wins and confidence happens!

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

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#25 - Meet a Pelvic Pain Expert Physician - Dr. Gerig! Jun 28, 2020

Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum.

She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency.

Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC.

IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats.

What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan.

She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers).

Physical therapy is vital in educating women about their bodies and bodily function.

Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension.

Tips for stress management!!!

Healing from pelvic pain takes time. There is no magic wand! It takes time and work.

Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants.

Dr. Gerig’s goal is to get her patients OFF medication eventually.

Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements.

Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain.

Tips and tricks for self advocacy for pelvic pain. www.apta.com . www.hermanwallace.com

What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this.

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The Brighter Side Of Marriage - An Interview with Marriage Intimacy Coach - Monica Tanner Jun 21, 2020

Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex.

Learn about her backstory as a child from a divorced family.

She started a podcast, On the Brighter Side

https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810

She teaches the Five Step Framework to Complete Connection.

She teaches about “Radical Intimacy” – Intimacy without boundaries.

Find her online at https://onthebrightersideoflife.com/

And

https://bit.ly/30dayplans

And her Facebook: https://www.facebook.com/monica.tanner2

The role of connection, loving and safety in having mind blowing sex.

The feelings of love and the feelings of desire are different.

A lot of women struggle with, “I am not supposed to have pleasure”

Myths about sex and intimacy in our culture.

How one creates more fun, flirtyness and pleasure in life.

The role of a “busy mind” and how it isn’t helping your sex life.

Lost Desire?? Spontaneous versus reactive desire.

The role of boredom in a marriage and what it does to intimacy.

The three secrets to building desire.

1) The difference between love and desire

2) The difference between spontaneous and responsive desire

3) You can’t afford to NOT have a healthy sex life

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Let's talk to a sex coach! Meet Dr. Sonia Wright! Jun 14, 2020

Today I am interviewing Dr. Sonia Wright! Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach

Today we are going to listen and learn about how she became a sex coach.

How to talk to your partner about your intimacy goals.

Taking responsibility for your own sexuality.

Resources for men

Long term relationship challenges

The topic of desire

Book suggestions for readers

Body image and sexuality challenges

Tips and tricks to talk to your physician

Faking orgasms

Basic health needs to optimize sexuality

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3 Easy Wins Jun 07, 2020

Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated. Don't get me wrong, sometimes it is. Doctors don't always have the "magic wand" that we all want. BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop).

Win #1 - lube

Win #2 - estrogen cream

Win #3 - Responsive Desire

Bonus Win #4 - listen and learn!

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Pelvic Organ Prolapse Master Class May 31, 2020

Required listening for anyone who has been told they have prolapse.

1) what it is

2) why women get it

3) non-surgical options

4) surgical options

5) post op expectations

6) risks of surgery

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Episode 20! - 237 Reasons Why People Have Sex May 24, 2020

In a now groundbreaking and often referenced paper "Why Humans Have Sex," Cindy Meston and David Buss asked over 700 individuals to list the reason why they last had sex. Well, get ready for some spoken word poetry as Dr. Casperson reads all 237 reasons out loud. Pay attention to your thoughts and judgements as your brain will tell you what you think the right and wrong reasons are! Our biases are strong, but as they learned, there is not just one reason!

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For The Men! Intimacy Options After Prostate Cancer Treatment May 17, 2020

This is our first episode geared towards the guys! Join me and guest Dr. Pohlman as we discuss his podcast - The Prostate Health Podcast and his area of expertise, men's prostate and sexual health. What we will learn:

Changes after prostate cancer treatment

Sex after prostate cancer

Why men have more erectile dysfunction as they age.

Options for intimacy after prostate cancer treatment.

The role of testosterone after prostate cancer.

www.prostatehealthpodcast.com

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Steamy Sex Ed - second half May 10, 2020

The second half of the steamy sex ed talk is here! Ride along and you will learn:

Mindfulness for COVID and sex

Faking orgasm

Porn is fake

Resources to help women achieve pleasure

Why Penis in Vagina sex is bad for female orgasms

Clitoral anatomy

Medication for hypoactive sexual desire disorder

Sexual pain

Top tips for sex!

Book recommendations

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

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Steamy sex ed - part one May 03, 2020

I did a lecture on female sexual dysfunction 101 and I broke it into two episodes for you!

In this first half, learn about:

How a urologist got into female sexual health

Orgasmic inequality in heterosexual relationships

Low desire versus bad sex

Why women have sex

Mindfulness for better sex

Alcohol and sex - the good and bad

Spontaneous versus responsive desire

Sexual desire mismatch

Tips for creating desire in a long term relationship

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

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Uberlube Unboxing and Vaginal Estrogen Apr 26, 2020

Uberlube.com sent me a box of goodies to share! In this episode we talk about the importance of lubrication! I also answer a listeners question about vaginal estrogen, its purpose, expectations and limitations. Enjoy!

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The Menopause Symptom No One Talks About! Apr 19, 2020

When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy!

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

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Meet a Pelvic Floor Physical Therapist! Apr 12, 2020

Sit down with me and meet Amanda Nayfield PT, DPT, WCS, pelvic floor physical therapist, mom, wife, and outdoor adventurer! And check her out @connectNWPT

What you will learn in this episode:

How she got interested in pelvic health in her training as a physical therapist

A personal success story in pelvic pain and intimacy

What happens at the first physical therapy appointment

What a pelvic floor assessment entails and why it is important

How a physical therapist’s exam is different from a medical doctor’s pelvic exam

How pelvic PT helps postpartum pelvic and sexual health

How pelvic PT helps menopausal sexual dysfunction

How pelvic PT helps males with pelvic pain

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

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Pelvic Exams - I know I know, your favorite topic! Apr 05, 2020

Okay, I get it. Who wants to listen to a podcast about pelvic exams? You! Why? Because they are so important in the workup of pelvic pain and sexual health concerns! You will learn how I think about pelvic exams and how my exams are different than your "average" pap smear exams. I did the best I could to keep this one short and sweet! I hope it brings you value and understanding! - Dr. C.

Things you will learn:

Reasons that you need a pelvic exam with sexual dysfunction

How you can “see” estrogen status with a pelvic exam.

Clitoral phimosis is a thing! This can decrease orgasms.

The dry posterior vulva! Oh my!

CT scans and MRI can’t usually “see” pain.

Pelvic floor muscles - you can’t see them but you can feel them on exam and if you reproduce the pain we have found a reason for pain.

Reasons for pain during sex (dyspareunia) can be found on a pelvic exam.

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

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Question and Answer Round Two - A Urologist and Sex Therapist Mar 29, 2020

The second half has dropped! Join Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator, Peer Sexual Health Education (PSHE) coordinator.

Topics discussed this time:

How do you bring up sexually transmitted infections in a new relationships?

How do advocate when your medications cause sexual side effects?

Sexual desire mismatch in a relationship.

Female “ejaculation” or squirting - what is that about?

How do I explore my sexual boundaries?

I have been faking orgasms - HELP! - Where do I go from here? How to talk to your partner about faking orgasms

Advice for someone who is scared to have sex for the first time.

What to do with competing sex drives.

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Question and Answer with a Sex Therapist and a Urologist - episode one of two Mar 25, 2020

Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator and Peer Sexual Health Education (PSHE) coordinator meet up to talk Q&A's that were asked of them as a part of a University lecture on sexual health. In this episode topics discussed:

Is my anatomy normal?

Basic Genital Care

What does the vulva include?

Why post menopause causes more UTI and infection

The care and cleaning of foreskin

The most common penis issues in our clinics

Blood flow and erections

Why smoking causes erectile dysfunction

Premature ejaculation

How to get curious when erectile dysfunction is a problem in a relationship

Is erectile dysfunction the end of your sex life?

Am I having unrealistic expectations for my body?

Side effects of antidepressants.

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

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Lichen Sclerosis Mar 01, 2020

We all want good skin. But what happens when the skin condition is in the private area? This is a skin condition 101 talk on lichen sclerosis. It affects up to 3% of all women (and some men too). Learn about it and how it is treated.

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Testosterone For Desire in Women Feb 15, 2020

Today we are learning about the role of testosterone in female desire disorders. A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more!

You will learn: The myth that testosterone is a male hormone.

How aromatase affects one’s active testosterone, in both men and women.

How testosterone plays a role in sexual desire and overall health.

How well does testosterone work for HSDD (hypoactive sexual desire disorder).

The role of placebo in sexual health studies including the Viagra studies.

Side effects of too much testosterone.

Who shouldn’t take testosterone.

Myths of testosterone.

Why is there no FDA approved testosterone product for women?

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Sexual Dysfunction page 2 - the second half of the handout Feb 03, 2020

Today's podcast is a rundown of the back side of my sexual dysfunction handout.

Topics include:

Hormones

The proper application of Vaginal estrogen - in my opinion

Estrogen creams verus tabs

Lubrication recommendations and vulvar skin care

Intravaginal DHEA

AASECT certified sex therapists

Pelvic Floor Physical Therapist recommendations

Book Recommendations

Desire in a long term relationships

Apps and Websites for pleasure and orgasm

Vaginal lasers - what they are good and not good for

And of course, always remember that is is not individual medical advice. Yes I am a doctor, but this is for general health information only.

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Female Sexual Dysfunction Handout Front Page Jan 28, 2020

When you come see me for sexual dysfunction issues there is a double sided handout that you get in the office. Well here I break down the information on the front page of the handout for you! We talk about desire (spontaneous and responsive), arousal, orgasmic dysfunction and sexual pain concerns.

We talk about what is normal, what could be causing your lack of success in this arena, as well as different treatment options.

Stay tuned next week for the back page!!!

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Female Desire 101 Jan 20, 2020

Female sexual desire, do you need medications to have sex, do you need lube? How do you talk to your partner about sex?

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Sexual frequency and delaying menopause Jan 16, 2020

Really? Is it true? How do we know? Learn about this new study being talked about all over the Internet right now. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Low sexual desire. The definition and hormones involved. Jan 15, 2020

This podcast talks about the definition of hypoactive sexual desire disorder. We discuss the hormones and neurotransmitters responsible for putting the brake on and putting the Excelerator on the arousal drive. Also why do men who wash dishes get more sex? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Galveston Diet Interview with Dr. Mary Claire Haver Jan 10, 2020

Female sexual health and desire 101!

Topics discussed:

Female sexual function training among physicians.

Female sexual function treatment.

Painful sexual intercourse / dyspareunia.

How many women actually orgasm with peno-vaginal sex?

Normalizing female sexual discussions.

Female sexual desire: spontaneous and reactive.

Hormonal changes in women post menopause.

Getting in the mood.

Female libido.

Female vaginal dryness / vaginal tissue composition pre and post menopause.

Female vaginal lubrication and types: silicone vs. water-based.

Pelvic floor sexual physical therapy.

Sexual therapy.

Alcohol and sex.

Peno-vaginal sex.

On using it or lose it.

Mona Lisa laser vaginal treatment.

"Vaginal rejuvenation"

How laser works in the vagina; what it does or does not do.

Platelet Rich Plasma injections to the clitoris.

Orgasmic inequality among same sex and male/female sex.

Female's biggest sex organ.

% of women with peno-vaginal intercourse.

Female pleasure organ.

Vaginal estrogen and risk of cancer.

Types of topical estrogen available and costs.

Top 3 things / take aways for women.

How to engage discussion with a partner regarding sex.

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Meet Dr. Casperson Jan 06, 2020

What is Dr. Casperson's story? Learn why I am interested in female sexual health and how I got to this point in my career. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Happy new year! Welcome to You Are Not Broken Jan 01, 2020

Meet Dr. Casperson and learn why she wanted to start this podcast and where this podcast is going to go in the future. Here’s to 2012! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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She was last here episode 148: march 2022: - I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MD

Welcome back! What she has been up to since our last interview.

The connection between sex, body image, feeling good, being strong and confidence.

How to get a lot done.

Finding non-sexual passion in your life.

Confidence is built though action – body and intimacy

Why our internal language is so important.

Muscle is the organ of longevity.

Fat makes hormones – why low fat is bad.

Helping hypothyroidism with diet.

Red meat a more taboo topic than sex?

Why do aging people need more protein?

The role of collagen, and what supplements are okay?

Why does alcohol make you easy to kill?

Hard to Kill Manifesto

Dr. Lynn is a proponent of medical marijuana for better sex 34% OF WOMEN WHO REPORTED USING MARIJUANA BEFORE SEXUAL ACTIVITY SAID IT INCREASED THEIR SEX DRIVE, IMPROVED ORGASM, AND DECREASED PAIN.

2023 new book! Sex Talks: The 5 Conversations That Will Transform Your Love Life Hardcover – February 7, 2023

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