You Are Not Broken

Latest Episodes:

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

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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

Show notes

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

Show notes

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

Show notes

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

Show notes

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

Show notes

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

Show notes

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

Show notes

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

Show notes

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

Show notes

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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