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    Education

    You Are Not Broken

    Welcome to the podcast that rewrites everything you thought you knew about sex, hormones, and midlife. I help women—and the people who love them—reconnect with their bodies, their minds, and their partners through science, mindset, and a whole lot of humor. Whether you’re navigating perimenopause, rediscovering desire, or just curious what’s possible, this show will remind you: you are not broken. (No medical advice here, just truth bombs and good conversation.)

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    Copyright: © Kelly Casperson, MD

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    Latest Episodes:
    Get Out the Vote!! - Sex Education on the Ballot and a Sex Therapist Weighs in. Oct 18, 2020
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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
    Show notes

    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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