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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.)

    Advertise

    Copyright: © Kelly Casperson, MD

    • Apple Podcasts
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    Latest Episodes:
    322. Surgical Menopause - A Personal Narrative Jun 15, 2025
    Show notes

    In this episode, number 322, I sit down with sex therapist Dr. Juliana Hauser for a deeply personal and powerful conversation about her experience with surgical menopause. She opens up about the decision-making process around her hysterectomy—what led her there, what she wishes she'd known beforehand, and how it impacted her physically, emotionally, and sexually.

    We discuss the importance of thoroughly understanding your hysterectomy options—not all procedures are the same, and having the right information can make a significant difference. Dr. Hauser shares how guided imagery became a key part of her healing process, and we dive into the complicated (and often frustrating) world of hormone therapy.

    She also brings up the role of doulas—not just for birth, but for menopause—highlighting how emotional support can be just as essential as medical care. We explore why open communication in relationships matters so much, especially when it comes to sexual confidence and intimacy post-surgery.

    This conversation is raw, real, and full of wisdom for anyone navigating hormonal changes, recovery after hysterectomy, or simply learning to advocate for themselves in a system that doesn’t always listen.

    https://dr-juliana.com/

    https://flourishwholehealth.com/


    ⁠⁠⁠⁠⁠Order my book⁠⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠⁠

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

    ⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠

    ⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠

    Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠

    To learn more about GennaMD by Solv Wellness, visit ⁠gennaMD.com ⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠gennaMDHCP.com⁠.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    321. Joy, Burnout, and Being Real in Medicine with Dr. Tiffany Moon Jun 08, 2025
    Show notes

    Welcome back! In this episode 321, I sit down with the incredible Dr. Tiffany Moon—an anesthesiologist, mom, entrepreneur, and yes, former Real Housewife. We delve into what it truly means to find joy in midlife and how social media often distorts our perception of happiness. Tiffany gets real about the pressure so many professionals—especially women in medicine—feel to "do it all" and how that expectation can lead straight to burnout.

    We talk about the addiction to busyness, the cultural layers that shape how we view therapy, and the wild (and often hilarious) intersection of medicine and reality TV. We also touch on AI’s growing presence in healthcare and what it means to redefine professionalism in today’s world.

    This one’s about self-trust, self-acceptance, and not waiting to enjoy your life. Dr. Tiffany brings humor, honesty, and a refreshing dose of perspective to a conversation that every working woman—especially in medicine—needs to hear.

    Joy Prescriptions by Dr. Moon

    Order my book⁠⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠⁠

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

    ⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠

    ⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠

    Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠

    To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠⁠gennaMDHCP.com⁠⁠⁠⁠⁠.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    320. New GSM Guidelines: Science, Safety, and Speaking Up Jun 01, 2025
    Show notes

    In this episode of the You Are Not Broken podcast, I’m diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear.

    We’re breaking down what GSM actually is, why it’s so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors.

    We also talk about:

    • Why education around hormonal changes in midlife isn’t optional

    • The role of pelvic exams (and how to make them less intimidating)

    • Non-hormonal treatments that actually work

    • Why this all matters: GSM impacts your quality of life, intimacy, and overall health

    This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they’re not up to speed. Your body. Your voice. Your choice.

    AUA 2025 GSM Guidelines


    ⁠⁠⁠⁠Order my book⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠

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

    ⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠

    ⁠⁠⁠⁠My Website⁠⁠⁠⁠

    Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠Waitlist is open⁠⁠⁠

    To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠gennaMDHCP.com⁠⁠⁠⁠.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    319. ISSWSH: "Because We Don't Hate Women" May 25, 2025
    Show notes

    Hey friends!

    In this episode, I’m joined by the amazing Dr. Heather Quaile, DNP, as we dive into all things ISSWSH — that's short for the International Society for the Study of Women's Sexual Health (try saying that five times fast). We talk about how this incredible organization has exploded in size and why that matters for women everywhere.

    We get into the power of staying curious in sexual medicine, why funding research is still such a grind, and how hormones — yes, especially testosterone — play a huge role in sexual function. Heather and I also share some of our favorite takeaways from recent ISSWSH conferences, like new ways of looking at orgasm and sexual dysfunction that actually make sense.

    We don't shy away from the hard stuff either — off-label meds, outdated guidelines, and the frustrating lack of clarity around hormone therapy. But more than anything, this convo is about how we, as healthcare professionals, need to collaborate and push for change that reflects real women’s needs.

    If you’re curious about the future of female sexual medicine or just want to hear two clinicians geek out over the latest research, this episode is for you.

    Let’s get into it!

    www.isswsh.org

    https://theshowcenter.com/

    Sedona in October - ONE slot left: ⁠⁠⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠⁠⁠

    ⁠⁠⁠Order my book⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠

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

    ⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠

    ⁠⁠⁠My Website⁠⁠⁠

    Interested in my sexual health and hormone clinic? ⁠⁠⁠Waitlist is open⁠⁠

    To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠gennaMD.com ⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠gennaMDHCP.com⁠⁠⁠.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    318. How (AND WHY) To Prescribe Hormones May 18, 2025
    Show notes

    This episode is the audio from a lecture I gave to a large group of physicians on how (and why) to prescribe hormones - both systemic and local.

    The end of the podcast is a Q&A where I discuss contradictions and myths.

    Whether you are a prescriber or just want to go deeper in your knowledge, I hope you enjoy being a fly on the wall for this conversation.


    Sedona in October - only two slots left: ⁠⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠⁠

    ⁠⁠Order my book⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠

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

    ⁠⁠Take my Adult Sex Ed Master Class:⁠⁠

    ⁠⁠My Website⁠⁠

    Interested in my sexual health and hormone clinic? ⁠⁠Waitlist is open⁠

    To learn more about GennaMD by Solv Wellness, visit ⁠⁠gennaMD.com ⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠gennaMDHCP.com⁠⁠.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    317. This Is Not Your Mother’s Menopause: Sex, Science, and Society May 12, 2025
    Show notes

    This episode is from an interview I did with Dr. Shauna Watts while in Austraila for her podcast, "All About You With Dr. Shauna Watts"

    This conversation delves into the complexities of menopause, hormone therapy, and the societal perceptions surrounding them. We discuss the misconceptions about menopause, the evolutionary perspective, and the naturalistic fallacy that often leads women to avoid hormone replacement therapy. We also explore the stigma surrounding men's health issues, particularly testosterone treatment, and the importance of education in making informed choices about hormone therapy. Additionally, the discussion touches on interstitial cystitis, bladder cancer risk factors, and the benefits of rucking for women's health. In this conversation, the speakers delve into the complexities of women's sexual health, focusing on libido, the impact of menopause, and the societal pressures surrounding body image and sexual desire. We discuss the importance of education and resources for understanding sexual health, as well as the challenges faced by women in navigating their sexual experiences. The conversation emphasizes the need for open dialogue about sexual health and the normalization of women's experiences.

    https://www.allaboutyoupod.com/

    Sedona in October - only two slots left: ⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠

    ⁠Order my book⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"

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

    ⁠Take my Adult Sex Ed Master Class:⁠

    ⁠My Website⁠

    Interested in my sexual health and hormone clinic? ⁠Waitlist is open

    To learn more about GennaMD by Solv Wellness, visit ⁠gennaMD.com ⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠gennaMDHCP.com⁠.


    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


    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    316. The Alcohol Free Advantage May 04, 2025
    Show notes

    In this powerful episode, Dr. Kelly Casperson sits down with James Swanwick, alcohol-free advocate and entrepreneur, to unravel the truth about alcohol's impact on our health, relationships, and society. With 15 years of alcohol-free living under his belt, James shares how choosing not to drink isn’t about loss—it's about liberation.

    Together, they explore the deeply ingrained cultural narratives that glamorize alcohol and the neuroscience behind why our brains keep reaching for that next drink. From celebrity endorsements to outdated health myths, James and Kelly challenge the illusion that alcohol equals a good life.

    This conversation is packed with truth bombs, science, and personal insight into why being alcohol-free can unlock clarity, presence, and purpose—especially for high achievers and anyone craving a more fulfilling life.

    What You'll Learn:

    Why “alcohol-free” is a powerful choice—not a limitation

    How cultural conditioning has normalized drinking from a young age

    The truth about alcohol and brain degeneration

    The real story behind alcohol and heart health myths

    How dopamine drives alcohol cravings

    The link between alcohol and dementia, anxiety, and relational breakdowns

    Why more high performers are choosing sobriety for clarity and focus

    How to confidently navigate social events without alcohol

    The role of community in embracing a sober-curious or alcohol-free lifestyle

    Why societal change around alcohol is already happening


    Key Takeaways:

    Alcohol-free is a choice, not a lamentation.

    No amount of alcohol is beneficial for your health.

    Drinking can disrupt relationships, performance, and mental clarity.

    Alcohol is a drug—marketed as a reward but loaded with consequences.

    Society is slowly waking up to the truth: we don’t need alcohol to celebrate, connect, or succeed.

    Resources & Links:

    Learn more about James Swanwick and his alcohol-free programs at jamesswanwick.com

    Clear book by James Swanwick


    To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    315. BONUS - Genitourinary Syndrome of Menopause Guidelines released today! Apr 28, 2025
    Show notes

    Late Breaking news today! Now we have guidelines!

    Thanks to Dr. Rachel Rubin for coming on IG to do this live with me!

    AUA GSM Guidelines

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    314. High Functioning Depression Apr 27, 2025
    Show notes

    In this powerful and deeply personal episode of You're Not Broken, Dr. Kelly Casperson is joined by psychiatrist Dr. Judith Joseph to unpack the complex relationship between trauma, high-functioning depression, and the systemic challenges facing both patients and providers in healthcare.

    Dr. Joseph shares her unique career journey from anesthesiology to psychiatry—a shift fueled by the pursuit of deeper fulfillment and connection. Drawing from her new book High Functioning, she explores how trauma can show up in unexpected ways: perfectionism, strained relationships, and even the culture of medicine itself.

    Together, Dr. Joseph and Dr. Casperson dive into the mental health crisis within the medical profession, the difference between complex PTSD and traditional PTSD, and why trauma-informed care must become the standard in healthcare. They highlight the need for preventative mental health care and why joy—not just happiness—is vital to healing.

    Key Takeaways:

    Dr. Judith Joseph’s new book High Functioning explores hidden depression and the masks people wear.

    A desire for deeper meaning and purpose sparked her transition from anesthesiology to psychiatry.

    Trauma can subtly impact daily life, relationships, and career satisfaction.

    Complex PTSD differs from traditional PTSD and requires a nuanced approach.

    Perfectionism may be a trauma response rooted in avoidance and fear.

    Many healthcare professionals operate with unresolved trauma, often unacknowledged and invalidated.

    The medical system itself can contribute to both patient and provider trauma.

    High-functioning depression is widespread but often misunderstood or overlooked.

    Preventative mental health care is crucial—waiting for a crisis is not sustainable.

    Joy is a core component of mental health, not a luxury or afterthought.

    Understanding one’s own trauma can make you a more effective and empathetic clinician.

    Identifying and naming emotions can be profoundly therapeutic.

    Self-care and setting boundaries are necessary acts of preservation, not selfishness.


    https://www.instagram.com/drjudithjoseph/

    High Functioning Book by Dr. Joseph

    https://drjudithjoseph.com/


    Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025


    Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"

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

    Take my Adult Sex Ed Master Class:

    My Website


    Interested in my sexual health and hormone clinic? Waitlist is open


    To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


    313. My Microbiome Made Me Do it Apr 20, 2025
    Show notes

    In this enlightening episode of You Are Not Broken, Dr. Kelly Casperson sits down with Dr. Steven Gundry, renowned cardiothoracic surgeon turned gut health advocate. Dr. Gundry shares the personal and professional journey that led him from the operating room to the forefront of nutritional science. He breaks down the concept of leaky gut and how it contributes to autoimmune diseases, emphasizing how dietary changes can radically transform health outcomes.

    Together, Dr. Gundry and Dr. Casperson dive into the deep connection between gut health and mental health, the underrated power of vitamin D, and the hidden dangers lurking in our food supply and personal care products. They also tackle the pharmaceutical industry's influence on medical training and why it’s time for a paradigm shift in how we understand disease and wellness.

    If you've ever wondered how your gut impacts everything from anxiety to skin health—or why your mouthwash might be raising your blood pressure—this episode is for you.


    Top Takeaways:

    • Dr. Gundry left a thriving surgical career after witnessing remarkable patient healing through nutrition.
    • Leaky gut is a real, measurable condition that drives many autoimmune disorders.
    • Genetics are less impactful than lifestyle, behavior, and environmental factors.
    • Whole food diets can reverse chronic illness and improve quality of life.
    • The gut microbiome plays a central role in immunity, skin health, and brain function.
    • Modern agriculture and personal care products can damage the microbiome.
    • Vitamin D is a foundational nutrient for both gut and mental health.
    • Gut health is deeply tied to emotional states like anxiety and depression.
    • Mouthwash can disrupt the oral microbiome and raise blood pressure.
    • Probiotics and prebiotics are helpful—but only when used with care and intention.
    • We must become more aware of what we eat, apply, and ingest daily.
    • Personalized medicine is the next frontier in optimizing gut health.


    https://www.instagram.com/drstevengundry/

    The Gut Brain Paradox - Releases April 15th

    https://gundrymd.com/


    Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025


    Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"

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

    Take my Adult Sex Ed Master Class:

    My Website


    Interested in my sexual health and hormone clinic? Waitlist is open


    To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.


    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

    Learn more about your ad choices. Visit podcastchoices.com/adchoices

    See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.


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