You Are Not Broken
by Kelly Casperson, MDEmpowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives. Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy and health. Nothing in this podcast is personal medical advice, of course.
Copyright: Kelly Casperson, MD
Episodes
226. Sexual Health is an Equality Issue! – A Chat About Sex, Coaching and Hormones
55m · Published225. Boomers Should be Pissed: Menopause and Hormones in the Modern Era
1h 3m · PublishedMenopause 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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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 mymembership 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/message224. The State of Sex Education - August Live Podcast
31m · PublishedAugust 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/
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/message223. BRCA Gene Previvor, Menopause Activist and Protector Against Corrosion – Monica Molenaar
46m · Published222. Estrogen Matters with Dr. Avrum Bluming
1h 0m · Published221. Genitourinary Syndrome Of Menopause 101
54m · Published220. 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
29m · PublishedWelcome 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:
https://www.facebook.com/groups/youarenotbroken/
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/message219. When Sex Hurts - With Dr. Krapf
48m · PublishedWhen 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
The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V
https://jillkrapfmd.com/
https://www.instagram.com/jillkrapfmd/
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/message218. The Best Sex Ed You Never Had
1h 24m · PublishedThe 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 bag 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
218. The Best Sex Ed You Never Had
1h 24m · PublishedYou Are Not Broken has 294 episodes in total of non- explicit content. Total playtime is 174:36:57. The language of the podcast is English. This podcast has been added on February 22nd 2023. It might contain more episodes than the ones shown here. It was last updated on May 31st, 2024 20:13.