You Are Not Broken

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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.) --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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

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! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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

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

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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!!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Female sexual desire, do you need medications to have sex, do you need lube? How do you talk to your partner about sex? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

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

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. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices