You Are Not Broken

In this episode of You Are Not Broken, Dr. Kelly Casperson recaps the recent FDA event dedicated to women’s health, spotlighting the critical role of hormones like testosterone and estrogen. She shares key insights from expert panels, explains why better education and prescribing practices are urgently needed among physicians, and reveals exciting details about her upcoming book on menopause. Kelly also explores the mental health impact of hormonal changes during perimenopause and offers a preview of her nationwide book tour aimed at rewriting the conversation around midlife health. Key Takeaways The You Are Not Broken podcast has surpassed 4 million downloads. The FDA event brought women’s health—and hormones—into the spotlight. There is a critical need for female-dose testosterone to be recognized and approved. Changing outdated prescribing habits is key to improving women’s health care. Hormones are powerful tools for preventing disease and improving quality of life. Menopause and hormonal health education remain dangerously underrepresented in medicine. Kelly’s upcoming book aims to bust myths and empower women with facts. Her book tour will bring this conversation to cities across the country. Hormonal changes in perimenopause can drive significant mental health challenges. Advocacy for women’s hormone therapy is essential for better health outcomes. Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 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

This week I’m joined by Dr. Christopher Wallis, a urologist and researcher whose groundbreaking work shows something that might just change the way you think about surgery and medicine: patients are more likely to survive—and thrive—when operated on by a female surgeon and physician. We dive deep into the data, including studies across multiple countries and specialties, and unpack the consistent 5% reduction in 30-day mortality rates when the surgeon is a woman. Dr. Wallis also discusses how female anesthesiologists impact outcomes, why communication and trust matter so much in surgery, and how female physicians are often unfairly penalized for complications. This episode is more than stats—it’s about challenging the system, confronting bias, and empowering both patients and physicians to make more informed, conscious choices. If you’ve ever wondered whether gender matters in medicine, or how we can build a better, fairer healthcare system—don’t miss this one. We cover: ✔️ Why female surgeons lead to better outcomes ✔️ The role of bias and the “rigged” system women in medicine face ✔️ What patients should look for in a surgical team ✔️ Why systemic change is long overdue in healthcare Let’s get into it. DOI:10.1097/SLA.0000000000006217 http://dx.doi.org/10.1136/bmj-2023-075484 https://uofturology.ca/directory/faculty/wallis-chris/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 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

This week on the You Are Not Broken podcast, I'm joined by the incredible Dr. Rocio Salas-Whalen, an expert in obesity medicine who breaks down the real science behind GLP-1 medications like Ozempic and Wegovy. Spoiler: they’ve actually been around since 2005 for diabetes, and only now are we waking up to their potential in treating obesity as the complex disease it is—not a failure of willpower. We talk about how COVID changed the national conversation on obesity, shifting it from “personal choice” to a serious health risk that deserves real medical treatment. We get into how GLP-1s work, why maintaining muscle is critical during weight loss, and the often-ignored psychological shifts that happen when your body changes rapidly. Dr. Salas-Waelin also clears up the noise: Are GLP-1s safe? Are they just for the ultra-rich? Will they be lifelong meds or stepping stones? And what’s next in hormone-based obesity treatment? This is a must-listen if you’re using—or considering—GLP-1s, working in healthcare, or just want to understand what’s really going on behind the headlines. In this episode, we cover: Why GLP-1s aren’t actually new—and why that matters How COVID helped the world reframe obesity as a disease The importance of muscle preservation during weight loss How to make sure your protein intake supports your body What happens to your brain when your body changes fast Myths and misconceptions about the safety and use of GLP-1s The future of GLP-1s: personalized care, better formulations, and smarter dosing Why body composition (not just weight) should be part of the conversation This episode is about science, empowerment, and getting real with the tools we have to help people feel better in their bodies—inside and out. 🎧 Tune in and share with someone who's navigating weight, health, or hormones. https://www.nyendocrinology.com/ https://www.instagram.com/drsalaswhalen Pre Order Dr. Salas-Whalen's book "Weightless" Want more honest, empowering conversations like this one?⁠⁠Preorder my Next Book⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 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

Episode 328: Should I take hormones? In this episode, I dive deep into the evolving conversation around hormone therapy—where we’ve been, where we are, and where we need to go. If you’ve been confused, scared, or unsure about hormones, this one’s for you. I break down the myths, share the science, and explain why education—not fear—should drive our health decisions. I talk about the crucial difference between vaginal and systemic hormones, the benefits of both, and why so many women are missing out simply because they’ve never been properly informed. I also touch on the role of GLP-1 medications, not just for weight, but as part of a broader discussion around midlife health. We also get into the realities of perimenopause—what’s normal, what’s not, and how to stop dismissing symptoms as “just aging.” I explain why hormone therapy isn’t just about hot flashes—it’s a longevity and quality-of-life tool. The truth? Living decades post-menopause without hormones can come with real risks. But with the right education, you get to choose what’s right for you. Reminder: knowledge is power—and the foundation of empowered healthcare. Takeaways: The narrative around hormone therapy is changing—from fear-based to informed and empowering. Education is the single most important tool in making good decisions about your health. Vaginal estrogen and DHEA are safe and effective for many postmenopausal women. Perimenopause isn’t just “normal aging”—hormonal shifts can cause real symptoms worth treating. GLP-1 medications are part of a bigger picture of metabolic and hormonal health. It’s never too late: women post-menopause can still benefit from hormone therapy. Hormones play a critical role in preventive health, including protecting your bones and brain. We need to stop misunderstanding breast cancer risk in the context of hormone therapy. Choosing to live without hormones comes with its own set of risks—know them before deciding. Want more honest, empowering conversations like this one?⁠⁠⁠ Preorder my Next Book⁠⁠⁠ , share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at ⁠goodvibes.com/menopause⁠ 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

Episode 327: Bladder Leakage Is Common, But That Doesn’t Mean It’s Normal — with Dr. Alex Rogers I’m joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage. We’re two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you’re dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you’re just confused about what’s going on down there, this episode is for you. We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!). Dr. Rogers and I dive into: Why bladder leakage is so common — and why we shouldn’t normalize it The real science behind overactive bladder Why Botox is an underutilized but super effective treatment option How pelvic floor therapy fits into the bigger picture What’s new and exciting in urology (hello, neuromodulation and telehealth) The frustrating role of insurance in limiting access to care How to find a provider who actually knows what they’re doing when it comes to bladder health This isn’t just a “deal with it” issue — it’s a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let’s talk. Takeaways: Bladder leakage is common but under-discussed Hormonal changes play a huge role in bladder function Overactive bladder ≠ stress incontinence — and treatments vary Botox is a powerful and underutilized option Telemedicine and new tech are changing the game Education empowers patients to advocate for better care Insurance hurdles are real — and we need to fight for better access Find the right specialist — not all care is created equal Let’s stop suffering in silence and start empowering ourselves and our patients with facts, not shame. 🎧 Listen now and share with someone who needs to know they're not alone — and that bladder leakage is treatable. https://www.bladderboutique.com/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause 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

326. Australia, Testosterone, Mast Cells and More In this episode, I sit down with Dr. Ceri Cashell for a wide-ranging conversation that spans continents and dives deep into women’s health—from hormones to mast cells to medical mindset. Dr. Cashell and I talk about what we’re seeing in clinical practice and what women around the world are still fighting for: access, advocacy, and actual answers. We unpack the critical role of testosterone in women’s health (yes, women have and need testosterone), and explore how cultural perceptions—especially around sexuality—still shape what treatments women are offered or denied. We also talk about mast cell activation syndrome and how it might explain so many symptoms that often get brushed off or misdiagnosed in women. We get into why vaginal DHEA is so underutilized, how lifestyle changes make a real impact, and why curiosity in medicine is a superpower. There’s also a deep dive into the hormone–mental health connection and why so many women are struggling in silence because of outdated medical thinking. This episode is a reminder: women’s health is not niche, and we deserve better. Takeaways: Testosterone isn’t optional—it’s vital for women’s health, especially during midlife. Cultural norms around sexuality still impact the care women receive. Mast cell activation syndrome might be the missing puzzle piece for many women with unexplained symptoms. We need more advocacy to break through the outdated thinking that limits women’s treatment options. Lifestyle changes matter—more than most doctors admit. Staying curious as a clinician can change the game for patients. Vaginal DHEA is safe, effective, and overlooked far too often. Hormones are deeply connected to mental health—this isn’t just about libido. Access to hormone therapy is often blocked by stigma, not science. Education and awareness are the keys to transforming women’s healthcare. Australian petition to put Androfeme on PBS https://www.instagram.com/drcericashell/ https://www.healthyhormones.au/ https://drcericashell.com/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at ⁠goodvibes.com/menopause⁠ 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

This week, I sat down with the radiant Whitni Miller, also known as BDEmoves on Instagram, a queer sex educator and pleasure coach who’s changing the game when it comes to how we talk about sex, desire, and embodiment, especially in the queer community. Together, we explored what it really means to be embodied in midlife and why so many of us still struggle to feel sexually safe—not just physically, but emotionally and relationally. Whitni brings a trauma-informed lens to her work, helping people unpack shame, regulate their nervous systems, and come back home to themselves. We talked about: Why safety (not spontaneity) is the foundation of good sex How queer and same-sex couples deal with libido differences What late bloomers can teach us about authenticity and desire The power of non-sexual touch in long-term relationships How responsive desire isn't broken—it’s just misunderstood The absolute joy of reclaiming play and pleasure at any age Whitni also got real about what it takes to share accurate, pleasure-centered sex ed online in the face of constant censorship. Hint: It’s hard, it’s frustrating, and it’s absolutely necessary. She’s a fierce advocate for creating digital and real-life spaces where people—especially queer folks—can learn, explore, and thrive. If you’ve ever wondered, What can we learn from the queer community about sex, intimacy, and communication?—this episode is for you. Whitni’s work is bold, honest, and full of compassion. Follow her @bdemoves and check out her offerings for late bloomers, folks navigating WLW relationships, and anyone looking to deepen their connection with themselves and their partners. Takeaways: ✨ Sexual safety is foundational to desire—not optional. ✨ Queer relationships offer a refreshing reframe of intimacy and play. ✨ Scheduling sex is not unsexy—it’s smart, respectful, and hot. ✨ Responsive desire is normal, especially in midlife and long-term partnerships. ✨ Pleasure-first education challenges societal norms that prioritize performance. ✨ We need more trauma-informed, inclusive sex ed—and we need it now. https://www.instagram.com/bde.moves Want more honest, empowering conversations like this one?⁠⁠Preorder my Next Book⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause 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

🎙️ Episode 324: Perimenopause is Real—What You Need to Know with Jackie Piasta, WHNP-BC Perimenopause is real—and often misunderstood. In this episode, I sit down with women’s health nurse practitioner Jackie Piasta to unpack the truth about this critical (and neglected) phase of midlife. If you’ve been told “you’re too young” or “just tough it out,” this conversation will feel like the validation you’ve been missing. Jackie and I dive into what perimenopause really looks like—from migraines and mood swings to weight gain and disrupted sleep—and why these symptoms deserve real answers, not dismissal. We talk through what’s happening hormonally, why lab tests aren’t the gold standard, and how to shift from a “birth control” mindset to a hormone-optimization mindset in your 30s, 40s, and beyond. In this episode: Why perimenopause can start in your 30s—even with regular periods Common myths that keep women suffering in silence How to track symptoms and cycles instead of chasing lab results The role of hormonal birth control—and when it helps vs. masks symptoms How estradiol, progesterone, and vaginal hormones can support brain, sleep, and libido Supplements and newer options: magnesium, L-theanine, flibanserin, even topical CBD Real-world patient cases that show how individualized care changes lives Top takeaways: Perimenopause is a clinical diagnosis—there’s no perfect test. Hormonal fluctuations can cause real physical, emotional, and cognitive changes. Bone loss, lipid changes, and heart risks start before menopause. Progesterone is often underused but powerful for night sweats, anxiety, and sleep. SSRIs are not first-line for new-onset mood changes in perimenopause. Early intervention matters—don’t wait until menopause to get help. We also talk about newer birth control formulations, managing migraines, and what the research is showing us about how menopause impacts heart health and brain function. Spoiler: it’s not just about hot flashes. This episode is your permission slip to stop toughing it out and start asking for care that actually helps. 🔗 Referenced Studies & Resources: Brinton RD et al. Perimenopause as a neurological transition state. Nat Rev Endocrinol. 2015;11(7):393-405. Wu B et al. Trajectories of Blood Lipids Profile in Midlife Women. J Am Heart Assoc. 2023;12(22):e030388. SWAN Study: Lipid trajectory insights through the menopausal transition https://www.instagram.com/jackiep_gynnp https://www.mymonarchhealthco.com/ Want more honest, empowering conversations like this one?⁠Preorder my Next Book⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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

In this episode, I sit down with Erin Sullivan Wagner for a raw and powerful conversation about something that’s too often ignored—sexual health in the context of cancer. Erin shares her personal experience with anal cancer, and what it was like to navigate the trauma of diagnosis and treatment while also feeling abandoned when it came to intimacy and her sexual well-being. We talk about the gaps in cancer care, especially when it comes to women. Why is it that sexual health is often dismissed or completely left out of the conversation? Erin and I unpack how deeply cultural biases and medical liability fears impact the way sexual health is (or isn’t) addressed—especially for women. We also dive into the concept of prehabilitation—starting sexual health conversations before treatment begins—and why it's critical that providers get educated and empowered to offer resources, referrals, and support for their patients. Because survivorship isn’t just about staying alive—it’s about staying connected to your body, your relationships, and your pleasure. This is the conversation I wish every oncology team would hear. Cancer profoundly affects sexual health, yet it’s often ignored. Erin’s story is a powerful reminder of the trauma that comes with being left in the dark. There’s a huge disconnect in how cancer care approaches female sexuality. Male sexual health gets prioritized—female sexual health, not so much. So many patients feel invisible when it comes to intimacy concerns. These conversations need to happen early, not after damage has been done. Cultural discomfort and medical fear of liability keep people from addressing sex. Women are rarely told what to expect sexually after cancer treatment. Quality of life includes sex, pleasure, and connection. We have to normalize sexual health in survivorship care. When we ignore it, the damage can be long-lasting and irreversible. Emotional intimacy matters as much as physical recovery. Prehabilitation should be standard practice. Providers need training—patients need validation and direction. Advocacy matters. This change starts with conversations like this. Youtube video - Erins Story https://www.aftercancer.co/ https://allofmeiowa.org/ Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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

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

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

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

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

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

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

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

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

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

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

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Lara Pack, founder of Elixir Play, to explore why it’s time to take vibrators seriously—as both a pleasure tool and a legitimate part of women’s health. Lara opens up about her personal journey from navigating painful sex due to endometriosis to creating a high-quality vibrator company focused on thoughtful design and real-world results. Together, they unpack the stigma still surrounding female pleasure, how cultural and religious messaging shapes our understanding of sexuality, and why quality matters more than price when it comes to vibrators. They also dive into: The surprising interest from men in women's pleasure products Challenges with big-name companies entering the vibrator market The role of communication in improving sexual wellness Why research matters when it comes to vibrators and health outcomes How well-designed pleasure products can meet diverse needs This conversation is a must-listen for anyone ready to challenge outdated norms, elevate the discussion around women's pleasure, and embrace vibrators as a powerful tool for healing, connection, and empowerment. 🎯 Health & Wellness Vibrators can play a significant role in women's health and wellness. Research shows vibrators can improve pelvic health. The experience of using a vibrator is both psychological and physiological. There is a need for more studies on the health benefits of vibrators. ✨ Personal Empowerment & Stigma Lara’s journey to creating Elixir Play was influenced by her own pain and stigma. Many customers share stories of healing and empowerment through vibrator use. Empowering women to explore their pleasure supports overall well-being. Education is essential for breaking down sexual health and pleasure stigma. Cultural and religious backgrounds shape perceptions of sexuality and pleasure. Stigmas often stem from concerns about male partners' feelings. 🛠 Product Quality & Industry Insight Quality and customer service are crucial in the vibrator industry. Investing in well-designed products enhances the experience of pleasure. Big companies often prioritize profit over product quality and authenticity. Designing pleasure products should consider individual anatomy and preferences. 💬 Communication & Shifting Perspectives Communication about pleasure is key to sexual satisfaction. Vibrators can enhance sexual experiences for both partners. A growing number of men are purchasing vibrators, showing a shift in attitudes toward women's pleasure. The conversation around female pleasure is evolving but still faces barriers. Understanding the science of pleasure helps destigmatize its use. http://elixirplay.com/ and use code NOTBROKEN20 for 20% off. 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

In episode 311 of the You're Not Broken podcast, Kelly Casperson, MD, hosts Marcella Hill and her husband to discuss their journey through hormonal changes and their impact on their relationship. They explore the challenges of libido loss, the role of therapy, and the transformative effects of testosterone therapy. The conversation highlights the importance of understanding hormonal health in relationships and the awakening of self-awareness that comes with it. I n this conversation, Marcella Hill and Dr. Kelly Casperson explore the complexities of libido, sexual shame, and the transformative power of hormones in midlife relationships. They discuss the importance of self-discovery, emotional honesty, and the need for patience in navigating personal and relational growth. The dialogue emphasizes that pleasure and desire are not solely for others but are essential for individual fulfillment and connection. Takeaways The relationship was initially strong but faced challenges due to hormonal changes. Libido loss can lead to feelings of anxiety and disconnection in relationships. Therapy can help with communication but may not directly address libido issues. Medical interventions, like hormone therapy, can significantly impact well-being. Testosterone therapy revitalized Marcella's energy and libido, transforming her relationship. Awakening to a new self can create challenges in long-term relationships. Couples can navigate hormonal changes together for better understanding and support. Increased awareness of hormonal health can improve communication and intimacy. Hormones play a crucial role in mental health and overall well-being. Understanding the effects of hormones can lead to proactive health measures. Women often feel shame about their sexual desires. Listening to uncomfortable content can help challenge sexual shame. Orgasm is not just a sexual act; it's about personal joy and passion. Women deserve to feel turned on for their own pleasure, not just for others. Men's enjoyment in relationships often comes from seeing their partner's pleasure. Communication about sexual needs is crucial for both partners. Exploring sexuality can enhance intimacy and connection in relationships. Emotional honesty leads to a more expansive and fulfilling relationship. Hormone therapy can reignite passion and feelings in midlife. Learning to feel emotions is essential for personal growth and connection. https://marcellahill.com/ https://www.instagram.com/beingmarcellahill https://www.wakeherup.co/welcome 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

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, engages in a deep conversation with Traver Boehm about redefining masculinity, the importance of emotional intelligence, and the journey of helping men navigate their feelings and relationships. Traver shares his experiences from the Year to Live Project, the impact of his book on men's lives, and the necessity of creating safe spaces for women. The discussion also touches on the differences in how men and women perceive safety and the importance of understanding these perspectives in fostering healthier relationships. In this conversation, Kelly Casperson, MD, and Traver explore the complexities of emotional awareness, therapy for men, gender differences in relationships, the evolving independence of women, and the foundational role of sexuality in partnerships. They discuss the importance of self-awareness in managing emotions, the need for therapy that resonates with men, and the societal shifts that have changed relationship dynamics. The conversation emphasizes the necessity of understanding and communication between genders to foster healthier relationships. In this conversation, Traver and Dr. Kelly Casperson explore the complexities of relationships, focusing on the business aspects of marriage, the importance of communication, the impact of pornography, and the challenges surrounding menopause. They emphasize the need for emotional maturity and understanding in relationships, advocating for open discussions about sexual satisfaction and the human experience. The dialogue highlights the evolving dynamics between men and women, the significance of consent, and the necessity of education regarding women's health issues. Traver's IG Man Uncivilized 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? Starts 2025. To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson engages with the co-founders of the SheMD podcast Mary Alice Haney and Dr. Aliabadi, discussing their journey in women's health advocacy. They explore the challenges women face with conditions like endometriosis and PCOS, the importance of education in healthcare, and the need for better diagnosis and treatment options. The conversation highlights the systemic issues in women's health and the role of podcasts in empowering women to advocate for their health. In this conversation, the speakers delve into the complexities of PCOS and endometriosis, discussing the importance of accurate diagnosis, the role of insulin resistance, and the need for innovative solutions in women's health. They emphasize the significance of validating patients' experiences and the impact of education in empowering women to advocate for their health. The discussion also covers hormone replacement therapy, addressing common myths and misconceptions, and highlights the necessity of treating both PCOS and endometriosis for better health outcomes. Takeaways The SheMD podcast was born out of a desire to help women navigate health issues. Endometriosis is a common yet often misdiagnosed condition affecting many women. Education is key in empowering women to advocate for their health. Many women experience chronic pelvic pain without a proper diagnosis. The healthcare system often dismisses women's health concerns, leading to delayed treatment. Laparoscopic surgery is the gold standard for treating endometriosis. Robotic technology could revolutionize women's health care. Women need to be informed about their health conditions to seek appropriate care. The emotional toll of chronic health issues can lead to depression. Advocacy and awareness are crucial in improving women's health outcomes. 75% of women with PCOS are undiagnosed. PCOS and endometriosis often coexist. Insulin resistance is a key factor in PCOS. Validation of symptoms is crucial for patients. Education can empower women to advocate for their health. Hormone replacement therapy can be beneficial for women with PCOS. Diet and exercise alone may not suffice for PCOS management. Innovative platforms can help diagnose and manage PCOS. Women often feel dismissed by healthcare providers. Understanding the metabolic aspects of PCOS is essential. Mary Alice Haney IG Dr. Aliabadi IG SHE MD IG SHE MD Podcast Sedona in October - only a few 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? Check it out! To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Kelly Casperson and Dr. Emily Jamea discuss the evolution of sexual satisfaction, exploring the concept of 'good enough sex' and the pursuit of deeper intimacy through the flow state. They emphasize the importance of safety, communication, and connection in relationships, while addressing common barriers to sexual desire such as complacency and societal expectations. The conversation highlights the need for couples to actively engage in their sexual lives and prioritize emotional safety to enhance their experiences. In this conversation, Emily Jamea and Kelly Casperson, MD, explore the intricate dynamics of relationships, focusing on the concept of flow state, the importance of preparation and communication, and the impact of self-identity on sexual expression. They discuss how reconnecting with innate qualities can enhance intimacy, the role of novelty and curiosity in maintaining desire, and the balance between connection and independence in relationships. The conversation emphasizes the significance of touch and the need for effective communication to foster deeper connections. Takeaways Dr. Jamea's book offers a next-level perspective on sexual satisfaction. The honeymoon phase is temporary; couples seek more than just 'good enough' sex. Flow state is crucial for experiencing heightened sexual satisfaction. Safety in relationships is foundational for women to enjoy sex. Communication is key to understanding each partner's needs and desires. Complacency is a major barrier to sexual desire in couples. Sex should be seen as an opportunity for enjoyment, not obligation. Gender socialization impacts women's perceptions of their sexual desires. Attunement between partners enhances sexual satisfaction. Creating rituals for connection can improve intimacy and sexual experiences. Flow state requires a balance of challenge and skill. Too much novelty can lead to anxiety in relationships. Preparation and communication are crucial for intimacy. We are born with qualities that enhance our sexual experiences. Self-identity significantly impacts sexual expression. Novelty in life can enhance sexual experiences. Touch is essential for relationship satisfaction. Emotional connection is vital for sexual desire. Gentle communication can improve intimacy. Understanding dynamics of desire can enhance relationships. Anatomy Of Desire by Dr. Emily Jamea Sedona in October - only a few 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? Check it out. 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street Journal In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention. Takeaways The amyloid hypothesis has dominated Alzheimer's research but has significant flaws. Whistleblowers play a crucial role in exposing misconduct in scientific research. The FDA's approval process for drugs can be influenced by industry relationships. Lifestyle factors such as diet and exercise can impact Alzheimer's risk. There is a growing interest in alternative theories for Alzheimer's treatment. AI can assist in detecting research fraud but also poses risks for falsification. Misinformation in health media can lead to public harm and confusion. Independent agencies are needed to investigate scientific misconduct effectively. The scientific community must improve transparency and accountability. There is hope for progress in Alzheimer's research despite current challenges. Sedona in October - only a few 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? Starts 2025. 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices