You Are Not Broken

Welcome to July's Live Podcast Orgasmic versus hormonal Use it or lose it Studies on Teen Sex Ed, PRP for ED, HPV jabs, Creating Desire and more! Sex Ed matters:https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11388-2 Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Get in the Free FB group: https://www.facebook.com/groups/youarenotbroken/ Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When Sex Hurts – Dr. Krapf Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Tampa, FL Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition. Love Dr. Krapf? Check out my other episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch Why write a 2nd edition of the book “When Sex Hurts”? How common is pain with sex for women? Often times with pain with sex there is a physical cause, but you can’t always see it. Pelvic pain and pain with sex is very isolating and people feel very alone. People don’t know how to talk about it. What happens after the pain is fixed. What does “all in your head” mean and why people don’t like that. “Those who perceive their partners as kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what! What is adaptive coping? How to communicate your pain to your partner and your doctor. What if you are a partner of someone with dyspareunia - - “best partner response is having a partner who engages in what researches call facilitative responses – affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.” We talk about stress, sex and the gut – things like irritable bowel syndrome related to pain with sex? The role of birth control pills and pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz (drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months- decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia. The role of testosterone in pelvic pain – one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain perception The difficulty in giving testosterone to women and the problem with pellets. Recurrent Yeast Infections – Dr. Krapf helps us Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Best Sex Ed You Never Had We all got a sex education – it just wasn’t accurate. My Sex Ed course is coming out this Month! Get on the email list to join when it opens. This was a talk I gave to medical doctors for a residency program continuing education lecture. Seasons of sexuality Stress and sexuality The importance of self-care in sexuality Communication and sexuality Sex as a skill that can be improved Sexuality and gender equality Stop Should-ing all over your sex life If you got decent sex ed you were lucky Sex is Complex – therefore so so interesting Biopsychosocial Your sexuality is not a fixed asset Orgasms are good for us Your biggest sex organ is your brain Night shifts wreak your sexual function – any gender Sex is dopamine, and we have cheaper dopamine in our current society which competes with sex. Defining heteronormativity What Society tell us about sex (and is wrong about) Pro tip: desire mismatch is normal Pro tip: Why do you want to have sex? FEELINGS – list three - If partnered: do you know theirs? Orgasmic Inequality is real. The Heteronormative Theory of Low Desire in Women Partnered with Men How Freud messed us up in regards to sex. Do you actually “fall out of love” or does your brain habituate and you are craving newness and dopamine? Cognitive distractions are bad for good sex. Mindfulness and meditation can help. How to improve sex as a skill Relationship between sex and sexuality (sensuality) and ways to improve sex drive How to have a balanced life, not put sexual health on the back burner Stress effects on sexuality Resources - You are not broken book - Becoming Cliterate - Your body is not an apology - Sex and Sexuality podcast - How to find a sex therapist o AAASECT.org Take one action toward achieving a fulfilled life Why does sex end when the male ejaculates? The heteronormative definition of sex is not good for anybody. What we make lubrication mean. How does your pelvic know that it is sexy time? Remember brain and pelvic arousal. Our lack of ability to communicate to our partner’s about why we want sex hurts us. So many things about sex are aren’t actually about sex. How to help post partum people and their partner’s understand what is happening after birthing a baby. The biologic and psychosocial component behind this Even though we are not taught about sex, we are told things about sex all the time. Women: men didn’t get any more sex ed than we did….we have to communicate our needs to them. How to communicate about sex. What does sensuality mean? Don’t forget to desire things you already have. What are your top three feelings you want to have during sex. If you can’t turn off your frontal lobe you may have trouble with orgasms. Challenge your limiting beliefs about sex. Figure out your obstacles to a good sex life – now you have the pathway. The obstacles are the way. Tips from people who have magnificent sex. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 my talk I gave at the 2023 Clitoris Summit https://clitoris.io/summit2023 I discuss the bias that women’s sexual health is all in her head. We can’t neglect the “bio” part of all bodies. 9% of urologists in the United States are female – which is about 1,000 surgeons. Orgasms are good for us, but so often are considered “bonuses” Don’t forget the “psychosocial” part of sexuality. Clitoral Adhesions Genitourinary Syndrome of Menopause Persistent Genital Arousal Disorder What to do about blunted orgasms? New guidelines on female orgasm coming soon! Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off https://myfirmtech.com/?sca_ref=3901627.saeQB3wieI Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Adult Sexy Time Sucks – YouSeeLogic to the Rescue! Dr. Uchenna “UC” Ossai is a sex-positive pelvic health physical therapist, sexuality educator and counselor. YouSeeLogic is her platform that focuses on improving the sexual intelligence of adults through innovative content and honest discussion that is free of judgement. What was Dr. Ossai’s path to get here? What is intersectionality how does it affect people’s sexuality? What is Burbon talez? Why did you write: Sexy swagger a guide to reimagining your sex life So much of her work surrounds the role of confidence in one’s sexuality – She talks about this and gives us some top tips. Sexual stereotypes hurt all humans – we discuss some stereotypes we might not be aware of and how we can be better informed. Swagger Tip #99: Diversity and inclusion is basically the foundation of good sex. How to own your sexy – and confidence isn’t static. “Confidence is a process” – Dr. Uchenna Swagger Tip #103 : Take up more space. How to communicate with your partner about sex. What does being “erotic” mean? Embrace pleasure as the antidote to oppression! What ! bring us some news here! What is your definition of a good lover? https://www.instagram.com/youseelogic/ https://www.tiktok.com/@youseelogic https://youseelogic.com/ Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off https://myfirmtech.com/?sca_ref=3901627.saeQB3wieI Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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. Elliott Justin – founder and CEO of Firmtech Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. Award Winning Tech: Most Innovative Sex Toy (XBIZ); RunnerUp in Fitness & Health (CES Showstoppers) Firm tech focuses on enjoyable sex for men of all ages, while empowering them to better understand their health and the impact of medications, supplements, personal habits, vices and exercise on their sexual wellness. We want to give you the data to make the best decisions for your sex health. Dr. Justin started out as an emergency medicine doctor (treating ED - amazing story) – how he transitioned to sex tech and founded a company? The number of nocturnal erections you have is a marker of vascular health. The penis is the canary in the coal mine of vascular disease. No one knows what is normal in terms of numbers of nocturnal erections for men as they age. “cock killer” drugs for men – SSRI and hypertension drugs, recreational drugs Is there a number of times a week a man should have sex to “use it or lose it”? Alcohol has a profound effect on erections. Dr. Justin explains venous leak syndrome of the penis and what causes it. How this Firmtech device actually works. What is coming in the future for clitoral wearables? https://www.instagram.com/myfirmtech/ https://myfirmtech.com/ use code “NOTBROKEN” for 15% off https://wefunder.com/firmtech Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Member question: Lichen Sclerosis, decreased sensation and libido – I discuss two types of desire – spontaneous and responsive and three options pharmacologically for low desire. A couple options for if you "want to want": testosterone, Addyi and Vyleesi. Pneuma for penile girthiness - if you want to be a shower. The Orgasm Gap - as written by men Testosterone is not associated with increased cardiovascular risk and associated decreased risk of breast cancer. P Agrawal and others, Testosterone Therapy in Females Is Not Associated with Increased Cardiovascular Risk – A US Claims Database Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.014, https://doi.org/10.1093/jsxmed/qdad060.014 Sexual Boredom in long term relationships contributes to low desire. L De Oliveira and others, (055) Sexual Boredom and Sexual Desire in Men and Women in Long-term Relationships: A Latent Profile Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.053, https://doi.org/10.1093/jsxmed/qdad060.053 An obituary of Jaqueline Gold Our Podcast Sponsor is Firmtech – use code “NOTBROKEN” FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. ⁠https://myfirmtech.com/⁠ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer Dr. Corinne Menn is a board certified OBGYN and North American Menopause Society Certified Menopause Practitioner. She has a special interest in areas often neglected in women's health: Perimenopause and menopause, the unique needs of female cancer survivors and those at high risk for breast cancer. Dr. Menn tells us her story of breast cancer dx at age 28, going through menopause three times and is now a pro-hormone educator. Dr. Menn discusses taking systemic hormones and her journey and how it has changed her life. Why are doctors and patients so afraid of hormones? Doctors are so risk adverse – but let’s talk about the risks of not treating menopause. The myth that estrogen causes cancer. How Tamoxifen works. Breast cancer nomenclature – estrogen positive – this doesn’t mean estrogen caused the cancer – we clarify. The nuance of being overweight and risk of breast cancer. The number one killer of women with history of breast cancer is heart disease. Safety of systemic hormone replacement therapy in breast cancer survivors Article in Breast Cancer Research and Treatment · January 2022 – Dr Bluming - "Twenty-five studies of HRT after a breast cancer diagnosis, published between 1980 and 2013, are discussed, as are the 20 reviews of those studies published between 1994 and 2021. Only 1 of the 25 studies, the HABITS trial, demonstrated an increased risk of recurrence, which was limited to local or contralateral, and not distant, recurrence. None of the studies, including HABITS, reported increased breast cancer mortality associated with HRT. Even in the HABITS trial, the absolute increase in the number of women who had a recurrence (localized only) associated with HRT administration was 22. It is on the basis of these 22 patients that HRT, with its demonstrated benefits for so many aspects of women's health, is being denied to millions of breast cancer survivors around the world." The problem with the HABITS trial. Why are we scaring women so much about breast cancer? Who is the right breast cancer survivor to start hormones? A good candidate? Are we overtreating with aromatase inhibitors? Podcast partnership today: Always Discreet https://www.instagram.com/alwaysdiscreet/ Bluming AZ. Hormone Replacement Therapy After Breast Cancer: It Is Time. Cancer J. 2022 May-Jun 01;28(3):183-190. Young Survival Coalition https://youngsurvival.org/ Vaginal Estrogen for people with a history of breast cancer: https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer Dr. Menn is an Alloy Health Medical Advisor and Prescriber www.myalloy.com http://www.drmenn.com/ https://www.instagram.com/drmennobgyn https://www.tiktok.com/@drmennobgyn https://www.facebook.com/drmenn --- 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 went to the 2023 American Urologic Association's National Conference. Here are some top takeaways and thoughts. So much on this week’s podcast! Low hormones in men and women — can increase risk for cardiovascular disease Women have a decreased risk of heart attack and stroke when started on hormones in the safety window of menopause (first 10 years) The Traverse study paper coming out in two months - can’t wait! Testosterone is not a gendered hormone All bones need testosterone Women in early menopause should be on hormones at least until natural age of menopause to decrease risk of cardiovascular disease, osteoporosis (NAMS guidelines and this indication has FDA approval). Equality in healthcare Three new oral testosterone pills on the market for men, not for women We need to focus on brains and bones health in women just as much as we do for men Treat women the same in healthcare Did you know the UK is requiring doctors to talk to their patients at age 50 about menopause? Amazing! If hormones are so dangerous, why don’t we stop estrogen in trans women after the age of 50 - a thought exercise on how we think about giving hormones to all bodies - Is staying on hormones during menopause gender affirming care? Oral DHEA supplements — what’s the deal? Bulkamid — urethral filler for stress incontinence ECoin training Prolapse repair in premenopausal women Should we offer it or no? Male infertility is associated with shorter life expectancy Marijuana affect sperm Using testosterone for maintenance of vaginal health Michael Pearlman balance scale of desire More about Addyi (filbanserin) Importance of elastin and collagen Very small percentage of women have cervical orgasms - but it matters. New technology that @mysteryvibe is releasing to help with period cramps --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health - With Dr. Kelly Casperson This is an interview I did with Lesley McShane for her podcast “Redesigning Midlife” and it was just such a good interview I asked her if I could share it again. 1. Basics: a. Menopause means it’s been one year and one day since your last period. b. The average age of menopause is around 51. and c. for ten years prior to menopause, women go through peri-menopause, where hormones are doing a reverse puberty. 2. A lot of women stop or have pain during penetrative intercourse during this time due to a decrease in natural lubricant and collagen, but this can be easily treated. 3. Even if you don't have menopause symptoms, if you are over the age of approximately 51, you have gone through it. 4. The most sexually satisfied people aren’t young people, it is people in their 50s, 60s, 70s. 5. Great sex is not a passive thing. It’s an active process, just like someone that is physically fit. It has to be prioritized. 6. Use of lube increases your success of orgasm by 70-80%. Silicone based lube is best because you don’t absorb it like you do the water based. 7. There is no “how long” should I use Vaginal Estrogen cream. The use of it is like using sunscreen or wearing a seat belt. 8. You don’t need a “sex drive”. We do things because they are awesome. If you aren’t having awesome sex, don’t wonder why you don’t desire it. 9. We feel entitled to a spontaneous sex drive that has been sold to us by media. And when we don’t achieve that, we end up feeling broken. 10. Putting something in the vagina only leads to female orgasm 30% of the time so special focus need to be paid to the female body. Your largest sex organ is your brain. 11. Don’t sit passively by waiting for spontaneous desire to happen. Get dressed up and go to the party even if you don’t think you want to. Chances are you’ll have a good time once you get there. 12. Control of stress and cortisol levels in our bodies will help us desire more intimacy. 13. If there is a desire mis-match in your relationship, normalize it by talking about it. 14. Communication with our partner about menopausal symptoms and what we are going through is important to our relationship. 15. Get educated on hormone replacement therapy as an option. When women start thinking about how they want to live as they get older and get educated, then they see how beneficial HRT could be for them. 16. Women between the age of 50-60 that are on hormone therapy live 3-4 years longer than women in the same age group not on hormone therapy. 17. For our young adult children that are starting their own sexual lives, the biggest thing they need to know from the start is about consent. 18. They need to be aware of is orgasmic equality. 19.We have to educate our girls that pleasure is for everybody. Lesley McShane's podcast: https://podcasts.apple.com/us/podcast/redesigning-midlife-workout-motivation-over-50-weight/id1549596974 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Better Sex Through Mindfulness – Dr. Lori Brotto Dr. Lori Brotto is a psychologist and Director, UBC Sexual Health Laboratory Canada Research Chair in Women’s Sexual Health Professor, Department of Obstetrics & Gynaecology, UBC Executive Director, Women’s Health Research Institute “Sex is not just a deficiency in a hormone” – KJC Dr. Brotto tells us how she started her sex research career by studying rats. Do stressed out rats want sex? “Stress is antisexual” – Dr. Brotto “So many people don’t even know that they are stressed.” - KJC Dr. Casperson tells her story about finding mindfulness How Dr. Brotto discovered mindfulness for helping manage pain, anxiety, and desire Mindfulness During sex. How anxiety and depression affects our sexuality. And mindfulness can help! We talk about medications for low desire in women. Filbanserin specifically. Beliefs are key! We discuss the role of beliefs on our sex life. Mindfulness helps us “see” our beliefs more. Anorgasmia – how common it is and what is the most common cause. How to suss out asexuality versus low desire. Obligatory sex – how to navigate discrepant desire. The myth of penis and vagina sex and why it excludes so many people. Mindfulness for sexuality after prostate cancer. The role of communication with your partner. Do they even want your erect penis? https://www.loribrotto.com/ Better Sex Through Mindfulness https://amzn.to/42bchpj Better Sex Through Mindfulness Workbook: https://amzn.to/42abTYc https://www.instagram.com/drloribrotto/ https://www.cancersexnetwork.org/ https://www.drannekatz.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 Cervix is Dumb” and I Disagree – April Live Giovannetti O, Tomalty D, Gilmore S, Pattison A, Komisaruk B, Goldstein S, Hannan J, Goldstein I, Pukall C, Adams MA. The contribution of the cervix to sexual response: an online survey study. J Sex Med. 2023 Jan 14;20(1):49-56. doi: 10.1093/jsxmed/qdac010 Cochrane review on Cranberry for UTI https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub6/full Kisspeptin is a protein that is essential for reproductive hormone secretion and fertility Male kisspeptin study https://pubmed.ncbi.nlm.nih.gov/36735255/ Sexual Tipping Point https://www.researchgate.net/publication/24001856_The_Sexual_Tipping_PointR_A_MindBody_Model_for_Sexual_Medicine Oral versus Vaginal DHEA Vaginal DHEA is awesome – it is a prescription DHEA oral is a supplement – over the counter - DHEA oral safety - lack of efficacy good enough reason to not take it? Dehydroepiandrosterone replacement in women with adrenal insufficiency N Engl J Med 1999 Sep 30;341(14):1013-20. doi: 10.1056/NEJM199909303411401. 50mg oral for 4 months – decreased HDL and total Cholesterol Conclusions: Dehydroepiandrosterone improves well-being and sexuality in women with adrenal insufficiency. Double-blind treatment of major depression with dehydroepiandrosterone Am J Psychiatry 1999 Apr;156(4):646-9. doi: 10.1176/ajp.156.4.646. Conclusions: These results suggest that DHEA treatment may have significant antidepressant effects in some patients with major depression. Further, larger-scale trials are warranted. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 Third time Dr. Haver is on my podcast! The role of sleep, diet, exercise and body image on sex is real. Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her. How female body composition changes in peri and menopause Diets may change hot flashes Can you measure inflammation? Fatty liver – goes up in menopause – treatable with diet changes Anti-inflammatory diet resource: arthritis.org Supplements for peri/menopause - Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA Role of continuous glucose monitors The loss of estrogen increases gut permeability – role of gut microbiome in bone heath – Tiktok: drmaryclaire IG: https://www.instagram.com/thegalvestondiet Website: https://galvestondiet.com/ The Galveston Diet Book: https://amzn.to/433AsGZ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Better Sex Through Lifestyle Changes – Diet, Sleep, Hormones, Exercise – The Galveston Lifestyle Try not to eat like shit. The role of sleep, diet, exercise and body image on sex is real. Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her. How female body composition changes in peri and menopause Diets may change hot flashes Can you measure inflammation? Fatty liver – goes up in menopause – treatable with diet changes Anti-inflammatory diet resource: arthritis.org Supplements for peri/menopause - Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA Role of continuous glucose monitors The loss of estrogen increases gut permeability – role of gut microbiome in bone heath – Tiktok: drmaryclaire IG: https://www.instagram.com/thegalvestondiet Website: https://galvestondiet.com/ The Galveston Diet Book: https://amzn.to/433AsGZ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Emergency Department Care of the Menopausal Female Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLA David Geffen School of Medicine Common things midlife women go to the ED for – irregular bleeding and prolapse Heart attacks present differently in women than in men. How to work up abnormal vaginal bleeding – questions to ask. Do ED docs know how to do a pelvic exam? Indications for a pelvic exam and optimal positioning Recurrent UTIs, and estrogen possibly 1st line rx so something to keep in mind Asymptomatic bacteruria - if doc says you have a UTI but you have no UTI sx, question whether abx indicated, pending the urine culture - change in cognition in elderly human – don’t just treat for a UTI? Elder abuse – what is it – when to suspect it? Cardiac symptoms in perimenopause Heart attacks present differently in women than in men. “Sometimes a doctor’s job is to tell you what it isn’t” – workups that don’t show anything dangerous. How to use a tennis ball to do myofascial release for muscle pain The devastating effects of a hip fracture. www.instagram.com/drpdyne Pelleton: singerpam Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Increasing Penile Length, How Long Sex Lasts, and Urology YouTube Rockstar Rena Malik, MD Dr. Malik is an associate professor of surgery in the Division of Urology and director of Female Pelvic Medicine and Reconstructive Surgery at the University of Maryland School of Medicine. She has published more than 60 peer-reviewed articles and book chapters. She has 1.48 Million YouTube subscribers We go over her most popular videos – most of these questions are “am I normal” questions. 27M views – Scientifically proven ways to increase penile length Why are men so obsessed with penis size and do women care? 11M views – How long does sex last on average? 10 M views - What exactly is the G spot? 9.4 M views – Can you masturbate too much? 8.9 M views – Can you increase your semen volume? 5.8 M views – Can ejaculating more frequently reduce risk for prostate cancer? 5.7 M views – How to increase testosterone naturally 5.2 M views – Explaining the difference between showers and growers 4.3 M views – Does prostate massage have any health benefits? 3.5 M views – Does science support “no nut November”? Dr. Malik's Youtube: https://www.youtube.com/channel/UCV66hp0qxx2Xq273N0bo7uQ https://www.instagram.com/renamalikmd https://www.tiktok.com/@renamalikmd Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 is the 2022 NAMS Hormone Therapy Position Statement! https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf 1) For women aged younger than sixty years or who are within ten years of menopause onset and have no contra indications the benefit risk ratio is favorable for treatment of bother some vasomotor symptoms and prevention of bone loss for women who initiate hormone therapy more than ten years from menopause onset. 2) We discuss safety 3) We discuss decreased mortality in women 50-60 in the WHI trial. 4) We discuss the absolute risk reduction for: all cause mortality, fracture, diabetes, and breast cancer in women aged younger than sixty years 5) Their statement on compounded and pelleted hormones 6) Vasomotor symptoms are assoicated with diminished sleep quality and reduced quality of life 7) Hormones for genitourinary syndrome of menopause 8) We discuss cognition and weight gain 9) The critical window or "healthy cell" hypothesis Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Joining me for the second time on the podcast is world renowned sex therapist, Dr. Marty Klein – Author and sex therapist to Silicon Valley. If you want our first episode together check out Episode 169 – where we discuss his book “His porn her pain” Today we are discussing his amazing book: “Sexual Intelligence: What we really want from sex and how to get it”. This book is 10 years old and still completely relevant. And he is still being interviewed about it! What is sexual intelligence and why did it need to be written about? “For a lot of people, sex is an opportunity to fail” – Dr. Marty Klein How do you navigate when one partner wants something and the other doesn’t – oral during a period, PIV sex, kink? What is your opinion about the “low desire” epidemic and the meds for low desire. “Most people leave sex for when they are too tired to do anything else” – Dr. Marty Klein “In a world that is filled with ice cream and Netflix….why would anyone want sex?” – Dr. Marty Klein You say in the book PIV has symbolic meaning for hetero people – can you talk about why this limits us? What to do when sex is boring? What to do with a partner who won’t communicate about sex? Stonewalling? 26:13 Why Dr. Klein doesn’t like the term erectile dysfunction. I’m not attracted to my partner any more – they gained weight or are getting older – any help? Tips for desire discrepancy. Communication and more touch. https://www.martyklein.com/ Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF Dr. Klein’s book: Sexual Intelligence https://amzn.to/3WLfYi0 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership And get on the wait list for the upcoming "adult sex education master class" --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Motives between the Sheets: Understanding Obligation for Sex at Midlife and Associations with Sexual and Relationship Satisfaction Monika Georgieva et al. · https://doi.org/10.1080/00224499.2022.2076278 This study investigated reasons for sex at last sex, with a focus on obligation (an avoidance motivation) and doing something nice for a partner (an approach motivation), and their associations with sexual and relationship satisfaction, while controlling for marital duration, age, and sexual desire. We investigated these reasons among married, midlife Canadian women (n = 324), men (n = 275), and 25 non-binary/gender queer participants 40 to 59 years of age. Darling, Come Lay with Me or Talk with Me: Perceived Mattering and the Complementary Association between Sex and Communication within Marital Relationships Haeyoung Gideon Park et al https://doi.org/10.1080/00224499.2021.2018393 Kovacevic, K.*, Tu, E.*, Raposo, S.*, Rosen, N. O., & Muise, A. (2023). Is spontaneous sex ideal? Beliefs and perceptions of spontaneous and planned sex and satisfaction in romantic relationships. Journal of Sex Research. Not enough early breast cancer survivors on Vag E. – Dr. Menn - ------- Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Oct 6;114(10):1347-1354. doi: 10.1093/jnci/djac112. PMID: 35854422; PMCID: PMC9552278. Member question: On the topic of pain with penetrative sex, what can go awry during the healing process from vaginal surgery for hysterectomy and prolapse repairs that might contribute to this? Pelvic floor therapy, lubricants, moisturizers, estrogen and dialators are the armenatarium used but what happens when they are used long term but there is still pain upon insertion even a year out from surgery? NAMS practice Pearl on Testosterone https://www.menopause.org/docs/default-source/professional/practice-pearl-testosterone_.pdf Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 Jaime Seeman aka Doctor Fit and Fabulous is a board certified OBGYN. She has a passion for fitness, preventative medicine and empowerment not only in her medical practice but in her own life. She has a podcast called The Fit and Fabulous Podcast with Dr Jaime Seeman and a book called Hard to Kill: Master the Mindset to Maximize Your Years She was last here episode 148: march 2022: - I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MD Welcome back! What she has been up to since our last interview. The connection between sex, body image, feeling good, being strong and confidence. How to get a lot done. Finding non-sexual passion in your life. Confidence is built though action – body and intimacy Why our internal language is so important. Muscle is the organ of longevity. Fat makes hormones – why low fat is bad. Helping hypothyroidism with diet. Red meat a more taboo topic than sex? Why do aging people need more protein? The role of collagen, and what supplements are okay? Why does alcohol make you easy to kill? Hard to Kill Manifesto https://www.doctorfitandfabulous.com Hard to Kill Book: https://amzn.to/3QiFGst https://www.instagram.com/doctorfitandfabulous Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Justin Lehmiller, author of Tell Me What You Want: The Science of Sexual Desire and How it can help you improve your sex life. He is a social psychologist and a research fellow at the Kinsey Institute at Indiana University. Why research Fantasy? Should we normalize fantasy? So many people feel shame or like they are cheating. Are there hormones correlated with sexual fantasy? What are Americans Fantasizing about? Shame about fantasy – and who feels more ashamed. Our our fantasies actually truth and should we act on them? The difference between fantasy and desire. Just because you have a fantasy about a threesome – should you do it? Humans are poor predictors of future emotional states – Justin Lehmiller What do people mean when they talk about “getting the spark” back. And is there a role for fantasy. Sex quality versus quantity. In his book Dr. Lehmiller talks about self disclosure and building trust….but it can seem fraught with backfire potential. Should you share your fantasy with you partner? How do you know if it is safe? Novelty – seems so simple but people have the same sex week in and out. Research shows couples who engage in the most acts of novelty tend to be the most sexually satisfied and the most successful at keeping the passion alive. The most common fantasy and the one that doesn’t work out well when done in real life – threesomes. Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life https://amzn.to/3ZkDW5K Sex and psychology podcast https://podcasts.apple.com/us/podcast/sex-and-psychology-podcast/id1505460817 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode 200!!!! Suzanne Gilberg-Lenz, MD works at the Women’s Care of Beverly Hills, an obstetrics and gynecology practice that has locations in Beverly Hills and Redondo Beach, California. Dr. Gilberg-Lenz is involved in women’s empowerment and public education and frequently appears as an expert in women’s health and integrative medicine on TV, in print, and online. Her book Menopause Bootcamp: optimize your health, empower your self, and flourish as you age is out now. Why is talking about menopause an act of rebellion? How many doctors know how to treat menopause and how to find an expert? We discuss the role of communication and how it builds intimacy. Normalizing how varied sex can be and getting out of the heteronormative narrow view of penetrative sex. The role of declining estrogen and giving less fucks. How can menopause be an opportunity? Mainstream medicine has a woman problem – and the painful truth is that science fails us. Why we do not recommend pellets? How to talk to your doctor about menopause? Why does no one care about heart disease? https://www.menopause.org/ https://www.instagram.com/askdrsuzanne https://www.instagram.com/themenopausebootcamp/ Menopause Bootcamp: Optimize Your Health, Empower Your Self, and Flourish as You Age https://amzn.to/3m5ZJzn Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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. Dubin is a fellowship-trained urologist and andrologist focusing on men’s health. He cares for men with fertility problems, sexual issues (erectile dysfunction, premature ejaculation, delayed ejaculation, etc.), Peyronie’s disease, low testosterone, testicular pain and other problems involving men’s genitalia. He wants to help men understand that the issues they face are normal and help them find solutions that fit their lifestyle and life goals. In addition to providing individualized patient care, he is also passionate about providing helpful information to the community. He co-hosts a podcast, “Man Up — A Doctor's Guide to Men’s Health,” in which he discuss various men’s health topics. Why don't men go to the doctor? Where do men get most of their sex ed from? Figuring out the difference between erections, orgasm, ejaculation (and refractory time) and desire. The five things you need to get a good erection. The role of testosterone and libido and erections. Taking testosterone can cause infertility in 60% of men. Once you take Testosterone are you going to be on it forever? When a man goes to the doctor for Viagra, should the doctor ask about the partner? We need more people talking about intimacy without an erect penis. And if you are comfortable - what to do when you penis doesn't work - I hear over and over about men being able to orgasm with a soft penis and I need some info on this! Are you the person? So many people think sex is over when the penis doesn't work and I need someone to tackle this difficult topic. Dr. Dubin did a study looking at women getting blamed for their partner’s erectile dysfunction. 1 out of 7 women were blamed. Tips for when your male partner doesn’t want to talk about intimate issues. What is with products that make you make more semen? What is with penis enlarging procedures? Social media inaccuracies with men’s health – sperm retention! Does ejaculating decrease prostate cancer? Does vasectomy cause prostate cancer? https://www.themanuppod.com/ https://www.instagram.com/themanuppod/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Is bigger always better? The “use it or lose it” myth needs to die. Vaginal atrophy is a hormonal issue. Are orgasms good for you? Can I use vaginal estrogen more than twice a week? Tips and tricks for vaginal estrogen. Can you still get BV and yeast infections after menopause? Painful sex and low libido after a LEEP procedure. Hi I have a question! I just saw my gynecologist , she has me on vaginal estrogen. I asked if I can go on the estrogen patch she advised me that I don’t need to be on the patch that the tabs are what I need! I’m sorry I should have said explained i had a hysterectomy in my 40’s they left my ovaries a year later I was told I was in full menopause! I’m 60 now and only started vaginal estrogen a year ago due to me complaining about painful intercourse. Should I also be on the estrogen patch. I’m only 22 and suspecting a stage 3 prolapse . I’m pretty sure I’ve unintentionally caused it due to straining on the toilet,etc. I wanted to know- can I still get pregnant? And can my prolapse heal itself? Who needs systemic estrogen versus only vaginal estrogen? The multiple reasons we are undertreating menopause. I’m a 62 year old guy. Married to a beautiful soul for 40 years. I’d love to get her your book. But, I don’t wanna come off as being “that guy.” Do you have any suggestions? Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones. It is a nice overview and I hope you enjoy it! The best way to get rid of fear is education Why the Women’s Health Initiative study took people off of hormones Understanding the Healthy Cell Hypothesis Repetition is the key to adult learning The top two reasons women stop having sex in perimenopause and menopause What we know about menopause hormone therapy in 2023 The more educated you are, the more you can advocate for yourself By definition: menopause is one day - 366 days after your last natural period Average age of menopause in western society is 51 Hormone therapy was popular in the 80’s and 90’s If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen) FDA approved indications for estrogen 1) preventing osteoporosis 2) treatment of vasomotor symptoms 3) treatment of premature ovarian insufficiency (going into menopause prior to age 40) 4) GSM how did we get to the point where we thought estrogen caused cancer? what does hormone therapy help? the longer you go without estrogen, your arteries develop a fatty streak or plaque who can’t be on HRT who can be on HRT Best practices for hormone replacement therapy Non oral estrogen vs oral estrogen Unanswered questions we have about hormones Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy ONE MILLION DOWNLOADS! So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it! How can iIget my partner to have more sex with me? 1. Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way. 2. Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex. 3. Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you. 4. Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship. 5. Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues. 6. Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship. 7. Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner. It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 get so many hormone questions! So I needed a podcast to refer people to. I hope I did okay covering the basics and deep diving into some more complicated details. Enjoy! 1. Sex and Menopause 2. Systemic versus Vaginal Hormones 3. Estrogen Doesn't Cause Cancer 4. We gendered hormones and how this hurts women 5. Natural is a weapon waged to keep us in our place 6. Pellets and compounds are to be avoided if better options are available 7. You never need to stop hormones 8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease). (bonus) I hate the word "balanced" when discussing hormones. Pro tip - people are probably just trying to sell you something. Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report They were on my podcast # 181 – sex talks with social media’s sex educators Justin Dubin’s paper on Blaming women for erectile dysfunction Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection Sex toys in the middle east Mindfulness with Female Sexual dysfunction Clinical practice guidelines for use of T in Women https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters" https://amzn.to/3GaubA5 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy Third Birthday and New Year’s Resolutions - Will hit 1 million in January! New year’s wishes - Male birth control - Say no and have it be okay - Vaginal E for everyone who wants it o Good Rx Estradiol 0.01% 42 G tube o Amazon Pharmacy – 28.13 Interlude – get interlude 20 off your first order - Decreased fear around estrogen o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd https://peterattiamd.com/caroltavris-avrumbluming/ 2021 update from the authors - :the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.” - Desire mismatch is not a problem - Orgasmic equality - Hope is not a game plan o Wishing your desire was different does nothing – it does worse than nothing o Resisting reality, resisting what is - Healthy relationship with your body o Speak kindly o Sleep, exercise, food o Stop shoulding all over your body - Healthy relationship with sex o Stop shoulding o Stop doing it for other people o Be present o It is okay to fail, to not feel like it Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership https://www.getinterlude.com/?utm_source=affiliate&utm_campaign=promo-kc-notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy December live podcast. I talk about snake clitorises, human clitoris nerve endings, why the American Heart Association wants you to start hormones early, and sex has gone mainstream as the Economist talked about it! Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 the audio of a lecture I gave to Urology and Gyn Residents in 2022. I know you are an advanced audience and can handle graduate level work! Enjoy! Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Krista St-Germain is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too. The brain love interpretation and drama. Tell us your story of how you became a coach for widowed moms. How to define grief – a natural response to perceived loss. When sex is appropriate while grieving? How does grief work? Grief is not golf. How to respond to someone experiencing grief. “Feelings are not problems to solve” – Krysta St. Germain 8 myths about sex and grief - You just want physical touch, not sex - If you want sex again it means you didn’t love your person of loss - The first year is the hardest/you shouldn’t have sex the first year - If you don’t want sex there is something wrong with you - You should wait for sex until you are done grieving - If you want sex then you must be trying to escape your grief - Escaping your grief is wrong - You can have sex again until it is “the one” - You aren’t ready to have sex until you don’t have strong emotions Sex after a health diagnosis https://www.instagram.com/lifecoachkrista/ coachingwithkrista.com https://podcasts.apple.com/us/podcast/the-widowed-mom-podcast/id1468127632 https://www.facebook.com/coachingwithkrista/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 Sylvie B – a sexological body worker in training! Many people struggle in their intimate relationships, whether because of pain, perceived dysfunction, loss of libido, mismatched libido and, most pervasively, shame. Many people have also experienced trauma, low self-esteem, and frustration over the limits to their pleasure. Somatic sex education is about exploring our sexual challenges through breaking down the autopilot and the worn out old patterns we rely on for whatever reason, which limit our erotic pleasure and full self-expression. Good sex more than just the absence of pain. Why do people come see a sexological body worker? What is Somatic Sex Education and sexological bodywork? Not many people are used to being asked how they would like to be touched. Some people get really frustrated because they realize they just don’t know. And that they have never looked too deeply into that. That can bring up feelings of guilt or shame. Tips for squirting How do you want to feel during sex? Tips for tuning in to the very subtle frequency of what people actually desire. What to do when people feel numb? How do we emerge from shame and trauma? How do we set and communicate boundaries as women in our relationships? The pleasure of the soft cock – what to tell men with ED. What to do. Let’s talk about this problem – middle age pelvis – menopause versus viagra Find Out More https://somaticsexeducator.com/ https://www.instagram.com/s3xandsensibility/ https://mysexandsensibility.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 Lynn is back! Previous on Episode #44 and #43 where we talked about vaginismus and endometriosis and sex after breast cancer (44) and hormones (43). So check them out! She is the founder of Evora Women’s Health in Missouri Dr. Lynn recently authored the paper: Low Sexual Desire in Breast Cancer Survivors and Patients: A Review - Sexual dysfunction is 30-100% of women with breast cancer. And low desire is 5-87% - What happens when we do surgery on the breasts o Does it matter if we had radical mastectomy versus lumpectomy, with or without reconstruction? - Role of Chemotherapy on sexual function - Role of anti-estrogen meds on sexual function - Role of couples therapy - Data on vaginal moisturizers on sexual function - Role and safety of vaginal estrogen after breast cancer treatment – ACOG statement paper - Trial of Bupropion – open study shows improvement – randomized controlled trial versus placebo pending - Role of vaginal testosterone cream in pts on Aromatase Inhibitors – lowers estrogen in the body - There is a study looking at intravaginal DHEA on sexual function in breast cancer - Abstract at ISSWSH on Addyi (filbanserin) in breast cancer population - Role of hormones after breast cancer Dr. Lynn is a proponent of medical marijuana for better sex 34% OF WOMEN WHO REPORTED USING MARIJUANA BEFORE SEXUAL ACTIVITY SAID IT INCREASED THEIR SEX DRIVE, IMPROVED ORGASM, AND DECREASED PAIN. Luo F, Link M, Grabenhorst C, Lynn B. Low Sexual Desire in Breast Cancer Survivors and Patients: A Review. Sex Med Rev. 2022 Jul;10(3):367-375. website: https://evorawomen.com/ FB/IG @evorawomenshealth TikTok: @dr.beckylynn FB/IG Becky Kaufman Lynn, MD YouTube: search Dr. Becky Lynn YouTube: search Evora Women's Health Twitter: @Becky Lynn Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/jWTmnn Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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. Carrie Leff is a practicing Internist and Pediatrician in Michigan. She is passionate about Adolescent and Women's health. Dr. Leff is on a mission to educate teens about their bodies and to help parents become more comfortable with difficult conversations with their kids. She is the mother of 3 daughters, a professional multi-tasker and a believer in the power of women. Dr. Leff co-wrote Celebrate Your Body 2: The Ultimate Puberty Book for Preteen and Teen Girls in 2019. It is a #1 Best seller in in Teen & Young Adult Health Books on Sexuality & Pregnancy on Amazon. We met at the ISSWSH conference March 2022 in Texas – we were both giving lectures. “Mommy, I feel like you wrote this book just for me” – Dr. Leff’s daughter Why she wrote this book and created a program about puberty? How puberty is like menopause. She discusses when puberty starts and what first signs are. What does an all-American puberty education in a public school look like? “Talking to your kids should be 30 one minute conversations, not one 30 minute conversation” – Dr. Leff “Our kids aren’t connecting puberty and sex unless we make that connection for them” – Dr. Leff If you can’t/won’t discuss puberty with your kids then you are teaching them that you aren’t a resource for this information. I love how you call private parts “personal parts” – why is this important? So many middle aged women have body shame – when does this start? How she found out her book was banned. Consent – example of trying a shirt on at a store - - so important – many middle age women don’t practice consent. How to close the orgasm gap by 2040 – her plan A golden question, “how will you know you are ready to have sex?” Moms buying teens their first vibrators – thoughts and her experience You didn’t bring up birth control – when to bring it up, how to bring it up, resources for adults. You wrote an op-ed for the Washington post about your book getting banned: “Some parents believe that telling children the truth about sex and our bodies will spoil their innocence. But innocence and ignorance are not the same.” Celebrate Your Body 2 Book: https://amzn.to/3dLZzc7 https://turningteen.com/ https://www.instagram.com/drcarrieleff/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 Many good topics in the November Live Podcast! USPSTF opinion on hormones for primary prevention of disease. https://jamanetwork.com/journals/jama/fullarticle/2797867 Worrying what other people think - vagina and penis broken in older dating Clitoris has 10k nerve endings What Kaiser says about having sex - and is it accurate? We need more research before we tell women they "should" have sex to prevent atrophy - it is just misinformation at this time. The brain is the biggest sex organ! And the role of "sex negativity" on your 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

Dr. Rubin’s NY Times article! My book is now on Audible! And Q&A · Can you talk about IC? · What are other options for testosterone? This is the first time I’m hearing that pellets are harmful. I’ve done two rounds of HRT and getting ready for my third. Although to be honest not completely happy with the testosterone pellet as it is elevated at the beginning and begins to drop off after a couple weeks. · What are your thoughts on getting an ablation to stop my period? I’m 50 and went back on the pill to regulate my period, but it’s suppressing everything else! · Can you discuss whether surgery before or after menopause is advisable for prolapse? · We aren’t talking enough about female hormones and their impact on mood. PMS, PMDD etc. It's a roller coaster every month and I have no doubt it has some serious implications for some. · I am wondering about peri menopause- I am 44 and still on birth control pills- I have been listening a lot about your suggestions to take a low dose estrogen to keep everything in good aging health during menopause, is it ok to do this while still on the pill? Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Religion and Sex – Can They Be Bedfellows? Today we discuss the Muslim culture, sex, and vaginismus with Dr. Sadaf Lodhi, OBGyn and sex coach for Muslim women. She is host of the Muslim Sex Podcast – we discuss her origin story Religion can have a profound effect on one’s sex life/sexuality. Islam is a sex positive religion. When the Muslim countries were colonized they tended to become more puritanical. Islam discusses sex within the context of marriage. Many times women experience shame and people don’t talk about women’s pleasure. Common things Dr. Lodhi sees women coming to her with: Seeing sex as a duty Low libido Beliefs like sex is dirty or sex will be painful One of her most important things she likes to do is empower women through education. Women get pressure from their partner and an expectation that it is a duty. And they are failing them and God. Vaginismus – the involuntary contraction of the muscles surrounding the lower 1/3rd of the vagina. 1/3rd of Muslim culture may struggle with vaginismus. The role of mindfulness in helping vaginismus and low desire. “People make putting something in the vagina a big freaking deal” – Dr. C. The role of PT in treating vaginismus. There are no FDA approved medications for vaginismus. Dr. Lodhi shares a huge win with us. It is not about the number of times of sex a week. The role of the scholars and the males in helping women feel sex positive. Follow her on Social Media: Muslim Sex Podcast www.drsadaf.com Facebook: @DrSadafobgyn Instagram: @DrSadafobgyn TikTok: @DrSadafobgyn Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

A rundown of my time in NYC, moderating a Sex Ed panel for "the New Pause" symposium hosted by Stripes and The Swell. https://theswell.com https://iamstripes.com Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vanessa’s a licensed psychotherapist with 20 years of experience in the sex therapy field. Xander’s a regular dude who’s been married to a sex therapist for over a decade Their hot take on desire. Their top three causes of low libido that they see 1) Painful sex 2) Unpleasurable sex 3) Relationship issues “Our libido gets affected by everything in our lives” – Vanessa Marin “Is my life actually supporting my libido?” – Vanessa Marin Let’s talk about initiation – tips, couples get stuck in old scripts that stop working as relationships change “You get rejected once and you think you are unlovable” – Dr. Casperson “initiation should feel like an invitation” – Vanessa “Initiation takes a large amount of vulnerability” – Vanessa “There are a lot of unhealthy gender dynamics that come up with initiation” – Xander Marin According to their online poll, only 2% of breast owners like the “boob honk” as a way to initiate sex. Spouses who avoid talking about sex – they are writing a book! What to do when a partner stonewalls the conversation – don’t start with the problems. Connected to feel like sex or sex to feel connected – often one of each in a partnership At what point should couples consider bringing in a therapist? How to find out how much sex is “right” for someone’s relationship Woman says – he doesn’t care about my pleasure – what to do? Vibrator envy – help for the woman when the partner doesn’t understand and being able to advocate for your pleasure. Consent and the problem of “I just do it for him” Avoiding sex because of erectile dysfunction. They help us trouble shoot. 2023 new book! Sex Talks: The 5 Conversations That Will Transform Your Love Life Hardcover – February 7, 2023 https://www.instagram.com/vanessamarintherapy/ https://vmtherapy.com https://podcasts.apple.com/us/podcast/pillow-talks/id1569466131?i=1000577319619 Sex Talks Book: Pre-Order - https://amzn.to/3CR8OT9 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Listen to this very deep and vulnerable conversation I had with my friend Dr. Kathy Zhang on her podcast, The Purpose Filter. There are so many aspects to living a life of fulfillment, but what if there was one area of your life you could improve that would spill over into all others? Sounds like a bit of a life hack. Well, it is, and we want to share it with you on today’s episode. Is your sex life fulfilling, or are you just going through the motions? The empowerment you get from knowing what you want in the bedroom and being able to speak up and ask for it, or the ability to say no, when no means no, is a crucial element to all aspects of your life. If you can stand up for yourself in these very vulnerable and intimate situations, the empowerment that happens outside of the bedroom will come naturally. This all starts with you and your willingness to make a decision to uplevel your life and stop living on autopilot. “Should we care about the people who are sleeping with the people we are giving Viagra to?” “My husband died so now I need to take care of myself”. “It is easy to be average” “She just wants the damn thing to end – which is another reason that women fake orgasm” On faking orgasms - “He thinks it is the end of the party and you were never at the party.” “You can’t just give somebody desire. It is an inside job” “I think working on your sex life is the final frontier of personal growth.” “Everything you do to have a better sex life spills over to other aspects of your life” “What if my whole purpose in life is to tell people to use vaginal estrogen cream?” Tune in to hear how you can create more joy and abundance in your life! Topics discussed in this episode: • Dr. Casperson’s experience in a largely male dominated field • What is it like becoming the first doctor in the family • Bad advice Dr. Casperson received when she was becoming a doctor • Giving yourself permission to step into your power • Why your voice is important and unique • What was Dr. Casperson’s turning point to change the way she lived her life • Applying dying lessons now while we are living • Why women feel their pleasure and themselves are not a priority • How to move past shame and guilt surrounding sex and beyond • Going from being pulled along for the ride to getting into the driver seat • How young people should re-frame purpose • Sharing the gift of awareness and presence Connect with Dr. Kathy Zhang on Intagram https://www.instagram.com/purposefilter/ And on her website: https://luyikathyzhang.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- 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 Glen Lovelace! I love his generosity toward helping men in relationships and his masculine energy on this podcast! He shares his story from desperate (even suicidal) plans to living a life of helping others live their best relationships. When women learn about their sexuality and get empowered, often they feel stuck because of a spouse who they fear is not open to change. I wanted to bring on someone who literally deals with this as his job. Glen helps men who's wives have been transformed in one way or another, usually by coaching education. Glenn Lovelace is the wingman for men whose wives have transformed from coaching. He is a certified coach through the life coach school. Glenn has coached over 3,000 clients 1 on 1 since 2008. His transformation started with bodybuilding after being in a very low place in his life. He decided he needed to prioritize himself to be the best spouse and father he could be. "It’s okay to be uncomfortable." How to “gently” change your partner (and remember you can’t change anyone who doesn’t want to be changed). 1) Show them how you have changed 2) Bring in a third party influencer 3) Learn how to speak the same language 4) Always remember you two are on the same team Roomate Syndrome – just existing together and losing touch why you love and are attracted to each other. If one person does their work, the marriage can get better. Your spouse is just there to love. Can couples start speaking the same language? Glen says yes! Intimacy not in the bedroom is important! Wanting your spouse to change for you to be happy is a toxic plan. Happy Wife Happy Life - it’s a lie and Glen explains how it wasn’t good for him. Each person is in charge of their own pleasure. Don’t assume what is needed in a situation - - Ask How to be a man worth desiring? Start dating and desiring your wife. Approach her how she wants to be approached. Date every week. Keep your commitments. There are seasons to your sexuality. Foundations of trust in a relationship - Security, trust, safety, stability The trouble with saying “divorce isn’t an option” Talk about your religion – what does your religion say about sex and marriage and how have you navigated any challenges? “Progress Creates Happiness” – Glen Lovelace https://glennlovelace.com/ https://www.instagram.com/itsyourwingman Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get a jump start on the coaching you heard in this episode and to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More - Reassuring data on Estrogen and breast cancer - social media is associated with sex dysfunction - define erotica, why are we so scared of this word? - Why couples don’t have sex – thanks for the inspo www.instagram.com/yourdiagnonsense - top feelings in your fantasies - the more you focus on these the more you will enjoy sex, and the farther you get away - and if you aren’t getting these fulfilled, the more breaks you have on. And does society agree with your core feelings? It matters. - Danish observational study on HT after BCa - What can I learn from boredom? - MHT and cholesterol changes Reassuring data regarding the use of hormone therapy at menopause and risk of breast cancer Pinkerton, JoAnn V.; Wilson, Carolyn S.; Kaunitz, Andrew M. Menopause. 29(9):1001-1004, September 2022. Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Jul 20:djac112. doi: 10.1093/jnci/djac112. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

A mindwork episode! Dr. Ubell is one of the first physician life coaches! She gained and lost the same 40 lbs at least 10 times since puberty and now helps women become a team with their body and stop obsessing over food using the power of mindwork. She reached out to me to be on the podcast and at first I didn’t know how to connect the dots besides life coaching. I have a podcast episode called “sex while fat” – we are okay at any size. I was worried she just wanted to talk about losing weight. So I said Okay if we can talk about how mind work in her arena can also relate to a positive body image and sex life. Like my older episodes talking about money and sex – these topics are more related than we think because of our thoughts about them. “I am interested in people stopping hating themselves” – Dr. Ubell What is diet culture? The concept of mutual respect between you and your body. Can weight loss goals exist with body positivity? Shame is useless. “I haven’t had success so there must be something wrong with me” Dr. Ubell Why do we get numb or disconnected from our bodies? Over eating as a trauma response – sexual assault or childhood trauma – I got big to not feel or too attractive. Changing one’s identity requires changing our thoughts. Menopause and weight gain/loss – watch what you believe about this. Acceptance of our bodies as we get older. Entitlement thoughts! I feel so seen! I am entitled to my latte! How to stop invalidating your emotions Relationship with yourself and thoughts about yourself are important for both weight loss and sexuality. Get her book here! https://amzn.to/3AYTwtU https://katrinaubellmd.com/ https://www.facebook.com/katrinaubellmd/ https://www.instagram.com/coachkatrinaubellmd/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 was a Book Club I did with Dr. Rachel Rubin and Andrea Martin, NP last week. Free first chapter on the website www.kellycaspersonmd.com Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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. Soum Rakshit is the Co-Founder & CEO of award-winning sexual health company, MysteryVibe. Their mission is to make sexual health accessible to all – across all ages, genders & orientations. From his research & experiences over the past 2 decades, Soumyadip deeply understands that a major challenge in most people’s lives is keeping the ‘mystery’ alive in a long term relationship. This is especially the case after major life events like childbirth, menopause, cancer treatment or surgery. That’s why he decided to combine his defense electronics expertise with medical experts to create devices that address major sexual health issues like ED, dryness & pain during intercourse. At the same time, working closely with sexual health experts, his team has been at the forefront of researching & developing content that act as catalysts for people to start much-needed conversations to reignite their sex life. How did you get into sex toys? How he told his parents he went into a sex toy company. Only 1 in 4 people will see a doctor for their intimacy issues. “Pleasure is seen as a vice” Main barrier to selling sex toys when all social media bans sex. How does vibratory therapy work? Sexual health and how it is often overlooked when it comes to pre- and postmenopausal women. Are sex toys getting too complicated? What to do? How to maintain a sense of mystery in a long-term relationship. Advice for women in bringing a vibrator into the bedroom with a partner. https://mysteryvibe.com/ Rullo JE, Lorenz T, Ziegelmann MJ, Meihofer L, Herbenick D, Faubion SS. Genital vibration for sexual function and enhancement: best practice recommendations for choosing and safely using a vibrator. Sex Relation Ther. 2018;33(3):275-285. doi: 10.1080/14681994.2017.1419558. Epub 2018 Jan 4. Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy! 1. The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers 2. 𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price ⁣ 3. 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO. ⁣ 4. 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time. ⁣ 5. 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks. ⁣ 6. 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis. ⁣ 7. 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory. Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558. www.winkwinkboutique.com Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Vaginal Lasers How a male can introduce my book to his female partner Unopposed Estrogen can cause harm Q&A from listeners: Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations? I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions? I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly? I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right. Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vulvar Itch – What could it be? With Dr. Jill Krapf So lucky to catch Dr. Krapf in her car (sorry for the spotty audio but too good to not share) for this live Q&A we did for my membership - but as you know Car audio isn't perfect - I still think it is worth the share! Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership What can the vulvar itch be? Why is it worse at night? Does low estrogen increase risk of itch? Dr. Jill Krapf discusses Lichen Simplex Chronicus Does a bidet help? Embedded Vulvar yeast Lichen Sclerosis in premenopausal women Flares are real Krapf JM, Smith AB, Cigna ST, Goldstein AT. Presenting Symptoms and Diagnosis of Vulvar Lichen Sclerosus in Premenopausal Women: A Cross-Sectional Study. J Low Genit Tract Dis. 2022 Jul 1;26(3):271-275. https://pubmed.ncbi.nlm.nih.gov/35533256/ https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/ I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vaginal Estrogen Show And Tell Watch on YouTube: https://youtu.be/eAgTp1dt4W4 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership Is vaginal estrogen the same as menopause hormone therapy. Do you need to use a progestin if you use a vaginal estrogen cream? What is the risk of breast cancer with vaginal estrogen? I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices