You Are Not Broken

Sit down and buckle up. a long podcast but so so so many topics and though provoking ideas from the research and presentation from the just finished ISSWSH conference. Dr. Kelly Caspersen shares insights from the International Society for the Study of Women's Sexual Health (ISSWSH) Conference. She discusses the importance of lifelong learning and the mission of ISWSH to promote sexuality for all. Topics covered include polysexuality, monogamy and polygamy, shockwave therapy for erectile dysfunction and more, supporting sexual wellbeing in people with developmental disabilities and ADHD and, immune dysfunction and vulvar pain, hypoactive sexual desire disorder, and the role of healthcare providers in addressing quality of life. This conversation covers a wide range of topics related to sexual health, hormones, and the impact of technology. Some of the key themes include the role of role modeling and accountability in personal fitness, the misconceptions about menopause and desire, the influence of hormones in personal training, the potential use of clitoral ultrasound for evaluating cardiovascular health, the effects of stress on sexual desire, the relationship between diabetes and sexual function, the concerns and considerations of hormone replacement therapy, the impact of coffee on a new menopause medication, the importance of advocacy and education in sexual health, the connection between orgasm and pain, the use of sex tech and its effects on sexual function, the importance of human touch in sexual experiences, and the debunking of myths surrounding semen retention and rough sex. Enjoy! Reminder to follow, subscribe and share for more! Take Aways Lifelong learning is important for staying up-to-date with evolving knowledge about sexual health and hormones. Sexuality is a human right and should be appreciated as part of the human experience. Definitions and labels in sexuality can vary and it is important to ask individuals how they define themselves. The microbiome and immune function play a role in vulvar pain and sexual desire. Healthcare providers should prioritize addressing quality of life and understanding the unique needs of their patients. Accountability and role modeling can be powerful tools in personal fitness and wellness. Menopause does not always lead to low desire, and the quality of a long-term committed relationship can be a risk factor for low desire. Hormones play a significant role in personal training and muscle recovery. Clitoral ultrasound may have potential applications in evaluating cardiovascular health in women. Stress can have both positive and negative effects on sexual desire and function. Diabetes can impact sexual function, and physical activity can help protect against sexual dysfunction in women with diabetes. The use of hormone replacement therapy should be carefully considered, and the marketing of hormone-free alternatives can be misleading. Coffee may have an impact on the efficacy of certain medications, including new menopausal medications for hot flashes. Advocacy and education are crucial in promoting sexual health and debunking myths. The brain plays a significant role in sexual pleasure and pain perception. Sex tech can enhance sexual experiences but should not and can not replace human connection and touch. There is a need for knowledge translation in research to ensure that findings are effectively communicated and applied in clinical practice. It is important to prioritize consent and safety in sexual activities, and to debunk myths and misconceptions surrounding rough sex and choking. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sex Coaching for Beginners In this conversation, Dr. Kelly Casperson interviews Kristine D'Angelo, a sex coach, about her journey into sex coaching and the difference between sex therapy and sex coaching. They discuss common barriers to pleasure, the impact of childhood messages on sexuality, and the importance of redefining sex in heterosexual relationships. Kristine provides tips for women to get into their bodies and invites them to explore sexual content and invite pleasure. They emphasize the importance of communication in relationships and the need to overcome anxiety in conversations about sex. The conversation concludes with a discussion on reconnecting with pleasure in everyday life and improving sex life through communication and understanding. In this conversation, Kristine D'Angelo, a certified sex coach, discusses the importance of exploring sexual fantasies and the challenges people face in sharing them. She also provides insights on finding a sex coach and the benefits of working with one. Kristine shares various platforms where people can connect with her and access her resources. Takeaways Sex coaching focuses on future-focused problem-solving and helping individuals achieve their goals for a more fulfilling sex life. Common barriers to pleasure include being stuck in the headspace, overthinking, and trying to meet unrealistic expectations. Tips for women to get into their bodies Common Barriers to Pleasure Childhood messages and societal norms can create barriers to pleasure and a lack of understanding of one's own sexual needs and desires. Transitioning from a task-oriented mindset to a pleasure-oriented mindset is important for enjoying sexual experiences. Communication and understanding are key to improving sex life and maintaining a strong foundation in a long-term relationship. Many people struggle with sharing their sexual fantasies and may feel shame or avoid the topic altogether. Overcoming anxiety in conversations about sex Finding a sex coach can be done through organizations like the World Association of Sex Coaches (WASC), online searches, or social media platforms. Working with a sex coach can provide support, guidance, and education to enhance sexual well-being and relationships. “Assumptions are the termites in long term relationships” - Kristine D'Angelo IG: sexcoachkristine Podcast: IG So I Married A Sexologist Doyoursexlifeafavor.com Youtube https://worldassociationofsexcoaches.org/ Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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 BIO in Biopsychosocial – Medications for Sexual Health In this episode, Dr. Mona Gupta and Dr. Melissa Dahir join Dr. Kelly Casperson to discuss the importance of sexual health and the misconceptions surrounding it. They emphasize that sexual health is a bio-psycho-social issue and should be treated as such. The panel also addresses the black box warnings and misconceptions associated with sexual desire drugs, highlighting the benefits and considerations of these medications. They debunk the myth that alcohol is unsafe to consume while taking these drugs and discuss the positive effects of these medications on sleep. The panel also explores the sexual side effects of antidepressants and provides strategies for managing them. They delve into the use of testosterone replacement therapy and its impact on sexual health. Finally, they offer advice on navigating medications and seeking help for sexual health issues. Takeaways Sexual health is a bio-psycho-social issue that should be treated holistically. Addyi – how it works, its influence on sleep, and it’s safety profile, and it works in pre and post menopausal women. Black box warnings and misconceptions surrounding sexual desire drugs should be reevaluated, as these medications can have significant benefits for individuals. Alcohol consumption is not necessarily unsafe while taking sexual desire drugs, and the effects of these medications on sleep can be positive. The sexual side effects with SSRI’s and common psychiatric medications. Antidepressants can have sexual side effects, but there are strategies for managing these issues, such as adjusting the dosage or adding complementary medications. Testosterone replacement therapy can be an effective treatment for sexual health issues, particularly when used in conjunction with other therapies. When seeking help for sexual health issues, it is important to find a provider who is knowledgeable and supportive. Dr. Melissa Dahir, DNP, IF has been the Midwest’s leading healthcare expert in sexual medicine and vulvar pain disorders since 2006. In 2012 the International Society for the Study of Women’s Sexual Health (ISSWSH) named her an ISSWSH Fellow (IF) which is a top distinction in this field. She strongly believes that ongoing research is the key to advancing women’s sexual health. https://melissadahir.com/ Dr. Mona Gupta, a renowned psychiatrist with seven practices and growing in North Carolina, is a forward-thinking key opinion leader in psychiatry. Specializing in breaking down patients' problems into manageable components, she facilitates easier tackling. Dr. Gupta, a passionate advocate for women's sexual health, emphasizes its undervalued role in mental health and overall wellbeing. Dr.Gupta: https://www.guptapsychiatry.com/ https://www.facebook.com/GuptaPsych https://twitter.com/GuptaPsychiatry https://youtube.com/@guptapsychiatrywellness1740?si=Fxud1VWQj1ADCV6 https://www.tiktok.com/@guptapsychiatry1 Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

Check out details for my retreat: https://ascendretreats.com/ In this episode, Dr. Kelly Casperson discusses the connection between the brain and sex, the role of hormones in desire and arousal, and tips for increasing desire and overcoming mental blocks. She also addresses common concerns such as painful intercourse, bladder issues, and changes in sexual sensation after surgery. Dr. Casperson emphasizes the importance of communication, seeking professional help when needed, and understanding that everyone's sexual journey is unique. In this conversation, Dr. Kelly Casperson discusses various topics related to sexual health. She emphasizes the importance of prioritizing sex and the role of dopamine in our desire for pleasure. She addresses challenges with painful sex and low libido, providing recommendations for overcoming these issues. Dr. Casperson also highlights the need to expand the definition of sex beyond penetration and explores ways to achieve orgasm and pleasure. Additionally, she discusses the impact of diet on sexual health and provides guidance on finding a reputable sex therapist. Takeaways:The Connection Between Sex and the Brain The Role of Hormones in Desire and Arousal Tips for Increasing Desire and Overcoming Mental Blocks Using Erotica and Visuals to Spark Imagination Navigating Sexual Frequency and Expectations Managing ADHD and Staying Present During Sex Using Vibrators and Addressing Painful Intercourse Improving Communication and Intimacy in Long-Term Relationships Understanding Burning Sensations After Ejaculation Addressing Bladder Issues and Prolapse Using Vaginal Estrogen for Dryness and Atrophy Managing Libido and Pleasure with Various Factors Addressing Changes in Sexual Sensation After Hysterectomy Exploring the Effectiveness of Libido-Boosting Products The Importance of Prioritizing Sex Challenges with Painful Sex and Low Libido Recommendations for Overcoming Challenges Expanding the Definition of Sex Achieving Orgasm and Pleasure The Impact of Diet on Sexual Health Finding a Reputable Sex Therapist www.heytabu.com Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

Hollywood Ruined Us – Sex Therapist Brooke Bralove Brooke Bralove, LCSW-C is a Licensed Clinical Social Worker, Psychotherapist, Master Accelerated Resolution Therapy (ART) Practitioner, AASECT Certified Sex Therapist, and Certified Daring Way™ Facilitator. Brooke specializes in treating adults, couples, and groups with anxiety, trauma, and relationship challenges. Brooke’s new passion is Accelerated Resolution Therapy, a brief treatment modality using bilateral eye movements that provides lasting relief and healing to patients with PTSD, trauma, addiction, anxiety, and depression. She has maintained a private practice in Bethesda, Maryland for 20 years. Summary In this episode, Dr. Kelly Casperson interviews Brooke Bralove, a licensed clinical social worker and certified sex therapist, about her work in treating sexual health issues and trauma. Brooke discusses her evolution into specializing in sexual health and the importance of education and normalizing sexual issues. She explains the benefits of accelerated resolution therapy (ART) in treating trauma and shares success stories. Brooke also addresses the role of vulnerability in intimacy, the spectrum of trauma, and the integration of therapy into medical practice. She provides resources for finding an ART therapist. Takeaways Education and normalizing sexual issues are crucial in helping individuals and couples address sexual health challenges. Accelerated resolution therapy (ART) is a brief treatment modality that uses bilateral eye movements to provide lasting relief and healing for trauma and sexual health issues. Vulnerability is essential for intimacy, and therapy can create a safe space for open communication and healing. Trauma can manifest in various forms, including sexual trauma, medical trauma, and developmental trauma. Finding a therapist who is trauma-informed and trained in specialized therapies like ART can be beneficial for individuals seeking help. www.brookebralove.com FB: brookebralovepsychotherapy IG: @brookebralovepsychotherapy Tik Tok: @bbralovepsychotherapy Acceleratedresolutiontherapy.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

Sex Symposium: Launching the First Annual Event Today I drink coffee with Dr. Rachel Rubin, fellow urologist and sex med physician and we run through ALL THE THINGS that happend when I co-hosted the first annual sex symposium with Dr. Emily Morse and with The Swell founder Alisa Volkman in New York City. Want to stay connected to hear about more upcoming events with me and the future ones with the Swell? Follow me on IG at www.instagram.com/kellycaspersonmd Check out details for my retreat March 2024: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy In this conversation, Katey Armstrong shares her journey of discovering Dr. Kelly Casperson and the impact of hormone education on her life. She discusses her experience with prolapse and the challenges she faced in accessing hormone treatment in Canada. Katey emphasizes the importance of taking responsibility for one's health and wellness and the need for individualized approaches. She also highlights the positive impact of hormones on her fitness and overall well-being. Katey expresses curiosity about trying testosterone in the future. In this conversation, Katey Armstrong and Dr. Kelly Casperson discuss the use of estrogen and progesterone in hormone therapy. They cover topics such as the application and benefits of estrogen, the routine and benefits of vaginal estrogen, and the use of oral progesterone. They also discuss the timeline for feeling better after starting hormone therapy and the challenges of getting dexa scans. The conversation concludes with a discussion on the long-term benefits of hormone therapy and the importance of personal empowerment in taking control of one's health. Takeaways Education and self-advocacy are crucial in navigating hormone treatment. Individual experiences with hormones can vary, and it is important to find what works best for each person. Taking responsibility for one's health and wellness is empowering. Hormones can have a positive impact on fitness and overall well-being. Estrogen gel can be applied topically and provides benefits such as improved skin health and reduced hot flashes. Vaginal estrogen can be used to improve vaginal dryness and overall comfort. Oral progesterone is often taken in the evening to help with sleep. It can take several weeks to start feeling better after starting hormone therapy, and it's important to give the body time to adjust. Getting dexa scans to assess bone health can be challenging in some areas. Estrogen receptors need time to regulate and upregulate in response to hormone therapy. Hormone therapy has long-term benefits for conditions such as dementia, heart disease, and bone health. It's important to educate oneself and take control of one's health, rather than relying solely on healthcare providers. Gratitude and appreciation for the conversation and the opportunity to share experiences and knowledge. www.healthyevolution.ca www.instagram.com/healthyevolutionbykatey/ FB https://www.facebook.com/katey.kirkwood.5 Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

Changing Women’s Healthcare From Inside Medicine Dr. Sarah Cigna (She/Her) is an Assistant Professor of Obstetrics & Gynecology with The George Washington University. She is the current Director of the SAGA (Sexual Health and Gender Affirmation) Center and Director of the first Sexual Medicine Fellowship in the country for OBGYN physicians. She is active in the International Society for the Study of Women's Sexual Health (ISSWSH); she has served on the education committee for several years and will be taking over as the Education Chair this year. She is a Fellow of ISSWSH and runs a busy sexual medicine outpatient service, teaching medical students, residents, fellow clinicians and patients the wonders of sex medicine! She still enjoys birth work (delivering babies), and benign GYN surgery. She hopes to model the role of sexual medicine specialist in an academic setting for aspiring sex detectives. Dr. Sarah Cigna, an expert in sexual medicine, discusses the importance of sexual health education, challenges in talking about sexual health, the need for comprehensive vulvar examinations, improving access to sexual medicine education, expanding sexual medicine fellowships, addressing side effects of birth control, individualized contraceptive options, improving pain control for IUD placement, and the misconception of testosterone as the desire hormone. The conversation explores the complexity of hormones and desire, emphasizing that there isn't just one hormone responsible for desire and that they all play together. The importance of individualized treatment and its impact on quality of life is discussed, highlighting the life-changing nature of sexual medicine. The significance of referrals and second opinions is emphasized, encouraging healthcare providers to seek help from specialists and patients to seek multiple perspectives. The need for expanding sexual medicine fellowships is addressed, calling for advanced learning opportunities for all healthcare professionals. Takeaways Sexual health education is crucial for healthcare providers to better serve their patients. Comprehensive vulvar examinations are essential for diagnosing and treating sexual health issues. Expanding sexual medicine fellowships can help train more clinicians in this specialized field. Individualized contraceptive options should be offered to patients based on their specific needs and preferences. Improving pain control options for IUD placement can make the procedure more comfortable for patients. Testosterone is not the sole hormone responsible for desire, and other factors, such as estrogen, play a significant role. Hormones and desire are complex, and there isn't just one hormone responsible for desire. Individualized treatment in sexual medicine can greatly improve quality of life. Referrals and second opinions are important in sexual medicine to ensure patients receive the best care. Expanding sexual medicine fellowships is crucial for advancing the field and providing evidence-based care. IG @drsarahcigna @gwsagacenter NYC Sex Symposium www.theswell.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

242. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer In this episode, Dr. Kelly Casperson shares updates on the podcast and announces the four-year anniversary. She discusses her plans for the future, including moving the podcast to a new category and manifesting success in the health and fitness industry. Dr. Casperson also announces a retreat and offers live group coaching sessions. She encourages listeners to sign up for the retreat and get a lifetime membership to her monthly membership program. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding physicians and therapists specializing in menopause issues. Finally, she debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy.Takeaways Dr. Casperson is celebrating the four-year anniversary of the podcast and shares her plans for the future. She announces a retreat and offers live group coaching sessions for listeners. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding specialized healthcare providers. She debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy. Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. doi: 10.1097/GME.0000000000002267. Epub 2023 Oct 18. PMID: 37847875 Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

243. UnF*ck Your Brain: Body Image, Desire and Coaching with Kara Loewentheil Kara Loewentheil, J.D., is a Master Certified Coach, host of the top-rated podcast UnF*ck Your Brain, and creator of the Clutch: A feminist mindset revolution. A graduate of Yale College and Harvard Law School, she did what every Ivy League feminist lawyer should do: Quit a prestigious academic career to become a life coach! Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ In this conversation, Kelly Casperson interviews Kara Loewentheil about thoughtwork and its impact on desire and pleasure. They discuss the influence of society on women's thoughts and desires, the historical context of women's desire, and the concept of object of affirmation desire. They also explore body image and self-criticism, the importance of communication in relationships, and the process of changing thoughts and self-criticism. Overall, the conversation highlights the power of thoughtwork in transforming women's relationship with desire and pleasure. In this conversation, Kara Loewentheil discusses the impact of society's expectations on women and how thought work can help break free from sexist thinking. She emphasizes the transformational power of thought work and the importance of commitment and practice. Kara shares her personal experiences and how thought work has changed various aspects of her life. She also highlights the need to embrace the human experience and let go of the fantasy of constant improvement. The conversation concludes with an announcement about Kara's book, 'Take Back Your Brain.' Takeaways Society plays a significant role in shaping women's thoughts and desires. Women are often socialized to see themselves as objects of desire and believe that their desirability is dependent on others. Body image and self-criticism can negatively impact women's relationship with desire and pleasure. Communication is essential in fostering healthy and fulfilling sexual relationships. Changing thoughts and self-criticism is a gradual process that requires patience and self-compassion. www.instagram.com/karalowentheil https://unfuckyourbrain.com/ Take Back Your Brain https://amzn.to/3RufcoX https://unfuckyourbrain.com/ Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

242. Modern Sex Challenges with Dr. Marianne Brandon Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Dr. Marianne Brandon is a clinical psychologist and Diplomate in sex therapy. Dr. Brandon is the author of “Monogamy: The Untold Story” and the ebook “Unlocking the Sexy in Surrender: Using the Neuroscience of Power to Recharge Your Sex Life”. She is co-author of the book “Reclaiming Desire: 4 Keys to Finding Your Lost Libido.” Dr. Brandon makes cutting edge research on relationships and intimacy accessible for the general public — advice that the people are clearly starving for. Consider the stats: Over 50% of marriages end in divorce Over 40% of women and 30% of men report a sexual concern 20% of marriages are “sexless” Over 20% of women report “marked distress” about their sexual relationships Approximately 30% of spouses have had an affair Dr. Marion Brandon highlights the challenges of sex in society, the lack of comprehensive sex education, and the nuances of pornography. Dr. Brandon also explores the complexities of monogamy, the impact of AI and sex tech, and the role of power dynamics in relationships. She emphasizes the importance of treating couples, not just individuals, and the benefits of having a biopsychosocial perspective. The conversation explores the importance of hormone changes in midlife and the impact it has on sexual health. It highlights the lack of awareness and treatment of genital urinary syndrome, which can significantly affect relationship dynamics. The discussion also addresses the lack of knowledge among physicians regarding available treatments. The impact of intimate connection on overall well-being is emphasized, and Marianne Brandon's Psychology Today blog is recommended as a valuable resource. Comprehensive sex education is lacking, particularly in the digital age. Pornography can be a complex topic, with both positive and negative aspects. Monogamy can be challenging and requires effort, communication, and mindfulness. The rise of AI and sex tech presents both opportunities and concerns. Power dynamics can play a role in sexual relationships and can be explored in a healthy way. Understanding hormone changes and desire discrepancy is important in addressing sexual issues. Treating couples as a unit is crucial for addressing sexual concerns. Taking a biopsychosocial perspective can provide a more comprehensive understanding of sex and relationships. Midlife hormone changes can have a significant impact on sexual health and overall well-being. What to do when the man has a low libido. Genitourinary syndrome is often under-treated and can lead to changes in relationship dynamics. Physicians may lack knowledge about available treatments for sexual health issues. A satisfying intimate connection has a profound impact on relationships and overall life satisfaction. Marianne Brandon's Psychology Today blog is a valuable resource for information on sexual health. The testosterone conference for clinicians is an important event for learning about biopsychosocial and hormonal aspects of sexual health. She asks her clients about their best sex ever because I can learn a lot about them from this memory. https://www.drbrandon.net/ https://www.psychologytoday.com/us/blog/the-future-intimacy twitter @drbrandon https://www.instagram.com/drmbrandon/ Harvard Testosterone Course https://hmstestosteronecourse.com/ Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

241. Myths and Truths - GSM and Pelvic Hormones Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Check out my retreat March 2024! https://ascendretreats.com/ Myths about vaginal estrogen What is GSM - genitourinary syndrome of menopause? The original “use it or lose it” paper. Communication in adult sex ed is very important. Non-hormonal options for GSM We discuss vaginal DHEA My opinion about loading doses for vaginal estrogen Hacks to get cheaper vaginal estrogen – Cost Plus Drugs, Good Rx, Amazon Pharmacy Medication options for GSM and why I have a cream bias Access issues for vaginal estrogen When vaginal estrogen doesn’t work Why vaginal estrogen is a life long medicine Women post menopause have less estrogen in their bodies than men. Vaginal Estrogen is a preventative medicine. It’s role in preventing genitourinary syndrome of menopause. My opinion on the applicator for vaginal estrogen cream. How vaginal estrogen helps overactive bladder symptoms. When our understanding of estrogen is minimal, we don’t understand how it affects our overall health. Should we be treating the female partner when we give men Viagra? I discuss the gender bias in treating humans in medicine with aging issues. How can the medical community do better? The problem with the FDA black box warning on the vaginal estrogen product. Is it okay to put estrogen cream on the penis? How to help our kids and the next generation. https://uronurse.com/ Check out details for my retreat: https://ascendretreats.com https://marcella-hill.mystagingwebsite.com/wake-her-up-retreat/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

240. Sex After Cancer What are possible sexual issues after cancer? What are treatment options? How can we do better talking about it? Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Laila Agrawal is a medical oncologist specializing in breast cancer in a community setting at Norton Cancer Institute in Louisville, KY. She is a fellow of the International Society for the Study of Women’s Sexual Health and has a sexual health clinic for women with cancer. How she went from oncology into sexual health after cancer? The importance of vaginal health after cancer treatment. Why does no one talk about breasts as sexual organs? How does this affect the breast cancer conversation? We discuss options. Things to know about sexual health after cancer diagnosis: It is biopsychosocial The role of body image in impacting sexual health The role of prevention of sexual dysfunction after radiation – vaginal dilators. The ACOG statement supporting the safety of vaginal estrogen after cancer. We discuss different vaginal estrogen products and vaginal DHEA. The role of testosterone when you are on aromatase inhibitor after breast cancer. Use of non hormonal FDA approved products for low sexual desire. Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership https://www.instagram.com/drlailaagrawal/ @drlailaagrawal on X --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Menopause in the Workplace and Estrogen After Breast Cancer Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com - Female physicians want to back off work secondary tomenopause symptoms - The huge financial burden and loss to the workforce because of untreated menopause - One of the largest groups in poverty in America is women over age 80 - I report on the Evernow survey of menopause in the workforce - I discuss Avrum Bluming’s article in the May 2022 Cancer Journal – Estrogen After Breast Cancer – is it time? - I discuss the progression of prostate cancer survivors being given testosterone over my career and how I think breast cancer will be headed this way too. - The efficacy of estrogen in preventing hip fractures. - The longevity benefit of taking estrogen The risk of pulmonary embolism with pregnancy, birth control and menopause hormone therapy - I discuss three paradigms coming in the future with hormones – hormones after breast cancer, hormones in women greater than 10 years post menopause, and hormones in perimenopause Evernow menopause in the workplace Dr. Avrum Bluming’s article Bluming, Avrum Zvi MD. Hormone Replacement Therapy After Breast Cancer: It Is Time. The Cancer Journal 28(3):p 183-190, 5/6 2022. | DOI: 10.1097/PPO.0000000000000595 Estrogen Matters Book Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

238. Testosterone: An Education Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas: Men’s Health, sexual medicine, and hormone replacement therapy. His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the field of sexual medicine and Men’s Health. Why is testosterone so interesting to Dr. Khera? Testosterone and prostate cancer – what do we know. Is a lowering Testosterone in men "natural"? and if it isn’t, what causes low testosterone in men? What do the new weight loss drugs do to testosterone levels and male fertility? We discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido. The role of chronic pain and testosterone and pain meds. The mechanism of how your testosterone goes up when you lose body fat. The four pillars of health for natural testosterone production – diet, exercise, sleep, stress reduction Erectile dysfunction is a harbinger for heart attack and heart disease. “There is not a better barometer of a man’s overall health than his sexual health” – Dr. Khera The role of DHEA (a mild androgen made in the adrenals) in men and women. The link with Peyronies disease and Testosterone. And we discuss penile stretching devices. We discuss a 2013 Finkelstein article – they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen? Dr. Khera was part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse trial. Conclusions: In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events. Barriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it – similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay. He clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this condition? Testosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline testosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal. 50% of men don’t talk to their doctor about their erectile dysfunction, and 44% of those men don’t talk to their partner about it. www.instagram.com/drmohitkhera Dr. Mohit and Dr. Morgentaler’s testosterone course ⁠NEJM article discussed: Gonadal Steroids and Body Composition, Strength, and Sexual Function⁠ ⁠Traverse Trial https://drmohitkhera.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

237. Libido/Desire Differences in Partners Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Dr. Jennifer Vencill (she/her) is an assistant professor, board certified clinical health psychologist, and AASECT certified sex therapist at the Mayo Clinic in Rochester. Her research focuses on sexual health and health disparities in marginalized sexual and gender communities. Dr. Lauren Fogel Mersy (she/her) is a licensed psychologist and an AASECT certified sex therapist. She received her doctorate in clinical psychology and completed her postdoctoral training at the University of Minnesota’s Institute for Sexual and Gender Health. She has advanced training in Emotionally Focused Couple Therapy and Gottman Method Couple Therapy. She specializes in sexual health and relationships and owns her own private practice in Minnesota. Why did they needed to write a book about desire? Desire discrepancy should be part of adult sex education "Your desire should match your partner" is a myth. Why do we want to blame someone or make someone be the problem in a relationship for having a low libido. The stereotype is that the low libido person is the female – but that is not always the case. We define responsive desire. Four requirements for responsive desire – consent, pleasure, focus, time When you have sex for your partner or fulfill a duty – if this is the default or only motivator for sex it can really affect your desire. Tips for getting out of this pattern. We talk about shame and sex. Your sexuality does not exist in a bubble. We suss out asexuality versus low desire. Asexuality is a self-identity label and a valid sexual orientation. What to do when not attracted to a partner anymore? Is attraction as fluid as desire is? We talk about “sexual destiny” beliefs versus sexual growth beliefs and how these can hurt and benefit our relationships. Tips for the high libido partner. Reducing pressure on their partner and managing their rejection and disappointment reactions. Consider what you are longing for when you seek sexual connection or sexual frequency. Tips for “trying to conceive" low libido Is “desire discrepancy” in a relationship a deal breaker? Not usually. What to do when your partner stonewalls you or doesn’t want to work on the relationship. Dr. Fogel Mersy Instagram, Facebook, and TikTok @drlaurenfogelmersy Dr. Vencill www.instagram.com/drjennifervencill. Get their desire book onAmazon Desire: An Inclusive Guide to Navigating Libido Differences in Relationships. Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

236 – Prolapse – Surgical and Non-Surgical Options This podcast is sponsored by Femselect Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. In this episode, we talk a lot about prolapse and touch on- · What is pelvic organ prolapse? · Why prolapse needs a rebranding – so much shame · Risk factors for prolapse · What are the signs and symptoms? · Our tips for treating constipation · Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength. · The impact of prolapse on those suffering · Why we hate calling it “bladder prolapse” · How the bladder can be affected by vaginal prolapse and what may and may not improve · How do we know if we have prolapse · How do we know if we should treat prolapse · Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery · What is a pessary and what are the risks of a pessary. · Can you be sexually active with prolapse? · The role of pelvic floor physical therapy and prolapse. · Surgical treatment options: o One size does not fit all. o Obliterative surgery – colpocliesis o Hysteropexy vs. hysterectomy o Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures o New treatment options (EnPlace) benefits and data o The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. · Modern prolapse repair is safe, effective and recovery is not too stressful for most women. · Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy · The risk of recurrent prolapse · When to consider adding a sling to your prolapse procedure · Just because someone or something said you have prolapse, doesn’t mean you need surgery Instagram.com/allurebydrsonya https://allurepelvicwellness.com/ #EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth My previous Prolapse episodes 21 – pelvic organ prolapse master class 138 – February Live – Hormones, prolapse, pelvic floor PT and more 161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Menopause Society President – Dr. Lisa Larkin. This episode is sponsored by Solv Wellness®, makers of Via™, a vaginal moisturizer that can also be used as a lubricant. To get Via, visit ⁠via4her.com⁠ for 30% off your first purchase. Discount automatically applied at checkout. Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Dr. Larkin Trained at Yale and the University of Chicago, Dr. Lisa Larkin is a women’s health internist, menopause, sexual medicine, and medical breast expert and a women’s health physician and consumer educator who has been practicing in both academics and private practice for over 30 years. She is Founder and CEO of Ms.Medicine, a national health care organization dedicated to advancing women’s health on a broader scale and Founder and CEO of Concierge Medicine of Cincinnati, an Internal Medicine and Women’s Health practice where she continues to practice clinically. Dr. Larkin is the President of the Menopause Society. Why did NAMS (North American Menopause Society) rebrand to Menopause Society? “We can’t pigeon hole women’s health into the Ob/Gyns” – Dr. Casperson “Women’s health doesn’t belong to any one specialty” – Dr. Larkin Dr. Larkin shares her story about not being trained in menopause and her career journey and how she understands the WHI study. We talk about fezolinetant (Veozah) – the new non-hormonal medication for hot flashes. One of Dr. Larkin’s favorite thing to talk about is breast cancer risk assessment and prevention so we discuss this. We define dense breasts. Why alcohol just doesn’t make sense in midlife Dr. Larkin shares her personal journey with menopause symptoms and sexual dysfunction. And shares non-hormonal options. And what you can do without seeing your doctor. The role of confidence in midlife - lack of confidence in what to do and how Menopause Society/her clinic/my podcast can help - and what we see when women get confident and educated in midlife. What excites Dr. Larkin about menopause and the women’s health space https://www.menopause.org/ https://www.instagram.com/drlarkin/ https://www.mymsmedicine.com/dr-lisa-larkin Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Sonia Wright interviews me on genitourinary syndrome of menopause - AKA: The Senile Vagina and The Super Penis Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com The history of getting to the name “genitourinary syndrome of menopause” GSM happens not just in menopause The labia goes away after menopause unless hormones are supplies Recurrent urinary tract infections are in the top 10 reasons women go to the doctor Why you get more urinary tract infections after menopause When we treat erectile dysfunction are we treating the partner? We talk about sex ed for adults and what I would put in a curriculum. The role of vaginal estrogen Where to get cheap vaginal estrogen ACOG statement on vaginal estrogen after breast cancer “estrogen is not trying to kill you” The FDA black box warning on vaginal estrogen is wrong Can I just use lube? Issues with sensitive skin when starting vaginal estrogen Why I don’t use a loading dose with vaginal estrogen When to consider adding testosterone to your vulva or DHEA to your vagina How to talk to your health care provider about genitourinary syndrome of menopause and ask to try a prescription product. Vaginal estrogen can help overactive bladder and urge leakage The myth of needing to finish your periods prior to starting vaginal estrogen https://soniawrightmd.com/ https://www.instagram.com/drsoniawright Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Booty Play and Butt Stuff I am back with Jenn Mason! Check out our older episodes on toys and more #45, #49 and #52 Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com The more people are empowered in their sexuality, hopefully this will decrease the bad things. What is booty play and let’s define what it is and what the body parts are. How do people get started with butt stuff? No one gets extra points for going up in size with booty play. Tips for starting to explore. Consent and doing stuff because my partner wants me to. The importance of communication. Is booty play guaranteed pain? Pain is a sign to slow down or stop. How to people prepare for receptive booty play. How messy is booty play in real life? Lube lube lube Is it okay to ejaculate in the rectum? Rules for booty play Do you need to use condoms? What anuses are supposed to look like. Is there a lube that is specific for booty play? Anal play safety Does booty play make me gay? How to talk to your health care provider about anal sex. If someone wants anal sex does that mean he is weird? Can receptive anal play mess up my body? Does the penis have to be a certain type of hard for penetrative play? Why does this not go well sometimes? “No one gets a trophy for getting a penis into a butt” – Jenn Mason https://winkwinkboutique.com/ https://instagram.com/winkwinkboutique Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

I am back with Jenn Mason! Check out our older episodes with Jenn on toys and more #45, #49 and #52 Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com What are intimate lubricants and why are they important? When do most people get introduced to lubes? Types of lube Myths about lubes How to incorporate lube into your life How to talk about lube Risks with lubes Novelty lubes What’s coming down the pipeline with lubes Do lubes have expiration dates? Lubes versus intimate moisturizers – an educated difference. A discussion about “natural” and “botanical” and “organic” lubes https://winkwinkboutique.com/ https://instagram.com/winkwinkboutique Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

“Low Libido is Not a Problem to Me” - Caffyn Jesse Caffyn Jesse is a queer elder, sacred intimate, teacher and writer who revels in the power and pleasures of the erotic. They are a renowned teacher of sex, intimacy and healing trauma with pleasure. Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com She tells us how she went through her journey at age 40 and found her erotic energy "You are not broken" is the name and theme of my podcast – She tells us how her work relates to this? In your book, “Science for Sexual Happiness” she says – “Can you imagine a way of being sexual that is energized and playful, passionate and flowing? “ - I think for so many people it is a hell no. How they would work with pain with penetrative sex. How they would work with low libido. We have so much experience consenting to things we don’t really want” – Caffyn Jesse Tips for being stuck in a sexual rut? How can erotic massage change our experience of sex? In your book “Intimacy Educator: teaching through touch” – you have a whole chapter on touching a vulva owner. Tips. How they deal with erectile dysfunction What do you do on your retreats? Science for Sexual Happiness by Caffyn Jesse Intimacy Educator: Teaching Through Touch by Caffyn Jesse https://ecstaticbelonging.com/ https://www.facebook.com/caffynjesse/ https://www.instagram.com/caffynjesse/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Normalizing Sex - Talking With a Sacred Intimate Practitioner How did he choose this career path – or did it choose him? From the military to tech to surrogate partner. Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com What is the difference between Surrogate Partner Therapy and Sexological Bodywork? His approach uses the theory that sexual energy manifests in your body, not your mind – tips for people to access and be comfortable with their body. Tips for communicating. He discusses what a sacred intimate is. How he works with trauma. His definition of sex. The top reason men and women seek out his work. How do people stay intimately connected when life gets busy? So many disempowered people – where do you start? What is consensual non-monogamy and what does he wish people knew about it? What he wishes doctors and therapists knew about his job? www.instagram.com/comingcloserwithandre www.coming-closer.com Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sex Med Advocate and ISSWSH President - Sue Goldstein Sue Goldstein is an AASECT certified sexuality educator and certified clinical research coordinator. She serves as clinical research manager and program coordinator for San Diego Sexual Medicine Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com She is current president of ISSWSH (International Society for the Study of Women’s Sexual Health) Her story of your career in sexual education and sex med. Pain associated with oral contraceptives. There should never be pain with sexual activity. We pick apart “doing menopause naturally” We discuss PGAD Persistent Genital Arousal Disorder and the role of education for people and providers. Language matters. We talk about menopause and pain with sex after menopause. Is low sex drive the “tip of the iceberg” for testosterone? We discuss testosterone, SHBG and bioavailable testosterone and explain how this works. What is a vajay-jay? The importance of using correct words for our anatomy. Why we love ISSWSH. Why Sue hates the concept that “women are complicated” The combo platter of aging PIV intimacy – we need to approach both partners to address the issues. Sue shares her experience with HSDD We discuss the issue with delayed ejaculation. “The educated woman is the empowered woman” – Sue Goldstein https://www.isswsh.org/ ISSWSH’s Education website https://www.prosayla.com/ Book about vulvas: Petals by Nick Karras Sue’s Book: When Sex Isn’t Good https://amzn.to/3OKyMMk Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

GOAT - Dr. Irwin Goldstein He is the director of San Diego Sexual Medicine. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s. Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training. How do urologists not know who Irwin Goldstein is? He started out in men’s sexual health. Dr. Goldstein tells us his story. Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. He created ISSWSH. https://www.isswsh.org/ He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). Thoughts on DHEA vaginally. Women and Sildenafil – oral versus topical and his thoughts on arousal. Orgasm guidelines are coming!! The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA Other drugs for orgasm The role of testosterone for orgasm issues Sexual side effects of birth control pills Depression side effects of birth control pills Testosterone in women! It is a thing! Estradiol in men – needed for bones and erections. We wrap up with discussing hard flaccid. A hypogastric nerve dysfunction. Any advice for me, for other physicians, for the women and their partners? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Mojo and Empowerment with Deborah Kagan Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Deborah Kagan helps women conquer self-doubt and indecision to step into their full power, love who they are and live a turned ON life. She tells us her inspiration and her story. How do we get women to thinking differently? Our bodies are energy and the concept of male and female energy. The four pillars of Deborah’s teaching about MOJO. What is Mojo and how is it different from libido? How do you know if you are disconnected from your body? We discuss masculine and feminine energy. We discuss our thoughts about the Barbie movie. Feeling feelings and using anger for us. We discuss your intuition, your gut intuition and where your mojo lives. We discuss pain and the role of Western medicine and the role of our energy and listening to our body and our relationship with our body. The Real Undressed Podcast: https://podcasts.apple.com/us/podcast/the-real-undressed-with-deborah-kagan/id1494643770 Order Undressed Now Find her on https://www.facebook.com/mojorecoveryspecialist Instagram (@deborahkagan) Twitter (@deborahkagan) Pinterest (/deborahkagan) and LinkedIn (/in/deborahkagan). And for all things mojolicious, check out www.deborah-kagan.com/blog --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sexual Health is an Equality Issue! – A Chat About Sex, Coaching and Menopause This was a live chat that I did with Dr. Ashley Winter. She is the Chief Medical Officer at Odela health! We had a chat about my book and sexual health in general. Is it true that women are “too complicated”? Sexual Health is an Equality Issue The clitoris doesn’t have a place in the traditional medical paradigm – Dr. Winter We don’t teach people medically accurate language – so we can’t communicate with anyone and it ends up hurting you. It is not informed consent if we don’t tell people that medications can cause sexual health issues. Everyone needs to know about menopause. The reason coaching really helps our sex lives. The fallacy of “natural” and challenging the idea that natural is better. We need to stop judging women for their decisions around hormones. We don’t judge men for being on testosterone. The problem with the FDA label on vaginal estrogen. Love Dr. Winter? Go way back to episode 46 https://www.odelahealth.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? Why We Need Adult Sex Ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join 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

Menopause and Hormones in the Modern Era AKA: Why the Boomers Should be Pissed This is a lecture I gave for the Society of Women in Urology about hormones. If you like this episode also check out number 197. Genitourinary syndrome of menopause Men at age 60 have more estrogen in their bodies then women Why I don’t do a loading dose of vaginal estrogen. The problem with the vaginal estrogen labeling by the FDA. How the nation used estrogen prior to the Women’s Health Initiative Scare. I explain why the WHI study was created and what question it was trying to answer. Myth: you have to be a year without a period to be on hormones. I break down the three concerns about progestin and breast cancer from the WHI 1) Was the placebo arm flawed 2) Was it the synthetic progestin and now we use bioidentical 3) Maybe progestin increases risk but it is small and perhaps benefits still outweigh risk as breast cancer is so curable and all the other benefits are worth the small increased risk I discuss the “critical window” hypothesis and “healthy cell” hypothesis and why hormones are recommended to be started “early” in menopause which means less than ten years. Why I think the Boomers should be pissed. Vaginal estrogen for all and get an okay from your Best practices - If you have a uterus, with systemic estrogen you need a progestin - You can continue hormones for life as long as your benefit > risks - Vaginal bleeding after menopause is never normal - If there is an FDA approved product use it instead of compounded - Checking hormones is often not necessary - One size does not fit all What about hormones for prevention? On a national level the answer is no. But everyone needs their own analysis. National guidelines on how to give testosterone to women for low desire. Hormones: are we being equitable to all genders in regards to hormones. NAMS 2022 guidelines: According to NAMS, “the benefits of hormone therapy outweigh the risks for most healthy symptomatic women who are aged younger than 60 years and within 10 years of menopause onset.” For women with primary ovarian insufficiency and premature or early menopause who are at higher risk of bone loss, heart disease, and cognitive or affective disorders, “hormone therapy can be used until at least the mean age of menopause unless there is a contraindication to its use.” Where is the black box warning on alcohol? What about lasers for GSM? Where are we on removing the FDA black box warning on vaginal estrogen? My thoughts on online hormone companies. Estrogen plays a role in the gut microbiome and may affect the risk of osteoporosis. 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 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? Why We Need Adult Sex Ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join mymembership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

August Podcast Live – the state of sex ed We are going to talk about Sex ed today in celebration of the Tex talk coming out! https://femtechinsider.com/rescripted-sex-ed-report/ https://pleasurebetter.com/orgasm-statistics/ I answer a listener’s question about being stuck in a sexual script https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035379/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

BRCA Gene Previvor, Menopause Activist and Protector Against Corrosion – Monica Molenaar 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 Monica Molenaar is a serial entrepreneur and an advocate for frank talk and common-sense solutions around women’s health and wellness. At the age of 40, Monica tested positive for the BRCA gene and elected to remove her ovaries prophylactically to reduce her risk of breast and ovarian cancers, thereby ending her natural production of estrogen and sending her into surgical menopause overnight. This began a multi-year journey trying to make sense of all the misinformation and lack of clarity around this phase of life. It was only after starting to supplement with estrogen and progesterone that Monica found relief from the menopausal symptoms affecting her quality of life and was able to get back to work. She was inspired to start Alloy to make sure that other women entering menopause would have an easier time than she did accessing credible information, doctors expert in menopause and women's health, effective and safe solutions, and a supportive community. What turned Monica into an estrogen activist? Why do you think it's important that women learn more about their biology in order to take control of how they age? Since when did it become ok to talk about sex the way we are doing it now? Alloy is combo menopause and sexual health – how did that happen? – let’s talk about topical sildenafil The stigma of testosterone in women https://www.instagram.com/myalloy/ https://www.myalloy.com/ CODE: CASPERSON25 for $25 off your order 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 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? Why We Need Adult Sex Ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join 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

Estrogen Matters with Dr. Avrum Bluming Avrum Bluming received his MD from the Columbia College of Physicians and Surgeons. He spent four years as a senior investigator for the National Cancer Institute. He organized the first study of lumpectomy for the treatment of breast cancer in Southern California in 1978, and for more than two decades he has been studying the benefits and risks of hormone replacement therapy administered to women with a history of breast cancer. Dr. Bluming has served as a clinical professor of medicine at USC and is the co-author of “Estrogen Matters: why taking hormones in menopause can improve women’s wellbeing and lengthen their lives – without raising the risk of breast cancer” with Dr. Carol Tavris. Hear his story about how he became the advocate for hormones and hormones after breast cancer. So many people think correlation = causation – case with E and breast cancer – just poor education in our population? “we don’t know what causes breast cancer” – can people handle a grey world? Estrogen receptor positive doesn’t mean estrogen caused the cancer – discuss Dispel the myth that early puberty and late menopause is a breast cancer risk – dogma – “lifetime exposure” – but women with lots of pregnancies have lower risk. Should we just work on a re-brand? Go on HRT because if you do get breast cancer you will do better than if you weren’t on it? How do aromatase inhibitors work? People call them “estrogen blockers” so people think estrogen causes cancer and recurrence. Why only in post-menopausal women? What’s with adipose tissue? People always say it is because adipose tissue increases estrogen – is it estrone ?? Or inflammation? Doctors don’t want to be sued. Do you know of any doctor getting sued for giving hormones in general or after breast cancer? If estrogen is FDA approved for prevention of osteoporosis – why did the USPSTF say no to prevention and why are we screening for osteoporosis so late (age 65?) Do you agree with the USPSTF about no for prevention. Your opinion of Progestin causing Breast cancer" Is the placebo arm bad? Is the risk not actually that high – from 2-4% Is it the synthetic progestin? Everyone’s talking about dementia now – Dr. Bluming’s take There are 25 studies showing E is safe after breast cancer and 20 review studies– and the HABITS trial is the only one that shows local recurrence and is flawed – how many studies are enough? Advice for younger physicians who care about this work? Do you think the world is just crazy? How does Dr. Bluming cope? We discuss the new Danish study in the British Medical Journal and dissect the data to dispel the fear. http://www.instagram.com/estrogenmatters https://estrogenmatters.com/ Buy Estrogen Matters https://amzn.to/3POsai5 Did you get my “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

Genitourinary Syndrome of Menopause 101. This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar. Why I care about women and sex and hormones The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise Genitourinary Syndrome of Menopause The types of bladder leakage and how estrogen can help The different types of estrogen – vaginal and systemic Why we need vaginal estrogen even when we are not sexually active Why I have a cream bias with vaginal estrogen, and other options. Vaginal estrogen will not help your hot flashes. Myths about who can and can’t use vaginal estrogen. Biologic changes of the skin of the vulva after menopause How the clitoris works. Scream Cream – what it is and does it work. Favorite lubes and I explain why I like what I like Gen X is the lowest users of vibrators in America There are many papers showing transdermal estrogen does not increase your clot risk above what it already is. I explain the Women’s Health Initiative study and how it hurt women by creating fear. Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications. Why not restore function instead of taking the side effects of the overactive bladder medications? When should you stop using your seatbelt, sunscreen and vaginal estrogen? Urinary tract infections put people in the hospital and kill them – this is not a hangnail. Can estrogen alone help all pain with sex? What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them. The role of androgens and testosterone in the genitals. ACOG Position Statement of using vaginal estrogen in breast cancer patients 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 Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ 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 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

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