You Are Not Broken

Here we go! Week two! Learn about how birth control affects sex DHEA And enjoy DC's premier cliterologist! Find her on Facebook at https://www.facebook.com/DrRachelRubin/ Find her at https://intimmedicine.com/ Instagram: https://www.instagram.com/drrachelrubin/ Twitter @rachelsrubin1 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

I can't remember how I met Dr. Rubin but I am so excited I did! A sister urologist to me! Such a great educator and surgeon! Find her on Facebook at https://www.facebook.com/DrRachelRubin/ Find her at https://intimmedicine.com/ Instagram: https://www.instagram.com/drrachelrubin/ Twitter @rachelsrubin1 How she got into female sexual medicine after urology residency The biggest misperception about her job Challenges with menopause and the pelvis Testosterone’s role in women How to talk to your partner about sex (hint: bring them to the doctor's appointment). When you empower someone with how their body works, everybody wins and confidence happens! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum. She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency. Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC. IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats. What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan. She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers). Physical therapy is vital in educating women about their bodies and bodily function. Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension. Tips for stress management!!! Healing from pelvic pain takes time. There is no magic wand! It takes time and work. Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants. Dr. Gerig’s goal is to get her patients OFF medication eventually. Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements. Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain. Tips and tricks for self advocacy for pelvic pain. www.apta.com . www.hermanwallace.com What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex. Learn about her backstory as a child from a divorced family. She started a podcast, On the Brighter Side https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810 She teaches the Five Step Framework to Complete Connection. She teaches about “Radical Intimacy” – Intimacy without boundaries. Find her online at https://onthebrightersideoflife.com/ And https://bit.ly/30dayplans And her Facebook: https://www.facebook.com/monica.tanner2 The role of connection, loving and safety in having mind blowing sex. The feelings of love and the feelings of desire are different. A lot of women struggle with, “I am not supposed to have pleasure” Myths about sex and intimacy in our culture. How one creates more fun, flirtyness and pleasure in life. The role of a “busy mind” and how it isn’t helping your sex life. Lost Desire?? Spontaneous versus reactive desire. The role of boredom in a marriage and what it does to intimacy. The three secrets to building desire. 1) The difference between love and desire 2) The difference between spontaneous and responsive desire 3) You can’t afford to NOT have a healthy sex life --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today I am interviewing Dr. Sonia Wright! Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach Today we are going to listen and learn about how she became a sex coach. How to talk to your partner about your intimacy goals. Taking responsibility for your own sexuality. Resources for men Long term relationship challenges The topic of desire Book suggestions for readers Body image and sexuality challenges Tips and tricks to talk to your physician Faking orgasms Basic health needs to optimize sexuality --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated. Don't get me wrong, sometimes it is. Doctors don't always have the "magic wand" that we all want. BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop). Win #1 - lube Win #2 - estrogen cream Win #3 - Responsive Desire Bonus Win #4 - listen and learn! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Required listening for anyone who has been told they have prolapse. 1) what it is 2) why women get it 3) non-surgical options 4) surgical options 5) post op expectations 6) risks of surgery --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

In a now groundbreaking and often referenced paper "Why Humans Have Sex," Cindy Meston and David Buss asked over 700 individuals to list the reason why they last had sex. Well, get ready for some spoken word poetry as Dr. Casperson reads all 237 reasons out loud. Pay attention to your thoughts and judgements as your brain will tell you what you think the right and wrong reasons are! Our biases are strong, but as they learned, there is not just one reason! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This is our first episode geared towards the guys! Join me and guest Dr. Pohlman as we discuss his podcast - The Prostate Health Podcast and his area of expertise, men's prostate and sexual health. What we will learn: Changes after prostate cancer treatment Sex after prostate cancer Why men have more erectile dysfunction as they age. Options for intimacy after prostate cancer treatment. The role of testosterone after prostate cancer. www.prostatehealthpodcast.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The second half of the steamy sex ed talk is here! Ride along and you will learn: Mindfulness for COVID and sex Faking orgasm Porn is fake Resources to help women achieve pleasure Why Penis in Vagina sex is bad for female orgasms Clitoral anatomy Medication for hypoactive sexual desire disorder Sexual pain Top tips for sex! Book recommendations --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

I did a lecture on female sexual dysfunction 101 and I broke it into two episodes for you! In this first half, learn about: How a urologist got into female sexual health Orgasmic inequality in heterosexual relationships Low desire versus bad sex Why women have sex Mindfulness for better sex Alcohol and sex - the good and bad Spontaneous versus responsive desire Sexual desire mismatch Tips for creating desire in a long term relationship --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Uberlube.com sent me a box of goodies to share! In this episode we talk about the importance of lubrication! I also answer a listeners question about vaginal estrogen, its purpose, expectations and limitations. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sit down with me and meet Amanda Nayfield PT, DPT, WCS, pelvic floor physical therapist, mom, wife, and outdoor adventurer! And check her out @connectNWPT What you will learn in this episode: How she got interested in pelvic health in her training as a physical therapist A personal success story in pelvic pain and intimacy What happens at the first physical therapy appointment What a pelvic floor assessment entails and why it is important How a physical therapist’s exam is different from a medical doctor’s pelvic exam How pelvic PT helps postpartum pelvic and sexual health How pelvic PT helps menopausal sexual dysfunction How pelvic PT helps males with pelvic pain --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Okay, I get it. Who wants to listen to a podcast about pelvic exams? You! Why? Because they are so important in the workup of pelvic pain and sexual health concerns! You will learn how I think about pelvic exams and how my exams are different than your "average" pap smear exams. I did the best I could to keep this one short and sweet! I hope it brings you value and understanding! - Dr. C. Things you will learn: Reasons that you need a pelvic exam with sexual dysfunction How you can “see” estrogen status with a pelvic exam. Clitoral phimosis is a thing! This can decrease orgasms. The dry posterior vulva! Oh my! CT scans and MRI can’t usually “see” pain. Pelvic floor muscles - you can’t see them but you can feel them on exam and if you reproduce the pain we have found a reason for pain. Reasons for pain during sex (dyspareunia) can be found on a pelvic exam. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The second half has dropped! Join Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator, Peer Sexual Health Education (PSHE) coordinator. Topics discussed this time: How do you bring up sexually transmitted infections in a new relationships? How do advocate when your medications cause sexual side effects? Sexual desire mismatch in a relationship. Female “ejaculation” or squirting - what is that about? How do I explore my sexual boundaries? I have been faking orgasms - HELP! - Where do I go from here? How to talk to your partner about faking orgasms Advice for someone who is scared to have sex for the first time. What to do with competing sex drives. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator and Peer Sexual Health Education (PSHE) coordinator meet up to talk Q&A's that were asked of them as a part of a University lecture on sexual health. In this episode topics discussed: Is my anatomy normal? Basic Genital Care What does the vulva include? Why post menopause causes more UTI and infection The care and cleaning of foreskin The most common penis issues in our clinics Blood flow and erections Why smoking causes erectile dysfunction Premature ejaculation How to get curious when erectile dysfunction is a problem in a relationship Is erectile dysfunction the end of your sex life? Am I having unrealistic expectations for my body? Side effects of antidepressants. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

We all want good skin. But what happens when the skin condition is in the private area? This is a skin condition 101 talk on lichen sclerosis. It affects up to 3% of all women (and some men too). Learn about it and how it is treated. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today we are learning about the role of testosterone in female desire disorders. A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more! You will learn: The myth that testosterone is a male hormone. How aromatase affects one’s active testosterone, in both men and women. How testosterone plays a role in sexual desire and overall health. How well does testosterone work for HSDD (hypoactive sexual desire disorder). The role of placebo in sexual health studies including the Viagra studies. Side effects of too much testosterone. Who shouldn’t take testosterone. Myths of testosterone. Why is there no FDA approved testosterone product for women? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today's podcast is a rundown of the back side of my sexual dysfunction handout. Topics include: Hormones The proper application of Vaginal estrogen - in my opinion Estrogen creams verus tabs Lubrication recommendations and vulvar skin care Intravaginal DHEA AASECT certified sex therapists Pelvic Floor Physical Therapist recommendations Book Recommendations Desire in a long term relationships Apps and Websites for pleasure and orgasm Vaginal lasers - what they are good and not good for And of course, always remember that is is not individual medical advice. Yes I am a doctor, but this is for general health information only. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When you come see me for sexual dysfunction issues there is a double sided handout that you get in the office. Well here I break down the information on the front page of the handout for you! We talk about desire (spontaneous and responsive), arousal, orgasmic dysfunction and sexual pain concerns. We talk about what is normal, what could be causing your lack of success in this arena, as well as different treatment options. Stay tuned next week for the back page!!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

Really? Is it true? How do we know? Learn about this new study being talked about all over the Internet right now. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

This podcast talks about the definition of hypoactive sexual desire disorder. We discuss the hormones and neurotransmitters responsible for putting the brake on and putting the Excelerator on the arousal drive. Also why do men who wash dishes get more sex? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Female sexual health and desire 101! Topics discussed: Female sexual function training among physicians. Female sexual function treatment. Painful sexual intercourse / dyspareunia. How many women actually orgasm with peno-vaginal sex? Normalizing female sexual discussions. Female sexual desire: spontaneous and reactive. Hormonal changes in women post menopause. Getting in the mood. Female libido. Female vaginal dryness / vaginal tissue composition pre and post menopause. Female vaginal lubrication and types: silicone vs. water-based. Pelvic floor sexual physical therapy. Sexual therapy. Alcohol and sex. Peno-vaginal sex. On using it or lose it. Mona Lisa laser vaginal treatment. "Vaginal rejuvenation" How laser works in the vagina; what it does or does not do. Platelet Rich Plasma injections to the clitoris. Orgasmic inequality among same sex and male/female sex. Female's biggest sex organ. % of women with peno-vaginal intercourse. Female pleasure organ. Vaginal estrogen and risk of cancer. Types of topical estrogen available and costs. Top 3 things / take aways for women. How to engage discussion with a partner regarding sex. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

What is Dr. Casperson's story? Learn why I am interested in female sexual health and how I got to this point in my career. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Meet Dr. Casperson and learn why she wanted to start this podcast and where this podcast is going to go in the future. Here’s to 2012! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices