You Are Not Broken

Written by: Kelly Casperson MD
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  • Summary

  • Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives. Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy and health. Nothing in this podcast is personal medical advice, of course.
    Kelly Casperson, MD
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Hygiene & Healthy Living Physical Illness & Disease
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Episodes
  • 304. Urogynecology Exists For Things We Don't Want To Talk About

    304. Urogynecology Exists For Things We Don't Want To Talk About
    Feb 16 2025
    In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Jocelyn Fitzgerald, a urogynecologist specializing in pelvic floor disorders. They discuss the importance of open conversations about women's health, particularly regarding prolapse and the misconceptions surrounding childbirth. Dr. Fitzgerald shares her journey into social media advocacy, the challenges women face in understanding their health, and the need for better education and separate specialties in women's health. The conversation highlights the systemic issues in healthcare that affect women's treatment and the importance of empowering women with knowledge about their bodies. In this conversation, Dr. Jocelyn Fitzgerald and Dr. Kelly Casperson discuss the complexities of women's health, particularly focusing on menopause, the role of healthcare providers, and the challenges faced in the healthcare system. They emphasize the need for a multidisciplinary approach to women's health, the importance of vaginal health, and the radical nature of urogynecology as a feminist act. The discussion also touches on the future of OB-GYN, reproductive rights, and the necessity for women to take action in advocating for their health. Takeaways Prolapse is often misunderstood and not openly discussed. Education can reduce anxiety about childbirth and its consequences. Women often feel ashamed or broken due to health issues post-childbirth. IUD placement pain is often inadequately addressed in women's health. Obstetrics and gynecology should be separate specialties for better care. The healthcare system often undervalues women's health procedures. Women need to be informed about the risks associated with childbirth. Empowering women with knowledge can lead to better health outcomes. Ob-Gyns often lack knowledge about menopause-related issues. A multidisciplinary approach is essential for women's health. The healthcare system can be toxic and burdensome for providers. Urogynecology plays a crucial role in women's health post-childbirth. Vaginal estrogen is vital for maintaining vaginal health. Incontinence is a leading cause of nursing home admissions. Reproductive rights are under threat and require advocacy. Reliable male birth control could change societal dynamics. https://www.instagram.com/jjfitzgeraldmd/ Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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    47 mins
  • 303. Testosterone and Mood -A New Paper

    303. Testosterone and Mood -A New Paper
    Feb 9 2025
    In this conversation, Dr. Kelly Casperson discusses a significant study on the effects of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women. She emphasizes the importance of addressing hormonal changes and their impact on women's mental health, particularly during menopause. The study reveals that testosterone therapy can lead to improvements in mood and cognitive function, challenging the notion that there is insufficient data on testosterone's benefits for women. Dr. Casperson also critiques the study's limitations and calls for further research in this area, while engaging with her audience on related questions and concerns. Takeaways Testosterone therapy can improve mood and cognitive symptoms in women. The study involved 510 women with persistent low libido and mood symptoms. Mood improvements were more significant than cognitive improvements. Testosterone does not drop off a cliff with menopause; it declines gradually. Hormonal changes during menopause can lead to increased risk of depression and cognitive impairment. Testosterone therapy may be a safer alternative to SSRIs for mood issues in perimenopausal women. The study highlights the need for more research on testosterone's effects in women. Libido is closely linked to mood; improving one can enhance the other. Transdermal testosterone is generally safe and easy to administer. Women should be informed about their options for hormone therapy. Study LINK Glynne S, Kamal A, Kamel AM, Reisel D, Newson L. Effect of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women: a pilot study. Arch Womens Ment Health. 2024 Sep 16. doi: 10.1007/s00737-024-01513-6. Epub ahead of print. PMID: 39283522. Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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    43 mins
  • 302. Troches and More! A Pharmacist Explains It All

    302. Troches and More! A Pharmacist Explains It All
    Feb 2 2025
    In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews pharmacist Tara Thompson, discussing the intersection of women's sexual health and pharmacology. They explore the role of compounding in hormone therapy, the education gaps in pharmacy regarding hormones, and the influence of media on public perception of hormone replacement therapy. The conversation also addresses the challenges women face in obtaining testosterone prescriptions, the implications of hazardous medication labels, and the nuances between generic and brand name medications. They delve into the efficacy of different forms of progesterone and the potential benefits of extended-release formulations. In this engaging conversation, Dr. Kelly Casperson and Dr. Tara Thompson delve into the complexities of pharmacology, particularly focusing on hormone replacement therapy (HRT) and the various delivery methods available. They discuss the innovative approaches in different countries, the importance of understanding different dosage forms like troches and buccal delivery, and the pharmacokinetics involved in hormone absorption. The conversation also highlights the interactions between hormones, particularly estrogen and thyroid management, and the benefits of injectable estrogen. They emphasize the need for personalized treatment options and the role of compounding pharmacies in providing tailored solutions for patients. The discussion concludes with a reminder that there are always options available for patients seeking hormonal therapies. Takeaways Pharmacists often lack training in women's sexual health and hormones. Education is crucial for pharmacists to support women's health effectively. Media can misrepresent the risks associated with hormone replacement therapy. Hazardous medication labels can create unnecessary fear around hormone therapy. Compounding pharmacies can provide tailored hormone therapies for women. There are significant challenges in prescribing testosterone for women. The differences between generic and brand name medications can affect efficacy. Topical progesterone may not provide the same benefits as oral forms. Extended-release formulations of progesterone can improve patient outcomes. Troches and buccal delivery offer unique advantages. Transdermal testosterone may be preferred over oral forms. Hormonal interactions require careful monitoring. Injectable estrogen can provide steady-state delivery. Personalized hormone therapy is essential for patient care. Compounding pharmacies can offer tailored solutions. Patients should not feel limited in their options. Education on hormone therapy is crucial for healthcare providers. There is always an option for patients in need. Things discussed: ISSWSH.org Study on HRT and Lupus Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Starts 2025. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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    49 mins

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