

513: The Menopause Myths That Are Hurting Women’s Health | Kelly Casperson, MD
Oct 1, 2025
Dr. Kelly Casperson, a skilled urologist and menopause advocate, unpacks the myths surrounding menopause and hormone therapy. She highlights how outdated training has led to misinformation about treatments and addresses the stigmas around bioidentical hormones. Kelly discusses the role of vaginal estrogen in improving women's health, debunks harmful myths from the past, and emphasizes the importance of individualized hormone therapy. She also touches on the critical timing for starting hormone discussions, offering empowering insights for women's health.
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Women’s Health Was Modeled On Men
- Perimenopause and menopause symptoms are often dismissed because medical training used a male model and systems prioritize speed over complexity.
- Kelly Casperson says this leads to routine gaslighting and poor care for women.
WHI Panic Skewed HRT Perception
- The 2002 WHI press release misrepresented results and sparked widespread fear about HRT safety.
- Kelly Casperson explains the paper did not show a statistically significant breast cancer increase, yet the media panic persisted.
Use Vaginal Estrogen As Skincare
- Use low-dose vaginal estrogen for genital urinary syndrome of menopause as first-line therapy.
- Kelly Casperson calls it 'skincare' and recommends it even for many cancer survivors after discussion.