In episode 311 of the You're Not Broken podcast, Kelly Casperson, MD, hosts Marcella Hill and her husband to discuss their journey through hormonal changes and their impact on their relationship. They explore the challenges of libido loss, the role of therapy, and the transformative effects of testosterone therapy. The conversation highlights the importance of understanding hormonal health in relationships and the awakening of self-awareness that comes with it. In this conversation, Marcella Hill and Dr. Kelly Casperson explore the complexities of libido, sexual shame, and the transformative power of hormones in midlife relationships. They discuss the importance of self-discovery, emotional honesty, and the need for patience in navigating personal and relational growth. The dialogue emphasizes that pleasure and desire are not solely for others but are essential for individual fulfillment and connection.TakeawaysThe relationship was initially strong but faced challenges due to hormonal changes.Libido loss can lead to feelings of anxiety and disconnection in relationships.Therapy can help with communication but may not directly address libido issues.Medical interventions, like hormone therapy, can significantly impact well-being.Testosterone therapy revitalized Marcella's energy and libido, transforming her relationship.Awakening to a new self can create challenges in long-term relationships.Couples can navigate hormonal changes together for better understanding and support.Increased awareness of hormonal health can improve communication and intimacy.Hormones play a crucial role in mental health and overall well-being.Understanding the effects of hormones can lead to proactive health measures. Women often feel shame about their sexual desires.Listening to uncomfortable content can help challenge sexual shame.Orgasm is not just a sexual act; it's about personal joy and passion.Women deserve to feel turned on for their own pleasure, not just for others.Men's enjoyment in relationships often comes from seeing their partner's pleasure.Communication about sexual needs is crucial for both partners.Exploring sexuality can enhance intimacy and connection in relationships.Emotional honesty leads to a more expansive and fulfilling relationship.Hormone therapy can reignite passion and feelings in midlife.Learning to feel emotions is essential for personal growth and connection.https://marcellahill.com/https://www.instagram.com/beingmarcellahillhttps://www.wakeherup.co/welcomeSedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.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 Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, engages in a deep conversation with Traver Boehm about redefining masculinity, the importance of emotional intelligence, and the journey of helping men navigate their feelings and relationships. Traver shares his experiences from the Year to Live Project, the impact of his book on men's lives, and the necessity of creating safe spaces for women. The discussion also touches on the differences in how men and women perceive safety and the importance of understanding these perspectives in fostering healthier relationships. In this conversation, Kelly Casperson, MD, and Traver explore the complexities of emotional awareness, therapy for men, gender differences in relationships, the evolving independence of women, and the foundational role of sexuality in partnerships. They discuss the importance of self-awareness in managing emotions, the need for therapy that resonates with men, and the societal shifts that have changed relationship dynamics. The conversation emphasizes the necessity of understanding and communication between genders to foster healthier relationships. In this conversation, Traver and Dr. Kelly Casperson explore the complexities of relationships, focusing on the business aspects of marriage, the importance of communication, the impact of pornography, and the challenges surrounding menopause. They emphasize the need for emotional maturity and understanding in relationships, advocating for open discussions about sexual satisfaction and the human experience. The dialogue highlights the evolving dynamics between men and women, the significance of consent, and the necessity of education regarding women's health issues.Traver's IGMan UncivilizedSedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Starts 2025. 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

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson engages with the co-founders of the SheMD podcast Mary Alice Haney and Dr. Aliabadi, discussing their journey in women's health advocacy. They explore the challenges women face with conditions like endometriosis and PCOS, the importance of education in healthcare, and the need for better diagnosis and treatment options. The conversation highlights the systemic issues in women's health and the role of podcasts in empowering women to advocate for their health. In this conversation, the speakers delve into the complexities of PCOS and endometriosis, discussing the importance of accurate diagnosis, the role of insulin resistance, and the need for innovative solutions in women's health. They emphasize the significance of validating patients' experiences and the impact of education in empowering women to advocate for their health. The discussion also covers hormone replacement therapy, addressing common myths and misconceptions, and highlights the necessity of treating both PCOS and endometriosis for better health outcomes.Takeaways The SheMD podcast was born out of a desire to help women navigate health issues. Endometriosis is a common yet often misdiagnosed condition affecting many women. Education is key in empowering women to advocate for their health. Many women experience chronic pelvic pain without a proper diagnosis. The healthcare system often dismisses women's health concerns, leading to delayed treatment. Laparoscopic surgery is the gold standard for treating endometriosis. Robotic technology could revolutionize women's health care. Women need to be informed about their health conditions to seek appropriate care. The emotional toll of chronic health issues can lead to depression. Advocacy and awareness are crucial in improving women's health outcomes. 75% of women with PCOS are undiagnosed. PCOS and endometriosis often coexist. Insulin resistance is a key factor in PCOS. Validation of symptoms is crucial for patients. Education can empower women to advocate for their health. Hormone replacement therapy can be beneficial for women with PCOS. Diet and exercise alone may not suffice for PCOS management. Innovative platforms can help diagnose and manage PCOS. Women often feel dismissed by healthcare providers. Understanding the metabolic aspects of PCOS is essential. Mary Alice Haney IGDr. Aliabadi IGSHE MD IGSHE MD PodcastSedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Check it out!To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% 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

In this episode, Dr. Kelly Casperson and Dr. Emily Jamea discuss the evolution of sexual satisfaction, exploring the concept of 'good enough sex' and the pursuit of deeper intimacy through the flow state. They emphasize the importance of safety, communication, and connection in relationships, while addressing common barriers to sexual desire such as complacency and societal expectations. The conversation highlights the need for couples to actively engage in their sexual lives and prioritize emotional safety to enhance their experiences. In this conversation, Emily Jamea and Kelly Casperson, MD, explore the intricate dynamics of relationships, focusing on the concept of flow state, the importance of preparation and communication, and the impact of self-identity on sexual expression. They discuss how reconnecting with innate qualities can enhance intimacy, the role of novelty and curiosity in maintaining desire, and the balance between connection and independence in relationships. The conversation emphasizes the significance of touch and the need for effective communication to foster deeper connections.Takeaways Dr. Jamea's book offers a next-level perspective on sexual satisfaction. The honeymoon phase is temporary; couples seek more than just 'good enough' sex. Flow state is crucial for experiencing heightened sexual satisfaction. Safety in relationships is foundational for women to enjoy sex. Communication is key to understanding each partner's needs and desires. Complacency is a major barrier to sexual desire in couples. Sex should be seen as an opportunity for enjoyment, not obligation. Gender socialization impacts women's perceptions of their sexual desires. Attunement between partners enhances sexual satisfaction. Creating rituals for connection can improve intimacy and sexual experiences. Flow state requires a balance of challenge and skill. Too much novelty can lead to anxiety in relationships. Preparation and communication are crucial for intimacy. We are born with qualities that enhance our sexual experiences. Self-identity significantly impacts sexual expression. Novelty in life can enhance sexual experiences. Touch is essential for relationship satisfaction. Emotional connection is vital for sexual desire. Gentle communication can improve intimacy. Understanding dynamics of desire can enhance relationships. Anatomy Of Desire by Dr. Emily JameaSedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Check it out. 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.comTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% 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

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street JournalIn this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention.TakeawaysThe amyloid hypothesis has dominated Alzheimer's research but has significant flaws.Whistleblowers play a crucial role in exposing misconduct in scientific research.The FDA's approval process for drugs can be influenced by industry relationships.Lifestyle factors such as diet and exercise can impact Alzheimer's risk.There is a growing interest in alternative theories for Alzheimer's treatment.AI can assist in detecting research fraud but also poses risks for falsification.Misinformation in health media can lead to public harm and confusion.Independent agencies are needed to investigate scientific misconduct effectively.The scientific community must improve transparency and accountability.There is hope for progress in Alzheimer's research despite current challenges.Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested 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.comThanks 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/piTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% 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

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, and Naomi Watts discuss the complexities of menopause, the intersection of infertility and hormonal changes, and the importance of education and self-advocacy in women's health. Naomi shares her personal journey of writing her book, 'Dare I Say It,' aimed at providing a fun and informative guide for women navigating menopause. The conversation highlights the need for open discussions about hormonal health, the challenges women face in the medical system, and the shift in societal narratives around aging and empowerment.TakeawaysNaomi Watts wrote a book to help women feel less isolated during menopause.Menopause can intersect with infertility, creating unique challenges.Women often suffer in silence due to societal expectations.Education and advocacy are crucial for navigating menopause.Self-advocacy is essential in healthcare for women.The narrative around aging is shifting towards empowerment.Hormonal changes can significantly impact women's health.Community and shared experiences can alleviate feelings of isolation.The media has historically created fear around hormone therapy.Women are increasingly taking control of their health and wellness.Dare I Say It by Naomi WattsNaomi Watts IGStripes Beauty by Naomi WattsSedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested 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.comThanks 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/piTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Cindy Gallop, founder of Make Love Not Porn and a marketing maven, passionately discusses her mission to destigmatize sex. She dives into the vital role of communication in relationships, challenging outdated notions that great sex occurs without dialogue. Gallop highlights the urgent need for comprehensive sexual education and the positive impact her platform has on users' understanding of intimacy. She also emphasizes empowering women to embrace self-confidence and combat rape culture, encouraging open conversations about sexuality and consent.

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 edTake my Adult Sex Ed Master Class:My WebsiteInterested 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.comThanks 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/piTo 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

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 LINKGlynne 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 edTake my Adult Sex Ed Master Class:My WebsiteInterested 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.comThanks 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/piTo 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

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.orgStudy on HRT and LupusSedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"Listen to my Tedx Talk: Why we need adult sex edTake my Adult Sex Ed Master Class:My WebsiteInterested 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.comThanks 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/piTo 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