You Are Not Broken

“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

Dr Jaime Seeman aka Doctor Fit and Fabulous is a board certified OBGYN.  She has a passion for fitness, preventative medicine and empowerment not only in her medical practice but in her own life. She has a podcast called The Fit and Fabulous Podcast with Dr Jaime Seeman and a book called Hard to Kill: Master the Mindset to Maximize Your Years She was last here episode 148: march 2022: - I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MD Welcome back! What she has been up to since our last interview. The connection between sex, body image, feeling good, being strong and confidence. How to get a lot done. Finding non-sexual passion in your life. Confidence is built though action – body and intimacy Why our internal language is so important. Muscle is the organ of longevity. Fat makes hormones – why low fat is bad. Helping hypothyroidism with diet. Red meat a more taboo topic than sex? Why do aging people need more protein? The role of collagen, and what supplements are okay? Why does alcohol make you easy to kill? Hard to Kill Manifesto https://www.doctorfitandfabulous.com Hard to Kill Book: https://amzn.to/3QiFGst https://www.instagram.com/doctorfitandfabulous 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

Justin Lehmiller, author of Tell Me What You Want: The Science of Sexual Desire and How it can help you improve your sex life. He is a social psychologist and a research fellow at the Kinsey Institute at Indiana University. Why research Fantasy? Should we normalize fantasy? So many people feel shame or like they are cheating. Are there hormones correlated with sexual fantasy? What are Americans Fantasizing about? Shame about fantasy – and who feels more ashamed. Our our fantasies actually truth and should we act on them? The difference between fantasy and desire. Just because you have a fantasy about a threesome – should you do it? Humans are poor predictors of future emotional states – Justin Lehmiller What do people mean when they talk about “getting the spark” back. And is there a role for fantasy. Sex quality versus quantity. In his book Dr. Lehmiller talks about self disclosure and building trust….but it can seem fraught with backfire potential. Should you share your fantasy with you partner? How do you know if it is safe? Novelty – seems so simple but people have the same sex week in and out. Research shows couples who engage in the most acts of novelty tend to be the most sexually satisfied and the most successful at keeping the passion alive. The most common fantasy and the one that doesn’t work out well when done in real life – threesomes. Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life https://amzn.to/3ZkDW5K Sex and psychology podcast https://podcasts.apple.com/us/podcast/sex-and-psychology-podcast/id1505460817 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

Episode 200!!!! Suzanne Gilberg-Lenz, MD works at the  Women’s Care of Beverly Hills, an obstetrics and gynecology practice that has locations in Beverly Hills and Redondo Beach, California. Dr. Gilberg-Lenz is involved in women’s empowerment and public education and frequently appears as an expert in women’s health and integrative medicine on TV, in print, and online. Her book Menopause Bootcamp: optimize your health, empower your self, and flourish as you age is out now. Why is talking about menopause an act of rebellion? How many doctors know how to treat menopause and how to find an expert? We discuss the role of communication and how it builds intimacy. Normalizing how varied sex can be and getting out of the heteronormative narrow view of penetrative sex. The role of declining estrogen and giving less fucks. How can menopause be an opportunity? Mainstream medicine has a woman problem – and the painful truth is that science fails us. Why we do not recommend pellets? How to talk to your doctor about menopause? Why does no one care about heart disease? https://www.menopause.org/ https://www.instagram.com/askdrsuzanne https://www.instagram.com/themenopausebootcamp/ Menopause Bootcamp: Optimize Your Health, Empower Your Self, and Flourish as You Age https://amzn.to/3m5ZJzn 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