You Are Not Broken

Is bigger always better? The “use it or lose it” myth needs to die. Vaginal atrophy is a hormonal issue. Are orgasms good for you? Can I use vaginal estrogen more than twice a week? Tips and tricks for vaginal estrogen. Can you still get BV and yeast infections after menopause? Painful sex and low libido after a LEEP procedure. Hi I have a question! I just saw my gynecologist , she has me on vaginal estrogen. I asked if I can go on the estrogen patch she advised me that I don’t need to be on the patch that the tabs are what I need! I’m sorry I should have said explained i had a hysterectomy in my 40’s they left my ovaries a year later I was told I was in full menopause! I’m 60 now and only started vaginal estrogen a year ago due to me complaining about painful intercourse. Should I also be on the estrogen patch. I’m only 22 and suspecting a stage 3 prolapse . I’m pretty sure I’ve unintentionally caused it due to straining on the toilet,etc. I wanted to know- can I still get pregnant? And can my prolapse heal itself? Who needs systemic estrogen versus only vaginal estrogen? The multiple reasons we are undertreating menopause. I’m a 62 year old guy. Married to a beautiful soul for 40 years. I’d love to get her your book. But, I don’t wanna come off as being “that guy.” Do you have any suggestions? 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

Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones.  It is a nice overview and I hope you enjoy it! The best way to get rid of fear is education Why the Women’s Health Initiative study took people off of hormones Understanding the Healthy Cell Hypothesis Repetition is the key to adult learning The top two reasons women stop having sex in perimenopause and menopause What we know about menopause hormone therapy in 2023 The more educated you are, the more you can advocate for yourself By definition: menopause is one day - 366 days after your last natural period Average age of menopause in western society is 51 Hormone therapy was popular in the 80’s and 90’s If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen) FDA approved indications for estrogen 1) preventing osteoporosis 2) treatment of vasomotor symptoms 3) treatment of premature ovarian insufficiency (going into menopause prior to age 40) 4) GSM how did we get to the point where we thought estrogen caused cancer? what does hormone therapy help? the longer you go without estrogen, your arteries develop a fatty streak or plaque who can’t be on HRT who can be on HRT Best practices for hormone replacement therapy Non oral estrogen vs oral estrogen Unanswered questions we have about hormones 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

Happy ONE MILLION DOWNLOADS!   So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it! How can iIget my partner to have more sex with me? 1. Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way. 2. Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex. 3. Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you. 4. Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship. 5. Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues. 6. Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship. 7. Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner. It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy. 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

I get so many hormone questions!  So I needed a podcast to refer people to. I hope I did okay covering the basics and deep diving into some more complicated details. Enjoy! 1. Sex and Menopause 2. Systemic versus Vaginal Hormones 3. Estrogen Doesn't Cause Cancer 4. We gendered hormones and how this hurts women 5. Natural is a weapon waged to keep us in our place 6. Pellets and compounds are to be avoided if better options are available 7. You never need to stop hormones 8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease).  (bonus) I hate the word "balanced" when discussing hormones.  Pro tip - people are probably just trying to sell you something.  Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report They were on my podcast # 181 – sex talks with social media’s sex educators Justin Dubin’s paper on Blaming women for erectile dysfunction Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection Sex toys in the middle east Mindfulness with Female Sexual dysfunction Clinical practice guidelines for use of T in Women https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351 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

I have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters" https://amzn.to/3GaubA5 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

Happy Third Birthday and New Year’s Resolutions - Will hit 1 million in January! New year’s wishes - Male birth control - Say no and have it be okay - Vaginal E for everyone who wants it o Good Rx  Estradiol 0.01% 42 G tube o Amazon Pharmacy – 28.13  Interlude – get interlude  20 off your first order - Decreased fear around estrogen o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd https://peterattiamd.com/caroltavris-avrumbluming/  2021 update from the authors - :the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.” - Desire mismatch is not a problem - Orgasmic equality - Hope is not a game plan o Wishing your desire was different does nothing – it does worse than nothing o Resisting reality, resisting what is - Healthy relationship with your body o Speak kindly o Sleep, exercise, food o Stop shoulding all over your body - Healthy relationship with sex o Stop shoulding o Stop doing it for other people o Be present o It is okay to fail, to not feel like it 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 https://www.getinterlude.com/?utm_source=affiliate&utm_campaign=promo-kc-notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Happy December live podcast. I talk about snake clitorises, human clitoris nerve endings, why the American Heart Association wants you to start hormones early, and sex has gone mainstream as the Economist talked about it! 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 Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- 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 the audio of a lecture I gave to Urology and Gyn Residents in 2022. I know you are an advanced audience and can handle graduate level work!  Enjoy! 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 Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Krista St-Germain is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too. The brain love interpretation and drama. Tell us your story of how you became a coach for widowed moms. How to define grief – a natural response to perceived loss. When sex is appropriate while grieving? How does grief work? Grief is not golf. How to respond to someone experiencing grief. “Feelings are not problems to solve” – Krysta St. Germain 8 myths about sex and grief - You just want physical touch, not sex - If you want sex again it means you didn’t love your person of loss - The first year is the hardest/you shouldn’t have sex the first year - If you don’t want sex there is something wrong with you - You should wait for sex until you are done grieving - If you want sex then you must be trying to escape your grief - Escaping your grief is wrong - You can have sex again until it is “the one” - You aren’t ready to have sex until you don’t have strong emotions Sex after a health diagnosis https://www.instagram.com/lifecoachkrista/ coachingwithkrista.com https://podcasts.apple.com/us/podcast/the-widowed-mom-podcast/id1468127632 https://www.facebook.com/coachingwithkrista/ 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 Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices