You Are Not Broken

September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More - Reassuring data on Estrogen and breast cancer - social media is associated with sex dysfunction - define erotica, why are we so scared of this word? - Why couples don’t have sex – thanks for the inspo www.instagram.com/yourdiagnonsense - top feelings in your fantasies - the more you focus on these the more you will enjoy sex, and the farther you get away - and if you aren’t getting these fulfilled, the more breaks you have on. And does society agree with your core feelings? It matters. -  Danish observational study on HT after BCa - What can I learn from boredom? - MHT and cholesterol changes Reassuring data regarding the use of hormone therapy at menopause and risk of breast cancer Pinkerton, JoAnn V.; Wilson, Carolyn S.; Kaunitz, Andrew M. Menopause. 29(9):1001-1004, September 2022. 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 Jul 20:djac112. doi: 10.1093/jnci/djac112. 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

A mindwork episode! Dr. Ubell is one of the first physician life coaches! She gained and lost the same 40 lbs at least 10 times since puberty and now helps women become a team with their body and stop obsessing over food using the power of mindwork.  She reached out to me to be on the podcast and at first I didn’t know how to connect the dots besides life coaching. I have a podcast episode called “sex while fat” – we are okay at any size. I was worried she just wanted to talk about losing weight. So I said Okay if we can talk about how mind work in her arena can also relate to a positive body image and sex life. Like my older episodes talking about money and sex – these topics are more related than we think because of our thoughts about them. “I am interested in people stopping hating themselves” – Dr. Ubell What is diet culture? The concept of mutual respect between you and your body. Can weight loss goals exist with body positivity? Shame is useless. “I haven’t had success so there must be something wrong with me” Dr. Ubell Why do we get numb or disconnected from our bodies? Over eating as a trauma response – sexual assault or childhood trauma – I got big to not feel or too attractive. Changing one’s identity requires changing our thoughts. Menopause and weight gain/loss – watch what you believe about this. Acceptance of our bodies as we get older. Entitlement thoughts! I feel so seen! I am entitled to my latte! How to stop invalidating your emotions Relationship with yourself and thoughts about yourself are important for both weight loss and sexuality. Get her book here! https://amzn.to/3AYTwtU https://katrinaubellmd.com/ https://www.facebook.com/katrinaubellmd/ https://www.instagram.com/coachkatrinaubellmd/ 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 was a Book Club I did with Dr. Rachel Rubin and Andrea Martin, NP last week.  Free first chapter on the website www.kellycaspersonmd.com  Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK  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

Dr. Soum Rakshit is the Co-Founder & CEO of award-winning sexual health company, MysteryVibe. Their mission is to make sexual health accessible to all – across all ages, genders & orientations. From his research & experiences over the past 2 decades, Soumyadip deeply understands that a major challenge in most people’s lives is keeping the ‘mystery’ alive in a long term relationship. This is especially the case after major life events like childbirth, menopause, cancer treatment or surgery. That’s why he decided to combine his defense electronics expertise with medical experts to create devices that address major sexual health issues like ED, dryness & pain during intercourse. At the same time, working closely with sexual health experts, his team has been at the forefront of researching & developing content that act as catalysts for people to start much-needed conversations to reignite their sex life. How did you get into sex toys? How he told his parents he went into a sex toy company. Only 1 in 4 people will see a doctor for their intimacy issues. “Pleasure is seen as a vice” Main barrier to selling sex toys when all social media bans sex. How does vibratory therapy work? Sexual health and how it is often overlooked when it comes to pre- and postmenopausal women. Are sex toys getting too complicated? What to do? How to maintain a sense of mystery in a long-term relationship. Advice for women in bringing a vibrator into the bedroom with a partner. https://mysteryvibe.com/ Rullo JE, Lorenz T, Ziegelmann MJ, Meihofer L, Herbenick D, Faubion SS. Genital vibration for sexual function and enhancement: best practice recommendations for choosing and safely using a vibrator. Sex Relation Ther. 2018;33(3):275-285. doi: 10.1080/14681994.2017.1419558. Epub 2018 Jan 4. 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

First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy! 1. The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers 2. 𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price ⁣ 3. 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO. ⁣ 4. 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time. ⁣ 5. 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks. ⁣ 6. 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis. ⁣ 7. 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory. Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558. www.winkwinkboutique.com Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

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 Vaginal Lasers How a male can introduce my book to his female partner Unopposed Estrogen can cause harm Q&A from listeners: Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations? I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions? I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly? I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right. 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

Vulvar Itch – What could it be? With Dr. Jill Krapf So lucky to catch Dr. Krapf in her car (sorry for the spotty audio but too good to not share) for this live Q&A we did for my membership - but as you know Car audio isn't perfect - I still think it is worth the share! 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 What can the vulvar itch be? Why is it worse at night? Does low estrogen increase risk of itch? Dr. Jill Krapf discusses Lichen Simplex Chronicus Does a bidet help? Embedded Vulvar yeast Lichen Sclerosis in premenopausal women Flares are real Krapf JM, Smith AB, Cigna ST, Goldstein AT. Presenting Symptoms and Diagnosis of Vulvar Lichen Sclerosus in Premenopausal Women: A Cross-Sectional Study. J Low Genit Tract Dis. 2022 Jul 1;26(3):271-275. https://pubmed.ncbi.nlm.nih.gov/35533256/ https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/ I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Vaginal Estrogen Show And Tell Watch on YouTube: https://youtu.be/eAgTp1dt4W4 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 Is vaginal estrogen the same as menopause hormone therapy. Do you need to use a progestin if you use a vaginal estrogen cream? What is the risk of breast cancer with vaginal estrogen? I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

July Live podcast – Mindfulness, blood in urine, and hormone Q&A I quote from this book: https://amzn.to/3JhCfie Better Sex Through Mindfulness by Lori Brotto I talk about mindfulness What is Hematuria? Hormone Q&A 1) Breast Cancer and Hormones – Are Any Okay?  I've been having issue getting sexually aroused and having an orgasm. 2) My mom is 79 with osteoporosis, she stopped her hormone therapy 20 years ago. Can she restart? 3) I’m going to talk to my doctor about HRT… I’ve been having hot flashes so bad! It’s awful! I’m wondering what exactly I should ask for? 4) What risks do oral estrogen have? 5) Thoughts about Premarin? See you in the membership! 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. Marty Klein has been a Licensed Marriage & Family Therapist and Certified Sex Therapist for over 35 years. He has focused his entire career toward a single set of goals: telling the truth about sexuality, helping people feel sexually adequate & powerful, and supporting the healthy sexual & intimate expression and exploration of women & men. He practices in Palo Alto. He has written 7 books, translated into 11 languages and has given over 1,000 lectures. Why are people so against porn? Or why not be against porn? The Ice Cream/Broccoli hypothesis ‘When people have low desire for lousy sex, that is not surprising” – Dr. Klein Should we worry about porn dehumanizing women? What is the number one fantasy by women? Should you actually live our your sexual fantasies? “Sexual fantasies do not have meaning” – Dr. Marty Klein Porn addiction – define? What about porn users who aren’t functionally sexually at home? Is porn infidelity? What about sexting someone else? Only Fans? Talk about the power struggles couples get in and think it is about porn “The ultimate issue in many couples in conflict about pornography is the decline or disappearance of their once enjoyable sex life. While it is common to say that the porn user is selfish and rejecting of their partners, a lot of porn use is actually a desperate attempt to stay in a sexually unfulfilling couple.” What to do if no longer attracted to your spouse? How is this not porn’s fault if it makes you get off to perfect bodies? “Desire in middle age does not feel like desire at 23 years old” – Dr. Marty Klein What he wishes women knew about their male partner’s porn. What would you like to tell the men? Why are there not enough sex therapists and what should I do about it? https://www.martyklein.com/ Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF 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