You Are Not Broken

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

Dr. Kelly Casperson delves into a groundbreaking study that shows how transdermal testosterone therapy can enhance mood and cognitive function in peri- and postmenopausal women. The findings challenge existing beliefs about the hormonal decline during menopause, revealing gradual testosterone drops. Mood improvements from therapy often surpass cognitive benefits, posing testosterone as a safer alternative to SSRIs for mood issues. Engaging discussions highlight the critical link between libido and mood, stressing the call for further research into hormonal therapies for women.

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

In episode 301 of the You're Not Broken podcast, Dr. Kelly Casperson discusses 15 things she wishes would change in women's health, focusing on hormonal health, the healthcare system, sexual health, and education. She emphasizes the importance of choice regarding hormone therapy after breast cancer, the need for better sex education, and the challenges posed by the current healthcare system. Dr. Casperson also shares her aspirations for future clinics and the importance of addressing orgasmic inequality and healthcare costs.TakeawaysHormones after breast cancer should be a choice.There is a need for FDA-approved female-dosed testosterone products.Healthcare costs are a significant barrier to accessing care.Sex education in the U.S. is inadequate and needs reform.Orgasmic inequality is prevalent, particularly in heterosexual relationships.Vaginal estrogen is safe and should not carry a cancer warning.Healthcare providers need better work-life balance to prevent burnout.Education is key to improving sexual health and understanding.The healthcare system should prioritize patient care over profits.Future clinics are needed to support women's health and hormonal optimization.[M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 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

EPISODE THREE HUNDRED Y'ALL!!!In this episode of the You're Not Broken podcast, Dr. Kelly Casperson celebrates the milestone of 300 episodes by sharing key insights on women's health, including the importance of vaginal estrogen, testosterone, and the realities of menopause. She emphasizes the need for longer patient visits and the significance of understanding the nuances of healthcare. Additionally, she discusses upcoming events and retreats focused on women's health education.TakeawaysVaginal estrogen is safe and effective for postmenopausal women.Testosterone is present in both men and women, and is crucial for health.Short medical visits hinder effective healthcare delivery.Menopause is a natural process, and suffering through it is not necessary.Alcohol consumption is linked to several types of cancer.Osteoporosis can be improved with the right interventions.Estrogen does not inherently cause cancer; it can support health.Regular exercise is essential for overall health and well-being.Understanding the difference between correlation and causation is vital in healthcare.The myth of 'use it or lose it' regarding vaginal health is misleading.[M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 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, Dr. Katie Kennedy, a pathologist, discusses the intersection of aging, health, and the effects of alcohol on the body. The conversation explores how alcohol impacts various organs, particularly the liver and brain, and its connection to inflammation and cancer. The role of estrogen in women's health and the implications of aging on inflammation are also examined, providing insights into how these factors affect quality of life. In this conversation, Dr. Kelly Casperson and Dr. Katie Kennedy discuss various aspects of women's health, particularly focusing on postmenopausal issues such as bladder health, the importance of vaginal estrogen, and the role of pathology in understanding these conditions. They delve into the significance of bone health and osteoporosis, emphasizing the need for preventative measures against hip fractures and frailty. The discussion also highlights the connection between breathing, oral health, and overall well-being, advocating for a holistic approach to health that considers the entire body.TakeawaysPathology is the study of diseases and their effects on tissues.Alcohol has a significant impact on liver health, leading to conditions like fatty liver disease.Fatty liver disease can be reversed if caught early and with proper support.Alcohol is classified as a carcinogen, contributing to various cancers.Chronic alcohol consumption can lead to memory loss and increase the risk of dementia.The loss of estrogen during aging creates a synergistic effect with alcohol on brain health.Inflammation is a common response in aging and is linked to estrogen loss.Women metabolize alcohol differently than men, making them more susceptible to its effects.Inflammation can be observed in various tissues, not just localized areas.Understanding the impact of alcohol on health is crucial for making informed choices. Postmenopausal women often suffer from bladder issues that are under-discussed.Vaginal estrogen should be a standard part of women's health care.Thin vaginal mucosa can lead to increased infections and complications.Preventative measures for osteoporosis should start early in life.Hip fractures are a significant health risk for older women.Mouth breathing can lead to various health issues, including sleep apnea.Strengthening the tongue is crucial for preventing aspiration and improving swallowing.Holistic health considers the entire body and its interconnected systems.Education and awareness are key to improving women's health outcomes.Regular health evaluations should include assessments of bone and muscle strength.Dr. Kennedy's WebsiteDr. Kennedy's IGOrder 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:Interested in my sexual health and hormone clinic? Starts February 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