You Are Not Broken

Dr. Goldstein is a gynecologist specializing in pelvic floor dysfunction, vulvar disorders and female sexual health and dysfunction. He is an author, engaging speaker and world traveler (before COVID). You can find him at www.vulvodynia.com My story on my connection with Dr. Goldstein How did he become an expert in vulvas – and tell us what the vulva is. As many as 40 percent of women who suffer from pain with sex won't seek medical care. And most medical professionals are still in the dark when it comes to women's sexual pain. The viscous pain cycle Let’s talk about your book, “When Sex Hurts” Why he wrote it https://amzn.to/3tFvn5P What is vulvodynia? Are there any “easy fixes” for vulvodynia? What is lichen sclerosis. What is the role of estrogen and lichen sclerosis? Should women use steroids and estrogen cream for life? The importance of local vaginal estrogen in preventing UTI Menopause lasts a lifetime My “not natural” rant! Testosterone for women’s health Can you talk about the role of hormonal birth control, hormone effects, and pelvic pain and dyspareunia? Low dose birth control for early menopause What is the role of trauma and abuse in pelvic pain? His other book: Female Sexual Pain Disorders https://amzn.to/3x6FXoc --- 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 pure gold.  Funny, quick and wicked smart, Dr. Stephanie Hart joins me today to talk everything libido! She is a family doctor in Canada who specializes in sexual health and now that Is her full time practice! Foothills Sexual Function Clinic. www.sexualfunctionclinic.com We met on a FB group! We connected when I posted a picture of “A Clinicians guide to systemic sex therapy’ Share your path about how you got to this point in your career. What is the most common sex issue between couples? What is anorgasmia? Options? What myths do non-gender conforming or non-straight couples have? What is a myth that men have about women’s sexual function? - - - What is a myth that women have about men’s sexual function? - - - The analogy of “the piggy bank” Love Languages Sharing a sexual success story https://mojoupgrade.com/ Chore-play! How can a man help a female partner who struggles with desire? Talk to us about menopause and sex – myths or special considerations. How should we talk to our partners about sex? What to do if a man has low desire or doesn’t want to talk to his partner about sex? What is your opinion on “scheduling sex” What are your tips or “must do list” for a woman with low libido. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sexual dysfunction expert! Today I am so excited to talk to Dr. Sophocles. She is a gynecologist and sexual medicine specialist practicing in Princeton NJ. She appears regularly on the radio program Sirius XM Doctor Radio. She sees women for menopause and sexual dysfunction concerns as well as general gynecology. You can find her at www.princetongyn.com Welcome! How did you get into menopause and sexual dysfunction treatment? Why do you think sexual dysfunction is so common? Biggest misconception about menopause that you see? Talk about perimenopause – when does it start? How do you transition a woman from birthcontrol/IUD to menopause hormones? When is the right time age wise to start hormones? How long can women be on hormones now? Can hormones help sex lives? Do you have any favorite non-hormonal vaginal moisturizers? @femmepharma Lichen Sclerosis Resources Let’s talk about vaginal lasers. How do you incorporate them into a woman’s plan? Tips for keeping sexually active in the mid-life? What’s in the future for you with this work? --- 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 my first ever live podcast recording! I answer some IG follower’s questions about menopause and then I bring on Dr. Jessica Krant, dermatologist and functional medicine physician and vegan to discuss gut health, exercise, and how a healthy body is good for a healthy sex life. Hostage negotiating communication tips How to deal with the thought, “the other person is the whole part of the problem” Learning about trying to control others. Our manuals for other people. How not to base our happiness on how other people behave. What is “young menopause” and life expectancy data on hormone replacement therapy in “young menopause” Have you ever asked yourself “why do I want to have sex”? Hormones at your doctor office. Different types. Review of vaginal estrogen versus systemic. FDA approved bioidentical estradiol. What does bioidentical mean? NAMS 2017 guidelines on stopping hormones – what is the evidence for stopping and when? Tips and options on irritation with vaginal estrogen creams. Sunscreen and seatbelts for the pelvis – vaginal estrogen! Why we think there is such an interest in menopause right now. How sex is a vehicle for personal growth “You learn what you are accidentally tolerating” The point is the journey! #Ellen – become the person worthy of getting on Ellen! Veganism and skin care The gut and mental health. Serotonin is created in the gut – say what!! How exercise is anti-aging! Book discussed – Never Spit the Difference – Chris Voss www.instagram.com/drkranttheskinmd --- 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. Sarah Boyles is an expert urogynecologist (FPMRS) with more than 15 years of clinical experience. She manages her successful group practice, publishes widely in her field and creates national FPMRS quality standards. For years, she has heard her patients regret not knowing more about their bladder function and wishing this information was easier to find outside of a doctor’s office. Recognizing the need for great pelvic floor education in the real world, she has recently pivoted to creating quality content for women that is easy to obtain through electronic resources. https://www.instagram.com/thewomensbladderdoctor/ https://thewomensbladderdoctor.com/ What is a urogynecologist? How do i know I am normal? (anatomy wise) Why is this such a common question these days What would make me abnormal Talking about bladder leakage, a huge quality of life problem for women. Women with bladder leakage are less sexually active. We talk about the two main types of bladder leakage in women – stress and urge incontinence impact of treating incontinence on sexuality and a woman's quality of life leaking DURING intercourse - a big deal! Vulvar tears during vaginal delivery and muscle injury How to talk to your doctor about your bladder --- 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 Modern Guide to Women’s Intimacy Dr. Jennifer Jane Roelands interviews Dr. Casperson Why aren’t we talking about female intimacy? Bringing neuroscience and urology together to understand sex and desire. What kind of sex education did you get in school or in life and is that serving us? How do we talk to young people about their bodies? Tips and tricks. Tips for focusing on the present in order to focus on your sexual self. Brain training! Why context matters for women. Brain science! Why alcohol does to the brain – not all good, not all bad. Let’s talk about scheduling sex. Why orgasms are good for you. Why making sex a “to do list” isn’t great for desire. Advice for new relationships: talk about sex! Menopause and changing sexual concerns. Sleep deprivation is horrible for libido When to see a physician When to see a sex therapist Wrapping it up with desire mismatch! The Vagina Bible by Dr. Jen Gunter. https://amzn.to/30GlHuL Becoming Cliterate by Dr. Laurie Mintz. https://amzn.to/38EV2TD Come as you Are by Emily Nagoski, PhD. https://amzn.to/38CizEI https://www.meetrosy.com/ www.aasect.org Find Dr. Roelands at https://wellwomanmd.com/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

You Can't get enough of menopause education and tips! Today we continue to sit with Dr. Heather Hirsch. She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues.Can you describe peri-menopause and how to thrive during it? What are the hard stops on who can’t take hormone replacement therapy? Breasts: The Owner’s Manual – link below What are the best supplements and vitamins post menopause? Genitourinary symptoms of menopause and vaginal estrogen We briefly touch on testosterone. What is her opinion about pulling a woman off hormones if no sx just because “it has been long enough” Anything else a woman should know? https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506 https://www.instagram.com/hormone.health.doc https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA https://read.amazon.com/kp/embed?asin=B075PGG4LW&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_ZAMQ6CWZWZQN4RZF8D6G&tag=kellycasperso-20 www.menopause.org --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today I am so excited to introduce Dr. Heather Hirsch. She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues. She is a board-certified internal medicine doctor who completed a women’s health fellowship at the Cleveland Clinic. You can find her on IG at hormone.health.doc and her website is www.heatherhirschmd.com I met her on a ISSWSH committee? Maybe? Or IG? Her best friend is a urologist, so I knew I had to meet her! How did you become a menopause doctor? Why do women know nothing about menopause except hot flashes? Society is bombarded with misinformation. We discuss the Women’s Health Initiative Study and how the results changed menopause in our country for decades since. Learn about the protective effects of estrogen in women between the ages of 50-60. The average menopause symptoms last for 5-10 years. https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506 https://www.instagram.com/hormone.health.doc https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Featured in this week’s episode of You Are Not Broken host Kelly Casperson, MD interviews OBGYN Dr. Meedlen Charles. Dr. Charles will discuss the effects of Postpartum Depression and how women can be embarrassed talking about the issues they have after giving birth. Dr. Meedlen talks about the importance knowing that women with previous conditions of anxiety and depression are more likely to be affected by Postpartum. However, most women will have effects after birth, and this is a normal part of giving birth that many do not want to discuss. In some cultures, it is frowned upon to talk about what women experience after pregnancy and birth. Most women will experience many difficult side effects after birth including lack of desire, body issues, anxiety, depression, vaginal dryness, and more. Some women may feel as if these effects are uncommon, but the reality is that many women experience side effects after giving birth. Women may have a difficult time having sex with their partner or breast feeding for a long period of time. When returning to the work force, women might endure a hard time “wearing multiple hats” and managing their role as a new mother. These feelings are normal and common in most cases. We talk about pain and dryness with sex. Hormones can be a reason for this, so can birth trauma. Tips and tricks and our favorites! Typically, there are appointments a few short weeks after giving birth to observe if a woman is experiencing postpartum. Unfortunately, many believe that postpartum will stop after 30 days or 3 months, but the reality is that it can last up to a year after giving birth. The highest risk for perinatal suicide occurs between nine months to a year after giving birth. Learn when Dr. Charles brings in physical therapy to a woman’s healing plan post-partum. We talk about low libido post-partum. So common and there are so many reasons why. The best cause of action is to talk honestly to your doctor because while it may feel embarrassing, they are there to help you. They can recommend lotions or oils to make your body feel more comfortable during sex, therapists to help you deal with your anxiety or depression, and more. Join these physicians as they talk about women and their mental/physical state after having a child. And then be sure to subscribe to the podcast on Spotify and Apple Podcasts. Important Links: https://www.kellycaspersonmd.com https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Mary R. Rensel, MD, is a Staff Neurologist in Neuroimmunology at Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research. She is also Board Certified in Integrative Holistic Medicine. She directs the Pediatric MS and the Wellness programming at the Mellen Center.  She is an Assistant  Professor at the Cleveland Clinic Learner College of Medicine where she serves as an instructor for the medical students. www.Instagram.com/MRenselMD www.linkedin.com/in/mary-rensel-94844b1a You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber https://www.facebook.com/mary.rensel.9 @the_brain_fresh Brainfresh.org Keep your sex life in your life! She is a brain doc, a mom, and a coach! Welcome! I first saw her at the Brave Enough 2019 conference when you were talking about brain health! For people who don’t know…what is Multiple Sclerosis? How does it affect one’s sex life – male and female? Segway into overactive bladder for a bit….formal physical therapy versus googling “kegels”. How do you incorporate integrative medicine into people’s lives living with neurologic disabilities? What do we do about fatigue in neurologic conditions? What do we do about decreased sensations? Talk to me about coaching. When did you get interested and how do you use it in your life? https://www.Instagram.com/MRenselMD www.linkedin.com/in/mary-rensel-94844b1a You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber https://www.facebook.com/mary.rensel.9 Brainfresh.org --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices