Dr. Ellen Gendler, a New York City dermatologist, shares her expertise on the transformative role of estrogen in skincare and haircare, particularly for women experiencing midlife changes. She discusses the nuances of topical estrogen, its benefits, and the societal stigma attached to vanity in skincare. With insights on the importance of retinoids, moisturizers, and sun protection, Dr. Gendler also addresses the complexities of midlife hair loss and treatment options. Her passion for debunking skincare myths will empower listeners to embrace better routines.

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew GoldsteinDr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes.Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia).Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia.In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain.TakeawaysCervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking.Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally.Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases.Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments.The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia.Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia.Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients.Pain control should be prioritized during procedures, such as IUD insertion.Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings.https://vulvodynia.com/https://www.gyncancer.org/Solv WellnessTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.FirmTechGo to myfirmtech.com and enter code NOTBROKEN for 15% off today.ALLOYWomen of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.Listen to my Tedx Talk: Why we need adult sex edTake my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-edJoin my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!www.kellycaspersonmd.com/membership Learn more about your ad choices. Visit megaphone.fm/adchoices

263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon MaloneDr. Malone is a nationally known expert in women’s health and a vocal advocate for menopause awareness and evidence-based information about hormone replacement therapy. A certified Menopause Practitioner, she believes that all women should be able to make decisions regarding their health and quality of life based on facts – not fear.Her first book, Grown Woman Talk: Your Guide to Getting and Staying Healthy, is out now and is a New York Times Bestseller!Dr. Sharon Malone, an expert in women's health and menopause, discusses her transition from traditional OB-GYN practice to menopause care and her role at Alloy Women's Health. She emphasizes the importance of telehealth in providing access to care for perimenopausal and menopausal women. Dr. Malone also addresses misconceptions about hormone replacement therapy and the need for individualized treatment decisions.She highlights the gender disparities in medicine and the need for more research on women's health. Additionally, Dr. Malone discusses the role of testosterone in menopause and the challenges in accessing and prescribing it for women. In this conversation, Dr. Sharon Malone and Dr. Kelly Casperson discuss various topics related to women's health, including the lack of FDA approval for testosterone preparation for women and the need for more research on testosterone in women.They also highlight the additional struggles faced by African American women and minorities in menopause and emphasize the importance of advocating for women's health and quality of life. The conversation provides practical advice on how to advocate for oneself in medical conversations and emphasizes the importance of being prepared and efficient in doctor's visits. Lastly, they debunk the inaccurate breast cancer risk statistic of one in eight.There is a need for FDA approval of testosterone preparation for women and more research on testosterone in women.African American women and minorities face additional struggles in menopause and may have difficulty accessing appropriate treatments.Advocating for women's health and quality of life is crucial, and patients should be prepared and efficient in medical conversations.Knowing one's medications and their purpose is important for effective communication with healthcare providers.The commonly cited breast cancer risk statistic of one in eight is inaccurate and can cause unnecessary fear.https://www.drsharonmalone.com/https://www.instagram.com/smalonemd/https://twitter.com/smalonemdGrown Woman Talk: Your Guide to Getting and Staying HealthySolv WellnessTo learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.FirmTechGo to myfirmtech.com and enter code NOTBROKEN for 15% off today.ALLOYWomen of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024. Learn more about your ad choices. Visit megaphone.fm/adchoices

Marcella Hill, a passionate advocate for women's hormonal health, shares her transformative journey through perimenopause and hormone therapy. She discusses the need for better support in women's healthcare, particularly during this challenging transition. The conversation delves into intimacy, emphasizing the significance of rediscovering passion and agency in relationships. Marcella highlights the importance of breaking free from societal labels and encourages women to embrace their true selves while pursuing joy and personal liberation in midlife.

Caitlin V. Neal, a sexologist, explores topics like the Erotic Blueprints, premature ejaculation conditioning, female squirting, navigating sexual expectations in relationships, invisibility of bisexual women, and discrimination against non-monogamous relationships with Dr. Kelly Casperson.

260. Women and Testosterone I join Dr. Harper on her “Women’s Power Hour” in the UK on IG live and it was such a good chat she let me have the audio for the podcast. Dr. Kelly Casperson and Dr. Harper discuss the importance of testosterone for women's health, including muscle mass, metabolism, mental health, and the health of the genitourinary tract. They address common questions and misconceptions about testosterone, such as why it isn’t easy to prescribe and the normal ranges for women. They also explore the use of testosterone in the treatment of genetic urinary syndrome of menopause and its potential benefits for breast cancer survivors. The conversation highlights the need for personalized hormone therapy and the importance of considering other factors that may impact libido and overall well-being. Why are there many urologists who are experts in female pelvic health and hormones? There are no “perfect” testosterone levels; we don’t treat it to a level, but rather, there is a range. How Testosterone helps with genitourinary syndrome of menopause (GSM). In perimenopause, sometimes testosterone is the first thing we start for symptoms. Sometimes testosterone supplementation takes several months to have effects. What to do if you don’t feel effects.  Dr. Harper shares some tips and tricks. Testosterone is important for women's health, including muscle mass, metabolism, mental health, and the health of the genital, urinary tract. There are misconceptions and challenges surrounding the prescription of testosterone for women, including the lack of a female-licensed product and the off-label use of male testosterone products. Testosterone can be beneficial for women with genetic urinary syndrome of menopause and breast cancer survivors, but individualized treatment and monitoring of hormone levels are important. Hormone therapy should be personalized, and other factors that may impact libido and overall well-being should be considered. Testosterone positively affects brain function and mental clarity, which can greatly improve the quality of life for women. Should we use hormones for preventative health? We make estrogen via the androgen pathway. Reasons that we benefit from testosterone. There is no female-licensed product in either the UK or the USA. https://www.instagram.com/drshahzadiharper/ https://theharperclinic.com/ FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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 megaphone.fm/adchoices

In this episode, my panel of menopause expert physicians and nurse practitioners discuss the recent four-part article series on menopause published in The Lancet (link below). We address the agenda behind these articles and the implications for menopause care. The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues. We also criticize the suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms, highlighting the barriers to access and the lack of evidence supporting its effectiveness. The panel advocates for a comprehensive and individualized approach to menopause care. The conversation methodically identifies the principal themes discussed in the Lancet article on menopause. We cover topics such as biased review articles, the citation of the author's own studies, the lack of balance in the article, possible reasons for publication, surprising reactions from colleagues, the lack of education and training, the dismissal of women's experiences, ageism in medicine, the importance of treating perimenopause, ignoring the suffering of perimenopause, setting the stage for future health issues, empowerment through hormone therapy, misconceptions about hormone therapy and breast cancer, estrogen's protective effects on breast cancer, lifestyle factors and breast cancer risk, advocating for access to menopause specialists, and the importance of seeing a menopause specialist. Takeaways The panel strongly disagrees with the claim that menopause is being over-medicalized and emphasizes the importance of hormone therapy in managing menopausal symptoms and preventing long-term health issues. The suggestion that cognitive behavioral therapy should be the first-line treatment for menopause symptoms is criticized due to barriers to access and lack of evidence supporting its effectiveness. The panel highlights the need for a comprehensive and individualized approach to menopause care, taking into account the diverse needs and experiences of menopausal individuals. The Lancet articles were criticized for misrepresenting the benefits of hormone therapy and failing to acknowledge the impact of menopause on mental health and overall well-being. Review articles should present a balanced view by citing studies that prove and disprove a point, rather than cherry-picking data. The Lancet article on menopause fell short of presenting a balanced view and may have been rushed for publication. Many healthcare providers lack education and training on menopause, leading to dismissive attitudes towards women's experiences. Hormone therapy is an important tool for treating perimenopause and menopause symptoms and can have protective effects on breast cancer. Advocacy is needed to improve access to menopause specialists and expand telehealth services. https://www.thelancet.com/series/menopause-2024 FirmTech sponsors this podcast today. Go to ⁠⁠myfirmtech.com⁠⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠⁠solvwellness.com⁠⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠⁠myalloy.com⁠⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Listen to my Tedx Talk: ⁠Why we need adult sex ed⁠ Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! ⁠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 megaphone.fm/adchoices

Sexual Empowerment, Reframing Pain,  Autism Experiences, Sex Work and More This is a wide-ranging conversation, and I hope you enjoy it! Suzannah Weiss is a feminist writer and sexologist. She is the author of Subjectified: Becoming a Sexual Subject, which describes her search for sexual empowerment and her vision for a world where women are subjects, not just objects, of desire. As a sex educator certified by the American Association of Sexuality Educators, Counselors, and Therapists, Suzannah has taught courses and given talks on topics including consent, orgasms, childbirth, non-monogamy, and neurodiversity. Offering a deeply personal account and powerful critique of sexual empowerment movements, Suzannah Weiss presents a way forward that focuses more on what women desire, and less on what men desire from them. She makes a bold yet compassionate call for women everywhere to inhabit their bodies and hearts ― to remain connected to their inner eye and their inner "I," even in a world where they are disproportionately "you," "she," or "them." Takeaways Reframing attitudes towards menopause is important to celebrate the positives of this life phase and challenge societal beliefs that devalue women in menopause. The objectification of older women in medical contexts can lead to dismissive treatment of issues related to desire and pleasure, highlighting the need for more inclusive and comprehensive healthcare. Understanding and addressing period pain requires recognizing that pain experiences vary among individuals, and it is essential to validate and investigate severe pain rather than dismissing it as normal. The orgasmic birthing movement promotes a positive and pleasurable birthing experience, emphasizing presence, breathwork, and sensory awareness to enhance the intensity and pleasure of childbirth. Supporting autistic individuals in dating and sexuality involves celebrating their strengths and unique experiences, promoting positive relationships, and challenging societal stereotypes and assimilation efforts. Pleasing and empowering women in the bedroom requires men to understand and respect boundaries, communicate openly, and prioritize mutual pleasure and consent. Changing attitudes towards masculinity and sex work involves recognizing the potential for men to use their sexuality for good, promoting respect and consent, and challenging societal shame and stigma around sex work. Teaching meaningful consent and embodied consent involves tuning into one's body and feelings to determine consent, promoting open communication, and reframing consent as an ongoing process rather than a one-time agreement. Subjectified by Suzannah Weiss You can find her on Twitter (@suzannahweiss) or Instagram (@weisssuzannah). FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠solvwellness.com⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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 megaphone.fm/adchoices

Dr. Morgantaler debunks misconceptions around testosterone, challenges gender biases, and discusses the impact of Women's Health Initiative study. He explores testosterone therapy benefits, reluctance of doctors to advocate for it, insurance coverage challenges, and exciting developments. The conversation delves into testosterone's effect on prostate cancer, refuting beliefs about its role in cancer growth and emphasizing optimal levels for tissue health.

Dr. Martha Boone, a urologist and author, discusses alternative therapies in urology, the importance of quality information, and the changing landscape of hormone therapy. She shares her experiences with alternative treatments for bladder health, pelvic pain, and urinary tract infections. Dr. Boone also discusses the journey of testosterone and prostate cancer, highlighting the shift in understanding and treatment approaches. She emphasizes the importance of considering quality of life in medical decision-making and the need for individualized care. In this conversation, Dr. Martha Boone discusses her experiences in urology practice and her transition to writing. She highlights the challenges urologists face in providing comprehensive care within limited time constraints. Dr. Boone also shares her journey as a writer, including the publication of her books. The conversation explores the differences between writing fiction and nonfiction, as well as the difficulties of writing memoir. The unreliability of memory is also discussed, emphasizing the subjective nature of personal recollections. The conversation concludes with gratitude and encouragement for the next generation of urologists. Takeaways Alternative therapies can play a valuable role in urology, providing patients with additional options for treatment and symptom management. Access to quality information is crucial for patients to make informed decisions about their health and navigate the overwhelming amount of information available online. The journey of testosterone and prostate cancer highlights the evolving understanding of hormone therapy and the importance of individualized care. Considering quality of life is essential in medical decision-making, as it can greatly impact a patient's overall well-being and satisfaction with treatment. Urologists often face challenges in providing comprehensive care within limited time constraints. Transitioning from a medical career to writing requires discipline and adaptation to different genres. Writing fiction and nonfiction require different storytelling skills and approaches. Writing memoir can be particularly challenging due to the subjective nature of personal recollections. Memory is unreliable, and individual recollections of events can vary significantly. Gratitude and encouragement for the next generation of urologists. Martha B. Boone, M.D.Author of: The Big Free, The Unfettered Urologist, and Mother CharityMarthaBoone.comTwitter: @drmarthabooneFB: MarthaBBoone FirmTech sponsors this podcast today. Go to ⁠⁠myfirmtech.com⁠⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Solv Wellness and their products for female pelvic health, visit ⁠⁠solvwellness.com⁠⁠ for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠⁠myalloy.com⁠⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Check out details for my retreat: ⁠https://ascendretreats.com/2024-kellycasperson-sedona/⁠ Listen to my Tedx Talk: ⁠Why We Need Adult Sex Ed⁠ Take my NEW Adult Sex Ed Master Class: ⁠https://www.kellycaspersonmd.com/adult-sex-ed⁠ Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! ⁠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 megaphone.fm/adchoices