

You Are Not Broken
Kelly Casperson, MD
Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives. Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy and health. Nothing in this podcast is personal medical advice, of course.
Episodes
Mentioned books

Aug 2, 2020 • 30min
EPISODE 30!!! Dr. Casperson Talks Pelvic Anatomy
This is part one of two episodes where I am publishing my recorded lecture to my local Nurse Practitioner association.
So this may be geared more towards the health professional. But don't we all deserve an education??
Sex and education for busy modern times! First step, learn the organs!
My story - how I got in the business of sex education.
Disclaimer - sex is awkward
Listen to your brain - it will tell you what you already know about sex. Society puts a lot of rules about sex into our brain. Those voices will talk to you.
Vulnerability is the key to connection.
The Hardware - the Pelvic Anatomy
Anatomy about the vulva
Labias are normal
Vulvodynia - pain in the vulva
Clitoral anatomy
Post menopause anatomy changes
Genitourinary symptoms of menopause
How does birth control change the vulva?
Vaginal estrogen does NOT cause breast cancer
When can I stop my vaginal estrogen?
Vaginal DHEA
How to clean and care for your vulva and vagina
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Jul 26, 2020 • 34min
#29 - Dr. Casperson Talks to the Rotary!
So lucky to talk to the Rotary in Duluth, MN!
The mind is the biggest sex organ!
I got into female sex med because of one of my patients and my inability to help her – hear that story.
Sex education in America tends to be shame based and disease and pregnancy prevention based.
1) Talk about desire types
2) Orgasm inequality
3) You can’t desire bad sex
4) Erectile dysfunction
5) Menopause
6) Systemic and vaginal estrogen
Tips and tricks!
Sex works best when you get out of your head! Focus on the present.
How to talk to your partner about sexual desire mismatch.
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Jul 19, 2020 • 30min
Meet ROSY founder Dr. Lyndsey Harper! - an app for female sexual wellness
Why Dr. Harper created ROSY
www.meetrosy.com
https://www.instagram.com/meet_rosy/
https://www.facebook.com/MeetRosyApp/
How I met Dr. Harper and how she got started in creating a sexual health wellness app.
She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year!
What is low sexual desire? Distressingly low sexual desire.
How can a woman bring up this topic with her doctor. Tips and tricks.
We discuss the myth that women’s sexual health is complicated. It is not!
We discuss reactive (responsive) desire. It is totally normal!
We talk about loss of trust in a relationship and how that affects desire.
Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting.
Resources Rosy provide for health professionals?
Future plans for Rosy – Telehealth started in Texas June 1, 2020.
Erase shame and isolation!
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Jul 12, 2020 • 29min
#27 - Interview 2/2 Dr. Rachel Rubin!
Here we go! Week two!
Learn about how birth control affects sex
DHEA
And enjoy DC's premier cliterologist!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
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Jul 5, 2020 • 22min
Meet a Full Time Female Sexual Medicine Urologist, Dr. Rachel Rubin - Episode 1 of 2
I can't remember how I met Dr. Rubin but I am so excited I did! A sister urologist to me! Such a great educator and surgeon!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
How she got into female sexual medicine after urology residency
The biggest misperception about her job
Challenges with menopause and the pelvis
Testosterone’s role in women
How to talk to your partner about sex (hint: bring them to the doctor's appointment).
When you empower someone with how their body works, everybody wins and confidence happens!
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Jun 28, 2020 • 38min
#25 - Meet a Pelvic Pain Expert Physician - Dr. Gerig!
Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum.
She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency.
Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC.
IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats.
What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan.
She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers).
Physical therapy is vital in educating women about their bodies and bodily function.
Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension.
Tips for stress management!!!
Healing from pelvic pain takes time. There is no magic wand! It takes time and work.
Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants.
Dr. Gerig’s goal is to get her patients OFF medication eventually.
Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements.
Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain.
Tips and tricks for self advocacy for pelvic pain. www.apta.com . www.hermanwallace.com
What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this.
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Jun 21, 2020 • 32min
The Brighter Side Of Marriage - An Interview with Marriage Intimacy Coach - Monica Tanner
Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex.
Learn about her backstory as a child from a divorced family.
She started a podcast, On the Brighter Side
https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810
She teaches the Five Step Framework to Complete Connection.
She teaches about “Radical Intimacy” – Intimacy without boundaries.
Find her online at https://onthebrightersideoflife.com/
And
https://bit.ly/30dayplans
And her Facebook: https://www.facebook.com/monica.tanner2
The role of connection, loving and safety in having mind blowing sex.
The feelings of love and the feelings of desire are different.
A lot of women struggle with, “I am not supposed to have pleasure”
Myths about sex and intimacy in our culture.
How one creates more fun, flirtyness and pleasure in life.
The role of a “busy mind” and how it isn’t helping your sex life.
Lost Desire?? Spontaneous versus reactive desire.
The role of boredom in a marriage and what it does to intimacy.
The three secrets to building desire.
1) The difference between love and desire
2) The difference between spontaneous and responsive desire
3) You can’t afford to NOT have a healthy sex life
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Jun 14, 2020 • 38min
Let's talk to a sex coach! Meet Dr. Sonia Wright!
Today I am interviewing Dr. Sonia Wright! Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach
Today we are going to listen and learn about how she became a sex coach.
How to talk to your partner about your intimacy goals.
Taking responsibility for your own sexuality.
Resources for men
Long term relationship challenges
The topic of desire
Book suggestions for readers
Body image and sexuality challenges
Tips and tricks to talk to your physician
Faking orgasms
Basic health needs to optimize sexuality
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Jun 7, 2020 • 10min
3 Easy Wins
Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated. Don't get me wrong, sometimes it is. Doctors don't always have the "magic wand" that we all want. BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop).
Win #1 - lube
Win #2 - estrogen cream
Win #3 - Responsive Desire
Bonus Win #4 - listen and learn!
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May 31, 2020 • 39min
Pelvic Organ Prolapse Master Class
Required listening for anyone who has been told they have prolapse.
1) what it is
2) why women get it
3) non-surgical options
4) surgical options
5) post op expectations
6) risks of surgery
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