You Are Not Broken

Join Dr. Mary Claire Haver, an expert on menopause, Dr. Sari Van Anders, a researcher redefining female desire, and Dr. Avrum Bluming, author of "Estrogen Matters," as they dive into empowering discussions on women's health and sexuality. They challenge conventional views on menopause treatments and the societal myths surrounding female desire. Expect insights on intimacy, nutrition during midlife, balancing motherhood with sexuality, and the vital role of hormones in overall well-being, all while celebrating the podcast's significant milestone!

Dr. Carol Tavris, a distinguished social psychologist and feminist, discusses the dynamic nature of feminism and its historical impact on women's health. She highlights cognitive dissonance's role in women's medical decision-making and the crucial need for inquisitiveness. Exploring hormone therapy, Tavris underscores the importance of challenging outdated medical warnings and addressing biases. Advocacy for women's health emerges as a priority, along with the need for clear, evidence-based information to empower women in their healthcare journeys.

Dive into the world of intimacy post-menopause with insights on overcoming shame and embracing sexual health. Discover the role of lubrication and cardiovascular fitness in rekindling desire. Learn the importance of communication and personalized treatment, including testosterone and vaginal estrogen, for enhancing pleasure. Explore various ways to experience orgasm and the significance of prioritizing enjoyment over societal expectations. Moreover, break down myths around sexual dysfunction and find value in professional help to navigate these changes.

In this conversation, Kelly Casperson discusses the complexities of perimenopause and its associated symptoms, particularly focusing on incontinence and the role of hormone therapy. She emphasizes the importance of vaginal estrogen as a treatment option, debunks common myths surrounding hormone therapy, and highlights the need for early intervention to prevent long-term health issues. The discussion also covers alternative treatments, the connection between hormones and pelvic floor health, and the risks and benefits of hormone therapy, ultimately advocating for patient empowerment and informed decision-making in women's health.TakeawaysVaginal estrogen is a safe and effective treatment for urinary issues during perimenopause.Hormones play a crucial role in preventing diseases associated with aging.Many women experience urinary symptoms during perimenopause, which can be alleviated with proper hormone therapy.There is a misconception that hormone therapy is only for post-menopausal women; it can be beneficial during perimenopause as well.Vaginal estrogen can significantly reduce the risk of urinary tract infections.Patients should advocate for their health and seek second opinions if necessary.Hormone therapy can improve quality of life and reduce symptoms of menopause.Education about hormone therapy is essential for both patients and healthcare providers.Pelvic floor physical therapy is a valuable resource for managing incontinence.The medical community needs to shift towards preventative care rather than reactive treatment. 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.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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Joshua Gonzalez, a board-certified urologist specializing in sexual medicine, joins Dr. Kelly Casperson to discuss sexual health with a focus on couples. They tackle the complexities of testosterone therapy and its crucial role in both male and female health. The conversation breaks down myths surrounding erectile dysfunction, the psychological factors affecting men's desire for enhancement, and the importance of treating each partner's needs. They also emphasize the significance of communication and responsible hormone management to enhance overall well-being.

Dr. Roger Lobo, a renowned expert in women's health, discusses the misconceptions and controversies surrounding female hormones. He highlights the lack of knowledge and understanding in areas such as PCOS, menopause, and hormone therapy. Dr. Lobo also delves into the impact of the Women's Health Initiative (WHI) study on hormone therapy and the importance of individualized treatment. He emphasizes the need for informed consent and personalized approaches to hormone therapy based on factors such as age, risk assessment, and transdermal delivery. The conversation also touches on the role of progesterone in protecting the uterine lining and the potential risks of bioidentical hormones. In this conversation, Dr. Kelly Casperson and Dr. Roger Lobo discuss the use of hormone therapy for primary prevention in women. They address the controversy surrounding hormone therapy and the lack of consensus among healthcare providers. Dr. Lobo emphasizes the importance of education and the need for providers to be knowledgeable about hormone therapy. They also discuss the role of estrogen in preventing chronic diseases such as cardiovascular disease and osteoporosis. Dr. Lobo mentions advancements in the field, including the use of estetrol and selective estrogen receptor modulators.TakeawaysMisdiagnosis and lack of understanding are common in areas such as PCOS and menopause.The WHI study led to a generation of women being undertreated due to misconceptions about hormone therapy.Hormone therapy should be individualized based on factors such as age, risk assessment, and transdermal delivery.Progesterone is important for protecting the uterine lining in hormone therapy.Bioidentical hormones may still carry risks and should be monitored. There is controversy and lack of consensus among healthcare providers regarding the use of hormone therapy for primary prevention in women.Education is crucial to ensure that healthcare providers are knowledgeable about hormone therapy and can provide accurate information to patients.Estrogen has a role in preventing chronic diseases such as cardiovascular disease and osteoporosis.Advancements in the field include the use of estetrol and selective estrogen receptor modulators.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 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy.Takeaways Millions of women feel they have been overlooked in hormone therapy discussions. The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence. The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes. The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy. Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis. Many women experience symptoms beyond hot flashes that can persist for years after menopause. The risks associated with hormone therapy are often overstated and misunderstood. Women over 60 should not be denied hormone therapy based solely on age or years since menopause. Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices. Women need to advocate for their health and seek out hormone therapy options that are safe and effective. Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045.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 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this engaging conversation, Dr. Kelly Casperson and Dr. Heather Hirsch discuss the critical aspects of women's health, particularly focusing on menopause, hormone therapy, and sexual health. They explore the importance of education in these areas, the complexities of desire, and the need for personalized approaches to hormone therapy. The discussion highlights the evolving landscape of women's health care and the necessity for continued research and advocacy to improve the quality of life for women as they age.TakeawaysMenopause is a significant gap in women's health care.Education is crucial for empowering women about their health.Hormones play a vital role in sexual health and desire.The medical community needs to adapt to the changing needs of women.Personalized hormone therapy can greatly improve quality of life.Women are increasingly aware of their health needs and options.The stigma around hormone therapy is slowly changing.Open discussions about sexual health are essential.The future of women's health looks promising with ongoing advocacy.Women should be empowered to make informed decisions about their health.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.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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You're Not Broken podcast, Kelly Casperson, MD, and Tamsen Fadal discuss the M-Factor documentary, which aims to educate and inform women about menopause. They share insights into the creation process, the importance of real stories, and the impact of the documentary on audiences and communities. The conversation highlights the need for open discussions about women's health and the significance of representation in media. In this engaging conversation, Tamsen and Dr. Kelly Casperson discuss the future of their documentary on menopause, emphasizing the importance of community engagement and the need for accessible resources. They explore the significance of relationships during menopause, the surprising reactions from men who view the film, and Tamsen's personal journey through her experiences. The challenges of documentary production are highlighted, along with reflections on personal growth and the importance of making information accessible to all. The conversation concludes with a focus on international outreach and the ongoing mission to empower women and their communities.TakeawaysThe M-Factor documentary combines expert insights with real women's stories.Creating the documentary involved collaboration with various professionals and women.The premiere events have sparked significant audience engagement and discussions.Community screenings are essential for spreading awareness about menopause.The documentary aims to create real-time change in how menopause is perceived.Understanding menopause requires accessible and actionable information.The film addresses various aspects of women's health, including workplace issues and hormone therapy.Real stories from women help others feel seen and understood.The documentary has received positive feedback from both audiences and medical professionals.Future screenings and translations are planned to reach a wider audience. International outreach is a priority for future initiatives.Building community connections is essential for empowerment.Relationships play a crucial role during menopause.Men's perspectives on menopause are often overlooked but valuable.Personal experiences shape understanding and empathy.Documentary production involves overcoming significant challenges.Access to information is vital for community health.The journey of creating the documentary was transformative.Engaging men in the conversation can foster understanding.Future screenings are planned internationally to broaden reach.PBS M Factor Linkhttps://themfactorfilm.com/Tamsen on IGThanks 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.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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Jim Simon discusses the importance of hormones in sexual health and the intersectionality of ISSWSH and NAMS. He emphasizes the need for all healthcare providers to be comfortable talking about sex and hormones. Dr. Simon also talks about his paper on menopausal hormone therapy and the misconceptions surrounding hormone therapy and breast cancer. He highlights the importance of individualized risk assessment and informed decision-making. The conversation also covers the future of hormones, the role of lifestyle factors in healthy aging, and the development of new drugs for hot flashes, including Fezolinetant and a new one coming on the market in one year. In this conversation, Dr. James Simon and Dr. Kelly Casperson discuss various topics related to women's health, including the challenges of getting a female dosed testosterone approved by the FDA, of treating sexual dysfunction, the underutilization of certain medications, and the importance of advocating for better access to care. They also touch on the off-label use of medications and the need for comprehensive education on hormones and sex medicine. Additionally, they explore the role of hormones in sleep issues and the impact of anxiety on menopausal women. TakeawaysHealthcare providers should be comfortable discussing sex and hormones with their patients.Individualized risk assessment is crucial when considering hormone therapy.Lifestyle factors, such as diet and exercise, play a significant role in healthy aging.New drugs for hot flashes offer more options for women who cannot or should not use hormones. Advocacy is crucial in improving access to care for women's sexual health issues.Certain medications for sexual dysfunction are underutilized and may be more cost-effective options.Off-label use of medications can be beneficial and should be considered when appropriate.Comprehensive education on hormones and sex medicine is needed for healthcare professionals.Sleep issues in menopausal women should be addressed beyond hot flashes and night sweats.Anxiety is a common concern for menopausal women and should be treated alongside other symptoms.Dr. Jim Simon was previously on YANB episode #111 – go back and check it out!Dr. James A. Simon is a D.C.-based physician providing patient-focused care for women across the reproductive life cycle, from adolescence to childbirth, and through the menopause transition. His unique approach to care encourages women to be a part of their own wellness, disease prevention, treatment and recovery; and through his renowned clinical research efforts, he offers one-of-a-kind opportunities for patients to experience the latest innovations in women’s health.Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Jul 1;144(1):12-23. doi: 10.1097/AOG.0000000000005553. Epub 2024 Mar 14. PMID: 38484309.See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/piThanks 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.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.comOrder 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:Join my membership to get these episodes ASAP, a privatefacebook group to discuss and my private accountability group for your health,hormones and life support!www.kellycaspersonmd.com/membershipInterested in my sexual health and hormone clinic? Starts January 2025.  Learn more about your ad choices. Visit podcastchoices.com/adchoices