Эпизоды
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Max Lugavere discusses his journey into researching dementia prevention and the importance of lifestyle factors in maintaining brain health. He emphasizes the need for early intervention and the identification of biomarkers that can indicate risk for cognitive decline. The conversation also touches on the influence of the alcohol and food industries on public health guidelines, the role of physicians in prevention, and the power of individual agency in making healthy choices.
In this conversation, Max Lugavere and I discuss various topics related to brain health, nutrition, and lifestyle. They touch on the confusion surrounding processed foods and veganism, the role of cholesterol in health, the importance of exercise for brain health, and the potential benefits of hormone replacement therapy. Max shares his personal experience with his mother's battle with dementia and emphasizes the need for individuals to take control of their own health and advocate for themselves.
Takeaways
Dementia prevention requires early intervention and the identification of biomarkers that can indicate risk for cognitive decline.
The alcohol and food industries have significant influence on public health guidelines, which may not always prioritize prevention.
Physicians may not be incentivized to advocate for prevention, and the responsibility for wellness ultimately lies with individuals.
There is no one-size-fits-all diet for brain health, but diets low in ultra-processed foods and added sugar tend to be beneficial.
The conversation around prevention is growing, but public health statistics show that there is still work to be done. Processed foods can be a source of confusion and stress, leading to unhealthy dietary choices.
While veganism can be a personal choice, making health claims and demonizing animal-sourced foods without strong evidence is misleading.
Cholesterol is often misunderstood, and the risks associated with it may be exaggerated. LDL cholesterol should be viewed as a check engine light rather than a definitive indicator of health.
Exercise is crucial for brain health and can help prevent and slow the progression of conditions like Alzheimer's and Parkinson's diseases.
Hormone replacement therapy (HRT) can have potential benefits for brain health, and the risks are often overblown.
Individuals should take control of their own health, stay informed, and be open to updating their knowledge based on new evidence.
https://www.instagram.com/maxlugavere/
Documentary Little Empty Boxes
https://www.maxlugavere.com/
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See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi
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.
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I am back with Caroline Labouchere!
Our conversation explores the topic of libido and the factors that can affect it, such as upbringing, education, relationships, and hormones. It emphasizes the importance of understanding one's own thoughts and beliefs about sex and prioritizing a healthy sex life. The discussion also touches on the use of hormones and medications, such as Addyi and Vyleesi, to address low libido.
The conversation highlights the complexity of sexuality and the need for a holistic approach to addressing low desire. In this conversation, Dr. Kelly Casperson discusses various topics related to menopause, hormones, and sexual health. She addresses the use of on-demand medications for low libido, the cost of hormone medications, and the difficulty of finding doctors who specialize in menopause and sex medicine.
Dr. Casperson also explains how Viagra works and its potential use for women. She emphasizes the importance of education and communication in addressing sexual health issues and provides information on vaginal estrogen and its benefits. The conversation concludes with a discussion on hormone therapy and its relationship to cancer treatment.
Takeaways
Libido is a complex topic influenced by various factors, including upbringing, education, relationships, and hormones.
Understanding and addressing one's thoughts and beliefs about sex is crucial for improving libido.
Hormones, such as estrogen and testosterone, can play a role in libido and may be used as treatment options.
Medications like Addyi and Vyleesi are available for low libido, but they may not work for everyone and can have side effects.
Prioritizing a healthy sex life and cultivating novelty and communication in relationships can contribute to a satisfying sexual experience. On-demand medications can be used to address low libido, similar to how Viagra is used for men.
The cost of hormone medications can be high, making it difficult for some women to afford them.
Finding doctors who specialize in menopause and sex medicine can be challenging.
Viagra is a vasodilator that improves blood flow, but it does not directly affect desire or orgasm in women.
Vaginal estrogen is a safe and effective treatment for symptoms such as pain with sex and dryness.
Hormone therapy can be considered after cancer treatment, depending on the individual's situation and risks.
Education and communication are crucial in addressing sexual health issues and advocating for proper care.
https://www.instagram.com/carolinelabouchere/
Thanks 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/pi
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.com
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 ed
Take my Adult Sex Ed Master Class:
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!
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My book comes out this week! Order it here!
In this conversation, Dr. Kelly Casperson and Dr. Lauren Streicher discuss the topic of testosterone. They address the challenges of discussing testosterone in short social media posts and the misconceptions surrounding its use.
They emphasize the importance of educating women about testosterone and the need for more research in this area. The conversation covers various aspects of testosterone, including its role as a human hormone, its use in women who have had their ovaries removed, and its potential benefits for bone health, brain function, and overall well-being. The doctors also discuss the safety of testosterone therapy and the limitations of lab tests in determining optimal levels.
In this conversation, Dr. Lauren Streicher and Dr. Kelly Casperson discuss various topics related to hormone therapy and women's health. They touch on the use of testosterone therapy, the role of sex hormone binding globulin (SHBG), the importance of checking thyroid levels, and the potential risks of using hormone pellets.
They also emphasize the need for individualized treatment plans and the importance of education and communication in women's sexual health. Dr. Casperson shares insights from her book, 'You Are Not Broken: Stop "Should'ing" All Over Your Sex Life,' which aims to provide adult sex education and debunk myths surrounding women's sexual health.
Takeaways
Educating women about testosterone is important, as there are many misconceptions surrounding its use.
More research is needed to fully understand the benefits and risks of testosterone therapy in women.
Testosterone may have potential benefits for bone health, brain function, and overall well-being in women.
Lab tests for testosterone levels are not always reliable indicators of the effects of testosterone in the body.
Safety is a key consideration in testosterone therapy, and individualized treatment plans are necessary. Testosterone therapy can be used to address various symptoms in women, but the dosage and approach should be individualized.
High levels of sex hormone binding globulin (SHBG) can reduce the effectiveness of testosterone therapy, and it may be necessary to explore other options or address underlying causes.
Thyroid dysfunction can masquerade as menopause symptoms, so it's important to check thyroid levels in women experiencing hormonal changes.
Hormone pellets are not recommended due to the potential for side effects and lack of control over hormone levels.
Education and communication are crucial in women's sexual health, and there is a need for adult sex education to address common misconceptions and provide accurate information.
Hormone therapy should be seen as a preventive measure rather than a treatment for existing health issues, and it should be part of a comprehensive approach that includes lifestyle factors like exercise and nutrition.
https://www.instagram.com/drstreich
website: Dr. Streicher.com
Dr. Streicher's Podcast: Inside Information Podcast
Thanks 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/pi
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 ed
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Join my membership to get these episodes ASAP, a private
facebook group to discuss and my private accountability group for your health,
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Is your sex life everything you want it to be?
If you're like most women, the answer might be "no." But it’s not your fault. Hollywood's fantasies and society’s silence have set us up for disappointment. We're rarely taught what truly makes sex fulfilling for women—why understanding our bodies matters, and how prioritizing our pleasure isn't just important, but essential.
In You Are Not Broken, Dr. Kelly Casperson—a urologist, coach, and woman who’s also asked, "Is this really it?"—offers a fresh perspective. She dives deep into the science of female sexuality, providing tools to shift your mindset and embrace your unique physiology. Discover how better sex can transform your relationship and empower you to live the life you've always wanted. With real-life stories, journaling prompts, and conversation starters, this book is your guide to reclaiming your sexual health and happiness.
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Dr. Kelly Casperson and Dr. Naomi Potter discuss menopause myths and misconceptions, focusing on topics such as vaginal estrogen, hormone replacement therapy (HRT), and testosterone. They highlight the importance of educating women about the safety and benefits of these treatments, as well as the need for women to advocate for themselves in healthcare. They also address the cultural stigma around menopause and the natural aging process, emphasizing the role of hormones in maintaining women's health and quality of life.
Takeaways
Vaginal estrogen is safe and has advantages, including reducing urinary tract infections.
HRT is beneficial for women's health, including reducing the risk of heart disease and dementia.
Women need to advocate for themselves and seek multiple opinions when it comes to hormone therapy.
There is a cultural stigma around menopause and the use of hormones, which limits women's access to beneficial treatments.
The healthcare system needs to catch up with the evidence and provide better education and options for women.
https://www.instagram.com/dr_naomipotter
Thanks to our sponsor Solv Wellness!
To 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.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
Listen to my Tedx Talk: Why we need adult sex ed
Take my 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,
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Pre Order my book: You Are Not Broken: Stop "Should-ing" All Over Your Sex Life
In this conversation, Kelly Casperson and Caroline Labouchere discuss the topic of testosterone in women. They cover various aspects of testosterone, including its effects, misconceptions, and benefits. They also touch on related topics such as hormone replacement therapy, sexual desire, and the use of medications like Addyi. The conversation emphasizes the importance of individualized treatment and the need for more research and education on testosterone in women.
Takeaways
Testosterone is an important hormone for women and has benefits beyond just libido.
There are many misconceptions and biases against testosterone in women.
Hormone replacement therapy, including testosterone, can be a safe and effective option for women.
Individualized treatment and monitoring of hormone levels is important for optimal results.
More research and education are needed to better understand and utilize testosterone in women.
https://www.instagram.com/stories/carolinelabouchere
Thank you to our Sponsor Solv Wellness!
To 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.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class:
https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP, a private
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Pre order the book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life"
In this conversation, Dr. Kelly Casperson answers various questions related to hormones, menopause, sexual dysfunction, and hormone replacement therapy. She discusses topics such as testosterone levels, DHEA, estrogen, the use of hormones in skincare, the role of estrone in inflammation, consent in sexual activity, FSH in menopause, the conversion of testosterone to estrogen, and the importance of advocating for research on older women. Dr. Casperson also addresses the use of hormones in perimenopause, the impact of hormones on liver enzymes, the benefits of vaginal estrogen, and the need for more studies on hormones and women's health. She provides insights on the use of hormones in SSRI-induced sexual dysfunction, the role of acupuncture in female sexual dysfunction, and the use of birth control pills in perimenopause. Dr. Casperson emphasizes the importance of finding a hormone specialist and the need for individualized treatment plans.
In addition, in this episode, Dr. Kelly Casperson answers various questions from her Instagram followers. She addresses topics such as strength training after prolapse repair, the effects of menopause on gastrointestinal health, PTNS for urgency incontinence, optimal hormone levels for women in their 60s, 70s, and 80s, arguments for testosterone supplementation in perimenopausal women, side effects of testosterone supplementation, and safe options for hormone replacement therapy. She also discusses the differences and treatments for cystocele and rectocele, the use of progesterone after a hysterectomy, the risk of blood clots from estrogen patches, and the use of estradiol on the face causing pigmentation. Dr. Casperson emphasizes the importance of personalized hormone therapy and the need to consult with hormone specialists for individualized treatment plans.
Thanks to our show sponsors!
ADDYI
See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi
Thanks 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.
SOLV Wellness
To 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.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
Listen to my Tedx Talk: Why we need adult sex ed
Take my 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,
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Dr. Jayne Morgan, a cardiologist, joins Dr. Kelly Casperson to discuss the connection between hormones and heart health in midlife women. They highlight the importance of addressing heart disease, the number one killer of women, and the need to raise awareness about it. Dr. Morgan shares her journey from being a cardiologist to focusing on menopause and women's health during the COVID-19 pandemic.
They discuss the symptoms of heart disease in women, the role of cholesterol and statins, and the potential impact of testosterone on heart health. They also touch on the protective effects of hormone therapy for cardiovascular disease and the slow progress in integrating this knowledge into cardiology practice.
Dr. Jayne Morgan and Dr. Kelly Casperson discuss the importance of addressing menopause and its impact on heart health. They highlight the need for more research, clinical trials, and data on menopause and its effects on various aspects of health.
They also discuss the lack of representation and diversity in medical research and the importance of including minority populations in clinical trials. The conversation covers topics such as hot flashes, heart palpitations, glucose levels, and the significance of APOB and lipoprotein A in cardiovascular health. Dr. Morgan emphasizes the importance of personalized medicine and encourages women to prioritize their heart health and seek support during midlife.
Takeaways
Heart disease is the number one killer of women, and it becomes more prevalent during perimenopause and menopause.
Symptoms of heart disease in women can be different from those in men, and it is important to recognize and normalize these symptoms.
Cholesterol and statins are somewhat controversial in relation to heart disease prevention in women, but statins are generally recommended for women at risk.
Testosterone may play a role in heart health for women, and further research is needed to understand its effects.
Hormone therapy has been shown to reduce the risk of cardiovascular disease in women, but there is still resistance to integrating this knowledge into cardiology practice. More research, clinical trials, and data are needed on menopause and its effects on various aspects of health.
There is a lack of representation and diversity in medical research, and it is important to include minority populations in clinical trials.
Hot flashes and heart palpitations are common symptoms of menopause and may be indicators of cardiovascular disease.
Glucose levels, including pre-diabetes levels, can be a bellwether for future cardiovascular health.
APOB and lipoprotein A are important factors to consider in cardiovascular health, and personalized medicine can play a significant role in treatment.
Women should prioritize their heart health, seek support, and make informed decisions about their health during midlife.
Special thanks to our sponsors!
Solv Wellness
To 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.
ADDYI
Thanks 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.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
Listen to my Tedx Talk: Why we need adult sex ed
Take my 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,
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275 Delaying Menopause - Understanding the Ovary
Dr. Jennifer Garrison, a researcher and assistant professor at the Buck Institute for Research on Aging, discusses her work on women's health and aging. She explains that her goal is to understand the underlying mechanisms of aging and develop interventions that promote women's health. Dr. Garrison focuses on the role of the hypothalamus, a part of the brain that controls various homeostatic systems in the body, including reproductive function. She emphasizes the importance of studying bioactive peptides, which act as chemical signals between the brain and other tissues. Menopause is defined as the cessation of menstruation for 12 months, but it also coincides with changes in ovarian function and the production of various chemical signals. Dr. Garrison highlights the need for further research to understand ovarian function and develop interventions to extend ovarian health. The conversation explores the work of the Center for Reproductive Longevity and Equality and the importance of maintaining ovarian function for healthy aging in women. The center funds grants to scientists and clinicians studying ovarian aging and has seen significant progress in the field. The discussion also touches on the use of frozen ovarian tissue for preserving fertility in cancer patients and the role of peptides in reproductive function. The conversation emphasizes the need to reframe the narrative around women's health and highlights the inequality in health span between men and women.
Takeaways
Understanding the underlying mechanisms of aging can lead to interventions that promote women's health.
The hypothalamus plays a crucial role in regulating various homeostatic systems in the body, including reproductive function.
Bioactive peptides act as chemical signals between the brain and other tissues, influencing various physiological processes.
Menopause is defined as the cessation of menstruation for 12 months, but it also involves changes in ovarian function and the production of chemical signals.
Further research is needed to understand ovarian function and develop interventions to extend ovarian health. The Center for Reproductive Longevity and Equality funds grants to study ovarian aging and has seen significant progress in the field.
Frozen ovarian tissue can be used to preserve fertility in cancer patients.
Peptides play a crucial role in reproductive function, but caution should be exercised when using peptide therapies.
The narrative about women's health needs to be reframed to focus on maintaining ovarian function for healthy aging.
Women live longer than men on average but spend a longer portion of their lives in poor health, highlighting an inequality in health span.
https://www.buckinstitute.org/lab/garrison-lab/
https://www.linkedin.com/in/drjennifergarrison/
https://gcrle.org/
Special thanks to our sponsor, Solv Wellness!
To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
Listen to my Tedx Talk: Why we need adult sex ed
Take my NEW Adult Sex Ed Master Class:
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Join my membership to get these episodes ASAP, a private
facebook group to discuss and my private accountability group for your health,
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Erin Keating, founder of Hotter Than Ever, joins Kelly Casperson on the You Are Not Broken podcast to discuss women in comedy, the power of humor, and the journey of self-discovery and reinvention in midlife. Erin shares her personal story of leaving a successful career, going through a divorce, and reclaiming pleasure and joy in her life. She emphasizes the importance of women embracing their power and agency and the need for deeper conversations and connections in midlife.
Erin also talks about her experiences with dating and sex in midlife and the process of reconnecting with her body and desires. In this conversation, Erin Keating shares her experiences with online dating and how it helped her reconnect with herself and her pleasure. She emphasizes the importance of being honest, direct, and authentic in online dating and encourages women to date like grown-ass women. Erin also discusses the significance of setting boundaries and communicating openly in relationships. She advises women to prioritize their happiness and joy, challenge societal expectations, and embrace their authentic selves. The conversation concludes with a discussion of the connection between stand-up comedy and sobriety.
Takeaways
Comedians are truth tellers who say the things on our minds that we wish we could say.
Women in comedy often face personal risks and challenges, but their voices are essential.
Comedy is a coping mechanism and a way to share joy and laughter.
Midlife is a time for women to prioritize pleasure, joy, and fun, and to not be scared of taking risks and trying new things.
Women have never been more powerful and have more agency than they do now.
Reclaiming pleasure, including sexual pleasure, is an important part of self-discovery and reinvention in midlife. Online dating can be a powerful tool for reconnecting with oneself and exploring pleasure.
Being honest, direct, and authentic in online dating can lead to more meaningful connections.
Setting boundaries and communicating openly are essential in relationships.
Prioritizing personal happiness and joy is crucial, and it's important to challenge societal expectations.
Stand-up comedy and sobriety often go hand in hand, as both require facing and expressing emotions.
https://www.instagram.com/erindkeating/
https://www.hotterthaneverpod.com/
https://hotterthanever.substack.com/
Special thanks to our sponsors!
Solv Wellness
To 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
ADDYI
Thanks 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.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
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,
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Dr. Kelly Casperson,is interviewed by Dr. Maria Uloko. She shares her journey and passion for women's sexual health and menopause. She discusses how urology protected her soul and allowed her to stay in medicine. She emphasizes the importance of educating patients and being a medical translator to bridge the gap between research and patient care.
Dr. Casperson also addresses the issue of medical gaslighting and the need for doctors to have open and honest conversations about the potential side effects of treatments. She highlights the power of an educated patient and the role they play in advocating for their own health. Dr. Kelly Casperson discusses her journey in writing books about women's sexual health and the importance of advocating for better healthcare.
She emphasizes the need for accessible and practical sex education that addresses the biopsychosocial aspects of women's sexual health. Dr. Casperson also highlights the inequality in healthcare when it comes to menopause and hormone therapy, and the need for women to advocate for themselves. She draws inspiration from the AIDS epidemic and the power of grassroots movements to bring about change. Overall, Dr. Casperson encourages women to educate themselves, be curious about their health, and take charge of their well-being.
Takeaways
Urology can protect a doctor's soul and prevent burnout by providing instant gratification and a focus on quality of life after treatment.
Doctors need to be educated about women's sexual health and menopause to provide better care and have meaningful conversations with patients.
An educated patient is a powerful patient who can advocate for their own health and have higher-level conversations with their doctors.
Medical gaslighting is a common issue in women's health, and doctors need to address potential side effects and have open discussions with patients.
The role of a medical translator is crucial in bridging the gap between research and patient care, and doctors should provide patients with reputable resources.
Women need accessible and practical sex education that addresses the biopsychosocial aspects of their sexual health.
There is inequality in healthcare when it comes to menopause and hormone therapy, and women need to advocate for themselves.
Grassroots movements have the power to bring about change in healthcare, as seen in the AIDS epidemic.
Women should educate themselves, be curious about their health, and take charge of their well-being.
Dr. Maria's podcast: Salvaging Sex
https://www.mariaulokomd.com/
Special thanks to our sponsors!
Sprout Pharmaceuticals
Thanks 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.
Solv Wellness
To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
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,
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272 When Medicine Fails You - Start A Company
Monica Molenaar and Anne Fulenwider, co-founders of Alloy, discuss their journey into menopause and the creation of their company. They highlight the lack of information and inconsistent advice they received from doctors, leading them to start a platform that provides women with credible information, support, and access to hormone replacement therapy. They emphasize the importance of validation and listening to women's concerns, as well as the need for streamlined and efficient menopause care. They also discuss the barriers to accessing testosterone for women and the need for change in regulations and education. The conversation explores the safety and benefits of hormone replacement therapy (HRT) for menopausal women. The speakers discuss the fear and misinformation surrounding HRT, emphasizing that it is a safe and effective treatment for menopause symptoms and can also have protective effects on the heart, bones, and brain. They highlight the importance of preserving function and quality of life in menopausal women and the need for a shift in the conversation around hormones from disease prevention to preservation of function. The speakers also discuss the international perspective on menopause and the challenges women face in accessing hormone therapy in different countries.
Takeaways
The lack of information and inconsistent advice from doctors led Monica and Anne to start Alloy. This platform provides women with credible information, support, and access to hormone replacement therapy.
Validation and listening to women's concerns are crucial in menopause care, as many women have been dismissed or invalidated by healthcare providers.
The barriers to accessing testosterone for women include its classification as a schedule three drug, the lack of FDA-approved dose for women, and the need for in-person prescriptions by knowledgeable practitioners.
The stigma around menopause needs to be challenged, as it is a powerful time in a woman's life where she can take control and live life on her own terms.
The telehealth technology and behavior changes during the COVID-19 pandemic have created an opportunity for improved access to menopause care.
Alloy is focused on creating solutions for the problems women face in perimenopause and menopause, including addressing vaginal health, systemic hormones, and skincare.
The safety and efficacy of hormones, including testosterone, need to be emphasized to overcome misconceptions and provide women with the full range of benefits. Hormone replacement therapy (HRT) is a safe and effective treatment for menopause symptoms and can have protective effects on the heart, bones, and brain.
The fear and misinformation surrounding HRT are unfounded, and women should have access to this treatment to improve their quality of life.
The conversation around hormones should shift from disease prevention to preservation of function and quality of life in menopausal women.
Access to hormone therapy is a challenge in many countries, and there is a need to spread awareness and improve access to treatment internationally.
https://www.myalloy.com/
https://www.instagram.com/monica.molenaar/
https://www.instagram.com/annefulenwider/
Special thanks to our sponsor, Solv Wellness!
To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.
Preorder my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"
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,
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271. What Every Couple Needs To Know About Women's Hormones
In this episode, Dr. Kelly Casperson discusses women's hormones and their impact on sexual health with sex therapist, Amanda Louder on her "Sex For Saints" podcast.
She emphasizes that libido is influenced by biological, psychological, and social factors. The conversation focuses on perimenopause and postmenopause, highlighting the lack of education and information available to women in these stages of life. Dr. Casperson addresses the fear surrounding hormone replacement therapy (HRT) and explains that the Women's Health Initiative study in 2002 contributed to this fear. However, she emphasizes the numerous benefits of HRT, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders.
We discuss the importance of vaginal estrogen in maintaining vaginal health and preventing urinary tract infections (UTIs). We highlight the issues of cost and the FDA's black box warning on estrogen products, which she believes are outdated and misleading.
Dr. Casperson also addresses the misconception around bioidentical hormones, explaining that they are the same as the hormones produced by the body and can be obtained through insurance-approved medications. She emphasizes the need for individualized hormone therapy and the importance of communication in navigating menopause and sexual health.
Takeaways
Libido is influenced by biological, psychological, and social factors.
Perimenopause and postmenopause are stages of life that lack sufficient education and information for women.
The fear surrounding hormone replacement therapy (HRT) is largely due to the Women's Health Initiative study in 2002.
HRT has numerous benefits, including decreased risk of heart disease, neurodegenerative disorders, musculoskeletal issues, and mood disorders.
Finding a knowledgeable healthcare provider and advocating for oneself is crucial in addressing women's sexual health concerns.
Vaginal estrogen can be highly beneficial for women's sexual health, particularly in addressing issues such as chronic UTIs. Vaginal estrogen helps maintain vaginal health and reduces the risk of urinary tract infections (UTIs) by promoting a healthy acidic environment in the vagina.
The cost of vaginal estrogen can vary significantly, but there are ways to find more affordable options, such as using online pharmacies and discount coupons.
The FDA's black box warning on estrogen products is outdated and does not differentiate between systemic and vaginal estrogen. The safety of vaginal estrogen has been supported by multiple studies.
Bioidentical hormones are the same as the hormones produced by the body and can be obtained through insurance-approved medications. The term 'bioidentical' is often used as a marketing tool.
https://www.instagram.com/christiansexcoach/
https://amandalouder.com/blog/podcast/
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Dr. Eve Henry, an internal medicine physician, joins Dr. Kelly Casperson on the You Are Not Broken podcast to discuss the importance of optimizing health span and preventing disease. They emphasize the need for a shift in the medical system from disease management to wellness and prevention. They also highlight the role of hormones in women's health, particularly during perimenopause.
They discuss the benefits of hormone therapy for symptom management and prevention of conditions like Alzheimer's disease.
They address common myths and misconceptions about hormones and provide insights into the use of progesterone and birth control options for perimenopausal women. In this part of the conversation, Eve and Kelly discuss the dosing and cycling of hormones during perimenopause and menopause.
They talk about the variability in dosing and the benefits of cycling hormones. They also touch on the use of progesterone and estradiol in hormone therapy and the importance of finding the right doses for each individual.
They discuss the role of DHEA in perimenopause and the potential benefits of supplementing with it. They also emphasize the importance of comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, to assess cardiovascular risk and overall health.
Takeaways
The medical system needs to shift from disease management to wellness and prevention.
Hormone therapy can be beneficial for symptom management and prevention of conditions like Alzheimer's disease.
Progesterone is an important hormone during perimenopause and can help alleviate symptoms.
There are various birth control options available for perimenopausal women.
Regular monitoring and individualized treatment are key in hormone therapy. Dosing and cycling of hormones during perimenopause and menopause can vary based on individual needs and symptoms.
Progesterone is used to protect the uterus and is typically dosed at 100 milligrams for uterine protection during continuous hormone therapy.
Cycling hormones can be beneficial for some women, but it may be challenging to track and can be discontinued if it causes discomfort.
DHEA supplementation may be helpful for increasing testosterone levels and improving symptoms of low testosterone.
Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are important for assessing cardiovascular risk and overall health during perimenopause and beyond.
https://www.instagram.com/drevehenry/
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Dr. Maria Sophocles discusses her TED Talk on sex in midlife and the bedroom gap between men and women. She explains the physiological changes that occur in the vulva and vagina during midlife and how they can affect a woman's sex life. She emphasizes the importance of vaginal estrogen as a preventative medicine and the need for better education and communication between clinicians and patients.
Dr. Sophocles also highlights the need for couples to have open and honest conversations about their sex life and the role of sex therapy in addressing sexual health issues.
The conversation covers various topics related to gender roles, sexual pleasure, and the impact of menopause on libido. It emphasizes the importance of communication and breaking societal norms in order to achieve gender equity in the bedroom.
The fear and misconceptions surrounding estrogen and its association with cancer are also addressed. The conversation concludes with a discussion on the power of education and open dialogue in changing societal attitudes towards sex and pleasure.
Takeaways
Physiological changes in the vulva and vagina during midlife can affect a woman's sex life.
Vaginal estrogen is a safe and effective preventative medicine for addressing genitourinary changes.
There is a need for better education and communication between clinicians and patients regarding sexual health.
Couples should have open and honest conversations about their sex life to bridge the bedroom gap.
Sex therapy can play a crucial role in addressing sexual health issues. Gender roles and societal norms often dictate women's role in the bedroom, leading to a lack of sexual pleasure and resentment.
Women should feel empowered to prioritize their own pleasure and communicate their needs and desires to their partners.
The loss of libido during menopause is a common concern for many women, but there are options available to address this issue.
Fear and misconceptions surrounding estrogen and its association with cancer can prevent women from seeking treatment that could improve their sexual health.
Education and open dialogue are essential in challenging societal attitudes towards sex and pleasure and promoting gender equity in the bedroom.
https://www.instagram.com/mariasophoclesmd/
Dr. Sophocles TED talk
https://mariasophoclesmd.com/
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Dr. Kelly Casperson shares her experience at the BC Sexual Health Research Networking Event at the University of British Columbia.
She discusses various topics including sexual health, dating apps, virtual reality for vaginismus, and more. The event highlighted the importance of understanding the bio-psycho-social aspects of sexual health and the need for better sexual education.
Dr. Casperson emphasizes that there are researchers and professionals dedicated to improving people's sex lives and that individuals are not alone in their struggles.
Takeaways
Sexual health encompasses the bio-psycho-social aspects of a person's well-being.
Dating apps can perpetuate a narrative that dating is difficult and can have negative effects on mental health.
Virtual reality shows promise as a tool for desensitization in the treatment of vaginismus.
There is a need for better sexual education that addresses consent, gender-based violence, and the impact of technology.
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267. Kelly and Stacy London on "Hello Menopause"
Dr. Kelly Casperson discusses the lack of education and research around menopause, the role of testosterone in female physiology, and the challenges of hormone therapy. She emphasizes the need for more funding for human research and the importance of individualized treatment for menopause. Dr. Casperson also addresses the restrictions and challenges in prescribing testosterone for women. The conversation covers a wide range of topics related to menopause, hormone therapy, and women's health. It delves into the challenges women face in accessing appropriate healthcare, the impact of hormone imbalance on mental health, and the importance of hormone therapy in midlife. The conversation also highlights the need for better understanding and treatment of menopause-related issues, as well as the role of preventative medicine in women's health.
Takeaways
The lack of education and research around menopause is a significant issue that affects the understanding and treatment of menopausal symptoms.
Testosterone plays a crucial role in female physiology, and its decline during menopause can have a significant impact on various aspects of health and well-being.
Individualized treatment for menopause is essential, and the challenges in prescribing testosterone for women highlight the need for more accessible and effective hormone therapy options. The importance of affordable and accessible hormone therapy for women in midlife.
The impact of hormone imbalance on mental health and the need for appropriate treatment.
The need for better understanding and treatment of menopause-related issues.
The role of preventative medicine in women's health and the importance of advocating for oneself in healthcare decisions.
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Dr. Maria Uloko, a urologist specializing in comprehensive sexual health, discusses her journey into urology and sex medicine.
She shares how she became interested in urology through a serendipitous encounter with a female urologist and her passion for surgery.
Dr. Uloko also talks about the importance of representation in medicine and her research on vulvar health. She highlights the need for better healthcare policies and advocacy to improve patient care and physician well-being.
The conversation touches on the challenges of the current healthcare system, including the degradation of the doctor-patient relationship and the lack of support for physicians.
Dr. Maria Uloko discusses the importance of physicians being involved in health tech and the need for their expertise in decision-making. She shares her journey into health tech and her passion for democratizing healthcare, particularly in women's health. Maria highlights the gendered access to healthcare and the lack of patient resources.
She explains her vision for VULVAI, an AI-powered platform that provides accurate and evidence-based information to empower patients in their healthcare decisions. Dr. Maria emphasizes the need for patients to be educated and advocates for themselves, and the importance of challenging misinformation in healthcare.
Takeaways
Representation in medicine is crucial for inspiring and diversifying the field.
The current healthcare system is not sustainable and needs significant policy changes.
Physicians are facing burnout and leaving the profession due to lack of support and excessive workload.
The doctor-patient relationship is deteriorating, and there is a need to prioritize and protect it.
Advocacy and education are essential for improving patient care and addressing healthcare disparities. Physicians should be involved in health tech and decision-making processes to ensure that solutions are effective and work for patients.
There is a need to democratize healthcare, particularly in women's health, and provide equal access to resources and information.
VULVAI is an AI-powered platform that aims to empower patients by providing accurate and evidence-based information for their healthcare decisions.
Patients should be educated and empowered to advocate for themselves and challenge misinformation in healthcare.
https://vulvai.co/
https://www.instagram.com/mariaulokomd/
https://www.mariaulokomd.com/
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In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare.
Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy.
She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage.
In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers.
She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging.
Takeaways
Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea.
Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil.
Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative.
Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional.
Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers.
Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process.
Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging.
It's important to be discerning when it comes to skincare and haircare products and choose what works best for you.
https://gendlerdermatology.com/
https://www.instagram.com/ellengendlermd/
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ALLOY
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
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264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein
Dr. 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.
Takeaways
Cervical 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/
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ALLOY
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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
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