You Are Not Broken

“Demonstrates how some of the most accomplished and elite scientific gatekeepers may have lied, cheated, squandered trust and endangered lives.” —The Wall Street Journal In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews investigative journalist Charles Piller about his newly released book, 'Doctored,' which delves into the misconduct in Alzheimer's research. They discuss the amyloid hypothesis, the role of whistleblowers, the FDA's controversial drug approvals, and the systemic issues in medical research. Piller emphasizes the importance of scientific integrity and the need for independent oversight in research while also exploring emerging theories in Alzheimer's treatment and the impact of lifestyle factors on prevention. Takeaways The amyloid hypothesis has dominated Alzheimer's research but has significant flaws. Whistleblowers play a crucial role in exposing misconduct in scientific research. The FDA's approval process for drugs can be influenced by industry relationships. Lifestyle factors such as diet and exercise can impact Alzheimer's risk. There is a growing interest in alternative theories for Alzheimer's treatment. AI can assist in detecting research fraud but also poses risks for falsification. Misinformation in health media can lead to public harm and confusion. Independent agencies are needed to investigate scientific misconduct effectively. The scientific community must improve transparency and accountability. There is hope for progress in Alzheimer's research despite current challenges. Sedona in October - only a few slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Kelly Casperson, MD, and Naomi Watts discuss the complexities of menopause, the intersection of infertility and hormonal changes, and the importance of education and self-advocacy in women's health. Naomi shares her personal journey of writing her book, 'Dare I Say It,' aimed at providing a fun and informative guide for women navigating menopause. The conversation highlights the need for open discussions about hormonal health, the challenges women face in the medical system, and the shift in societal narratives around aging and empowerment. Takeaways Naomi Watts wrote a book to help women feel less isolated during menopause. Menopause can intersect with infertility, creating unique challenges. Women often suffer in silence due to societal expectations. Education and advocacy are crucial for navigating menopause. Self-advocacy is essential in healthcare for women. The narrative around aging is shifting towards empowerment. Hormonal changes can significantly impact women's health. Community and shared experiences can alleviate feelings of isolation. The media has historically created fear around hormone therapy. Women are increasingly taking control of their health and wellness. Dare I Say It by Naomi Watts Naomi Watts IG Stripes Beauty by Naomi Watts Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this engaging conversation, Cindy Gallop shares her journey from a successful marketing career to founding Make Love Not Porn, a platform aimed at normalizing and destigmatizing sex through real-world demonstrations. She discusses the challenges faced in the adult content industry, the importance of communication in sexual relationships, and how her platform has positively impacted countless lives. Gallop emphasizes the need for societal change regarding sexual attitudes and encourages open discussions about sex to foster healthier relationships. In this conversation, Cindy Gallop and Dr. Kelly Casperson discuss the importance of communication in relationships, particularly in the context of sexual health and empowerment. They explore how women can take charge of their sexual experiences, the significance of self-care in midlife, and the vision for Make Love Not Porn as a platform for positive sexual education. They also address the urgent need to combat rape culture and the importance of funding female-led initiatives to create safer online spaces. Takeaways Without good sex ed, porn becomes the sex ed default Cindy Gallop's background in marketing aids her current mission. Make Love Not Porn was born from personal experiences with younger partners. The platform aims to provide real-world sex education. Gallop highlights the challenges of operating in the adult content space. Communication is key to great sexual experiences. The platform has changed many lives and saved relationships. Gallop encourages people to talk about sex openly. She believes in empowering individuals to create change. The importance of complimenting partners to enhance intimacy. Change in sexual attitudes requires collective micro-actions. Communication through demonstration is key in relationships. Women should embrace their sexuality and use tools like vibrators without fear. Lube enhances sexual experiences and should be normalized. Midlife can be a time of empowerment and self-discovery. It's essential to prioritize personal happiness and desires. Women are often conditioned to prioritize others' happiness over their own. Make Love Not Porn aims to change perceptions of consensual sex. Sex education should be accessible and age-appropriate for all. Funding female founders can lead to safer online environments. Creating safe spaces for open conversations about sex is crucial. https://www.instagram.com/cindygallop/ Make Love Not Porn We Funder Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Jocelyn Fitzgerald, a urogynecologist specializing in pelvic floor disorders. They discuss the importance of open conversations about women's health, particularly regarding prolapse and the misconceptions surrounding childbirth. Dr. Fitzgerald shares her journey into social media advocacy, the challenges women face in understanding their health, and the need for better education and separate specialties in women's health. The conversation highlights the systemic issues in healthcare that affect women's treatment and the importance of empowering women with knowledge about their bodies. In this conversation, Dr. Jocelyn Fitzgerald and Dr. Kelly Casperson discuss the complexities of women's health, particularly focusing on menopause, the role of healthcare providers, and the challenges faced in the healthcare system. They emphasize the need for a multidisciplinary approach to women's health, the importance of vaginal health, and the radical nature of urogynecology as a feminist act. The discussion also touches on the future of OB-GYN, reproductive rights, and the necessity for women to take action in advocating for their health. Takeaways Prolapse is often misunderstood and not openly discussed. Education can reduce anxiety about childbirth and its consequences. Women often feel ashamed or broken due to health issues post-childbirth. IUD placement pain is often inadequately addressed in women's health. Obstetrics and gynecology should be separate specialties for better care. The healthcare system often undervalues women's health procedures. Women need to be informed about the risks associated with childbirth. Empowering women with knowledge can lead to better health outcomes. Ob-Gyns often lack knowledge about menopause-related issues. A multidisciplinary approach is essential for women's health. The healthcare system can be toxic and burdensome for providers. Urogynecology plays a crucial role in women's health post-childbirth. Vaginal estrogen is vital for maintaining vaginal health. Incontinence is a leading cause of nursing home admissions. Reproductive rights are under threat and require advocacy. Reliable male birth control could change societal dynamics. https://www.instagram.com/jjfitzgeraldmd/ Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this conversation, Dr. Kelly Casperson discusses a significant study on the effects of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women. She emphasizes the importance of addressing hormonal changes and their impact on women's mental health, particularly during menopause. The study reveals that testosterone therapy can lead to improvements in mood and cognitive function, challenging the notion that there is insufficient data on testosterone's benefits for women. Dr. Casperson also critiques the study's limitations and calls for further research in this area, while engaging with her audience on related questions and concerns. Takeaways Testosterone therapy can improve mood and cognitive symptoms in women. The study involved 510 women with persistent low libido and mood symptoms. Mood improvements were more significant than cognitive improvements. Testosterone does not drop off a cliff with menopause; it declines gradually. Hormonal changes during menopause can lead to increased risk of depression and cognitive impairment. Testosterone therapy may be a safer alternative to SSRIs for mood issues in perimenopausal women. The study highlights the need for more research on testosterone's effects in women. Libido is closely linked to mood; improving one can enhance the other. Transdermal testosterone is generally safe and easy to administer. Women should be informed about their options for hormone therapy. Study LINK Glynne S, Kamal A, Kamel AM, Reisel D, Newson L. Effect of transdermal testosterone therapy on mood and cognitive symptoms in peri- and postmenopausal women: a pilot study. Arch Womens Ment Health. 2024 Sep 16. doi: 10.1007/s00737-024-01513-6. Epub ahead of print. PMID: 39283522. Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews pharmacist Tara Thompson, discussing the intersection of women's sexual health and pharmacology. They explore the role of compounding in hormone therapy, the education gaps in pharmacy regarding hormones, and the influence of media on public perception of hormone replacement therapy. The conversation also addresses the challenges women face in obtaining testosterone prescriptions, the implications of hazardous medication labels, and the nuances between generic and brand name medications. They delve into the efficacy of different forms of progesterone and the potential benefits of extended-release formulations. In this engaging conversation, Dr. Kelly Casperson and Dr. Tara Thompson delve into the complexities of pharmacology, particularly focusing on hormone replacement therapy (HRT) and the various delivery methods available. They discuss the innovative approaches in different countries, the importance of understanding different dosage forms like troches and buccal delivery, and the pharmacokinetics involved in hormone absorption. The conversation also highlights the interactions between hormones, particularly estrogen and thyroid management, and the benefits of injectable estrogen. They emphasize the need for personalized treatment options and the role of compounding pharmacies in providing tailored solutions for patients. The discussion concludes with a reminder that there are always options available for patients seeking hormonal therapies. Takeaways Pharmacists often lack training in women's sexual health and hormones. Education is crucial for pharmacists to support women's health effectively. Media can misrepresent the risks associated with hormone replacement therapy. Hazardous medication labels can create unnecessary fear around hormone therapy. Compounding pharmacies can provide tailored hormone therapies for women. There are significant challenges in prescribing testosterone for women. The differences between generic and brand name medications can affect efficacy. Topical progesterone may not provide the same benefits as oral forms. Extended-release formulations of progesterone can improve patient outcomes. Troches and buccal delivery offer unique advantages. Transdermal testosterone may be preferred over oral forms. Hormonal interactions require careful monitoring. Injectable estrogen can provide steady-state delivery. Personalized hormone therapy is essential for patient care. Compounding pharmacies can offer tailored solutions. Patients should not feel limited in their options. Education on hormone therapy is crucial for healthcare providers. There is always an option for patients in need. Things discussed: ISSWSH.org Study on HRT and Lupus Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

In episode 301 of the You're Not Broken podcast, Dr. Kelly Casperson discusses 15 things she wishes would change in women's health, focusing on hormonal health, the healthcare system, sexual health, and education. She emphasizes the importance of choice regarding hormone therapy after breast cancer, the need for better sex education, and the challenges posed by the current healthcare system. Dr. Casperson also shares her aspirations for future clinics and the importance of addressing orgasmic inequality and healthcare costs. Takeaways Hormones after breast cancer should be a choice. There is a need for FDA-approved female-dosed testosterone products. Healthcare costs are a significant barrier to accessing care. Sex education in the U.S. is inadequate and needs reform. Orgasmic inequality is prevalent, particularly in heterosexual relationships. Vaginal estrogen is safe and should not carry a cancer warning. Healthcare providers need better work-life balance to prevent burnout. Education is key to improving sexual health and understanding. The healthcare system should prioritize patient care over profits. Future clinics are needed to support women's health and hormonal optimization. [M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

EPISODE THREE HUNDRED Y'ALL!!! In this episode of the You're Not Broken podcast, Dr. Kelly Casperson celebrates the milestone of 300 episodes by sharing key insights on women's health, including the importance of vaginal estrogen, testosterone, and the realities of menopause. She emphasizes the need for longer patient visits and the significance of understanding the nuances of healthcare. Additionally, she discusses upcoming events and retreats focused on women's health education. Takeaways Vaginal estrogen is safe and effective for postmenopausal women. Testosterone is present in both men and women, and is crucial for health. Short medical visits hinder effective healthcare delivery. Menopause is a natural process, and suffering through it is not necessary. Alcohol consumption is linked to several types of cancer. Osteoporosis can be improved with the right interventions. Estrogen does not inherently cause cancer; it can support health. Regular exercise is essential for overall health and well-being. Understanding the difference between correlation and causation is vital in healthcare. The myth of 'use it or lose it' regarding vaginal health is misleading. [M] Factor Screening in Seattle Jan 29 that Kelly is hosting a Q&A for after the documentary https://hotpausehealth.com/the-m-factor-screening/ So Hot Right Now in Sydney, March 1: https://www.sydneyoperahouse.com/talks-and-ideas/so-hot-right-now Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Mastering Menopause & Beyond 16th & 17th Kelly is hosting a retreat with Dr. Lauren Streicher and Dr. Ellen Gendler in Arizona https://itineraries.duffleandcompass.com/Curious-Interested-Women/1326349104644622166 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. Katie Kennedy, a pathologist, discusses the intersection of aging, health, and the effects of alcohol on the body. The conversation explores how alcohol impacts various organs, particularly the liver and brain, and its connection to inflammation and cancer. The role of estrogen in women's health and the implications of aging on inflammation are also examined, providing insights into how these factors affect quality of life. In this conversation, Dr. Kelly Casperson and Dr. Katie Kennedy discuss various aspects of women's health, particularly focusing on postmenopausal issues such as bladder health, the importance of vaginal estrogen, and the role of pathology in understanding these conditions. They delve into the significance of bone health and osteoporosis, emphasizing the need for preventative measures against hip fractures and frailty. The discussion also highlights the connection between breathing, oral health, and overall well-being, advocating for a holistic approach to health that considers the entire body. Takeaways Pathology is the study of diseases and their effects on tissues. Alcohol has a significant impact on liver health, leading to conditions like fatty liver disease. Fatty liver disease can be reversed if caught early and with proper support. Alcohol is classified as a carcinogen, contributing to various cancers. Chronic alcohol consumption can lead to memory loss and increase the risk of dementia. The loss of estrogen during aging creates a synergistic effect with alcohol on brain health. Inflammation is a common response in aging and is linked to estrogen loss. Women metabolize alcohol differently than men, making them more susceptible to its effects. Inflammation can be observed in various tissues, not just localized areas. Understanding the impact of alcohol on health is crucial for making informed choices. Postmenopausal women often suffer from bladder issues that are under-discussed. Vaginal estrogen should be a standard part of women's health care. Thin vaginal mucosa can lead to increased infections and complications. Preventative measures for osteoporosis should start early in life. Hip fractures are a significant health risk for older women. Mouth breathing can lead to various health issues, including sleep apnea. Strengthening the tongue is crucial for preventing aspiration and improving swallowing. Holistic health considers the entire body and its interconnected systems. Education and awareness are key to improving women's health outcomes. Regular health evaluations should include assessments of bone and muscle strength. Dr. Kennedy's Website Dr. Kennedy's IG 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: Interested in my sexual health and hormone clinic? Starts February 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Midlife hair loss! way more common than you think!! In this conversation, Dr. Omer Ibrahim discusses the complexities of hair loss, particularly in women, and the importance of understanding its causes and treatments. He emphasizes the significance of hair in women's identity and the emotional impact of hair loss. The discussion covers various aspects, including preventative measures, nutrition, the role of supplements, innovative treatments like PRP and exosomes, and the need for more research on the effects of hormones on hair health. The conversation also touches on the terminology used in the field and the stigma surrounding female hair loss. They explore the significance of understanding androgenetic alopecia, the impact of testosterone, and the importance of monitoring hormone levels. The discussion also covers the effectiveness of minoxidil and the use of DHT blockers like spironolactone and finasteride. They highlight the frequent misdiagnosis of hair loss conditions in women and emphasize the need for specialized dermatological care. 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: Interested in my sexual health and hormone clinic? Starts January 2025. 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 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 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

Celebrating Five Years of the 'You Are Not Broken' Podcast Happy New Year! This week, as we step into 2024, I’m reflecting on the incredible journey of the podcast and the amazing guests who’ve joined me along the way. Five years ago, on January 1, 2020, I launched the very first episode of You Are Not Broken. At the time, Instagram wasn’t even part of the equation for me and now I just hit 200K, I hadn’t published a book, hadn’t done a TEDX talk and the term "menopause expert" wasn’t something that I was. Looking back, I can confidently say: that first episode was pretty good! Thank you to all of the sponsors, prescribers, everyone who supports ISSWSH and treats women for sexual health issues. I just did a course about sexual health and prescribing testosterone with Dr. Heather Hirsch’s academy. In honor of this milestone, let’s revisit some of the highlights and wisdom shared by the brilliant minds who’ve graced the podcast. 1.My very first episode - short, sweet and mission driven, this is how it all started. 2. Dr. Mary Claire Haver – April 2023 episode 208 Long before “the new menopause” and the buzz around medications like Ozempic, Dr. Haver was here dropping timeless advice. 3. Dr. Sari Van Anders and the Science of Desire – march 2022 – Epiosde 147 Dr. Van Anders insights reshaped how we think about desire. Her research challenged the heteronormative theory of low desire in women partnered with men, emphasizing that desire is far more complex than we often assume. She explained how sexual thoughts and behaviors can influence our hormones, showing that thinking sexy thoughts can actually increase testosterone levels. This idea—that our minds and bodies are deeply connected—has inspired so many listeners to explore what turns them on and why. 4. Dr. Avrum Bluming and the Hormone Window – Epiosde 222 July 2023 Dr. Bluming joined me to discuss the "10-year window" and the incredible "window of opportunity" when it comes to hormone therapy. We now know that the main risk associated with oral estrogen is clotting in veins, which is why transdermal (TD) estrogen is the preferred option. He reminded us of the critical role hormones play in bone health, as hip fractures kill as many people each year as breast cancer. 5. The Lancet Rebuttal: Are We Overtreating Menopause? – April 2024, #259 This powerful panel discussion featured Dr. Lauren Streicher, Dr. Aoife O’Sullivan, Dr. Heather Quaile, Dr. Heidi Flagg, and Dr. Mary Claire Haver. Together, we explored whether menopause is being overtreated in 2024. Spoiler: the answer is no. 6. Dr. Marty Klein and the Complexities of Fantasy episode 169 – July 2022 Dr. Klein’s book, His Porn, Her Pain, sparked a fascinating conversation about the nature of fantasy. His insights challenged us to think deeply about what fantasy means for us as individuals and how it shapes our relationships. As we celebrate five years, I want to thank everyone who listens, shares, and prescribes for women. Your support fuels this mission to empower and educate. Here’s to another year of breaking myths, sharing stories, and embracing the science of living our best lives. Happy New Year, Dr. Kelly Casperson 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 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. 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: Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Dr. Carol Tavris, a renowned social psychologist and feminist. They discuss the evolving definition of feminism, the impact of cognitive dissonance on women's health, and the collaboration between Dr. Tavris and Dr. Avrum Blooming on hormone therapy. The conversation highlights the importance of staying curious, the role of fear in controlling women, and the challenges women face in navigating medical information. Dr. Tavris emphasizes the need for women to advocate for their health and to question outdated medical warnings. In this conversation, Dr. Kelly Casperson and Carol Tavris discuss the complexities surrounding hormone therapy, particularly estrogen, and the societal and medical biases that influence women's health. They explore the implications of labeling estrogen as hazardous, the challenges of mobilizing women for advocacy, and the cognitive biases that affect perceptions of hormone therapy. The discussion emphasizes the need for informed activism, understanding causation versus correlation, and the evolution of medical beliefs over time. Dr. Tavris offers insights on how to engage effectively with both the medical community and the public to foster change in women's health policies. Takeaways Feminism is about equality and justice for all genders. Cognitive dissonance can hinder our ability to accept new information. Women have historically been misrepresented in medical research. Collaboration between psychology and medicine can improve women's health. Fear is a powerful tool used to control women's choices. Women must navigate a complex landscape of medical information. The medical community often overlooks women's health needs. Outdated medical warnings can create unnecessary fear. Women should advocate for their health and question misinformation. Understanding cognitive dissonance can help in making informed decisions. Estrogen patches are being labeled as hazardous without proper justification. Women need to mobilize and organize for advocacy efforts. Apathy among women in advocacy is a significant barrier to change. Cognitive biases can distort perceptions of hormone therapy. Correlation does not imply causation, especially in health matters. Personal anecdotes can shape beliefs about medical treatments. The evolution of medical beliefs often requires a critical mass of evidence. Activism should focus on engaging those who are open to change. Mistakes in medicine are common, and learning from them is essential. Holding beliefs lightly allows for adaptation to new evidence. Dr. Tavris' Books: Estrogen Matters Mistakes Were Made (but not by me) 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson addresses a series of questions related to intimacy, sexual health, and relationships in midlife and menopause. She emphasizes the importance of sexual education, communication, and understanding one's body to enhance intimacy and sexual satisfaction. The conversation covers various topics including sexual health tips, overcoming shame, the role of hormones, and the significance of pleasure in sexual experiences. Dr. Casperson also highlights the need for professional help when dealing with sexual dysfunction and encourages listeners to prioritize their sexual health and well-being. Takeaways Midlife sexual health care tips include cardiovascular fitness and lubrication. Understanding your body and prioritizing intimacy can reignite sexual drive. Sex education and communication skills are crucial for healthy relationships. Overcoming ingrained beliefs about sexuality is essential for personal growth. Testosterone can be beneficial for libido but is not a one-size-fits-all solution. Communication about sexual preferences is key to a fulfilling relationship. Painful sex can often be addressed with hormonal treatments and therapy. There are many ways to experience orgasm, and it's not a competition. Post-menopause, pleasure should be the primary focus of sexual experiences. Resources for sexual education and therapy are available and valuable. 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 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

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. Takeaways Vaginal 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.com 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health In this engaging conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson explore various aspects of sexual health, focusing on the importance of language, the journey into understanding female sexual health, and the complexities of erectile dysfunction and libido in men. They emphasize the need to treat couples as a sexual unit and discuss the role of testosterone in overall health. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into the complexities of testosterone therapy, its historical context, and the stigma surrounding hormone replacement. They discuss the importance of hormones in aging and mental health, the need for responsible hormone management, and the innovations in sexual health products. The dialogue emphasizes the necessity of rebranding hormones and addressing misconceptions to improve patient care and access. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into various aspects of sexual health, focusing on male sexual response, the effects of medications on sexual function, and innovative procedures for penile enhancement. They discuss the psychological factors influencing men's desire for enhancement, the importance of understanding the male sexual response, and the implications of medications like statins and finasteride on libido and testosterone levels. Takeaways Understanding female anatomy is crucial for effective treatment. Pain during sex is a common issue that needs addressing. Sex should not be limited to penetration; intimacy can take many forms. Couples should be treated as a unit in sexual health discussions. Erectile dysfunction can exist independently of libido. Do GLP1s affect desire or other aspects of intimacy? Testosterone plays a significant role in both male and female sexual health. Screening for low testosterone should be standard practice? Hormones should be treated similarly to other medications. Historical regulations on testosterone are outdated and need reform. The stigma around testosterone affects both men and women. Hormones play a crucial role in aging and cognitive function. Deregulation of testosterone could enhance patient access. Are statins affecting testosterone or libido? Penile Fillers Supplements to increase ejaculation volume https://testosteroneproject.com/ https://joshuagonzalezmd.com/ https://www.shoppopstar.com/ For more education about low T and getting started on possible therapy, visit Kyzatrex 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 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

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. Takeaways Misdiagnosis 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.com 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/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.com 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/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. Takeaways Menopause 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.com 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/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. Takeaways The 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 Link https://themfactorfilm.com/ Tamsen on IG 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 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 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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/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. Takeaways Healthcare 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/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. 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! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025.  Learn more about your ad choices. Visit megaphone.fm/adchoices