Episodios

  • 308. Sex As A Flow State

    308. Sex As A Flow State
    Mar 16 2025
    In this episode, Dr. Kelly Casperson and Dr. Emily Jamea discuss the evolution of sexual satisfaction, exploring the concept of 'good enough sex' and the pursuit of deeper intimacy through the flow state. They emphasize the importance of safety, communication, and connection in relationships, while addressing common barriers to sexual desire such as complacency and societal expectations. The conversation highlights the need for couples to actively engage in their sexual lives and prioritize emotional safety to enhance their experiences. In this conversation, Emily Jamea and Kelly Casperson, MD, explore the intricate dynamics of relationships, focusing on the concept of flow state, the importance of preparation and communication, and the impact of self-identity on sexual expression. They discuss how reconnecting with innate qualities can enhance intimacy, the role of novelty and curiosity in maintaining desire, and the balance between connection and independence in relationships. The conversation emphasizes the significance of touch and the need for effective communication to foster deeper connections. Takeaways Dr. Jamea's book offers a next-level perspective on sexual satisfaction. The honeymoon phase is temporary; couples seek more than just 'good enough' sex. Flow state is crucial for experiencing heightened sexual satisfaction. Safety in relationships is foundational for women to enjoy sex. Communication is key to understanding each partner's needs and desires. Complacency is a major barrier to sexual desire in couples. Sex should be seen as an opportunity for enjoyment, not obligation. Gender socialization impacts women's perceptions of their sexual desires. Attunement between partners enhances sexual satisfaction. Creating rituals for connection can improve intimacy and sexual experiences. Flow state requires a balance of challenge and skill. Too much novelty can lead to anxiety in relationships. Preparation and communication are crucial for intimacy. We are born with qualities that enhance our sexual experiences. Self-identity significantly impacts sexual expression. Novelty in life can enhance sexual experiences. Touch is essential for relationship satisfaction. Emotional connection is vital for sexual desire. Gentle communication can improve intimacy. Understanding dynamics of desire can enhance relationships. Anatomy Of Desire by Dr. Emily Jamea 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? Check it out. 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
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    47 m
  • 307. Doctored - Charles Piller and Fraud in the Quest to Cure Alzheimer's

    307. Doctored - Charles Piller and Fraud in the Quest to Cure Alzheimer's
    Mar 9 2025
    “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
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    51 m
  • 306. Naomi Watts - Dare I Say It

    306. Naomi Watts - Dare I Say It
    Mar 2 2025
    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
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    36 m
  • 305. Make Love Not Porn - Cindy Gallop

    305. Make Love Not Porn - Cindy Gallop
    Feb 23 2025
    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
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    55 m
  • 304. Urogynecology Exists For Things We Don't Want To Talk About

    304. Urogynecology Exists For Things We Don't Want To Talk About
    Feb 16 2025
    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
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    47 m
  • 303. Testosterone and Mood -A New Paper

    303. Testosterone and Mood -A New Paper
    Feb 9 2025
    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 podcastchoices.com/adchoices
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    43 m
  • 302. Troches and More! A Pharmacist Explains It All

    302. Troches and More! A Pharmacist Explains It All
    Feb 2 2025
    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 podcastchoices.com/adchoices
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    49 m
  • 301. 15 Ways to Change The World

    301. 15 Ways to Change The World
    Jan 26 2025
    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 podcastchoices.com/adchoices
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    36 m