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You Are Not Broken

Podcast You Are Not Broken
Kelly Casperson, MD
Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously sma...

Available Episodes

5 of 303
  • 303. Testosterone and Mood -A New Paper
    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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  • 302. Troches and More! A Pharmacist Explains It All
    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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  • 301. 15 Ways to Change The World
    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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  • 300. EPISODE THREE HUNDRED!!! AKA: Things I Wish People Knew
    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 podcastchoices.com/adchoices
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  • 299. Aging Under A Microscope
    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 podcastchoices.com/adchoices
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About You Are Not Broken

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