You Are Not Broken
Kelly Casperson, MD
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This podcast rewrites everything you thought you knew about sex, hormones, and midlife. Host Kelly Casperson, MD helps women reconnect with their bodies, minds, and partners through science, mindset, and humor. Topics include perimenopause, rediscovering desire, and what's possible in midlife. The show aims to remind listeners that they are not broken.
Епизоде
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388. Sexuality is How You Exist in the World - with Dr. Lexx 13.09.2026 37минIn this episode, I talk with Dr. Lexx about how to have honest conversations about sex with kids, why sexual shame still shapes adult relationships, and how to think more clearly about desire, consent, and pleasure. We dig into misinformation around sex education, sex as a form of power, and what healthy support can look like from educators, counselors, and therapists.What We CoverSex-positive parenting and how to talk to kids about bodies and boundariesWhy sexuality education in the U.S. is more restricted than people think — and why "medically accurate" isn't a givenThe real difference between sex educators, sex counselors, and sex therapistsHow midlife, menopause, and shifting desire reshape relationshipsPractical ways to rebuild intimacy and connection when the spark fadesKey FrameworksPersonal parts — Language that reduces shame and emphasizes ownership over the body.Unwanted touch / secret touch — Clearer safety language than "good touch, bad touch."Sexuality as a whole-life concept — Not just intercourse, but identity, embodiment, relationships, and power.Compersion — Feeling happy for a partner's pleasure or joy, even if it isn't personally relevant.Sensate focus — Purposeful nonsexual touch used to rebuild connection and learn what feels good.Consent first — The baseline for everything, including fantasy, touch, and negotiation.About Dr. LexxDr. Lexx (Lexx, The Sex Doc) is a sex therapist, educator, and speaker whose work centers healing, pleasure, and connection — with a particular focus on Black, Brown, and queer communities often left out of traditional therapy spaces. Learn more at lexxsexdoc.com.https://lexxsexdoc.com/Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThis episode is sponsored by Joi and Blokes.If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
387. Beyond the Prescription with Dr. McBride 06.09.2026 56минIn this episode 387, I sit down with Dr. Lucy McBride to talk about the widening gap between the traditional medical system and the wellness industry, and how patients can find solid ground in between. Lucy makes the case for evidence-based advice, realistic expectations, and actually engaging with your healthcare system instead of trying to DIY your way to health.What We CoverThe gap between the medical system and the wellness industryWhy evidence-based health advice matters more than everThe risks of wellness products and influencers overpromising certaintyHow patients can better engage with (not opt out of) the healthcare systemSupplements, vitamins, and gadgets — what's worth your money and what isn'tThe wellness industry often overpromises certainty and results it can't back up.Living in the "middle ground" means engaging with the healthcare system effectively rather than avoiding it.Dr. McBride's book, Beyond the Prescription, is a practical guide for navigating health choices.About Dr. Lucy McBrideDr. Lucy McBride is a practicing internist and the author of Beyond the Prescription: How to Contextualize Your Health and Break Free from a Lifetime of Fatigue, Anxiety, and Stress. Grab her book here: Beyond the Prescriptionhttps://www.lucymcbride.com/https://www.instagram.com/drlucymcbride/SubstackAs always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThis episode is sponsored by Joi and Blokes.If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
386. Nuances and Myths of Menopause with Dr. Shepherd 30.08.2026 48минThe longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.Dr. Shepherd is an OB-GYN, and we use menopause as the entry point into a much bigger conversation — the myths still circulating about menopause and sexual health, why clinician expertise and actual hands-on experience matter more than a lot of people realize, and how insurance and the broader healthcare system quietly shape what choices women even know they have. We also get into AI and new technology in medicine — where it genuinely helps, and where it's moving faster than anyone can vet it. And we land on something I keep coming back to on this show: aging well is not a solo project. Community and connection are part of the medicine.Dr. Jessica Shepherd is a board-certified OB-GYN focused on women's health, menopause, and sexual wellness in midlife. Generation M - Dr. Jessica Shepherd's bookWhat We CoverMenopause as a gateway. Why menopause is so often the first time women start really engaging with their own health, and what that says about the gaps earlier in the system.The myths that won't die. Common misconceptions about menopause and sexual health that Dr. Shepherd still has to correct in the exam room, every week.Expertise actually matters. Why the clinician you choose, and how much hands-on experience they have, changes the quality of care you get, especially in a field this nuanced.The system shapes the choice. How insurance coverage and healthcare structures quietly limit what options get presented to women in the first place.AI in medicine — promise and risk. Where artificial intelligence and new technology are genuinely useful in healthcare, and where the pace of change is outrunning oversight.Community as medicine. Why connection and support are not a "nice to have" in aging well, they're part of the actual strategy.Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
385. 500k on IG Celebration - Ask Me Anything 23.08.2026 50минHalf a million of you on Instagram. I still can't quite get over that number.To celebrate, this episode is all you — an open Ask Me Anything where I answer the questions you've actually been sending me. No guest, no agenda, just me working through your real questions about hormones, menopause, sexual health, and the stuff nobody explains to you in a normal doctor's appointment.We cover a lot of ground — how I ended up a urologist obsessed with female sexual health in the first place, the myths about hormone therapy I am still correcting in 2026, DHEA, the estrogen patch shortage, why your labs don't always tell the whole story, and yes, the Ferrari engine analogy makes another appearance. If you've been wondering something and never had the nerve to ask your own doctor — there's a good chance I answer it here.In This EpisodeHow I got here. My background as a urologist and how that path led me into female sexual health — a specialty most people don't expect a urologist to end up in.Hormones, menopause, and aging. Why hormones matter so much more than most of us were taught, and what's actually happening in your body during the menopause transition.Hormone therapy myths, corrected. I'm clearing up the misinformation that's still floating around about HRT — including specific questions on risk for women with a Factor V (Factor two) clotting diagnosis.DHEA and vaginal estrogen. What they do, why the estrogen patch shortage is happening, and what to switch to (gels, oral options) in the meantime.Testosterone, decoded. Comparing creams versus injections, how to interpret SHBG, and why I care more about how you feel than what the lab printout says.Progesterone tolerance. What to do when the standard dose doesn't agree with you, and where extended-release formulations fit in.Persistent UTIs on vaginal estrogen. Why they still happen even when you're doing everything "right," and what else might be going on.Weight gain and menopause. What the data actually says — and what gets blamed on hormones that isn't really about hormones at all.Talking about sex — with clients, with partners. A layered, step-by-step way to open the conversation about low libido without it feeling like a confrontation.Individualized care. Why hormone management should never be one-size-fits-all, and how I think about lab testing versus symptoms.What's next. vulvar DHEA, book clubs, and more ways to keep learning together.Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
384. The Myth of Aging with Dr. Gilberg 16.08.2026 44минAge is just a number. We say it all the time. Do we actually believe it?This week I sit down with Dr. Arnold Gilberg, MD, PhD — a psychiatrist with over 60 years of clinical experience and author of The Myth of Aging. Sixty years. Let that sink in for a second. He has watched mental health care go from something people hid to something people post about. And he has spent just as long studying what actually keeps people vital as they get older, and it is not what most of us assume.We get into what a psychiatrist actually is (and how that's different from a psychologist or a therapist), why the shame around therapy has mostly disappeared since the 1960s but hasn't fully left medicine itself, and why he'd argue we're over-medicating a problem that often needs connection more than a prescription. Then we go somewhere I did not expect, his own path to becoming a rabbi, and what spirituality has taught him about the mind that medicine alone couldn't.If you've ever felt "stuck," or assumed decline was just the deal you signed up for by getting older — this one's for you.Dr. Arnold Gilberg, MD, PhD, is a psychiatrist with more than six decades of clinical experience and the author of The Myth of Aging. Over the course of his career he has treated patients through massive shifts in how our culture understands mental health — from the stigma of the mid-20th century to today's very different, more open landscape. He is also a rabbi, a path that grew out of his clinical work and shapes how he thinks about meaning, purpose, and healing. The Myth of Aging bookWhat We CoverPsychiatry vs. psychology vs. therapy. What a psychiatrist actually does, how that role differs from a psychologist or therapist, and why the lines have blurred (and shifted) as the field has evolved.From shame to normal. How therapy went from something you hid to something you casually mention at dinner — and why stigma still lingers inside the medical community itself, even as it's faded in the culture at large.The culture of medication. Dr. Gilbert doesn't hold back on this one — the over-reliance on medication, what gets missed when a prescription replaces psychotherapy, and why informed consent about side effects matters more than most patients realize.Body and mind are not separate systems. Why physical activity is one of the most underused tools in mental health care, and how movement changes the brain, not just the body.Becoming a rabbi. Dr. Gilbert's own journey into spirituality, and how faith and religion show up as legitimate tools for emotional and mental well-being — not as an alternative to psychiatry, but alongside it.Cultural shifts, real clinical impact. How broader acceptance of diverse sexualities and identities has changed what shows up in the therapy room and how mental health providers practice.Connection is the treatment. Why trust between patient and therapist predicts outcomes more than technique — and what that means for how we should be evaluating "good" therapy.The myth of aging, dismantled. Aging does not have to mean decline. Investment in physical, mental, and social health changes the trajectory — and it's never too late to start.Midlife crisis, reframed. What's actually happening during a midlife crisis, and why it can be the opening for real change instead of just a cliché to laugh off.Mindset changes your biology. The Harvard research on mindset and lifespan — and what it tells us about how much of "aging" is happening in our heads before it happens in our bodies.Getting unstuck. Practical ways to turn a feeling of stagnation into an actual growth opportunity.Community, movement, purpose. The three pillars Dr. Gilbert keeps coming back to for aging well — and why none of them are optional.Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
383. Burning Up, Frozen Out — Men, Menopause, and the Midlife Marriage 09.08.2026 58минMenopause conversations center on women. For good reason.But what about the guy standing next to her?Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause written for men. Not about fixing her. About understanding what's happening and showing up anyway.We talk about why men are so in the dark on this. What actually helps versus what just feels helpful. And why this works better as a team sport.In this episode:The stereotypes that make menopause a no-go topic at homeWhy communication breaks down exactly when you need it mostSmall, low-effort ways men can actually support their partnerMen have their own midlife hormonal shifts too — sleep, stress, food, fitnessWhy "support" means listening, not solvingBurning Up, Frozen Out bookWebsiteSubscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
382. Men, Menopause, and the Relationships in Between 02.08.2026 1ч 16минMenopause doesn't just happen to a body, it happens to a relationship. In this episode, Traver Boehm joins Dr. Kelly Casperson to talk about what's actually going on hormonally during perimenopause and menopause, and what that means for the partners trying to understand it from the outside.Kelly breaks down the real difference between perimenopause and menopause (hint: most people are using these words wrong), what's happening biologically during the transition, and why the emotional and relational fallout is often just as real as the hot flashes. Then the conversation turns to men — what's shifting for them hormonally during this same midlife window, and how couples can actually talk to each other about all of it instead of quietly drifting apart.This one's for the women in it and the partners trying to show up for them.In this episode:Perimenopause vs. menopause, where one ends and the other beginsWhat hormonal changes are actually doing to mood, sleep, libido, and connectionThe emotional and relational ripple effects of menopause that no one prepares you forHormonal shifts in men during midlife, and why this isn't just a "her" conversationHow to actually talk to your partner about what's changingRebuilding pleasure and intimacy when everything else is in fluxReminder: none of this is individual medical advice, discuss your own plan with your own clinician.https://www.manuncivilized.com/https://www.instagram.com/traverboehmSubscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
381. Cancer, Sex and Hormones with Oncologist and Sex Therapist Dr. Bosserman 26.07.2026 1чIn this episode, Dr. Linda Bosserman shares her expertise on hormone therapy, addressing common misconceptions and highlighting the latest science supporting their safe use in women and men. Tune in to hear practical insights on hormone management, systemic and local applications, and how to advocate for your health.Key Topics Covered:The importance of precise language: specifying hormone types, routes, and dosesThe safety and efficacy of vaginal estrogen in women with breast cancerDebunking myths about hormones causing breast cancer: data from large studiesThe potential of testosterone in improving neurocognition, libido, and overall health in womenThe ongoing fight for FDA approval of female testosterone productsThe role of systemic hormones in preventing cardiovascular diseaseHow to counsel patients on hormone-related recurrence risksThe significance of personalized, evidence-based hormone therapy for optimal agingInsights from Dr. Bosserman's PhD in sex therapy and its relevance to sexual healthThe systemic biases and misinformation perpetuated by media and outdated guidelinesDr. BossermanMenopausal Hormone Therapy after Breast CancerSubscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
380. The Final Word on Heated Rivalry - Welcome to the Cottage (episode 6) 19.07.2026 45минWe're closing out the season with something different: a multidisciplinary breakdown of episode six of Heated Rivalry. Not a recap. Not a fan theory session. A real conversation about what the show gets right — and what it gets wrong — about male performance anxiety, queer identity, female arousal physiology, and the stories we tell ourselves about our own bodies.To be clear: this isn't about hockey. It's about what happens when good storytelling accidentally becomes a teaching moment for sexual health.What We CoverPerformance anxiety isn't in your head — it's in your nerves, arteries, and muscles. Erectile function is vascular and neurological before it's psychological. Medication, alcohol, dehydration, stress — all of it shows up in the body before it shows up in the bedroom. We break down why "just relax" is the least useful advice you can give a man who's struggling, and what's actually happening physiologically when performance doesn't match desire.Shane's coming out arc, and why identity evolution isn't linear. The show doesn't hand Shane a clean, tidy arc — and that's the point. We talk about how culture, family history, and internalized norms shape the timeline of coming out, and why real identity work rarely looks like the movie version.Communication is the actual plot device. Underneath the hockey, the drama, the trauma — the show works because the characters eventually say the thing. We talk about why authentic communication is the real special effect in any story about intimacy, on screen or off.Behind the scenes: setting, production choices, small details you'd miss on a first watch — and yes, a detour into tentacle erotica as a case study in how sexual expression keeps evolving in media, and why that's worth understanding rather than dismissing.Key TakeawaysErectile response is biological first, emotional second — treat it that way.Female arousal physiology doesn't disappear at menopause; it changes, and imaging confirms it.Coming out stories are shaped by context, not just courage.Good storytelling about sex requires vulnerability, not perfection.Expanding your sexual literacy — even through fiction — is part of the work.You are not broken. Your body isn't broken. And apparently, neither is prestige TV's ability to sneak real sex ed into a hockey drama.Season two, see you soon.— KellySubscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
379. Heated Rivalry Episode 5 12.07.2026 43минJoin us for the season's final two episodes as we explore the emotional depths, relationships, and personal growth of the characters in "Heated Rivalry." This episode delves into vulnerability, identity, and love through intimate conversations and memorable scenes, offering both humor and heartache. We cover:The complexities of coming out and self-acceptance in a tight-knit communityThe influence of trauma and social pressures on sexual identityThe portrayal of relationships, love, and chemistry on screen and in real lifeMedical insights into sexual health, including ED, menopause, and reproductive choicesThe cultural depiction of masculinity, femininity, and societal expectationsIn this episode:Analyzing the pivotal scene where Ilya reveals his inner turmoil about identity and familyThe significance of honesty and vulnerability between Shane and IlyaInsights into how trauma impacts sexual development and relationshipsThe role of humor and playful banter in serious momentsBehind-the-scenes stories from the filming, including location choices and character dynamicsDiscussing medical myths about genitals post-menopause based on MRI studiesConversations about contraception, fertility, and sexual pleasure in both fiction and real lifeExploring the cultural intersections in the characters’ backgrounds, including Russian, Canadian, and American influencesSubscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is openThanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
378. Heated Rivalry episode 4 - Frotting, Ferrets, and Ferris Wheels — Wait, Wrong Show. Just Frotting. 05.07.2026 39минEpisode 4: Rose and Rosé — The Maturation of MenHeated Rivalry Series | You Are Not BrokenWe're four episodes deep into "Heated Rivalry," and this is the one where the boys finally have to grow up.Episode 4 is a time jump — years compressed into a montage — and it's doing double duty. It's showing us Shane and Ilyia maturing into men who can actually be in a relationship, not just have sex in one. And it's showing us Rose figuring out who she is alongside them. Growth isn't linear for any of these characters, and honestly, that's the whole point.This episode has jokes, it has ginger ale, it has a Jean Paul Gaultier shirt doing more emotional labor than most people's therapists. And underneath all of it, we're talking about what it actually looks like when men — queer or straight — mature into partners instead of performers.In this episode, we cover:🥂 The montage that does the heavy lifting — Years pass in minutes, and the show trusts you to read growth in glances instead of dialogue. We break down what that fast-forward is actually telling us about who these characters are becoming.🥤 Ginger ale as a stand-in for honesty — A small, recurring detail that keeps showing up at exactly the moments authenticity matters. We talk about why the little symbols are doing more work than the big speeches.🪜 Stairs as a metaphor for hiding — Where characters stand, physically, tells you where they stand emotionally. Comfort zones, identity, who's ready to be seen and who isn't yet.🛏️ Lube, and the sex we don't usually see — We get specific about sexual practice and preference, because vague euphemism doesn't teach anybody anything. This is where the show earns its reputation for actually doing the work most media skips.❤️ Gay male intimacy that exists outside the bedroom — Emotional depth, tenderness, and connection depicted as fully as the physical. We talk about why that matters for representation and why it's still rare.👨👩👧 Family, maturity, and the weight of expectation — What it costs to grow up under the pressure of what your family, your sport, or your culture expects "a man" to look like.🎬 Fashion, music, and cinematography as storytelling — Including a Jean Paul Gaultier shirt that says more about a character's confidence than a page of script could.📱 Real-life echoes — Outed athletes, fan engagement, and how a fictional hockey romance keeps bumping into very real headlines about sexuality in professional sports.Maturity isn't about getting older. It's about getting honest — with yourself, with the people you love, and about the shape your desire actually takes. That's the throughline of this episode, and it's the throughline of everything we do here.You are not broken. Growing into who you actually are — sexually, emotionally, all of it — takes time. This episode is proof it's worth the wait.Subscribe, leave a review, and share this episode with someone who needs it.🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.Take my Adult Sex Ed Master Class:My WebsiteInterested in my sexual health and hormone clinic? Waitlist is open Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
377 - Heated Rivalry Episode 3-Love, Boundaries, and the Most Unhinged Uber Ride Story You've Ever Heard 28.06.2026 41минYou Are Not Broken | Episode 377 Join me, Dr. Rubin and Dr. Winter three episodes deep into "Heated Rivalry" and things are getting complicated. Emotionally. Relationally. And apparently, in real life too — because this episode went completely off-script in the best possible way. Episode 3 of the show gives us more Scott and Kip, more tension, more of the push-pull that makes this story so hard to look away from. And it gave us a lot to say. In this episode, we cover: 🏒 Full episode 3 breakdown — Plot, pacing, pivotal moments, and everything we were yelling at the screen about. We get into the emotional undercurrents the show is building and why this episode marks a turning point in how these characters relate to each other ❤️ Scott Hunter and Kip: love, limits, and the architecture of a complicated relationship — What does it look like when two people want each other and also can't quite figure out how to be with each other? We analyze the push-pull, the boundaries being tested, and what the show is trying to say about intimacy under pressure 🧠 Enneagram detour: typing the characters — Yes, we went there. Kip's dad especially warranted a full personality deep-dive. If you've ever wondered why certain relationship dynamics feel so stuck, the Enneagram conversation in this episode will make things click 🎬 Behind the scenes: budget, craft, and the acting choices that land (or don't) — We talk about what the production is clearly doing well, where the constraints show up on screen, and the moments where the actors did something genuinely impressive with the material they were given 🌟 A real Hollywood love story — One of us brought a personal story to this episode that mirrors some of what the show is exploring in ways that are almost too perfect. Love that finds you in unexpected places, at unexpected times, with unexpected people. 🚗 The porn star Uber ride story — We cannot explain this one. You just have to listen. It is real. It happened. It is relevant (sort of). And it is the most chaotic three minutes of content we have ever produced on this podcast. Why episode 3 matters: The first two episodes establish the attraction. Episode 3 is where the show starts asking harder questions — about what people owe each other, about the difference between wanting someone and being able to actually be with them, and about the family dynamics and personal histories that follow us into every relationship we try to build. That's not just good TV. That's the conversation we have in exam rooms, in therapy offices, and at 2am when we can't sleep. "Heated Rivalry" keeps giving us a way in to material that's genuinely difficult to talk about directly — and we're going to keep using it.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? Waitlist is open Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
376. Heated Rivalry - Episode 2 — Four Urologists Walk Into a Hockey Romance 21.06.2026 56минEpisode 2 of "Heated Rivalry" gave us more heat, more emotional complexity, and — honestly — more to dissect than we could cover alone. So this time, I'm joined by three of my favorite urologist colleagues: Dr. Rubin, Dr. Winter, and Dr. Gonzalez. Four urologists, one hockey romance, zero filter. This is the kind of conversation that doesn't happen in medical school, at grand rounds, or really anywhere in organized medicine. Which is exactly why we're having it here. In this episode, we cover: 🏒 Safety, trust, and emotional vulnerability in gay relationships — Episode 2 goes deeper into what it actually takes to be intimate when you've spent years hiding who you are. We talk about what the show gets right about the psychological weight of that, and what it looks like clinically when shame is baked into someone's relationship with their own body and desire 📖 "Heated Rivalry" as curated sex education — Fiction is doing what formal sex ed refuses to do: showing people what communication, negotiation, and mutual pleasure actually look like. Four urologists weigh in on what we'd add, what we'd correct, and what we'd assign as required watching 🧠 The psychology of self-acceptance, shame, and queer connection — These characters aren't just physically attracted to each other — they're navigating decades of internalized messaging about who they're allowed to be. We break down what that does to intimacy and how it shows up in real patient conversations 🍑 Anal sex, condom use, and preferences — the actual clinical conversation — What do gay versus heterosexual contexts look like in practice? What does the data say about condom use patterns, and why? What do patients actually need to know that providers almost never tell them? We go there. 👁️ Objectification, authenticity, and the fantasy-versus-reality line in media — Is "Heated Rivalry" showing us something true, or something aspirational? Does it matter? How does idealized media representation shape real people's expectations of their own sex lives and bodies? 🛡️ Consent and communication as clinical skills — Not just ethics — actual skills. What does good sexual communication look like, and how does it translate across orientations? The show models some of this beautifully. We talk about what's transferable. 📱 How media shapes (and misshapes) LGBTQ+ sexual health literacy — The misinformation landscape around queer bodies and sexual health is genuinely harmful. We talk about what gets distorted, what's missing, and how pop culture can either close or widen that gap 🌈 What this show is doing for LGBTQ+ communities — Representation isn't just feel-good. It has measurable effects on shame reduction, help-seeking behavior, and sexual self-concept. We talk about the real-world ripple effects of seeing your experience on screen — done well The conversation you didn't know you needed: Four urologists sitting around breaking down a gay hockey romance sounds like the setup to a joke. But here's what's actually true: most of us received zero clinical training on LGBTQ+ sexual health. Most of our patients — gay, straight, bi, questioning — received zero accurate sex education about anal intimacy, queer relationships, or sexual communication. "Heated Rivalry" is filling a gap that medicine created. We think that's worth talking about seriously, with humor, and without shame.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? Waitlist is open Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
375. Heated Rivalry, Hockey, and How Good Sex Ed Can Change the World 14.06.2026 53минEpisode one of Heated Rivalry with the amazing urologists Dr. Winter, Dr. Rubin, Dr. Gonzalez and Dr. Casperson! Episode 375: Heated Rivalry, Hockey, and How Good Sex Ed Actually Looks What happens when a group of urologists and sex medicine experts binge a gay hockey romance and can't stop talking about it? This episode. "Heated Rivalry" isn't just a sports romance — it's one of the most emotionally honest portrayals of gay intimacy, identity, and desire that's made it to mainstream media. And as someone who spends her days helping people understand their bodies, their sexuality, and their relationships? I had a lot of thoughts. So I brought in the experts. In this episode, we're going deep — on the show, on the science, and on everything "Heated Rivalry" gets right that your sex ed class absolutely got wrong. In this episode, we cover: 🏒 Representation that actually lands — What the show gets right about gay sex on screen, why it matters for viewers of all orientations, and how seeing yourself reflected in media shapes your sexual self-concept ❤️ The emotional architecture of coming out in sports culture — Identity, secrecy, fear, and what it costs to hide who you are in hypermasculine environments. This isn't just a hockey story. 🤫 Silent communication and nonverbal intimacy — The show does something remarkable with what's not said. We talk about what that reflects about real-life queer intimacy and how couples communicate desire without words 💪 Body image, physicality, and the male gaze (turned inward) — How the show handles the aestheticization of male bodies, and what that does for viewers who've never seen their own body type centered as desirable 🛡️ Consent, power dynamics, and emotional safety in LGBTQ+ relationships — Because good sex requires more than physical compatibility. We break down what the show models and what it could do better 🚿 The practical stuff: anal hygiene, douching, and lubrication — Yes, we're going there. Because nobody else is explaining this clearly, and shame-free, accurate information saves people from unnecessary anxiety and actual injury 📚 "Heated Rivalry" as accidental sex ed — Why fiction sometimes does what textbooks and providers fail to do: make people feel normal, curious, and empowered rather than broken 💬 Your reactions — What listeners and viewers are saying, and how this show is opening conversations that weren't happening before Why this episode matters: If you think this episode is just for gay men or hockey fans, think again. This is an episode about what good intimacy looks like — the negotiation, the vulnerability, the communication, the logistics. These themes live in every relationship, every body, every bedroom. Also: accurate, shame-free education about anal sex has historically been nearly nonexistent in mainstream medicine and sex ed. The result? People making decisions without good information, experiencing pain that's preventable, and feeling like their desires are somehow abnormal. We're fixing that today. 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? Waitlist is open Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
374. Men, Testosterone and Penis Health Too! 07.06.2026 53минThe Future of Men's and Women's Health: Testosterone, Public Policy, and Preventative Care What if the hormone most associated with men's health is also one of the most underutilized tools in women's medicine — and the biggest barrier isn't science, it's politics? In this episode, I sit down with Dr. Helen Bernie urologist and tireless advocate for hormone health reform, to unpack why testosterone remains one of the most misunderstood, over-regulated, and under-prescribed interventions in modern medicine. We go deep on the FDA, the data, and what it's actually going to take to change the system. We cover: Why low testosterone should be part of routine health screening — for everyone The real links between testosterone deficiency and early mortality, diabetes, osteoporosis, and cardiovascular disease How erectile dysfunction is a cardiovascular biomarker hiding in plain sight The policy history that turned a hormone into a controlled substance — and what it's costing us Why women are still being left out of the testosterone conversation Peyronie's disease: what it is, how to prevent it, and what treatment actually looks like How combining hormone therapy with GLP-1s and lifestyle changes can reverse metabolic disease The dangers of unregulated men's health clinics — and what evidence-based care looks like instead New research on testosterone administration routes and clot risk Why healthy hormones aren't just personal — they're a public health issue This is the conversation medicine has been too uncomfortable to have. We're having it anyway. Resources & Links FDA Testosterone Panel — YouTube Dr. Helen Bernie's IG Women's Health Study on Testosterone and Osteoporosis — JAMA Peyronie's Disease Research 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
373. Sexual Health: Cervix, Vulva, and Vulvodynia Research 31.05.2026 52минFrom the cervix to the vulva, so much of female anatomy has been understudied, misunderstood, and underserved — until now. In this episode, Dr. Kelly Casperson sits down with Dr. Andrew Goldstein, one of the world's foremost experts in vulvovaginal and cervical health, for a deep dive into the cutting edge of women's sexual medicine. We're talking new research, new treatments, and a whole lot of "why didn't anyone tell us this sooner?" energy. If you or someone you love has ever dealt with vulvar pain, lichen sclerosis, arousal difficulties, or just wants to understand their anatomy better — this one is unmissable. About Dr. Andrew Goldstein Dr. Andrew Goldstein is a board-certified OB/GYN and one of the world's leading specialists in vulvovaginal disorders, cervical health, and female sexual medicine. He is the founder of the Centers for Vulvovaginal Disorders, co-author of Reclaiming Desire, and a tireless advocate for research funding and clinical advancement in women's health. He has dedicated his career to conditions that medicine has long dismissed — and he is actively changing that. 🌐 vulvodynia.com When Sex Hurts Book In This Episode, We Cover: The significance of cervical innervation and its role in sexual pleasure — and why this is barely taught in medical school How common cervical excision procedures (like LEEP/LLETZ) can impact sexual function and urinary health Global efforts in cervical cancer prevention in resource-poor countries Surgical techniques designed to preserve nerves during cervical treatments The incredible impact of HPV vaccination on reducing cervical cancer rates worldwide A clear breakdown of vulvar anatomy and the misconceptions even providers carry Vulvodynia — causes, diagnosis, and the most exciting recent research breakthroughs Highlights from the Vulvodynia Research Summit: the top-ranked treatments from both expert and patient votes The surprising role of mast cells and allergic responses in vulvodynia Emerging therapies: topical ketotifen, localized nerve targeting, and novel chemical injections for pain relief How pelvic floor muscles contribute to vulvodynia — and what new research is showing Upcoming clinical trials on botulinum toxin for pelvic pain Lichen sclerosis — the autoimmune skin condition linked to cancer risk that far too many providers miss The game-changing potential of JAK-STAT pathway inhibitors for lichen sclerosis treatment Strata barrier cream and other topical therapies in the pipeline The road to FDA approvals and insurance coverage for these emerging treatments Topical sildenafil for female arousal disorders — the science, the promise, and how it works The drug delivery science behind why how a cream is formulated matters as much as what's in it Why advocacy and funding in women's health are inseparable from clinical progress — and what you can do Dare to Play Clinical Trials Registry Gynecologic Cancer Research Foundation National Vulvodynia Association Tightlipped Organization Dr. Andrew Goldstein: Website 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
372. Deprescribing Antidepressants 24.05.2026 43минIn this episode, Kelly interviews Dr. Mark Horowitz, a psychiatrist and author, about the long-term impacts of antidepressants, the challenges of coming off these medications, and the future of deprescribing. This conversation sheds light on why many people remain trapped on these drugs and what can be done to change this reality. Key Topics: The origins of Dr. Horowitz's involvement in deprescribing and his personal experience The widespread use of antidepressants in America and the long-term health risks How withdrawal symptoms can be mistaken for a need to stay on medication The insidious side effects of antidepressants, including weight gain, sexual dysfunction, and increased risk of fractures The lack of long-term studies and regulatory oversight on the effects of antidepressants The importance of informed consent and alternative treatment options How marketing and legal factors influence prescribing habits Strategies for safe tapering and support resources for deprescribing The evolving awareness and cultural shift regarding antidepressant risks Deprescribing book https://markhorowitz.org/ 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
371. You Could Be Having Better Sex 17.05.2026 39минWhat if the secret to better sex isn't a new position or a fancy toy — it's simply showing up as yourself? In this episode, Kelly sits down with Nicole McNichols, a sexuality researcher and educator whose work bridges the gap between what science knows about female desire and what most of us were never taught. Together they unpack why women lose desire in long-term relationships (hint: it's not broken — it's biology meeting culture), what "heated rivalry" actually means for female attraction, and why spontaneous desire is more myth than reality for most women. This is the kind of honest, research-backed conversation your sex ed class should have been. The "heated rivalry" phenomenon — how competition and social comparison can actually activate female desire, and what that tells us about our evolutionary wiring Spontaneous vs. responsive desire — why waiting to "feel like it" may be the #1 intimacy killer in long-term relationships The taco metaphor — a reframe on why novelty matters for sustaining desire (you'll never think about tacos the same way again) Female anatomy 101 — the internal clitoris, female erections, and the structures your doctor probably never mentioned Hormones and midlife sexuality — how perimenopause and menopause reshape desire, and why hormone therapy can be genuinely life-changing Pleasure as medicine — the neuroscience of why pleasure regulates your nervous system and supports overall health Flow states and intimacy — how to cultivate the focused presence that makes sex feel connected rather than performative The mental load problem — why unequal household labor is a libido killer backed by actual data What college students are actually doing — Nicole's research on porn's influence on sexual expectations and the urgent case for comprehensive sex ed Communication as foreplay — why the conversations before, during, and after sex matter as much as the sex itself You Could Be Having Better Sex book https://www.instagram.com/nicole_thesexprofessor/ 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
370. Microbiomes & Menopause: What’s Really Driving Your Symptoms? 10.05.2026 43минThe Gut-Brain-Hormone Connection in Midlife with Cynthia Thurlow - Explore how hormonal shifts, the microbiome, and lifestyle factors intertwine to impact women's health during midlife. Cynthia Thurlow shares insights on gut health, hormone therapy, and debunks common misconceptions. This episode offers practical advice for optimizing wellness through personalized approaches. Key Topics: The emerging importance of the gut microbiome in menopausal health How hormones like estrogen influence colon cancer risk and overall health The role of lifestyle factors (diet, stress, antibiotics) on microbiome integrity Advances in hormone therapy, including the potential for microbiome restoration The impact of medications like GLP-1 agents on inflammation and weight Strategies for improving digestion, stool health, and addressing SIBO The myth of genetics being destiny—hormones as a modifiable factor Predatory practices in vaginal health treatments and how to ensure informed choices The significance of fiber: how to increase it safely and effectively Practical daily habits to support gut motility and overall wellness Menopause Gut Book IG for Cynthia Thurlow, NP 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info. -
369. Perimenopause, Testosterone and AMA with Dr. Casperson 03.05.2026 1ч 2минEpisode 369: Dr. Kelly Casperson, interviewed by Sara Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sara Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. 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? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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