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Hormones are about far more than hot flashes. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald is joined by urologist and hormone expert Dr. Kelly Casperson for a conversation that challenges conventional thinking about menopause, hormone replacement therapy (HRT), and healthy aging. Dr. Casperson explains why menopause may be better understood as a form of hypogonadism, shares the story behind the removal of the FDA's black box warning on vaginal estrogen, and explores the latest evidence on estrogen, progesterone, and testosterone therapy for women. Topics include: • Vaginal estrogen and the FDA black box warning • The lasting impact of the Women's Health Initiative (WHI) • Estrogen, brain health, and mitochondrial function • Testosterone therapy for women: science and misconceptions • Hormone therapy after age 60 • Patient education, body literacy, and informed decision-making • Exercise, sleep, alcohol reduction, and other foundations of healthy aging Whether you're a functional medicine practitioner or someone interested in menopause, longevity, and women's health, this evidence-based conversation offers practical insights and a fresh perspective on hormone care. Show notes and references: https://www.drkarafitzgerald.com/fxmed-podcast/ Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/ GUEST DETAILS Dr. Kelly Casperson is a board-certified urologic surgeon,CEO and founder of The Casperson Clinic, a modern practice dedicated to hormones and sex medicine, renowned public speaker, sex educator, and host of the top-ranking podcast You Are Not Broken. Dedicated to empowering women, Dr. Kelly blends humor, candor, and science to demystify sexual health, intimacy, and midlife wellness. Through her podcast and online courses, she tackles myths about desire and normalizes conversations around healthy, fulfilling sex. Her work also provides essential education on hormones and midlife health. Connect with Dr. Kelly on Instagram (@kellycaspersonmd) or visit http://kellycaspersonmd.com . THANKS TO OUR DIAMOND SPONSORS DUTCH: https://dutchtest.com/for-providers Biotics Research: https://www.bioticsresearch.com/ Time—Line Nutrition: http://pro.timeline.com/ THANKS TO OUR GOLD SPONSORS Fullscript Journeys: http://www.fullscript.com/journeys-kara Equelle: http://equelle.com CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You Practitioner Training Program: https://www.drkarafitzgerald.com/trainingyyi/ Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw
YOU ARE NOT BROKEN, YOU ARE UNHEARD, WITH DR. FRED MOSSWhat if healing without a diagnosis is not just possible, but the most natural thing in the world?Dr. Fred Moss spent more than four decades inside the mental health system as a board-certified psychiatrist, treating over 30,000 patients. Then he asked a different question: not what is wrong with this person, but what actually heals a human being.His answer challenges almost everything the mental health system is built on. The real problem is not a chemical imbalance. It is not a diagnosis. It is disconnection. When someone is not being heard, not being seen for who they truly are, no medication in the world addresses that. But genuine human connection does. Every single time.In 2006, Dr. Moss began taking low-risk patients off their medications with their permission. Almost all of them healed profoundly, often losing the very diagnosis that had justified the medication in the first place. That experience changed everything.In this conversation, you will hear:- Why healing without medication is possible for far more people than the system admits- How psychiatric diagnosis is fundamentally different from every other medical field- What Dr. Moss discovered when he took patients off their medications- Why men block emotional expression rather than feel things more deeply- What healthy reinvention looks like when AI is reshaping entire industries- Why gratitude practiced out loud every morning changes everythingDr. Moss is the author of Creative Eight: Healing Through Creativity and Self-Expression, Find Your True Voice, and his forthcoming memoir Welcome to Humanity: A Psychiatrist's Case Against the Mental Health System, arriving July 2026. He is the creator of the Welcome to Humanity movement and is known to many simply as the indoctor.CONNECT WITH DR. FRED MOSSWebsite: https://welcometohumanity.net/eSpeakers: https://www.espeakers.com/marketplace/profile/52547/previewFacebook: https://www.facebook.com/drfredmossmdTwitter/X: https://www.twitter.com/drfredmossYouTube: https://www.youtube.com/@drfredmossInstagram: https://www.instagram.com/drfredmoss/LinkedIn: https://www.linkedin.com/in/drfredmoss/September Retreat: https://welcometohumanity.net/CONNECT WITH DWIGHT HECKWebsite: https://www.giveaheck.comPodcast: https://www.giveaheck.com/podcastYouTube: https://www.youtube.com/@giveaheckFacebook: https://www.facebook.com/dwight.heckInstagram: https://www.instagram.com/give.a.heckLinkedIn: https://www.linkedin.com/in/dwight-heck-65a90150/TikTok: https://www.tiktok.com/@giveaheckTwitter/X: https://twitter.com/give_a_heckBe a Guest: https://www.giveaheck.com/work-with-me
You Are Not Broken, You Are Programmed (And You Can Change It) A Live Workshop Episode with Lisa A. Romano, Breakthrough Life Coach Do you struggle with anxiety, overthinking, or feeling like you are never enough, no matter what you do? Do you find yourself stuck in the same emotional patterns, people-pleasing, self-doubt, or constantly seeking validation from others? If so, you are not broken. You are patterned. And patterns can be changed. In this powerful live workshop episode, Lisa A. Romano explains how childhood trauma and emotional neglect shape your identity, your thoughts, and your nervous system. With deep psychological insight and neuroscience-based understanding, Lisa reveals how your brain has been conditioned to repeat patterns that no longer serve you, and how real healing begins by changing the way you see yourself. This is not about fixing yourself. It is about reprogramming what was learned. In This Episode You'll Discover:
When Susan Bratton talks about intimacy, she doesn't speak in theory. She speaks from 34 years of marriage. From decades of teaching couples how to stay erotically connected through every life stage. From writing 44 books and programs on passionate lovemaking and from her own personal journey. Eleven years into her marriage, she had never had an orgasm from intercourse and was avoiding sex with her husband entirely. Then she learned. And everything changed. In this episode, Dr. Jenni Skyler and Daniel Lebowitz sit down with Susan for a wide-ranging conversation about what really keeps long-term love erotically alive. They talk about the expanded orgasm practice she learned from her mentor Dr. Patti Taylor — and how it transformed Susan from someone who couldn't orgasm during intercourse into someone who describes herself as an "orgasmic optimizer." They explore why Susan rejects the word "anorgasmia" entirely, replacing it with a single word: yet. They dig into the truth about female arousal that most couples never learn — that women's erectile tissue takes 20 to 30 minutes to fully engorge, and that the cultural script of "get hard, penetrate, finish" is, in Susan's words, "a religiously repressed patriarchal female oppression strategy that is no longer working." They talk about scheduled intimate dates (Susan and her husband have them two to six times a week), radical honesty as the foundation of a 34-year marriage, and why turn-on isn't just about sex — it's a life force that spills into everything. Susan also shares her ten intimacy principles — including the one she calls the most important of them all: practicing radical honesty. If you've ever wondered whether long-term love and erotic aliveness can coexist — Susan is the proof, and this episode is the playbook. Susan is a champion and advocate for all those who desire ageless intimacy. She is a best-selling author and publisher of 44 books and programs including Sexual Soulmates, Relationship Magic, Revive Her Drive, The Steamy Sex Ed® Video Collection, Ravish Him, Dirty Talk, The Pumping Guide and Thrust In Time. She’s the official company spokesperson for GAINSWave® and TheDr. Joel Kaplan Company. She serves as Chief Advocacy Officer of ProDxHealth.org STI testing. Susan has been a featured guest on over 1,000 podcasts and TV shows, including: Diary of a CEO, You Are Not Broken, Sex with Emily, The Human Upgrade with Dave Asprey, GoodMoms Bad Choices, HealThyself, IDIOT with Laura Clery, The Infamous “Clit Camp” Music Video, LuvBites with Dr. Tara, and The Chalene Show. Her books and interviews have helped millions take control of their sexual joy. Her message resonates across gender and age because it’s rooted in agency, body literacy, and connection. Susan Bratton | "Intimacy Expert to Millions ” CEO, Better Lover · Personal Life Media · The20 Susan has spent over two decades doing something censorship and shame have long tried to silence: teaching people the pleasure-based sex education they never received. She is the world's most prolific sex educator and author of 44 books and programs. Her newsletters, Better Lover, Personal Life Media, The20, and Longevity Wins, reach 300,000 readers, and her precision sexual vitality supplements are formulated on the science of blood flow and desire. SusanBratton.com BetterLover.com Personal Life Media, Inc.The20, LLC.See omnystudio.com/listener for privacy information.
Why do you overreact, shut down, or put everyone else first, even when you know it's hurting you? In this episode, Nicole LePera, breaks down how your “inner child” shapes your behaviors, from people-pleasing to perfectionism to emotional flooding, and how self-abandonment quietly shows up in your daily life. We also cover why these patterns aren't flaws, they're adaptations, and how to actually change them through nervous system regulation, awareness, and small, intentional shifts. If you've ever felt stuck repeating the same cycles in relationships, this will change how you understand yourself and what healing really looks like. → Leave Us A Voice Message! Topics Discussed: → Why do I self-abandon in relationships? → What is inner child healing and how does it work? → Why do I overreact or shut down emotionally? → How can I regulate my nervous system in real time? → How do I stop people-pleasing and set boundaries? Sponsored By: → OGEE | Thanks to today's sponsor, OGEE: A higher standard for beauty. Go to https://OGEE.com/BEWELL and use code BEWELL to get 15% off certified organic makeup that performs like luxury. → Function | Own your health for $365 a year. That's a dollar a day. Learn more and join using my link. Visit https://www.functionhealth.com/bewellbykelly and use gift code BEWELL25 for a $25 credit toward your membership → Hiya | Get 50% off your first order at https://hiyahealth.com/KELLY → Minnow | Shop minnow's new apré-ski capsule collection at https://shopminnow.com and enter code MEETMINNOW15 at checkout to receive 15% off your first order. → Be Well By Kelly Protein Powder & Essentials | Get $10 off your order with PODCAST10 at https://bewellbykelly.com. Timestamps: → 00:00:00 - Introduction → 00:03:07 - Nicole's Healing Journey → 00:07:09 - Cry It Out Method → 00:14:28 - Inner Child Work → 00:18:55 - Inner Children In Relationships → 00:21:02 - Reparting Steps → 00:27:37 - Kelly's Experience With Therapy → 00:30:35 - Emotional Flooding → 00:35:41 - Handling Stress → 00:37:27 - Self Abandonment → 00:41:41 - Selfless Motherhood → 00:43:44 - Overcorrection + Helicopter Parenting → 00:47:52 - Snow Plow Parenting → 00:51:43 - Negativity Bias + Boundaries → 00:59:13 - Kelly's Experience → 01:01:12 - You Are Not Broken → 01:05:31 - Regulation Tools Further Listening: → Repressed Emotions, Anxiety + Why Self-Improvement Doesn't Exist | Joe Hudson Check Out Nicole: → Website: https://theholisticpsychologist.com/ → Instagram: @the.holistic.psychologist → New Book: Reparenting The Inner Child Check Out Kelly: → Instagram → Youtube → Facebook
In this episode of You Are Not Broken, Dr. Kelly Casperson sits down with physical therapist Dr. Lisa Moore, an expert in bone health, for a conversation that reframes how we think about osteoporosis—from something to fear… to something we can actively influence. If you've ever been told to “be careful” or “avoid injury” without being given a clear path forward, this episode is your antidote. Dr. Moore brings clarity, science, and practicality to a topic that is often clouded by confusion and limitation. Why physical therapists are essential to bone health Physical therapists are uniquely trained in the musculoskeletal system—bones, muscles, and joints. Dr. Moore explains how this expertise allows them to guide patients not just in recovery, but in building strength, resilience, and confidence in their bodies. Working with women undergoing breast cancer treatment, Dr. Moore saw firsthand how certain therapies increase the risk of osteoporosis and fractures. Instead of accepting this as inevitable, she pursued deeper education and now empowers women with actionable strategies to protect and rebuild their bone health. Why balance training is non-negotiable Most fractures don't happen because bones are weak alone—they happen because people fall. Dr. Moore shares why dynamic balance training (not just standing on one foot) is critical, and how practicing real-life movement scenarios can dramatically reduce fall risk. The underrated power of… power training Strength is important—but strength plus speed is what keeps you from falling. Power training helps your body react quickly and effectively, which is essential for maintaining independence and longevity. Why your starting point doesn't matter as much as you think Dr. Moore emphasizes the principle of initial values: those starting at a lower baseline often see the greatest gains. Translation? It's never too late to start, and your body is more adaptable than you've been led to believe. How to stay active without rigidity (even while traveling) Fitness doesn't have to mean perfection. Dr. Moore shares how she balances structured workouts with joyful movement like hiking and swimming—reminding us that consistency over time matters more than any single workout. The truth about osteoporosis: it's not fixed One of the most empowering takeaways—bone health is dynamic. With the right interventions, you can improve bone density, strength, and function. This is not a one-way street. YouTube: https://www.youtube.com/@DrLisaMooreDPT Instagram: https://www.instagram.com/drlisamooredpt/ 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
In this episode of You Are Not Broken, I sit down with Dr. Sunny Smith — physician, coach, and fierce advocate for women in medicine — for a conversation that felt both deeply personal and urgently necessary. We talk about the transformative power of coaching and why so many high-achieving women still struggle with self-doubt. If you've ever downplayed your accomplishments, hesitated to speak up in a room full of men, or questioned whether you're “expert enough,” this episode is for you. Dr. Smith and I share personal stories from our own careers that highlight the subtle (and not-so-subtle) gender dynamics embedded in medical culture. We explore how women physicians are often socialized to overwork, over-give, and under-claim their authority — and how that conditioning impacts not only our careers, but our health. This conversation is about agency. It's about recognizing that your thoughts create your feelings, your feelings drive your actions, and your actions determine your results. If you believe you're “not ready,” you'll play small. If you believe you belong, you'll act differently — and the world will respond differently. We also talk about: Why coaching works (especially for high-achieving professionals) How women are conditioned to minimize their expertise The cost of self-abandonment in medicine Gender bias in healthcare — both as physicians and as patients What it actually means to advocate for yourself Why questioning limiting beliefs is a radical act The ripple effect of empowered women physicians This episode isn't about blaming the system. It's about understanding it — and then deciding who you want to be inside of it. Because when women own their expertise, take up space, and stop apologizing for their ambition, everything changes — for us, for our patients, and for medicine itself. You are not broken. You are powerful. And you're allowed to act like it. Dr. Smith's Empowering Women Physician 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
In this bonus episode, board-certified urologist and menopause expert Dr. Kelly Casperson joins host Hailey Babcock to answer your most pressing questions about perimenopause, post-menopause, and hormone replacement therapy (HRT). Whether you've been told you can't take hormones, you're confused about estrogen patches vs. pills, or you're wondering why your belly fat, brain fog, and joint pain suddenly showed up — this episode is for you.Dr. Casperson breaks down why the majority of women who believe they can't take hormones are actually mistaken, debunks the outdated 10-year rule, and explains why transdermal estrogen carries far less risk than oral estrogen. She covers the science behind vaginal estrogen for bladder health and labial thinning, the role of progesterone for sleep and bone health, and why testosterone for women is underutilized and under appreciated.You'll also hear the truth about breast cancer risk and HRT, why visceral fat increases during menopause (and why it's not your fault), how hormones affect cognitive function and dementia prevention, and what the research is pointing toward in the next five years. Plus: what products to skip, when peptide therapy may not be worth it, and why — even with all of her hormone expertise — Dr. Casperson still says nothing is better than exercise.Topics covered include: HRT myths and contraindications, vaginal estrogen, bladder leakage and Botox for overactive bladder, progesterone without a uterus, testosterone for low libido and beyond, perimenopause vs. post-menopause, abdominal fat and the metabolic syndrome of menopause, brain fog, tinnitus, hair loss, foot pain, gum/bone health, LP(a) and cardiac risk, peptide therapy, and how to find a hormone-informed provider.
Our first team game was a ton of fun to record, so I hope you find it as entertaining as I did. Chris and Sarah were terrific, and their showing made it clear that we should probably do more of these collaborative games in the future, so stay tuned. Chris & Sarah Brewer - Ottawa, IllinoisLooking for Easy Animals, 90s TV, and Rasslin'Notes from the episode:The most famous person from Ottawa? Probably Bob McGrath from Sesame StreetWhat do they recommend? The Mayor of Kingstown and the podcasts Skilletbrew and You Are Not Broken.What are they looking forward to? Weird Al in October.What do they want to ask the next guest? "What is the last thing you did for self-care?"From Ann..."What muppet do you identify with?" Grover and AnimalWhere do they quiz? Lone Buffalo by Tangled Roots in Ottawa#######JOIN THE DISCORD!!!The best way to get the latest updates about the podcast and the Tuesday Sunday night Twitch stream is to join the Discord server. It's easy to do by clicking this link: https://discord.gg/z95CZGQrKQWant to build your own game of Tangents?All you have to do is pick a date that works for you: https://calendly.com/triviaworkshop/And be sure to check out the other Trivia Workshop links here:https://linktr.ee/TriviaWorkshopThank You Patreon Crew!This podcast wouldn't be possible without your support. Thank you all - and welcome to our newest member, Sara Callori! If you'd like to join, it's easy! Just go to https://www.patreon.com/TriviaWorkshop for your options.And as always, thanks to the entire Patreon Crew - Adam Wendell, Andrew Buxbaum, Anne Putnam, Asha Ouseph, Brandon Fellows, Brian Irving, Brock Kwiatkowsky, Bryan Nash, cheyenne fletcher, Chris Collins, Christian Hernandez, Claire Bancroft, Dalton McGhiey, Danielle Fields, Ian Schulze, Jane Hansen, Jay Borsom, Jeff Clear, Jillian Hawkins, JJaz, John Liu, Kevin Kuschel, Leslie Hyman, Luc Leavenworth, Madeleine Garvey, Martin Ebert, Matt Lamia, Marc Poland, Nabeel Bader, Nanci Skinner, Nicole Bates-Rush, Paul Paquet, Quizmaster Caleb, Samantha Kuchar, Sara Callori, Sarah Collins, Scott Anglemyer, Scott Barber, Shaun Bernstein, Steven Beningo, StitchinStacey, Tamara Morgan, The Professional Left, Tim Robert Gomez, Tony Schmit, Wendy Curtis, and Will Gilbert
In this episode of You Are Not Broken, I sit down with Dr. Lisa Miller — psychologist, researcher, and author — to talk about something we don't discuss enough in medicine: spirituality as a measurable, protective force in women's lives. Not religion. Not dogma. But spirituality — the innate human capacity to feel connected, guided, and held in meaning. And friends… this one is powerful. Dr. Miller shares the science behind spirituality, including data showing that an active spiritual life can dramatically reduce the risk of depression, substance use, and hopelessness. We talk about how spirituality isn't fluffy — it's neurologically real, biologically protective, and especially alive in women. I loved this conversation because it reframes struggle. So many of us think our hardest seasons mean we're broken. What if they're actually the doorway? We discuss: Why every woman is a Ferrari — powerful, finely tuned, and built for depth The research showing spirituality cuts depression and addiction risk How crisis can become spiritual awakening The concept of “high counsel” — the guidance that is available to us when we're willing to listen Why engaging with our feelings (instead of bypassing them) is the path forward The unique spiritual intelligence women carry Why men often struggle differently in their spiritual development Post-traumatic spiritual growth And how to cultivate your innate spirituality without subscribing to anyone else's rulebook One of my favorite takeaways? Spirituality isn't something you earn. It's something you remember. We talk about how women are often socialized to disconnect from their inner voice — from intuition, from knowing. Reconnecting to that voice is not indulgent. It's medicine. This episode isn't about telling you what to believe. It's about reminding you that you are wired for meaning. And that you are never alone in your becoming. If you've been walking through something hard… If you've felt unmoored… If you've wondered whether there's something more… This conversation is for you. The Awakened Brain by Dr. Miller 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
In this episode of You Are Not Broken, I sit down with Dr. Kate White and Jay White to talk about something we don't discuss enough: what actually happens to marriages in midlife. Because midlife isn't just hot flashes and hormones. It's identity shifts. Career pivots. Aging parents. Changing bodies. Evolving desire. And if we don't talk about it, it can quietly unravel connection. We explore how hormonal changes — especially in perimenopause and menopause — can significantly impact intimacy, mood, and relational dynamics. When libido shifts or sex becomes uncomfortable, couples often misinterpret it as rejection instead of biology. That misunderstanding creates distance. We talk about how communication — real, vulnerable, scheduled communication — is essential. Not just “How was your day?” but “How are we doing?” So many couples assume the other person should just know what they need. They don't. Curiosity is a skill. We also discuss: Why midlife is often framed negatively — but can actually be deeply transformative The common pattern of women initiating divorce when they feel unseen or unheard The difference between sex and intimacy — and why emotional closeness fuels physical connection How counseling can create a safe space to untangle resentment and rebuild trust Why adapting to change — instead of resisting it — is key to long-term partnership One of the most powerful themes of this episode is that midlife doesn't destroy marriages. Silence does. When couples understand what's happening — hormonally, emotionally, relationally — they can respond with compassion instead of blame. Marriage in midlife requires evolution. It requires honesty. It requires both people staying curious about who their partner is becoming. And when that happens? Midlife can be a season of deeper connection — not disconnection. https://www.headsandtailspodcast.com/ 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 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
In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get. We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don't measure those things, we miss the point. We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that. We cover: Why education on vaginal estrogen and GSM is essential The research gap in testosterone therapy for women The importance of pelvic floor physical therapy as first-line care Informed consent and nuance in surgical conversations Ongoing barriers to hormonal access The big theme? Women are living longer — and our healthcare system needs to evolve with them. 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 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
Sex, desire and intimacy can change during perimenopause and menopause – but too often, women are left navigating those changes with little information and even less support. In this episode of Thriving in Menopause, Prevention Australia editor Zoe Meunier speaks with Dr Kelly Casperson, a renowned US urologist, international speaker and leading advocate for women’s sexual health. Dr Casperson is the author of the bestselling book You Are Not Broken and host of the globally popular podcast of the same name, where she challenges outdated narratives about female desire, pleasure and midlife sexuality. Drawing on her clinical experience and deep understanding of the science behind hormones, relationships and sexual wellbeing, Dr Casperson explains why so many women feel confused or dismissed when their bodies change – and what they can do to reclaim confidence, comfort and connection. From the role of hormones and vaginal health to the psychology of desire, this empowering conversation explores how women can move from frustration and uncertainty to knowledge, agency and thriving in midlife. With her signature mix of science, honesty and compassion, Dr Casperson offers a refreshing reminder that midlife sexuality is not something women should quietly give up on – it’s something they deserve to understand, support and enjoy.See omnystudio.com/listener for privacy information.
Hey, it's been a while! The busy season for trivia night fundraisers around here has meant there's been little time for editing the podcast, so we've gone a bit silent here for a few weeks. Happily, we're back now with a great episode and two great guests. And bear with it for a bit - Keith's audio gets better after a headset change. Keith was looking for Theater, Oscars, Math, and The Simpsons - and he reminds you to support your local public library!Links from his segment:The Nevermind the Music podcast.Learned League, BP Trivia, WTF, Triviality, SkilletbrewChris was looking for Professional Wrestling and Personality Disorders - and he invites you to subscribe to his podcast Skilletbrew Trivia!Links from his segment:The You Are Not Broken podcast from Dr. Kelly Casperson.Trivia by Brian at The Lone Buffalo by Tangled RootsThanks to Keith and Chris…and thank you for waiting so long for this episode!#######JOIN THE DISCORD!!!The best way to get the latest updates about the podcast and the Tuesday Sunday night Twitch stream is to join the Discord server. It's easy to do by clicking this link: https://discord.gg/z95CZGQrKQWant to build your own game of Tangents?All you have to do is pick a date that works for you: https://calendly.com/triviaworkshop/And be sure to check out the other Trivia Workshop links here:https://linktr.ee/TriviaWorkshopThank You Patreon Crew!This podcast wouldn't be possible without your support. Thank you all - and welcome to our newest member, Adam Wendell! If you'd like to join, it's easy! Just go to https://www.patreon.com/TriviaWorkshop for your options.And as always, thanks to the entire Patreon Crew - Adam Wendell, Andrew Buxbaum, Anne Putnam, Asha Ouseph, Brandon Fellows, Brian Irving, Brock Kwiatkowsky, Bryan Nash, cheyenne fletcher, Chris Collins, Christian Hernandez, Claire Bancroft, Dalton McGhiey, Danielle Fields, Ian Schulze, Jane Hansen, Jay Borsom, Jeff Clear, Jillian Hawkins, JJaz, John Liu, Kevin Kuschel, Leslie Hyman, Luc Leavenworth, Madeleine Garvey, Martin Ebert, Matt Lamia, Marc Poland, Nabeel Bader, Nanci Skinner, Nicole Bates-Rush, Paul Paquet, Quizmaster Caleb, Samantha Kuchar, Sarah Collins, Scott Anglemyer, Scott Barber, Shaun Bernstein, Skilletbrew, Steven Beningo, StitchinStacey, Tamara Morgan, The Professional Left, Tim Robert Gomez, Tony Schmit, Wendy Curtis, and Will Gilbert
In this episode of You Are Not Broken, I sit down with Susan Guidi — and this conversation is such a beautiful reminder that it is never too late to become who you were meant to be. Susan shares her journey growing up in a Cuban Catholic family, where cultural expectations around marriage, sexuality, and identity were very clear — and very rigid. We talk about how those early narratives shape the way we see ourselves as women… and how hard it can be to untangle them later in life. After a difficult divorce, Susan didn't shrink. She expanded. She reinvented herself through stand-up comedy (yes, really) and eventually stepped onto a bodybuilding stage — proving that transformation isn't reserved for the young. It's reserved for the brave. We talk about: How culture influences the stories we believe about ourselves Why comedy can be deeply therapeutic What it takes to compete in bodybuilding later in life The power of community support during major life transitions Why mindset matters more than motivation The role of nutrition in strength and longevity Redefining your identity after divorce, career shifts, or midlife change Why sharing your story can liberate someone else This episode is about empowerment — not the fluffy kind, but the earned kind. The kind that comes from taking control of your health, your body, your voice, and your future. Susan is living proof that you are not too old, too late, too divorced, too inexperienced, or too anything. You are just in the middle of becoming. If this conversation resonates, share it with a woman who needs to hear that reinvention is still on the table. Because it is. Susan's Instagram 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 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
In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi welcome back Dr. Kelly Casperson to discuss perimenopause, menopause, and hormone therapy with clarity and science instead of fear.Dr. Casperson explains why perimenopause is a clinical diagnosis, not simply a lab result, and why so many women are dismissed as “too young” or “too old” when their symptoms are real. She addresses the biggest myth about hormone replacement therapy and reframes the conversation around individualized, science-backed risk-benefit decisions.The discussion dives into testosterone for women, including its impact on libido, motivation, muscle mass, and mood, along with the risks of high-dose hormone pellets. They explore progesterone for sleep, the hysterectomy myth, and why vaginal estrogen is one of the safest and most effective treatments for dryness, painful sex, bladder urgency, and recurrent UTIs.The episode also tackles the midlife brain, brain fog, and how estrogen influences glucose metabolism. From restoring desire in long-term relationships to navigating alcohol, supplements, and exercise, this conversation reinforces one powerful truth: women are not broken. With the right knowledge and support, midlife can be a season of clarity, strength, and transformation.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors: Premier Protein: Find your favorite flavor at PremierProtein.com or at Amazon, Walmart, and other major retailers.Prolon: Ready for your own reset? For a limited time, Prolon is offering SHE MD listeners15% off site wide plus a $40 bonus gift when you subscribe to their 5-Day Program! Just visit ProlonLife.com/SHEMD to claim your 15% discount and your bonus gift.Mill: Try Mill risk-free for 90 days and get $75 off at mill.com/SHEMD and use code SHEMD at checkout.Peloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.com Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutes.Warby Parker: Warby Parker gives you quality & better-looking prescription eyewear at a fraction of the going price. Our listeners get 15% + Free Shipping when they buy 2 or more pairs of prescription glasses at WarbyParker.com/SHEMD. What You'll Learn:What perimenopause actually is and why labs are not required for diagnosisThe biggest myth about hormone therapy and how fear shaped menopause careHow testosterone supports libido, motivation, and muscle strength in womenWhy vaginal estrogen is safe and essential for preventing dryness and UTIsWhat happens to the brain in midlife and why brain fog occursKey Timestamps:(01:30) Introduction and why Dr. Casperson wrote The Menopause Moment(04:10) The biggest myth about hormone therapy and why fear still shapes menopause care(09:25) Meet the hormones: testosterone, estrogen, and progesterone in midlife(11:50) Testosterone for women: libido, motivation, muscle, and dosing concerns(14:45) Hormone pellets explained: side effects, hair loss, and why removal is difficult(17:15) Progesterone for sleep and the hysterectomy myth clarified(24:25) Symptoms of too much estrogen(26:00) “Senile Vagina” - the “use it or lose it” myth(33:05) Vaginal atrophy, bladder symptoms, UTIs, and why vaginal estrogen matters(34:00) How to properly apply vaginal estrogen and why cream can be more effective(41:20) Great sex in midlife: lube and honest communication(50:30) Responsive vs spontaneous desire and bringing novelty back to long-term relationships(56:15) The midlife brain: estrogen, glucose metabolism, and brain fog(01:02:50) Alcohol, supplements, exercise, and non-hormonal tools for cognitive health(01:05:00) Final advice for women entering midlife and why you are not brokenKey Takeaways:Hormone therapy decisions should be individualized and based on science, not fearPerimenopause is common, real, and often underdiagnosedTestosterone plays a significant role in women's well-being beyond libidoVaginal estrogen is one of the safest and most effective preventive treatments in menopauseMidlife can be a powerful reset when women prioritize their health and mindsetGuest Bio:Dr. Kelly Casperson is a urologist, educator, and top international podcaster whose mission is empowering women to live their best love lives. In her podcast, You Are Not Broken, she combines science, humor, and candor to dismantle the myths women have learned about sex, intimacy, midlife, and hormones.Dr. Casperson earned her medical degree from the University of Minnesota and completed her surgical training and residency at the University of Colorado. She is a proud member of the American Urological Association, International Society for the Study of Women's Sexual Health, and the Society of Women in Urology.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Episode 359: Midlife Muscle, Mindset & The M-Factor with Alicia Erickson This week on You Are Not Broken, I'm joined by the strong, grounded, and refreshingly honest Alicia Erickson for a conversation about midlife reinvention — from hormones to heavy lifting. We talk about the real-life impact of perimenopause (and why projects like The M Factor: Shredding the Silence on Menopause matter), Alicia's decision to get sober at 45, and what happens when women stop shrinking and start building — muscle, boundaries, and belief in themselves. Alicia shares her journey into strength training, progressive overload, and even stepping on a bikini competition stage — not for validation, but for growth. We break down body recomposition (yes, you can build muscle and lose fat at the same time), the critical role of sleep, and how hormone replacement therapy can dramatically shift quality of life in midlife. This is a conversation about doing hard things on purpose. About eating enough. About lifting heavy. About community. About deciding your second half will be stronger than your first. You are not broken. You might just need a barbell. Why perimenopause feels chaotic — and what's actually happening hormonally Alicia's sobriety journey and the connection between alcohol, mental health, and midlife Why strength training is non-negotiable for women over 40 Progressive overload explained simply Sleep as the foundation for body composition Hormone replacement therapy and quality of life Body recomposition: burning fat while building muscle Eating more (not less) to support muscle growth The mindset shift from “smaller” to “stronger” The power of community and doing hard things together If this episode resonates, share it with a woman in your life who needs permission to take up space — in the gym, in her body, and in her life. Because midlife isn't the beginning of decline. It's the beginning of power. https://www.instagram.com/aliciae/ 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 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
This week on You Are Not Broken, I sit down with breast oncologist and historian Dr. Elizabeth Comen to talk about her powerful book All in Her Head and the long, complicated history of how women's health has been misunderstood, minimized, and medicalized. If you've ever been told your symptoms are anxiety… stress… hormones… or just part of being a woman — this episode is for you. We explore the historical roots of dismissal in women's healthcare and how those patterns still show up today, especially in cancer care. Dr. Comen walks us through how breast cancer treatment has evolved, what we've gotten right, what we've gotten wrong, and why quality of life must be part of the conversation — not an afterthought. We also talk about: Why women's pain has historically been labeled “hysteria” How medical bias still affects diagnosis and treatment The real tension between longevity and quality of life Hormonal therapies in breast cancer — and how nuance gets lost Why advocacy matters more than ever The double-edged sword of social media and AI in health information How understanding medical history helps us build better medicine today This episode isn't about blaming the past. It's about understanding it — so we stop repeating it. Because when women are dismissed, care suffers. And when women are informed, everything changes. If you care about evidence-based medicine, health equity, and empowering women with real information — this is a must-listen. Dr. Comen's IG Dr. Comen's Book 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 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
Explorer is officially available for pre-order, and the first production run is intentionally limited. Use code NOTBROKEN20 If you've been waiting for a vibrator that's anatomy-informed, safety-first, and designed with real female physiology in mind, this is for you.
This week I sit down with Autumn Calabrese to talk about fitness, mindset, and stress management—especially as they relate to women in midlife. We explore how hormonal changes can affect energy, recovery, motivation, and overall health, and why many women find that the fitness strategies that once worked no longer feel effective or sustainable. We also discuss how women's fitness culture has evolved over time, shifting away from extremes and toward a more balanced, realistic approach that prioritizes consistency over perfection. This episode highlights why managing stress is just as important as working out, and how nutrition, quality sleep, and community support play foundational roles in long-term wellness. At its core, this conversation is an invitation to reframe fitness as a tool for resilience, strength, and vitality—not punishment—and to encourage women to embrace change, stay consistent, and prioritize their health through every season of midlife. Fitness helps support warmth, energy, and resilience, especially during winter Mindset is a major driver of sustainable fitness and health habits Stress management is essential for overall health in midlife Hormonal changes can significantly impact women's physical and mental well-being Fitness culture is evolving toward balance rather than extremes Consistency in workouts leads to better long-term health outcomes Nutrition is a cornerstone of a healthy lifestyle Quality sleep is critical for recovery and overall well-being Embracing change can transform the midlife experience Community and accountability enhance motivation and long-term commitment Autumn's IG BODI platform To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
In today's episode, I'm sitting down with Krista Moreland, one of our incredible functional health coaches here at Vital Spark, to share her story, her breaking point, and the moment that changed everything. Krista joined our team in early 2025 with over a decade of coaching experience, but her journey goes far deeper than credentials. Before motherhood, she was a two-sport college athlete whose identity was built on discipline, performance, and mental toughness. Then she became a mom, and everything she thought she knew about herself began to shift.Krista opens up about navigating early motherhood while caring for a medically complex baby, including her son's heart surgery at just four months old. She shares the shame, fear, and invisible stress she carried, and how food became her unexpected escape during that season. As a former athlete who had never used food emotionally, this struggle left her feeling confused and lost inside her own body. We talk about the identity shock no one prepares women for, especially high-achieving moms who are used to holding it all together.Krista takes us into the quiet breaking point that happened in her bathtub, where she realized no one was coming to rescue her. That moment wasn't about weight loss, but about choosing herself again. We explore how healing her relationship with food and her body changed the way she showed up as a mom, partner, and woman. This conversation is for any woman who feels like she used to know who she was and is ready to find her way back. Time Stamps: (3:08) Before Motherhood and College Days (6:54) Identity Shift to Motherhood (18:32) Leadership In The Home (23:22) Managing The Mind and Emotions (33:02) Where Coach Krista Is In Her Journey Right Now (37:10) You Are Not Broken (40:02) Where To Find Coach Krista---------------------Find Out More Information on Vital Spark Coaching---------------------Follow @vanessagfitness on Instagram for daily fitness tips & motivation. ---------------------Download Our FREE Metabolism-Boosting Workout Program---------------------Join the Women's Metabolism Secrets Facebook Community for 25+ videos teaching you how to start losing fat without hating your life!---------------------Click here to send me a message on Facebook and we'll see how I can help or what best free resources I can share!---------------------Interested in 1-on-1 Coaching with my team of Metabolism & Hormone Experts? Apply Here!---------------------Check out our Youtube Channel!---------------------Enjoyed the podcast? Let us know what you think and leave a 5⭐️ rating and review on iTunes!
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Dr. Gabrielle Lyon for a powerful, science-forward conversation about why muscle is the organ of longevity—and why women have been taught to focus on the wrong things for decades. They unpack how an overemphasis on fat loss has distracted from the far more important goal of preserving and building muscle, especially as we age. Dr. Lyon explains anabolic resistance, protein needs across the lifespan, and why mindset—not willpower—is often the missing link in women's fitness and health outcomes. This episode reframes strength training, nutrition, and supplements as essential medical tools—not aesthetic choices—and delivers a clear message: women deserve better education about their bodies and the confidence to train for strength, not shrinkage. Why muscle is critical for metabolic health, protection, and aging well How the obsession with fat loss has undermined women's long-term health The role of mindset in body recomposition and sustainable fitness Why protein intake matters more than calorie restriction What anabolic resistance is—and why protein needs increase with age How the “fit fat” phenotype challenges outdated health metrics When continuous glucose monitoring is helpful (and when it's not) Why many women over 65 are protein deficient—and why that matters The role of supplements like creatine and essential amino acids Why strength training is a non-negotiable for women's health Muscle is not about appearance—it's about independence, resilience, and metabolic health. Women have been under-informed, under-fueled, and under-trained for far too long. Prioritizing strength is one of the most powerful health decisions a woman can make at any age. To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
In this episode of the You Are Not Broken, Dr. Kelly Casperson is joined by Joanna Strober, CEO of MIDI Health, for a direct and hopeful conversation about menopause care, hormone therapy, and what women actually need from the healthcare system. Joanna shares the story behind building MIDI Health and why access, education, and properly trained providers are essential to closing the massive gaps in menopause care. Despite the data, only a small fraction of eligible women are receiving hormone therapy—leaving millions undertreated, dismissed, or told to simply “push through.” This episode tackles outdated narratives around menopause, reframes hormones as foundational to long-term health and longevity, and makes a strong case for advocacy—by clinicians, companies, and women themselves. How MIDI Health is delivering hormone therapy to 25,000 women each week Why only ~5% of women over 40 are currently using hormone therapy The critical need for education and training in menopause care How hormone therapy can help prevent downstream health issues Why menopause care doesn't end when periods stop What's broken in women's healthcare—and how to fix it Real patient success stories that show what's possible The role of hormones in longevity, vitality, and overall health Why advocacy is essential for meaningful change MIDI Health's vision to become a trusted, national brand for women's health Menopause is not the end of care—it's the beginning of a new phase that deserves attention, education, and evidence-based treatment. Hormone therapy isn't about vanity or “anti-aging”; it's about giving women access to the healthcare they've always deserved. To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
Welcome to 2026! Host Dana (Peanut) interviews Marci H, a 10-year sober recovery leader and host of "Wake Up with Marci." Marci shares her journey from a rock-bottom DUI at age 45 to finding spiritual awakening and unconditional love in sobriety. We discuss perimenopause and drinking, the difference between court-ordered and chosen recovery, and how sobriety means reconnecting with your true self. Marci reveals her daily spiritual practices and mission to help others through her books "Chaos to Clarity" and the upcoming "Wake Up, You Are Not Broken." A moving conversation about vulnerability, transformation, and the endless possibilities of sober life. Find Marci at wakeupwithmarci.com. Marci's morning meditation to connect with Higher Power: https://youtu.be/t-3QQDfxwl4?si=tsbJ_oPsrq2qybXX
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Dr. Christine Maren to explore one of the most under-recognized truths about women's bodies: female physiology is exceptionally adaptable—and that adaptability comes with trade-offs. Women's bodies evolved to support reproduction, and that evolutionary priority shaped a physiology that can adjust rapidly to stress, environment, and demand. But that same flexibility can come at a cost, especially in today's world of chronic stress, environmental exposures, and constant pressure. Together, Dr. Casperson and Dr. Maren unpack how this rapid adaptability may contribute to issues like thyroid dysfunction, hormone imbalance, gut disruption, and infertility—and why understanding these patterns is essential for improving women's health care. Why female physiology is uniquely adaptable—and how reproduction shaped that design How rapid physiological adaptation can stress systems like the thyroid The links between chronic stress, hormones, gut health, and fertility How environmental factors interact with women's biology Why adaptability can be both a powerful strength and a vulnerability The importance of recognizing these trade-offs in modern women's health care Women's bodies are not “broken.” They are highly responsive systems doing exactly what they evolved to do—often in environments that no longer support them. Understanding the costs of adaptation is the first step toward more compassionate, effective, and science-based care. Dr. Maren's Website To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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? List is open 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
There are 80 million women over 40 in America. Only 4,100 menopause certified clinicians. The gap is real. And my guest is working on changing that. Dr. Kelly Casperson is a urologist, sexual medicine physician, and bestselling author of The Menopause Moment and You Are Not Broken. She's been leading the charge on women's health advocacy from serving on the FDA panel that removed the box warning on estrogen to pushing for testosterone deregulation. She has a large following, but as Kelly says: it's just a drop in the bucket. HThere are 80 million women over 40 in America. Only 4,100 menopause certified clinicians. The gap is real. And my guest is working on changing that.Dr. Kelly Casperson is a urologist, sexual medicine physician, and bestselling author of The Menopause Moment and You Are Not Broken. She's been leading the charge on women's health advocacy from serving on the FDA panel that removed the box warning on estrogen to pushing for testosterone deregulation. She has a large following, but as Kelly says: it's just a drop in the bucket.We talk about the women who aren't on social media, who aren't listening to podcasts, who don't know their options exist. How we need to reach people in the community churches, community centers, libraries. We discuss why grassroots education matters, why testosterone is locked behind 1980s doping laws. We discuss why grassroots education matters, why testosterone is locked behind 1980s doping laws, and Kelly shares the real reason for menopause.This is a conversation about what's changing in women's health and what still needs to change.Highlights:Why grassroots advocacy in the community matters as much as social media.Why 30% of women prescribed vaginal estrogen won't use it (the box warning effect).Frailty isn't inevitable it's what happens when you don't maintain your health.The biopsychosocial model: how culture shapes your menopause experience.Kelly's philosophy: you have to advocate for yourself, but you're not alone.Don't be afraid to start conversations with friends and loved ones about menopause, hormones, and the options available. You might be the only person in their life talking about this and that conversation could change be life changing.Get in Touch with Dr. Casperson:WebsiteInstagramPodcastGet in Touch with Me: WebsiteInstagramYoutubeSubstack
This is the audio from an amazing webinar I did with Alloy Health. I was so fortunate to be interviewed by their community leader, Rachel Hughes. What I'm seeing clearly is that Gen X is leading the menopause conversation — we're asking better questions, demanding better answers, and refusing to be dismissed. At the same time, Millennials are shifting the focus toward prevention, not just treating disease after it shows up. That mindset matters, and it's changing healthcare. I talk a lot about why self-care isn't indulgent — it's essential if you want to thrive in midlife and beyond. That starts with education. You cannot make informed decisions about your body if no one ever taught you how hormones actually work. Hormones are not just reactive tools — they can be preventative, supporting long-term health when used thoughtfully and appropriately. Progesterone and testosterone play real, meaningful roles in women's health, and vaginal estrogen is both safe and incredibly effective for many women — despite how rarely it's discussed. We also have to talk about sex. Communication is foundational to a fulfilling sex life in midlife, and silence only benefits outdated narratives, not women. The bottom line? You have more control over your health than you've been led to believe. Empowerment doesn't come from perfection — it comes from understanding your body and advocating for yourself in a system that often won't do it for you. To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Mariza Snyder discuss the transformative journey of women navigating perimenopause and menopause. Dr. Mariza shares her personal experiences with chronic migraines and how they led her to become a functional medicine practitioner focused on women's health. The conversation emphasizes the importance of understanding hormonal changes, the impact of chronic stress, and the necessity of movement and nutrition in reclaiming health. Dr. Mariza encourages women to envision their future selves and take ownership of their health journeys, while also addressing the societal pressures that contribute to stress and unhealthy habits. Takeaways Dr. Mariza's journey from chiropractic to functional medicine was driven by her own health struggles. Chronic migraines often affect women in perimenopause due to hormonal changes. Empowering women through health can create a multiplier effect in communities. Movement is essential for recovery and overall well-being. Functional health practitioners focus on root causes rather than just symptoms. Women often feel pressured to be busy, which can lead to chronic stress. Adrenal fatigue is not a recognized medical diagnosis, but stress impacts health significantly. Nutrition plays a crucial role in managing health, especially regarding processed sugars. Insulin resistance is a growing concern for women in midlife. Reading and self-education can empower individuals to take control of their health. Dr. Snyder IG The Perimenopause Revolution To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
I just wrapped 6 years of podcasting!!! Episode 350 marks a major milestone for You Are Not Broken: six years, 350 episodes, and a whole lot of growth—personally, professionally, and culturally. In this end-of-year “big winter blowout,” Dr. Kelly Casperson reflects on what 2025 brought, what changed (for better and worse), and why continuing to speak up for women's health still matters more than ever. From world events that shaped the year to personal health wins (yes, including her first colonoscopy), Dr. Casperson shares an honest recap of the moments that mattered. She celebrates big professional milestones—like opening the Casperson Clinic, publishing her second book, winning a podcast award, and helping remove outdated FDA boxed warnings on hormone therapy—while also naming the frustrations, resistance, and misconceptions that persist. This episode also looks ahead: new courses, retreats, sexual health innovations (including a vibrator!), and the continued expansion of education around hormones, sex, and aging. Anchoring it all is a reminder from Theodore Roosevelt's Man in the Arena: progress belongs to those willing to show up, be imperfect, and keep going. Six years and 350 episodes of You Are Not Broken A candid end-of-year reflection on 2025 and the state of the world “Baby's first colonoscopy” and why health screenings matter Travel highlights, including Sydney and the Opera House Publishing a second book and opening the Casperson Clinic Major personal health improvements through strength training and lifestyle changes The book "you are not broken" winning an award and hosting a second annual retreat in Sedona Three separate FDA engagements—and successfully removing outdated boxed warnings on hormone therapy The biggest misconception about FDA changes and how fast (and messy) change can be A frank moment of accountability (and humor) around language and advocacy Updates from the Casperson Clinic, waitlists, and the subscription-based care model Addyi approval for postmenopausal women The future of online education, including upcoming “Summer School” hormone courses Takeaways from male-dominated FDA panels and what they miss What's next: retreats, documentaries, new courses, and new products The top five most-listened-to You Are Not Broken episodes of 2025 Should I Take Hormones? (Ep. 328) How (and Why) to Prescribe Hormones (Ep. 318) GLP-1s with Dr. Salas-Whalen (Ep. 329) Getting Better at Sex – Part One (Ep. 333) Perimenopause Is Real (Ep. 324) New online courses covering testosterone for women, female sex education, GSM, perimenopause, and hormones for longevity A retreat in Whistler (August 2026 — limited spots remaining) The M Factor 2.0: Before the Pause (premieres expected early 2026) A sex education course with Commune launching in 2026 And yes—building a vibrator Dr. Casperson closes with Theodore Roosevelt's Man in the Arena, a reminder that meaningful change doesn't come from critics on the sidelines—it comes from those willing to step into the work, get messy, make mistakes, and keep advocating anyway. If you've been part of this community for one episode or all 350, thank you for being here. This work continues because it matters—and because you do. Listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit My Website Interested in my sexual health and hormone clinic? Waitlist is open 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
Make this season about the PEOPLE around you…not the THINGS around you. Always remember to; YOU ARE NOT BROKEN! You are MORE than the label society has placed upon you…you are MORE than the label YOU have placed upon YOURSELF! You just gotta be…just be…The Music Authority Podcast...download, listen, share, repeat…heard daily on Belter Radio, Podchaser, Deezer, Amazon Music, Audible, Listen Notes, Mixcloud, Player FM, Tune In, Podcast Addict, Cast Box, Radio Public, Pocket Cast, APPLE iTunes, and direct for the source distribution site: *Podcast - https://themusicauthority.transistor.fm/ AND NOW there is a website! TheMusicAuthority.comThe Music Authority Podcast! Special Recorded Network Shows, too! Different than my daily show! Seeing that I'm gone from FB now…Follow me on “X” Jim Prell@TMusicAuthority*The Music Authority on @BelterRadio Monday, Tuesday, Thursday, Friday 7 pm ET & Wednesday 9 pm ET*Radio Candy Radio Monday Wednesday, & Friday 7PM ET, 4PM PT*Rockin' The KOR Tuesday, Wednesday, and Thursday at 7PM UK time, 2PM ET, 11AM PT www.koradio.rocks*Pop Radio UK Friday, Saturday, & Sunday 6PM UK, 1PM ET, 10AM PT! *The Sole Of Indie https://soleofindie.rocks/ Monday Through Friday 6-7PM EST!*AltPhillie.Rocks Sunday, Thursday, & Saturday At 11:00AM ET!December 18, 2025, Thursday, act one…@Orbis 2.0 - TMA SHOW OPEN THEME@The New Favourites - Underneath The Christmas Tree [Happy Holidays From The Co-Op Communique]@The Cocktail Slippers - 1 - 2 - 3 (@Wicked Cool Records)@Russ Ballard - Rene Didn't Do It [Treasure Chest Of Awesome Volume 2]@The Pogues With @Kirsty MacCall - Fairytale Of New York@Pop Co-Op - Run And Hide [Suspension] (@Futureman Records)@The Waitresses - I Know What Boys Like@Blueanimal - On My Mind [On My Mind]@Machine & Hummer - Angel In Rags@Harry Connick Jr. - It's The Most Wonderful Time Of The Year@R.E. Seraphin - I'll Be Around [Swingshift]@The Waspmen - Tearin' My Heart [First Stings First]@The New York Dolls - Seven Day Weekend@Punchline – Icicles@Russell Shaddox - Ocean Eyes [Savin Rock]@Elvis Costello And The Attractions - Watching The Detectives@Joe Jennings MVP's - Point The Blame [Nothing Wrong With Giving Up] (@Rum Bar Records)@The Anderson Council - Messes Up My Mind [Devil Tower Star Moon] (@Jem Records)@Jason Berk – Jingle Bells
In this enlightening conversation, Dr. Mindy Pelz and Dr. Kelly Casperson explore the transformative journey of menopause, emphasizing the importance of mindset, self-advocacy, and cultural conditioning. They discuss how women can awaken to their true selves during this pivotal life stage, the significance of understanding one's identity through tools like the Enneagram, and the necessity of engaging men in the conversation about women's health. The discussion highlights the generational shifts in attitudes towards menopause and the empowerment of women to reclaim their voices and advocate for their health and well-being. Mindy Pelz IG Mindy Pelz Book To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 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
GSM = genitourinary syndrome of menopause - it is a mouthful - and a very common experience. Today Dr. Corinne Menn and Dr. Casperson talk all about it. This audio is taken from an IG live - follow us both there! In a world where women's health often takes a backseat, the conversation surrounding vaginal hormones is crucial yet frequently misunderstood. We dive deep into the complexities of vaginal estrogen, dispelling common myths and providing clarity on its importance for women, especially those facing menopausal challenges. Dr. Menn's IG To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Dr. Alexandra Dubinskaya, a urogynecologist, discusses the role of vibrators in women's health, particularly in addressing sexual health issues. She shares her journey into the field of urogynecology, the importance of sexual health, and her groundbreaking research on vibrators. The conversation explores the implications of her findings, the cultural perceptions surrounding sexual health, and practical recommendations for healthcare providers. Dr. Dubinskaya emphasizes the need for further research and the potential benefits of vibrators in improving blood flow and addressing conditions like lichen sclerosis and atrophy. Takeaways Vibrators can improve blood flow to the pelvic area. Cultural perceptions of sexual health impact women's experiences. Research on vibrators is a new frontier in women's health. Vibrators can help with conditions like lichen sclerosis and atrophy. The importance of sexual health in urogynecology cannot be overstated. Women often feel more comfortable using vibrators externally. The 'use it or lose it' concept needs a nuanced approach. Healthcare providers should recommend vibrators as a common practice. Better questionnaires are needed to assess solo sexual activity. Future research should focus on creating user-friendly vibrators. https://drurogyn.com/ To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney. They discuss Jennifer's unique journey from law to healthcare, the importance of ethics in medical practice, and the need for informed consent in patient care. The conversation also touches on the role of hormones in women's health, the impact of social media on healthcare discussions, and the future of hormone therapy. Throughout the episode, they emphasize the importance of empowering patients with knowledge and fostering open communication between healthcare providers and patients. Takeaways Jennifer transitioned from law to healthcare to focus on patient care. Ethics in healthcare needs to be redefined to include the harm of inaction. Informed consent should involve thorough discussions, not just signatures. Patients are increasingly educated and should be empowered in their healthcare decisions. Hormone therapy can play a crucial role in women's health and should be discussed openly. Social media influences patient perceptions and can complicate doctor-patient relationships. The future of hormone therapy is promising, but access and education are key. Healthcare providers must navigate the complexities of patient education in a fast-paced environment. The importance of shared decision-making in patient care cannot be overstated. The conversation around menopause and hormone therapy is evolving, and more research is needed. Jennifer on IG https://www.washington-gyn.com/ To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit 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 Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson speaks with Dr. Rachel Boyle, a sex therapist specializing in perimenopause and menopause. They explore the complexities of women's sexual health, the impact of hormonal changes, and the importance of communication in relationships. Dr. Boyle shares her journey into understanding perimenopause, the effectiveness of EMDR therapy for trauma, and the cultural pressures women face regarding their bodies and sexuality. The conversation emphasizes the need for qualified therapists and the significance of creating safe spaces for women to explore their desires and experiences. Takeaways Low libido can be a message rather than a problem. Healing trauma doesn't require reliving it, but releasing it. Perimenopause can last for many years, affecting women's health. EMDR therapy helps process traumatic memories effectively. Women often bear the emotional labor in relationships, leading to stress. Communication about sex is crucial for healthy relationships. Desire for sex can be influenced by hormonal changes and emotional safety. Cultural attitudes towards women's bodies impact their sexual health. Consensual non-monogamy requires clear communication and boundaries. Therapists should be trained in women's sexual health issues. https://www.rachelboyle.com/ To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Sara Reardon, a board-certified pelvic floor physical therapist, discuss the importance of pelvic floor health for women at every stage of life. They explore common misconceptions, the need for better education, and the role of physical therapy in addressing pelvic health issues such as incontinence and pain during sex. Dr. Reardon emphasizes the importance of proactive care, the impact of hormones, and the necessity of normalizing conversations around women's health. The episode also highlights the challenges of accessing care and the growing awareness of pelvic floor therapy as a vital resource for women. https://thevagwhisperer.com/ The Book "Floored" To my fellow clinicians: listen to this podcast on Pinnacle for FREE to earn CME credit Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this powerful episode, board-certified urologist Dr. Kelly Casperson exposes the gender bias in medicine and reveals why testosterone may be the missing link in women's mood, motivation, and longevity. One of the few female urologists in the U.S., Dr. Kelly is rewriting the narrative on hormones—explaining why testosterone isn't “just for men” and why, after 90 years, the FDA still hasn't approved it for women. Her message is clear: women are not broken. Whether you're in your 30s, perimenopause, or beyond, this episode will change how you see your biology—and your power. About Dr. Casperson Dr. Kelly Casperson is a urologist, author, speaker, and educator transforming the way women understand their bodies. She empowers women of all ages to embrace sexual health, hormone balance, and intimacy with confidence and curiosity. With humor and candor, she dismantles shame-based myths and teaches one powerful truth: You Are Not Broken. Follow Dr. Kelly Casperson: Instagram: @kellycaspersonmd Podcast: You Are Not Broken Website: https://kellycaspersonmd.com/ *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Troscriptions: Go to https://www.troscriptions.com/neuro | Code: NEURO for 10% your first order Ketone IQ: Go to https://www.ketone.com/NEURO for 30% OFF your subscription order Timeline: Head to https://timeline.com/neuro to get 20% off Manukora: Head to https://www.manukora.com/neuro to save up to 31% plus $25 worth of free gifts with the Starter Kit. Brickhouse Nutrition: Check out the university study and get 20% off when you use promo code NEURO at https://brickhousenutrition.com. Jones Road Beauty: Head to https://Jonesroadbeauty.com and use code NEURO at checkout. *** I'm Louisa Nicola — clinical neurophysiologist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Topics discussed: 00:00 – Intro 03:14 – From Sex Ed to Menopause 05:15 – FDA Bias & Hormone Approval 07:26 – Redefining HRT as PET (Progesterone, Estrogen, Testosterone) 07:51 – Hormones 101 & Testosterone Misconceptions 10:13 – Perimenopause vs. Stress 11:51 – The “Bricks of the House” Analogy 13:57 – Symptoms of Low Testosterone in Women 15:15 – Lab Values vs. Reality 17:14 – DHEA & Supplementation 20:10 – Emotions on Testosterone 21:23 – Testosterone & Mental Health 22:33 – Vitamin D & Hormone Synergy 23:07 – Debunking Testosterone Myths 26:35 – The “Married-Only” Paradox 27:14 – Perimenopause Misdiagnosis 28:19 – Myth #2 – Masculinization Fear 29:15 – Fertility & Testosterone 30:07 – Pregnancy & Safety 31:01 – Blood Tests Explained 32:41 – Dr. Casperson's Book & Treatment Guidance 33:24 – Contraindications & Safety 34:06 – Breast-Cancer Data 35:12 – The Menopause Divorce Rate 36:47 – Untreated Menopause & Relationships 39:25 – Testifying at the FDA 41:35 – The Estrogen Box Warning 43:35 – Why the FDA Still Hasn't Acted 45:59 – Risk Tolerance Gap 46:17 – Systemic Discrimination in Medicine 47:28 – Neurological Protection of Testosterone 48:11 – Alzheimer's & Hormone Decline 50:11 – Prevention vs. Treatment 52:04 – Brain Receptors & Protection 55:14 – The Brain Literally Eats Itself 57:18 – FDA Hearing Reflection Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Juliana Hauser discuss the themes of holistic sexuality, emphasizing the importance of unlearning societal norms and embracing body acceptance. They explore the journey of self-discovery, the impact of sexual confidence, and the necessity of communication in relationships. The conversation also touches on the consequences of medications like Viagra, the need for more sex therapists, and the misconceptions surrounding female sexuality. Ultimately, they highlight the significance of arousal and connection as essential components of a fulfilling sexual experience. Takeaways Sexuality is a necessity, not a luxury. Unlearning societal norms is crucial for sexual confidence. Body compassion can transform one's relationship with self. Self-discovery is a journey that enhances sexual experiences. Communication is key in sexual relationships. Viagra's impact on sexual dynamics needs to be addressed. There is a gender bias in sexual health treatments. More sex therapists are needed to support women's sexual health. Misconceptions about female sexuality hinder self-acceptance. Arousal should be embraced as a valuable part of sexuality. https://dr-juliana.com/ https://www.instagram.com/drjulianahauser A New Position On Sex Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the You Are Not Broken podcast, Dr. Heather Hirsch joins Dr. Kelly Casperson to discuss the complexities of perimenopause and menopause. They explore the importance of understanding hormonal health, the misconceptions surrounding these transitions, and the need for better education and treatment options for women. The conversation emphasizes the significance of quality of life and the role of hormone therapy in managing symptoms. They also address the challenges in the medical community regarding women's health and the necessity for a shift in how these topics are approached. Dr. Hirsh's Book Want more honest, empowering conversations like this one? Order my New Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Dr. Kelly Casperson, urologist and author of "The Menopause Moment," highlights the importance of testosterone in women's health, particularly for mood, motivation, and muscle building, not just libido. She discusses various administration methods (pellets, creams, troches) despite the lack of FDA-approved female testosterone products. Dr. Kelly stresses the need for comprehensive sex education, addressing lifestyle factors, and open communication to optimize testosterone therapy and a healthy sex life, noting that desire isn't the primary factor in fulfillment. She also touches on the health implications of asexuality, emphasizing community and partnership alongside orgasms for longevity. To view full show notes, more information on our guests, resources mentioned in the episode, discount codes, transcripts, and more, visit https://drmindypelz.com/ep307 Dr. Kelly Casperson, MD is a board-certified urologist with over 15 years of experience who now specializes in women's sexual health and hormone therapy. After realizing that traditional medical training left a gaping hole in addressing women's intimate needs, she created the You Are Not Broken podcast and authored You Are Not Broken and The Menopause Moment. She also founded The Casperson Clinic, a membership-based model that provides tailored, unhurried care. Known for being “like a big sister who's a doctor,” Dr. Casperson delivers clinical expertise with humor, candidness, and unwavering support. Check out our fasting membership at https://esetacademy.drmindypelz.com. Please note our medical disclaimer.
Is testosterone just for men…or only about libido? Not even close. In this episode, I sit down with urologist and menopause expert Dr. Kelly Casperson to break through the myths and uncover the truth about testosterone for women. Spoiler: it's one of the most underrated hormones in midlife, and the benefits go way beyond sex drive. We cover: Why testosterone is such an important hormone for women What the research actually shows about its benefits beyond libido Why testosterone is so misunderstood and overlooked The realities of sex, desire, orgasm and pleasure in midlife Why “not having sex” should never be tied to shame or failing at relationships Dr. Kelly Casperson is a board-certified urologist, best-selling author, and top-ranked international podcaster empowering women to take control of their health, hormones, and sexuality. Known for blending science with storytelling, she transforms complex medical topics into relatable, actionable insights that help women live fully and fearlessly, especially in midlife. Dr. Casperson dismantles long-held myths around sex, menopause, and desire. Her acclaimed podcast, You Are Not Broken, has become a go-to resource for hundreds of thousands of women seeking real answers about their bodies and brains. As a keynote speaker and educator, Dr. Casperson challenges outdated norms in medicine while offering bold, science-backed solutions. FDA Expert Panel on Menopause and Hormone Replacement Therapy for Women https://www.youtube.com/live/_2ZRlOivC5M?si=Y9-xq57yqYR8a0fG The Menopause Moment Book https://a.co/d/2jNojKZ YouTube: https://www.youtube.com/@kellycaspersonmd Podcast You Are Not Broken:: https://open.spotify.com/show/4iZ4pa5fDub8PhgCB0YPWw?si=e7708074121c4074 Contact Dr. Kelly Casperson Instagram: https://www.instagram.com/@kellycaspersonmd Website: https://kellycaspersonmd.com/ Give thanks to our sponsors: Try Vitali skincare. 20% off with code ZORA here https://vitaliskincare.com Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA here. Get Mitopure Urolithin A by Timeline. 20% discount with code ZORA at https://timeline.com/zora Try Suji to improve muscle 10% off with code ZORA at TrySuji.com https://trysuji.com Try OneSkin skincare with code ZORA for 15% off https://oneskin.pxf.io/c/3974954/2885171/31050 Join Biohacking Menopause before October 1, 2025 to win a Flexbeam red light therapy device. Or save 10% with code ZORA at https://recharge.health Join the Hack My Age community on: YouTube: https://youtube.com/@hackmyage Facebook Page: @Hack My Age Facebook Group: @Biohacking Menopause https://www.facebook.com/groups/biohackingwomen50 Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: @HackMyAge Website: HackMyAge.com
Feeling alone, dismissed, and broken during your perimenopause and menopause transition? Sadly, so many women do. That's why in this episode, we're here to set the record straight. I'm sitting down with women's health and sexual health expert Dr. Kelly Casperson, and let me tell you, she pulls no punches. We're talking the real truth about libido, hormone therapy (especially testosterone for women!), and how to finally have the right conversations with your doctor. Dr. Casperson also busts myths around Genitourinary Syndrome of Menopause and explains why so many of us feel isolated when these symptoms hit out of nowhere. This episode is full of empowering tools and guidance to help you reclaim your health and confidence. Remember, you don't have to navigate midlife changes alone! Kelly Casperson Dr. Kelly Casperson is a board-certified urologic surgeon and the CEO and founder of The Casperson Clinic, a practice dedicated to hormones and sex medicine. She's also a renowned public speaker, sex educator, and the host of the top-ranking podcast You Are Not Broken. Dr. Casperson empowers women to take control of their health by tackling myths about desire and normalizing conversations around healthy, fulfilling sex. Her work provides essential education on hormones and midlife women's health. IN THIS EPISODE How to recognize when you're in perimenopause Setting boundaries and prioritizing yourself and your health Addressing the misconceptions and societal attitudes around perimenopause and menopause Navigating sexual dysfunction and libido symptoms commonly experienced by women in midlife How to approach the subject of testosterone for women with your doctor during menopause Other beneficial hormone replacement therapy options Why testosterone is a game-changer for your energy in midlife About Dr. Casperson's new book: The Menopause Moment QUOTES“Just because you're really good at what you do doesn't mean that's what you should keep doing. And I think that's the power of midlife– it's this amazing opportunity to wake up.” “There are days where I'm like, oh man. But, I recalibrate. I reset. And the thing I always tell myself is that tomorrow is another day.” “A hundred percent of women have low testosterone after a certain age… and only about 20% of men are low producers, [yet] they have 20 [testosterone] products.” RESOURCES MENTIONED
Today, I am thrilled to reconnect with Dr. Kelly Caspersen, a urologist who empowers women to live their best love lives. She is a two-time author, with her latest being The Menopause Moment. In our conversation, we cover a wide range of topics, from navigating UTI purgatory and understanding the vaginal microbiome to how vaginal estrogen can dramatically reduce the risk of sepsis and death in the ICU. We unpack the evolving language of hormones- specifically progesterone, estrogen, and testosterone and we examine censorship and bias on social media, and the differences between prescribers and non-prescribers. We explore the effects of SSRIs on bone and brain health, changes in self-perception in middle age, and the effects of the baby boomer generation and the Women's Health Initiative, exposing the medical gaslighting behind the use it or lose it narrative. We also offer practical options for women who cannot take hormones, and Dr. Kelly shares her go-to supplements and those she avoids. This conversation is one of my recent favorites. Dr. Kelly's enthusiasm is contagious, and her straightforward approach makes complex topics clear, practical, and unforgettable. IN THIS EPISODE, YOU WILL LEARN: Why recurrent UTIs can feel like UTI purgatory How hormone terminology is evolving, and what that means for women in midlife The value of vaginal estrogen, and the potential it holds for saving women's lives How the approaches of prescribers and non-prescribers differ How SSRIs can raise the risk of bone fractures The brain health and self-perception shifts that often occur in midlife Why the use it or lose it belief is misleading, and how it veers into medical gaslighting How the baby boomer generation and the Women's Health Initiative still influence women's healthcare today Some alternative options for women who cannot take hormones Dr. Kelly shares her preferred supplements and those she avoids Bio: Dr. Kelly Casperson, MD Urologist • Author • Podcaster • Women's Health Thought Leader Dr. Kelly Casperson is a board-certified urologist, best-selling author, and top-ranked international podcaster empowering women to take control of their health, hormones, and sexuality. Known for blending science with storytelling, she transforms complex medical topics into relatable and actionable insights that help women live fully and fearlessly—especially in midlife. With her signature candor and evidence-based clarity, Dr. Casperson dismantles long-held myths around sex, menopause, and desire. Her acclaimed podcast, You Are Not Broken, has become a go-to resource for hundreds of thousands of women seeking real answers about their bodies and brains. Her groundbreaking work integrates urology, neuroscience, and mindset coaching to drive lasting change in intimacy, confidence, and overall well-being. As a keynote speaker and educator, Dr. Casperson challenges outdated norms in medicine while offering bold, science-backed solutions. She's on a mission to build a world where women are educated, empowered, and no longer afraid of their own bodies. Whether she's on stage, in a clinic, or behind the mic, Dr. Casperson is leading a health revolution—one smart, honest conversation at a time. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Kelly Casperson On her website On Instagram You Are Not Broken (Podcast) The Menopause Moment is available on Amazon and Barnes and Noble.
Episode 334 of the You Are Not Broken podcast, Dr. Kelly Casperson discusses her upcoming book tour for 'The Menopause Moment' and dives into the relationship between menopause, hormones, and skin health. She emphasizes the importance of understanding how hormonal changes during menopause affect skin quality and overall health, advocating for the use of hormone replacement therapy (HRT) to mitigate these effects. The conversation highlights the need for better education on the benefits of hormones and challenges misconceptions surrounding their use. Takeaways The Menopause Moment book is available for pre-order. Estradiol and Estriol can be beneficial for skin health. Skin changes during menopause are significant and often distressing. Hormones play a crucial role in skin quality and health. There is a lack of awareness about the effects of low hormones on skin. HRT can improve skin elasticity and hydration. Many women are not informed about hormone therapy options. The decline in estrogen leads to decreased collagen and moisture in the skin. Preventative health measures should be supported, including hormone therapy. Skin Paper by Viscomi et al Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, we're unpacking a powerful insight that could completely transform the way you experience intimacy in your marriage. It's all about the surprising difference between safety and security in your sexual relationship and why understanding it might be the missing piece to reigniting the passion you've been longing for. Most people think they're the same thing, but once you see the distinction, it can change everything about the way you connect with your spouse. Sources: Safety vs. Security concept credit: Whitni Miller (BDEmoves on Instagram) on "You Are Not Broken" podcast with Dr. Kelly Casperson Episode: "325. Sex, Safety and Embodied Intimacy" (July 5, 2025) Link: https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329?i=1000715944578&r=495 "Mating in Captivity: Unlocking Erotic Intelligence" by Esther Perel
We're thrilled to bring you this powerful and myth-busting conversation with Dr. Kelly Casperson, a board-certified urologist, author of You Are Not Broken, and host of the top-rated podcast of the same name. If you've ever felt confused, dismissed, or flat-out frustrated by the information (or lack thereof) around perimenopause and menopause, this episode is for you. Dr. Casperson breaks down the science with clarity and humor, helping us all better understand what's really going on with our hormones—and why we don't have to just "tough it out." We cover everything from early symptoms like brain fog and poor sleep to the misunderstood role of hormones like estrogen and testosterone. We also talk about how we as women can become better advocates for our health in a system that often leaves us behind. Episode Highlights: [4:38] - Debunking the myth that menopause only happens in your 50s—and how "average" doesn't mean "too young." [7:16] - Brain fog, sleep issues, and the importance of estrogen and testosterone for your mental clarity. [16:50] - The real story behind testosterone—what it does, why it's not “just for libido,” and how women actually produce more of it than estrogen. [21:33] - Pros, cons, and controversies of pellets vs. transdermal testosterone and how to advocate for safe, effective treatment. [29:00] - Why age-based hormone treatment guidelines are outdated and how to start thinking preventively about your health. [34:30] - Breast cancer survivors and hormones: navigating a complex and often misinformed landscape. [38:59] - Common myths around risk and how to challenge medical gatekeeping with knowledge and confidence. [42:44] - The fallout from the 2002 Women's Health Initiative study and how misinformation persists decades later. [44:08] - Where to actually find a menopause-savvy provider who knows the full menu of treatment options. Links & Resources:Dr. Kelly Casperson's Website: https://kellycaspersonmd.com/ Book: You Are Not Broken: https://kellycaspersonmd.com/you-are-not-broken-book/ Upcoming Book: Menopause Moment (September 2025): Pre-Order Now: preorder Kelly's new book about Perimenopause: https://kellycaspersonmd.com/the-menopause-moment-book/ Instagram: https://www.instagram.com/kellycaspersonmd Podcast: You Are Not Broken: https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329 Menopause Society Directory: https://menopause.org/ If today's discussion resonated with you or sparked curiosity, please rate, follow, and share "Insights from the Couch" with others. Your support helps us reach more people and continue providing valuable insights. Here's to finding our purposes and living a life full of meaning and joy. Stay tuned for more!Come hang out with us in The Chat, our free community for midlife women, where we keep theconversation going at insightsfromthecouch.org/the-chat. And don't forget todownload our free guide 7 Skills to Master Midlife so you can stop living small, start taking action, andlive the life you really want at insightsfromthecouch.org/midlife-roadmap.
In this episode of You Are Not Broken, Dr. Kelly Casperson recaps the recent FDA event dedicated to women's health, spotlighting the critical role of hormones like testosterone and estrogen. She shares key insights from expert panels, explains why better education and prescribing practices are urgently needed among physicians, and reveals exciting details about her upcoming book on menopause. Kelly also explores the mental health impact of hormonal changes during perimenopause and offers a preview of her nationwide book tour aimed at rewriting the conversation around midlife health. Key Takeaways The You Are Not Broken podcast has surpassed 4 million downloads. The FDA event brought women's health—and hormones—into the spotlight. There is a critical need for female-dose testosterone to be recognized and approved. Changing outdated prescribing habits is key to improving women's health care. Hormones are powerful tools for preventing disease and improving quality of life. Menopause and hormonal health education remain dangerously underrepresented in medicine. Kelly's upcoming book aims to bust myths and empower women with facts. Her book tour will bring this conversation to cities across the country. Hormonal changes in perimenopause can drive significant mental health challenges. Advocacy for women's hormone therapy is essential for better health outcomes. Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 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
If your sex drive has gone missing, your body feels like it's betraying you, or you think that wine is the only thing that can get you through the mood swings, hot flashes, and insomnia of midlife—this episode is for you. I asked Dr. Kelly Casperson—board-certified urologist, hormone and sex expert, and author of You Are Not Broken: Stop Shoulding All Over Your Sex Life—to break down how perimenopause, hormones, alcohol, and aging all affect our desire, sex lives, and emotional well-being in midlife. Spoiler alert: it's not just in your head, and there are things you can do about it. Dr. Kelly is also the host of the You Are Not Broken podcast, and she's a no-BS, wildly smart voice helping women understand what's actually going on with their hormones, desire, and bodies. In this conversation, we talk honestly about sex in sobriety, hormone replacement therapy (HRT), perimenopause symptoms, and how alcohol is quietly making everything worse. For the full shownotes, kindly go to this podcast episode link: https://hellosomedaycoaching.com/hormones-menopause-better-sex-in-sobriety-what-every-woman-needs-to-know/ 4 Ways I Can Support You In Drinking Less + Living More Join The Sobriety Starter Kit, the only sober coaching course designed specifically for busy women. My proven, step-by-step sober coaching program will teach you exactly how to stop drinking — and how to make it the best decision of your life. Save your seat in my FREE MASTERCLASS, 5 Secrets To Successfully Take a Break From Drinking Grab the Free 30-Day Guide To Quitting Drinking, 30 Tips For Your First Month Alcohol-Free. Connect with me for free sober coaching tips, updates + videos on YouTube, Instagram, Facebook, Pinterest and TikTok @hellosomedaysober. Love The Podcast and Want To Say Thanks? ☕ Buy me a coffee! In the true spirit of Seattle, coffee is my love language. So if you want to support the hours that go into creating this show each week, click this link to buy me a coffee and I'll run to the nearest Starbucks + lift a Venti Almond Milk Latte and toast to you! https://www.buymeacoffee.com/hellosomeday
This week on the You Are Not Broken podcast, I'm joined by the incredible Dr. Rocio Salas-Whalen, an expert in obesity medicine who breaks down the real science behind GLP-1 medications like Ozempic and Wegovy. Spoiler: they've actually been around since 2005 for diabetes, and only now are we waking up to their potential in treating obesity as the complex disease it is—not a failure of willpower. We talk about how COVID changed the national conversation on obesity, shifting it from “personal choice” to a serious health risk that deserves real medical treatment. We get into how GLP-1s work, why maintaining muscle is critical during weight loss, and the often-ignored psychological shifts that happen when your body changes rapidly. Dr. Salas-Waelin also clears up the noise: Are GLP-1s safe? Are they just for the ultra-rich? Will they be lifelong meds or stepping stones? And what's next in hormone-based obesity treatment? This is a must-listen if you're using—or considering—GLP-1s, working in healthcare, or just want to understand what's really going on behind the headlines. In this episode, we cover: Why GLP-1s aren't actually new—and why that matters How COVID helped the world reframe obesity as a disease The importance of muscle preservation during weight loss How to make sure your protein intake supports your body What happens to your brain when your body changes fast Myths and misconceptions about the safety and use of GLP-1s The future of GLP-1s: personalized care, better formulations, and smarter dosing Why body composition (not just weight) should be part of the conversation This episode is about science, empowerment, and getting real with the tools we have to help people feel better in their bodies—inside and out.
In this episode of the You Are Not Broken podcast, I'm diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear. We're breaking down what GSM actually is, why it's so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors. We also talk about: Why education around hormonal changes in midlife isn't optional The role of pelvic exams (and how to make them less intimidating) Non-hormonal treatments that actually work Why this all matters: GSM impacts your quality of life, intimacy, and overall health This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they're not up to speed. Your body. Your voice. Your choice. AUA 2025 GSM Guidelines Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.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