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You Are Not Broken

You Are Not Broken

Kelly Casperson, MD

Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives. Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy and health. Nothing in this podcast is personal medical advice, of course.
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Top 10 You Are Not Broken Episodes

Goodpods has curated a list of the 10 best You Are Not Broken episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to You Are Not Broken for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite You Are Not Broken episode by adding your comments to the episode page.

BRCA Gene Previvor, Menopause Activist and Protector Against Corrosion – Monica Molenaar Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Monica Molenaar is a serial entrepreneur and an advocate for frank talk and common-sense solutions around women’s health and wellness. At the age of 40, Monica tested positive for the BRCA gene and elected to remove her ovaries prophylactically to reduce her risk of breast and ovarian cancers, thereby ending her natural production of estrogen and sending her into surgical menopause overnight. This began a multi-year journey trying to make sense of all the misinformation and lack of clarity around this phase of life. It was only after starting to supplement with estrogen and progesterone that Monica found relief from the menopausal symptoms affecting her quality of life and was able to get back to work. She was inspired to start Alloy to make sure that other women entering menopause would have an easier time than she did accessing credible information, doctors expert in menopause and women's health, effective and safe solutions, and a supportive community. What turned Monica into an estrogen activist? Why do you think it's important that women learn more about their biology in order to take control of how they age? Since when did it become ok to talk about sex the way we are doing it now? Alloy is combo menopause and sexual health – how did that happen? – let’s talk about topical sildenafil The stigma of testosterone in women https://www.instagram.com/myalloy/ https://www.myalloy.com/ CODE: CASPERSON25 for $25 off your order Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? Why We Need Adult Sex Ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Episode 200!!!!

Suzanne Gilberg-Lenz, MD works at the Women’s Care of Beverly Hills, an obstetrics and gynecology practice that has locations in Beverly Hills and Redondo Beach, California.

Dr. Gilberg-Lenz is involved in women’s empowerment and public education and frequently appears as an expert in women’s health and integrative medicine on TV, in print, and online.

Her book Menopause Bootcamp: optimize your health, empower your self, and flourish as you age is out now.

Why is talking about menopause an act of rebellion?

How many doctors know how to treat menopause and how to find an expert?

We discuss the role of communication and how it builds intimacy.

Normalizing how varied sex can be and getting out of the heteronormative narrow view of penetrative sex.

The role of declining estrogen and giving less fucks.

How can menopause be an opportunity?

Mainstream medicine has a woman problem – and the painful truth is that science fails us.

Why we do not recommend pellets?

How to talk to your doctor about menopause?

Why does no one care about heart disease?

https://www.menopause.org/

https://www.instagram.com/askdrsuzanne

https://www.instagram.com/themenopausebootcamp/

Menopause Bootcamp: Optimize Your Health, Empower Your Self, and Flourish as You Age https://amzn.to/3m5ZJzn

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

www.kellycaspersonmd.com/membership

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Welcome to July's Live Podcast

Orgasmic versus hormonal Use it or lose it

Studies on Teen Sex Ed, PRP for ED, HPV jabs, Creating Desire and more!

Sex Ed matters:https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11388-2

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

Get in the Free FB group:

https://www.facebook.com/groups/youarenotbroken/

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

www.kellycaspersonmd.com/membership

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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You Are Not Broken - 222. Estrogen Matters with Dr. Avrum Bluming
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07/30/23 • 63 min

Estrogen Matters with Dr. Avrum Bluming Avrum Bluming received his MD from the Columbia College of Physicians and Surgeons. He spent four years as a senior investigator for the National Cancer Institute. He organized the first study of lumpectomy for the treatment of breast cancer in Southern California in 1978, and for more than two decades he has been studying the benefits and risks of hormone replacement therapy administered to women with a history of breast cancer. Dr. Bluming has served as a clinical professor of medicine at USC and is the co-author of “Estrogen Matters: why taking hormones in menopause can improve women’s wellbeing and lengthen their lives – without raising the risk of breast cancer” with Dr. Carol Tavris. Hear his story about how he became the advocate for hormones and hormones after breast cancer. So many people think correlation = causation – case with E and breast cancer – just poor education in our population? “we don’t know what causes breast cancer” – can people handle a grey world? Estrogen receptor positive doesn’t mean estrogen caused the cancer – discuss Dispel the myth that early puberty and late menopause is a breast cancer risk – dogma – “lifetime exposure” – but women with lots of pregnancies have lower risk. Should we just work on a re-brand? Go on HRT because if you do get breast cancer you will do better than if you weren’t on it? How do aromatase inhibitors work? People call them “estrogen blockers” so people think estrogen causes cancer and recurrence. Why only in post-menopausal women? What’s with adipose tissue? People always say it is because adipose tissue increases estrogen – is it estrone ?? Or inflammation? Doctors don’t want to be sued. Do you know of any doctor getting sued for giving hormones in general or after breast cancer? If estrogen is FDA approved for prevention of osteoporosis – why did the USPSTF say no to prevention and why are we screening for osteoporosis so late (age 65?) Do you agree with the USPSTF about no for prevention. Your opinion of Progestin causing Breast cancer" Is the placebo arm bad? Is the risk not actually that high – from 2-4% Is it the synthetic progestin? Everyone’s talking about dementia now – Dr. Bluming’s take There are 25 studies showing E is safe after breast cancer and 20 review studies– and the HABITS trial is the only one that shows local recurrence and is flawed – how many studies are enough? Advice for younger physicians who care about this work? Do you think the world is just crazy? How does Dr. Bluming cope? We discuss the new Danish study in the British Medical Journal and dissect the data to dispel the fear. http://www.instagram.com/estrogenmatters https://estrogenmatters.com/ Buy Estrogen Matters https://amzn.to/3POsai5 Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Sexual Health is an Equality Issue! – A Chat About Sex, Coaching and Menopause This was a live chat that I did with Dr. Ashley Winter. She is the Chief Medical Officer at Odela health! We had a chat about my book and sexual health in general. Is it true that women are “too complicated”? Sexual Health is an Equality Issue The clitoris doesn’t have a place in the traditional medical paradigm – Dr. Winter We don’t teach people medically accurate language – so we can’t communicate with anyone and it ends up hurting you. It is not informed consent if we don’t tell people that medications can cause sexual health issues. Everyone needs to know about menopause. The reason coaching really helps our sex lives. The fallacy of “natural” and challenging the idea that natural is better. We need to stop judging women for their decisions around hormones. We don’t judge men for being on testosterone. The problem with the FDA label on vaginal estrogen. Love Dr. Winter? Go way back to episode 46 https://www.odelahealth.com/ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Did you watch the Tedx Talk yet? Why We Need Adult Sex Ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Is bigger always better?

The “use it or lose it” myth needs to die.

Vaginal atrophy is a hormonal issue.

Are orgasms good for you?

Can I use vaginal estrogen more than twice a week?

Tips and tricks for vaginal estrogen.

Can you still get BV and yeast infections after menopause?

Painful sex and low libido after a LEEP procedure.

Hi I have a question! I just saw my gynecologist , she has me on vaginal estrogen. I asked if I can go on the estrogen patch she advised me that I don’t need to be on the patch that the tabs are what I need! I’m sorry I should have said explained i had a hysterectomy in my 40’s they left my ovaries a year later I was told I was in full menopause! I’m 60 now and only started vaginal estrogen a year ago due to me complaining about painful intercourse. Should I also be on the estrogen patch.

I’m only 22 and suspecting a stage 3 prolapse . I’m pretty sure I’ve unintentionally caused it due to straining on the toilet,etc. I wanted to know- can I still get pregnant? And can my prolapse heal itself?

Who needs systemic estrogen versus only vaginal estrogen?

The multiple reasons we are undertreating menopause.

I’m a 62 year old guy. Married to a beautiful soul for 40 years. I’d love to get her your book. But, I don’t wanna come off as being “that guy.” Do you have any suggestions?

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

www.kellycaspersonmd.com/membership

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Learn more about your ad choices. Visit megaphone.fm/adchoices

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You Are Not Broken - 195. 8 Truths About Hormones
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01/22/23 • 37 min

I get so many hormone questions! So I needed a podcast to refer people to.
I hope I did okay covering the basics and deep diving into some more complicated details.

Enjoy!

1. Sex and Menopause

2. Systemic versus Vaginal Hormones

3. Estrogen Doesn't Cause Cancer

4. We gendered hormones and how this hurts women

5. Natural is a weapon waged to keep us in our place

6. Pellets and compounds are to be avoided if better options are available

7. You never need to stop hormones

8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease).

(bonus) I hate the word "balanced" when discussing hormones. Pro tip - people are probably just trying to sell you something.

Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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You Are Not Broken - 219. When Sex Hurts - With Dr. Krapf
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07/09/23 • 50 min

When Sex Hurts – Dr. Krapf

Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Tampa, FL

Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition.

Love Dr. Krapf? Check out my other episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch

Why write a 2nd edition of the book “When Sex Hurts”?

How common is pain with sex for women?

Often times with pain with sex there is a physical cause, but you can’t always see it.

Pelvic pain and pain with sex is very isolating and people feel very alone. People don’t know how to talk about it.

What happens after the pain is fixed.

What does “all in your head” mean and why people don’t like that.

“Those who perceive their partners as kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what! What is adaptive coping?

How to communicate your pain to your partner and your doctor.

What if you are a partner of someone with dyspareunia - - “best partner response is having a partner who engages in what researches call facilitative responses – affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.”

We talk about stress, sex and the gut – things like irritable bowel syndrome related to pain with sex?

The role of birth control pills and pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz (drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months- decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia.

The role of testosterone in pelvic pain – one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain perception

The difficulty in giving testosterone to women and the problem with pellets.

Recurrent Yeast Infections – Dr. Krapf helps us

Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health.

FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS

drinkag1.com/youarenotbroken

The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V

https://jillkrapfmd.com/

https://www.instagram.com/jillkrapfmd/

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

www.kellycaspersonmd.com/membership

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Learn more about your ad choices. Visit megaphone.fm/adchoices

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You Are Not Broken - 221. Genitourinary Syndrome Of Menopause 101
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07/23/23 • 56 min

Genitourinary Syndrome of Menopause 101. This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar. Why I care about women and sex and hormones The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise Genitourinary Syndrome of Menopause The types of bladder leakage and how estrogen can help The different types of estrogen – vaginal and systemic Why we need vaginal estrogen even when we are not sexually active Why I have a cream bias with vaginal estrogen, and other options. Vaginal estrogen will not help your hot flashes. Myths about who can and can’t use vaginal estrogen. Biologic changes of the skin of the vulva after menopause How the clitoris works. Scream Cream – what it is and does it work. Favorite lubes and I explain why I like what I like Gen X is the lowest users of vibrators in America There are many papers showing transdermal estrogen does not increase your clot risk above what it already is. I explain the Women’s Health Initiative study and how it hurt women by creating fear. Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications. Why not restore function instead of taking the side effects of the overactive bladder medications? When should you stop using your seatbelt, sunscreen and vaginal estrogen? Urinary tract infections put people in the hospital and kill them – this is not a hangnail. Can estrogen alone help all pain with sex? What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them. The role of androgens and testosterone in the genitals. ACOG Position Statement of using vaginal estrogen in breast cancer patients https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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Sex Med Advocate and ISSWSH President - Sue Goldstein

Sue Goldstein is an AASECT certified sexuality educator and certified clinical research coordinator. She serves as clinical research manager and program coordinator for San Diego Sexual Medicine

Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken

Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com

She is current president of ISSWSH (International Society for the Study of Women’s Sexual Health)

Her story of your career in sexual education and sex med.

Pain associated with oral contraceptives.

There should never be pain with sexual activity.

We pick apart “doing menopause naturally”

We discuss PGAD Persistent Genital Arousal Disorder and the role of education for people and providers. Language matters.

We talk about menopause and pain with sex after menopause.

Is low sex drive the “tip of the iceberg” for testosterone?

We discuss testosterone, SHBG and bioavailable testosterone and explain how this works.

What is a vajay-jay? The importance of using correct words for our anatomy.

Why we love ISSWSH.

Why Sue hates the concept that “women are complicated”

The combo platter of aging PIV intimacy – we need to approach both partners to address the issues.

Sue shares her experience with HSDD

We discuss the issue with delayed ejaculation.

“The educated woman is the empowered woman” – Sue Goldstein

https://www.isswsh.org/

ISSWSH’s Education website https://www.prosayla.com/

Book about vulvas: Petals by Nick Karras

Sue’s Book: When Sex Isn’t Good https://amzn.to/3OKyMMk

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

Listen to my Tedx Talk: Why we need adult sex ed

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

www.kellycaspersonmd.com/membership

--- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

Learn more about your ad choices. Visit megaphone.fm/adchoices

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FAQ

How many episodes does You Are Not Broken have?

You Are Not Broken currently has 291 episodes available.

What topics does You Are Not Broken cover?

The podcast is about Health & Fitness, Medicine and Podcasts.

What is the most popular episode on You Are Not Broken?

The episode title '200. Talking about Sex and Menopause Is An Act Of Rebellion – With Dr. Gilberg-Lenz' is the most popular.

What is the average episode length on You Are Not Broken?

The average episode length on You Are Not Broken is 39 minutes.

How often are episodes of You Are Not Broken released?

Episodes of You Are Not Broken are typically released every 7 days.

When was the first episode of You Are Not Broken?

The first episode of You Are Not Broken was released on Jan 1, 2020.

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