You Are Not Broken: Recent Episodes
KJ Casperson, MD
Empowering women (and the partners who love them) to live their best sex 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. Nothing in this podcast is personal medical advice, of course.
GOAT - Dr. Irwin Goldstein He is the director of San Diego Sexual Medicine. Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s. Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training. How do urologists not know who Irwin Goldstein is? He started out in men’s sexual health. Dr. Goldstein tells us his story. Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. He created ISSWSH. https://www.isswsh.org/ He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). Thoughts on DHEA vaginally. Women and Sildenafil – oral versus topical and his thoughts on arousal. Orgasm guidelines are coming!! The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in the USA Other drugs for orgasm The role of testosterone for orgasm issues Sexual side effects of birth control pills Depression side effects of birth control pills Testosterone in women! It is a thing! Estradiol in men – needed for bones and erections. We wrap up with discussing hard flaccid. A hypogastric nerve dysfunction. Any advice for me, for other physicians, for the women and their partners?
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Mojo and Empowerment with Deborah Kagan Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com Deborah Kagan helps women conquer self-doubt and indecision to step into their full power, love who they are and live a turned ON life. She tells us her inspiration and her story. How do we get women to thinking differently? Our bodies are energy and the concept of male and female energy. The four pillars of Deborah’s teaching about MOJO. What is Mojo and how is it different from libido? How do you know if you are disconnected from your body? We discuss masculine and feminine energy. We discuss our thoughts about the Barbie movie. Feeling feelings and using anger for us. We discuss your intuition, your gut intuition and where your mojo lives. We discuss pain and the role of Western medicine and the role of our energy and listening to our body and our relationship with our body. The Real Undressed Podcast: https://podcasts.apple.com/us/podcast/the-real-undressed-with-deborah-kagan/id1494643770 Order Undressed Now Find her on https://www.facebook.com/mojorecoveryspecialist Instagram (@deborahkagan) Twitter (@deborahkagan) Pinterest (/deborahkagan) and LinkedIn (/in/deborahkagan). And for all things mojolicious, check out www.deborah-kagan.com/blog
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Sexual Health is an Equality Issue! – AChat About Sex, Coaching and MenopauseThis 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 IssueThe clitoris doesn’t have a place in the traditional medical paradigm – Dr. WinterWe 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 46https://www.odelahealth.com/Did you get the You Are Not Broken BookYet? https://amzn.to/3p18DfKDid 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
Menopause and Hormones in the Modern Era AKA: Why the Boomers Should be Pissed
This is a lecture I gave for the Society of Women in Urology about hormones.
If you like this episode also check out number 197.
Genitourinary syndrome of menopause
Men at age 60 have more estrogen in their bodies then women
Why I don’t do a loading dose of vaginal estrogen.
The problem with the vaginal estrogen labeling by the FDA.
How the nation used estrogen prior to the Women’s Health Initiative Scare.
I explain why the WHI study was created and what question it was trying to answer.
Myth: you have to be a year without a period to be on hormones.
I break down the three concerns about progestin and breast cancer from the WHI
1) Was the placebo arm flawed
2) Was it the synthetic progestin and now we use bioidentical
3) Maybe progestin increases risk but it is small and perhaps benefits still outweigh risk as breast cancer is so curable and all the other benefits are worth the small increased risk
I discuss the “critical window” hypothesis and “healthy cell” hypothesis and why hormones are recommended to be started “early” in menopause which means less than ten years. Why I think the Boomers should be pissed.
Vaginal estrogen for all and get an okay from your
Best practices
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If you have a uterus, with systemic estrogen you need a progestin
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You can continue hormones for life as long as your benefit > risks
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Vaginal bleeding after menopause is never normal
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If there is an FDA approved product use it instead of compounded
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Checking hormones is often not necessary
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One size does not fit all
What about hormones for prevention? On a national level the answer is no. But everyone needs their own analysis.
National guidelines on how to give testosterone to women for low desire.
Hormones: are we being equitable to all genders in regards to hormones.
NAMS 2022 guidelines: According to NAMS, “the benefits of hormone therapy outweigh the risks for most healthy symptomatic women who are aged younger than 60 years and within 10 years of menopause onset.” For women with primary ovarian insufficiency and premature or early menopause who are at higher risk of bone loss, heart disease, and cognitive or affective disorders, “hormone therapy can be used until at least the mean age of menopause unless there is a contraindication to its use.”
Where is the black box warning on alcohol?
What about lasers for GSM?
Where are we on removing the FDA black box warning on vaginal estrogen?
My thoughts on online hormone companies.
Estrogen plays a role in the gut microbiome and may affect the risk of osteoporosis.
Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health.
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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
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August Podcast Live – the state of sex ed We are going to talk about Sex ed today in celebration of the Tex talk coming out!
https://femtechinsider.com/rescripted-sex-ed-report/
https://pleasurebetter.com/orgasm-statistics/
I answer a listener’s question about being stuck in a sexual script
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035379/
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
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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
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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
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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
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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
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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
The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V
https://jillkrapfmd.com/
https://www.instagram.com/jillkrapfmd/
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The Best Sex Ed You Never Had
We all got a sex education – it just wasn’t accurate.
My Sex Ed course is coming out this Month! Get on the email list to join when it opens.
This was a talk I gave to medical doctors for a residency program continuing education lecture.
Seasons of sexuality
Stress and sexuality
The importance of self-care in sexuality
Communication and sexuality
Sex as a skill that can be improved
Sexuality and gender equality
Stop Should-ing all over your sex life
If you got decent sex ed you were lucky
Sex is Complex – therefore so so interesting Biopsychosocial
Your sexuality is not a fixed asset
Orgasms are good for us
Your biggest sex organ is your brain
Night shifts wreak your sexual function – any gender
Sex is dopamine, and we have cheaper dopamine in our current society which competes with sex.
Defining heteronormativity
What Society tell us about sex (and is wrong about)
Pro tip: desire mismatch is normal
Pro tip: Why do you want to have sex? FEELINGS – list three
- If partnered: do you know theirs?
Orgasmic Inequality is real.
The Heteronormative Theory of Low Desire in Women Partnered with Men
How Freud messed us up in regards to sex.
Do you actually “fall out of love” or does your brain habituate and you are craving newness and dopamine?
Cognitive distractions are bag for good sex. Mindfulness and meditation can help.
How to improve sex as a skill
Relationship between sex and sexuality (sensuality) and ways to improve sex drive
How to have a balanced life, not put sexual health on the back burner
Stress effects on sexuality
Resources
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You are not broken book
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Becoming Cliterate
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Your body is not an apology
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Sex and Sexuality podcast
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How to find a sex therapist
o AAASECT.org
Take one action toward achieving a fulfilled life
Why does sex end when the male ejaculates?
The heteronormative definition of sex is not good for anybody.
What we make lubrication mean.
How does your pelvic know that it is sexy time? Remember brain and pelvic arousal.
Our lack of ability to communicate to our partner’s about why we want sex hurts us.
So many things about sex are aren’t actually about sex.
How to help post partum people and their partner’s understand what is happening after birthing a baby. The biologic and psychosocial component behind this
Even though we are not taught about sex, we are told things about sex all the time.
Women: men didn’t get any more sex ed than we did….we have to communicate our needs to them.
How to communicate about sex.
What does sensuality mean?
Don’t forget to desire things you already have.
What are your top three feelings you want to have during sex.
If you can’t turn off your frontal lobe you may have trouble with orgasms.
Challenge your limiting beliefs about sex.
Figure out your obstacles to a good sex life – now you have the pathway. The obstacles are the way.
Tips from people who have magnificent sex.
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This is my talk I gave at the 2023 Clitoris Summit
https://clitoris.io/summit2023
I discuss the bias that women’s sexual health is all in her head.
We can’t neglect the “bio” part of all bodies.
9% of urologists in the United States are female – which is about 1,000 surgeons.
Orgasms are good for us, but so often are considered “bonuses”
Don’t forget the “psychosocial” part of sexuality.
Clitoral Adhesions
Genitourinary Syndrome of Menopause
Persistent Genital Arousal Disorder
What to do about blunted orgasms? New guidelines on female orgasm coming soon!
Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off
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Adult Sexy Time Sucks – YouSeeLogic to the Rescue! Dr. Uchenna “UC” Ossai is a sex-positive pelvic health physical therapist, sexuality educator and counselor. YouSeeLogic is her platform that focuses on improving the sexual intelligence of adults through innovative content and honest discussion that is free of judgement. What was Dr. Ossai’s path to get here? What is intersectionality how does it affect people’s sexuality? What is Burbon talez? Why did you write: Sexy swagger a guide to reimagining your sex life So much of her work surrounds the role of confidence in one’s sexuality – She talks about this and gives us some top tips. Sexual stereotypes hurt all humans – we discuss some stereotypes we might not be aware of and how we can be better informed. Swagger Tip #99: Diversity and inclusion is basically the foundation of good sex. How to own your sexy – and confidence isn’t static. “Confidence is a process” – Dr. Uchenna Swagger Tip #103 : Take up more space. How to communicate with your partner about sex. What does being “erotic” mean? Embrace pleasure as the antidote to oppression! What ! bring us some news here! What is your definition of a good lover? https://www.instagram.com/youseelogic/ https://www.tiktok.com/@youseelogic https://youseelogic.com/ Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off https://myfirmtech.com/?sca_ref=3901627.saeQB3wieI 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
Dr. Elliott Justin – founder and CEO of Firmtech
Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off
FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. Award Winning Tech: Most Innovative Sex Toy (XBIZ); RunnerUp in Fitness & Health (CES Showstoppers)
Firm tech focuses on enjoyable sex for men of all ages, while empowering them to better understand their health and the impact of medications, supplements, personal habits, vices and exercise on their sexual wellness. We want to give you the data to make the best decisions for your sex health.
Dr. Justin started out as an emergency medicine doctor (treating ED - amazing story) – how he transitioned to sex tech and founded a company?
The number of nocturnal erections you have is a marker of vascular health.
The penis is the canary in the coal mine of vascular disease.
No one knows what is normal in terms of numbers of nocturnal erections for men as they age.
“cock killer” drugs for men – SSRI and hypertension drugs, recreational drugs
Is there a number of times a week a man should have sex to “use it or lose it”?
Alcohol has a profound effect on erections.
Dr. Justin explains venous leak syndrome of the penis and what causes it.
How this Firmtech device actually works.
What is coming in the future for clitoral wearables?
https://www.instagram.com/myfirmtech/
https://myfirmtech.com/ use code “NOTBROKEN” for 15% off
https://wefunder.com/firmtech
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Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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Member question: Lichen Sclerosis, decreased sensation and libido – I discuss two types of desire – spontaneous and responsive and three options pharmacologically for low desire.
A couple options for if you "want to want": testosterone, Addyi and Vyleesi.
Pneuma for penile girthiness - if you want to be a shower.
The Orgasm Gap - as written by men
Testosterone is not associated with increased cardiovascular risk and associated decreased risk of breast cancer.
P Agrawal and others, Testosterone Therapy in Females Is Not Associated with Increased Cardiovascular Risk – A US Claims Database Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.014, https://doi.org/10.1093/jsxmed/qdad060.014
Sexual Boredom in long term relationships contributes to low desire.
L De Oliveira and others, (055) Sexual Boredom and Sexual Desire in Men and Women in Long-term Relationships: A Latent Profile Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.053, https://doi.org/10.1093/jsxmed/qdad060.053
An obituary of Jaqueline Gold
Our Podcast Sponsor is Firmtech – use code “NOTBROKEN”
FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. https://myfirmtech.com/
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Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer
Dr. Corinne Menn is a board certifiedOBGYN and North American Menopause Society Certified Menopause Practitioner.
She has a special interest in areas oftenneglected in women's health: Perimenopause and menopause, the unique needs offemale cancer survivors and those at high risk for breast cancer.
Dr. Menn tells us her story ofbreast cancer dx at age 28, going through menopause three times and is now apro-hormone educator.
Dr. Menn discusses takingsystemic hormones and her journey and how it has changed her life.
Why are doctors and patients so afraid of hormones?
Doctors are so risk adverse – but let’s talk about the risks ofnot treating menopause.
The myth that estrogen causes cancer.
How Tamoxifen works.
Breast cancer nomenclature – estrogen positive – this doesn’t meanestrogen caused the cancer – we clarify.
The nuance of being overweight and risk of breast cancer.
The number one killer of women with history of breast cancer isheart disease.
Safety of systemic hormone replacement therapy in breast cancersurvivors
Article in Breast Cancer Research and Treatment · January 2022 –Dr Bluming
- "Twenty-five studies of HRT after a breast cancer diagnosis,published between 1980 and 2013, are discussed, as are the 20 reviews of thosestudies published between 1994 and 2021. Only 1 of the 25 studies, the HABITStrial, demonstrated an increased risk of recurrence, which was limited to localor contralateral, and not distant, recurrence. None of the studies, includingHABITS, reported increased breast cancer mortality associated with HRT. Even inthe HABITS trial, the absolute increase in the number of women who had arecurrence (localized only) associated with HRT administration was 22. It is onthe basis of these 22 patients that HRT, with its demonstrated benefits for somany aspects of women's health, is being denied to millions of breast cancersurvivors around the world."
The problem with the HABITS trial.
Why are we scaring women so much about breast cancer?
Who is the right breast cancer survivor to start hormones? A goodcandidate?
Are we overtreating with aromatase inhibitors?
Podcast partnership today: Always Discreet
https://www.instagram.com/alwaysdiscreet/
Bluming AZ. Hormone Replacement Therapy After Breast Cancer:It Is Time. Cancer J. 2022 May-Jun 01;28(3):183-190.
Young Survival Coalitionhttps://youngsurvival.org/
Vaginal Estrogenfor people with a history of breast cancer: 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
Dr. Menn is an Alloy Health Medical Advisor and Prescriberwww.myalloy.com
http://www.drmenn.com/
https://www.instagram.com/drmennobgyn
https://www.tiktok.com/@drmennobgyn
https://www.facebook.com/drmenn
I went to the 2023 American Urologic Association's National Conference. Here are some top takeaways and thoughts. So much on this week’s podcast! Low hormones in men and women — can increase risk for cardiovascular diseaseWomen have a decreased risk of heart attack and stroke when started on hormones in the safety window of menopause (first 10 years)The Traverse study paper coming out in two months - can’t wait!Testosterone is not a gendered hormoneAll bones need testosterone Women in early menopause should be on hormones at least until natural age of menopause to decrease risk of cardiovascular disease, osteoporosis (NAMS guidelines and this indication has FDA approval). Equality in healthcare Three new oral testosterone pills on the market for men, not for women We need to focus on brains and bones health in women just as much as we do for menTreat women the same in healthcareDid you know the UK is requiring doctors to talk to their patients at age 50 about menopause? Amazing! If hormones are so dangerous, why don’t we stop estrogen in trans women after the age of 50 - a thought exercise on how we think about giving hormones to all bodies - Is staying on hormones during menopause gender affirming care?Oral DHEA supplements — what’s the deal?Bulkamid — urethral filler for stress incontinence ECoin trainingProlapse repair in premenopausal women Should we offer it or no? Male infertility is associated with shorter life expectancy Marijuana affect spermUsing testosterone for maintenance of vaginal health Michael Pearlman balance scale of desire More about Addyi (filbanserin) Importance of elastin and collagen Very small percentage of women have cervical orgasms - but it matters. New technology that @mysteryvibe is releasing to help with period cramps
Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health - With Dr. KellyCasperson
This is an interview I did with LesleyMcShane for her podcast “Redesigning Midlife” and it was just such a goodinterview I asked her if I could share it again.
1.Basics: a. Menopause means it’s been one year and one day since your lastperiod. b. The average age of menopause is around 51. and c. for ten yearsprior to menopause, women go through peri-menopause, where hormones are doing areverse puberty.
- A lot of women stop or have pain during penetrative intercourse during thistime due to a decrease in natural lubricant and collagen, but this can beeasily treated.
3.Even if you don't have menopause symptoms, if you are over the age ofapproximately 51, you have gone through it.
4.The most sexually satisfied people aren’t young people, it is people in their50s, 60s, 70s.
5.Great sex is not a passive thing. It’s an active process, just like someonethat is physically fit. It has to be prioritized.
6.Use of lube increases your success of orgasm by 70-80%. Silicone based lube isbest because you don’t absorb it like you do the water based.
7.There is no “how long” should I use Vaginal Estrogen cream. The use of it islike using sunscreen or wearing a seat belt.
8.You don’t need a “sex drive”. We do things because they are awesome. Ifyou aren’t having awesome sex, don’t wonder why you don’t desire it.
9.We feel entitled to a spontaneous sex drive that has been sold to us by media.And when we don’t achieve that, we end up feeling broken.
10.Putting something in the vagina only leads to female orgasm 30% of the time sospecial focus need to be paid to the female body. Your largest sex organ isyour brain.
11.Don’t sit passively by waiting for spontaneous desire to happen. Get dressed upand go to the party even if you don’t think you want to. Chances are you’llhave a good time once you get there.
12.Control of stress and cortisol levels in our bodies will help us desire moreintimacy.
13.If there is a desire mis-match in your relationship, normalize it by talkingabout it.
14.Communication with our partner about menopausal symptoms and what we are goingthrough is important to our relationship.
15.Get educated on hormone replacement therapy as an option. When women startthinking about how they want to live as they get older and get educated, thenthey see how beneficial HRT could be for them.
16.Women between the age of 50-60 that are on hormone therapy live 3-4 yearslonger than women in the same age group not on hormone therapy.
17.For our young adult children that are starting their own sexual lives, thebiggest thing they need to know from the start is about consent.
18.They need to be aware of is orgasmic equality.
19.We have to educate our girls that pleasure is for everybody.
Lesley McShane's podcast: https://podcasts.apple.com/us/podcast/redesigning-midlife-workout-motivation-over-50-weight/id1549596974
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Better Sex ThroughMindfulness – Dr. Lori Brotto
Dr. Lori Brotto is apsychologist and Director, UBC Sexual Health Laboratory
Canada Research Chair in Women’sSexual Health Professor, Department of Obstetrics & Gynaecology, UBC ExecutiveDirector, Women’s Health Research Institute
“Sex is not just a deficiency in a hormone” – KJC
Dr. Brotto tells us how she started her sex research career bystudying rats.
Do stressed out rats want sex?
“Stress is antisexual” – Dr. Brotto
“So many people don’t even know that they are stressed.” - KJC
Dr. Casperson tells her story about finding mindfulness
How Dr. Brotto discovered mindfulness forhelping manage pain, anxiety, and desire
Mindfulness During sex.
How anxiety and depression affects oursexuality. And mindfulness can help!
We talk about medications for low desire inwomen. Filbanserin specifically.
Beliefs are key! We discuss the role of beliefs on our sexlife. Mindfulness helps us “see” our beliefs more.
Anorgasmia – how common it is and what is themost common cause.
How to suss out asexuality versus low desire.
Obligatory sex – how to navigate discrepantdesire.
The myth of penis and vagina sex and why itexcludes so many people.
Mindfulness for sexuality after prostate cancer.
The role of communication with your partner. Do they even want your erect penis?
https://www.loribrotto.com/
Better Sex Through Mindfulness https://amzn.to/42bchpj
Better Sex Through Mindfulness Workbook: https://amzn.to/42abTYc
https://www.instagram.com/drloribrotto/
https://www.cancersexnetwork.org/
https://www.drannekatz.com/
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
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“TheCervix is Dumb” and I Disagree – April Live
Giovannetti O, Tomalty D, Gilmore S, Pattison A, Komisaruk B,Goldstein S, Hannan J, Goldstein I, Pukall C, Adams MA. The contribution of thecervix to sexual response: an online survey study. J Sex Med. 2023 Jan14;20(1):49-56. doi: 10.1093/jsxmed/qdac010
Cochrane review on Cranberry for UTI
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub6/full
Kisspeptin is a protein thatis essential for reproductive hormone secretion and fertility
Male kisspeptin studyhttps://pubmed.ncbi.nlm.nih.gov/36735255/
SexualTipping Point
https://www.researchgate.net/publication/24001856_The_Sexual_Tipping_PointR_A_MindBody_Model_for_Sexual_Medicine
Oralversus Vaginal DHEA
VaginalDHEA is awesome – it is a prescription
DHEA oralis a supplement – over the counter
-DHEA oral safety - lack of efficacy good enough reason to not take it?
Dehydroepiandrosteronereplacement in women with adrenal insufficiency N Engl J Med 1999 Sep30;341(14):1013-20. doi:10.1056/NEJM199909303411401. 50mg oral for 4months – decreased HDL and total CholesterolConclusions: Dehydroepiandrosteroneimproves well-being and sexuality in women with adrenal insufficiency.
Double-blindtreatment of major depression with dehydroepiandrosterone Am J Psychiatry 1999Apr;156(4):646-9. doi: 10.1176/ajp.156.4.646.
Conclusions: Theseresults suggest that DHEA treatment may have significant antidepressant effectsin some patients with major depression. Further, larger-scale trials arewarranted.
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The Third time Dr. Haver is on my podcast!
The role of sleep, diet, exercise and body image on sex isreal.
Dr. Haver’s story – she shares her journey of stress, griefand menopause and how “workout more and eat less” wasn’t working for her.
How female body composition changes in peri and menopause
Diets may change hot flashes
Can you measure inflammation?
Fatty liver – goes up in menopause – treatable with dietchanges
Anti-inflammatory diet resource: arthritis.org
Supplements for peri/menopause
- Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA
Role of continuous glucose monitors
The loss of estrogen increases gut permeability – role ofgut microbiome in bone heath –
Tiktok: drmaryclaire
IG: https://www.instagram.com/thegalvestondiet
Website: https://galvestondiet.com/
The Galveston Diet Book: https://amzn.to/433AsGZ
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Better Sex Through Lifestyle Changes – Diet, Sleep, Hormones,Exercise – The Galveston Lifestyle
Try not to eat like shit.
The role of sleep, diet, exercise and body image on sex isreal.
Dr. Haver’s story – she shares her journey of stress, griefand menopause and how “workout more and eat less” wasn’t working for her.
How female body composition changes in peri and menopause
Diets may change hot flashes
Can you measure inflammation?
Fatty liver – goes up in menopause – treatable with dietchanges
Anti-inflammatory diet resource: arthritis.org
Supplements for peri/menopause
- Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA
Role of continuous glucose monitors
The loss of estrogen increases gut permeability – role ofgut microbiome in bone heath –
Tiktok: drmaryclaire
IG: https://www.instagram.com/thegalvestondiet
Website: https://galvestondiet.com/
The Galveston Diet Book: https://amzn.to/433AsGZ
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
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Emergency Department Care of the Menopausal Female
Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLADavid Geffen School of Medicine
Common things midlife women go to the ED for – irregular bleedingand prolapse
Heart attacks present differently in women than in men.
How to work up abnormal vaginal bleeding – questions to ask.
Do ED docs know how to do a pelvic exam?
Indications for a pelvic exam and optimal positioning
Recurrent UTIs, and estrogen possibly 1st line rx so somethingto keep in mind
Asymptomatic bacteruria - if doc says you have a UTI butyou have no UTI sx, question whether abx indicated, pending the urine culture
- change incognition in elderly human – don’t just treat for a UTI?
Elder abuse – what is it – when to suspect it?
Cardiac symptoms in perimenopause
Heart attacks present differently in women than in men.
“Sometimes a doctor’s job is to tell you what it isn’t” – workupsthat don’t show anything dangerous.
How to use a tennis ball to do myofascial release for muscle pain
The devastating effects of a hip fracture.
www.instagram.com/drpdyne
Pelleton: singerpam
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Increasing Penile Length, How Long Sex Lasts, and Urology YouTubeRockstar Rena Malik, MD
Dr. Malik is an associate professor of surgery in the Division ofUrology and director of Female Pelvic Medicine and Reconstructive Surgery atthe University of Maryland School of Medicine. She has published more than 60peer-reviewed articles and book chapters.
She has 1.48 Million YouTube subscribers
We go over her most popular videos – most of these questions are“am I normal” questions.
27M views – Scientifically proven ways to increase penile length
Why are men so obsessed with penis size and do women care?
11M views – How long does sex last on average?
10 M views - What exactly is the G spot?
9.4 M views – Can you masturbate too much?
8.9 M views – Can you increase your semen volume?
5.8 M views – Can ejaculating more frequently reduce risk forprostate cancer?
5.7 M views – How to increase testosterone naturally
5.2 M views – Explaining the difference between showers andgrowers
4.3 M views – Does prostate massage have any health benefits?
3.5 M views – Does science support “no nut November”?
Dr. Malik's Youtube: https://www.youtube.com/channel/UCV66hp0qxx2Xq273N0bo7uQ
https://www.instagram.com/renamalikmd
https://www.tiktok.com/@renamalikmd
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Here is the 2022 NAMS Hormone Therapy Position Statement!https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf1) For women aged younger than sixty years or who are within ten years of menopause onset and have no contra indications the benefit risk ratio is favorable for treatment of bother some vasomotor symptoms and prevention of bone loss for women who initiate hormone therapy more than ten years from menopause onset.2) We discuss safety3) We discuss decreased mortality in women 50-60 in the WHI trial.4) We discuss the absolute risk reduction for: all cause mortality, fracture, diabetes, and breast cancer in women aged younger than sixty years 5) Their statement on compounded and pelleted hormones6) Vasomotor symptoms are assoicated with diminished sleep quality and reduced quality of life7) Hormones for genitourinary syndrome of menopause8) We discuss cognition and weight gain9) The critical window or "healthy cell" hypothesisDid you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they arecreated and without advertisement and even listen live to the interviews andepisodes. www.kellycaspersonmd.com/membership
Joining me for the second time on the podcast is world renowned sex therapist, Dr. Marty Klein – Author and sex therapist to Silicon Valley.
If you want our first episode together check out Episode 169 – where we discuss his book “His porn her pain”
Today we are discussing his amazing book: “Sexual Intelligence: What we reallywant from sex and how to get it”. This book is 10 years old and still completely relevant. Andhe is still being interviewed about it!
What is sexual intelligence and why did it need to bewritten about?
“For a lot of people, sex is an opportunity to fail” – Dr.Marty Klein
How do you navigate when one partner wants something and theother doesn’t – oral during a period, PIV sex, kink?
What is your opinion about the “low desire” epidemic and themeds for low desire.
“Most people leave sex for when they are too tired to doanything else” – Dr. Marty Klein
“In a world that is filled with ice cream and Netflix….whywould anyone want sex?” – Dr. Marty Klein
You say in the book PIV has symbolic meaning for heteropeople – can you talk about why this limits us?
What to do when sex is boring?
What to do with a partner who won’t communicate about sex?Stonewalling?
26:13 Why Dr. Klein doesn’t like the term erectile dysfunction.
I’m not attracted to my partner any more – they gainedweight or are getting older – any help?
Tips for desire discrepancy. Communication and more touch.
https://www.martyklein.com/
Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF
Dr. Klein’s book: Sexual Intelligence https://amzn.to/3WLfYi0
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And get on the wait list for the upcoming "adult sex education master class"
Motives between the Sheets: Understanding Obligation for Sex at Midlife and Associations with Sexual and Relationship SatisfactionMonika Georgieva et al.· https://doi.org/10.1080/00224499.2022.2076278This study investigated reasons for sex at last sex, with a focus on obligation (an avoidance motivation) and doing something nice for a partner (an approach motivation), and their associations with sexual and relationship satisfaction, while controlling for marital duration, age, and sexual desire. We investigated these reasons among married, midlife Canadian women (n = 324), men (n = 275), and 25 non-binary/gender queer participants 40 to 59 years of age.Darling, Come Lay with Me or Talk with Me: Perceived Mattering and the Complementary Association between Sex and Communication within Marital RelationshipsHaeyoung Gideon Park et alhttps://doi.org/10.1080/00224499.2021.2018393Kovacevic, K., Tu, E., Raposo, S.*, Rosen, N. O., & Muise, A. (2023). Is spontaneous sex ideal? Beliefs and perceptions of spontaneous and planned sex and satisfaction in romantic relationships. Journal of Sex Research.Not enough early breast cancer survivors on Vag E. – Dr. Menn --------Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Oct 6;114(10):1347-1354. doi: 10.1093/jnci/djac112. PMID: 35854422; PMCID: PMC9552278.Member question:On the topic of pain with penetrative sex, what can go awry during the healing process from vaginal surgery for hysterectomy and prolapse repairs that might contribute to this?Pelvic floor therapy, lubricants, moisturizers, estrogen and dialators are the armenatarium used but what happens when they are used long term but there is still pain upon insertion even a year out from surgery?NAMS practice Pearl on Testosteronehttps://www.menopause.org/docs/default-source/professional/practice-pearl-testosterone_.pdfDid you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfKJoin 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
Dr Jaime Seeman aka Doctor Fit and Fabulous is a board certified OBGYN. She has a passion for fitness, preventative medicine and empowerment not only in her medical practice but in her own life. She has a podcast called The Fit and Fabulous Podcast with Dr Jaime Seeman and a book called Hard to Kill: Master the Mindset to Maximize Your Years
She was last here episode 148: march 2022: - I Want to Be Hard to Kill! - Mindwork with Dr. Jaime Seeman, MDWelcome back! What she has been up to since our last interview.The connection between sex, body image, feeling good, being strong and confidence.How to get a lot done.Finding non-sexual passion in your life.Confidence is built though action – body and intimacyWhy our internal language is so important.Muscle is the organ of longevity.Fat makes hormones – why low fat is bad.Helping hypothyroidism with diet.Red meat a more taboo topic than sex?Why do aging people need more protein?The role of collagen, and what supplements are okay?Why does alcohol make you easy to kill?Hard to Kill Manifestohttps://www.doctorfitandfabulous.com
Hard to Kill Book: https://amzn.to/3QiFGst
https://www.instagram.com/doctorfitandfabulous
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Justin Lehmiller, author of Tell Me What You Want: The Science of Sexual Desire and How it can help you improve your sex life. He is a social psychologist and a research fellow at the Kinsey Institute at Indiana University.Why research Fantasy?Should we normalize fantasy? So many people feel shame or like they are cheating.Are there hormones correlated with sexual fantasy?What are Americans Fantasizing about?Shame about fantasy – and who feels more ashamed.Our our fantasies actually truth and should we act on them?The difference between fantasy and desire.Just because you have a fantasy about a threesome – should you do it?Humans are poor predictors of future emotional states – Justin LehmillerWhat do people mean when they talk about “getting the spark” back. And is there a role for fantasy.Sex quality versus quantity.In his book Dr. Lehmiller talks about self disclosure and building trust….but it can seem fraught with backfire potential.Should you share your fantasy with you partner? How do you know if it is safe?Novelty – seems so simple but people have the same sex week in and out. Research shows couples who engage in the most acts of novelty tend to be the most sexually satisfied and the most successful at keeping the passion alive.The most common fantasy and the one that doesn’t work out well when done in real life – threesomes.Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life https://amzn.to/3ZkDW5KSex and psychology podcasthttps://podcasts.apple.com/us/podcast/sex-and-psychology-podcast/id1505460817Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfKJoin 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
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 Agehttps://amzn.to/3m5ZJzn
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Dr. Dubin is a fellowship-trained urologist and andrologist focusing on men’s health. He cares for men with fertility problems, sexual issues (erectile dysfunction, premature ejaculation, delayed ejaculation, etc.), Peyronie’s disease, low testosterone, testicular pain and other problems involving men’s genitalia.
He wants to help men understand that the issues they face are normal and help them find solutions that fit their lifestyle and life goals.
In addition to providing individualized patient care, he is also passionate about providing helpful information to the community. He co-hosts a podcast, “Man Up — A Doctor's Guide to Men’s Health,” in which he discuss various men’s health topics.
Why don't men go to the doctor?
Where do men get most of their sex ed from?
Figuring out the difference between erections, orgasm, ejaculation (and refractory time) and desire.
The five things you need to get a good erection.
The role of testosterone and libido and erections.
Taking testosterone can cause infertility in 60% of men.
Once you take Testosterone are you going to be on it forever?
When a man goes to the doctor for Viagra, should the doctor ask about the partner?
We need more people talking about intimacy without an erect penis.
And if you are comfortable - what to do when you penis doesn't work - I hear over and over about men being able to orgasm with a soft penis and I need some info on this! Are you the person? So many people think sex is over when the penis doesn't work and I need someone to tackle this difficult topic.
Dr. Dubin did a study looking at women getting blamed for their partner’s erectile dysfunction. 1 out of 7 women were blamed.
Tips for when your male partner doesn’t want to talk about intimate issues.
What is with products that make you make more semen?
What is with penis enlarging procedures?
Social media inaccuracies with men’s health – sperm retention!
Does ejaculating decrease prostate cancer?
Does vasectomy cause prostate cancer?
https://www.themanuppod.com/
https://www.instagram.com/themanuppod/
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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?
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Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones. It is a nice overview and I hope you enjoy it!
- The best way to get rid of fear is education
- Why the Women’s Health Initiative study took people off of hormones
- Understanding the Healthy Cell Hypothesis
- Repetition is the key to adult learning
- The top two reasons women stop having sex in perimenopause and menopause
- What we know about menopause hormone therapy in 2023
- The more educated you are, the more you can advocate for yourself
- By definition: menopause is one day - 366 days after your last natural period
- Average age of menopause in western society is 51
- Hormone therapy was popular in the 80’s and 90’s
- If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
- FDA approved indications for estrogen 1) preventing osteoporosis
2) treatment of vasomotor symptoms
3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
4) GSM - how did we get to the point where we thought estrogen caused cancer?
- what does hormone therapy help?
- the longer you go without estrogen, your arteries develop a fatty streak or plaque
- who can’t be on HRT
- who can be on HRT
- Best practices for hormone replacement therapy
- Non oral estrogen vs oral estrogen
- Unanswered questions we have about hormones
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Happy ONE MILLION DOWNLOADS!
So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it!
How can iIget my partner to have more sex with me?
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Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way.
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Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex.
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Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you.
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Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship.
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Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues.
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Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship.
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Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner.
It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy.
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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!
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Sex and Menopause
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Systemic versus Vaginal Hormones
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Estrogen Doesn't Cause Cancer
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We gendered hormones and how this hurts women
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Natural is a weapon waged to keep us in our place
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Pellets and compounds are to be avoided if better options are available
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You never need to stop hormones
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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
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Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast
Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report
They were on my podcast # 181 – sex talks with social media’s sex educators
Justin Dubin’s paper on Blaming women for erectile dysfunction
Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection
Sex toys in the middle east
Mindfulness with Female Sexual dysfunction
Clinical practice guidelines for use of T in Women
https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button
Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351
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I have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters"
https://amzn.to/3GaubA5
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Happy Third Birthday and New Year’s Resolutions
- Will hit 1 million in January!
New year’s wishes
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Male birth control
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Say no and have it be okay
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Vaginal E for everyone who wants it
o Good Rx
Estradiol 0.01% 42 G tube
o Amazon Pharmacy – 28.13
Interlude – get interlude
20 off your first order
- Decreased fear around estrogen
o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd
https://peterattiamd.com/caroltavris-avrumbluming/
2021 update from the authors
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:the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.”
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Desire mismatch is not a problem
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Orgasmic equality
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Hope is not a game plan
o Wishing your desire was different does nothing – it does worse than nothing
o Resisting reality, resisting what is
- Healthy relationship with your body
o Speak kindly
o Sleep, exercise, food
o Stop shoulding all over your body
- Healthy relationship with sex
o Stop shoulding
o Stop doing it for other people
o Be present
o It is okay to fail, to not feel like it
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https://www.getinterlude.com/?utm_source=affiliate&utm_campaign=promo-kc-notbroken
Happy December live podcast.
I talk about snake clitorises, human clitoris nerve endings, why the American Heart Association wants you to start hormones early, and sex has gone mainstream as the Economist talked about it!
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This is the audio of a lecture I gave to Urology and Gyn Residents in 2022.I know you are an advanced audience and can handle graduate level work! Enjoy!Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfKJoin 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/membershipOur podcast sponsor is BonafideBonafide products help women embrace the natural changes that occur throughout all phases of life.Discount code for 20% off:NOTBROKENSales link: https://hellobonafide.com/notbroken
Krista St-Germain is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too.
The brain love interpretation and drama.
Tell us your story of how you became a coach for widowed moms.
How to define grief – a natural response to perceived loss.
When sex is appropriate while grieving?
How does grief work?
Grief is not golf.
How to respond to someone experiencing grief.
“Feelings are not problems to solve” – Krysta St. Germain
8 myths about sex and grief
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You just want physical touch, not sex
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If you want sex again it means you didn’t love your person of loss
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The first year is the hardest/you shouldn’t have sex the first year
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If you don’t want sex there is something wrong with you
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You should wait for sex until you are done grieving
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If you want sex then you must be trying to escape your grief
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Escaping your grief is wrong
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You can have sex again until it is “the one”
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You aren’t ready to have sex until you don’t have strong emotions
Sex after a health diagnosis
https://www.instagram.com/lifecoachkrista/
coachingwithkrista.com
https://podcasts.apple.com/us/podcast/the-widowed-mom-podcast/id1468127632
https://www.facebook.com/coachingwithkrista/
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Discount code for 20% off:NOTBROKEN
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Meet Sylvie B – a sexological body worker in training!
Many people struggle in their intimate relationships, whether because of pain,
perceived dysfunction, loss of libido, mismatched libido and, most pervasively, shame. Many people have also experienced trauma, low self-esteem, and frustration over the limits to their pleasure.
Somatic sex education is about exploring our sexual challenges through breaking down the
autopilot and the worn out old patterns we rely on for whatever reason, which limit our erotic pleasure and full self-expression.
Good sex more than just the absence of pain.
Why do people come see a sexological body worker?
What is Somatic Sex Education and sexological bodywork?
Not many people are used to being asked how they would like to be touched. Some people get really frustrated because they realize they just don’t know. And that they have never looked too deeply into that. That can bring up feelings of guilt or shame.
Tips for squirting
How do you want to feel during sex?
Tips for tuning in to the very subtle frequency of what people actually desire.
What to do when people feel numb?
How do we emerge from shame and trauma?
How do we set and communicate boundaries as women in our relationships?
The pleasure of the soft cock – what to tell men with ED. What to do.
Let’s talk about this problem – middle age pelvis – menopause versus viagra
Find Out More
https://somaticsexeducator.com/
https://www.instagram.com/s3xandsensibility/
https://mysexandsensibility.com/
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Discount code for 20% off:NOTBROKEN
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Dr. Becky Lynn is back! Previous on Episode #44 and #43 where we talked about vaginismus and endometriosis and sex after breast cancer (44) and hormones (43). So check them out!
She is the founder of Evora Women’s Health in Missouri
Dr. Lynn recently authored the paper: Low Sexual Desire in Breast Cancer Survivors and Patients: A Review
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Sexual dysfunction is 30-100% of women with breast cancer. And low desire is 5-87%
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What happens when we do surgery on the breasts
o Does it matter if we had radical mastectomy versus lumpectomy, with or without reconstruction?
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Role of Chemotherapy on sexual function
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Role of anti-estrogen meds on sexual function
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Role of couples therapy
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Data on vaginal moisturizers on sexual function
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Role and safety of vaginal estrogen after breast cancer treatment – ACOG statement paper
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Trial of Bupropion – open study shows improvement – randomized controlled trial versus placebo pending
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Role of vaginal testosterone cream in pts on Aromatase Inhibitors – lowers estrogen in the body
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There is a study looking at intravaginal DHEA on sexual function in breast cancer
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Abstract at ISSWSH on Addyi (filbanserin) in breast cancer population
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Role of hormones after breast cancer
Dr. Lynn is a proponent of medical marijuana for better sex 34% OF WOMEN WHO REPORTED USING MARIJUANA BEFORE SEXUAL ACTIVITY SAID IT INCREASED THEIR SEX DRIVE, IMPROVED ORGASM, AND DECREASED PAIN.Luo F, Link M, Grabenhorst C, Lynn B. Low Sexual Desire in Breast Cancer Survivors and Patients: A Review. Sex Med Rev. 2022 Jul;10(3):367-375.
website: https://evorawomen.com/
FB/IG @evorawomenshealth
TikTok: @dr.beckylynn
FB/IG Becky Kaufman Lynn, MD
YouTube: search Dr. Becky Lynn
YouTube: search Evora Women's Health
Twitter: @Becky Lynn
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The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/jWTmnn
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
Dr. Carrie Leff is a practicing Internist and Pediatrician in Michigan. She is passionate about Adolescent and Women's health. Dr. Leff is on a mission to educate teens about their bodies and to help parents become more comfortable with difficult conversations with their kids. She is the mother of 3 daughters, a professional multi-tasker and a believer in the power of women.
Dr. Leff co-wrote Celebrate Your Body 2: The Ultimate Puberty Book for Preteen and Teen Girls in 2019. It is a #1 Best seller in in Teen & Young Adult Health Books on Sexuality & Pregnancy on Amazon.
We met at the ISSWSH conference March 2022 in Texas – we were both giving lectures.
“Mommy, I feel like you wrote this book just for me” – Dr. Leff’s daughter
Why she wrote this book and created a program about puberty?
How puberty is like menopause.
She discusses when puberty starts and what first signs are.
What does an all-American puberty education in a public school look like?
“Talking to your kids should be 30 one minute conversations, not one 30 minute conversation” – Dr. Leff
“Our kids aren’t connecting puberty and sex unless we make that connection for them” – Dr. Leff
If you can’t/won’t discuss puberty with your kids then you are teaching them that you aren’t a resource for this information.
I love how you call private parts “personal parts” – why is this important?
So many middle aged women have body shame – when does this start?
How she found out her book was banned.
Consent – example of trying a shirt on at a store - - so important – many middle age women don’t practice consent.
How to close the orgasm gap by 2040 – her plan
A golden question, “how will you know you are ready to have sex?”
Moms buying teens their first vibrators – thoughts and her experience
You didn’t bring up birth control – when to bring it up, how to bring it up, resources for adults.
You wrote an op-ed for the Washington post about your book getting banned: “Some parents believe that telling children the truth about sex and our bodies will spoil their innocence. But innocence and ignorance are not the same.”
Celebrate Your Body 2 Book: https://amzn.to/3dLZzc7
https://turningteen.com/
https://www.instagram.com/drcarrieleff/
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Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
So Many good topics in the November Live Podcast!
USPSTF opinion on hormones for primary prevention of disease.
https://jamanetwork.com/journals/jama/fullarticle/2797867
Worrying what other people think - vagina and penis broken in older dating
Clitoris has 10k nerve endings
What Kaiser says about having sex - and is it accurate?
We need more research before we tell women they "should" have sex to prevent atrophy - it is just misinformation at this time.
The brain is the biggest sex organ! And the role of "sex negativity" on your sex life.
Dr. Rubin’s NY Times article!
My book is now on Audible!
And Q&A
· Can you talk about IC?
· What are other options for testosterone? This is the first time I’m hearing that pellets are harmful. I’ve done two rounds of HRT and getting ready for my third. Although to be honest not completely happy with the testosterone pellet as it is elevated at the beginning and begins to drop off after a couple weeks.
· What are your thoughts on getting an ablation to stop my period? I’m 50 and went back on the pill to regulate my period, but it’s suppressing everything else!
· Can you discuss whether surgery before or after menopause is advisable for prolapse?
· We aren’t talking enough about female hormones and their impact on mood. PMS, PMDD etc. It's a roller coaster every month and I have no doubt it has some serious implications for some.
· I am wondering about peri menopause- I am 44 and still on birth control pills- I have been listening a lot about your suggestions to take a low dose estrogen to keep everything in good aging health during menopause, is it ok to do this while still on the pill?
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Religion and Sex – Can They Be Bedfellows?
Today we discuss the Muslim culture, sex, and vaginismus with Dr. Sadaf Lodhi, OBGyn and sex coach for Muslim women.
She is host of the Muslim Sex Podcast – we discuss her origin story
Religion can have a profound effect on one’s sex life/sexuality.
Islam is a sex positive religion. When the Muslim countries were colonized they tended to become more puritanical.
Islam discusses sex within the context of marriage.
Many times women experience shame and people don’t talk about women’s pleasure.
Common things Dr. Lodhi sees women coming to her with:
Seeing sex as a duty
Low libido
Beliefs like sex is dirty or sex will be painful
One of her most important things she likes to do is empower women through education.
Women get pressure from their partner and an expectation that it is a duty. And they are failing them and God.
Vaginismus – the involuntary contraction of the muscles surrounding the lower 1/3rd of the vagina.
1/3rd of Muslim culture may struggle with vaginismus.
The role of mindfulness in helping vaginismus and low desire.
“People make putting something in the vagina a big freaking deal” – Dr. C.
The role of PT in treating vaginismus.
There are no FDA approved medications for vaginismus.
Dr. Lodhi shares a huge win with us.
It is not about the number of times of sex a week.
The role of the scholars and the males in helping women feel sex positive.
Follow her on Social Media:
Muslim Sex Podcast
www.drsadaf.com
Facebook: @DrSadafobgyn
Instagram: @DrSadafobgyn
TikTok: @DrSadafobgyn
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Discount code for 20% off:NOTBROKEN
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A rundown of my time in NYC, moderating a Sex Ed panel for "the New Pause" symposium hosted by Stripes and The Swell.
https://theswell.com
https://iamstripes.com
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Vanessa’s a licensed psychotherapist with 20 years of experience in the sex therapy field. Xander’s a regular dude who’s been married to a sex therapist for over a decade
Their hot take on desire.
Their top three causes of low libido that they see
1) Painful sex
2) Unpleasurable sex
3) Relationship issues
“Our libido gets affected by everything in our lives” – Vanessa Marin
“Is my life actually supporting my libido?” – Vanessa Marin
Let’s talk about initiation – tips, couples get stuck in old scripts that stop working as relationships change
“You get rejected once and you think you are unlovable” – Dr. Casperson
“initiation should feel like an invitation” – Vanessa
“Initiation takes a large amount of vulnerability” – Vanessa
“There are a lot of unhealthy gender dynamics that come up with initiation” – Xander Marin
According to their online poll, only 2% of breast owners like the “boob honk” as a way to initiate sex.
Spouses who avoid talking about sex – they are writing a book!
What to do when a partner stonewalls the conversation – don’t start with the problems.
Connected to feel like sex or sex to feel connected – often one of each in a partnership
At what point should couples consider bringing in a therapist?
How to find out how much sex is “right” for someone’s relationship
Woman says – he doesn’t care about my pleasure – what to do?
Vibrator envy – help for the woman when the partner doesn’t understand and being able to advocate for your pleasure.
Consent and the problem of “I just do it for him”
Avoiding sex because of erectile dysfunction. They help us trouble shoot.
2023 new book! Sex Talks: The 5 Conversations That Will Transform Your Love Life Hardcover – February 7, 2023 https://www.instagram.com/vanessamarintherapy/
https://vmtherapy.com
https://podcasts.apple.com/us/podcast/pillow-talks/id1569466131?i=1000577319619
Sex Talks Book: Pre-Order - https://amzn.to/3CR8OT9
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Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
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Listen to this very deep and vulnerable conversation I had with my friend Dr. Kathy Zhang on her podcast, The Purpose Filter. There are so many aspects to living a life of fulfillment, but what if there was one area of your life you could improve that would spill over into all others? Sounds like a bit of a life hack. Well, it is, and we want to share it with you on today’s episode. Is your sex life fulfilling, or are you just going through the motions? The empowerment you get from knowing what you want in the bedroom and being able to speak up and ask for it, or the ability to say no, when no means no, is a crucial element to all aspects of your life. If you can stand up for yourself in these very vulnerable and intimate situations, the empowerment that happens outside of the bedroom will come naturally. This all starts with you and your willingness to make a decision to uplevel your life and stop living on autopilot. “Should we care about the people who are sleeping with the people we are giving Viagra to?” “My husband died so now I need to take care of myself”. “It is easy to be average” “She just wants the damn thing to end – which is another reason that women fake orgasm” On faking orgasms - “He thinks it is the end of the party and you were never at the party.” “You can’t just give somebody desire. It is an inside job” “I think working on your sex life is the final frontier of personal growth.” “Everything you do to have a better sex life spills over to other aspects of your life” “What if my whole purpose in life is to tell people to use vaginal estrogen cream?” Tune in to hear how you can create more joy and abundance in your life! Topics discussed in this episode: • Dr. Casperson’s experience in a largely male dominated field • What is it like becoming the first doctor in the family • Bad advice Dr. Casperson received when she was becoming a doctor • Giving yourself permission to step into your power • Why your voice is important and unique • What was Dr. Casperson’s turning point to change the way she lived her life • Applying dying lessons now while we are living • Why women feel their pleasure and themselves are not a priority • How to move past shame and guilt surrounding sex and beyond • Going from being pulled along for the ride to getting into the driver seat • How young people should re-frame purpose • Sharing the gift of awareness and presence Connect with Dr. Kathy Zhang on Intagram https://www.instagram.com/purposefilter/ And on her website: https://luyikathyzhang.com/ 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
Meet Glen Lovelace! I love his generosity toward helping men in relationships and his masculine energy on this podcast! He shares his story from desperate (even suicidal) plans to living a life of helping others live their best relationships.
When women learn about their sexuality and get empowered, often they feel stuck because of a spouse who they fear is not open to change. I wanted to bring on someone who literally deals with this as his job. Glen helps men who's wives have been transformed in one way or another, usually by coaching education.
Glenn Lovelace is the wingman for men whose wives have transformed from coaching. He is a certified coach through the life coach school. Glenn has coached over 3,000 clients 1 on 1 since 2008.
His transformation started with bodybuilding after being in a very low place in his life. He decided he needed to prioritize himself to be the best spouse and father he could be.
"It’s okay to be uncomfortable."
How to “gently” change your partner (and remember you can’t change anyone who doesn’t want to be changed).
1) Show them how you have changed
2) Bring in a third party influencer
3) Learn how to speak the same language
4) Always remember you two are on the same team
Roomate Syndrome – just existing together and losing touch why you love and are attracted to each other.
If one person does their work, the marriage can get better.
Your spouse is just there to love.
Can couples start speaking the same language? Glen says yes!
Intimacy not in the bedroom is important!
Wanting your spouse to change for you to be happy is a toxic plan.
Happy Wife Happy Life - it’s a lie and Glen explains how it wasn’t good for him.
Each person is in charge of their own pleasure.
Don’t assume what is needed in a situation - - Ask
How to be a man worth desiring? Start dating and desiring your wife. Approach her how she wants to be approached. Date every week. Keep your commitments.
There are seasons to your sexuality.
Foundations of trust in a relationship
- Security, trust, safety, stability
The trouble with saying “divorce isn’t an option”
Talk about your religion – what does your religion say about sex and marriage and how have you navigated any challenges?
“Progress Creates Happiness” – Glen Lovelace
https://glennlovelace.com/
https://www.instagram.com/itsyourwingman
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September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More
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Reassuring data on Estrogen and breast cancer
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social media is associated with sex dysfunction
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define erotica, why are we so scared of this word?
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Why couples don’t have sex – thanks for the inspo www.instagram.com/yourdiagnonsense
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top feelings in your fantasies
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the more you focus on these the more you will enjoy sex, and the farther you get away - and if you aren’t getting these fulfilled, the more breaks you have on. And does society agree with your core feelings? It matters.
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Danish observational study on HT after BCa
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What can I learn from boredom?
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MHT and cholesterol changes
Reassuring data regarding the use of hormone therapy at menopause and risk of breast cancer Pinkerton, JoAnn V.; Wilson, Carolyn S.; Kaunitz, Andrew M. Menopause. 29(9):1001-1004, September 2022.
Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Jul 20:djac112. doi: 10.1093/jnci/djac112.
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
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Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
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A mindwork episode!
Dr. Ubell is one of the first physician life coaches!
She gained and lost the same 40 lbs at least 10 times since puberty and now helps women become a team with their body and stop obsessing over food using the power of mindwork.
She reached out to me to be on the podcast and at first I didn’t know how to connect the dots besides life coaching. I have a podcast episode called “sex while fat” – we are okay at any size. I was worried she just wanted to talk about losing weight.
So I said Okay if we can talk about how mind work in her arena can also relate to a positive body image and sex life.
Like my older episodes talking about money and sex – these topics are more related than we think because of our thoughts about them.
“I am interested in people stopping hating themselves” – Dr. Ubell
What is diet culture?
The concept of mutual respect between you and your body.
Can weight loss goals exist with body positivity?
Shame is useless.
“I haven’t had success so there must be something wrong with me” Dr. Ubell
Why do we get numb or disconnected from our bodies?
Over eating as a trauma response – sexual assault or childhood trauma – I got big to not feel or too attractive.
Changing one’s identity requires changing our thoughts.
Menopause and weight gain/loss – watch what you believe about this.
Acceptance of our bodies as we get older.
Entitlement thoughts! I feel so seen! I am entitled to my latte!
How to stop invalidating your emotions
Relationship with yourself and thoughts about yourself are important for both weight loss and sexuality.
Get her book here! https://amzn.to/3AYTwtU
https://katrinaubellmd.com/
https://www.facebook.com/katrinaubellmd/
https://www.instagram.com/coachkatrinaubellmd/
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Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
This was a Book Club I did with Dr. Rachel Rubin and Andrea Martin, NP last week.
Free first chapter on the website www.kellycaspersonmd.com
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Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken
Dr. Soum Rakshit is the Co-Founder & CEO of award-winning sexual health company, MysteryVibe. Their mission is to make sexual health accessible to all – across all ages, genders & orientations.
From his research & experiences over the past 2 decades, Soumyadip deeply understands that a major challenge in most people’s lives is keeping the ‘mystery’ alive in a long term relationship. This is especially the case after major life events like childbirth, menopause, cancer treatment or surgery.
That’s why he decided to combine his defense electronics expertise with medical experts to create devices that address major sexual health issues like ED, dryness & pain during intercourse. At the same time, working closely with sexual health experts, his team has been at the forefront of researching & developing content that act as catalysts for people to start much-needed conversations to reignite their sex life.
How did you get into sex toys?
How he told his parents he went into a sex toy company.
Only 1 in 4 people will see a doctor for their intimacy issues.
“Pleasure is seen as a vice”
Main barrier to selling sex toys when all social media bans sex.
How does vibratory therapy work?
Sexual health and how it is often overlooked when it comes to pre- and postmenopausal women.
Are sex toys getting too complicated? What to do?
How to maintain a sense of mystery in a long-term relationship.
Advice for women in bringing a vibrator into the bedroom with a partner.
https://mysteryvibe.com/
Rullo JE, Lorenz T, Ziegelmann MJ, Meihofer L, Herbenick D, Faubion SS. Genital vibration for sexual function and enhancement: best practice recommendations for choosing and safely using a vibrator. Sex Relation Ther. 2018;33(3):275-285. doi: 10.1080/14681994.2017.1419558. Epub 2018 Jan 4.
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First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy!
-
The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers
-
𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price
- 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO.
- 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time.
- 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks.
- 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis.
- 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory.
Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558.
www.winkwinkboutique.com
Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration.
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Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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Vaginal Lasers
How a male can introduce my book to his female partner
Unopposed Estrogen can cause harm
Q&A from listeners:
Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations?
I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions?
I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly?
I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right.
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Vulvar Itch – What could it be? With Dr. Jill Krapf So lucky to catch Dr. Krapf in her car (sorry for the spotty audio but too good to not share) for this live Q&A we did for my membership - but as you know Car audio isn't perfect - I still think it is worth the share! 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 What can the vulvar itch be? Why is it worse at night? Does low estrogen increase risk of itch? Dr. Jill Krapf discusses Lichen Simplex Chronicus Does a bidet help? Embedded Vulvar yeast Lichen Sclerosis in premenopausal women Flares are real Krapf JM, Smith AB, Cigna ST, Goldstein AT. Presenting Symptoms and Diagnosis of Vulvar Lichen Sclerosus in Premenopausal Women: A Cross-Sectional Study. J Low Genit Tract Dis. 2022 Jul 1;26(3):271-275. https://pubmed.ncbi.nlm.nih.gov/35533256/ https://jillkrapfmd.com/ https://www.instagram.com/jillkrapfmd/ I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs.
Vaginal Estrogen Show And Tell
Watch on YouTube: https://youtu.be/eAgTp1dt4W4
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Is vaginal estrogen the same as menopause hormone therapy.
Do you need to use a progestin if you use a vaginal estrogen cream?
What is the risk of breast cancer with vaginal estrogen?
I am a doctor but likely not your doctor – this is for entertainment and educational purposes only – consult your personal physician for your unique needs.
July Live podcast – Mindfulness, blood in urine, and hormone Q&A
I quote from this book: https://amzn.to/3JhCfie
Better Sex Through Mindfulness by Lori Brotto
I talk about mindfulness
What is Hematuria?
Hormone Q&A
1) Breast Cancer and Hormones – Are Any Okay? I've been having issue getting sexually aroused and having an orgasm.
2) My mom is 79 with osteoporosis, she stopped her hormone therapy 20 years ago. Can she restart?
3) I’m going to talk to my doctor about HRT… I’ve been having hot flashes so bad! It’s awful! I’m wondering what exactly I should ask for?
4) What risks do oral estrogen have?
5) Thoughts about Premarin?
See you in the membership! www.kellycaspersonmd.com/membership
Dr. Marty Klein has been a Licensed Marriage & Family Therapist and Certified Sex Therapist for over 35 years. He has focused his entire career toward a single set of goals: telling the truth about sexuality, helping people feel sexually adequate & powerful, and supporting the healthy sexual & intimate expression and exploration of women & men. He practices in Palo Alto.
He has written 7 books, translated into 11 languages and has given over 1,000 lectures.
Why are people so against porn? Or why not be against porn?
The Ice Cream/Broccoli hypothesis
‘When people have low desire for lousy sex, that is not surprising” – Dr. Klein
Should we worry about porn dehumanizing women?
What is the number one fantasy by women?
Should you actually live our your sexual fantasies?
“Sexual fantasies do not have meaning” – Dr. Marty Klein
Porn addiction – define?
What about porn users who aren’t functionally sexually at home?
Is porn infidelity? What about sexting someone else? Only Fans?
Talk about the power struggles couples get in and think it is about porn
“The ultimate issue in many couples in conflict about pornography is the decline or disappearance of their once enjoyable sex life. While it is common to say that the porn user is selfish and rejecting of their partners, a lot of porn use is actually a desperate attempt to stay in a sexually unfulfilling couple.”
What to do if no longer attracted to your spouse? How is this not porn’s fault if it makes you get off to perfect bodies?
“Desire in middle age does not feel like desire at 23 years old” – Dr. Marty Klein
What he wishes women knew about their male partner’s porn.
What would you like to tell the men?
Why are there not enough sex therapists and what should I do about it?
https://www.martyklein.com/
Dr. Klein’s book: His Porn, Her Pain https://amzn.to/3IYvIsF
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
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Dr. Liz O’Riordan - – a breast surgeon with breast cancer. Her mission is to help cancer patients cope with life outside the hospital by showing health care professionals that it’s the little things that matter. She co-wrote ‘The Complete Guide to Breast Cancer: How to Feel Empowered and Take Control’, to help patients and their families as they go through treatment. She tells us her story. What do you wish people knew about breast cancer? Let’s talk about controllable risk factors for breast cancer – Alcohol and adiposity Give us some frank advice about sex and relationships How to cope with the emotional burden of breast cancer Let’s talk about self image The role of weight lifting and exercise How can the partners help? How does the sexual role change when care giving roles change? Talk about the collateral damage of breast cancer treatment could be thanks to an instant menopause and chronic pain. Vaginal atrophy on Anastrazole and Tamoxifen and chemo – options ACOG statement on use of Vag E in breast cancer pts. The Complete Guide to Breast Cancer: How to Feel empowered and take control https://amzn.to/37E1woz https://liz.oriordan.co.uk/ https://podcasts.apple.com/gb/podcast/don-t-ignore-the-elephant/id1588554895 https://www.instagram.com/oriordanliz/
She started with Slate Pharmaceuticals, which redefined long acting testosterone treatment for men then moved to Sprout Pharmaceuticals which broke through with the first ever FDA-approved drug for low sexual desire in women — dubbed “female Viagra” by the media. After selling the company for $1B in 2015, she successfully fought to get the drug back and launch it on her own terms. Meet Cindy Eckert! Addyi - Filbanserin - The first FDA approved medication to treat the condition Hypoactive (low) Sexual Desire Disorder (HSDD), characterized as frustrating low libido, is the most common form of sexual dysfunction in premenopausal women. Though not fully understood, HSDD is believed to be caused by an imbalance of chemicals in the brain. Are we limiting women by “protecting them”? How did Addyi come into her life? Data on Addyi and breast cancer is coming out! Prescription versus supplements and what is “natural”? You make it look glam – but is it a slog? She wants to make 1 Billion of wealth for women! “Success comes from courage” – Cindy Eckert. https://addyi.com https://thepinkceiling.com https://www.instagram.com/cindypinkceo/ https://www.youtube.com/watch?v=DyuSZ80-kZI Love these interviews? Want to join them live with me? https://www.kellycaspersonmd.com/membership Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken
Ask the sexperts and get CME! Link for this below!
The premium membership is up! Want to take this work deeper and really understand yourself and your sexual life? Coaching changes peoples lives, come learn how it can help you.
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For US residents, get a free signed copy of the #1 Amazon bestseller: “You Are Not Broken: Stop Should-ing All Over Your Sex Life” when you sign up for the membership in July.
Today's podcast is audio from a panel I was on this year at Western Washington University with my good friend and owner of a sex positive store Wink-Wink Boutique, https://winkwinkboutique.com Jenn Mason and her team!
What do you wish people knew more? Women are not just small men.
What to do if you get triggered with your intimate activities?
Defining Spontaneous and responsive desire – the difference.
Increasing desire in long term relationship
Don’t confuse spontaneous desire with love.
What is a sex coach?
How to balance sexytime with life.
What is squirting?
OMGyes.com
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Discount code for 20% off:NOTBROKEN
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The book is out! $2.99 the first week on Amazon! https://amzn.to/3xeUpLK
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Join the private podcast group coaching premium membership!
50% off the first month if you join before July1st. And a free signed paperback copy sent to you if you sign up before July 31st (US residents only).
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· Can you talk about the Dutch test? - but your feelings on an accuracy, what kind of information does it give ,better than lab test ? pros cons
· So bioidentical hormones are going to be banned?
· Do you know if there are any interactions between estradiol vaginal cream and clobetasol?
· I have an underlying feeling of shame which surfaces from childhood.
· I am 62 years old using vaginal hormonal cream. It does help with lubrication and desire. But I can not reach orgasm. No matter how long and hard we tried. Help please.
· Can you talk about UTIs, antibiotics, and thrush? Why do so many women get UTIs, why do they get worse with menopause, and how can we prevent/manage them?
· I had a terrible reaction to adding estrogen cream
· I have been suffering from postcoital urethral syndrome according to my physician. Is there any definite treatment for it??
· I received a hormone pellet( estrogen and testosterone) and started oral progesterone (oral, once daily). About 4 weeks after I started bleeding for the first time in 1.5yrs (I am post menopausal). I have been bleeding (like a normal period amount) for about 10 days. Is this common?
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The book comes out June 28th! https://amzn.to/3A447Up I read the intro! Free signed paperback when you sign up to the premium podcast group coaching membership through July! www.kellycaspersonmd.com/membership The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/gDWMk5
A company sent me a list of questions for me to answer for their blog. So I thought I would record it and share it with you. Hope you enjoy!
How would you introduce yourself to a brand new patient?
What is the best piece of advice you’ve ever received?
What is your personal mission with your practice?
How did you develop an interest in urology?
What’s the biggest challenge you’ve faced in your practice?
What is something most women don’t know about their sexual wellness that you want to share?
How do sexual wellness and urology relate to each other?
Have you always focused on the connection between emotional/relationship health and physical health? How did that become a part of your practice?
What inspired you to start the You Are Not Broken podcast?
What have you learned about your medical practice through starting your podcast?
What has your You Are Not Broken audience taught you?
What episode from You Are Not Broken would you recommend to a new listener?
What inspired you to write the You Are Not Broken book?
Sign up for the private podcast/group coaching membership! Starts July 1st.
Anyone who signs up the first month gets a signed copy of my new book: You Are Not Broken: Stop “Shoulding” All Over Your Sex Life.
www.kellycaspersonmd.com
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
Pre-order the book: You Are Not Broken: Stop Should-ing All Over You Sex Life
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Get on the email list to be the first to join the premium podcast membership at www.kellycaspersonmd.com
Anyone who signs up in July gets a signed copy of the book, and the membership is limited to 300 people!
Laurie McCracken is back again!
144 podcast was for her intro and her story. You should listen to it.
What is tantra? It is a spiritual path.
The view that orgasm is profoundly healing.
What is sex for the average person and how does tantra view it differently?
Tantra is feeling safe in your own body.
Trauma is stuck energy.
How she incorporates Tantric techniques into her daily life.
How do you view orgasm now?
What to do when you feel numb?
What is yoni emancipation and somatic healing?
Tantric weekend or where to start?
What does she want to tell people who are resisting things like this?
https://lauriemccracken.com/
https://www.authentictantra.com/
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/V8bSEK
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
Amanda Nayfield joins us again. Her first episode was #14
She is a pelvic floor physical therapist and she helps us with common things I see in my office
“I just need to put something in my vagina”
We discuss the fear, the anxiety, the underlying low desire, and the lack of education tied up in this sentence
Eating ice cream for your dopamine is way easier than working on good sex.
The clitoris is not self lubricating.
How to put things in your vagina after years of not doing that
Dilation tips and tricks
Questions about Kegels – a physical therapists opinion.
Muscles need to contract, release, and lengthen
What to do proactively as I enter menopause?
Bowel and bladder health as we age – tips and tricks
Cervical pain during intercourse – we ask a PT
We discuss prolapse – it is NEVER the bladder’s fault.
We discuss upregulation and central sensitivity and the role of fear.
We discuss pessaries.
https://www.connectnwpt.com/
https://www.instagram.com/connectnwpt/
Reclaiming Desire by Barry and Emily McCarthy https://amzn.to/3xiz2dS
Mating in Captivity by Esther Perel https://amzn.to/3xiz2dS
Dilators recommended: Intimate Rose https://amzn.to/3xeQRun
Kegel products – Elvie https://www.elvie.comand Kgoal https://amzn.to/3McHijS
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/igh70E
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
Layla London of “The Curious Girl Diary” joins us and tells us her sexual awakening story.
Her focus has been to make my sex life a priority and help us as well.
She has been normalizing sex as a valuable part of who we are, exploring all our sexual desires, and for some completely resurrecting that side of ourselves we’ve almost let die out.
She went 3.5 years without sex – then what happened?
How do women get turned on and play an active role in enjoying sex?
How to talk to your partner about your interest in sexual awakening.
The role of vulnerability and rejection in changing your sex life.
So many women want to want sex for their partner – thoughts?
30 day masturbation challenge and what it did for her.
What about women who think, “I don’t have enough time”.
How sex in the bedroom can lead to success in the bedroom.
Communication is easier than the alternative.
3 reasons to prioritize your sex life now
1) Orgasms are fantastic
2) Intimacy and closeness through a bonded sexual experience is wonderful
3) For yourself and how the benefits extend to other parts of your life
Easy steps to make a sizzling hot sex bucket list.
1) Acknowledge you want to make a change
2) Think about times when you were really turned on
3) Explore other ideas
4) Never say never
5) The role of curiosity and humor
“There is no expiration on sexy” – Layla London
https://www.thecuriousgirldiaries.com/
https://www.instagram.com/the_curiousgirldiaries/
https://www.facebook.com/TheCuriousGirlLayla
https://podcasts.apple.com/us/podcast/the-curious-girl-diaries/id1264706714
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/zbqQJv
May Live Podcast Recording – Get CME - link below! Books discussed: His Porn, Her Pain: Confronting America’s Pornpanic with Honest Talk About Sex Mary Klein Ph.D. https://amzn.to/3PuKZ7j Sexual Intelligence: What We Really Want From Sex and How to Get It. Marty Klein Ph.D. https://amzn.to/382i75z So much covered in this podcast! Toy Reviews, book reviews and upcoming interview with Marty Klein Genitourinary syndrome of menopause The difference between systemic and pelvic estrogen The increased risks with oral estrogen and why this is so My thoughts on preventative vaginal estrogen How to ask your doctor about systemic testosterone and guidelines. https://www.jsm.jsexmed.org/article/S1743-6095(20)30982-6/fulltext Get on my email list to hear about June’s date and time for the next live podcast recording! www.kellycaspersonmd.com and so much more! The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/5pXypO Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken
Join me today when I talk with my friend Dr. Mary Claire Haver
How alcohol works as a drug and how it can harm us.
Irregular periods as an indication for perimenopause
“Menopause is one day in your life” Dr. Haver
What did you learn with speculum trauma in the office.
How to talk to your doctor about perimenopause and menopause.
Sex drive after Menopause
What is the role for preventative hormones in menopause.
Why should women care about muscles.
We discuss the problem with sugar and how significantly addictive it is.
What is wrong with BMI
Predatory behavior towards menopause and low libido.
What we think about supplements.
Tiktok: drmaryclaire
IG: https://www.instagram.com/thegalvestondiet
Website: https://galvestondiet.com/
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Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
Reminder - get CME from listening to this podcast! Link below!
Join me and Dr. Lauren Streicher, a menopause expert as we discuss perimenopause and menopause.
ADHD is “trending” right now and seems to be everywhere. Could some of this undiagnosed perimenopause?
The roller coaster of peri-menopause and what hormones need to be checked.
What is FSH and what it means when it is high and how it can be misleading in perimenopause.
What’s the difference between peri-menopause and menopause.
“Yoga is good for you and it won’t help your hotflashes” – Dr. Streicher
How to be your own advocate for your menopause symptoms. Tips to talk to your doctor and to have a more useful appointment.
The organ where ovarian cancer comes from: hint – it isn’t the ovary.
Orgasm difficulty after menopause – why it can happen and what we can do.
Testosterone isn’t a male hormone – it is a human hormone.
Why we use FDA approved products when we can.
You don’t “go through” menopause – you enter menopause
What is the role of “prophylactic” hormones in menopause.
The socioeconomic effect of menopause.
Dr. Streicher’s books:
The Essential Guide to Hysterecomy https://amzn.to/3FJRq1K
Slip Sliding Away: Turning Back the Clock on Your Vagina https://amzn.to/3FJRq1K
Hot Flash Hell: Turning Down the Heat https://amzn.to/3G12UOR
Dr. Streicher’s Inside Information Podcast: https://podcasts.apple.com/us/podcast/dr-streichers-inside-information-the-menopause-podcast/id1615785832
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/MZhvlm
Kate Roberts has 30 years of experience working in global development, philanthropy and business. She has tackled some of the most challenging women’s issues, including HIV/AIDS, sexual reproductive health, menstrual hygiene, sanitation, maternal health and gender-based violence.
She is a founder of The Body Agency, which provides a single source for all things fem-care, normalizing the conversation around women's natural being and eliminating fem-shame once and for all.
What did you do that led you to create the body agency?
How going through trauma may result in doing advocacy work – our journeys.
How are sexual health needs similar and different in different countries?
We discuss Fem Tech
“Our vaginas do not smell of roses” – Kate Roberts
“The female body works the same way in every country” – Kate Roberts
Kate’s opinion on how to be a sex positive family.
Discrimination that women have against their bodies
Why can’t we say vulva on IG?
What is your message to women?
She has a message for men too.
https://www.instagram.com/the.body.agency/
https://www.thebodyagency.com/
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/A15l1w
Dr. Shannon Widlansky was trained as an Ob/Gyn who is now a life coach.
She has been a gender expert for 8 years. She helps institutions use more gender-inclusive language.
She is a facilitator of the Our Whole Lives curriculum which teaches sexuality to all ages.
She talks about what was wrong with past sexuality education.
The definition of “man” or “woman” is wrapped up in the function of a body part. Which gets shaken up when there are problems with these organs.
You don’t have to talk about the clitoris when your education is only a “disease and pregnancy prevention plan” – Dr. Casperson
5 common mistakes adults make in talking to kids about sexuality
1) Not planning ahead
2) That it is more than sex and puberty
a. 5 circles of sexuality
i. Body image and appreciation, sensualization
ii. Intimacy
iii. Identity
iv. Repro health – puberty changes, infection
v. Sexualization – consent, how media portrays sexuality
3) One and done “the talks” – a lifelong conversation.
4) They have to get it right – don’t expect to get it “right”
5) Inclusive language “most but not all”
Consent – ideally an enthusiastic yes, not something that is coerced.
What country does it well - Netherlands
Other tips – what would your ideal conversations look like? Lead from confidence
Books mentioned
What makes a baby – Corey Silverburg. https://amzn.to/3vuB89w
Sex is a Funny Word – Corey Silverburg. https://amzn.to/39tWfAq
Puberty is Gross but Also Really Awesome https://amzn.to/3y1GvP9
The Everybody Book – Rachel Simon https://amzn.to/37WETLV
https://www.instagram.com/self_revolutionize_coaching/
https://www.facebook.com/Shannon.Widlansky.SRC
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off:NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/mpbKrS
April Live Podcast!
- How do you transition from BioT pellets to systemic estrogen and vaginal cream?
- Just started vaginal estrogen and both times had lower abdominal discomfort the next day. Is this a potential side effect? Is there another route besides the cream or ring?
- I have been seeing a PFT on and off for about 6 yrs since having a partial hysterectomy. Recently I've had a lot of pressure and feel as though something is stuck in the rectal area. I have seen my GP and I have had a pelvic and rectal exam. He's sending me for an ultrasound this Saturday. I have also seen my PFT. I will see her again in a month. I guess my question is, if I have a prolapse going on would the PFT pick that up with the pelvic exam? and would an ultrasound show a prolapse?
- Hormone problems related to COVID? Any insight?
- Bartholin Cysts
- I am 57 and still having a pretty regular period. Question about Bio_T and hormone labs.
- My periods have always been heavy, 7 days… and have gotten even heavier as I’ve gotten older ......I have to say having a pretty regular period at 57 sucks. Based on my labs I can infer I’m not menopausal and all I can say is WTF!
- AND MORE!
Get on my email list to get the webinar links to join on the live podcast AND be the first to sign up for the private podcast/coaching membership coming this summer!
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/qAhGky
Where Does Intimacy Come From? Palliative Care and Sexuality – Two Experts
Join me and Palliative care physician Dr. Faryal Michaud.
When your view of sexuality is narrow, it is threatened by health challenges.
The effects of cancer diagnosis on sexuality.
“You are still a man if your penis doesn’t work” – Dr. Casperson
Where does intimacy come from?
Tips for communication
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Talk about sex outside the bedroom
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Curiosity “curiosity is the opposite of judgement” Dr. Faryal
-
This is not just one conversation
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Don’t think one person is the problem – it is a couple issue
We discuss sexless marriage
We discuss how common it is to struggle with sexuality after a baby comes into a family
New relationship brains are akin to taking cocaine – we neglect other things besides our new love. This wears off after about 6-18 months.
“You can’t think an orgasm” – Dr. Casperson
“How are you going to be the person worth having sex with?” – Dr. Casperson
“We are so ill prepared to go into long term relationships.” – Dr. Casperson
Anxiety kills sex drive
Awareness, acceptance and acknowledge – three components of dealing with what comes up in life.
Living life on purpose, a view of life as fleeting as a way to make friends with your life and this moment.
Death is certain, suffering is optional.
Live every minute to its full capacity.
The role of gratitude.
www.instagram.com/drfaryalmichaud
Book discussed – Rekindling Desire by Dr. Barry and Emily McCarthy
https://amzn.to/3k65ZTA
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/FUUmMw
Reminder you can get CME credit for this podcast! Link below!
Low libido is a gift telling you what needs to change in your life - Dr. Wellenstein
Dr. Wellenstein is a double board-certified doctor who has been working with women for over 20 years and due to her own personal health challenges, she stepped outside the box of conventional medicine to take a radically different approach to heal herself from the deep depths of burnout. Now Dr. Renee empowers women to take control of their health, jumpstart their energy, improve their confidence and reignite their libido!
We discuss burnout and recovery.
Is it too much hard work to exercise, eat right and work on mindset?
How to you get to the point where you realize you are in charge of your life?
How we “should” on ourselves as women and how it affects our health.
Work burden inequality at home and how it affects your stress and health.
Trusting the process when you are in it.
Encouraging women to ask for what they want in and out of the bedroom.
If you are angry and resentful towards your partner you will not have a desire to have sex.
How you view yourself as a sexual being affects your sex life.
Tips for women:
Awareness
Boundaries
Communication
The role of self-love in health.
You have to have something worth desiring in order to desire it.
Low libido is a gift telling you what needs to change in your life.
SOCIAL LINKS:
Website: https://www.drreneewellenstein.com/
https://www.instagram.com/drreneewellenstein/
Facebook:
https://www.facebook.com/renee.wellenstein
Youtube:
https://www.youtube.com/c/DrReneeWellenstein
Podcast:
Itunes - https://podcasts.apple.com/us/podcast/love-the-leap-with-dr-renee/id1465483819
Books Discussed: Atomic Habits by James Clear https://amzn.to/3EiWd9S
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/myWUep
Are you having boring Sex in a Long Term Relationship? Listen today! Meet Dr. Corey Allan – Host of the long running, since 2011, “Sexy Marriage” Podcast and a Phd in Family Therapy. The beginning of relationships is a dopamine high. You don’t “fall out” of love, you just get more knowledge. We discuss “roommate life” and how that affects our sexuality. When marriage is not easy is when it starts. “Marriage is more about becoming a better human than it is about the two people being happy. And when you keep things simple, you can experience more in marriage and life.” Dr. Corey Allan Why Dr. Allan thinks so many people think a good sex life is so hard? Myth: Marriage is hard work – Dr. Allan discusses this. “As humans we spend a lot of time distracting ourselves from ourselves.” – Dr. Allan How do we incorporate spirituality into a sexy marriage? – Why are they not mutually exclusive. Boring sex – help! We talk about what do we do with boredom in the bedroom. Duty sex and checklist sex – help! Advice to men who want their wives to have more sex with them. “Be someone worth having good sex with” – Dr. Allan Advice to women who feel their husband is disengaged and avoids sex. Tips for communicating with your partner. https://smrnation.com/ Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/vmsUUN
How sexual function is biopsychosocial and the meds that affect the “bio” part of this
There are two FDA approved meds for women with low desire. They work in 50-60%of people that take them. They work by boosting dopamine.
Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss.
It is safe to use if you are on antidepressants.
Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine.
Do we fix hormones first or use these meds first?
How to navigate prescribing these meds as a provider?
Dr. Rubin talks about her work changing national guidelines.
23% of women have clitoral adhesions
Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study
How do we prevent recurrence?
Resources discussed today
https://www.instagram.com/drrachelrubin
https://www.rachelrubinmd.com/
https://www.facebook.com/DrRachelRubin/
ISSWSH Find a provider: https://app.v1.statusplus.net/membership/provider/index?society=isswsh
NAMS find a provider: https://portal.menopause.org/
SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna
Our podcast sponsor is Bonafide
Bonafide products help women embrace the natural changes that occur throughout all phases of life.
Discount code for 20% off: NOTBROKEN
Sales link: https://hellobonafide.com/notbroken
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/X8BGyS
March Live Podcast
· Thoughts on Joylux vibrator https://joylux.com/
· COVID correlating to hormone imbalance?
· Vaginal estrogen causing yeast infection?
· I have had a heart attack so doctors are saying I cannot do any sort of hormone therapy, is this true?
· How do you know when to see a gynecologist vs urologist vs family practice MD vs dermatologist for issues? I am 40 and I am interested in getting my hormones checked after about 6 months of unusual periods (skipping months followed by months straight of bleeding, spotting etc)? And, after hearing about it on your podcast, I think there's a good chance I have lichen sclerosis. Which type of doctor do I begin with for these 2 issues?
· What’s the difference between estrogen gel and cream?
· If a guy has ED, in your opinion, would the Phoenix device work or is this a ploy to get people to spend big money? https://www.getmyphoenix.com/
· How do you know if your estrogen is low? Is it just a test or is it based on symptoms?
· How do I “shop” for a more educated doctor?
· AND MORE!
March’s Sponsor is Tabu – to prioritize your sexual wellness
www.heytabu.com
CODE: YANB for 15% off your kit
CME Credit here:
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/XKZI1r
Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward CME credits & more. Learn more at about.cmefy.com/cme-info
Dr Jaime Seeman aka Doctor Fit and Fabulous - is a board certified OBGYN. She has a passion for fitness, preventative medicine and ketogenic therapy not only in her medical practice but in her own life. She is the co-medical director of Upgrade Performance Institute. Dr Seeman was also Mrs Nebraska 2020, finished Top 15 at Mrs America 2021 and appeared on NBC Titan games with Dwayne “The Rock” Johnson.
She tells us her story about getting unstuck and how to inspire others.
“I can’t ask my patients to do anything that I can’t do myself” – Dr. Seeman
We talk about the importance of changing our internal dialogue – changing your thinking
“Confidence is created through action”
How to create a life audit – we are who we surround ourselves with and who am I?
5 Pillars of Health
Nutrition
Exercise
Sleep
Stress
Environment
If you want to decrease your risk of diabetes – lift weights and prioritize muscle
What do you do when no one is cheering for you? We forget to parent ourselves.
Why do you think so many women don’t believe in themselves?
Her experience with pregnancy and sexuality and body image
“There is nothing sexier than a woman who doesn’t care about what other people think” – Dr. Seeman
We talk about post-partum sexual changes.
One of your areas of expertise is PCOS – tell us what it is and how you educate women on what to do about it.
The relationship of our diet and our thyroid
Facebook: Doctor Fit and Fabulous
Instagram: @doctorfitandfabulous
Twitter: @JaimeSeeman
YouTube Channel: Dr. Fit & Fabulous
March’s Sponsor is Tabu – to prioritize your sexual wellness
www.heytabu.com
CODE: YANB for 15% off your kit
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/O5ZJT7
Desire is Shaped by our Lived Experiences – The Heteronormative Theory Paper
Dr. Sari van Anders is the Canada 150 Research Chair in Social Neuroendocrinology, Sexuality, and Gender/Sex, and Professor of Psychology, Gender Studies, and Neuroscience, at Queen's University.
Dr. van Anders has published over 80 papers with research that sets out new ways to conceptualize, understand, and map gender/sex, sexual diversity, and sexuality, and also provides unique tools and theories for feminist and queer bioscience, especially within social neuroendocrinology and studies of testosterone.
Can we talk about Gendered behavior for a fast minute – a lot of people – majority people – might not know or believe that they are “socially gendered” – she explains this to us.
How does being gendered as a female affect our desire?
how some aspects of sexuality widely assumed to be hormonal, might actually be better understood with or alongside a sociocultural lens.
Okay – on to the mind blowing paper on “the heteronormativity theory of low sexual desire in women partnered with men” – Archives of Sexual behavior 2021.
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Why did you write this?
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You propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors.
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Four Hypothesis
o Inequitable divisions of household labor
Women have less free time
o Blurring of partner and mother roles – its not that mothers aren’t sexual – it is that the relationship between mothers and those they mother is not a sexual one.
Nurturant experiences decrease testosterone and increase peptides like oxytocin and vasopressin.
Thinking sexual thoughts can change testosterone levels
How Cortisol affects our sexual response
o Objectification of women
Proximity to the norm matters for their desire
Women’s focus on appearance and being sexy instead of sexual
Ignorance about the vulva and clitoris negatively impacts desire in women partnered with men
o Gender norms surrounding sexual initiation.
Discomfort initiating sex contributes to low desire.
If women have to say yes everytime a man wants sex – this contributes to low desire.
“women’s sexual pleasure within heteronormative framings is fraught.”
Women’s duty for sex or inability to say no.
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What do we do now that we know this?
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Orgasm coercion is her future research
The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men
https://link.springer.com/article/10.1007/s10508-021-02100-x
https://www.queensu.ca/psychology/van-anders-lab/
March’s Sponsor is Tabu – to prioritize your sexual wellness
www.heytabu.com
CODE: YANB for 15% off your kit
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/vKccS5
What if low desire is not your fault?
Join me as I drink coffee and read (and editorialize) the best sex research paper to come out of 2021!
The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. by Sari M van Anders, Debby Herbenick, Lori A Brotto, Emily A Harris, Sara B Chadwick
Join me in a few days as my next episode will be an interview with Dr. Sari van Anders
Link here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382213/
CME for this episode here: https://earnc.me/RxoV55
Getting Paid to Talk About Sex – Men’s Sexual Health Urologist - Dr. Amy Perlman
Amy Pearlman is a urologist specializing in men’s health and genitourinary reconstruction in Iowa City.
We discuss a woman’s role in men’s health as a healthcare provider, family member and partner
How can a woman approach concerns with her partner – what not to say.
Sexual health can be a barometer of the health of a relationship
Tips for communicating sexual health issues
How women can hurt men with body shaming and their body functions. Men have insecurities too. Men and women are so similar.
Low T - how to help with lifestyle changes
– is it true that once you start you can’t get off 2/2 shutting down the testes?
https://uihc.org/amy-m-pearlman
https://www.instagram.com/amypearlmanmd/
March’s Sponsor is Tabu – to prioritize your sexual wellness
www.heytabu.com
CODE: YANB for 15% off your kit
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/bTV63Z
As a former nun, oncology nurse, holistic health coach, and energy medicine practitioner, Laurie McCracken is passionate about supporting the healing and transformation needed to reunite our sexuality with our spirituality. She knows personally the emotional, physical, and mental trauma this “disconnect” can create in one’s life. She has also experienced firsthand the profound healing and transformation Authentic Tantra® offers.
My deepest desire for you is that you feel good about and inspired by your own life! – Laurie McCracken
The body is the portal and gateway to our sexuality
Every orgasm is a glimpse of enlightenment
Working with our sexuality is vulnerable and sacred
She teaches us to do a simple pleasure journal to start on your journey of healing and embracing pleasure in your life
Once we heal our sexuality, everything else in our life opens up
We need to calm our minds to be present in our bodies
Pleasure is the antidote to the trauma in our life
What kind of lover do you want? Be that for yourself first.
https://lauriemccracken.com/
https://www.authentictantra.com/
March’s Sponsor is Tabu – to prioritize your sexual wellness
www.heytabu.com
CODE: YANB for 15% off your kit
This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/GuF9oG
Worldwide, the rates of chronic pelvic pain for women of childbearing age range from 14% to 32% Deb Malkin is a plus size, body positive, LCS certified life coach, massage therapist, movement enthusiast, and client zero of her pain recovery coaching work. She had only been taught that pain is related to issues in the tissues and was never taught the link between the brain, nervous system and the experience of chronic pain.
Her mission has always been for people of all sizes, abilities and genders to feel at home in their bodies. She shares her story of chronic pain. The brain can continue and perpetuate pain long after the body has healed. Why is chronic pain everywhere? Does pain tell us lies or is it in how we interpret the pain that gets us in trouble? The role of fear and being able to feel. We talk about pain with sex and pelvic pain and tips for that issue. The “perfectionist personality” and suppressed rage and how it is involved with pain. The role of self-acceptance and body image and pain. The process of just being aware changes your brain. The “lazy detective”. “The brain talks to us in thoughts, emotions and body sensations” Deb Malkin CURIOSITY IS THE ANTIDOTE TO FEAR Recommended Book The Way Out by Alan Gordon https://amzn.to/35vybLY 1:1 chronic pain coaching program - www.debmalkin.com https://www.instagram.com/movewithdeb/ Podcast “Move With Deb” - https://movewithdeb.libsyn.com/ March’s Sponsor – Tabu Code YANB for 15% off of your intimacy kit at www.heytabu.com This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/EL95aG
My last summary of the amazing ISSWSH conference! Such amazing topics Sex post baby Porn in heterosexual long term couples - getting to the deeper issues Pre-menstrual Dysphoria Disorder Perimenopause Sex after Pelvic Surgery
Welcome to Day two of my thoughts on the 2022 ISSWSH conference! How to talk to your kids about sex Sex after cancer Sex after baby
Such a good talk with Rachel Hughes for Perry app!
Check it out!
https://www.heyperry.com/
https://www.instagram.com/ohhelloperry/
https://www.facebook.com/groups/heyperry
https://apps.apple.com/us/app/perry-perimenopause-community/id1544428724
This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/gNdtcd
Get on the email list to get the live podcast recording invite link to your email at www.kellycaspersonmd.com
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Hormones 10+ years after menopause, risks and benefits and how to talk to your doctor.
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pelvic organ prolapse options, surgical and non-surgical
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What are pellets? Are they effective?
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Benefits of pelvic floor therapy
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Can incontinence be treated at home?
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Views on viagra?
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Is progesterone necessary if taking vaginal estradiol?
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Is it a thing to apply estradiol to the face or neck? Are there estrogen creams recommended for the face?
-
What exactly should I ask for when I want to get my hormones tested?
AND MORE!
This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/LxZTpk
This is a lecture I gave for a physician course on sex and menopause. The myths and the facts.
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/MxiRLg
I define Male orgasmic disorder and discuss the common causes and treatments.
Reference: AUA Update Series "Male Orgasmic Disorder"
Find a Sex Therapist: https://www.aasect.org/referral-directory
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/SMg4U
A woman was feeling bad that she was avoiding sex because it was taking her partner too long to orgasm via her vagina. I set the record straight and offer some tips and tricks.
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/G98XnL
On social media A woman asked – my vagina is so dry that sex is painful, how can I fix this? Wikipedia: Gaslighting is a colloquialism, loosely defined as making someone question their own reality. The answer provided on social media to this question: - Regular sexual activity, self stimulation and pelvic floor exercise can help keep your vagina health. - IS THIS ACTUALLY TRUE? - This doctor said “I tell women to avoid sugar and use probiotics to make sure their entire ecosystem is “humming along” – NO evidence that oral probiotics affect vaginal microbiome – then she plugs her diet and her probiotic products - She then goes on to say – two additional ways to counteract vaginal dryness is to strengthen the pelvic floor by doing kegel exdrcises and using a “holistic formulation” that helps maintain optimal levels of natural moisture, and “supports a healthy vulva and vagina”. – this is her product – which states it “prevents leaks” and costs 70 dollars. Also claims to “reignight desire” – WTF I searched in J sex med - does intercourse delay or treat vaginal atrophy? – can’t find a damn thing I found on an internet site - “Regular sexual activity, with or without a partner, can help maintain healthy vaginal tissues through increased blood flow and avoid or lessen the effects of vaginal atrophy.” - No citations, so again I went to J Sex med – can’t find a thing On menopause.org - Regular vaginal sexual activity is important for vaginal health after menopause because it stimulates blood flow, helps keep your vaginal muscles toned, and maintains your vagina’s length and stretchiness. - No citations, and furthermore, the vaginal muscles are smooth muscles controlled by the autonomic nervous system – you can’t tone them with sexual activity - I will buy that stretching the vagina frequently probably allows it to be stretched frequently without pain – but is there evidence and why sex, why not just dilation? Current treatment options for postmenopausal vaginal atrophy Iuliia Naumova1 and Camil Castelo-Branco2 Int J Womens Health. 2018; 10: 387–395. It is important not to forget about the positive effect of sexual intercourse on the improvement of vaginal health – no citations (JAMA 1983;249:2195-2198) Vaginal Atrophy in the Postmenopausal WomanThe Importance of Sexual Activity and Hormones - But this study was not randomized – perhaps the less atrophy allowed the women to be sexually active and not vice versa? How do we know the sexual activity caused less atrophy? We don’t have any studies. Another paper on vaginal atrophy gave this recommendation - Regular sexual activity should be encouraged to maintain vaginal health. (II-2B) - Usefulness/efficacy is less well established by evidence/opinion Why is level 2-2B evidence cited as scientific fact? Pro-tip – Billionaire Marc Cuban just started an online pharmacy for low cost generic drugs https://costplusdrugs.com/ - vaginal estrogen tabs for < 10 bucks, cream for 54 dollars. What other myths do you want me to bust? Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/C7gjrk
Jan live topics - from hormones to bladder cancer to male questions - I answer them all! If I didn't get to yours join me for February's live Q&A by getting on my email list at www.kellycaspersonmd.com
If I think I need hormone cream.....should I get tested for imbalance??
Is generic estradiol cream as good as Estrace? I’m seeing mixed reviews. The pharmacy gave me generic
Doctor, what will happen, if we don’t take testosterone supplements after bilateral orchiectomy??
A woman writes in about worry about sex after hysterectomy
Tightening cream – oh you get all my thoughts on this one.
Is it too late for my to start hormones if it has been 10 years after menopause?
Screening for STIs in men 🙏
How do you get a doctor to give you vaginal estrogen?
Bladder cancer info
Pain with penetration after orgasm – help!
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/IcBZb9
Anorgasmia = persistent inability to achieve orgasm.
10-15% of women have never had an orgasm and there are so many reasons why.
I talk about the top 5 things I say on repeat
1) vaginal estrogen is for almost everyone
2) systemic versus vaginal estrogen
3) Responsive desire is normal
4) Expand your view of heterosexual sex
5) and of course YANB!
Check out ondrwear.com and use YANB to save 25%
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/WJA2M7
National LS day is Jan 17th so I thought we would bring back Dr. Jill Krapf to help educate us on this silent condition that affects our sexuality so profoundly. What is Lichen Sclerosus. Can it be prevented? How it affects sexuality Classic signs and standard treatments What about lasers for LS? Why is it important to be on maintenance therapy How can partners be supportive? Dr. Krapf's important research. https://www.instagram.com/jillkrapfmd/ https://www.lichensclerosus.org/ Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/VUemhu
This is an IG live I did with Dr. Prabakar, OBGYN, who is known as The Fibroid Doc on IG!
We talk all about female pelvic bleeding and issues!
What are fibroids?
How do you get fibroids?
What are symptoms of fibroids?
What is adenomyosis and endometriosis
The perimenopause transition and how it affects bleeding
We discuss ablation and lifestyle changes to help with quality of life
www.instagram.com/thefibroiddoc
https://www.youtube.com/channel/UCyPUtuVimf7GpprOiuXVWaw
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/652eyN
Check me out being interviewed for the amazing "Hit Play Not Pause" podcast with Selene Yeager!
Your brain is your largest–and arguably your most important–sex organ. It’s also the most overlooked, especially during the menopausal transition when we spend a whole lot of time talking about our vaginas (which are important, too, of course!). I am her guest and we talk about all of it in a show that drives home the mind-vagina connection during menopause and midlife.
Follow her at
www.instagram.com/fitchick3
www.instagram.com/feistymenopause
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/45W2PS
I reflect on my podcast and me and how we both grew in 2021 - like I got bangs, and quit drinking!
I list my top 4 episodes -
I discuss 2022 plans for me and the podcast
Thanks for your support heading into year 3!
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/uLGR8d
Each month I do a zoom webinar and IG live.
Sign up for the email's to get on the webinar for live coaching at www.kellycaspersonmd.com
Today we talk about
hormones, vaginal and systemic and why they are indicated and why you might choose to use them
Pelvic pain evaluations
Low desire doesn't live in a bubble
Delayed ejaculation
Vulvar moisturizers versus lube versus vaginal estrogen
Thoughts on "estrogen dominance" and how to tell if you are "low" in estrogen.
Can you use vaginal estrogen if your mother had breast cancer?
At what age do you need to stop systemic hormones?
Don't forget your CME: https://earnc.me/dzvMN0
Dr. Juliana is a relationship and sex expert with a PhD in Counseling Education; a background in teaching gender studies and therapists at the graduate level; a licensed marriage and family / professional and practicing counselor herself.
She says sex is the final chapter in personal development – I could not agree more!
We learn how to talk, but rarely learn how to listen to feedback - that and more in this wonderful episode.
Our sexuality is so much more than what we were taught. It is so much more than our sex acts.
How does sex relate to everything else in your life?
Let’s talk about sexual agency.
The power of having your own back.
Let’s talk about consent in a marriage and/or a long term relationship – a woman has sex with the partner because he wants to, but she really doesn’t want to and just goes through the moves –
-
Is this consent?
-
Is she damaging her “desire” or rewiring her brain when she just goes through the motions?
-
“It’s okay because it has always been okay is not good enough”
How to receive communication – how to feel safe – we do a fun role play! How to have a conversation about sexual wants. There is always something underneath the ask.
www.dr-juliana.com
www.instagram.com/drjulianahauser
Don't Forget your CME! https://earnc.me/j7Klfq
I am podcasting while on call, what could possibly go wrong?
I review the poll that www.meetrosy.com did - they asked 1,000 people in committed relationships about their sexual life and I review and provide commentary.
Also, I do a Tenga review (YANB15 for 15% of your order) at https://www.tenga.co/
and a wevibe review.
Book mentioned: https://www.tenga.co/ The Body Is Not an Apology, Second Edition: The Power of Radical Self-Love
Get CME for listening to my podcasts! https://earnc.me/82s5av
Beta Testing! Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/dMybKs
The topic formally known as Sex-ED
Dr. Teresa Wood trained in Philosophy, she has always been interested in the ways in which science and belief are applied to our bodies, our wellness, our sexuality and our education.
For years thereafter, she used her stage presence, her poetry and her humorous teaching style to help her audience unlearn the old-school Sex Education that created fear and shame in place of respectful sexuality. Her pleasure positive Sexy Seminars replaced Sex-Ed with awareness, empowerment, and access to healthy hotness within relationships.
In 2006, she earned a Medical Doctorate and pursued her interest in Sexual Medicine. She continues to write and work in BC, Canada as a physician, and a Sex/Intimacy & Relationship Coach, revamping the topic formerly known as Sex-Ed.
I love this bio! I just heard sex ed called “preventative reproduction” – it really isn’t sex ed at all is it?
“You get a fair bit of education from silence” – Dr. Wood
“Loss of foreplay is loss of sex for women” – Dr. Wood
She describes low libido as low dopamine in the nucleus accumbens. They are not being rewarded for the sex they are having (because it isn’t satisfying and not releasing dopamine).
““de-goal-ing” penetrative sex is the goal” – Dr. Wood
Female Ejaculation - some people have it and some people don’t – both are okay.
“We don’t care if it is pee, we care if it is glee!” – Dr. Wood
https://www.instagram.com/drteresawood/
https://drteresawood.com/
This is a lecture I gave for women physicians about male sexual health. I hope you learn something and enjoy the info!
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/XPsWwP
Chronic stress is the underlying reason for seeing a primary care doctor. Chronic stress makes you live a shorter life. Chronic stress kills your libido and sex life. I talk with Dr. Robyn Tiger, certified in yoga therapy, meditation and life coaching with specialty certification in trauma. With stress, anxiety, depression and burnout on the rise, and having personally lost 3 medical colleagues to suicide, she is deeply passionate about sharing what she learned with as many people as she can. How to get “that loving feeling” back. Learn about your stress response and how to regulate it and drop into the parasympathetic system (the relaxation response). We need to put the brake pedal on and learn how to do it. She breaks it down for the skeptics. Quick things you can do in 15 minutes. If having a good sex life isn’t good enough, do you want to live longer? How to switch from sympathetic to parasympathetic – ie: from crazy day to wonderful intimacy https://www.stressfreemd.net/ https://www.instagram.com/stressfreemd
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/yN3uhT
Today I am lucky enough to interview Sarah Chadwick, author of “The Sweetness of Venus”. She is passionate about sex equality, gender studies, humor and learning. Her book is dedicated to: “This book is for all those who have a clitoris, or the opportunity to engage with one.” Why she wrote this book! You talk about how the clitoris is lost and found and lost and found throughout documented history. “17th-century under-the-table narrative about sex has a strong emphasis on mutual pleasure that is noticeably lacking in many of today’s sex-ed books and in too many sex-ed classes.” Why don’t we tell girls and boys about this aspect of a woman’s anatomy? We discuss the female condition of being frigid – now we have a medical disorder if we don’t orgasm with PIV sex. In 1994 U.S. Surgeon General Dr. Jocelyn Elders suggested sex should be mentioned as safe and healthy in school curricula. In answer to a question at the UN Conference on AIDS as to whether she thought teaching about masturbation in schools might reduce unsafe sex, she replied: “I think that is something that is part of human sexuality and it’s part of something that should perhaps be taught. But we’ve not even taught our children the very basics.” She was forced to resign by Bill Clinton as a consequence.” 1966 – The sexually adequate female “Frank S. Caprio, M.D., recommends “psychiatric assistance” for any woman who prefers clitoral stimulation to other forms of sexual activity. ” How did views about female morality come to be bound up with women’s sexuality? How is sharing this on social media going? Are we allowed to say clitoris? Can you talk about the American versus UK approach to menopause care? Our emphasis on “natural” and the pressure to be “natural” https://www.instagram.com/its.personalgirls/ The Sweetness of Venus: A History of the Clitoris Sarah Chadwick https://amzn.to/3ppAzd5
Tenga reviews
Discount code: YANB15
tenga.co
Lube – hole lotion – $ 15
https://usstore.tenga.co/collections/tenga-hole-lotion-series
Ring Vibrator – SVR Black - $80
https://usstore.tenga.co/collections/tenga-vibrators/products/tsv-001
Iroha Tenga MIZU – 79.99
https://usstore.iroha-tenga.com/collections/rechargeable-vibrators/products/hmt-01
iroha mini Ume-Anzu
https://usstore.iroha-tenga.com/collections/battery-operated-vibrators/products/hmm-02
This is my November live podcast recording - lots and lots of Q&A in here!
Leave a podcast review by the end of Nov 28th and be entered to win a copy of "Why good sex matters" by Nan Wise, Phd.
TENGA discount code: YANB15
www.usstore.tenga.co
www.instagram.com/tenga_global
This is the third in a row episode with my good friend Dr. Hart - - - Penis Size
Why is this such a big deal for men (pun intended?)
It is not associated with height, sperm count or any thing else.
Warning – we are going to tell you what is average in length for this body part.
Most people are normal.
What women make their partner's penile function mean and how to talk about it.
Dr. Hart is a sexual medicine physician in Canada at
https://www.sexualfunctionclinic.com
The myth and the facts of Hymen
What it is and what it isn't
The case for knowing your body.
Dr. Hart is a sexual medicine physician in Canada at
https://www.sexualfunctionclinic.com
Physicians get trained to be biased against overweight individuals - that doesn't help us feel great about ourselves which then can translate into the bedroom.
I LOVE talking with Dr. Hart who a sexual medicine physician in Canada at
https://www.sexualfunctionclinic.com
Body positivity, mindset, myths about body size and sex
The medical system and fat phobia – we are very judgy.
You will “never be good enough to…” if you don’t change your mind.
We discuss chasing “I thought I would be happy when” thoughts.
“if you are having a sex life problem get help, don’t just assume it is your weight”
We discuss black and white thinking when it comes to weight and hear Dr. Hart’s journey.
“A sex therapist is always the answer” – but it isn’t always covered in Canada or the US – here are some tips if you can’t access a therapist.
We discuss mindfulness, our ANTs (automatic negative thoughts) and the flaws in logic about our thinking about our body.
“Body positivity is a journey, not a goal”
“Muscles are associated with longevity and health – and they weigh a lot.”
“We can and should be healthy – we shouldn’t focus on the scale”
We define what low sex and sexless marriages are
We talk about two books that have the word "desire" in them.
We talk about two papers discussing hormones and desire.
www.kellycaspersonmd.com to get on the email list to see when I go live!
Reclaiming Desire Dr. Andrew Goldstein
https://amzn.to/31VnArp
Rekindling Desire Barry McCarthy
https://amzn.to/3F80USX
Dr. Sonia Wright joins me today to talk about your sex life.
We talk about consent and safety.
Adult play is supposed to be fun!
What are your thoughts around kink?
Different things turn different people on.
We go over some definitions – sub and dom – and maybe be surprised who has the power in these roles.
We talk about consent in a long term relationship – what is your reason for having sex
“for you” sex described and how to start with pleasure
If you don’t know what kind of sex you want, start with identifying what you don’t want.
Tips for communication with your partner. What we can learn from the sub/dom/kink culture.
And remember what the whole point is of all of this is – FUN! Connection! Growth!
https://soniawrightmd.com/
https://podcasts.apple.com/us/podcast/the-midlife-sex-coach-for-women-podcast/id1532337565
This is an IG live I did with Dr. Keira Barr, holistic dermatologist and expert in midlife transitions and hormones. We know good sex doesn't exist when we are stressed, anxious and full of cortisol and our sympathetic flight or fright nervous system, but what can we do about it?
We talk about sleep, breathing, hormones, exercise and alcohol.
Sex and hormones, sex and hormones, and life coaching.
get on the email list to learn ahead of time when the lives are going to be recorded! www.kellycaspersonmd.com
Meet the Menopause Whisperer – Dr. Jim Simon
My listeners want the truth! And they are so hungry for it! Why did "we" scare everyone off of hormones, why are doctors so hesitant to be proactive on hormones. What the "actual" risks of taking hormones are.
Set me straight on "progestins" including progesterone and all the others
Breast cancer and the Women’s Health Initiative – we get the facts about hormones and breast cancer risk.
Hormones protect your heart and bones, especially between ages 50-60.
The myth of “you need to stop hormones at a certain age”
Risks of hormone therapy compared to other medications.
How to get smart about hormones?
In menopausal women, the risk of alcohol is higher than the risk of hormones.
What men should know about menopause and menopause hormones.
“Menopause is mid-life” Dr. Simon
The role of testosterone in mid-age. How the “rules of the game” are stacked against women in regards to getting a FDA approved testosterone medicine for women.
https://intimmedicine.com/
Article on prescribing testosterone for women:
https://www.jsm.jsexmed.org/action/showPdf?pii=S1743-6095%2820%2930982-6
Welcome along with me and Dr. Laurie Mintz and a cohort of female physicians as we do a book club on her amazing book, “Becoming Cliterate”
Why she wrote the book.
Why the knowledge of female anatomy and pleasure keeps getting lost.
Her new inspiration to educate young men. And her informal poll on what the guys want.
Learn who started researching the orgasm gap in the first place.
How many different types of orgasms are possible and do they all come from the clitoris or from many different places – and why do we even care?
The idea of “consent” when you have sex that you don’t really want to or do it as a “duty or obligation”
Her wish for physicians to help their patients.
Becoming Cliterate https://amzn.to/3n7nNyK
A Tired Woman’s Guide to Passionate Sex https://amzn.to/3n7nNyK
Dr. Laurie Mintz is a feminist author, therapist, professor, and speaker whose life’s work has been committed to helping people live more authentic, meaningful, joyful—and sexually satisfying—lives through the art and science of psychology.
Background story - how she got into sexuality education and therapy?
Everyone cares about a woman’s libido – but I want to ask – are women just having boring sex?
Tell us the stats about orgasmic inequality and how this ties in to affecting a woman’s libido
The orgasm gap is even worse for the hook up culture – can you tell us the data and why it is concerning.
What is her opinion on scheduling sex?
She talks about stress and overwork as top reasons for lowered sex life – my women say “oh yeah” but what should they actually do about it.
She says that “empowerment in the bedroom leads to confidence in the boardroom” – please tell us more.
In her “tired guide” book you say there is no pill for desire – that book was 2009 – now there is a pill and an injection – what are her thoughts about these?
If someone asked me to re-do sex ed for our youth – I would include pleasure, vulvar anatomy, the lie that PIV causes orgasms for women – what would you add?
I want to ask her about three women and hear her advice
A 20 yo single, just starting out
A 38 yo, married, kids, full time job – lost her libido, doesn’t enjoy sex
A 58 yo, post menopause, kids out of the house, husband feels like a roomate
What her opinion of us educators not being able to use or being afraid of saying certain words on
Becoming Cliterate https://amzn.to/373dMe6
The Tired Woman’s Guide to Passionate Sex: https://amzn.to/373dMe6
https://www.instagram.com/drlauriemintz
https://www.drlauriemintz.com/
Magnificent Sex by Peggy Kleinplatz https://amzn.to/3C9UelT
Jessa Zimmerman is a licensed couples’ counselor and nationally certified sex therapist. She works in private practice in Seattle, WA. Over the course of her therapy career, she has focused almost exclusively on helping couples with their emotional and sexual intimacy.
In her years of clinical experience, Zimmerman has treated hundreds of couples who have struggled to feel sexual desire and fulfillment. Her clients describe having a good relationship in other ways, but their sex life has become difficult to the point that they start to avoid sex. These are people who love each other but are struggling to have a sex life they both enjoy.
She specializes in helping these couples who find that sex has become stressful, negative, disappointing, or pressured. She educates, coaches, and supports people as they go through her 4 pillar experiential process that allows them real world practice in changing their relationship and their sex life, guiding them to become easily intimate.
How do you become “easily intimate”?
How Hollywood messes us up.
You have a video “no libido, no problem” tell us more
Talk about how “low libido” is just desire discrepancy
How can women be more engaged in sex?
Top three mistakes of the lower desire person – believing you are broken, wanting partner to stop initiating, thinking that it is all or nothing
How to create a sex life that has zero stress.
“it’s neuroscience people, it’s okay” – Dr. C
“Obligation is not sustainable” – Jessa Zimmerman
Sex is a playground, not a football field
Link to “Sex Without Stress: A couples guide to overcoming disappointment, avoidance and pressure”
https://amzn.to/3vNPZda
Instagram: www.instagram.com/intimacywithease
Better Sex Podcast: https://podcasts.apple.com/us/podcast/better-sex/id1329973865
Muscles and Menopause Advocate Amanda Thebe
Fitness and women’s health expert Amanda Thebe went from barely surviving menopause to thriving, by making specific changes to her diet, exercise, and approach to mental health.
I was following you on IG @amanda.thebe and you made a post about women and muscles, which I absolutely love! And here we are! And she was kind enough to send me her book, which I loved, and read and now I get to interview her!
1) Talk to me about your story – personal trainer to menopause advocate
2) Let’s talk about muscles
3) What’s with “balancing hormone” and “re-setting” hormones
4) She calls protein the “queen of food”
5) She says “being strong has transferred over to my everyday life” – discuss
6) You didn’t really scare me until “a woman’s risk of breaking a hip is as much as getting breast, uterine and ovarian cancer combined” – risk of death after a hip fracture is 21 % within a year after the fracture
7) Let’s talk about sleep tips in menopause – and how sex helps sleep
amandathebe.com
Get her book “Menopocalypse” https://amzn.to/2SA4hPJ
“Estrogen Matters” Avrum Bluming, MD and Carol Tavris PhD. https://amzn.to/38YjsHs
No organization recommends pellets.
You know who recommends pellets? People making money off of using pellets.
Rant over!
Enjoy me getting my spice on in this live Podcast recording in Sept.
Testosterone guidelines for treating women:
https://www.prnewswire.com/news-releases/international-experts-provide-consensus-on-how-to-administer-testosterone-to-postmenopausal-women-301261018.html
Pellet Safety:
https://pubmed.ncbi.nlm.nih.gov/33973545/
https://www.mdedge.com/obgyn/article/241740/menopause/hormone-pellet-safety-data-not-very-reassuring-all-women
Dr. Vonda Wright and I talk about sleep!
Learn the benefits of sleep – better daytime function, memory, sleep and a longer life!
We discuss things that limit our sleep in our modern lives, including untreated menopause symptoms.
Join her with the free “back to sleep challenge” This week!
https://backtosleepchallenge.com/
Podcast Sponsor: https://www.chilisleep.com/
https://www.instagram.com/chilisleep/
find a NAMS certified practitioner at https://www.menopause.org/
We also talk about GSM (genitourinary syndrome of menopause) and preventative care as we age.
Today we welcome Erika Davian – we are both certified at the Life coach school and someone connected us!
I had been saying that someone ought to coach the men! And then she showed up in my life!
Today we are learning about surrogate partner therapy with her.
We need to pay attention to the men too! And we are in this episode! She tells us how she got into this niche.
She helps millennial men cultivate the confidence to create the life they want in and out of the bedroom. She helps them show up as themselves.
A myth is that “straight men have it so easy” when in fact they have a lot of pressure to “be” a certain way as much if not more than other people.
She quickly saw that some clients-- particularly younger clients-- thought their sexual dysfunction was purely physiological, when really, the psychological component was playing as big or an even bigger role.
What is a common limiting belief or scenarios that men have about sexuality?
“Anxiety and erections are not good bedfellows”
“there is one way to please a woman” is very pervasive.
“things are problems because we think they are problems”
She says - I’ve seen men encounter sexual dysfunction and shame, simply because their mind was sabotaging their body’s ability to perform.
Tips for men to start talking to their partner about sex.
Tips for premature ejaculation.
You help men manage their mind – what are some common themes that you see?
You can find her at www.sessionswitherika.com
and
erikadavian.com
Join me on a lecture I gave to some surgeons (some of my favorite people BTW).
I discuss - sexual normative roles and how that affects our personal sex lives.
We were taught “sex negative” education – don’t get pregnancy or infections, save it for marriage
What happens when the novelty of sex wears off
Is desire a circumstance, a feeling, a result? Where do we put it in a coaching model.
Desire and sex for women.
What do I mean by crappy sex?
Sex, surgery and mindfulness
Normalizing responsive desire
Sleep and a happy sex life/drive
What is responsive desire?
How alcohol works with the brain to hurt/help our sex drive
Why older people have great sex
Why our thoughts about our spouse helps or hurts our sex life – and our thoughts are completely under our control.
Do you desire what you already have?
Why textbooks dedicate way more space to male sexual organs than female.
Anatomy lesson
Why PIV sex doesn’t work for female orgasms
Are you “should-ing” all over your sex life?
We finish this episode with some coaching on our sex life – we use the “model” from The Life Coach School.
If you want a good sex life you can’t be passive about it.
What does a sexually satisfied woman do well?
Join me to answer listeners questions, hear their success stories, learn about hormones, vaginal estrogen, preventing UTI, preventative medicine versus treating disease, libido, pain with sex, birth control versus hormones in perimenopause, and how to find a menopause doctor, oh, also....vaginal estrogen shortage in Canada! What!!
Thank you to the whole world! 100 Episodes and 150,000 listens! Here is to ONE MILLION in the future!
I went live in the Galveston Diet private FB group and here is the audio - get to know me better
My why – the patient that changed the course of my life
How our society conditioned us to have crappy sex lives
Good sex takes communication skills – with yourself and your partner
My thoughts about “low desire”
Our Narrow viewpoint about sex
Transitioning to a body that can calm and open enough to have sex
Anatomy lessons
Books I recommend – She comes first, Becoming Clitorate, Come As You Are, Woman’s Anatomy of Arousal
Estrogen cream and Genitourinary Syndrome of Menopause and tips for finding cheap prescriptions in your town.
Desire mismatch is normal
The two top reasons women stop having sex in menopause!
Today I am so excited to interview Dr. Deborah Butzbach, a doctor who treats cancer with radiation (radiation oncologist) in New Jersey and coach who has her own podcast, “Best life After Cancer”.
She is an expert in mindfulness and the power of our thoughts creating our circumstances.
“In life we get to decide how we think about things”
Today we are going to get her thoughts on sex after a cancer diagnosis.
She believes the mental aspect of cancer treatment is everything
How do you see people getting through cancer treatment with intimacy?
Thoughts on body image
What are people’s limiting beliefs when it comes to sex after cancer
How does a cancer diagnosis and surgery etc change body image and hinder sex?
https://www.bestlifeaftercancer.com/
https://podcasts.apple.com/us/podcast/best-life-after-cancer/id1511313907
Why aren’t we invested in the mom?
Dr. Sonal Patel is a pediatrician, mom of 4 and an entrepreneur! She started the company NayaCare which was created to support moms and families entering life's new chapter.
Tell me why you started NayaCare? Her postpartum journey
What was your biggest surprise after giving birth?
Your mom is a OB – tell me about your sex ed and upbringing and culture
Why do we call it the 4th trimester?
Talk about the role of a doula
Sex and the 4th trimester
We talk about how the morbidity of pregnancy with tears and C-section really complicates sexual desire and intimacy after you have a baby.
Tips for how our partners can support us
Tell me about your journey with IC – interstitial cystitis
How about breastfeeding and intimacy – damn prolactin!
https://www.instagram.com/nayacare
https://www.facebook.com/nayacarecolorado
https://nayacare.org/
I did a successful lecture to the Physician Mom's Group conference and I wanted to pull the audio for you all!
Are you busy, are you a woman, are you a mom? Are you two out of three? Even if you are just one of those you may be experiencing shame and "should's" about your sex life.
Learn why we "should", why a content sex life is part of a healthy body and relationship, and tips and tricks for what you can do instead!
Enjoy! And remember, you are not broken!
Thanks for the Apple and Spotify reviews! They are such an amazing "thank you" to my work and dedication to keep this podcast going! We are being heard around the world!!
Follow me on IG: www.instagram.com/kellycaspersonmd
Sign up for my email to be notified about the future book and the monthly live podcast recordings: www.kellycaspersonmd.com
Corinne Crabtree – Sex and Self Love and Weight Loss
She is the host of “losing 100 pounds with Corinne” – 32 million listens – currently number 8 in Apple for “health and Fitness”
• facebook.com/Losing100Podcast
• IG @Corinne_Crabtree
Losing100Podcast.com
Founder and CEO of The No BS Weightloss Program
Corinne Crabtree is a top ranked health podcaster, Master Weight loss and Life Coach, motivational speaker, and all around badass. She's an expert in the field of weight loss where she teaches her unique No BS Weight loss Program that helps women lose weight the way they want to live their lives. She is known for telling it like it is, showing up looking sassy or showing up with morning hair getting sassy. She lets nothing stop her from helping her women figure out their shit so they can live the healthy life of their dreams.
She has a passion to change women’s lives – she wants to teach every woman to lose weight for good and feel as amazing as she deserves.
What I love about Corinne is she gets women to “stand up” – taking ownership for their lives – which is what I want them to do in the bedroom.
We should talk about desire – so many people think it is a product to have - kinda like weight loss – instead of realizing the power is in their brain. How do you think about sex, desire, wanting and our choice in the matter.
Let’s talk about what self love looks like.
“motivation is earned”
Let’s talk about motivation – for weight loss, for a healthy sex life.
She says “weight loss will only happen on the outside when you learn the skill to change what happens on the inside.”
I will enjoy life/sex when I am thin – talk about how toxic these thoughts are.
Let’s talk about “stop talking shit to yourself”
Body shaming versus telling people they can be the healthiest that they want to be – we discuss a sensitive and complex topic.
“People spend too much time allowing self-doubt to be the main conversation”.
Top 4 things for weight loss!
Okay, practical tip time – late night snacking. Help.
“Don’t make out your thinking to be the problem.....it is also the solution."
“love yourself enough to try”
Advanced Weight loss Certification
www.TheWeightlossUniversity.com
• Applications accepted August 11-13 The first class is September 12
don't want to miss the live recording? Sign up for monthly alerts at www.kellycaspersonmd.com
Hormones, menopause, definition of bioidentical, PMS and more! I answer the Instagram Q&A's all here!
Whew, all caught up on the Q&A for my IG page! See you next month!
www.instagram.com/kellycaspersonmd
This audio is pulled from a conference I was fortunate to lecture at. The conference was for physicians who are trained as life coaches.
Here I talk about sex, female sex "facts", and how to clean up your own mind about your thoughts about sex.
I hope you enjoy if you are a physician, a life coach, both, or none at all.
-Kelly
Shout out to Canada and my sex ed doc www.instagram.com/drrachelrubin
A study shows that vaginal estrogen prevents recurrent UTIs without any further treatment 68% of the time.
Amazing!
But does vaginal estrogen cause cancer? Do I need a progestin? What else can I do to decrease my risk of breast cancer?
https://pubmed.ncbi.nlm.nih.gov/33620909/
For the Men!!
Oh come on, it is for the women too!
Body part warning: I call a male body part a name in this podcast - truly I mean no harm and no shame and no hate. It is only to point out that we can question what we are doing and break down the idea that PIV sex is the default and gold standard. All my love to ALL BODIES and ALL BODY PARTS.
Suffering from a dry spell with your partner? Do you feel like your sex life has tanked? In this podcast, I collaborate with Dr. Rena Malik, a fellow urologist, to share with you 7 tips to help increase your female partner's pleasure!
Dr. Kelly Casperson's Backstory
Tip #1 Schedule time for Sex - Desire isn't even necessary - don't take this the wrong way - I NEVER mean do it when you don't want to do it - rather that for a lot of women, desire arises while doing. And some people don't believe in scheduling as it makes it a "chore" - think of it more as prioritizing your intimate life with yourself and your partner. Like you will forget to go on a date unless it is scheduled because life gets too busy - kind of thing.
Tip #2 Know your Female Anatomy - What exactly is the G-Spot? Focus on the Outside Structures
Tip #3 Prioritize her, it's not all about you
Tip #4 Go Slow
Tip #5 Use Lubricants
Tip #6 Meet in the middle based on your desires
Tip #7 Communication is key
Dr. Malik hosts a popular YouTube Channel https://www.youtube.com/c/RenaMalikMD/videos
Find her her also at www.instagram.com/renamalikmd
and https://renamalikmd.com/
The brain is either having sex or In survival mode.
Dr. Vanessa Calderón, MD, MPP is a Life Coach and Scientist and emergency medicine physician. She uses the perfect combination of evidence-based tools and thought work to help working women solve everyday problems.
She’s the Wellness and Resilience Director for a national physician organization
She has spent over half a decade reconnecting healthcare providers to their original purpose in medicine through education and professional coaching.
We were in the same life coach school and we certified in April 2020! So fun to coach with her!
She has training in resiliency and stress management and was hoping we could talk about burnout/stress, it's effect on sex drive/relationships
Let’s talk about how to not get stuck in the "stress and no-sex" cycle.
Learn how stress turns off the reproductive cycle
Stress affects the physical and psychological system – and both affect your sex life
Taking initiative to improve one’s sex life means often getting started with something you have never done before – we talk about goals and how it is the journey that matters.
Women’s wandering minds and sex - why mindfulness is key.
How to break the stress cycle.
We treat sex like it is a scarcity. It is actually plentiful, abundant.
One thing we learn about in life coach school is how our thoughts create our feelings. I think Desire is a fun topic because it can be a C, a T, a F and probably an action or a Result – crazy!
How do you think about Desire?
https://www.vanessacalderonmd.com
A great interview discussing female sexual health, myths and dysfunctions with www.instagram.com/ohhelloperry
So much value in this one!!!!
Ugh, were to start - - anatomy, heterosexual paradigms, lube, menopause, erectile tissue, Desire, desire mismatch, Resources I love to share, Tips to get in the mood! And so much more!!
Vanessa Osage is on a mission to leave this world better than she found it. Her mission is to Positively Transform Love, Sexuality & Human Connections. In 2017, she won the "Kickass Single Mom" Award for her work in sexuality education and youth rites of passage. A two-time nonprofit founder, Vanessa Osage is a Certified Sexuality Educator, Consultant & Professional Coach at Love & Truth Rising. https://loveandtruthrising.org Her first book, Can’t stop the Sunrise, is available now. https://amzn.to/3xNtmpJ Tell us the story about how you got started in sex ed. You Are a certified sex educator – how did your journey get to educating teenagers and parents to help young people? What does the data say on teaching kids accurate sex ed? How early should we start? How can we empower teenage females and males to advocate for themselves and their partners? Tell us about “puberty rights of passage” Intimacy is created in the vulnerability of our conversations with our intimate partner. Your recent interest has led you to writing a book and becoming passionate about institutional reform through The Justice CORPS Initiative. And you call this “Defending sexual health on an institutional level" Vanessa is truly an amazing human being! I hope you enjoyed her and our talk as much as I did. https://www.bostonglobe.com/metro/2016/05/06/private-schools-painful-secrets/OaRI9PFpRnCTJxCzko5hkN/story.html https://www.instagram.com/vanessaosage
This audio is from a FB and IG live that got uploaded to Youtube! I finally got around to pulling the audio for the podcast! Everything you knew and didn't know about vaginal estrogen! Who is it for, when to start it, do you need progesterone, application types, how it helps......you know, the basics! Enjoy!
Listen to this with your partner! So much talk about partner communication I am so excited to talk to Dr. Alexandra Stockwell. We officially met on a panel for sexperts in October 2020! Which are really the only panels I should sit on these days as they are so fun! She is on a mission to change the cultural narrative around long-term relationships from one of stagnation and companionship to the delectable joy a couple can feel when they build passion and excitement to nourish them both. How do you define a “juicy” relationship? Why people compromise in their relationships. Great sex in a long-term relationship is no accident – talk about the myth of why people think it should be easy or not take work. Tips for becoming a better lover. Why did you write “uncompromising intimacy”? There is a couple – late 60’s – early 70s….he watches porn, turns down her advances – she keeps asking for sex…she states she is torn between divorce and suicide……where would you start? So many women fake orgasm – give me your thoughts on that. You have said that “Humans learn by observation or modeling” – I totally fell in love with that statement. How does that apply to your work? We were talking in January about a stat that 49% of women in their 50s stop having sex – then we had to nerd out and look that up. What do we tell women in their 40s/50s about the next decade of life with their spouse? People are afraid to talk about sex – but it is the vulnerability and communication that actually builds intimacy – people feel entitled to intimacy without doing the hard work. Underneath every complaint is a desire. How to have sex like a woman! Okay, tell us about your programs, how to find/follow you and get your book! Uncompromising Intimacy: Turn your unfulfilling marriage into a deeply satisfying, passionate partnership. https://amzn.to/2UCQZmA The Marriage Podcast with Dr. Alexandra Stockwell: https://podcasts.apple.com/us/podcast/the-marriage-podcast/id1548060690
Gerianne DiPiano is the Founder and CEO of FemmePharma and serves as the Chairman of the Board. A pharmaceutical industry executive and women’s healthcare expert, Gerianne founded FemmePharma in 1999 in response to the industry’s narrow focus on women’s health needs – such as contraception and hormone replacement therapy – but lack of attention to other important women’s diseases and disorders. Guided by her vision to provide more effective treatment options for women, FemmePharma is focused on improving women’s health by developing prescription pharmaceuticals and over the counter products that are specifically designed for women across a broad range of therapeutic categories.
Learn what she set out to accomplish with FemmePharma
She talks about the disparities between how women and men are treated by the pharmaceutical industry?
Learn how she was developing a product for overactive bladder and “by accident” created a product for vaginal dryness
• Satisfaite is an FDA-cleared personal lubricant and moisturizer for vaginal dryness and pain.
• Satisfem Gel and Satisfem Bud are moisturizers created for vulvar pain and itching.
https://femmepharma.com/
Blending science with soul, Dr. Keira Barr turns conventional methodologies on their heads so midlife women can feel comfortable in their bodies and love the skin they’re in.
Dr. Barr is a prominent leader in women’s medicine – creating a bridge between hormones, skin and mind-body medicine to optimize women’s mid-life experience.
She is a dermatologist and got into integrative and functional medicine – by healing her own health problems.
Her focus is perimenopause and menopause.
The role of alcohol and our skin, sleep and menopause symptoms
I have been thinking about women and power and I think both of us work to give women their power back. We discuss how some women may be uncomfortable with this and why.
We discuss hair changes in women as they age
She helps us figure out how to deal with stress
How our hormones affect how we feel.
How joy shows up on people’s face
What is the stress, skin and hormone connection?
Her Book: The Skin Whisperer
https://amzn.to/3gPD2cd
https://www.instagram.com/drkeirabarr
https://www.facebook.com/drkeirabarr
drkeirabarr.com
I go live for the June podcast recording, special guest Dr. Jessica Krant shows up to discuss the 6 pillars of integrative medicine. We discuss the personal growth opportunity with pulling alcohol out of your life. Then I do some Q&A about hormones, menopause, empowerment and how we talk about our bodies, periods and pregnancy matters.
The most important things to know about erectile dysfunction and premature ejaculation!
Enjoy!
www.instagram.com/kellycaspersonmd
Dr. Vonda Wright interviews me on her podcast: Hot For Your Health
https://www.instagram.com/drvondawright
We discuss being female in male dominated surgical specialties
Kelly’s top tips for great sex.
Female sexuality facts
Sex rules and why we should break them
Fear based education and why that can be a problem
Tips for talking to your partner about sex
We talk about systemic hormones and why so many doctors don’t bring it up.
We riff on movement, muscles and aging well.
I hope you enjoy!
Meet my mom! She was so cool and gracious to come on my podcast!
Sex in the 1960’s
When did oral birth control come on the scene for her generation.
Resources she had/didn’t have in teaching her kids about sex
Her wishes for women today.
The problem with a narrow, limited view of what sex is.
What she was taught about menopause and what happens after menopause.
Her final thoughts on what is useful for women to know and use for their sex life.
How my mom would teach sex education.
Podcast sponsor today is https://femmepharma.com
Instagram: https://www.instagram.com/femmepharma
https://mysteryvibe.com
Use YANB15 for 15% off of your order.
Book I mentioned about anatomy:
Women's Anatomy of Arousal: Secret Maps to Buried Pleasure Sheri Winston
What is the role for systemic testosterone in women post menopausal?
Global Consensus Position Statement on the Use of Testosterone Therapy for Women
https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079
International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women
https://www.liebertpub.com/doi/10.1089/jwh.2021.29037
This was a live lecture I gave on sex and menopause.
See me and my slides in action at: https://www.crowdcast.io/e/sex-after-menopause?utm_source=profile&utm_medium=profile_web&utm_campaign=profile
thanks to winkwinkboutique.com for hosting me!
This is May’s live podcast recording with Dr. Jill Krapf and Dr. Becky Lynn
@evorawomenshealth and @beckylynnmd
@jillkrapfmd and @the.cvvd
1) Best way to treat period cramps
2) What is premenstrual dysphoric syndrome – OR premenstrual distress syndrome
3) When can perimenopause start
4) Cannabinoids, CBD and pelvic health and treating pain – and how tough it is to do research on this!
5) Itchy on labia but no skin changes – what could it be?
6) I had a full hysterectomy 3 years ago and have had no estrogen since (I’m assuming). Do I need this? Is this why I’ve gained weight and my libido is lower?
7) Endometriosis
8) What is PCOS?
9) How often should a woman get a pelvic exam and a Pap test
AND MANY MORE!
Join me as I lecture virtually for the Best Of Life Summit - and my hostest extraordinaire is Dr. Vonda Wright.
Desire discrepancy, how our thoughts affect our intimacy, how we need to be in control of our experiences, not our partners. you know, the usual! Enjoy!
You can still sign up for the videos from 25 doctors and industry leaders passionate about women's lives and health.
https://www.instagram.com/drvondawright
https://www.crowdcast.io/e/thebestoflifesummit/register
Today I report on a paper that interviewed individuals with great sex lives. Yes, surprise, they tended to be older! Older and wiser!
Dr. Kleinplatz is the lead author on this 2009 paper and I run through their six-ish top traits that people with optimized sex lives share. Hint - good sex is not just the absence of dysfunction. AND - NONE of it was "I have a spontaneous sex drive"! This is good news for all of us!
http://juliacolwell.com/wp-content/uploads/2017/05/The-components-of-optimal-sexuality-Kleinplatz-et-al.-2009.pdf
I have too much content so I need to start releasing more than once a week! Eeek! What a good problem to have! This week I did a live webinar to the Multiple Sclerosis society about Sexuality - specifically female but I do talk about viagra (okay I just mention it once). It is a whirlwind talk and I do some great Menopause and Hormone myth busting at the end during the Q&A. This talk applies to everyone! Not just those living or caring for people with MS. Enjoy!
Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Washington DC. She is prominent on IG @jillkrapfmd and you can find her at vulvodynia.com
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.
What is the vulva?
What is vulvar pain and what are the causes?
Myths on social media
Where should a woman start if she has vulvar pain?
Tips for women with vulvar pain when it comes to sex?
What is “pelvic floor dysfunction”?
What prompted you to go to social media with your message?
Tips for women who aren’t sexually active but are looking to partner up soon?
“uti” after sex – talk about when this is NOT a UTI
I recently saw a young women with vaginal discharge x 5 years. She had been told by her friends that it wasn’t normal, had a good extensive workup by a gyn clinic. Can you comment on what is normal “down there”.
CBD suppositories and lubricants
On that note, can you talk about the care and maintenance of the vulva/vagina.
She talks about what it is like to write a book! So Cool!
When Sex Hurts https://amzn.to/2R771DE
Episode #70!!! OMG!
Check out our sponsor and use code YANB15 for 15% off all three of their products!
https://mysteryvibe.com/
www.instagram.com/mysteryvibe
This is our April live recording and I was so happy to have Dr. Sonia Wright, the Midlife Sex Coach, on to share some FAQ with me!
So many great coaching topics, how to think and communicate about your intimate relationship with your partner, some hormone questions at the end, and a brief intro to kink.
We talk about Dr. Goldstein's book, “Reclaiming Desire” – why he wrote it.
https://amzn.to/3mZbILn
His take on female desire.
Masters and Johnson’s model of sexual activity
Pearlman model of sexual function – Inhibition and Excitation
Rosemary Basson “circular” model of sexual function
Global versus situational low desire.
What is the role of estrogen and desire?
Addyi and Vyleesi as medications for low desire
He is working on a topical Sildenafil for women.
I have a lot of doctors and providers listen to the podcast – tips for them when a patient brings up desire or pain concerns?
Dr. Goldstein is a gynecologist specializing in pelvic floor dysfunction, vulvar disorders and female sexual health and dysfunction. He is an author, engaging speaker and world traveler (before COVID). You can find him at www.vulvodynia.com
My story on my connection with Dr. Goldstein
How did he become an expert in vulvas – and tell us what the vulva is.
As many as 40 percent of women who suffer from pain with sex won't seek medical care. And most medical professionals are still in the dark when it comes to women's sexual pain.
The viscous pain cycle
Let’s talk about your book, “When Sex Hurts”
Why he wrote it
https://amzn.to/3tFvn5P
What is vulvodynia?
Are there any “easy fixes” for vulvodynia?
What is lichen sclerosis.
What is the role of estrogen and lichen sclerosis?
Should women use steroids and estrogen cream for life?
The importance of local vaginal estrogen in preventing UTI
Menopause lasts a lifetime
My “not natural” rant!
Testosterone for women’s health
Can you talk about the role of hormonal birth control, hormone effects, and pelvic pain and dyspareunia?
Low dose birth control for early menopause
What is the role of trauma and abuse in pelvic pain?
His other book: Female Sexual Pain Disorders https://amzn.to/3x6FXoc
This is pure gold. Funny, quick and wicked smart, Dr. Stephanie Hart joins me today to talk everything libido!
She is a family doctor in Canada who specializes in sexual health and now that Is her full time practice! Foothills Sexual Function Clinic.
www.sexualfunctionclinic.com
We met on a FB group! We connected when I posted a picture of “A Clinicians guide to systemic sex therapy’
Share your path about how you got to this point in your career.
What is the most common sex issue between couples?
What is anorgasmia? Options?
What myths do non-gender conforming or non-straight couples have?
What is a myth that men have about women’s sexual function? - - -
What is a myth that women have about men’s sexual function? - - -
The analogy of “the piggy bank”
Love Languages
Sharing a sexual success story
https://mojoupgrade.com/
Chore-play!
How can a man help a female partner who struggles with desire?
Talk to us about menopause and sex – myths or special considerations.
How should we talk to our partners about sex?
What to do if a man has low desire or doesn’t want to talk to his partner about sex?
What is your opinion on “scheduling sex”
What are your tips or “must do list” for a woman with low libido.
Sexual dysfunction expert!
Today I am so excited to talk to Dr. Sophocles.
She is a gynecologist and sexual medicine specialist practicing in Princeton NJ.
She appears regularly on the radio program Sirius XM Doctor Radio.
She sees women for menopause and sexual dysfunction concerns as well as general gynecology.
You can find her at www.princetongyn.com
Welcome!
How did you get into menopause and sexual dysfunction treatment?
Why do you think sexual dysfunction is so common?
Biggest misconception about menopause that you see?
Talk about perimenopause – when does it start?
How do you transition a woman from birthcontrol/IUD to menopause hormones?
When is the right time age wise to start hormones?
How long can women be on hormones now?
Can hormones help sex lives?
Do you have any favorite non-hormonal vaginal moisturizers? @femmepharma
Lichen Sclerosis Resources
Let’s talk about vaginal lasers. How do you incorporate them into a woman’s plan?
Tips for keeping sexually active in the mid-life?
What’s in the future for you with this work?
Here is my first ever live podcast recording! I answer some IG follower’s questions about menopause and then I bring on Dr. Jessica Krant, dermatologist and functional medicine physician and vegan to discuss gut health, exercise, and how a healthy body is good for a healthy sex life.
Hostage negotiating communication tips
How to deal with the thought, “the other person is the whole part of the problem”
Learning about trying to control others. Our manuals for other people.
How not to base our happiness on how other people behave.
What is “young menopause” and life expectancy data on hormone replacement therapy in “young menopause”
Have you ever asked yourself “why do I want to have sex”?
Hormones at your doctor office. Different types.
Review of vaginal estrogen versus systemic.
FDA approved bioidentical estradiol. What does bioidentical mean?
NAMS 2017 guidelines on stopping hormones – what is the evidence for stopping and when?
Tips and options on irritation with vaginal estrogen creams.
Sunscreen and seatbelts for the pelvis – vaginal estrogen!
Why we think there is such an interest in menopause right now.
How sex is a vehicle for personal growth
“You learn what you are accidentally tolerating”
The point is the journey!
Ellen – become the person worthy of getting on Ellen!
Veganism and skin care
The gut and mental health. Serotonin is created in the gut – say what!!
How exercise is anti-aging!
Book discussed – Never Spit the Difference – Chris Voss
www.instagram.com/drkranttheskinmd
Dr. Sarah Boyles is an expert urogynecologist (FPMRS) with more than 15 years of clinical experience. She manages her successful group practice, publishes widely in her field and creates national FPMRS quality standards. For years, she has heard her patients regret not knowing more about their bladder function and wishing this information was easier to find outside of a doctor’s office. Recognizing the need for great pelvic floor education in the real world, she has recently pivoted to creating quality content for women that is easy to obtain through electronic resources.
https://www.instagram.com/thewomensbladderdoctor/
https://thewomensbladderdoctor.com/
What is a urogynecologist?
How do i know I am normal? (anatomy wise)
Why is this such a common question these days
What would make me abnormal
Talking about bladder leakage, a huge quality of life problem for women. Women with bladder leakage are less sexually active.
We talk about the two main types of bladder leakage in women – stress and urge incontinence
impact of treating incontinence on sexuality and a woman's quality of life
leaking DURING intercourse - a big deal!
Vulvar tears during vaginal delivery and muscle injury
How to talk to your doctor about your bladder
A Modern Guide to Women’s Intimacy Dr. Jennifer Jane Roelands interviews Dr. Casperson Why aren’t we talking about female intimacy? Bringing neuroscience and urology together to understand sex and desire. What kind of sex education did you get in school or in life and is that serving us? How do we talk to young people about their bodies? Tips and tricks. Tips for focusing on the present in order to focus on your sexual self. Brain training! Why context matters for women. Brain science! Why alcohol does to the brain – not all good, not all bad. Let’s talk about scheduling sex. Why orgasms are good for you. Why making sex a “to do list” isn’t great for desire. Advice for new relationships: talk about sex! Menopause and changing sexual concerns. Sleep deprivation is horrible for libido When to see a physician When to see a sex therapist Wrapping it up with desire mismatch! The Vagina Bible by Dr. Jen Gunter. https://amzn.to/30GlHuL Becoming Cliterate by Dr. Laurie Mintz. https://amzn.to/38EV2TD Come as you Are by Emily Nagoski, PhD. https://amzn.to/38CizEI https://www.meetrosy.com/ www.aasect.org Find Dr. Roelands at https://wellwomanmd.com/
You Can't get enough of menopause education and tips! Today we continue to sit with Dr. Heather Hirsch.
She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues.Can you describe peri-menopause and how to thrive during it?
What are the hard stops on who can’t take hormone replacement therapy?
Breasts: The Owner’s Manual – link below
What are the best supplements and vitamins post menopause?
Genitourinary symptoms of menopause and vaginal estrogen
We briefly touch on testosterone.
What is her opinion about pulling a woman off hormones if no sx just because “it has been long enough”
Anything else a woman should know?
https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506
https://www.instagram.com/hormone.health.doc
https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA
https://read.amazon.com/kp/embed?asin=B075PGG4LW&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_ZAMQ6CWZWZQN4RZF8D6G&tag=kellycasperso-20
www.menopause.org
Today I am so excited to introduce Dr. Heather Hirsch. She is the host of “Women’s Health by Heather Hirsch” which is dedicated to uncovering and answering many of the myths and misconceptions surrounding women’s health issues. She is a board-certified internal medicine doctor who completed a women’s health fellowship at the Cleveland Clinic. You can find her on IG at hormone.health.doc and her website is www.heatherhirschmd.com I met her on a ISSWSH committee? Maybe? Or IG? Her best friend is a urologist, so I knew I had to meet her! How did you become a menopause doctor? Why do women know nothing about menopause except hot flashes? Society is bombarded with misinformation. We discuss the Women’s Health Initiative Study and how the results changed menopause in our country for decades since. Learn about the protective effects of estrogen in women between the ages of 50-60. The average menopause symptoms last for 5-10 years. https://podcasts.apple.com/us/podcast/womens-health-by-heather-hirsch/id1423965506 https://www.instagram.com/hormone.health.doc https://www.youtube.com/channel/UCrAeWep_qZiP7QeR7ogcCPA
Featured in this week’s episode of You Are Not Broken host Kelly Casperson, MD interviews OBGYN Dr. Meedlen Charles. Dr. Charles will discuss the effects of Postpartum Depression and how women can be embarrassed talking about the issues they have after giving birth.
Dr. Meedlen talks about the importance knowing that women with previous conditions of anxiety and depression are more likely to be affected by Postpartum. However, most women will have effects after birth, and this is a normal part of giving birth that many do not want to discuss. In some cultures, it is frowned upon to talk about what women experience after pregnancy and birth.
Most women will experience many difficult side effects after birth including lack of desire, body issues, anxiety, depression, vaginal dryness, and more. Some women may feel as if these effects are uncommon, but the reality is that many women experience side effects after giving birth. Women may have a difficult time having sex with their partner or breast feeding for a long period of time. When returning to the work force, women might endure a hard time “wearing multiple hats” and managing their role as a new mother. These feelings are normal and common in most cases.
We talk about pain and dryness with sex. Hormones can be a reason for this, so can birth trauma. Tips and tricks and our favorites!
Typically, there are appointments a few short weeks after giving birth to observe if a woman is experiencing postpartum. Unfortunately, many believe that postpartum will stop after 30 days or 3 months, but the reality is that it can last up to a year after giving birth. The highest risk for perinatal suicide occurs between nine months to a year after giving birth.
Learn when Dr. Charles brings in physical therapy to a woman’s healing plan post-partum.
We talk about low libido post-partum. So common and there are so many reasons why.
The best cause of action is to talk honestly to your doctor because while it may feel embarrassing, they are there to help you. They can recommend lotions or oils to make your body feel more comfortable during sex, therapists to help you deal with your anxiety or depression, and more.
Join these physicians as they talk about women and their mental/physical state after having a child. And then be sure to subscribe to the podcast on Spotify and Apple Podcasts.
Important Links:
https://www.kellycaspersonmd.com
https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329
Mary R. Rensel, MD, is a Staff Neurologist in Neuroimmunology at Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research.
She is also Board Certified in Integrative Holistic Medicine. She directs the Pediatric MS and the Wellness programming at the Mellen Center. She is an Assistant Professor at the Cleveland Clinic Learner College of Medicine where she serves as an instructor for the medical students.
www.Instagram.com/MRenselMD
www.linkedin.com/in/mary-rensel-94844b1a
You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber
https://www.facebook.com/mary.rensel.9
@the_brain_fresh
Brainfresh.org
Keep your sex life in your life!
She is a brain doc, a mom, and a coach! Welcome!
I first saw her at the Brave Enough 2019 conference when you were talking about brain health!
For people who don’t know…what is Multiple Sclerosis?
How does it affect one’s sex life – male and female?
Segway into overactive bladder for a bit….formal physical therapy versus googling “kegels”.
How do you incorporate integrative medicine into people’s lives living with neurologic disabilities?
What do we do about fatigue in neurologic conditions?
What do we do about decreased sensations?
Talk to me about coaching. When did you get interested and how do you use it in your life?
https://www.Instagram.com/MRenselMD
www.linkedin.com/in/mary-rensel-94844b1a
You Tube: https://www.youtube.com/channel/UCg7lbnRJz9RImUaVG_qMkvQ/about?view_as=subscriber
https://www.facebook.com/mary.rensel.9
Brainfresh.org
Episode 58 - Stephen Snyder, MD
A sex therapist, relationship therapist, and sexual medicine specialist — Dr. Snyder has dedicated his entire career to helping individuals and couples with sex and relationship concerns. Over 30+ years, he’s helped over 1,500 individuals and couples regain closeness and satisfaction in their relationships.
I heard him on a podcast “sexology” and needed to read his book and get him on my podcast. I loved the male perspective, and he offered ways for women to understand the male model of sex in a long-term relationship.
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How did you go from MD to sex therapist?
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Women are the “chief sexual officer” in the relationship
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How women and men are different
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The “two step” plan for good sex
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In his book, he writes, “your wife is not a lawn mower” – we discuss
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He writes – "Good sex definitely make you dumber. And great sex can make you downright stupid."
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Sex knots and how to untie them
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Why men “go missing” in bed
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Tips for talking to your male partner about better sex
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Talk about shame and sex!
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FIOS – for it’s own sake – enjoy arousal for it’s own sake. He discusses what “simmering” is and why we should enjoy it more.
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Why humans are not steam engines
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“Everyone over 35 should have a dimmer switch in the bedroom”
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ANTs – automatic negative thoughts – so many women have these and body image issues – help please!
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Desire – it is becoming an object of FDA approved medications – yet you talk so differently about it, such that it is not needed at all. Please educate us!
https://www.sexualityresource.com/
An amazing blog post about female sexual desire: https://www.sexualityresource.com/blog/womens-sexual-desire-and-why-men-often-dont-recognize-it
His book is amazing! Find it at:
https://read.amazon.com/kp/embed?asin=B073Z8CBQ4&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_PKDWP0312DYJZ99H8YZ4&tag=kellycasperso-20
I am SO excited to release this interview!
In this episode, I talk to Master Sex Coach Danielle Savory.
You can connect with Danielle on Instagram @thesexcoachforwomen or via her web site daniellesavory.com/group
01:10 – How Danielle got into being a Life/Sex coach
11:22 – Desire
13:05 – Talking about the role of “Should”
15:37 – Talking about self-compassion
18:53 – Talking about orgasms
19:49 – Finding yourself in a sexless marriage – How do we get there?
25:24 – Stop living in your head…
26:45 – Scheduled sex
29:29 – Thinking of sex as pleasure for someone else
34:12 – Teaching about sex using fear
34:32 – How do we take responsibility for our own pleasure?
39:33 – How meditation can help sex lives
42:34 – The paradox of long-term relationships
45:57 – Danielle’s thoughts on common limiting beliefs about women having sex
47:49 – Where would Danielle like to see women in regards to sex in 10 yrs?
49:50 – The effects of the internet on sex
Welcome to episode 56! We are going to hit 20k listens with this one!! I know it! Thanks for being one of them and sharing the love! Today I riff about: Arousal and vaginal physiology Side effects of waxing What is normal in regards to vaginal discharge Moisture and arousal "Premature penetration" - don't do it! Correlation with erectile dysfunction Why good blood flow is good, and things that decrease and increase blood flow When to go get your pelvis checked out Arousal desire discrepancy/mismatch Prescription options The sex education that nobody got
PART 2 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!! https://www.tribecalledv.com/
Or in her day job Dr. Shieva Ghofrany. https://www.instagram.com/biglovefiercejuju
She is a medical doctor, who is an OB/GYN practicing in Connecticut.
01:17 – New injectable medications - HSDD
11:23 – Topical Testosterone
15:00 – Shame
17:45 – New company.
PART 1 - Today I am so excited to chat with BIGLOVEFIERCEJUJU!!!
Or in her day job Dr. Shieva Ghofrany.
She is a medical doctor, who is an OB/GYN practicing in Connecticut.
You can find her at biglovefiercejuju.com
On IG at biglovefiercejuju -she as 23k followers!
Through the BIG LOVE FIERCE JUJU Foundation, Dr. Shieva Ghofrany plans to help people engage in their mindset and "lose the fear" of VERY common, everyday, but admittedly anxiety-provoking issues.
01:19 – Origin of the name Big Love Fierce Juju
02:42 – Talking about Ovarian Cancer – her personal journey
06:!5 – Surgical Menopause – how is this different than “regular” menopause
08:39 – Managing Hot Flashes – natural non-hormonal options
12:35 – Vaginal Dryness
22:18 – Libido
Check out her TRIBECALLEDV - www.instagram.com/tribecalledv
Where she increases your knowledge about your female health to decrease your anxiety!
Happy New year! I reflect on the past year. How I got started by listening to the voice in my head. Yeah, kinda like Frozen 2 (which my kids are currently watching).
- You have to deal with your limiting beliefs that aren’t moving you forward
Impossible goal for 2021 – how about intimacy? It is the journey, not the destination – a journey of 1,000 miles starts with a single step.
It is not the YOU when you get there – but the journey
What is your reason for your goal? If it is so you feel better about yourself, ask yourself why you can’t feel good about yourself now. You are worthy now, just as you are. Nothing you can get/obtain will CREATE the worthiness. Feeling of worthiness comes from thoughts, not circumstances.
So, if you want to have a better sex life to feel worthy as a spouse etc etc….what is preventing you from feeling worthy as a spouse now?
Watch out for the SHOULDS!
I also share the top four rules by Dr. Rachel Carlton Abrams in “the Multi-Orgasmic Woman".
Self-cultivation – best renaming EVER!
And in the meantime, remember, you are not broken.
Jenn Mason, owner of the sex shop Wink Wink Boutique in Washtington state joins us today!
www.winkwinkboutique.com
IG: www.instagram.com/winkwinkboutique
Lubrication - why people are resistant to the idea of lubrication
How to have a conversation with your partner about sex
Water based lube
Silicone based lube
Hybrid lube
Flavored Lube
Desire Arousal mismatch
Lube doesn’t replace the need for preparing the body for sex
CBD Lube
Taking it up right where we left off!
Dr. Rashmi Kudesia - part two - hormone replacement 101 and hormone healthy bodies.
1) Who is a good candidate for hormone replacement therapy?
2) Who is NOT a good candidate for hormone replacement therapy?
3) Androgens in polycystic ovarian syndrome
4) Where do androgens come from in the female
5) It is so popular now to read about “balancing your hormones” – help us out with that – are people talking about lifestyle habits or what are your thoughts about “balanced hormones”
6) The role of diet in your hormones. The “pro-fertility” diet.
https://www.ccrmivf.com/houston/rashmi-kudesia/
www.instagram.com/RKudesia
www.facebook.com/RKudesia
Hormones throughout our life.
Today I am so excited to interview Dr. Rashmi Kudesia. She is a practicing infertility specialist at CCRM Fertility in Houston, Texas.
https://www.ccrmivf.com/houston/rashmi-kudesia/
www.instagram.com/RKudesia
www.facebook.com/RKudesia
She did medical school at Duke, then a OB/Gyn Residency at Cornell. She then did additional fellowship training in Reproductive endocrinology and Infertility, as well as a Masters in Clinical Research, at Albert Einstein, and now practices in Houston.
Part One – Hormones throughout life and sex while trying to conceive.
1) What is a reproductive endocrinologist?
2) Can you talk about how infertility affects a couple’s sex life – turning it into work.
3) What are the sexual side effects of
a. Birth control
b. Infertility treatments
c. Menopause
d. PCOS
BIRTH CONTROL SE – what do do about periods
4) What are the roles of hormones in sexual health
estrogen, progesterone, thyroid, androgens
5) Why are women so afraid of estrogen in our society? The “shame” of being hormonal combined with the WHI study. The myth that birth control affects fertility.
I am interviewing Jenn Mason again! So Good! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique The Stigma of sex toys Sex toys can level the orgasmic inequality in a partnership – level the playing field Types of toys How toys can help people with disabilities Options in the toy department
Today I am so excited to talk with Dr. Latifat! She is a GI doctor working in Sacramento, California She is a graduate of the Life Coach School and coaches women on Money Mindset. You can find her on FB at MoneyfitMD and at www.moneyfitmd.com She helps women go from financially overwhelmed to financially confident. It all starts with transforming your relationships with money. Why talk about money on a podcast about sex? When She coaches women about money, They spend a lot of time on the relationship with self and how this money drama is really just a phenotype of a deeper issue. When we heal from the inside, money falls into line. I think this relates to sex as well. Tell us how you got into coaching on money mindset! Sex , money, mindset are so connected. 1) money in relationships. How to money date your partner. What do you mean by this? - We don’t have to like the same things, but communication helps us understand the language we are speaking to each other. - Safe spaces and communicating BEFORE there are issues 2) How to get more (money & sex) 3) Money worries and sex. They can buffer each other . Discuss 4) Developing your other confidence: money confidence. 5) The common beliefs limiting to conquer that will grow your money and sex life. 6) Understanding our capacity to do many, wonderful things 7) Money Scarcity beliefs
This one is for the dudes! And the women who love the dudes!
Truthfully, it works for same sex couples too.
Let's talk about changing your partner - ha! You can't!!!
Starting from a place of appreciation.
Avoid assumptions.
Erectile Dysfunction
Loving what is. Intimacy avoidance. Avoiding being critical.
Discover what makes your partner feel loved.
Dr. Winter is a urologist. She grew up in New Jersey and went to Rutgers for undergrad.
She did her urology residency at Cornell in NYC.
She did her fellowship with Dr. Irwin Goldstein in San Diego – the only fellowship for women’s sexual health that exists!
She currently works at Kaiser in Portland.
She is active on twitter at @AshleyGWinter
She is on FB at @ashleywintermd
Her podcast is called “the Full Release” which she co-hosts with her husband Mo Mandel.
https://podcasts.apple.com/us/podcast/the-full-release-health-relationships-comedy/id1346835576
So excited to have you!
1) How did you find Urology
2) Why a fellowship?
3) We ponder the lack of education and acknowledgement of the clitoris in exams and education.
4) What is your favorite procedure in urology and why?
5) How do you take care of penis health?
6) Biggest misperception about the penis?
7) How penis bearing people have hurt themselves.
8) Any advice if a penis isn’t working as well as it should?
9) Do OCT penis supplements work?
10) What is Peyronies Disease?
11) Biggest misperception you see with people and sex?
12) How did you find a comedian as a fiancé?
13) How did your podcast come to life?
My favorite tweet of Dr. Winter’s:
The actual text of the review states: "The findings support the role of the clitoris in attaining sexual orgasm." NOTHING NEEDS TO SUPPORT THAT. That would be equal to saying, "This data supports the role of the eyeball in seeing." The clitoris DESERVES BETTER.
Jenn Mason, owner of the sex shop Wink Wink Boutique in Washington state joins us today!
www.winkwinkboutique.com
IG: www.instagram.com/winkwinkboutique
How Jenn got to the point of owning a sex store. How do you get to that place in life?
Learn how Jenn and Dr. Casperson met.
Learn what has been the most rewarding thing for her in opening her store.
We live in a shame-based culture about sex.
How I get people to be open to exploring the tools and resources available in the store.
What is sex positive education?
The medicalization of “low sexual desire”. Is it possible it is more complex than just neurotransmitters?
The myth of spontaneous desire.
The importance of mindfulness and context – and the difference between people’s brains.
A discussion about erectile dysfunction.
Why Jenn doesn’t like the term “foreplay”.
Jenn’s journey into sex coaching.
Fantasies are normal.
Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine.
Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living.
Find her at https://www.evorabydrbeckylynn.com/
IG: https://www.instagram.com/beckyklynnmd/
FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/
Twitter: @beckyklynn
https://www.youtube.com/c/BeckyLynnMD
What is vaginismus? What is the Pelvic floor?
How does endometriosis effect sex?
Can you talk about sexual function after breast cancer and what options are available?
Advice for women who want to talk to their doctors about considering hormones or discussing sexual health?
Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine.
Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living.
Find her at https://www.evorabydrbeckylynn.com/
IG: https://www.instagram.com/beckyklynnmd/
FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/
Twitter: @beckyklynn
https://www.youtube.com/c/BeckyLynnMD
How she went from ballet to gynecology!
How did she get into sex med as a specialty from general gynecology?
How is sexual function changed in peri and menopause? Hormones decline and this affects the pelvic function and libido.
When is it time to consider starting supplemental systemic hormones? A review of the Women’s Health Initiative study and how we got to where we are with hormones having a bad reputation. And where are we now.
Biggest myth about taking hormone supplements in menopause? Vaginal hormones don’t increase your risk of breast cancer.
Why are women so afraid of hormones?
A woman said she tried systemic estrogen but it caused her to gain weight. Thoughts?
Today I am here with sex educator and sex therapist Tracy Dalhstead-Rienstra. She wanted me to talk about this important piece of legislation coming out on the November ballot for people who live in Washington state.
As an expert in the field of sexuality, she talks about the current standard of education that she sees in adults in her practice and what adults who didn’t get a good sex education look like in their struggles in intimate relationships.
BACKGROUND Senate Bill 5395 (SB 5395), passed by the Legislature in 2020, would require Washington’s public schools to provide comprehensive sexual health education instruction that is medically and scientifically accurate, evidence-informed, age-appropriate, aligned with health and learning standards, and inclusive of all students regardless of their protected class status.
A referendum called Referendum 90 will be on the November ballot asking voters to approve or reject Senate Bill 5395.
A 2017 Centers for Disease Control and Prevention (CDC) survey indicates that nearly 40 percent of all high school students report they have had sex, and 9.7 percent of high school students have had sex with four or more partners during their lifetime. Among students who had sex in the three months prior to the survey, 54 percent reported condom use and 30 percent reported using birth control pills, an intrauterine device (IUD), implant, shot or ring during their last sexual encounter.
The birth rate for women aged 15-19 years was 18.8 per 1,000 women in 2017, a drop of 7 percent from 2016. According to CDC, reasons for the decline are not entirely clear, but evidence points to a higher number of teens abstaining from sexual activity and an increased use of birth control in teens who are sexually active. Though the teen birth rate has declined to its lowest levels since data collection began, the United States still has the highest teen birth rate in the industrialized world.
Sex Education and States All states are somehow involved in sex education for public schoolchildren.
As of October 1, 2020:
§ Thirty states and the District of Columbia require public schools teach sex education, 28 of which mandate both sex education and HIV education.
§ Thirty-nine states and the District of Columbia require students receive instruction about HIV.
§ Twenty-two states require that if provided, sex and/or HIV education must be medically, factually or technically accurate. State definitions of “medically accurate" vary, from requiring that the department of health review curriculum for accuracy, to mandating that curriculum be based on information from “published authorities upon which medical professionals rely.”
Research on sexual abuse shows comprehensive sexual health education is an important and effective prevention strategy. When students learn about and develop skills related to affirmative consent, they are more able to set personal boundaries and respect the boundaries of others. (Schneider, M., & Hirsch, J. S. (2018). Comprehensive sexuality education as a primary prevention strategy for sexual violence perpetration. Trauma, Violence, & Abuse.)
The Clitoris has one job, one job only – pleasure.
But what about the penis? Take a listen to find out.
The glans of the clitoris is the part we “think about” – but there is way more.
You can also see the clitoral shaft/body.
The anatomy issues that can come along with owning a clitoris.
We are designed perfectly!! Darn it!
What does your brain say to you when we talk about the clitoris?
Jessica Pin is an author and advocate, publishes frequently on her IG @Jessica_ann_pin and is passionate about education equality in regards to genital anatomy between the sexes.
Her Goal: equitable coverage of the clitoris in medical literature & curricula to prevent harm.
She has even published her own study!
3 top OB/GYN textbooks changed.
Listen to her story about when and how she decided to get a surgery on her labia and what has happened since then.
All labias are normal. All sizes are normal.
Listen to how she has taken her experience into advocacy work.
Her advice for physicians.
She describes anatomy of the vulva for us.
Biggest misconceptions in female anatomy.
Negative body image affects sexual function!
Her final thoughts on changing medicine to help women better!
Thank you Jessica!
This is audio shared from my facebook live video talking about Responsive Desire.
Feeling broken in a male-centric world.
Feeling broken in a sex-shaming society.
Some people think that sex and desire aren't "drives" at all.
Want to improve your sex life? Emily Nagoski says change your context.
Women are way more "context driven" in regards to sexual activity. Men tend to be more visual.
One day away from my course launch!
Go to www.kellycaspersonmd.com
Today we learn about how the penis can have trouble when the mind is being tricky.
Sign up for my sex education class starting September 21st!
www.kellycaspersonmd.com
First, we need to hear the importance of erections from the male perspective.
Okay, now that we did that, what should we do when couples stop having sex after erectile dysfunction. In this episode we will specifically talk about prostate cancer as an example.
We learn why erections can falter after treatment for cancer.
We learn how relationships change.
We learn that the embarrassment in talking about this actually hurts couples because they can't think of what to do after their sex life has changed.
Communication is key! But we have to start by acknowledging that this is a really really hard topic for couples to talk about.
The MASTER CLASS is starting soon! From boring to mind blowing! Sex education and coaching!
www.kellycaspersonmd.com
Thoughts about sex
Let’s hear about a “typical” woman who comes to me for sexual issues.
KY Jelly is the Betty Crocker of lube – it is everywhere, but not always great.
Figure out what your sexual goals are.
Your thoughts about sex influence your sexual satisfaction.
Your thoughts are not facts.
If your goal is to be a happy sexual person but your thoughts tell you otherwise, we are stuck!
Sometimes thoughts are put in your head by other people, things, society. Especially about sex.
I can’t get you to comfortable enjoyable sex if your thought is, “I am not a sexual being”
Your body is listening to your thoughts.
Sex and body image.
Thoughts create our feelings which create our actions.
Some of our thoughts aren’t serving us anymore.
Sometimes we can’t make a thought go away, but we can see it for what it is – not a fact and not helping you. You can work on replacing your thoughts.
Negative thoughts can’t get you to a positive solution.
Sex coaching! Your biggest sex organ is your brain.
After spending the last five years honing her skills in outpatient care, Dr. Ahmed is ready to focus on her passion for treating pelvic pain. Dr. Ahmed has chosen a focused practice, because she believes concentrating on a specific field creates the greatest expertise. Chasing that greatness has been her consistent driving force.
https://www.pelvicrehabilitation.com/
www.instagram.com/drtayahmed
Learn how she found her calling in pelvic pain after doing her residency training in New York.
She treats men and women!
Learn how adenomyosis is different from endometriosis.
Adenomyosis is different from fibroids.
The “classic” endometriosis pain characterization. “endobelly”. Pain with periods, urinary symptoms.
The only way to 100% diagnose endometriosis is with diagnostic laparoscopy – which is a surgery.
Relationship between fibromyalgia and pelvic pain and endometriosis.
The power of cognitive behavioral therapy in chronic pelvic pain.
The role of BREATHING in pelvic pain
The role of pelvic floor PT
The role of pelvic floor trigger point injections – releasing pelvic muscle tension
Post partum pelvic pain concerns! It can be many different things.
The role of peri menopause and post menopause in pelvic pain.
Lifestyle improvements people can make if they are living with pelvic pain – made endorphins!!
What is NOT helpful when living with pelvic pain. – stop eating your triggers!
Persistent Genital Arousal Disorder (PGAD) – under-diagnosed, very bothersome, chronic and debilitating.
Learn about “hard/flaccid” – something new to me! Is it a male PGAD?
Meet Dr. Lubahn – Mom, entrepreneur, urologist and creator of https://ondrwear.com/
Learn about both of our crazy stories about becoming urologists.
Incontinence is very common. 50% of women!!!
There are common reasons that people leak.
Stress incontinence – increase in abdominal pressure – leaking with cough, sneeze, laugh. It is a pelvic support problem.
Urge incontinence – “I gotta go now!!” It is a bladder problem.
Overflow incontinence – the bladder can’t empty well, so it overflows with urine.
The myth of “incontinence is normal when we get older”.
Lifestyle changes – watch the amount of fluids you take in. Avoid or decrease caffeine and alcohol. Strengthen your pelvic floor with physical therapy. Use a Pessary or Poise Impressa.
Surgery for Stress Incontinence – urethral bulking agents, midurethral slings
Learn how Dr. Lubahn’s quest for baby diapering solutions lead her to make the perfect underwear for women.
Listen to what advice she has for other people with a great idea sitting in their brain.
Today we will meet an emergency department physician who has started a company to help women take control of their health, weight, and mindset.
How we think about our bodies affects our sex life! So we can't neglect the whole body in our discussions!
https://www.wholisthealth.com/
https://podcasts.apple.com/us/podcast/curate-your-health/id1478410990
Join us as she shares how she created a space for helping women use food and exercise as medicine to prevent and reverse disease.
The side effect of this is weight loss and comfortableness with themselves.
What is a health curator? Someone to specifically fit the needs someone has in their life.
What is lifestyle medicine? A new specialty in medicine. Using the evidence behind food, sleep and medicine to help prevent and reverse disease.
Neuroplasticity allows us to rethink the way we think about food and choose to be healthy.
It takes work, but it is entirely possible.
We make 700 neurons a day.
Can you use mindfulness to help your sex life? Heck yeah!
Negative body image affects your sex satisfaction.
What do you wish women knew about exercise?
Skill with how we eat and exercise is a mindset issue.
Relying on motivation won’t get the job done.
Discussing peri and post menopause.
Mindset work – who you are, who you want to be.
Urologist interview king Dr. John Lin interviews Dr. Casperson!
Today’s episode is sponsored by KGOAL. Use the code NOTBROKEN for a 20% discount on your purchase!
www.kgoal.com
Topics discussed today:
Orgasmic Inequality
Why PIV sex doesn’t always work
It takes a female longer to reach climax than a man
Clitoral anatomy – knowing anatomy helps people realize they are normal.
www.OMGyes.com – a great resource for sex education
What do sex therapists do? – they are therapists comfortable talking about sex.
Solo-sexual – having sex with yourself.
Orgasmic inequality – everyone has more orgasms than the heterosexual female
Why? Our society doesn’t value female orgasms as much. Women want to please their partners – but don’t neglect your own pleasure.
HSDD – hypoactive sexual desire disorder – now there are FDA approved medications.
BUT WARNING! If you think that the solution for desire is in a pill, you are likely to get disappointed.
Responsive desire is the majority! You Are Not Broken!
Common female sexual problems I see in clinic
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Not enough lubrication – desire, arousal mismatch.
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A woman takes longer to orgasm than a man does
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Perimenopause and low estrogen status of vulvar tissues
She Comes First – Ian Kerner https://www.amazon.com/She-Comes-First-Thinking-Pleasuring/dp/0060538260
Sex Toys – FEM TECH! they aren’t scary, they are just toys. They will not save your marriage.
https://techcrunch.com/2019/01/08/ces-revokes-award-from-female-founded-sex-tech-company/
https://loradicarlo.com/
The Vagina Bible – Dr. Jen Gunter. https://amzn.to/31AU6ve
Becoming Clitorate – Dr. Laurie Mintz. https://amzn.to/3fMwUz9
Reclaiming Desire – Dr. Andrew Goldstein https://amzn.to/30M6Ks6
The WEBSITE IS UP!!! www.kellycaspersonmd.com
Announcement! Sept 21st course registration is open!
www.instagram.com/kellycaspersonmd
The Software - Desire and Orgasm
Do I actually need a loading dose of estrogen cream?
What is vaginal DHEA for?
What to do if estrogen cream burns?
Desire and orgasm.
My why - why did I learn about this stuff.
Desire in long term relationships.
Reactive and spontaneous desire
I can’t make you like something that is painful.
The theory behind why women can have multiple orgasms
Why women’s arousal is necessary to prevent pain with sex
Basson’s model of women’s sexual cycle.
How many times a week am I supposed to have sex.
Orgasm Inequality.
Correction from audio - Dr. Laurie Mintz, Phd - she wrote “Becoming Clitorate.”
The Melted Ice cream analogy for desiring sex.
The FDA approved meds for hypoactive sexual desire disorder. Filbanserin and Bremelanotide.
Why do men who wash dishes have more sex?
Testosterone and women. NOT FDA approved and is not dosed for women. What do you do?
This is part one of two episodes where I am publishing my recorded lecture to my local Nurse Practitioner association.
So this may be geared more towards the health professional. But don't we all deserve an education??
Sex and education for busy modern times! First step, learn the organs!
My story - how I got in the business of sex education.
Disclaimer - sex is awkward
Listen to your brain - it will tell you what you already know about sex. Society puts a lot of rules about sex into our brain. Those voices will talk to you.
Vulnerability is the key to connection.
The Hardware - the Pelvic Anatomy
Anatomy about the vulva
Labias are normal
Vulvodynia - pain in the vulva
Clitoral anatomy
Post menopause anatomy changes
Genitourinary symptoms of menopause
How does birth control change the vulva?
Vaginal estrogen does NOT cause breast cancer
When can I stop my vaginal estrogen?
Vaginal DHEA
How to clean and care for your vulva and vagina
So lucky to talk to the Rotary in Duluth, MN!
The mind is the biggest sex organ!
I got into female sex med because of one of my patients and my inability to help her – hear that story.
Sex education in America tends to be shame based and disease and pregnancy prevention based.
1) Talk about desire types
2) Orgasm inequality
3) You can’t desire bad sex
4) Erectile dysfunction
5) Menopause
6) Systemic and vaginal estrogen
Tips and tricks!
Sex works best when you get out of your head! Focus on the present.
How to talk to your partner about sexual desire mismatch.
Why Dr. Harper created ROSY
www.meetrosy.com
https://www.instagram.com/meet_rosy/
https://www.facebook.com/MeetRosyApp/
How I met Dr. Harper and how she got started in creating a sexual health wellness app.
She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year!
What is low sexual desire? Distressingly low sexual desire.
How can a woman bring up this topic with her doctor. Tips and tricks.
We discuss the myth that women’s sexual health is complicated. It is not!
We discuss reactive (responsive) desire. It is totally normal!
We talk about loss of trust in a relationship and how that affects desire.
Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting.
Resources Rosy provide for health professionals?
Future plans for Rosy – Telehealth started in Texas June 1, 2020.
Erase shame and isolation!
Here we go! Week two!
Learn about how birth control affects sex
DHEA
And enjoy DC's premier cliterologist!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
I can't remember how I met Dr. Rubin but I am so excited I did! A sister urologist to me! Such a great educator and surgeon!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
How she got into female sexual medicine after urology residency
The biggest misperception about her job
Challenges with menopause and the pelvis
Testosterone’s role in women
How to talk to your partner about sex (hint: bring them to the doctor's appointment).
When you empower someone with how their body works, everybody wins and confidence happens!
Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum. She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency.
Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC.
IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats.
What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan.
She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers).
Physical therapy is vital in educating women about their bodies and bodily function.
Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension.
Tips for stress management!!!
Healing from pelvic pain takes time. There is no magic wand! It takes time and work.
Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants.
Dr. Gerig’s goal is to get her patients OFF medication eventually.
Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements.
Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain.
Tips and tricks for self advocacy for pelvic pain. www.apta.com . www.hermanwallace.com
What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this.
Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex.
Learn about her backstory as a child from a divorced family.
She started a podcast, On the Brighter Side
https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810
She teaches the Five Step Framework to Complete Connection.
She teaches about “Radical Intimacy” – Intimacy without boundaries.
Find her online at https://onthebrightersideoflife.com/
And
https://bit.ly/30dayplans
And her Facebook: https://www.facebook.com/monica.tanner2
The role of connection, loving and safety in having mind blowing sex.
The feelings of love and the feelings of desire are different.
A lot of women struggle with, “I am not supposed to have pleasure”
Myths about sex and intimacy in our culture.
How one creates more fun, flirtyness and pleasure in life.
The role of a “busy mind” and how it isn’t helping your sex life.
Lost Desire?? Spontaneous versus reactive desire.
The role of boredom in a marriage and what it does to intimacy.
The three secrets to building desire.
1) The difference between love and desire
2) The difference between spontaneous and responsive desire
3) You can’t afford to NOT have a healthy sex life
Today I am interviewing Dr. Sonia Wright! Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach
Today we are going to listen and learn about how she became a sex coach.
How to talk to your partner about your intimacy goals.
Taking responsibility for your own sexuality.
Resources for men
Long term relationship challenges
The topic of desire
Book suggestions for readers
Body image and sexuality challenges
Tips and tricks to talk to your physician
Faking orgasms
Basic health needs to optimize sexuality
Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated. Don't get me wrong, sometimes it is. Doctors don't always have the "magic wand" that we all want. BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop).
Win #1 - lube
Win #2 - estrogen cream
Win #3 - Responsive Desire
Bonus Win #4 - listen and learn!
Required listening for anyone who has been told they have prolapse.
1) what it is
2) why women get it
3) non-surgical options
4) surgical options
5) post op expectations
6) risks of surgery
In a now groundbreaking and often referenced paper "Why Humans Have Sex," Cindy Meston and David Buss asked over 700 individuals to list the reason why they last had sex. Well, get ready for some spoken word poetry as Dr. Casperson reads all 237 reasons out loud. Pay attention to your thoughts and judgements as your brain will tell you what you think the right and wrong reasons are! Our biases are strong, but as they learned, there is not just one reason!
This is our first episode geared towards the guys! Join me and guest Dr. Pohlman as we discuss his podcast - The Prostate Health Podcast and his area of expertise, men's prostate and sexual health. What we will learn:
Changes after prostate cancer treatment
Sex after prostate cancer
Why men have more erectile dysfunction as they age.
Options for intimacy after prostate cancer treatment.
The role of testosterone after prostate cancer.
www.prostatehealthpodcast.com
The second half of the steamy sex ed talk is here! Ride along and you will learn:
Mindfulness for COVID and sex
Faking orgasm
Porn is fake
Resources to help women achieve pleasure
Why Penis in Vagina sex is bad for female orgasms
Clitoral anatomy
Medication for hypoactive sexual desire disorder
Sexual pain
Top tips for sex!
Book recommendations
I did a lecture on female sexual dysfunction 101 and I broke it into two episodes for you!
In this first half, learn about:
How a urologist got into female sexual health
Orgasmic inequality in heterosexual relationships
Low desire versus bad sex
Why women have sex
Mindfulness for better sex
Alcohol and sex - the good and bad
Spontaneous versus responsive desire
Sexual desire mismatch
Tips for creating desire in a long term relationship
Uberlube.com sent me a box of goodies to share! In this episode we talk about the importance of lubrication! I also answer a listeners question about vaginal estrogen, its purpose, expectations and limitations. Enjoy!
When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy!
Sit down with me and meet Amanda Nayfield PT, DPT, WCS, pelvic floor physical therapist, mom, wife, and outdoor adventurer! And check her out @connectNWPT
What you will learn in this episode:
How she got interested in pelvic health in her training as a physical therapist
A personal success story in pelvic pain and intimacy
What happens at the first physical therapy appointment
What a pelvic floor assessment entails and why it is important
How a physical therapist’s exam is different from a medical doctor’s pelvic exam
How pelvic PT helps postpartum pelvic and sexual health
How pelvic PT helps menopausal sexual dysfunction
How pelvic PT helps males with pelvic pain
Okay, I get it. Who wants to listen to a podcast about pelvic exams? You! Why? Because they are so important in the workup of pelvic pain and sexual health concerns! You will learn how I think about pelvic exams and how my exams are different than your "average" pap smear exams. I did the best I could to keep this one short and sweet! I hope it brings you value and understanding! - Dr. C.
Things you will learn:
Reasons that you need a pelvic exam with sexual dysfunction
How you can “see” estrogen status with a pelvic exam.
Clitoral phimosis is a thing! This can decrease orgasms.
The dry posterior vulva! Oh my!
CT scans and MRI can’t usually “see” pain.
Pelvic floor muscles - you can’t see them but you can feel them on exam and if you reproduce the pain we have found a reason for pain.
Reasons for pain during sex (dyspareunia) can be found on a pelvic exam.
The second half has dropped! Join Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator, Peer Sexual Health Education (PSHE) coordinator.
Topics discussed this time:
How do you bring up sexually transmitted infections in a new relationships?
How do advocate when your medications cause sexual side effects?
Sexual desire mismatch in a relationship.
Female “ejaculation” or squirting - what is that about?
How do I explore my sexual boundaries?
I have been faking orgasms - HELP! - Where do I go from here? How to talk to your partner about faking orgasms
Advice for someone who is scared to have sex for the first time.
What to do with competing sex drives.
Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator and Peer Sexual Health Education (PSHE) coordinator meet up to talk Q&A's that were asked of them as a part of a University lecture on sexual health. In this episode topics discussed:
Is my anatomy normal?
Basic Genital Care
What does the vulva include?
Why post menopause causes more UTI and infection
The care and cleaning of foreskin
The most common penis issues in our clinics
Blood flow and erections
Why smoking causes erectile dysfunction
Premature ejaculation
How to get curious when erectile dysfunction is a problem in a relationship
Is erectile dysfunction the end of your sex life?
Am I having unrealistic expectations for my body?
Side effects of antidepressants.
We all want good skin. But what happens when the skin condition is in the private area? This is a skin condition 101 talk on lichen sclerosis. It affects up to 3% of all women (and some men too). Learn about it and how it is treated.
Today we are learning about the role of testosterone in female desire disorders. A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more!
You will learn: The myth that testosterone is a male hormone.
How aromatase affects one’s active testosterone, in both men and women.
How testosterone plays a role in sexual desire and overall health.
How well does testosterone work for HSDD (hypoactive sexual desire disorder).
The role of placebo in sexual health studies including the Viagra studies.
Side effects of too much testosterone.
Who shouldn’t take testosterone.
Myths of testosterone.
Why is there no FDA approved testosterone product for women?
Today's podcast is a rundown of the back side of my sexual dysfunction handout.
Topics include:
Hormones
The proper application of Vaginal estrogen - in my opinion
Estrogen creams verus tabs
Lubrication recommendations and vulvar skin care
Intravaginal DHEA
AASECT certified sex therapists
Pelvic Floor Physical Therapist recommendations
Book Recommendations
Desire in a long term relationships
Apps and Websites for pleasure and orgasm
Vaginal lasers - what they are good and not good for
And of course, always remember that is is not individual medical advice. Yes I am a doctor, but this is for general health information only.
When you come see me for sexual dysfunction issues there is a double sided handout that you get in the office. Well here I break down the information on the front page of the handout for you! We talk about desire (spontaneous and responsive), arousal, orgasmic dysfunction and sexual pain concerns.
We talk about what is normal, what could be causing your lack of success in this arena, as well as different treatment options.
Stay tuned next week for the back page!!!
Female sexual desire, do you need medications to have sex, do you need lube? How do you talk to your partner about sex?
Really? Is it true? How do we know? Learn about this new study being talked about all over the Internet right now.
This podcast talks about the definition of hypoactive sexual desire disorder. We discuss the hormones and neurotransmitters responsible for putting the brake on and putting the Excelerator on the arousal drive. Also why do men who wash dishes get more sex?
Female sexual health and desire 101!
Topics discussed:
Female sexual function training among physicians.
Female sexual function treatment.
Painful sexual intercourse / dyspareunia.
How many women actually orgasm with peno-vaginal sex?
Normalizing female sexual discussions.
Female sexual desire: spontaneous and reactive.
Hormonal changes in women post menopause.
Getting in the mood.
Female libido.
Female vaginal dryness / vaginal tissue composition pre and post menopause.
Female vaginal lubrication and types: silicone vs. water-based.
Pelvic floor sexual physical therapy.
Sexual therapy.
Alcohol and sex.
Peno-vaginal sex.
On using it or lose it.
Mona Lisa laser vaginal treatment.
"Vaginal rejuvenation"
How laser works in the vagina; what it does or does not do.
Platelet Rich Plasma injections to the clitoris.
Orgasmic inequality among same sex and male/female sex.
Female's biggest sex organ.
% of women with peno-vaginal intercourse.
Female pleasure organ.
Vaginal estrogen and risk of cancer.
Types of topical estrogen available and costs.
Top 3 things / take aways for women.
How to engage discussion with a partner regarding sex.
What is Dr. Casperson's story? Learn why I am interested in female sexual health and how I got to this point in my career.
Meet Dr. Casperson and learn why she wanted to start this podcast and where this podcast is going to go in the future. Here’s to 2012!