Explore every episode of the podcast You Are Not Broken

Dr. Casperson is joined by Dr. Rebbecca Hertel, DO, MSCP, for a candid conversation about getting stronger through perimenopause and beyond. They talk about how hormonal shifts change training, recovery, and body composition. They also cover why bone health deserves your attention now, and how to read research and lab results with a critical eye.

Along the way, Dr. Hertel explains what osteopathic medicine actually is. She also shares why your pain might not be coming from where you feel it. The two dig into protein, GLP-1s, testosterone, and hormone therapy, and why finding a clinician who listens matters as much as any prescription.

In this episode:

• What osteopathic medicine and osteopathic manipulative treatment (OMT) involve
• Why pain can show up somewhere other than its source
• How perimenopause affects muscle, recovery, sleep, and body composition
• Why gaining muscle in midlife takes longer, and why it's still worth it
• Bone health, fracture prevention, and the case for resistance training
• Protein, hydration, and fueling your body during weight loss
• GLP-1 medications and strategies to help preserve muscle
• Hormone approaches in perimenopause and postmenopause
• Why hormone therapy is not contraception
• Testosterone: symptoms, side effects, and how to think about lab results
• Health span, independence, and prevention across the lifespan
• Hormone stigma and the need for better education at puberty, postpartum, and midlife

Dr. Hertel's IG

Dr Hertel's Website

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Clinic is Open

Listen to this podcast on Pinnacle to earn CME

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 392 – When in Menopause: Advocacy, Policy, and the Power of Speaking Up

Who gets to be a menopause advocate? You do. You probably already are.

Dr. Casperson sits down with Jennifer Weiss-Wolf, a lawyer, women's leadership leader at NYU Law, and author of When in Menopause: A User's Manual and Citizen's Guide. Jennifer helped drive the fast, bipartisan wins in period policy. Now she's applying those lessons to menopause, and she's honest about why this one is harder.

They cover where the policy wins are coming from, what still blocks progress, and why workplace perks miss the point. They also talk about why the real work is bigger than any one issue. If you're a clinician, an advocate, or just someone who wants to make change without a big platform, this one is for you.

In this episode:

• How Jennifer moved from menstruation policy to menopause around 2020. It started with a friend's question about the policy landscape, not with her own symptoms.
• Advocacy as a choose-your-own-adventure. Legislative language, storytelling, and community-building all count.
• What period policy taught her about state-level wins and working across the aisle.
• Why menopause reform is more complicated than it looks. Decades of neglected science and deeply interconnected issues make it hard. She describes the field as organic rather than fractured.
• Language, stigma, and culture. How do you change policy when people still can't say "vagina" in public or on social media?
• Why most workplace accommodations fall short. Many are too small, too generic, or built on a weak understanding of menopause. Protections also have to come before anyone asks employees to disclose.
• The legal gap. The U.S. has no clear anti-discrimination protection for menopause. The ADA, pregnancy protections, and age-discrimination law help in some cases, but they leave holes.
• What actually moves the needle: access, research funding, clinician education and training, and reimbursement reform. Business leaders should fund these upstream fixes instead of offering superficial perks.
• Clinicians already have a platform. Patient visits, office materials, and staff handouts all spread accurate information, and small repeated messages add up.
• Community is the engine. Jennifer's examples include gyms, book clubs, schools, libraries, and PTAs. Midlife women are an underestimated political and social force.

Jennifer's IG

Jennifer's New Book

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Clinic is Open

Listen to this podcast on Pinnacle to earn CME

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Sameena Rahman on menopause, PMDD, PCOS, and why naming things matters

This week I sat down with practicing gynecologist Dr. Sameena Rahman to talk about some of the most misunderstood areas in women's health: hormone replacement after oophorectomy, PMDD, and the recent renaming of PCOS. We move fast from clinical nuance to culture, stigma, and medical bias, and you'll walk away with plenty of practical takeaways whether you're a patient or a clinician.

Sameena also shares the story behind her book, Brown Girls Disease, and why she's reclaiming language around pain, shame, and access to care.

In this episode, we talk about:

• Why women who have their ovaries removed need full hormone replacement, not just a low-dose patch
• The difference between menopause management and medical neglect after hysterectomy or oophorectomy
• The evidence that early menopause plus hormone therapy can have major survival benefits
• What PMDD is, how it differs from typical PMS, and why it can feel like "Jekyll and Hyde" every month
• Why PMDD may be more about hormone sensitivity and brain receptor interactions than progesterone alone
• PMDD treatment options, including SSRIs, specific birth control formulations, progesterone, and in extreme cases medical suppression
• Why the old label PCOS creates stigma and hides the cardiometabolic risk behind the syndrome
• The new name, polyendocrine metabolic ovarian syndrome, and why I think the rename could finally bring primary care and internal medicine into the conversation
• How PCOS affects fertility, diabetes risk, heart health, weight gain, and endometrial cancer risk
• How pelvic pain, vaginismus, and sexual dysfunction are shaped by culture, religion, and medical bias
• Why Sameena chose the title Brown Girls Disease as a way of reclaiming a term that had been used dismissively
• How language changes care, from saying "vagina" out loud to replacing shame-based terms with clearer ones

Naming things matters. You are not broken.

Dr. Rahman's IG

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Clinic is Open

Listen to this podcast on Pinnacle to earn CME

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I sit down with Dr. Melissa Mauskar, a vulvar dermatologist at UT Southwestern, for a wide-ranging conversation about vulvar skin conditions, common misdiagnoses, and why so many patients are told to just "wait and see" when they actually need an exam. We dig into GSM, estrogen, OTC yeast treatments, soaps, waxing, and the biggest myths that keep women from getting real care.

If you've ever been told itching, burning, or irritation is "normal," this conversation explains why that advice can delay diagnosis for years, and what to do instead.

What We Cover

• What vulvar dermatology is, and why the vulva deserves the same care as skin anywhere else on the body
• Why so many patients see 5 or 6 clinicians before getting the right diagnosis, often because no one ever actually examined the vulva
• How symptoms get mislabeled as yeast when the real culprit is lichen sclerosus, psoriasis, eczema, contact dermatitis, or GSM
• Why numbing products like Vagisil (and benzocaine specifically) can become irritants or allergens that make things worse
• Barrier care for "red angry vulva," including zinc oxide for irritation and moisture-related skin breakdown
• How overcleaning, douching, and scented washes disrupt the vulvar microbiome — and the shame baked into that marketing
• Waxing, microtrauma, and hair as a protective barrier
• GSM, recurrent UTIs, and why vaginal estrogen is still so underprescribed
• Late diagnosis of vulvar melanoma, and why genital skin needs to be looked at, not just talked about over telehealth

Notable Quotes

• "My five year old can say vulva."
• "I really like talking about uncomfortable things and making comfortable people uncomfortable."
• "Just do what brings you joy."

About Dr. Melissa Mauskar

Dr. Melissa Mauskar is an Associate Professor of Dermatology and of Obstetrics and Gynecology at UT Southwestern Medical Center, where she's the founder and Director of the Vulvar Health Program — a tertiary referral center for gynecologists, dermatologists, and primary care physicians across Texas and the nation. She's a Fellow of the International Society for the Study of Vulvovaginal Diseases (ISSVD), founding president of the Vulvar Dermatoses Research Consortium, and serves on the board of the Women's Dermatologic Society. Learn more at utswmed.org/doctors/melissa-mauskar.

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I walk through the basics of vaginal estrogen and vaginal DHEA for genitourinary syndrome of menopause, recurrent UTIs, painful sex, urinary urgency, and vulvar tissue changes. I also answer audience questions throughout, covering safety after breast cancer, use alongside systemic HRT, dosing, formulations, and what to do when symptoms don't improve.

This one's for clinicians and the general public alike, the focus is correcting misinformation, improving access, and helping people understand that low hormones can affect the pelvis long before or long after menopause.

What We Cover

• What genitourinary syndrome of menopause (GSM) actually means, and why it replaced older terms like vaginal atrophy
• The full range of GSM symptoms — urinary urgency, recurrent UTIs, bladder leakage, pain with sex, dryness, tissue thinning — as one unifying hormone-related syndrome
• Why GSM is so common (roughly 50–90% of women at or after menopause) and can start in perimenopause, during breastfeeding, on oral birth control, or after cancer treatment
• Data showing vaginal estrogen can reduce recurrent UTIs by about 50%, plus a large database study linking vaginal estrogen use to lower hospitalization, ICU admission, and sepsis-related death in women with recurrent UTIs
• Why "too old for vaginal estrogen" is a myth, and why age alone is never a reason to deny it
• Safety after breast cancer — why the evidence supports vaginal estrogen for many survivors, and why "zombie myths" keep resurfacing anyway
• The difference between systemic and local hormone therapy, and why some people need both
• Creams vs. tablets vs. rings vs. vaginal DHEA — and why DHEA can be especially useful for reversing established atrophy (it converts to both estrogen and testosterone)
• Practical stuff: burning, discharge, application technique, dosing frequency, and when it's time for a pelvic exam instead of another product
• Using vaginal estrogen alongside clobetasol for lichen sclerosus, and alongside systemic estrogen or testosterone when appropriate

Notable Quotes

• "The third pillar of academia is to communicate the research, to communicate the knowledge to the general population."
• "There is not an age your driver's license tells you if you're too young or too old for vaginal estrogen."
• "If atrophy happens because of low hormones and you add hormones back, you can reverse atrophy."

Key Frameworks

• GSM as the unifying diagnosis for urinary, sexual, and vulvovaginal symptoms
• Local hormone therapy vs. systemic hormone therapy
• Prevention vs. symptom treatment
• "Zombie myths" — outdated beliefs that keep resurfacing despite the evidence

Want to join me live for these? Get on my email list so you don't miss the next one.

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I talk with Dr. Lexx about how to have honest conversations about sex with kids, why sexual shame still shapes adult relationships, and how to think more clearly about desire, consent, and pleasure. We dig into misinformation around sex education, sex as a form of power, and what healthy support can look like from educators, counselors, and therapists.

What We Cover

• Sex-positive parenting and how to talk to kids about bodies and boundaries
• Why sexuality education in the U.S. is more restricted than people think — and why "medically accurate" isn't a given
• The real difference between sex educators, sex counselors, and sex therapists
• How midlife, menopause, and shifting desire reshape relationships
• Practical ways to rebuild intimacy and connection when the spark fades

Key Frameworks

• Personal parts — Language that reduces shame and emphasizes ownership over the body.
• Unwanted touch / secret touch — Clearer safety language than "good touch, bad touch."
• Sexuality as a whole-life concept — Not just intercourse, but identity, embodiment, relationships, and power.
• Compersion — Feeling happy for a partner's pleasure or joy, even if it isn't personally relevant.
• Sensate focus — Purposeful nonsexual touch used to rebuild connection and learn what feels good.
• Consent first — The baseline for everything, including fantasy, touch, and negotiation.

About Dr. Lexx

Dr. Lexx (Lexx, The Sex Doc) is a sex therapist, educator, and speaker whose work centers healing, pleasure, and connection — with a particular focus on Black, Brown, and queer communities often left out of traditional therapy spaces. Learn more at lexxsexdoc.com.

https://lexxsexdoc.com/

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode 387, I sit down with Dr. Lucy McBride to talk about the widening gap between the traditional medical system and the wellness industry, and how patients can find solid ground in between. Lucy makes the case for evidence-based advice, realistic expectations, and actually engaging with your healthcare system instead of trying to DIY your way to health.

What We Cover

• The gap between the medical system and the wellness industry
• Why evidence-based health advice matters more than ever
• The risks of wellness products and influencers overpromising certainty
• How patients can better engage with (not opt out of) the healthcare system
• Supplements, vitamins, and gadgets — what's worth your money and what isn't
• The wellness industry often overpromises certainty and results it can't back up.
• Living in the "middle ground" means engaging with the healthcare system effectively rather than avoiding it.
• Dr. McBride's book, Beyond the Prescription, is a practical guide for navigating health choices.

About Dr. Lucy McBride

Dr. Lucy McBride is a practicing internist and the author of Beyond the Prescription: How to Contextualize Your Health and Break Free from a Lifetime of Fatigue, Anxiety, and Stress. Grab her book here: Beyond the Prescription

https://www.lucymcbride.com/

https://www.instagram.com/drlucymcbride/

Substack

As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

This episode is sponsored by Joi and Blokes.

If you’ve been wondering whether hormones could be playing a role in how you feel, Joi and Blokes can help you get answers. Start with comprehensive lab testing, then work with a licensed clinician to understand your results and discuss treatment options that may be right for you.

Visit JoiAndBlokes.com/notbroken and use code NOTBROKEN for 65% off labs and 20% off treatment.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.

Dr. Shepherd is an OB-GYN, and we use menopause as the entry point into a much bigger conversation — the myths still circulating about menopause and sexual health, why clinician expertise and actual hands-on experience matter more than a lot of people realize, and how insurance and the broader healthcare system quietly shape what choices women even know they have. We also get into AI and new technology in medicine — where it genuinely helps, and where it's moving faster than anyone can vet it. And we land on something I keep coming back to on this show: aging well is not a solo project. Community and connection are part of the medicine.

Dr. Jessica Shepherd is a board-certified OB-GYN focused on women's health, menopause, and sexual wellness in midlife. Generation M - Dr. Jessica Shepherd's book

What We Cover

• Menopause as a gateway. Why menopause is so often the first time women start really engaging with their own health, and what that says about the gaps earlier in the system.
• The myths that won't die. Common misconceptions about menopause and sexual health that Dr. Shepherd still has to correct in the exam room, every week.
• Expertise actually matters. Why the clinician you choose, and how much hands-on experience they have, changes the quality of care you get, especially in a field this nuanced.
• The system shapes the choice. How insurance coverage and healthcare structures quietly limit what options get presented to women in the first place.
• AI in medicine — promise and risk. Where artificial intelligence and new technology are genuinely useful in healthcare, and where the pace of change is outrunning oversight.
• Community as medicine. Why connection and support are not a "nice to have" in aging well, they're part of the actual strategy.

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Half a million of you on Instagram. I still can't quite get over that number.

To celebrate, this episode is all you — an open Ask Me Anything where I answer the questions you've actually been sending me. No guest, no agenda, just me working through your real questions about hormones, menopause, sexual health, and the stuff nobody explains to you in a normal doctor's appointment.

We cover a lot of ground — how I ended up a urologist obsessed with female sexual health in the first place, the myths about hormone therapy I am still correcting in 2026, DHEA, the estrogen patch shortage, why your labs don't always tell the whole story, and yes, the Ferrari engine analogy makes another appearance. If you've been wondering something and never had the nerve to ask your own doctor — there's a good chance I answer it here.

In This Episode

• How I got here. My background as a urologist and how that path led me into female sexual health — a specialty most people don't expect a urologist to end up in.
• Hormones, menopause, and aging. Why hormones matter so much more than most of us were taught, and what's actually happening in your body during the menopause transition.
• Hormone therapy myths, corrected. I'm clearing up the misinformation that's still floating around about HRT — including specific questions on risk for women with a Factor V (Factor two) clotting diagnosis.
• DHEA and vaginal estrogen. What they do, why the estrogen patch shortage is happening, and what to switch to (gels, oral options) in the meantime.
• Testosterone, decoded. Comparing creams versus injections, how to interpret SHBG, and why I care more about how you feel than what the lab printout says.
• Progesterone tolerance. What to do when the standard dose doesn't agree with you, and where extended-release formulations fit in.
• Persistent UTIs on vaginal estrogen. Why they still happen even when you're doing everything "right," and what else might be going on.
• Weight gain and menopause. What the data actually says — and what gets blamed on hormones that isn't really about hormones at all.
• Talking about sex — with clients, with partners. A layered, step-by-step way to open the conversation about low libido without it feeling like a confrontation.
• Individualized care. Why hormone management should never be one-size-fits-all, and how I think about lab testing versus symptoms.
• What's next. vulvar DHEA, book clubs, and more ways to keep learning together.

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Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Age is just a number. We say it all the time. Do we actually believe it?

This week I sit down with Dr. Arnold Gilberg, MD, PhD — a psychiatrist with over 60 years of clinical experience and author of The Myth of Aging. Sixty years. Let that sink in for a second. He has watched mental health care go from something people hid to something people post about. And he has spent just as long studying what actually keeps people vital as they get older, and it is not what most of us assume.

We get into what a psychiatrist actually is (and how that's different from a psychologist or a therapist), why the shame around therapy has mostly disappeared since the 1960s but hasn't fully left medicine itself, and why he'd argue we're over-medicating a problem that often needs connection more than a prescription. Then we go somewhere I did not expect, his own path to becoming a rabbi, and what spirituality has taught him about the mind that medicine alone couldn't.

If you've ever felt "stuck," or assumed decline was just the deal you signed up for by getting older — this one's for you.

Dr. Arnold Gilberg, MD, PhD, is a psychiatrist with more than six decades of clinical experience and the author of The Myth of Aging. Over the course of his career he has treated patients through massive shifts in how our culture understands mental health — from the stigma of the mid-20th century to today's very different, more open landscape. He is also a rabbi, a path that grew out of his clinical work and shapes how he thinks about meaning, purpose, and healing. The Myth of Aging book

What We Cover

• Psychiatry vs. psychology vs. therapy. What a psychiatrist actually does, how that role differs from a psychologist or therapist, and why the lines have blurred (and shifted) as the field has evolved.
• From shame to normal. How therapy went from something you hid to something you casually mention at dinner — and why stigma still lingers inside the medical community itself, even as it's faded in the culture at large.
• The culture of medication. Dr. Gilbert doesn't hold back on this one — the over-reliance on medication, what gets missed when a prescription replaces psychotherapy, and why informed consent about side effects matters more than most patients realize.
• Body and mind are not separate systems. Why physical activity is one of the most underused tools in mental health care, and how movement changes the brain, not just the body.
• Becoming a rabbi. Dr. Gilbert's own journey into spirituality, and how faith and religion show up as legitimate tools for emotional and mental well-being — not as an alternative to psychiatry, but alongside it.
• Cultural shifts, real clinical impact. How broader acceptance of diverse sexualities and identities has changed what shows up in the therapy room and how mental health providers practice.
• Connection is the treatment. Why trust between patient and therapist predicts outcomes more than technique — and what that means for how we should be evaluating "good" therapy.
• The myth of aging, dismantled. Aging does not have to mean decline. Investment in physical, mental, and social health changes the trajectory — and it's never too late to start.
• Midlife crisis, reframed. What's actually happening during a midlife crisis, and why it can be the opening for real change instead of just a cliché to laugh off.
• Mindset changes your biology. The Harvard research on mindset and lifespan — and what it tells us about how much of "aging" is happening in our heads before it happens in our bodies.
• Getting unstuck. Practical ways to turn a feeling of stagnation into an actual growth opportunity.
• Community, movement, purpose. The three pillars Dr. Gilbert keeps coming back to for aging well — and why none of them are optional.

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Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Menopause conversations center on women. For good reason.

But what about the guy standing next to her?

Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause written for men. Not about fixing her. About understanding what's happening and showing up anyway.

We talk about why men are so in the dark on this. What actually helps versus what just feels helpful. And why this works better as a team sport.

In this episode:

• The stereotypes that make menopause a no-go topic at home
• Why communication breaks down exactly when you need it most
• Small, low-effort ways men can actually support their partner
• Men have their own midlife hormonal shifts too — sleep, stress, food, fitness
• Why "support" means listening, not solving

Burning Up, Frozen Out book

Website

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Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Menopause doesn't just happen to a body, it happens to a relationship. In this episode, Traver Boehm joins Dr. Kelly Casperson to talk about what's actually going on hormonally during perimenopause and menopause, and what that means for the partners trying to understand it from the outside.

Kelly breaks down the real difference between perimenopause and menopause (hint: most people are using these words wrong), what's happening biologically during the transition, and why the emotional and relational fallout is often just as real as the hot flashes. Then the conversation turns to men — what's shifting for them hormonally during this same midlife window, and how couples can actually talk to each other about all of it instead of quietly drifting apart.

This one's for the women in it and the partners trying to show up for them.

In this episode:

• Perimenopause vs. menopause, where one ends and the other begins
• What hormonal changes are actually doing to mood, sleep, libido, and connection
• The emotional and relational ripple effects of menopause that no one prepares you for
• Hormonal shifts in men during midlife, and why this isn't just a "her" conversation
• How to actually talk to your partner about what's changing
• Rebuilding pleasure and intimacy when everything else is in flux

Reminder: none of this is individual medical advice, discuss your own plan with your own clinician.

https://www.manuncivilized.com/

https://www.instagram.com/traverboehm

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⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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In this episode, Dr. Linda Bosserman shares her expertise on hormone therapy, addressing common misconceptions and highlighting the latest science supporting their safe use in women and men. Tune in to hear practical insights on hormone management, systemic and local applications, and how to advocate for your health.

Key Topics Covered:

• The importance of precise language: specifying hormone types, routes, and doses
• The safety and efficacy of vaginal estrogen in women with breast cancer
• Debunking myths about hormones causing breast cancer: data from large studies
• The potential of testosterone in improving neurocognition, libido, and overall health in women
• The ongoing fight for FDA approval of female testosterone products
• The role of systemic hormones in preventing cardiovascular disease
• How to counsel patients on hormone-related recurrence risks
• The significance of personalized, evidence-based hormone therapy for optimal aging
• Insights from Dr. Bosserman's PhD in sex therapy and its relevance to sexual health
• The systemic biases and misinformation perpetuated by media and outdated guidelines

Dr. Bosserman

Menopausal Hormone Therapy after Breast Cancer

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⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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We're closing out the season with something different: a multidisciplinary breakdown of episode six of Heated Rivalry. Not a recap. Not a fan theory session. A real conversation about what the show gets right — and what it gets wrong — about male performance anxiety, queer identity, female arousal physiology, and the stories we tell ourselves about our own bodies.

To be clear: this isn't about hockey. It's about what happens when good storytelling accidentally becomes a teaching moment for sexual health.

What We Cover

Performance anxiety isn't in your head — it's in your nerves, arteries, and muscles. Erectile function is vascular and neurological before it's psychological. Medication, alcohol, dehydration, stress — all of it shows up in the body before it shows up in the bedroom. We break down why "just relax" is the least useful advice you can give a man who's struggling, and what's actually happening physiologically when performance doesn't match desire.

Shane's coming out arc, and why identity evolution isn't linear. The show doesn't hand Shane a clean, tidy arc — and that's the point. We talk about how culture, family history, and internalized norms shape the timeline of coming out, and why real identity work rarely looks like the movie version.

Communication is the actual plot device. Underneath the hockey, the drama, the trauma — the show works because the characters eventually say the thing. We talk about why authentic communication is the real special effect in any story about intimacy, on screen or off.

Behind the scenes: setting, production choices, small details you'd miss on a first watch — and yes, a detour into tentacle erotica as a case study in how sexual expression keeps evolving in media, and why that's worth understanding rather than dismissing.

Key Takeaways

• Erectile response is biological first, emotional second — treat it that way.
• Female arousal physiology doesn't disappear at menopause; it changes, and imaging confirms it.
• Coming out stories are shaped by context, not just courage.
• Good storytelling about sex requires vulnerability, not perfection.
• Expanding your sexual literacy — even through fiction — is part of the work.

You are not broken. Your body isn't broken. And apparently, neither is prestige TV's ability to sneak real sex ed into a hockey drama.

Season two, see you soon.

— Kelly

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⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Join us for the season's final two episodes as we explore the emotional depths, relationships, and personal growth of the characters in "Heated Rivalry." This episode delves into vulnerability, identity, and love through intimate conversations and memorable scenes, offering both humor and heartache. We cover:

• The complexities of coming out and self-acceptance in a tight-knit community
• The influence of trauma and social pressures on sexual identity
• The portrayal of relationships, love, and chemistry on screen and in real life
• Medical insights into sexual health, including ED, menopause, and reproductive choices
• The cultural depiction of masculinity, femininity, and societal expectations

In this episode:

• Analyzing the pivotal scene where Ilya reveals his inner turmoil about identity and family
• The significance of honesty and vulnerability between Shane and Ilya
• Insights into how trauma impacts sexual development and relationships
• The role of humor and playful banter in serious moments
• Behind-the-scenes stories from the filming, including location choices and character dynamics
• Discussing medical myths about genitals post-menopause based on MRI studies
• Conversations about contraception, fertility, and sexual pleasure in both fiction and real life
• Exploring the cultural intersections in the characters’ backgrounds, including Russian, Canadian, and American influences

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Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Episode 4: Rose and Rosé — The Maturation of Men

Heated Rivalry Series | You Are Not Broken

We're four episodes deep into "Heated Rivalry," and this is the one where the boys finally have to grow up.

Episode 4 is a time jump — years compressed into a montage — and it's doing double duty. It's showing us Shane and Ilyia maturing into men who can actually be in a relationship, not just have sex in one. And it's showing us Rose figuring out who she is alongside them. Growth isn't linear for any of these characters, and honestly, that's the whole point.

This episode has jokes, it has ginger ale, it has a Jean Paul Gaultier shirt doing more emotional labor than most people's therapists. And underneath all of it, we're talking about what it actually looks like when men — queer or straight — mature into partners instead of performers.

In this episode, we cover:

🥂 The montage that does the heavy lifting — Years pass in minutes, and the show trusts you to read growth in glances instead of dialogue. We break down what that fast-forward is actually telling us about who these characters are becoming.

🥤 Ginger ale as a stand-in for honesty — A small, recurring detail that keeps showing up at exactly the moments authenticity matters. We talk about why the little symbols are doing more work than the big speeches.

🪜 Stairs as a metaphor for hiding — Where characters stand, physically, tells you where they stand emotionally. Comfort zones, identity, who's ready to be seen and who isn't yet.

🛏️ Lube, and the sex we don't usually see — We get specific about sexual practice and preference, because vague euphemism doesn't teach anybody anything. This is where the show earns its reputation for actually doing the work most media skips.

❤️ Gay male intimacy that exists outside the bedroom — Emotional depth, tenderness, and connection depicted as fully as the physical. We talk about why that matters for representation and why it's still rare.

👨‍👩‍👧 Family, maturity, and the weight of expectation — What it costs to grow up under the pressure of what your family, your sport, or your culture expects "a man" to look like.

🎬 Fashion, music, and cinematography as storytelling — Including a Jean Paul Gaultier shirt that says more about a character's confidence than a page of script could.

📱 Real-life echoes — Outed athletes, fan engagement, and how a fictional hockey romance keeps bumping into very real headlines about sexuality in professional sports.

Maturity isn't about getting older. It's about getting honest — with yourself, with the people you love, and about the shape your desire actually takes. That's the throughline of this episode, and it's the throughline of everything we do here.

You are not broken. Growing into who you actually are — sexually, emotionally, all of it — takes time. This episode is proof it's worth the wait.

Subscribe, leave a review, and share this episode with someone who needs it.

🎙️ You Are Not Broken is available on Apple Podcasts, Spotify, and wherever you listen.

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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You Are Not Broken | Episode 377

Join me, Dr. Rubin and Dr. Winter three episodes deep into "Heated Rivalry" and things are getting complicated. Emotionally. Relationally. And apparently, in real life too — because this episode went completely off-script in the best possible way.

Episode 3 of the show gives us more Scott and Kip, more tension, more of the push-pull that makes this story so hard to look away from. And it gave us a lot to say.

In this episode, we cover:

🏒 Full episode 3 breakdown — Plot, pacing, pivotal moments, and everything we were yelling at the screen about. We get into the emotional undercurrents the show is building and why this episode marks a turning point in how these characters relate to each other

❤️ Scott Hunter and Kip: love, limits, and the architecture of a complicated relationship — What does it look like when two people want each other and also can't quite figure out how to be with each other? We analyze the push-pull, the boundaries being tested, and what the show is trying to say about intimacy under pressure

🧠 Enneagram detour: typing the characters — Yes, we went there. Kip's dad especially warranted a full personality deep-dive. If you've ever wondered why certain relationship dynamics feel so stuck, the Enneagram conversation in this episode will make things click

🎬 Behind the scenes: budget, craft, and the acting choices that land (or don't) — We talk about what the production is clearly doing well, where the constraints show up on screen, and the moments where the actors did something genuinely impressive with the material they were given

🌟 A real Hollywood love story — One of us brought a personal story to this episode that mirrors some of what the show is exploring in ways that are almost too perfect. Love that finds you in unexpected places, at unexpected times, with unexpected people.

🚗 The porn star Uber ride story — We cannot explain this one. You just have to listen. It is real. It happened. It is relevant (sort of). And it is the most chaotic three minutes of content we have ever produced on this podcast.

Why episode 3 matters:

The first two episodes establish the attraction. Episode 3 is where the show starts asking harder questions — about what people owe each other, about the difference between wanting someone and being able to actually be with them, and about the family dynamics and personal histories that follow us into every relationship we try to build.

That's not just good TV. That's the conversation we have in exam rooms, in therapy offices, and at 2am when we can't sleep. "Heated Rivalry" keeps giving us a way in to material that's genuinely difficult to talk about directly — and we're going to keep using it.Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Episode 2 of "Heated Rivalry" gave us more heat, more emotional complexity, and — honestly — more to dissect than we could cover alone. So this time, I'm joined by three of my favorite urologist colleagues: Dr. Rubin, Dr. Winter, and Dr. Gonzalez. Four urologists, one hockey romance, zero filter.

This is the kind of conversation that doesn't happen in medical school, at grand rounds, or really anywhere in organized medicine. Which is exactly why we're having it here.

In this episode, we cover:

🏒 Safety, trust, and emotional vulnerability in gay relationships — Episode 2 goes deeper into what it actually takes to be intimate when you've spent years hiding who you are. We talk about what the show gets right about the psychological weight of that, and what it looks like clinically when shame is baked into someone's relationship with their own body and desire

📖 "Heated Rivalry" as curated sex education — Fiction is doing what formal sex ed refuses to do: showing people what communication, negotiation, and mutual pleasure actually look like. Four urologists weigh in on what we'd add, what we'd correct, and what we'd assign as required watching

🧠 The psychology of self-acceptance, shame, and queer connection — These characters aren't just physically attracted to each other — they're navigating decades of internalized messaging about who they're allowed to be. We break down what that does to intimacy and how it shows up in real patient conversations

🍑 Anal sex, condom use, and preferences — the actual clinical conversation — What do gay versus heterosexual contexts look like in practice? What does the data say about condom use patterns, and why? What do patients actually need to know that providers almost never tell them? We go there.

👁️ Objectification, authenticity, and the fantasy-versus-reality line in media — Is "Heated Rivalry" showing us something true, or something aspirational? Does it matter? How does idealized media representation shape real people's expectations of their own sex lives and bodies?

🛡️ Consent and communication as clinical skills — Not just ethics — actual skills. What does good sexual communication look like, and how does it translate across orientations? The show models some of this beautifully. We talk about what's transferable.

📱 How media shapes (and misshapes) LGBTQ+ sexual health literacy — The misinformation landscape around queer bodies and sexual health is genuinely harmful. We talk about what gets distorted, what's missing, and how pop culture can either close or widen that gap

🌈 What this show is doing for LGBTQ+ communities — Representation isn't just feel-good. It has measurable effects on shame reduction, help-seeking behavior, and sexual self-concept. We talk about the real-world ripple effects of seeing your experience on screen — done well

The conversation you didn't know you needed:

Four urologists sitting around breaking down a gay hockey romance sounds like the setup to a joke. But here's what's actually true: most of us received zero clinical training on LGBTQ+ sexual health. Most of our patients — gay, straight, bi, questioning — received zero accurate sex education about anal intimacy, queer relationships, or sexual communication.

"Heated Rivalry" is filling a gap that medicine created. We think that's worth talking about seriously, with humor, and without shame.Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Episode one of Heated Rivalry with the amazing urologists Dr. Winter, Dr. Rubin, Dr. Gonzalez and Dr. Casperson!

Episode 375: Heated Rivalry, Hockey, and How Good Sex Ed Actually Looks

What happens when a group of urologists and sex medicine experts binge a gay hockey romance and can't stop talking about it? This episode.

"Heated Rivalry" isn't just a sports romance — it's one of the most emotionally honest portrayals of gay intimacy, identity, and desire that's made it to mainstream media. And as someone who spends her days helping people understand their bodies, their sexuality, and their relationships? I had a lot of thoughts. So I brought in the experts.

In this episode, we're going deep — on the show, on the science, and on everything "Heated Rivalry" gets right that your sex ed class absolutely got wrong.

In this episode, we cover:

🏒 Representation that actually lands — What the show gets right about gay sex on screen, why it matters for viewers of all orientations, and how seeing yourself reflected in media shapes your sexual self-concept

❤️ The emotional architecture of coming out in sports culture — Identity, secrecy, fear, and what it costs to hide who you are in hypermasculine environments. This isn't just a hockey story.

🤫 Silent communication and nonverbal intimacy — The show does something remarkable with what's not said. We talk about what that reflects about real-life queer intimacy and how couples communicate desire without words

💪 Body image, physicality, and the male gaze (turned inward) — How the show handles the aestheticization of male bodies, and what that does for viewers who've never seen their own body type centered as desirable

🛡️ Consent, power dynamics, and emotional safety in LGBTQ+ relationships — Because good sex requires more than physical compatibility. We break down what the show models and what it could do better

🚿 The practical stuff: anal hygiene, douching, and lubrication — Yes, we're going there. Because nobody else is explaining this clearly, and shame-free, accurate information saves people from unnecessary anxiety and actual injury

📚 "Heated Rivalry" as accidental sex ed — Why fiction sometimes does what textbooks and providers fail to do: make people feel normal, curious, and empowered rather than broken

💬 Your reactions — What listeners and viewers are saying, and how this show is opening conversations that weren't happening before

Why this episode matters:

If you think this episode is just for gay men or hockey fans, think again. This is an episode about what good intimacy looks like — the negotiation, the vulnerability, the communication, the logistics. These themes live in every relationship, every body, every bedroom.

Also: accurate, shame-free education about anal sex has historically been nearly nonexistent in mainstream medicine and sex ed. The result? People making decisions without good information, experiencing pain that's preventable, and feeling like their desires are somehow abnormal. We're fixing that today.

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor: Addyi, the little pink pill. 
To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken.
Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/pi

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Future of Men's and Women's Health: Testosterone, Public Policy, and Preventative Care

What if the hormone most associated with men's health is also one of the most underutilized tools in women's medicine — and the biggest barrier isn't science, it's politics?

In this episode, I sit down with Dr. Helen Bernie urologist and tireless advocate for hormone health reform, to unpack why testosterone remains one of the most misunderstood, over-regulated, and under-prescribed interventions in modern medicine. We go deep on the FDA, the data, and what it's actually going to take to change the system.

We cover:

• Why low testosterone should be part of routine health screening — for everyone
• The real links between testosterone deficiency and early mortality, diabetes, osteoporosis, and cardiovascular disease
• How erectile dysfunction is a cardiovascular biomarker hiding in plain sight
• The policy history that turned a hormone into a controlled substance — and what it's costing us
• Why women are still being left out of the testosterone conversation
• Peyronie's disease: what it is, how to prevent it, and what treatment actually looks like
• How combining hormone therapy with GLP-1s and lifestyle changes can reverse metabolic disease
• The dangers of unregulated men's health clinics — and what evidence-based care looks like instead
• New research on testosterone administration routes and clot risk
• Why healthy hormones aren't just personal — they're a public health issue

This is the conversation medicine has been too uncomfortable to have. We're having it anyway.

Resources & Links

• FDA Testosterone Panel — YouTube
• Dr. Helen Bernie's IG
• Women's Health Study on Testosterone and Osteoporosis — JAMA
• Peyronie's Disease Research

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

From the cervix to the vulva, so much of female anatomy has been understudied, misunderstood, and underserved — until now. In this episode, Dr. Kelly Casperson sits down with Dr. Andrew Goldstein, one of the world's foremost experts in vulvovaginal and cervical health, for a deep dive into the cutting edge of women's sexual medicine. We're talking new research, new treatments, and a whole lot of "why didn't anyone tell us this sooner?" energy. If you or someone you love has ever dealt with vulvar pain, lichen sclerosis, arousal difficulties, or just wants to understand their anatomy better — this one is unmissable.

About Dr. Andrew Goldstein

Dr. Andrew Goldstein is a board-certified OB/GYN and one of the world's leading specialists in vulvovaginal disorders, cervical health, and female sexual medicine. He is the founder of the Centers for Vulvovaginal Disorders, co-author of Reclaiming Desire, and a tireless advocate for research funding and clinical advancement in women's health. He has dedicated his career to conditions that medicine has long dismissed — and he is actively changing that.

🌐 vulvodynia.com

When Sex Hurts Book

In This Episode, We Cover:

• The significance of cervical innervation and its role in sexual pleasure — and why this is barely taught in medical school
• How common cervical excision procedures (like LEEP/LLETZ) can impact sexual function and urinary health
• Global efforts in cervical cancer prevention in resource-poor countries
• Surgical techniques designed to preserve nerves during cervical treatments
• The incredible impact of HPV vaccination on reducing cervical cancer rates worldwide
• A clear breakdown of vulvar anatomy and the misconceptions even providers carry
• Vulvodynia — causes, diagnosis, and the most exciting recent research breakthroughs
• Highlights from the Vulvodynia Research Summit: the top-ranked treatments from both expert and patient votes
• The surprising role of mast cells and allergic responses in vulvodynia
• Emerging therapies: topical ketotifen, localized nerve targeting, and novel chemical injections for pain relief
• How pelvic floor muscles contribute to vulvodynia — and what new research is showing
• Upcoming clinical trials on botulinum toxin for pelvic pain
• Lichen sclerosis — the autoimmune skin condition linked to cancer risk that far too many providers miss
• The game-changing potential of JAK-STAT pathway inhibitors for lichen sclerosis treatment
• Strata barrier cream and other topical therapies in the pipeline
• The road to FDA approvals and insurance coverage for these emerging treatments
• Topical sildenafil for female arousal disorders — the science, the promise, and how it works
• The drug delivery science behind why how a cream is formulated matters as much as what's in it
• Why advocacy and funding in women's health are inseparable from clinical progress — and what you can do
• Dare to Play

• Clinical Trials Registry

• Gynecologic Cancer Research Foundation

• National Vulvodynia Association

• Tightlipped Organization

Dr. Andrew Goldstein: Website

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Kelly interviews Dr. Mark Horowitz, a psychiatrist and author, about the long-term impacts of antidepressants, the challenges of coming off these medications, and the future of deprescribing. This conversation sheds light on why many people remain trapped on these drugs and what can be done to change this reality.

Key Topics:

• The origins of Dr. Horowitz's involvement in deprescribing and his personal experience
• The widespread use of antidepressants in America and the long-term health risks
• How withdrawal symptoms can be mistaken for a need to stay on medication
• The insidious side effects of antidepressants, including weight gain, sexual dysfunction, and increased risk of fractures
• The lack of long-term studies and regulatory oversight on the effects of antidepressants
• The importance of informed consent and alternative treatment options
• How marketing and legal factors influence prescribing habits
• Strategies for safe tapering and support resources for deprescribing
• The evolving awareness and cultural shift regarding antidepressant risks

Deprescribing book

https://markhorowitz.org/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠⁠via4her.com⁠⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if the secret to better sex isn't a new position or a fancy toy — it's simply showing up as yourself?

In this episode, Kelly sits down with Nicole McNichols, a sexuality researcher and educator whose work bridges the gap between what science knows about female desire and what most of us were never taught. Together they unpack why women lose desire in long-term relationships (hint: it's not broken — it's biology meeting culture), what "heated rivalry" actually means for female attraction, and why spontaneous desire is more myth than reality for most women.

This is the kind of honest, research-backed conversation your sex ed class should have been.

• The "heated rivalry" phenomenon — how competition and social comparison can actually activate female desire, and what that tells us about our evolutionary wiring
• Spontaneous vs. responsive desire — why waiting to "feel like it" may be the #1 intimacy killer in long-term relationships
• The taco metaphor — a reframe on why novelty matters for sustaining desire (you'll never think about tacos the same way again)
• Female anatomy 101 — the internal clitoris, female erections, and the structures your doctor probably never mentioned
• Hormones and midlife sexuality — how perimenopause and menopause reshape desire, and why hormone therapy can be genuinely life-changing
• Pleasure as medicine — the neuroscience of why pleasure regulates your nervous system and supports overall health
• Flow states and intimacy — how to cultivate the focused presence that makes sex feel connected rather than performative
• The mental load problem — why unequal household labor is a libido killer backed by actual data
• What college students are actually doing — Nicole's research on porn's influence on sexual expectations and the urgent case for comprehensive sex ed
• Communication as foreplay — why the conversations before, during, and after sex matter as much as the sex itself

You Could Be Having Better Sex book

https://www.instagram.com/nicole_thesexprofessor/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠⁠via4her.com⁠⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠⁠hcp.solvwellness.com⁠⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Gut-Brain-Hormone Connection in Midlife with Cynthia Thurlow - Explore how hormonal shifts, the microbiome, and lifestyle factors intertwine to impact women's health during midlife. Cynthia Thurlow shares insights on gut health, hormone therapy, and debunks common misconceptions. This episode offers practical advice for optimizing wellness through personalized approaches.

Key Topics:

Practical daily habits to support gut motility and overall wellness

Menopause Gut Book

IG for Cynthia Thurlow, NP

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠⁠via4her.com⁠⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠⁠hcp.solvwellness.com⁠⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 369: Dr. Kelly Casperson, interviewed by Sara Reardon

What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode.

In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sara Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more.

Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging."

Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you.

DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them.

Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment.

Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports.

Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back.

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Unlocking Brain Health: Insights with Dr. Louisa Nicola.

Explore the fascinating world of neuroscience and preventative health with Dr. Louisa Nicola, a neurophysiologist dedicated to understanding and combating neurodegenerative diseases like Alzheimer’s. This episode dives deep into brain biology, the impact of hormones, lifestyle factors, and cutting-edge research on neuroprotection.

Top takeaways:

• How neural networks and algorithms sparked her love for the human brain
• The critical distinction between dementia and Alzheimer’s disease
• Recent advancements in understanding amyloid beta and tau proteins
• The role of lifestyle, hormones, and genetic factors in preventing dementia
• The influence of sex differences and hormone levels on neurodegenerative risk
• The impact of sleep, inflammation, and infections like shingles on brain aging
• Emerging research on preventative strategies, including vaccines and supplements like creatine

https://www.instagram.com/louisanicola_/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, Dr. Kelly Casperson sits down with physical therapist Dr. Lisa Moore, an expert in bone health, for a conversation that reframes how we think about osteoporosis—from something to fear… to something we can actively influence.

If you’ve ever been told to “be careful” or “avoid injury” without being given a clear path forward, this episode is your antidote. Dr. Moore brings clarity, science, and practicality to a topic that is often clouded by confusion and limitation.

Why physical therapists are essential to bone health
Physical therapists are uniquely trained in the musculoskeletal system—bones, muscles, and joints. Dr. Moore explains how this expertise allows them to guide patients not just in recovery, but in building strength, resilience, and confidence in their bodies. Working with women undergoing breast cancer treatment, Dr. Moore saw firsthand how certain therapies increase the risk of osteoporosis and fractures. Instead of accepting this as inevitable, she pursued deeper education and now empowers women with actionable strategies to protect and rebuild their bone health.

Why balance training is non-negotiable
Most fractures don’t happen because bones are weak alone—they happen because people fall. Dr. Moore shares why dynamic balance training (not just standing on one foot) is critical, and how practicing real-life movement scenarios can dramatically reduce fall risk.

The underrated power of… power training
Strength is important—but strength plus speed is what keeps you from falling. Power training helps your body react quickly and effectively, which is essential for maintaining independence and longevity.

Why your starting point doesn’t matter as much as you think
Dr. Moore emphasizes the principle of initial values: those starting at a lower baseline often see the greatest gains. Translation? It’s never too late to start, and your body is more adaptable than you’ve been led to believe.

How to stay active without rigidity (even while traveling)
Fitness doesn’t have to mean perfection. Dr. Moore shares how she balances structured workouts with joyful movement like hiking and swimming—reminding us that consistency over time matters more than any single workout.

The truth about osteoporosis: it’s not fixed
One of the most empowering takeaways—bone health is dynamic. With the right interventions, you can improve bone density, strength, and function. This is not a one-way street.

YouTube: https://www.youtube.com/@DrLisaMooreDPT

Instagram: https://www.instagram.com/drlisamooredpt/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠via4her.com⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠hcp.solvwellness.com⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, I sit down with Dr. Sunny Smith — physician, coach, and fierce advocate for women in medicine — for a conversation that felt both deeply personal and urgently necessary.

We talk about the transformative power of coaching and why so many high-achieving women still struggle with self-doubt. If you’ve ever downplayed your accomplishments, hesitated to speak up in a room full of men, or questioned whether you’re “expert enough,” this episode is for you.

Dr. Smith and I share personal stories from our own careers that highlight the subtle (and not-so-subtle) gender dynamics embedded in medical culture. We explore how women physicians are often socialized to overwork, over-give, and under-claim their authority — and how that conditioning impacts not only our careers, but our health.

This conversation is about agency.

It’s about recognizing that your thoughts create your feelings, your feelings drive your actions, and your actions determine your results. If you believe you’re “not ready,” you’ll play small. If you believe you belong, you’ll act differently — and the world will respond differently.

We also talk about:

• Why coaching works (especially for high-achieving professionals)

• How women are conditioned to minimize their expertise

• The cost of self-abandonment in medicine

• Gender bias in healthcare — both as physicians and as patients

• What it actually means to advocate for yourself

• Why questioning limiting beliefs is a radical act

• The ripple effect of empowered women physicians

This episode isn’t about blaming the system. It’s about understanding it — and then deciding who you want to be inside of it.

Because when women own their expertise, take up space, and stop apologizing for their ambition, everything changes — for us, for our patients, and for medicine itself.

You are not broken.
You are powerful.
And you’re allowed to act like it.

Dr. Smith's Empowering Women Physician Website

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠via4her.com⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠hcp.solvwellness.com⁠.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, I sit down with Dr. Lisa Miller — psychologist, researcher, and author — to talk about something we don’t discuss enough in medicine: spirituality as a measurable, protective force in women’s lives.

Not religion.
Not dogma.
But spirituality — the innate human capacity to feel connected, guided, and held in meaning.

And friends… this one is powerful.

Dr. Miller shares the science behind spirituality, including data showing that an active spiritual life can dramatically reduce the risk of depression, substance use, and hopelessness. We talk about how spirituality isn’t fluffy — it’s neurologically real, biologically protective, and especially alive in women.

I loved this conversation because it reframes struggle. So many of us think our hardest seasons mean we’re broken. What if they’re actually the doorway?

We discuss:

• Why every woman is a Ferrari — powerful, finely tuned, and built for depth

• The research showing spirituality cuts depression and addiction risk

• How crisis can become spiritual awakening

• The concept of “high counsel” — the guidance that is available to us when we’re willing to listen

• Why engaging with our feelings (instead of bypassing them) is the path forward

• The unique spiritual intelligence women carry

• Why men often struggle differently in their spiritual development

• Post-traumatic spiritual growth

• And how to cultivate your innate spirituality without subscribing to anyone else’s rulebook

One of my favorite takeaways?
Spirituality isn’t something you earn. It’s something you remember.

We talk about how women are often socialized to disconnect from their inner voice — from intuition, from knowing. Reconnecting to that voice is not indulgent. It’s medicine.

This episode isn’t about telling you what to believe.
It’s about reminding you that you are wired for meaning.

And that you are never alone in your becoming.

If you’ve been walking through something hard…
If you’ve felt unmoored…
If you’ve wondered whether there’s something more…

This conversation is for you.

The Awakened Brain by Dr. Miller

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com.

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, I sit down with Dr. Kate White and Jay White to talk about something we don’t discuss enough: what actually happens to marriages in midlife.

Because midlife isn’t just hot flashes and hormones. It’s identity shifts. Career pivots. Aging parents. Changing bodies. Evolving desire. And if we don’t talk about it, it can quietly unravel connection.

We explore how hormonal changes — especially in perimenopause and menopause — can significantly impact intimacy, mood, and relational dynamics. When libido shifts or sex becomes uncomfortable, couples often misinterpret it as rejection instead of biology. That misunderstanding creates distance.

We talk about how communication — real, vulnerable, scheduled communication — is essential. Not just “How was your day?” but “How are we doing?” So many couples assume the other person should just know what they need. They don’t. Curiosity is a skill.

We also discuss:

• Why midlife is often framed negatively — but can actually be deeply transformative

• The common pattern of women initiating divorce when they feel unseen or unheard

• The difference between sex and intimacy — and why emotional closeness fuels physical connection

• How counseling can create a safe space to untangle resentment and rebuild trust

• Why adapting to change — instead of resisting it — is key to long-term partnership

One of the most powerful themes of this episode is that midlife doesn’t destroy marriages. Silence does.

When couples understand what’s happening — hormonally, emotionally, relationally — they can respond with compassion instead of blame.

Marriage in midlife requires evolution. It requires honesty. It requires both people staying curious about who their partner is becoming.

And when that happens? Midlife can be a season of deeper connection — not disconnection.

https://www.headsandtailspodcast.com/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get.

We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don’t measure those things, we miss the point.

We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that.

We cover:

• Why education on vaginal estrogen and GSM is essential

• The research gap in testosterone therapy for women

• The importance of pelvic floor physical therapy as first-line care

• Informed consent and nuance in surgical conversations

• Ongoing barriers to hormonal access

The big theme? Women are living longer — and our healthcare system needs to evolve with them.

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Today I talk with the producers, directors and star (Cindy Eckert) of The Pink Pill out on Paramount +

 @thepinkpillfilm  

Aisling Chin-Yee, Director: @aislingchinyee 

Cindy Eckert: @cindypinkceo
Executive Producers: Julie Bristow (Catalyst), Abby Greensfelder (Everywoman Studios), Vibika Bianchi, Aisling Chin-Yee and Joanna Griffiths (Knix). 

Now streaming on @paramountplus @paramountplusca

M Factor Screening March 22 Bellingham, WA

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of You Are Not Broken, I sit down with Susan Guidi — and this conversation is such a beautiful reminder that it is never too late to become who you were meant to be.

Susan shares her journey growing up in a Cuban Catholic family, where cultural expectations around marriage, sexuality, and identity were very clear — and very rigid. We talk about how those early narratives shape the way we see ourselves as women… and how hard it can be to untangle them later in life.

After a difficult divorce, Susan didn’t shrink.

She expanded.

She reinvented herself through stand-up comedy (yes, really) and eventually stepped onto a bodybuilding stage — proving that transformation isn’t reserved for the young. It’s reserved for the brave.

We talk about:

• How culture influences the stories we believe about ourselves

• Why comedy can be deeply therapeutic

• What it takes to compete in bodybuilding later in life

• The power of community support during major life transitions

• Why mindset matters more than motivation

• The role of nutrition in strength and longevity

• Redefining your identity after divorce, career shifts, or midlife change

• Why sharing your story can liberate someone else

This episode is about empowerment — not the fluffy kind, but the earned kind. The kind that comes from taking control of your health, your body, your voice, and your future.

Susan is living proof that you are not too old, too late, too divorced, too inexperienced, or too anything.

You are just in the middle of becoming.

If this conversation resonates, share it with a woman who needs to hear that reinvention is still on the table.

Because it is.

Susan's Instagram

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On today's episode I review the 2026 ISSWSH conference, sharing insights on women's sexual health, hormone therapy, and recent research developments. This episode covers upcoming events, new products, and key takeaways from the conference, providing valuable knowledge for clinicians and women alike.

https://www.isswsh.org/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week on You Are Not Broken, I’m joined by the strong, grounded, and refreshingly honest Alicia Erickson for a conversation about midlife reinvention — from hormones to heavy lifting.

We talk about the real-life impact of perimenopause (and why projects like The M Factor: Shredding the Silence on Menopause matter), Alicia’s decision to get sober at 45, and what happens when women stop shrinking and start building — muscle, boundaries, and belief in themselves.

Alicia shares her journey into strength training, progressive overload, and even stepping on a bikini competition stage — not for validation, but for growth. We break down body recomposition (yes, you can build muscle and lose fat at the same time), the critical role of sleep, and how hormone replacement therapy can dramatically shift quality of life in midlife.

This is a conversation about doing hard things on purpose.
About eating enough.
About lifting heavy.
About community.
About deciding your second half will be stronger than your first.

You are not broken. You might just need a barbell.

• Why perimenopause feels chaotic — and what’s actually happening hormonally

• Alicia’s sobriety journey and the connection between alcohol, mental health, and midlife

• Why strength training is non-negotiable for women over 40

• Progressive overload explained simply

• Sleep as the foundation for body composition

• Hormone replacement therapy and quality of life

• Body recomposition: burning fat while building muscle

• Eating more (not less) to support muscle growth

• The mindset shift from “smaller” to “stronger”

• The power of community and doing hard things together

If this episode resonates, share it with a woman in your life who needs permission to take up space — in the gym, in her body, and in her life.

Because midlife isn’t the beginning of decline.

It’s the beginning of power.

https://www.instagram.com/aliciae/

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week on You Are Not Broken, I sit down with breast oncologist and historian Dr. Elizabeth Comen to talk about her powerful book All in Her Head and the long, complicated history of how women’s health has been misunderstood, minimized, and medicalized.

If you’ve ever been told your symptoms are anxiety… stress… hormones… or just part of being a woman — this episode is for you.

We explore the historical roots of dismissal in women’s healthcare and how those patterns still show up today, especially in cancer care. Dr. Comen walks us through how breast cancer treatment has evolved, what we’ve gotten right, what we’ve gotten wrong, and why quality of life must be part of the conversation — not an afterthought.

We also talk about:

• Why women’s pain has historically been labeled “hysteria”

• How medical bias still affects diagnosis and treatment

• The real tension between longevity and quality of life

• Hormonal therapies in breast cancer — and how nuance gets lost

• Why advocacy matters more than ever

• The double-edged sword of social media and AI in health information

• How understanding medical history helps us build better medicine today

This episode isn’t about blaming the past. It’s about understanding it — so we stop repeating it.

Because when women are dismissed, care suffers.
And when women are informed, everything changes.

If you care about evidence-based medicine, health equity, and empowering women with real information — this is a must-listen.

Dr. Comen's IG

Dr. Comen's Book

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Explorer is officially available for pre-order, and the first production run is intentionally limited. Use code NOTBROKEN20

If you’ve been waiting for a vibrator that’s anatomy-informed, safety-first, and designed with real female physiology in mind, this is for you.

👉 Pre-order Explorer now
🎧 Use code NOTBROKEN20 at checkout for 20% off
⏳ Limited first run — once it’s gone, you have to wait!

Pleasure is not a luxury. It’s part of health care.

What if pleasure wasn’t mysterious, shameful, or something women were expected to “figure out on their own”?

In this episode of You Are Not Broken, Dr. Kelly Casperson is joined by Lara Pack to talk about the launch of their new vibrator, Explorer—and more importantly, the science, safety, and education behind it.

It’s a grounded, evidence-based conversation about female arousal, blood flow, anatomy, consent, and why most women were never taught how their bodies actually work. Kelly and Lara walk listeners through why Explorer was designed the way it was, what makes a vibrator safe (and unsafe), and how pleasure tools can support—not replace—intimacy, connection, and sexual health.

They also tackle common myths around vibrators, including fears about dependency, partner insecurity, and “doing it wrong,” while reframing pleasure as a learnable, normal, and empowering part of healthcare.

If you’ve ever felt confused, embarrassed, or under-educated about pleasure—or wondered how to talk about it with a partner—this episode is for you.

What We Cover

• Why Explorer was designed for external pleasure—no penetration required

• The role of blood flow and arousal in sexual comfort, desire, and response

• Why consent matters in every relationship, no matter how long you’ve been together

• How vibrators can support sexual health, healing, and confidence

• The importance of anatomical accuracy and comfort in vibrator design

• How to talk with a partner about using pleasure tools without shame or defensiveness

• Why vibrators are not a “replacement” for partners—but a supplement to connection

• Safety, materials, and why quality matters when it comes to intimate products

• How sex education gaps leave women blaming themselves instead of the system

• Why sexual wellness is a lifelong learning process—not something you’re born knowing

Key Takeaway

Pleasure isn’t frivolous.
It’s physiological.
It’s learnable.
And it belongs to you.

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week I sit down with Autumn Calabrese to talk about fitness, mindset, and stress management—especially as they relate to women in midlife. We explore how hormonal changes can affect energy, recovery, motivation, and overall health, and why many women find that the fitness strategies that once worked no longer feel effective or sustainable.

We also discuss how women’s fitness culture has evolved over time, shifting away from extremes and toward a more balanced, realistic approach that prioritizes consistency over perfection. This episode highlights why managing stress is just as important as working out, and how nutrition, quality sleep, and community support play foundational roles in long-term wellness.

At its core, this conversation is an invitation to reframe fitness as a tool for resilience, strength, and vitality—not punishment—and to encourage women to embrace change, stay consistent, and prioritize their health through every season of midlife.

• Fitness helps support warmth, energy, and resilience, especially during winter

• Mindset is a major driver of sustainable fitness and health habits

• Stress management is essential for overall health in midlife

• Hormonal changes can significantly impact women’s physical and mental well-being

• Fitness culture is evolving toward balance rather than extremes

• Consistency in workouts leads to better long-term health outcomes

• Nutrition is a cornerstone of a healthy lifestyle

• Quality sleep is critical for recovery and overall well-being

• Embracing change can transform the midlife experience

• Community and accountability enhance motivation and long-term commitment

  Autumn's IG

  BODI platform

  To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Dr. Gabrielle Lyon for a powerful, science-forward conversation about why muscle is the organ of longevity—and why women have been taught to focus on the wrong things for decades.

They unpack how an overemphasis on fat loss has distracted from the far more important goal of preserving and building muscle, especially as we age. Dr. Lyon explains anabolic resistance, protein needs across the lifespan, and why mindset—not willpower—is often the missing link in women’s fitness and health outcomes.

This episode reframes strength training, nutrition, and supplements as essential medical tools—not aesthetic choices—and delivers a clear message: women deserve better education about their bodies and the confidence to train for strength, not shrinkage.

• Why muscle is critical for metabolic health, protection, and aging well

• How the obsession with fat loss has undermined women’s long-term health

• The role of mindset in body recomposition and sustainable fitness

• Why protein intake matters more than calorie restriction

• What anabolic resistance is—and why protein needs increase with age

• How the “fit fat” phenotype challenges outdated health metrics

• When continuous glucose monitoring is helpful (and when it’s not)

• Why many women over 65 are protein deficient—and why that matters

• The role of supplements like creatine and essential amino acids

• Why strength training is a non-negotiable for women’s health

Muscle is not about appearance—it’s about independence, resilience, and metabolic health. Women have been under-informed, under-fueled, and under-trained for far too long. Prioritizing strength is one of the most powerful health decisions a woman can make at any age.

In The Forever Strong PLAYBOOK, you’ll discover how to think, eat, move, and recover in a way that supports muscle, protects your metabolism, and helps you look, feel, and live Forever Strong. When you pre-order a copy, you’ll unlock $400+ in additional bonuses, including a 6-week group challenge to help you bring the plan from the book to life with accountability support and community.https://drgabriellelyon.com/playbook/

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken, Dr. Kelly Casperson is joined by Joanna Strober, CEO of MIDI Health, for a direct and hopeful conversation about menopause care, hormone therapy, and what women actually need from the healthcare system.

Joanna shares the story behind building MIDI Health and why access, education, and properly trained providers are essential to closing the massive gaps in menopause care. Despite the data, only a small fraction of eligible women are receiving hormone therapy—leaving millions undertreated, dismissed, or told to simply “push through.”

This episode tackles outdated narratives around menopause, reframes hormones as foundational to long-term health and longevity, and makes a strong case for advocacy—by clinicians, companies, and women themselves.

• How MIDI Health is delivering hormone therapy to 25,000 women each week

• Why only ~5% of women over 40 are currently using hormone therapy

• The critical need for education and training in menopause care

• How hormone therapy can help prevent downstream health issues

• Why menopause care doesn’t end when periods stop

• What’s broken in women’s healthcare—and how to fix it

• Real patient success stories that show what’s possible

• The role of hormones in longevity, vitality, and overall health

• Why advocacy is essential for meaningful change

• MIDI Health’s vision to become a trusted, national brand for women’s health

Menopause is not the end of care—it’s the beginning of a new phase that deserves attention, education, and evidence-based treatment. Hormone therapy isn’t about vanity or “anti-aging”; it’s about giving women access to the healthcare they’ve always deserved.

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Dr. Christine Maren to explore one of the most under-recognized truths about women’s bodies: female physiology is exceptionally adaptable—and that adaptability comes with trade-offs.

Women’s bodies evolved to support reproduction, and that evolutionary priority shaped a physiology that can adjust rapidly to stress, environment, and demand. But that same flexibility can come at a cost, especially in today’s world of chronic stress, environmental exposures, and constant pressure.

Together, Dr. Casperson and Dr. Maren unpack how this rapid adaptability may contribute to issues like thyroid dysfunction, hormone imbalance, gut disruption, and infertility—and why understanding these patterns is essential for improving women’s health care.

• Why female physiology is uniquely adaptable—and how reproduction shaped that design

• How rapid physiological adaptation can stress systems like the thyroid

• The links between chronic stress, hormones, gut health, and fertility

• How environmental factors interact with women’s biology

• Why adaptability can be both a powerful strength and a vulnerability

• The importance of recognizing these trade-offs in modern women’s health care

Women’s bodies are not “broken.” They are highly responsive systems doing exactly what they evolved to do—often in environments that no longer support them. Understanding the costs of adaptation is the first step toward more compassionate, effective, and science-based care.

Dr. Maren's Website

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠List is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This is the audio from an amazing webinar I did with Alloy Health. I was so fortunate to be interviewed by their community leader, Rachel Hughes.

What I’m seeing clearly is that Gen X is leading the menopause conversation — we’re asking better questions, demanding better answers, and refusing to be dismissed.

At the same time, Millennials are shifting the focus toward prevention, not just treating disease after it shows up. That mindset matters, and it’s changing healthcare.

I talk a lot about why self-care isn’t indulgent — it’s essential if you want to thrive in midlife and beyond. That starts with education. You cannot make informed decisions about your body if no one ever taught you how hormones actually work.

Hormones are not just reactive tools — they can be preventative, supporting long-term health when used thoughtfully and appropriately. Progesterone and testosterone play real, meaningful roles in women’s health, and vaginal estrogen is both safe and incredibly effective for many women — despite how rarely it’s discussed.

We also have to talk about sex. Communication is foundational to a fulfilling sex life in midlife, and silence only benefits outdated narratives, not women.

The bottom line? You have more control over your health than you’ve been led to believe. Empowerment doesn’t come from perfection — it comes from understanding your body and advocating for yourself in a system that often won’t do it for you.

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Mariza Snyder discuss the transformative journey of women navigating perimenopause and menopause. Dr. Mariza shares her personal experiences with chronic migraines and how they led her to become a functional medicine practitioner focused on women's health. The conversation emphasizes the importance of understanding hormonal changes, the impact of chronic stress, and the necessity of movement and nutrition in reclaiming health. Dr. Mariza encourages women to envision their future selves and take ownership of their health journeys, while also addressing the societal pressures that contribute to stress and unhealthy habits.

Takeaways

• Dr. Mariza's journey from chiropractic to functional medicine was driven by her own health struggles.
• Chronic migraines often affect women in perimenopause due to hormonal changes.
• Empowering women through health can create a multiplier effect in communities.
• Movement is essential for recovery and overall well-being.
• Functional health practitioners focus on root causes rather than just symptoms.
• Women often feel pressured to be busy, which can lead to chronic stress.
• Adrenal fatigue is not a recognized medical diagnosis, but stress impacts health significantly.
• Nutrition plays a crucial role in managing health, especially regarding processed sugars.
• Insulin resistance is a growing concern for women in midlife.
• Reading and self-education can empower individuals to take control of their health.

Dr. Snyder IG

The Perimenopause Revolution

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

I just wrapped 6 years of podcasting!!!

Episode 350 marks a major milestone for You Are Not Broken: six years, 350 episodes, and a whole lot of growth—personally, professionally, and culturally. In this end-of-year “big winter blowout,” Dr. Kelly Casperson reflects on what 2025 brought, what changed (for better and worse), and why continuing to speak up for women’s health still matters more than ever.

From world events that shaped the year to personal health wins (yes, including her first colonoscopy), Dr. Casperson shares an honest recap of the moments that mattered. She celebrates big professional milestones—like opening the Casperson Clinic, publishing her second book, winning a podcast award, and helping remove outdated FDA boxed warnings on hormone therapy—while also naming the frustrations, resistance, and misconceptions that persist.

This episode also looks ahead: new courses, retreats, sexual health innovations (including a vibrator!), and the continued expansion of education around hormones, sex, and aging. Anchoring it all is a reminder from Theodore Roosevelt’s Man in the Arena: progress belongs to those willing to show up, be imperfect, and keep going.

• Six years and 350 episodes of You Are Not Broken

• A candid end-of-year reflection on 2025 and the state of the world

• “Baby’s first colonoscopy” and why health screenings matter

• Travel highlights, including Sydney and the Opera House

• Publishing a second book and opening the Casperson Clinic

• Major personal health improvements through strength training and lifestyle changes

• The book "you are not broken" winning an award and hosting a second annual retreat in Sedona

• Three separate FDA engagements—and successfully removing outdated boxed warnings on hormone therapy

• The biggest misconception about FDA changes and how fast (and messy) change can be

• A frank moment of accountability (and humor) around language and advocacy

• Updates from the Casperson Clinic, waitlists, and the subscription-based care model

• Addyi approval for postmenopausal women

• The future of online education, including upcoming “Summer School” hormone courses

• Takeaways from male-dominated FDA panels and what they miss

• What’s next: retreats, documentaries, new courses, and new products

  The top five most-listened-to You Are Not Broken episodes of 2025

• New online courses covering testosterone for women, female sex education, GSM, perimenopause, and hormones for longevity

• A retreat in Whistler (August 2026 — limited spots remaining)

• The M Factor 2.0: Before the Pause (premieres expected early 2026)

• A sex education course with Commune launching in 2026

• And yes—building a vibrator

Dr. Casperson closes with Theodore Roosevelt’s Man in the Arena, a reminder that meaningful change doesn’t come from critics on the sidelines—it comes from those willing to step into the work, get messy, make mistakes, and keep advocating anyway.

If you’ve been part of this community for one episode or all 350, thank you for being here. This work continues because it matters—and because you do.

Listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this enlightening conversation, Dr. Mindy Pelz and Dr. Kelly Casperson explore the transformative journey of menopause, emphasizing the importance of mindset, self-advocacy, and cultural conditioning. They discuss how women can awaken to their true selves during this pivotal life stage, the significance of understanding one's identity through tools like the Enneagram, and the necessity of engaging men in the conversation about women's health. The discussion highlights the generational shifts in attitudes towards menopause and the empowerment of women to reclaim their voices and advocate for their health and well-being.

Mindy Pelz IG

Mindy Pelz Book

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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Dr. Kelly Casperson engages with Dr. Abraham Morgentaler and Dr. Marianne Brandon, the dynamic duo behind the Sex Doctors podcast. They discuss the evolution of testosterone therapy, the importance of advocating for women's health, and the complexities of male sexuality. The conversation emphasizes the need for open communication in relationships, the significance of mindfulness in enhancing sexual experiences, and the importance of screening for low testosterone in men. The doctors also share insights on navigating sexual boredom and mismatched desires, while providing resources for sexual health education.

Takeaways

The Sex Doctors Podcast aims to provide science-based insights into sexual health.

Testosterone therapy has evolved significantly, challenging previous misconceptions.

Medical dogmas can hinder patient care and need to be re-evaluated.

Advocacy for women's health is crucial in the context of hormone therapy.

Understanding male sexuality includes recognizing the reasons behind faking orgasms.

Communication is key in addressing mismatched desires in relationships.

Screening for low testosterone should be considered for men over 30.

Mindfulness can enhance sexual experiences and intimacy.

To my fellow clinicians: listen to this podcast on ⁠⁠⁠Pinnacle for FREE to earn CME credit⁠⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

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See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

GSM = genitourinary syndrome of menopause - it is a mouthful - and a very common experience.

Today Dr. Corinne Menn and Dr. Casperson talk all about it. This audio is taken from an IG live - follow us both there!

In a world where women's health often takes a backseat, the conversation surrounding vaginal hormones is crucial yet frequently misunderstood. We dive deep into the complexities of vaginal estrogen, dispelling common myths and providing clarity on its importance for women, especially those facing menopausal challenges.

Dr. Menn's IG

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠Pinnacle's network to earn FREE CME credit⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠.

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See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken podcast, Dr. Alexandra Dubinskaya, a urogynecologist, discusses the role of vibrators in women's health, particularly in addressing sexual health issues.

She shares her journey into the field of urogynecology, the importance of sexual health, and her groundbreaking research on vibrators. The conversation explores the implications of her findings, the cultural perceptions surrounding sexual health, and practical recommendations for healthcare providers.

Dr. Dubinskaya emphasizes the need for further research and the potential benefits of vibrators in improving blood flow and addressing conditions like lichen sclerosis and atrophy.

Takeaways

• Vibrators can improve blood flow to the pelvic area.
• Cultural perceptions of sexual health impact women's experiences.
• Research on vibrators is a new frontier in women's health.
• Vibrators can help with conditions like lichen sclerosis and atrophy.
• The importance of sexual health in urogynecology cannot be overstated.
• Women often feel more comfortable using vibrators externally.
• The 'use it or lose it' concept needs a nuanced approach.
• Healthcare providers should recommend vibrators as a common practice.
• Better questionnaires are needed to assess solo sexual activity.
• Future research should focus on creating user-friendly vibrators.

https://drurogyn.com/

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠Pinnacle's network to earn FREE CME credit⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com.

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney.

They discuss Jennifer's unique journey from law to healthcare, the importance of ethics in medical practice, and the need for informed consent in patient care.

The conversation also touches on the role of hormones in women's health, the impact of social media on healthcare discussions, and the future of hormone therapy. Throughout the episode, they emphasize the importance of empowering patients with knowledge and fostering open communication between healthcare providers and patients.

Takeaways

• Jennifer transitioned from law to healthcare to focus on patient care.
• Ethics in healthcare needs to be redefined to include the harm of inaction.
• Informed consent should involve thorough discussions, not just signatures.
• Patients are increasingly educated and should be empowered in their healthcare decisions.
• Hormone therapy can play a crucial role in women's health and should be discussed openly.
• Social media influences patient perceptions and can complicate doctor-patient relationships.
• The future of hormone therapy is promising, but access and education are key.
• Healthcare providers must navigate the complexities of patient education in a fast-paced environment.
• The importance of shared decision-making in patient care cannot be overstated.
• The conversation around menopause and hormone therapy is evolving, and more research is needed.

Jennifer on IG

https://www.washington-gyn.com/

To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com

To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠via4her.com⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at ⁠hcp.solvwellness.com⁠.

Learn more about your ad choices. Visit podcastchoices.com/adchoices

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

THE WORLD IS CHANGING!!! Erasing fear with evidence, science and facts!

This conversation delves into the significant impact of hormone replacement therapy (HRT) on women's health, particularly in the context of menopause. Dr. Rubin, Casperson and Makary discuss the recent FDA decision to remove black box warnings associated with HRT, which have perpetuated fear and misinformation for decades. They emphasize the importance of educating both clinicians and patients about the benefits and risks of HRT, highlighting the long-term health advantages it offers, such as reducing the risk of heart disease and osteoporosis. The discussion also addresses the need for informed consent and the importance of empowering women to make educated decisions about their health.

Takeaways

50 to 70 million women have been denied health benefits from HRT.

The FDA's removal of black box warnings is monumental.

Misconceptions about HRT have persisted for decades.

Education is crucial for both clinicians and patients.

Hormone therapy can significantly reduce heart disease risk.

Women often face barriers in accessing HRT.

Informed consent is essential for women's health decisions.

Long-term benefits of HRT include reduced risk of osteoporosis.

The healthcare system needs to better address women's health issues.

A collaborative approach is needed to improve women's health outcomes.

FDA DIRECT podcast

Dr. Makary's "Blind Spots" book

To my fellow clinicians: listen to this podcast on ⁠⁠⁠Pinnacle for FREE to earn CME credit⁠⁠

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

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠

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See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.