In this engaging conversation, Dr. Kelly Casperson and Dr. Heather Hirsch discuss the critical aspects of women's health, particularly focusing on menopause, hormone therapy, and sexual health. They explore the importance of education in these areas, the complexities of desire, and the need for personalized approaches to hormone therapy. The discussion highlights the evolving landscape of women's health care and the necessity for continued research and advocacy to improve the quality of life for women as they age.

Takeaways

Menopause is a significant gap in women's health care.

Education is crucial for empowering women about their health.

Hormones play a vital role in sexual health and desire.

The medical community needs to adapt to the changing needs of women.

Personalized hormone therapy can greatly improve quality of life.

Women are increasingly aware of their health needs and options.

The stigma around hormone therapy is slowly changing.

Open discussions about sexual health are essential.

The future of women's health looks promising with ongoing advocacy.

Women should be empowered to make informed decisions about their health.

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In this episode of the You're Not Broken podcast, Kelly Casperson, MD, and Tamsen Fadal discuss the M-Factor documentary, which aims to educate and inform women about menopause. They share insights into the creation process, the importance of real stories, and the impact of the documentary on audiences and communities. The conversation highlights the need for open discussions about women's health and the significance of representation in media. In this engaging conversation, Tamsen and Dr. Kelly Casperson discuss the future of their documentary on menopause, emphasizing the importance of community engagement and the need for accessible resources. They explore the significance of relationships during menopause, the surprising reactions from men who view the film, and Tamsen's personal journey through her experiences. The challenges of documentary production are highlighted, along with reflections on personal growth and the importance of making information accessible to all. The conversation concludes with a focus on international outreach and the ongoing mission to empower women and their communities.

Takeaways

The M-Factor documentary combines expert insights with real women's stories.

Creating the documentary involved collaboration with various professionals and women.

The premiere events have sparked significant audience engagement and discussions.

Community screenings are essential for spreading awareness about menopause.

The documentary aims to create real-time change in how menopause is perceived.

Understanding menopause requires accessible and actionable information.

The film addresses various aspects of women's health, including workplace issues and hormone therapy.

Real stories from women help others feel seen and understood.

The documentary has received positive feedback from both audiences and medical professionals.

Future screenings and translations are planned to reach a wider audience. International outreach is a priority for future initiatives.

Building community connections is essential for empowerment.

Relationships play a crucial role during menopause.

Men's perspectives on menopause are often overlooked but valuable.

Personal experiences shape understanding and empathy.

Documentary production involves overcoming significant challenges.

Access to information is vital for community health.

The journey of creating the documentary was transformative.

Engaging men in the conversation can foster understanding.

Future screenings are planned internationally to broaden reach.

PBS M Factor Link

https://themfactorfilm.com/

Tamsen on IG

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Dr. Jim Simon discusses the importance of hormones in sexual health and the intersectionality of ISSWSH and NAMS. He emphasizes the need for all healthcare providers to be comfortable talking about sex and hormones.

Dr. Simon also talks about his paper on menopausal hormone therapy and the misconceptions surrounding hormone therapy and breast cancer. He highlights the importance of individualized risk assessment and informed decision-making. The conversation also covers the future of hormones, the role of lifestyle factors in healthy aging, and the development of new drugs for hot flashes, including Fezolinetant and a new one coming on the market in one year.

In this conversation, Dr. James Simon and Dr. Kelly Casperson discuss various topics related to women's health, including the challenges of getting a female dosed testosterone approved by the FDA, of treating sexual dysfunction, the underutilization of certain medications, and the importance of advocating for better access to care. They also touch on the off-label use of medications and the need for comprehensive education on hormones and sex medicine. Additionally, they explore the role of hormones in sleep issues and the impact of anxiety on menopausal women.

Takeaways

Healthcare providers should be comfortable discussing sex and hormones with their patients.

Individualized risk assessment is crucial when considering hormone therapy.

Lifestyle factors, such as diet and exercise, play a significant role in healthy aging.

New drugs for hot flashes offer more options for women who cannot or should not use hormones. Advocacy is crucial in improving access to care for women's sexual health issues.

Certain medications for sexual dysfunction are underutilized and may be more cost-effective options.

Off-label use of medications can be beneficial and should be considered when appropriate.

Comprehensive education on hormones and sex medicine is needed for healthcare professionals.

Sleep issues in menopausal women should be addressed beyond hot flashes and night sweats.

Anxiety is a common concern for menopausal women and should be treated alongside other symptoms.

Dr. Jim Simon was previously on YANB episode #111 – go back and check it out!

Dr. James A. Simon is a D.C.-based physician providing patient-focused care for women across the reproductive life cycle, from adolescence to childbirth, and through the menopause transition. His unique approach to care encourages women to be a part of their own wellness, disease prevention, treatment and recovery; and through his renowned clinical research efforts, he offers one-of-a-kind opportunities for patients to experience the latest innovations in women’s health.

Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Jul 1;144(1):12-23. doi: 10.1097/AOG.0000000000005553. Epub 2024 Mar 14. PMID: 38484309.

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In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson and her brother Hans share their personal journey of sobriety, discussing the challenges and triumphs they faced while quitting alcohol. They explore the emotional triggers associated with drinking, the importance of community support, and the health benefits of living a sober life. The conversation also touches on navigating social situations, the impact of sobriety on relationships, and the emotional work required to maintain a sober lifestyle. Ultimately, they emphasize the positive changes that come from choosing sobriety and the importance of reframing the narrative around quitting drinking.

Takeaways

• Sobriety can lead to greater presence and energy.
• Understanding urges is crucial in the journey to sobriety.
• Support from the community and meetings can be invaluable.
• Social situations can be navigated without alcohol.
• Sobriety has significant health benefits beyond physical health.
• Emotional management skills improve when alcohol is removed.
• Quitting drinking can break generational patterns of alcohol use.
• The language we use around quitting drinking matters.
• Emotional work is essential for long-term sobriety.
• Trusting the process is key to overcoming fears about sobriety.

Quit Like A Woman

Sober Curious

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Dr. Louise Newson, a menopause specialist, shares her journey and passion for increasing awareness and knowledge of perimenopause and menopause. She discusses the importance of understanding menopause as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms.

The conversation also highlights the alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms. Dr. Newson emphasizes the need for comprehensive care and access to safe hormone treatments to improve the quality of life for women experiencing menopause.

The conversation between Louise Newson and Kelly Casperson, MD covers various topics related to menopause and hormone therapy. They discuss the importance of helping women feel better and the role of doctors in achieving this. They also delve into the impact of hormones on aging, frailty, and chronic diseases. The conversation highlights the significance of hormones in maintaining bone health, muscle strength, and overall independence in older age.

They challenge the misconceptions and limitations surrounding hormone therapy, particularly in relation to heart disease. The conversation concludes with a discussion about Louise Newson's upcoming theater tour and the Balance App, which aims to provide women with information and support for their hormonal health.

Takeaways

Menopause should be recognized as a disease and hormone deficiency, challenging the stigma and misconceptions surrounding these terms.

There is an alarming increase in alcohol and drug use among menopausal women as a coping mechanism for symptoms.

Comprehensive care and access to safe hormone treatments are essential to improve the quality of life for women experiencing menopause. The role of doctors is to help women feel the most like themselves that they can.

Hormone therapy can play a crucial role in preventing frailty and maintaining independence in older age.

Hormones, such as estrogen and testosterone, have anti-inflammatory effects and can improve heart health.

The use of synthetic hormones, like conjugated equine estrogens, may have different effects compared to natural hormones.

The Balance App provides women with information, support, and the ability to monitor their symptoms and make informed choices about their hormonal health.

https://www.instagram.com/menopause_doctor/

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Dr. Vonda Wright discusses the musculoskeletal syndrome of menopause and the importance of recognizing and addressing the symptoms. She emphasizes the need for doctors to listen to women's concerns and provide appropriate care. Dr. Wright also highlights the role of hormones in musculoskeletal health and the potential benefits of hormone replacement therapy. She advocates for a proactive approach to bone health and overall well-being, emphasizing the importance of mobility and exercise. Dr. Wright encourages women to be active participants in their healthcare and to advocate for themselves.

Takeaways

The musculoskeletal syndrome of menopause affects 70-80% of women in perimenopause and can manifest in various musculoskeletal symptoms.

Women often face challenges in getting a proper diagnosis and treatment for their symptoms, with many being told that their symptoms are all in their head or simply a part of aging.

Hormone replacement therapy can be effective in reducing symptoms and improving musculoskeletal health in menopausal women.

Preventive measures, such as anti-inflammatory nutrition, building lean muscle mass, and maintaining mobility, can help support musculoskeletal health.

Women should be active participants in their healthcare and advocate for themselves, seeking out doctors who are knowledgeable about menopause and its impact on musculoskeletal health.

https://www.instagram.com/drvondawright/

Dr. Wright's Health Summit

Read Dr. Wright's article here

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Come see me in Tacoma October 3

Come See the M Factor documentary premier in Bellingham October 20th

In this episode of the You Are Not Broken podcast, I discuss key insights from the recent Menopause Society Conference, covering a range of topics related to menopause, perimenopause, hormonal impacts, mental health, sexual health, and the importance of advocacy for women's health. The conversation emphasizes the need for better understanding and treatment options for women experiencing menopause, as well as the role of lifestyle changes in managing symptoms and improving overall health.

Takeaways

Understanding female sexuality is crucial for healthy relationships.

Perimenopause symptoms can start before periods become irregular.

Hormonal changes during menopause can impact mental health significantly.

Hot flashes are linked to cognitive decline and memory issues.

The Mediterranean diet is beneficial for mental health and depression.

Hormones can help alleviate symptoms of depression and anxiety during menopause.

Bone health is critical, and hormone therapy can improve bone density.

Advocacy for women's health is essential in changing perceptions about menopause.

Nutrition and lifestyle changes play a significant role in managing menopause symptoms.

Education about menopause is lacking, and many women feel unprepared.

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Max Lugavere discusses his journey into researching dementia prevention and the importance of lifestyle factors in maintaining brain health. He emphasizes the need for early intervention and the identification of biomarkers that can indicate risk for cognitive decline. The conversation also touches on the influence of the alcohol and food industries on public health guidelines, the role of physicians in prevention, and the power of individual agency in making healthy choices.

In this conversation, Max Lugavere and I discuss various topics related to brain health, nutrition, and lifestyle. They touch on the confusion surrounding processed foods and veganism, the role of cholesterol in health, the importance of exercise for brain health, and the potential benefits of hormone replacement therapy. Max shares his personal experience with his mother's battle with dementia and emphasizes the need for individuals to take control of their own health and advocate for themselves.

Takeaways

Dementia prevention requires early intervention and the identification of biomarkers that can indicate risk for cognitive decline.

The alcohol and food industries have significant influence on public health guidelines, which may not always prioritize prevention.

Physicians may not be incentivized to advocate for prevention, and the responsibility for wellness ultimately lies with individuals.

There is no one-size-fits-all diet for brain health, but diets low in ultra-processed foods and added sugar tend to be beneficial.

The conversation around prevention is growing, but public health statistics show that there is still work to be done. Processed foods can be a source of confusion and stress, leading to unhealthy dietary choices.

While veganism can be a personal choice, making health claims and demonizing animal-sourced foods without strong evidence is misleading.

Cholesterol is often misunderstood, and the risks associated with it may be exaggerated. LDL cholesterol should be viewed as a check engine light rather than a definitive indicator of health.

Exercise is crucial for brain health and can help prevent and slow the progression of conditions like Alzheimer's and Parkinson's diseases.

Hormone replacement therapy (HRT) can have potential benefits for brain health, and the risks are often overblown.

Individuals should take control of their own health, stay informed, and be open to updating their knowledge based on new evidence.

https://www.instagram.com/maxlugavere/

Documentary Little Empty Boxes

https://www.maxlugavere.com/

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I am back with Caroline Labouchere!

Our conversation explores the topic of libido and the factors that can affect it, such as upbringing, education, relationships, and hormones. It emphasizes the importance of understanding one's own thoughts and beliefs about sex and prioritizing a healthy sex life. The discussion also touches on the use of hormones and medications, such as Addyi and Vyleesi, to address low libido.

The conversation highlights the complexity of sexuality and the need for a holistic approach to addressing low desire. In this conversation, Dr. Kelly Casperson discusses various topics related to menopause, hormones, and sexual health. She addresses the use of on-demand medications for low libido, the cost of hormone medications, and the difficulty of finding doctors who specialize in menopause and sex medicine.

Dr. Casperson also explains how Viagra works and its potential use for women. She emphasizes the importance of education and communication in addressing sexual health issues and provides information on vaginal estrogen and its benefits. The conversation concludes with a discussion on hormone therapy and its relationship to cancer treatment.

Takeaways

Libido is a complex topic influenced by various factors, including upbringing, education, relationships, and hormones.

Understanding and addressing one's thoughts and beliefs about sex is crucial for improving libido.

Hormones, such as estrogen and testosterone, can play a role in libido and may be used as treatment options.

Medications like Addyi and Vyleesi are available for low libido, but they may not work for everyone and can have side effects.

Prioritizing a healthy sex life and cultivating novelty and communication in relationships can contribute to a satisfying sexual experience. On-demand medications can be used to address low libido, similar to how Viagra is used for men.

The cost of hormone medications can be high, making it difficult for some women to afford them.

Finding doctors who specialize in menopause and sex medicine can be challenging.

Viagra is a vasodilator that improves blood flow, but it does not directly affect desire or orgasm in women.

Vaginal estrogen is a safe and effective treatment for symptoms such as pain with sex and dryness.

Hormone therapy can be considered after cancer treatment, depending on the individual's situation and risks.

Education and communication are crucial in addressing sexual health issues and advocating for proper care.

https://www.instagram.com/carolinelabouchere/

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My book comes out this week! Order it here!

In this conversation, Dr. Kelly Casperson and Dr. Lauren Streicher discuss the topic of testosterone. They address the challenges of discussing testosterone in short social media posts and the misconceptions surrounding its use.

They emphasize the importance of educating women about testosterone and the need for more research in this area. The conversation covers various aspects of testosterone, including its role as a human hormone, its use in women who have had their ovaries removed, and its potential benefits for bone health, brain function, and overall well-being. The doctors also discuss the safety of testosterone therapy and the limitations of lab tests in determining optimal levels.

In this conversation, Dr. Lauren Streicher and Dr. Kelly Casperson discuss various topics related to hormone therapy and women's health. They touch on the use of testosterone therapy, the role of sex hormone binding globulin (SHBG), the importance of checking thyroid levels, and the potential risks of using hormone pellets.

They also emphasize the need for individualized treatment plans and the importance of education and communication in women's sexual health. Dr. Casperson shares insights from her book, 'You Are Not Broken: Stop "Should'ing" All Over Your Sex Life,' which aims to provide adult sex education and debunk myths surrounding women's sexual health.

Takeaways

Educating women about testosterone is important, as there are many misconceptions surrounding its use.

More research is needed to fully understand the benefits and risks of testosterone therapy in women.

Testosterone may have potential benefits for bone health, brain function, and overall well-being in women.

Lab tests for testosterone levels are not always reliable indicators of the effects of testosterone in the body.

Safety is a key consideration in testosterone therapy, and individualized treatment plans are necessary. Testosterone therapy can be used to address various symptoms in women, but the dosage and approach should be individualized.

High levels of sex hormone binding globulin (SHBG) can reduce the effectiveness of testosterone therapy, and it may be necessary to explore other options or address underlying causes.

Thyroid dysfunction can masquerade as menopause symptoms, so it's important to check thyroid levels in women experiencing hormonal changes.

Hormone pellets are not recommended due to the potential for side effects and lack of control over hormone levels.

Education and communication are crucial in women's sexual health, and there is a need for adult sex education to address common misconceptions and provide accurate information.

Hormone therapy should be seen as a preventive measure rather than a treatment for existing health issues, and it should be part of a comprehensive approach that includes lifestyle factors like exercise and nutrition.

https://www.instagram.com/drstreich

website: Dr. Streicher.com

Dr. Streicher's Podcast: Inside Information Podcast

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Is your sex life everything you want it to be?

If you're like most women, the answer might be "no." But it’s not your fault. Hollywood's fantasies and society’s silence have set us up for disappointment. We're rarely taught what truly makes sex fulfilling for women—why understanding our bodies matters, and how prioritizing our pleasure isn't just important, but essential.

In You Are Not Broken, Dr. Kelly Casperson—a urologist, coach, and woman who’s also asked, "Is this really it?"—offers a fresh perspective. She dives deep into the science of female sexuality, providing tools to shift your mindset and embrace your unique physiology. Discover how better sex can transform your relationship and empower you to live the life you've always wanted. With real-life stories, journaling prompts, and conversation starters, this book is your guide to reclaiming your sexual health and happiness.

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