GOAT - Dr. Irwin Goldstein
He is the director of San Diego Sexual Medicine.
Dr. Goldstein has had a long career providing medical help to those with sexual problems, having been involved with sexual dysfunction research since the late 1970′s.
Dr Goldstein’s interests include regenerative therapies for men and women, surgery for dyspareunia, physiologic investigation of sexual function in men and women, and diagnosis and treatment of sexual dysfunction in men and women. He has authored more than 360 publications in the field of sexual dysfunction, with 20 consecutive years of funding by the National Institutes of Health
 
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uberlube.com
 You are a urologist. I am a urologist. You are a pioneer and yet I don’t even remember hearing about you during residency training.
How do urologists not know who Irwin Goldstein is?
He started out in men’s sexual health. Dr. Goldstein tells us his story. 
Dr. Goldstein published the original paper on Sildenafil (Viagra) – and 90% of the phone calls after were women asking for help for them. 
He created ISSWSH. https://www.isswsh.org/
He was in the room when the term vulvovaginal atrophy was changed to genitourinary syndrome of menopause (GSM). 
Thoughts on DHEA vaginally. 
Women and Sildenafil – oral versus topical and his thoughts on arousal. 
Orgasm guidelines are coming!!
The role of dapoxetine (Priligy) for inability to orgasm – you can’t get this in
the USA
Other drugs for orgasm
The role of testosterone for orgasm issues
Sexual side effects of birth control pills
Depression side effects of birth control pills
Testosterone in women! It is a thing!
Estradiol in men – needed for bones and erections. 
We wrap up with discussing hard flaccid. A hypogastric
nerve dysfunction. 
Any advice for me, for other physicians, for the women and their partners?

--- 

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

228. GOAT - Dr. Irwin Goldstein

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

Medicine

Science & Medicine

Health & Fitness

267. Kelly and Stacy London on "Hello Menopause"
Dr. Kelly Casperson discusses the lack of education and research around menopause, the role of testosterone in female physiology, and the challenges of hormone therapy. She emphasizes the need for more funding for human research and the importance of individualized treatment for menopause. Dr. Casperson also addresses the restrictions and challenges in prescribing testosterone for women. The conversation covers a wide range of topics related to menopause, hormone therapy, and women's health. It delves into the challenges women face in accessing appropriate healthcare, the impact of hormone imbalance on mental health, and the importance of hormone therapy in midlife. The conversation also highlights the need for better understanding and treatment of menopause-related issues, as well as the role of preventative medicine in women's health.
Takeaways
The lack of education and research around menopause is a significant issue that affects the understanding and treatment of menopausal symptoms.
Testosterone plays a crucial role in female physiology, and its decline during menopause can have a significant impact on various aspects of health and well-being.
Individualized treatment for menopause is essential, and the challenges in prescribing testosterone for women highlight the need for more accessible and effective hormone therapy options. The importance of affordable and accessible hormone therapy for women in midlife.
The impact of hormone imbalance on mental health and the need for appropriate treatment.
The need for better understanding and treatment of menopause-related issues.
The role of preventative medicine in women's health and the importance of advocating for oneself in healthcare decisions.
Thank you to our podcast sponsors!
Solv Wellness: To learn more about Ellura by Solv Wellness, visit ellura.com for 30% off your first purchase. Discount automatically applied at checkout. Tell them Dr. Kelly sent you.
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Alloy: Women of all ages deserve to feel fantastic. And we can—because there is relief to be found.
Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.

Listen to my Tedx Talk: Why we need adult sex ed
Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership
https://www.instagram.com/kellycaspersonmd

267. Kelly and Stacy London on "Hello Menopause"

Dr. Maria Uloko, a urologist specializing in comprehensive sexual health, discusses her journey into urology and sex medicine. 
She shares how she became interested in urology through a serendipitous encounter with a female urologist and her passion for surgery. 
Dr. Uloko also talks about the importance of representation in medicine and her research on vulvar health. She highlights the need for better healthcare policies and advocacy to improve patient care and physician well-being. 
The conversation touches on the challenges of the current healthcare system, including the degradation of the doctor-patient relationship and the lack of support for physicians. 
Dr. Maria Uloko discusses the importance of physicians being involved in health tech and the need for their expertise in decision-making. She shares her journey into health tech and her passion for democratizing healthcare, particularly in women's health. Maria highlights the gendered access to healthcare and the lack of patient resources. 
She explains her vision for VULVAI, an AI-powered platform that provides accurate and evidence-based information to empower patients in their healthcare decisions. Dr. Maria emphasizes the need for patients to be educated and advocates for themselves, and the importance of challenging misinformation in healthcare.
Takeaways
Representation in medicine is crucial for inspiring and diversifying the field.
The current healthcare system is not sustainable and needs significant policy changes.
Physicians are facing burnout and leaving the profession due to lack of support and excessive workload.
The doctor-patient relationship is deteriorating, and there is a need to prioritize and protect it.
Advocacy and education are essential for improving patient care and addressing healthcare disparities. Physicians should be involved in health tech and decision-making processes to ensure that solutions are effective and work for patients.
There is a need to democratize healthcare, particularly in women's health, and provide equal access to resources and information.
VULVAI is an AI-powered platform that aims to empower patients by providing accurate and evidence-based information for their healthcare decisions.
Patients should be educated and empowered to advocate for themselves and challenge misinformation in healthcare.
https://vulvai.co/
https://www.instagram.com/mariaulokomd/
https://www.mariaulokomd.com/
Solv Wellness
To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life"
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership

266. Health Tech - Revolutionizing Vulvar Health with Dr. Uloko

In this episode, Dr. Ellen Gendler, a New York City dermatologist, discusses the role of estrogen in skincare and hair care. She shares her journey on social media and addresses the stigma of vanity in skincare. 
Dr. Gendler emphasizes the importance of using topical estrogen in selected areas of the face and hands, highlighting the need for longer-term studies on its efficacy. 
She also recommends incorporating vitamin C and DNA repair enzymes into skincare routines. Additionally, she discusses the differences between prescription tretinoin and over-the-counter retinols, emphasizing the importance of sunscreen in protecting the skin from sun damage.
In this conversation, Dr. Ellen Gendler discusses various topics related to skincare and haircare. She talks about the effectiveness of moisturizers and the impact of alcohol on the skin. She also addresses midlife hair loss and the different treatment options available. Dr. Gendler shares her insights on eyebrow growth and microblading, as well as the use of Botox and fillers. 
She provides her perspective on exosomes and peptides in skincare and haircare products. Finally, she emphasizes the importance of using retinoids and sunscreen for healthy skin and discusses the role of dental health in facial aging.
Takeaways
Moisturizers are not always effective, and alcohol can dehydrate the skin and cause flares of rosacea.
Midlife hair loss is a common issue, and there are various treatment options available, including spironolactone and minoxidil.
Microblading can be risky and may lead to scarring, while eyebrow pencils are a safer and cheaper alternative.
Botox can be a miracle treatment when done correctly, but it should be administered by a trained professional.
Fillers can enhance facial features, but it's important to choose a skilled injector and avoid permanent fillers.
Exosomes and peptides in skincare and haircare products are not yet proven to slow down the aging process.
Retinoids and sunscreen are essential for healthy skin, and dental health plays a role in facial aging.
It's important to be discerning when it comes to skincare and haircare products and choose what works best for you.
https://gendlerdermatology.com/
https://www.instagram.com/ellengendlermd/
Solv Wellness
To learn more about Solv Wellness and their products for female pelvic health, visit solvwellness.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.
Listen to my Tedx Talk: Why we need adult sex ed
Take my Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Pre-Order my book "You Are Not Broken: Stop "Should-ing" All Over Your Sex Life"
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership

265. Estrogen For Your Face

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein
Dr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes.
Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia).
Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia.
In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain.
Takeaways
Cervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking.
Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally.
Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases.
Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments.
The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia.
Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia.
Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients.
Pain control should be prioritized during procedures, such as IUD insertion.
Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings.
https://vulvodynia.com/
https://www.gyncancer.org/

Solv Wellness
To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.
Listen to my Tedx Talk: Why we need adult sex ed
Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!
www.kellycaspersonmd.com/membership

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein

263. Women Are Capable of Making Decisions: Grown Woman Talk With Dr. Sharon Malone
Dr. Malone is a nationally known expert in women’s health and a vocal advocate for menopause awareness and evidence-based information about hormone replacement therapy. A certified Menopause Practitioner, she believes that all women should be able to make decisions regarding their health and quality of life based on facts – not fear.
Her first book, Grown Woman Talk: Your Guide to Getting and Staying Healthy, is out now and is a New York Times Bestseller!
Dr. Sharon Malone, an expert in women's health and menopause, discusses her transition from traditional OB-GYN practice to menopause care and her role at Alloy Women's Health. She emphasizes the importance of telehealth in providing access to care for perimenopausal and menopausal women. Dr. Malone also addresses misconceptions about hormone replacement therapy and the need for individualized treatment decisions.
She highlights the gender disparities in medicine and the need for more research on women's health. Additionally, Dr. Malone discusses the role of testosterone in menopause and the challenges in accessing and prescribing it for women. In this conversation, Dr. Sharon Malone and Dr. Kelly Casperson discuss various topics related to women's health, including the lack of FDA approval for testosterone preparation for women and the need for more research on testosterone in women.
They also highlight the additional struggles faced by African American women and minorities in menopause and emphasize the importance of advocating for women's health and quality of life. The conversation provides practical advice on how to advocate for oneself in medical conversations and emphasizes the importance of being prepared and efficient in doctor's visits. Lastly, they debunk the inaccurate breast cancer risk statistic of one in eight.
There is a need for FDA approval of testosterone preparation for women and more research on testosterone in women.
African American women and minorities face additional struggles in menopause and may have difficulty accessing appropriate treatments.
Advocating for women's health and quality of life is crucial, and patients should be prepared and efficient in medical conversations.
Knowing one's medications and their purpose is important for effective communication with healthcare providers.
The commonly cited breast cancer risk statistic of one in eight is inaccurate and can cause unnecessary fear.
https://www.drsharonmalone.com/
https://www.instagram.com/smalonemd/
https://twitter.com/smalonemd
Grown Woman Talk: Your Guide to Getting and Staying Healthy
Solv Wellness
To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout.
FirmTech
Go to myfirmtech.com and enter code NOTBROKEN for 15% off today.
 ALLOY
Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to myalloy.com to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024.

228. GOAT - Dr. Irwin Goldstein

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