You Are Not Broken

374. Men, Testosterone and Penis Health Too!


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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

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      You Are Not BrokenBy Kelly Casperson, MD