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

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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

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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. 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

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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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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

Should I Take Hormones? (Ep. 328)

How (and Why) to Prescribe Hormones (Ep. 318)

GLP-1s with Dr. Salas-Whalen (Ep. 329)

Getting Better at Sex – Part One (Ep. 333)

Perimenopause Is Real (Ep. 324)

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

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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

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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:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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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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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:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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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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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

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.

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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 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.

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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:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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

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