Welcome back! In this episode 321, I sit down with the incredible Dr. Tiffany Moon—an anesthesiologist, mom, entrepreneur, and yes, former Real Housewife. We delve into what it truly means to find joy in midlife and how social media often distorts our perception of happiness. Tiffany gets real about the pressure so many professionals—especially women in medicine—feel to "do it all" and how that expectation can lead straight to burnout.

We talk about the addiction to busyness, the cultural layers that shape how we view therapy, and the wild (and often hilarious) intersection of medicine and reality TV. We also touch on AI’s growing presence in healthcare and what it means to redefine professionalism in today’s world.

This one’s about self-trust, self-acceptance, and not waiting to enjoy your life. Dr. Tiffany brings humor, honesty, and a refreshing dose of perspective to a conversation that every working woman—especially in medicine—needs to hear.

Joy Prescriptions by Dr. Moon

Order my book⁠⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠⁠

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 GennaMD by Solv Wellness, visit ⁠⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠⁠gennaMDHCP.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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In this episode of the You Are Not Broken podcast, I’m diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear.

We’re breaking down what GSM actually is, why it’s so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors.

We also talk about:

Why education around hormonal changes in midlife isn’t optional

The role of pelvic exams (and how to make them less intimidating)

Non-hormonal treatments that actually work

Why this all matters: GSM impacts your quality of life, intimacy, and overall health

This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they’re not up to speed. Your body. Your voice. Your choice.

AUA 2025 GSM Guidelines

⁠⁠⁠⁠Order my book⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠

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 GennaMD by Solv Wellness, visit ⁠⁠⁠⁠gennaMD.com ⁠⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠⁠gennaMDHCP.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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Hey friends!

In this episode, I’m joined by the amazing Dr. Heather Quaile, DNP, as we dive into all things ISSWSH — that's short for the International Society for the Study of Women's Sexual Health (try saying that five times fast). We talk about how this incredible organization has exploded in size and why that matters for women everywhere.

We get into the power of staying curious in sexual medicine, why funding research is still such a grind, and how hormones — yes, especially testosterone — play a huge role in sexual function. Heather and I also share some of our favorite takeaways from recent ISSWSH conferences, like new ways of looking at orgasm and sexual dysfunction that actually make sense.

We don't shy away from the hard stuff either — off-label meds, outdated guidelines, and the frustrating lack of clarity around hormone therapy. But more than anything, this convo is about how we, as healthcare professionals, need to collaborate and push for change that reflects real women’s needs.

If you’re curious about the future of female sexual medicine or just want to hear two clinicians geek out over the latest research, this episode is for you.

Let’s get into it!

www.isswsh.org

https://theshowcenter.com/

Sedona in October - ONE slot left: ⁠⁠⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠⁠⁠

⁠⁠⁠Order my book⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠

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 GennaMD by Solv Wellness, visit ⁠⁠⁠gennaMD.com ⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠gennaMDHCP.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

This episode is the audio from a lecture I gave to a large group of physicians on how (and why) to prescribe hormones - both systemic and local.

The end of the podcast is a Q&A where I discuss contradictions and myths.

Whether you are a prescriber or just want to go deeper in your knowledge, I hope you enjoy being a fly on the wall for this conversation.

Sedona in October - only two slots left: ⁠⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠⁠

⁠⁠Order my book⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠

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 GennaMD by Solv Wellness, visit ⁠⁠gennaMD.com ⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠gennaMDHCP.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

This episode is from an interview I did with Dr. Shauna Watts while in Austraila for her podcast, "All About You With Dr. Shauna Watts"

This conversation delves into the complexities of menopause, hormone therapy, and the societal perceptions surrounding them. We discuss the misconceptions about menopause, the evolutionary perspective, and the naturalistic fallacy that often leads women to avoid hormone replacement therapy. We also explore the stigma surrounding men's health issues, particularly testosterone treatment, and the importance of education in making informed choices about hormone therapy. Additionally, the discussion touches on interstitial cystitis, bladder cancer risk factors, and the benefits of rucking for women's health. In this conversation, the speakers delve into the complexities of women's sexual health, focusing on libido, the impact of menopause, and the societal pressures surrounding body image and sexual desire. We discuss the importance of education and resources for understanding sexual health, as well as the challenges faced by women in navigating their sexual experiences. The conversation emphasizes the need for open dialogue about sexual health and the normalization of women's experiences.

https://www.allaboutyoupod.com/

Sedona in October - only two slots left: ⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠

⁠Order my book⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"

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 GennaMD by Solv Wellness, visit ⁠gennaMD.com ⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠gennaMDHCP.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

In this powerful episode, Dr. Kelly Casperson sits down with James Swanwick, alcohol-free advocate and entrepreneur, to unravel the truth about alcohol's impact on our health, relationships, and society. With 15 years of alcohol-free living under his belt, James shares how choosing not to drink isn’t about loss—it's about liberation.

Together, they explore the deeply ingrained cultural narratives that glamorize alcohol and the neuroscience behind why our brains keep reaching for that next drink. From celebrity endorsements to outdated health myths, James and Kelly challenge the illusion that alcohol equals a good life.

This conversation is packed with truth bombs, science, and personal insight into why being alcohol-free can unlock clarity, presence, and purpose—especially for high achievers and anyone craving a more fulfilling life.

What You'll Learn:

Why “alcohol-free” is a powerful choice—not a limitation

How cultural conditioning has normalized drinking from a young age

The truth about alcohol and brain degeneration

The real story behind alcohol and heart health myths

How dopamine drives alcohol cravings

The link between alcohol and dementia, anxiety, and relational breakdowns

Why more high performers are choosing sobriety for clarity and focus

How to confidently navigate social events without alcohol

The role of community in embracing a sober-curious or alcohol-free lifestyle

Why societal change around alcohol is already happening

Key Takeaways:

Alcohol-free is a choice, not a lamentation.

No amount of alcohol is beneficial for your health.

Drinking can disrupt relationships, performance, and mental clarity.

Alcohol is a drug—marketed as a reward but loaded with consequences.

Society is slowly waking up to the truth: we don’t need alcohol to celebrate, connect, or succeed.

Resources & Links:

Learn more about James Swanwick and his alcohol-free programs at jamesswanwick.com

Clear book by James Swanwick

To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.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

Late Breaking news today! Now we have guidelines!

Thanks to Dr. Rachel Rubin for coming on IG to do this live with me!

AUA GSM Guidelines

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

In this powerful and deeply personal episode of You're Not Broken, Dr. Kelly Casperson is joined by psychiatrist Dr. Judith Joseph to unpack the complex relationship between trauma, high-functioning depression, and the systemic challenges facing both patients and providers in healthcare.

Dr. Joseph shares her unique career journey from anesthesiology to psychiatry—a shift fueled by the pursuit of deeper fulfillment and connection. Drawing from her new book High Functioning, she explores how trauma can show up in unexpected ways: perfectionism, strained relationships, and even the culture of medicine itself.

Together, Dr. Joseph and Dr. Casperson dive into the mental health crisis within the medical profession, the difference between complex PTSD and traditional PTSD, and why trauma-informed care must become the standard in healthcare. They highlight the need for preventative mental health care and why joy—not just happiness—is vital to healing.

Key Takeaways:

Dr. Judith Joseph’s new book High Functioning explores hidden depression and the masks people wear.

A desire for deeper meaning and purpose sparked her transition from anesthesiology to psychiatry.

Trauma can subtly impact daily life, relationships, and career satisfaction.

Complex PTSD differs from traditional PTSD and requires a nuanced approach.

Perfectionism may be a trauma response rooted in avoidance and fear.

Many healthcare professionals operate with unresolved trauma, often unacknowledged and invalidated.

The medical system itself can contribute to both patient and provider trauma.

High-functioning depression is widespread but often misunderstood or overlooked.

Preventative mental health care is crucial—waiting for a crisis is not sustainable.

Joy is a core component of mental health, not a luxury or afterthought.

Understanding one’s own trauma can make you a more effective and empathetic clinician.

Identifying and naming emotions can be profoundly therapeutic.

Self-care and setting boundaries are necessary acts of preservation, not selfishness.

https://www.instagram.com/drjudithjoseph/

High Functioning Book by Dr. Joseph

https://drjudithjoseph.com/

Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025

Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"

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 for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.

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

In this enlightening episode of You Are Not Broken, Dr. Kelly Casperson sits down with Dr. Steven Gundry, renowned cardiothoracic surgeon turned gut health advocate. Dr. Gundry shares the personal and professional journey that led him from the operating room to the forefront of nutritional science. He breaks down the concept of leaky gut and how it contributes to autoimmune diseases, emphasizing how dietary changes can radically transform health outcomes.

Together, Dr. Gundry and Dr. Casperson dive into the deep connection between gut health and mental health, the underrated power of vitamin D, and the hidden dangers lurking in our food supply and personal care products. They also tackle the pharmaceutical industry's influence on medical training and why it’s time for a paradigm shift in how we understand disease and wellness.

If you've ever wondered how your gut impacts everything from anxiety to skin health—or why your mouthwash might be raising your blood pressure—this episode is for you.

Top Takeaways:

https://www.instagram.com/drstevengundry/

The Gut Brain Paradox - Releases April 15th

https://gundrymd.com/

Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025

Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"

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 for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.

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

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson sits down with Lara Pack, founder of Elixir Play, to explore why it’s time to take vibrators seriously—as both a pleasure tool and a legitimate part of women’s health.

Lara opens up about her personal journey from navigating painful sex due to endometriosis to creating a high-quality vibrator company focused on thoughtful design and real-world results. Together, they unpack the stigma still surrounding female pleasure, how cultural and religious messaging shapes our understanding of sexuality, and why quality matters more than price when it comes to vibrators.

They also dive into:

This conversation is a must-listen for anyone ready to challenge outdated norms, elevate the discussion around women's pleasure, and embrace vibrators as a powerful tool for healing, connection, and empowerment.

http://elixirplay.com/ and use code NOTBROKEN20 for 20% off.

Sedona in October - only five slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025

Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life"

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 for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5.

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