Jessica Pin is an author and advocate, publishes frequently on her IG @Jessica_ann_pin and is passionate about education equality in regards to genital anatomy between the sexes.

Her Goal: equitable coverage of the clitoris in medical literature & curricula to prevent harm. 

She has even published her own study!

3 top OB/GYN textbooks changed.

Listen to her story about when and how she decided to get a surgery on her labia and what has happened since then.

All labias are normal. All sizes are normal.

Listen to how she has taken her experience into advocacy work.

Her advice for physicians.

She describes anatomy of the vulva for us.

Biggest misconceptions in female anatomy.

Negative body image affects sexual function!

Her final thoughts on changing medicine to help women better!

Thank you Jessica!

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This is audio shared from my facebook live video talking about Responsive Desire.

Feeling broken in a male-centric world.

Feeling broken in a sex-shaming society.

Some people think that sex and desire aren't "drives" at all.

Want to improve your sex life? Emily Nagoski says change your context.

Women are way more "context driven" in regards to sexual activity.  Men tend to be more visual.

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One day away from my course launch!  

Go to www.kellycaspersonmd.com

Today we learn about how the penis can have trouble when the mind is being tricky.  

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Sign up for my sex education class starting September 21st!

www.kellycaspersonmd.com

First, we need to hear the importance of erections from the male perspective.

Okay, now that we did that, what should we do when couples stop having sex after erectile dysfunction.  In this episode we will specifically talk about prostate cancer as an example.

We learn why erections can falter after treatment for cancer.  

We learn how relationships change.

We learn that the embarrassment in talking about this actually hurts couples because they can't think of what to do after their sex life has changed.

Communication is key! But we have to start by acknowledging that this is a really really hard topic for couples to talk about.

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The MASTER CLASS is starting soon!  From boring to mind blowing!  Sex education and coaching!

www.kellycaspersonmd.com

Thoughts about sex

Let’s hear about a “typical” woman who comes to me for sexual issues.

KY Jelly is the Betty Crocker of lube – it is everywhere, but not always great.

Figure out what your sexual goals are.

Your thoughts about sex influence your sexual satisfaction.

Your thoughts are not facts.

If your goal is to be a happy sexual person but your thoughts tell you otherwise, we are stuck!

Sometimes thoughts are put in your head by other people, things, society. Especially about sex.

I can’t get you to comfortable enjoyable sex if your thought is, “I am not a sexual being”

Your body is listening to your thoughts.

Sex and body image.

Thoughts create our feelings which create our actions.

Some of our thoughts aren’t serving us anymore.

Sometimes we can’t make a thought go away, but we can see it for what it is – not a fact and not helping you. You can work on replacing your thoughts.

Negative thoughts can’t get you to a positive solution.

Sex coaching! Your biggest sex organ is your brain.

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After spending the last five years honing her skills in outpatient care, Dr. Ahmed is ready to focus on her passion for treating pelvic pain. Dr. Ahmed has chosen a focused practice, because she believes concentrating on a specific field creates the greatest expertise. Chasing that greatness has been her consistent driving force.

https://www.pelvicrehabilitation.com/

www.instagram.com/drtayahmed

Learn how she found her calling in pelvic pain after doing her residency training in New York.

She treats men and women!

Learn how adenomyosis is different from endometriosis.

Adenomyosis is different from fibroids.

The “classic” endometriosis pain characterization. “endobelly”. Pain with periods, urinary symptoms.

The only way to 100% diagnose endometriosis is with diagnostic laparoscopy – which is a surgery.

Relationship between fibromyalgia and pelvic pain and endometriosis.

The power of cognitive behavioral therapy in chronic pelvic pain.

The role of BREATHING in pelvic pain

The role of pelvic floor PT

The role of pelvic floor trigger point injections – releasing pelvic muscle tension

Post partum pelvic pain concerns! It can be many different things.

The role of peri menopause and post menopause in pelvic pain.

Lifestyle improvements people can make if they are living with pelvic pain – made endorphins!!

What is NOT helpful when living with pelvic pain. – stop eating your triggers!

Persistent Genital Arousal Disorder (PGAD) – under-diagnosed, very bothersome, chronic and debilitating.

Learn about “hard/flaccid” – something new to me! Is it a male PGAD?

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Meet Dr. Lubahn –  Mom, entrepreneur, urologist and creator of https://ondrwear.com/

Learn about both of our crazy stories about becoming urologists.

Incontinence is very common. 50% of women!!!

There are common reasons that people leak.

Stress incontinence – increase in abdominal pressure – leaking with cough, sneeze, laugh. It is a pelvic support problem.

Urge incontinence – “I gotta go now!!” It is a bladder problem.

Overflow incontinence – the bladder can’t empty well, so it overflows with urine.

The myth of “incontinence is normal when we get older”.

Lifestyle changes – watch the amount of fluids you take in. Avoid or decrease caffeine and alcohol. Strengthen your pelvic floor with physical therapy. Use a Pessary or Poise Impressa.

Surgery for Stress Incontinence – urethral bulking agents, midurethral slings

Learn how Dr. Lubahn’s quest for baby diapering solutions lead her to make the perfect underwear for women.

Listen to what advice she has for other people with a great idea sitting in their brain.

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Today we will meet an emergency department physician who has started a company to help women take control of their health, weight, and mindset.

How we think about our bodies affects our sex life!  So we can't neglect the whole body in our discussions!

https://www.wholisthealth.com/

https://podcasts.apple.com/us/podcast/curate-your-health/id1478410990

Join us as she shares how she created a space for helping women use food and exercise as medicine to prevent and reverse disease.

The side effect of this is weight loss and comfortableness with themselves.

What is a health curator? Someone to specifically fit the needs someone has in their life.

What is lifestyle medicine? A new specialty in medicine. Using the evidence behind food, sleep and medicine to help prevent and reverse disease.

Neuroplasticity allows us to rethink the way we think about food and choose to be healthy.

It takes work, but it is entirely possible.

We make 700 neurons a day.

Can you use mindfulness to help your sex life? Heck yeah!

Negative body image affects your sex satisfaction.

What do you wish women knew about exercise?

Skill with how we eat and exercise is a mindset issue.

Relying on motivation won’t get the job done.

Discussing peri and post menopause.

Mindset work – who you are, who you want to be.

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Urologist interview king Dr. John Lin interviews Dr. Casperson!

Today’s episode is sponsored by KGOAL. Use the code NOTBROKEN for a 20% discount on your purchase!

www.kgoal.com

Topics discussed today:

Orgasmic Inequality

Why PIV sex doesn’t always work

It takes a female longer to reach climax than a man

Clitoral anatomy – knowing anatomy helps people realize they are normal.

www.OMGyes.com – a great resource for sex education

What do sex therapists do? – they are therapists comfortable talking about sex.

Solo-sexual – having sex with yourself.

Orgasmic inequality – everyone has more orgasms than the heterosexual female

Why? Our society doesn’t value female orgasms as much. Women want to please their partners – but don’t neglect your own pleasure.

HSDD – hypoactive sexual desire disorder – now there are FDA approved medications.

BUT WARNING! If you think that the solution for desire is in a pill, you are likely to get disappointed.

Responsive desire is the majority! You Are Not Broken!

Common female sexual problems I see in clinic

- Not enough lubrication – desire, arousal mismatch.

- A woman takes longer to orgasm than a man does

- Perimenopause and low estrogen status of vulvar tissues

She Comes First – Ian Kerner https://www.amazon.com/She-Comes-First-Thinking-Pleasuring/dp/0060538260

Sex Toys –  FEM TECH! they aren’t scary, they are just toys. They will not save your marriage.

https://techcrunch.com/2019/01/08/ces-revokes-award-from-female-founded-sex-tech-company/

https://loradicarlo.com/

The Vagina Bible – Dr. Jen Gunter. https://amzn.to/31AU6ve

Becoming Clitorate – Dr. Laurie Mintz. https://amzn.to/3fMwUz9

Reclaiming Desire – Dr. Andrew Goldstein  https://amzn.to/30M6Ks6

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The WEBSITE IS UP!!!  www.kellycaspersonmd.com

Announcement!  Sept 21st course registration is open!

www.instagram.com/kellycaspersonmd

The Software - Desire and Orgasm

Do I actually need a loading dose of estrogen cream?

What is vaginal DHEA for?

What to do if estrogen cream burns?

Desire and orgasm.

My why - why did I learn about this stuff.

Desire in long term relationships.

Reactive and spontaneous desire

I can’t make you like something that is painful.

The theory behind why women can have multiple orgasms

Why women’s arousal is necessary to prevent pain with sex

Basson’s model of women’s sexual cycle.

How many times a week am I supposed to have sex.

Orgasm Inequality.

Correction from audio - Dr. Laurie Mintz, Phd - she wrote “Becoming Clitorate.”

The Melted Ice cream analogy for desiring sex.

The FDA approved meds for hypoactive sexual desire disorder. Filbanserin and Bremelanotide.

Why do men who wash dishes have more sex?

Testosterone and women. NOT FDA approved and is not dosed for women. What do you do?

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