You Are Not Broken

By Kelly Casperson, MD

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 keepin... more

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How many episodes does You Are Not Broken have?

The podcast currently has 313 episodes available.

You Are Not Broken episodes:

December 24, 2023 243. UnF*ck Your Brain: Body Image, Desire, and Coaching with Kara Loewentheil
243. UnF*ck Your Brain: Body Image, Desire and Coaching with Kara Loewentheil
Kara Loewentheil, J.D., is a Master Certified Coach, host of the top-rated podcast UnF*ck Your Brain, and creator of the Clutch: A feminist mindset revolution. A graduate of Yale College and Harvard Law School, she did what every Ivy League feminist lawyer should do: Quit a prestigious academic career to become a life coach!
Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com
Check out my retreat March 2024! https://ascendretreats.com/
In this conversation, Kelly Casperson interviews Kara Loewentheil
about thoughtwork and its impact on desire and pleasure. They discuss the influence of society on women's thoughts and desires, the historical context of women's desire, and the concept of object of affirmation desire. They also explore body image and self-criticism, the importance of communication in relationships, and the process of changing thoughts and self-criticism.
Overall, the conversation highlights the power of thoughtwork in transforming women's relationship with desire and pleasure. In this conversation, Kara Loewentheil discusses the impact of society's expectations on women and how thought work can help break free from sexist thinking. She emphasizes the transformational power of thought work and the importance of commitment and practice. Kara shares her personal experiences and how thought work has changed various aspects of her life. She also highlights the need to embrace the human experience and let go of the fantasy of constant improvement. The conversation concludes with an announcement about Kara's book, 'Take Back Your Brain.'
Takeaways
Society plays a significant role in shaping women's thoughts and
desires.
Women are often socialized to see themselves as objects of desire
and believe that their desirability is dependent on others.
Body image and self-criticism can negatively impact women's
relationship with desire and pleasure.
Communication is essential in fostering healthy and fulfilling
sexual relationships.
Changing thoughts and self-criticism is a gradual process that
requires patience and self-compassion.

www.instagram.com/karalowentheil
https://unfuckyourbrain.com/
Take Back Your Brain https://amzn.to/3RufcoX
https://unfuckyourbrain.com/

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Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class:
https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are
created and without advertisement and even listen live to the interviews and episodes.
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41min
December 17, 2023 242. Modern Sex Challenges with Dr. Marianne Brandon
242. Modern Sex Challenges with Dr. Marianne Brandon
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Check out my retreat March 2024! https://ascendretreats.com/
Dr. Marianne Brandon is a clinical psychologist and Diplomate in sex therapy.
Dr. Brandon is the author of “Monogamy: The Untold Story” and the ebook “Unlocking the Sexy in Surrender: Using the Neuroscience of
Power to Recharge Your Sex Life”. She is co-author of the book “Reclaiming Desire: 4 Keys to Finding Your Lost Libido.”
Dr. Brandon makes cutting edge research on relationships and intimacy accessible for the general public — advice that the people are clearly starving for.
Consider the stats:
Over 50% of marriages end in divorce
Over 40% of women and 30% of men report a sexual concern
20% of marriages are “sexless”
Over 20% of women report “marked distress” about their
sexual relationships
Approximately 30% of spouses have had an affair
Dr. Marion Brandon highlights the challenges of sex in society, the lack of comprehensive sex education, and the nuances of pornography. Dr. Brandon also explores the complexities of monogamy, the impact of AI and sex tech, and the role of power dynamics in relationships. She emphasizes the importance of treating couples, not just individuals, and the benefits of having a biopsychosocial perspective.
The conversation explores the importance of hormone changes in midlife and the impact it has on sexual health. It highlights the lack of awareness and treatment of genital urinary syndrome, which can significantly affect relationship dynamics. The discussion also addresses the lack of knowledge among physicians regarding available treatments. The impact of intimate connection on overall well-being is emphasized, and Marianne Brandon's Psychology Today blog is recommended as a valuable resource.
Comprehensive sex education is lacking, particularly in the digital age.
Pornography can be a complex topic, with both positive and negative aspects.
Monogamy can be challenging and requires effort, communication, and mindfulness.
The rise of AI and sex tech presents both opportunities and concerns.
Power dynamics can play a role in sexual relationships and can be explored in a healthy way.
Understanding hormone changes and desire discrepancy is important in addressing sexual issues.
Treating couples as a unit is crucial for addressing sexual concerns.
Taking a biopsychosocial perspective can provide a more comprehensive understanding of sex and relationships. Midlife hormone changes can have a significant impact on sexual health and overall well-being.
What to do when the man has a low libido.
Genitourinary syndrome is often under-treated and can lead to changes in relationship dynamics.
Physicians may lack knowledge about available treatments for sexual health issues.
A satisfying intimate connection has a profound impact on relationships and overall life satisfaction.
Marianne Brandon's Psychology Today blog is a valuable resource for information on sexual health.
The testosterone conference for clinicians is an important event for learning about biopsychosocial and hormonal aspects of sexual health.
She asks her clients about their best sex ever because I can
learn a lot about them from this memory.

https://www.drbrandon.net/
https://www.psychologytoday.com/us/blog/the-future-intimacy
twitter @drbrandon
https://www.instagram.com/drmbrandon/

Harvard Testosterone Course https://hmstestosteronecourse.com/
Check out details for my retreat: https://ascendretreats.com/
Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why
we need adult sex ed
Join my NEW Adult Sex Ed Master Class:
https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are
created and without advertisement and even listen live to the interviews and episodes.
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47min
December 10, 2023 241. Myths and Truths - GSM and Pelvic Hormones
241. Myths and Truths - GSM and Pelvic Hormones
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Check out my retreat March 2024! https://ascendretreats.com/
Myths about vaginal estrogen
What is GSM - genitourinary syndrome of menopause?
The original “use it or lose it” paper.
Communication in adult sex ed is very important.
Non-hormonal options for GSM
We discuss vaginal DHEA
My opinion about loading doses for vaginal estrogen
Hacks to get cheaper vaginal estrogen – Cost Plus Drugs, Good Rx, Amazon Pharmacy
Medication options for GSM and why I have a cream bias
Access issues for vaginal estrogen
When vaginal estrogen doesn’t work
Why vaginal estrogen is a life long medicine
Women post menopause have less estrogen in their bodies than men.
Vaginal Estrogen is a preventative medicine. It’s role in preventing genitourinary syndrome of menopause.
My opinion on the applicator for vaginal estrogen cream.
How vaginal estrogen helps overactive bladder symptoms.
When our understanding of estrogen is minimal, we don’t understand how it affects our overall health.
Should we be treating the female partner when we give men Viagra?
I discuss the gender bias in treating humans in medicine with aging issues.
How can the medical community do better?
The problem with the FDA black box warning on the vaginal estrogen product.
Is it okay to put estrogen cream on the penis?
How to help our kids and the next generation.
https://uronurse.com/
Check out details for my retreat: https://ascendretreats.com
https://marcella-hill.mystagingwebsite.com/wake-her-up-retreat/ Did you get my “You Are Not Broken” Book
Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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57min
December 03, 2023 240. Sex After Cancer
240. Sex After Cancer
What are possible sexual issues after cancer?
What are treatment options?
How can we do better talking about it?
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Dr. Laila Agrawal is a medical oncologist specializing
in breast cancer in a community setting at Norton Cancer Institute in Louisville, KY. She is a fellow of the International Society for the
Study of Women’s Sexual Health and has a sexual health clinic for women with cancer.
How she went from oncology into sexual health after cancer?
The importance of vaginal health after cancer treatment.
Why does no one talk about breasts as sexual organs? How does this affect the breast cancer conversation? We discuss options.
Things to know about sexual health after cancer diagnosis: It is biopsychosocial
The role of body image in impacting sexual health
The role of prevention of sexual dysfunction after radiation – vaginal dilators.
The ACOG statement supporting the safety of vaginal estrogen after cancer.
We discuss different vaginal estrogen products and vaginal DHEA.
The role of testosterone when you are on aromatase inhibitor after breast cancer.
Use of non hormonal FDA approved products for low sexual desire.

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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https://www.instagram.com/drlailaagrawal/
@drlailaagrawal on X
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44min
November 26, 2023 239. Menopause in the Workplace and Estrogen After Breast Cancer
Menopause in the Workplace and Estrogen After Breast Cancer
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-
Female physicians want to back off work secondary tomenopause symptoms
-
The huge financial burden and loss to the workforce because of untreated menopause
-
One of the largest groups in poverty in America is women over age 80
-
I report on the Evernow survey of menopause in the workforce
-
I discuss Avrum Bluming’s article in the May 2022 Cancer Journal – Estrogen After Breast Cancer – is it time?
-
I discuss the progression of prostate cancer survivors being given testosterone over my career and how I think breast cancer will be headed this way too.
-
The efficacy of estrogen in preventing hip fractures.
-
The longevity benefit of taking estrogen
The risk of pulmonary embolism with pregnancy, birth control and menopause hormone therapy
-
I discuss three paradigms coming in the future with hormones – hormones after breast cancer, hormones in women greater than 10 years post menopause, and hormones in perimenopause
Evernow menopause in the workplace
Dr. Avrum Bluming’s article Bluming,
Avrum Zvi MD. Hormone Replacement Therapy After Breast Cancer: It Is Time. The
Cancer Journal 28(3):p 183-190, 5/6 2022. | DOI: 10.1097/PPO.0000000000000595
Estrogen Matters Book
Did you get my “You Are Not Broken” Book
Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
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36min
November 19, 2023 238. Testosterone - An Education
238. Testosterone: An Education
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Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN
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Dr. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas: Men’s Health, sexual medicine, and hormone replacement therapy. His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the
field of sexual medicine and Men’s Health.
Why is testosterone so interesting to Dr. Khera?
Testosterone and prostate cancer – what do we know.
Is a lowering Testosterone in men "natural"? and if it isn’t, what causes low testosterone in men?
What do the new weight loss drugs do to testosterone levels and male fertility?
We discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido.
The role of chronic pain and testosterone and pain meds.
The mechanism of how your testosterone goes up when you lose body fat.
The four pillars of health for natural testosterone production – diet, exercise, sleep, stress reduction
Erectile dysfunction is a harbinger for heart attack and heart disease.
“There is not a better barometer of a man’s overall health than his sexual health” – Dr. Khera
The role of DHEA (a mild androgen made in the adrenals) in men and women.
The link with Peyronies disease and Testosterone. And we discuss penile stretching devices.
We discuss a 2013 Finkelstein article – they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen?
Dr. Khera was part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse
trial. Conclusions: In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events.
Barriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it – similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay.
He clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this
condition?
Testosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline
testosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal.
50% of men don’t talk to their doctor about their
erectile dysfunction, and 44% of those men don’t talk to their partner about
it.
www.instagram.com/drmohitkhera
Dr. Mohit and Dr. Morgentaler’s testosterone course
⁠NEJM article discussed: Gonadal
Steroids and Body Composition, Strength, and Sexual Function⁠
⁠Traverse Trial
https://drmohitkhera.com/
Did you get my “You Are Not Broken” Book
Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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58min
November 12, 2023 237. Libido/Desire Differences in Partners
237. Libido/Desire Differences in Partners
Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN
uberlube.com
Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment.
Dr. Jennifer Vencill (she/her) is an assistant professor, board certified clinical health psychologist, and AASECT certified sex therapist at the Mayo Clinic in Rochester. Her research focuses on sexual health and health disparities in marginalized sexual and gender communities.
Dr. Lauren Fogel Mersy (she/her) is a licensed psychologist and an AASECT certified sex therapist. She received her doctorate in clinical psychology and completed her postdoctoral training at the University of Minnesota’s Institute for Sexual and Gender Health. She has advanced training in Emotionally Focused Couple Therapy and Gottman Method Couple Therapy. She specializes in sexual health and relationships and owns her own private practice in Minnesota.
Why did they needed to write a book about desire?
Desire discrepancy should be part of adult sex education
"Your desire should match your partner" is a myth.
Why do we want to blame someone or make someone be the problem in a relationship for having a low libido.
The stereotype is that the low libido person is the female – but that is not always the case.
We define responsive desire.
Four requirements for responsive desire – consent, pleasure, focus, time
When you have sex for your partner or fulfill a duty – if this is the default or only motivator for sex it can really affect your desire. Tips for getting out of this pattern.
We talk about shame and sex.
Your sexuality does not exist in a bubble.
We suss out asexuality versus low desire. Asexuality is a self-identity label and a valid sexual orientation.
What to do when not attracted to a partner anymore?
Is attraction as fluid as desire is?
We talk about “sexual destiny” beliefs versus sexual growth beliefs and how these can hurt and benefit our relationships.

Tips for the high libido partner. Reducing pressure on their partner and managing their rejection and disappointment reactions. Consider what you are longing for when you seek sexual connection or sexual frequency.
Tips for “trying to conceive" low libido
Is “desire discrepancy” in a relationship a deal breaker? Not usually.
What to do when your partner stonewalls you or doesn’t want to work on the relationship.

Dr. Fogel Mersy Instagram,
Facebook, and TikTok @drlaurenfogelmersy
Dr. Vencill www.instagram.com/drjennifervencill.
Get their desire book onAmazon Desire: An Inclusive Guide to Navigating Libido Differences in Relationships.

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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55min
November 05, 2023 236. Prolapse - Surgical and Non Surgical Options
236 – Prolapse – Surgical and Non-Surgical Options
This podcast is sponsored by Femselect
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NOTBROKEN for a $10 telemedicine appointment.
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Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine.
In this episode, we talk a lot about prolapse and touch on-
·      What is pelvic organ prolapse?
·      Why prolapse needs a rebranding – so much shame
·      Risk factors for prolapse
·
What are the signs and symptoms?
·
Our tips for treating constipation
·
Prolapse risk goes up after menopause – we discuss
the likely role of hormones and decreased muscle strength.
·
The impact of prolapse on those suffering
·
Why we hate calling it “bladder prolapse”
·
How the bladder can be affected by vaginal
prolapse and what may and may not improve
·
How do we know if we have prolapse
·
How do we know if we should treat prolapse
·
Risk of de novo stress urinary incontinence
when prolapse is fixed, either with pessary or surgery
·
What is a pessary and what are the risks of a
pessary.
·
Can you be sexually active with prolapse?
·
The role of pelvic floor physical therapy and prolapse.
·
Surgical treatment options:
o
One size does not fit all.
o
Obliterative surgery – colpocliesis
o
Hysteropexy vs. hysterectomy
o
Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures
o
New treatment options (EnPlace) benefits and data
o
The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery.
·
Modern prolapse repair is safe, effective and recovery is not too stressful for most women.
·
Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy
·
The risk of recurrent prolapse
·
When to consider adding a sling to your prolapse procedure
·
Just because someone or something said you have prolapse, doesn’t mean you need surgery
Instagram.com/allurebydrsonya
https://allurepelvicwellness.com/
#EnPlace,
#PelvicOrganProlapse, #WomensHealth #PelvicHealth
My previous Prolapse episodes
21 – pelvic organ prolapse master class
138 – February Live – Hormones,
prolapse, pelvic floor PT and more
161 – “I Just need to put something in
my vagina”, Prolapse, and how PT helps
Did you get my “You Are Not Broken” Book
Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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56min
October 29, 2023 235. Menopause Society President – Dr. Lisa Larkin
Menopause Society President – Dr. Lisa Larkin. This episode is sponsored by Solv Wellness®, makers of Via™, a vaginal moisturizer that can also be used as a lubricant.
To get Via, visit ⁠via4her.com⁠ for 30% off your first purchase. Discount automatically applied at checkout.
Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken
Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN
uberlube.com
Dr. Larkin Trained at Yale and the University of Chicago, Dr. Lisa Larkin is a women’s health internist, menopause, sexual medicine, and medical breast expert and a women’s health physician and consumer educator who has been practicing in both academics and private practice for over 30 years. She is Founder and CEO of Ms.Medicine, a national health care organization dedicated to advancing women’s health on a broader scale and Founder and CEO of Concierge Medicine of Cincinnati, an Internal Medicine and Women’s Health practice where she continues to practice clinically. Dr. Larkin is the
President of the Menopause Society.

Why did NAMS (North American Menopause Society) rebrand to Menopause Society?

“We can’t pigeon hole women’s health into the Ob/Gyns” – Dr. Casperson

“Women’s health doesn’t belong to any one specialty” – Dr. Larkin

Dr. Larkin shares her story about not being trained in
menopause and her career journey and how she understands the WHI study.

We talk about fezolinetant (Veozah) – the new non-hormonal
medication for hot flashes.

One of Dr. Larkin’s favorite thing to talk about is breast
cancer risk assessment and prevention so we discuss this.

We define dense breasts.

Why alcohol just doesn’t make sense in midlife

Dr. Larkin shares her personal journey with menopause
symptoms and sexual dysfunction. And shares non-hormonal options. And what you can do without seeing your doctor.

The role of confidence in midlife - lack of confidence in
what to do and how Menopause Society/her clinic/my podcast can help - and what we see when women get confident and educated in midlife.
What excites Dr. Larkin about menopause and the women’s
health space

https://www.menopause.org/
https://www.instagram.com/drlarkin/
https://www.mymsmedicine.com/dr-lisa-larkin

Did you get my “You Are Not Broken” Book
Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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52min
October 22, 2023 234. The Senile Vagina and The Super Penis
Dr. Sonia Wright interviews me on genitourinary syndrome of menopause - AKA: The Senile Vagina and The Super Penis
Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken
Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine
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The history of getting to the name “genitourinary syndrome of menopause”
GSM happens not just in menopause
The labia goes away after menopause unless hormones are supplies
Recurrent urinary tract infections are in the top 10 reasons women go to the doctor
Why you get more urinary tract infections after menopause
When we treat erectile dysfunction are we treating the partner?
We talk about sex ed for adults and what I would put in a curriculum.
The role of vaginal estrogen
Where to get cheap vaginal estrogen
ACOG statement on vaginal estrogen after breast cancer
“estrogen is not trying to kill you”
The FDA black box warning on vaginal estrogen is wrong
Can I just use lube?
Issues with sensitive skin when starting vaginal estrogen
Why I don’t use a loading dose with vaginal estrogen
When to consider adding testosterone to your vulva or DHEA to your vagina
How to talk to your health care provider about genitourinary syndrome of menopause and ask to try a prescription product.
Vaginal estrogen can help overactive bladder and urge leakage
The myth of needing to finish your periods prior to starting vaginal estrogen
https://soniawrightmd.com/
https://www.instagram.com/drsoniawright
Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK
Listen to my Tedx Talk: Why we need adult sex ed
Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed
Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.
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45min

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The podcast currently has 313 episodes available.

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