

You Are Not Broken
Kelly Casperson, MD
Welcome to the podcast that rewrites everything you thought you knew about sex, hormones, and midlife. I help women—and the people who love them—reconnect with their bodies, their minds, and their partners through science, mindset, and a whole lot of humor. Whether you’re navigating perimenopause, rediscovering desire, or just curious what’s possible, this show will remind you: you are not broken. (No medical advice here, just truth bombs and good conversation.)
Episodes
Mentioned books

Sep 10, 2020 • 9min
Thoughts about sex
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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Sep 6, 2020 • 35min
#35 - Endometriosis and pelvic pain - Talk to a pelvic pain Physiatrist Dr. Ahmed
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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Aug 30, 2020 • 32min
#34 - Inventor of leak proof underwear ONDRwear.com founder and urologist - Dr. Lubahn
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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Aug 23, 2020 • 22min
#33 - Let's talk about diet, exercise, mindset (oh and how this affects your sex life)
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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Aug 16, 2020 • 39min
A Urologist interviews a Urologist - and Dr. Casperson is in the interview seat!
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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Aug 9, 2020 • 35min
#31 - The Software - Desire and Orgasm
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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Aug 2, 2020 • 30min
EPISODE 30!!! Dr. Casperson Talks Pelvic Anatomy
This is part one of two episodes where I am publishing my recorded lecture to my local Nurse Practitioner association.
So this may be geared more towards the health professional. But don't we all deserve an education??
Sex and education for busy modern times! First step, learn the organs!
My story - how I got in the business of sex education.
Disclaimer - sex is awkward
Listen to your brain - it will tell you what you already know about sex. Society puts a lot of rules about sex into our brain. Those voices will talk to you.
Vulnerability is the key to connection.
The Hardware - the Pelvic Anatomy
Anatomy about the vulva
Labias are normal
Vulvodynia - pain in the vulva
Clitoral anatomy
Post menopause anatomy changes
Genitourinary symptoms of menopause
How does birth control change the vulva?
Vaginal estrogen does NOT cause breast cancer
When can I stop my vaginal estrogen?
Vaginal DHEA
How to clean and care for your vulva and vagina
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Jul 26, 2020 • 34min
#29 - Dr. Casperson Talks to the Rotary!
So lucky to talk to the Rotary in Duluth, MN!
The mind is the biggest sex organ!
I got into female sex med because of one of my patients and my inability to help her – hear that story.
Sex education in America tends to be shame based and disease and pregnancy prevention based.
1) Talk about desire types
2) Orgasm inequality
3) You can’t desire bad sex
4) Erectile dysfunction
5) Menopause
6) Systemic and vaginal estrogen
Tips and tricks!
Sex works best when you get out of your head! Focus on the present.
How to talk to your partner about sexual desire mismatch.
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Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jul 19, 2020 • 30min
Meet ROSY founder Dr. Lyndsey Harper! - an app for female sexual wellness
Why Dr. Harper created ROSY
www.meetrosy.com
https://www.instagram.com/meet_rosy/
https://www.facebook.com/MeetRosyApp/
How I met Dr. Harper and how she got started in creating a sexual health wellness app.
She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year!
What is low sexual desire? Distressingly low sexual desire.
How can a woman bring up this topic with her doctor. Tips and tricks.
We discuss the myth that women’s sexual health is complicated. It is not!
We discuss reactive (responsive) desire. It is totally normal!
We talk about loss of trust in a relationship and how that affects desire.
Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting.
Resources Rosy provide for health professionals?
Future plans for Rosy – Telehealth started in Texas June 1, 2020.
Erase shame and isolation!
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Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jul 12, 2020 • 29min
#27 - Interview 2/2 Dr. Rachel Rubin!
Here we go! Week two!
Learn about how birth control affects sex
DHEA
And enjoy DC's premier cliterologist!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
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Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices


