

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

Jul 5, 2020 • 22min
Meet a Full Time Female Sexual Medicine Urologist, Dr. Rachel Rubin - Episode 1 of 2
I can't remember how I met Dr. Rubin but I am so excited I did! A sister urologist to me! Such a great educator and surgeon!
Find her on Facebook at https://www.facebook.com/DrRachelRubin/
Find her at https://intimmedicine.com/
Instagram: https://www.instagram.com/drrachelrubin/
Twitter @rachelsrubin1
How she got into female sexual medicine after urology residency
The biggest misperception about her job
Challenges with menopause and the pelvis
Testosterone’s role in women
How to talk to your partner about sex (hint: bring them to the doctor's appointment).
When you empower someone with how their body works, everybody wins and confidence happens!
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Jun 28, 2020 • 38min
#25 - Meet a Pelvic Pain Expert Physician - Dr. Gerig!
Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum.
She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency.
Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC.
IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats.
What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan.
She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers).
Physical therapy is vital in educating women about their bodies and bodily function.
Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension.
Tips for stress management!!!
Healing from pelvic pain takes time. There is no magic wand! It takes time and work.
Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants.
Dr. Gerig’s goal is to get her patients OFF medication eventually.
Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements.
Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain.
Tips and tricks for self advocacy for pelvic pain. www.apta.com . www.hermanwallace.com
What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this.
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Jun 21, 2020 • 32min
The Brighter Side Of Marriage - An Interview with Marriage Intimacy Coach - Monica Tanner
Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex.
Learn about her backstory as a child from a divorced family.
She started a podcast, On the Brighter Side
https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810
She teaches the Five Step Framework to Complete Connection.
She teaches about “Radical Intimacy” – Intimacy without boundaries.
Find her online at https://onthebrightersideoflife.com/
And
https://bit.ly/30dayplans
And her Facebook: https://www.facebook.com/monica.tanner2
The role of connection, loving and safety in having mind blowing sex.
The feelings of love and the feelings of desire are different.
A lot of women struggle with, “I am not supposed to have pleasure”
Myths about sex and intimacy in our culture.
How one creates more fun, flirtyness and pleasure in life.
The role of a “busy mind” and how it isn’t helping your sex life.
Lost Desire?? Spontaneous versus reactive desire.
The role of boredom in a marriage and what it does to intimacy.
The three secrets to building desire.
1) The difference between love and desire
2) The difference between spontaneous and responsive desire
3) You can’t afford to NOT have a healthy sex life
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Jun 14, 2020 • 38min
Let's talk to a sex coach! Meet Dr. Sonia Wright!
Today I am interviewing Dr. Sonia Wright! Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach
Today we are going to listen and learn about how she became a sex coach.
How to talk to your partner about your intimacy goals.
Taking responsibility for your own sexuality.
Resources for men
Long term relationship challenges
The topic of desire
Book suggestions for readers
Body image and sexuality challenges
Tips and tricks to talk to your physician
Faking orgasms
Basic health needs to optimize sexuality
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Jun 7, 2020 • 10min
3 Easy Wins
Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated. Don't get me wrong, sometimes it is. Doctors don't always have the "magic wand" that we all want. BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop).
Win #1 - lube
Win #2 - estrogen cream
Win #3 - Responsive Desire
Bonus Win #4 - listen and learn!
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May 31, 2020 • 39min
Pelvic Organ Prolapse Master Class
Required listening for anyone who has been told they have prolapse.
1) what it is
2) why women get it
3) non-surgical options
4) surgical options
5) post op expectations
6) risks of surgery
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May 24, 2020 • 15min
Episode 20! - 237 Reasons Why People Have Sex
In a now groundbreaking and often referenced paper "Why Humans Have Sex," Cindy Meston and David Buss asked over 700 individuals to list the reason why they last had sex. Well, get ready for some spoken word poetry as Dr. Casperson reads all 237 reasons out loud. Pay attention to your thoughts and judgements as your brain will tell you what you think the right and wrong reasons are! Our biases are strong, but as they learned, there is not just one reason!
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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

May 17, 2020 • 20min
For The Men! Intimacy Options After Prostate Cancer Treatment
This is our first episode geared towards the guys! Join me and guest Dr. Pohlman as we discuss his podcast - The Prostate Health Podcast and his area of expertise, men's prostate and sexual health. What we will learn:
Changes after prostate cancer treatment
Sex after prostate cancer
Why men have more erectile dysfunction as they age.
Options for intimacy after prostate cancer treatment.
The role of testosterone after prostate cancer.
www.prostatehealthpodcast.com
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May 10, 2020 • 27min
Steamy Sex Ed - second half
The second half of the steamy sex ed talk is here! Ride along and you will learn:
Mindfulness for COVID and sex
Faking orgasm
Porn is fake
Resources to help women achieve pleasure
Why Penis in Vagina sex is bad for female orgasms
Clitoral anatomy
Medication for hypoactive sexual desire disorder
Sexual pain
Top tips for sex!
Book recommendations
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May 3, 2020 • 21min
Steamy sex ed - part one
I did a lecture on female sexual dysfunction 101 and I broke it into two episodes for you!
In this first half, learn about:
How a urologist got into female sexual health
Orgasmic inequality in heterosexual relationships
Low desire versus bad sex
Why women have sex
Mindfulness for better sex
Alcohol and sex - the good and bad
Spontaneous versus responsive desire
Sexual desire mismatch
Tips for creating desire in a long term relationship
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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


