You Are Not Broken

Uberlube.com sent me a box of goodies to share!  In this episode we talk about the importance of lubrication! I also answer a listeners question about vaginal estrogen, its purpose, expectations and limitations. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sit down with me and meet Amanda Nayfield PT, DPT, WCS, pelvic floor physical therapist, mom, wife, and outdoor adventurer! And check her out @connectNWPT What you will learn in this episode: How she got interested in pelvic health in her training as a physical therapist A personal success story in pelvic pain and intimacy What happens at the first physical therapy appointment What a pelvic floor assessment entails and why it is important How a physical therapist’s exam is different from a medical doctor’s pelvic exam How pelvic PT helps postpartum pelvic and sexual health How pelvic PT helps menopausal sexual dysfunction How pelvic PT helps males with pelvic pain --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Okay, I get it. Who wants to listen to a podcast about pelvic exams?  You! Why? Because they are so important in the workup of pelvic pain and sexual health concerns!  You will learn how I think about pelvic exams and how my exams are different than your "average" pap smear exams. I did the best I could to keep this one short and sweet! I hope it brings you value and understanding! - Dr. C. Things you will learn: Reasons that you need a pelvic exam with sexual dysfunction How you can “see” estrogen status with a pelvic exam. Clitoral phimosis is a thing! This can decrease orgasms. The dry posterior vulva! Oh my! CT scans and MRI can’t usually “see” pain. Pelvic floor muscles - you can’t see them but you can feel them on exam and if you reproduce the pain we have found a reason for pain. Reasons for pain during sex (dyspareunia) can be found on a pelvic exam. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

The second half has dropped!  Join Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator, Peer Sexual Health Education (PSHE) coordinator. Topics discussed this time:  How do you bring up sexually transmitted infections in a new relationships? How do advocate when your medications cause sexual side effects? Sexual desire mismatch in a relationship. Female “ejaculation” or squirting - what is that about? How do I explore my sexual boundaries? I have been faking orgasms - HELP! - Where do I go from here? How to talk to your partner about faking orgasms Advice for someone who is scared to have sex for the first time. What to do with competing sex drives. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator and Peer Sexual Health Education (PSHE) coordinator meet up to talk Q&A's that were asked of them as a part of a University lecture on sexual health.  In this episode topics discussed: Is my anatomy normal?  Basic Genital Care What does the vulva include? Why post menopause causes more UTI and infection The care and cleaning of foreskin The most common penis issues in our clinics Blood flow and erections Why smoking causes erectile dysfunction Premature ejaculation How to get curious when erectile dysfunction is a problem in a relationship Is erectile dysfunction the end of your sex life? Am I having unrealistic expectations for my body? Side effects of antidepressants. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

We all want good skin.  But what happens when the skin condition is in the private area?  This is a skin condition 101 talk on lichen sclerosis.  It affects up to 3% of all women (and some men too).  Learn about it and how it is treated.   --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today we are learning about the role of testosterone in female desire disorders.  A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more! You will learn: The myth that testosterone is a male hormone. How aromatase affects one’s active testosterone, in both men and women. How testosterone plays a role in sexual desire and overall health. How well does testosterone work for HSDD (hypoactive sexual desire disorder). The role of placebo in sexual health studies including the Viagra studies. Side effects of too  much testosterone. Who shouldn’t take testosterone. Myths of testosterone. Why is there no FDA approved testosterone product for women? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today's podcast is a rundown of the back side of my sexual dysfunction handout.   Topics include: Hormones The proper application of Vaginal estrogen - in my opinion Estrogen creams verus tabs Lubrication recommendations and vulvar skin care Intravaginal DHEA AASECT certified sex therapists Pelvic Floor Physical Therapist recommendations Book Recommendations Desire in a long term relationships Apps and Websites for pleasure and orgasm Vaginal lasers - what they are good and not good for And of course, always remember that is is not individual medical advice.  Yes I am a doctor, but this is for general health information only.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

When you come see me for sexual dysfunction issues there is a double sided handout that you get in the office.  Well here I break down the information on the front page of the handout for you!  We talk about desire (spontaneous and responsive), arousal, orgasmic dysfunction and sexual pain concerns.   We talk about what is normal, what could be causing your lack of success in this arena, as well as different treatment options. Stay tuned next week for the back page!!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices