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You Are Not Broken: Daily Summaries Delivered
by 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.)
Latest Episodes
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- 2 days ago56 min
375. Heated Rivalry, Hockey, and How Good Sex Ed Can Change the World
Episode one of Heated Rivalry with the amazing urologists Dr. Winter, Dr. Rubin, Dr. Gonzales and Dr. Casperson! Episode 375: Heated Rivalry, Hockey, and How Good Sex Ed Actually Looks What happens when a group of urologists and sex medicine experts binge a gay hockey romance and can't stop talking about it? This episode. "Heated Rivalry" isn't just a sports romance — it's one of the most emotionally honest portrayals of gay intimacy, identity, and desire that's made it to mainstream media. And as someone who spends her days helping people understand their bodies, their sexuality, and their relationships? I had a lot of thoughts. So I brought in the experts. In this episode, we're going deep — on the show, on the science, and on everything "Heated Rivalry" gets right that your sex ed class absolutely got wrong. In this episode, we cover: 🏒 Representation that actually lands — What the show gets right about gay sex on screen, why it matters for viewers of all orientations, and how seeing yourself reflected in media shapes your sexual self-concept ❤️ The emotional architecture of coming out in sports culture — Identity, secrecy, fear, and what it costs to hide who you are in hypermasculine environments. This isn't just a hockey story. 🤫 Silent communication and nonverbal intimacy — The show does something remarkable with what's not said. We talk about what that reflects about real-life queer intimacy and how couples communicate desire without words 💪 Body image, physicality, and the male gaze (turned inward) — How the show handles the aestheticization of male bodies, and what that does for viewers who've never seen their own body type centered as desirable 🛡️ Consent, power dynamics, and emotional safety in LGBTQ+ relationships — Because good sex requires more than physical compatibility. We break down what the show models and what it could do better 🚿 The practical stuff: anal hygiene, douching, and lubrication — Yes, we're going there. Because nobody else is explaining this clearly, and shame-free, accurate information saves people from unnecessary anxiety and actual injury 📚 "Heated Rivalry" as accidental sex ed — Why fiction sometimes does what textbooks and providers fail to do: make people feel normal, curious, and empowered rather than broken 💬 Your reactions — What listeners and viewers are saying, and how this show is opening conversations that weren't happening before Why this episode matters: If you think this episode is just for gay men or hockey fans, think again. This is an episode about what good intimacy looks like — the negotiation, the vulnerability, the communication, the logistics. These themes live in every relationship, every body, every bedroom. Also: accurate, shame-free education about anal sex has historically been nearly nonexistent in mainstream medicine and sex ed. The result? People making decisions without good information, experiencing pain that's preventable, and feeling like their desires are somehow abnormal. We're fixing that today. Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- 1 weeks ago57 min
374. Men, Testosterone and Penis Health Too!
The Future of Men's and Women's Health: Testosterone, Public Policy, and Preventative Care What if the hormone most associated with men's health is also one of the most underutilized tools in women's medicine — and the biggest barrier isn't science, it's politics? In this episode, I sit down with Dr. Helen Bernie urologist and tireless advocate for hormone health reform, to unpack why testosterone remains one of the most misunderstood, over-regulated, and under-prescribed interventions in modern medicine. We go deep on the FDA, the data, and what it's actually going to take to change the system. We cover: Why low testosterone should be part of routine health screening — for everyone The real links between testosterone deficiency and early mortality, diabetes, osteoporosis, and cardiovascular disease How erectile dysfunction is a cardiovascular biomarker hiding in plain sight The policy history that turned a hormone into a controlled substance — and what it's costing us Why women are still being left out of the testosterone conversation Peyronie's disease: what it is, how to prevent it, and what treatment actually looks like How combining hormone therapy with GLP-1s and lifestyle changes can reverse metabolic disease The dangers of unregulated men's health clinics — and what evidence-based care looks like instead New research on testosterone administration routes and clot risk Why healthy hormones aren't just personal — they're a public health issue This is the conversation medicine has been too uncomfortable to have. We're having it anyway. Resources & Links FDA Testosterone Panel — YouTube Dr. Helen Bernie's IG Women's Health Study on Testosterone and Osteoporosis — JAMA Peyronie's Disease Research Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- 2 weeks ago56 min
373. Sexual Health: Cervix, Vulva, and Vulvodynia Research
From the cervix to the vulva, so much of female anatomy has been understudied, misunderstood, and underserved — until now. In this episode, Dr. Kelly Casperson sits down with Dr. Andrew Goldstein, one of the world's foremost experts in vulvovaginal and cervical health, for a deep dive into the cutting edge of women's sexual medicine. We're talking new research, new treatments, and a whole lot of "why didn't anyone tell us this sooner?" energy. If you or someone you love has ever dealt with vulvar pain, lichen sclerosis, arousal difficulties, or just wants to understand their anatomy better — this one is unmissable. About Dr. Andrew Goldstein Dr. Andrew Goldstein is a board-certified OB/GYN and one of the world's leading specialists in vulvovaginal disorders, cervical health, and female sexual medicine. He is the founder of the Centers for Vulvovaginal Disorders, co-author of Reclaiming Desire, and a tireless advocate for research funding and clinical advancement in women's health. He has dedicated his career to conditions that medicine has long dismissed — and he is actively changing that. 🌐 vulvodynia.com When Sex Hurts Book In This Episode, We Cover: The significance of cervical innervation and its role in sexual pleasure — and why this is barely taught in medical school How common cervical excision procedures (like LEEP/LLETZ) can impact sexual function and urinary health Global efforts in cervical cancer prevention in resource-poor countries Surgical techniques designed to preserve nerves during cervical treatments The incredible impact of HPV vaccination on reducing cervical cancer rates worldwide A clear breakdown of vulvar anatomy and the misconceptions even providers carry Vulvodynia — causes, diagnosis, and the most exciting recent research breakthroughs Highlights from the Vulvodynia Research Summit: the top-ranked treatments from both expert and patient votes The surprising role of mast cells and allergic responses in vulvodynia Emerging therapies: topical ketotifen, localized nerve targeting, and novel chemical injections for pain relief How pelvic floor muscles contribute to vulvodynia — and what new research is showing Upcoming clinical trials on botulinum toxin for pelvic pain Lichen sclerosis — the autoimmune skin condition linked to cancer risk that far too many providers miss The game-changing potential of JAK-STAT pathway inhibitors for lichen sclerosis treatment Strata barrier cream and other topical therapies in the pipeline The road to FDA approvals and insurance coverage for these emerging treatments Topical sildenafil for female arousal disorders — the science, the promise, and how it works The drug delivery science behind why how a cream is formulated matters as much as what's in it Why advocacy and funding in women's health are inseparable from clinical progress — and what you can do Dare to Play Clinical Trials Registry Gynecologic Cancer Research Foundation National Vulvodynia Association Tightlipped Organization Dr. Andrew Goldstein: Website Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- 3 weeks ago47 min
372. Deprescribing Antidepressants
In this episode, Kelly interviews Dr. Mark Horowitz, a psychiatrist and author, about the long-term impacts of antidepressants, the challenges of coming off these medications, and the future of deprescribing. This conversation sheds light on why many people remain trapped on these drugs and what can be done to change this reality. Key Topics: The origins of Dr. Horowitz's involvement in deprescribing and his personal experience The widespread use of antidepressants in America and the long-term health risks How withdrawal symptoms can be mistaken for a need to stay on medication The insidious side effects of antidepressants, including weight gain, sexual dysfunction, and increased risk of fractures The lack of long-term studies and regulatory oversight on the effects of antidepressants The importance of informed consent and alternative treatment options How marketing and legal factors influence prescribing habits Strategies for safe tapering and support resources for deprescribing The evolving awareness and cultural shift regarding antidepressant risks Deprescribing book https://markhorowitz.org/ Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- May 17, 202643 min
371. You Could Be Having Better Sex
What if the secret to better sex isn't a new position or a fancy toy — it's simply showing up as yourself? In this episode, Kelly sits down with Nicole McNichols, a sexuality researcher and educator whose work bridges the gap between what science knows about female desire and what most of us were never taught. Together they unpack why women lose desire in long-term relationships (hint: it's not broken — it's biology meeting culture), what "heated rivalry" actually means for female attraction, and why spontaneous desire is more myth than reality for most women. This is the kind of honest, research-backed conversation your sex ed class should have been. The "heated rivalry" phenomenon — how competition and social comparison can actually activate female desire, and what that tells us about our evolutionary wiring Spontaneous vs. responsive desire — why waiting to "feel like it" may be the #1 intimacy killer in long-term relationships The taco metaphor — a reframe on why novelty matters for sustaining desire (you'll never think about tacos the same way again) Female anatomy 101 — the internal clitoris, female erections, and the structures your doctor probably never mentioned Hormones and midlife sexuality — how perimenopause and menopause reshape desire, and why hormone therapy can be genuinely life-changing Pleasure as medicine — the neuroscience of why pleasure regulates your nervous system and supports overall health Flow states and intimacy — how to cultivate the focused presence that makes sex feel connected rather than performative The mental load problem — why unequal household labor is a libido killer backed by actual data What college students are actually doing — Nicole's research on porn's influence on sexual expectations and the urgent case for comprehensive sex ed Communication as foreplay — why the conversations before, during, and after sex matter as much as the sex itself You Could Be Having Better Sex book https://www.instagram.com/nicole_thesexprofessor/ Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- May 10, 202647 min
370. Microbiomes & Menopause: What’s Really Driving Your Symptoms?
The Gut-Brain-Hormone Connection in Midlife with Cynthia Thurlow - Explore how hormonal shifts, the microbiome, and lifestyle factors intertwine to impact women's health during midlife. Cynthia Thurlow shares insights on gut health, hormone therapy, and debunks common misconceptions. This episode offers practical advice for optimizing wellness through personalized approaches. Key Topics: The emerging importance of the gut microbiome in menopausal health How hormones like estrogen influence colon cancer risk and overall health The role of lifestyle factors (diet, stress, antibiotics) on microbiome integrity Advances in hormone therapy, including the potential for microbiome restoration The impact of medications like GLP-1 agents on inflammation and weight Strategies for improving digestion, stool health, and addressing SIBO The myth of genetics being destiny—hormones as a modifiable factor Predatory practices in vaginal health treatments and how to ensure informed choices The significance of fiber: how to increase it safely and effectively Practical daily habits to support gut motility and overall wellness Menopause Gut Book IG for Cynthia Thurlow, NP Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
- May 3, 2026interview1h 6m5-min read
369. Perimenopause, Testosterone and AMA with Dr. Casperson
Menopause and perimenopause are not diseases but natural transitions marked by hormonal decline, and treating them with hormone therapy is both safe and effective when tailored to the individual. Advocacy, education, and access to informed care are critical to overcoming systemic gender bias in medicine.
- Apr 26, 202649 min
368. Brains and Hormones
Unlocking Brain Health: Insights with Dr. Louisa Nicola. Explore the fascinating world of neuroscience and preventative health with Dr. Louisa Nicola, a neurophysiologist dedicated to understanding and combating neurodegenerative diseases like Alzheimer’s. This episode dives deep into brain biology, the impact of hormones, lifestyle factors, and cutting-edge research on neuroprotection. Top takeaways: How neural networks and algorithms sparked her love for the human brain The critical distinction between dementia and Alzheimer’s disease Recent advancements in understanding amyloid beta and tau proteins The role of lifestyle, hormones, and genetic factors in preventing dementia The influence of sex differences and hormone levels on neurodegenerative risk The impact of sleep, inflammation, and infections like shingles on brain aging Emerging research on preventative strategies, including vaccines and supplements like creatine https://www.instagram.com/louisanicola_/ Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at hcp.solvwellness.com. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
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About You Are Not Broken
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.)
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