Empowering women (and the partners who love them) to live their best sex lives. Combining the power of mind-work, body-science and relationships, I joyously sma... More
Empowering women (and the partners who love them) to live their best sex lives. Combining the power of mind-work, body-science and relationships, I joyously sma... More
Available Episodes
5 of 213
213. You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer
You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer
Dr. Corinne Menn is a board certified
OBGYN and North American Menopause Society Certified Menopause Practitioner.
She has a special interest in areas often
neglected in women's health: Perimenopause and menopause, the unique needs of
female cancer survivors and those at high risk for breast cancer.
Dr. Menn tells us her story of
breast cancer dx at age 28, going through menopause three times and is now a
pro-hormone educator.
Dr. Menn discusses taking
systemic hormones and her journey and how it has changed her life.
Why are doctors and patients so afraid of hormones?
Doctors are so risk adverse – but let’s talk about the risks of
not treating menopause.
The myth that estrogen causes cancer.
How Tamoxifen works.
Breast cancer nomenclature – estrogen positive – this doesn’t mean
estrogen caused the cancer – we clarify.
The nuance of being overweight and risk of breast cancer.
The number one killer of women with history of breast cancer is
heart disease.
Safety of systemic hormone replacement therapy in breast cancer
survivors
Article in Breast Cancer Research and Treatment · January 2022 –
Dr Bluming
-
"Twenty-five studies of HRT after a breast cancer diagnosis,
published between 1980 and 2013, are discussed, as are the 20 reviews of those
studies published between 1994 and 2021. Only 1 of the 25 studies, the HABITS
trial, demonstrated an increased risk of recurrence, which was limited to local
or contralateral, and not distant, recurrence. None of the studies, including
HABITS, reported increased breast cancer mortality associated with HRT. Even in
the HABITS trial, the absolute increase in the number of women who had a
recurrence (localized only) associated with HRT administration was 22. It is on
the basis of these 22 patients that HRT, with its demonstrated benefits for so
many aspects of women's health, is being denied to millions of breast cancer
survivors around the world."
The problem with the HABITS trial.
Why are we scaring women so much about breast cancer?
Who is the right breast cancer survivor to start hormones? A good
candidate?
Are we overtreating with aromatase inhibitors?
Podcast partnership today: Always Discreet
https://www.instagram.com/alwaysdiscreet/
Bluming AZ. Hormone Replacement Therapy After Breast Cancer:
It Is Time. Cancer J. 2022 May-Jun 01;28(3):183-190.
Young Survival Coalition
https://youngsurvival.org/
Vaginal Estrogen
for people with a history of breast cancer: https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer
Dr. Menn is an Alloy Health Medical Advisor and Prescriber
www.myalloy.com
http://www.drmenn.com/
https://www.instagram.com/drmennobgyn
https://www.tiktok.com/@drmennobgyn
https://www.facebook.com/drmenn
5/28/2023
50:54
212. Sex Med and Urology - Top Takeaways at the 2023 AUA conference
I went to the 2023 American Urologic Association's National Conference. Here are some top takeaways and thoughts. So much on this week’s podcast!
Low hormones in men and women — can increase risk for cardiovascular disease
Women have a decreased risk of heart attack and stroke when started on hormones in the safety window of menopause (first 10 years)
The Traverse study paper coming out in two months - can’t wait!
Testosterone is not a gendered hormone
All bones need testosterone
Women in early menopause should be on hormones at least until natural age of menopause to decrease risk of cardiovascular disease, osteoporosis (NAMS guidelines and this indication has FDA approval).
Equality in healthcare
Three new oral testosterone pills on the market for men, not for women
We need to focus on brains and bones health in women just as much as we do for men
Treat women the same in healthcare
Did you know the UK is requiring doctors to talk to their patients at age 50 about menopause? Amazing!
If hormones are so dangerous, why don’t we stop estrogen in trans women after the age of 50 - a thought exercise on how we think about giving hormones to all bodies -
Is staying on hormones during menopause gender affirming care?
Oral DHEA supplements — what’s the deal?
Bulkamid — urethral filler for stress incontinence
ECoin training
Prolapse repair in premenopausal women
Should we offer it or no?
Male infertility is associated with shorter life expectancy
Marijuana affect sperm
Using testosterone for maintenance of vaginal health
Michael Pearlman balance scale of desire
More about Addyi (filbanserin)
Importance of elastin and collagen
Very small percentage of women have cervical orgasms - but it matters.
New technology that @mysteryvibe is releasing to help with period cramps
5/21/2023
38:38
211. Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health
Feeling Broken In The Bedroom? What You Need To Know About Your Sexual Health - With Dr. Kelly
Casperson
This is an interview I did with Lesley
McShane for her podcast “Redesigning Midlife” and it was just such a good
interview I asked her if I could share it again.
1.
Basics: a. Menopause means it’s been one year and one day since your last
period. b. The average age of menopause is around 51. and c. for ten years
prior to menopause, women go through peri-menopause, where hormones are doing a
reverse puberty.
2.
A lot of women stop or have pain during penetrative intercourse during this
time due to a decrease in natural lubricant and collagen, but this can be
easily treated.
3.
Even if you don't have menopause symptoms, if you are over the age of
approximately 51, you have gone through it.
4.
The most sexually satisfied people aren’t young people, it is people in their
50s, 60s, 70s.
5.
Great sex is not a passive thing. It’s an active process, just like someone
that is physically fit. It has to be prioritized.
6.
Use of lube increases your success of orgasm by 70-80%. Silicone based lube is
best because you don’t absorb it like you do the water based.
7.
There is no “how long” should I use Vaginal Estrogen cream. The use of it is
like using sunscreen or wearing a seat belt.
8.
You don’t need a “sex drive”. We do things because they are awesome. If
you aren’t having awesome sex, don’t wonder why you don’t desire it.
9.
We feel entitled to a spontaneous sex drive that has been sold to us by media.
And when we don’t achieve that, we end up feeling broken.
10.
Putting something in the vagina only leads to female orgasm 30% of the time so
special focus need to be paid to the female body. Your largest sex organ is
your brain.
11.
Don’t sit passively by waiting for spontaneous desire to happen. Get dressed up
and go to the party even if you don’t think you want to. Chances are you’ll
have a good time once you get there.
12.
Control of stress and cortisol levels in our bodies will help us desire more
intimacy.
13.
If there is a desire mis-match in your relationship, normalize it by talking
about it.
14.
Communication with our partner about menopausal symptoms and what we are going
through is important to our relationship.
15.
Get educated on hormone replacement therapy as an option. When women start
thinking about how they want to live as they get older and get educated, then
they see how beneficial HRT could be for them.
16.
Women between the age of 50-60 that are on hormone therapy live 3-4 years
longer than women in the same age group not on hormone therapy.
17.
For our young adult children that are starting their own sexual lives, the
biggest thing they need to know from the start is about consent.
18.
They need to be aware of is orgasmic equality.
19.We have to educate our girls that pleasure is for everybody.
Lesley McShane's podcast: https://podcasts.apple.com/us/podcast/redesigning-midlife-workout-motivation-over-50-weight/id1549596974
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
Join my membership to get these episodes ASAP when they are
created and without advertisement and even listen live to the interviews and
episodes.
www.kellycaspersonmd.com/membership
5/14/2023
59:48
210. Desire, Mindfulness, and Better Sex - With Dr. Lori Brotto
Better Sex Through
Mindfulness – Dr. Lori Brotto
Dr. Lori Brotto is a
psychologist and Director, UBC Sexual Health Laboratory
Canada Research Chair in Women’s
Sexual Health Professor, Department of Obstetrics & Gynaecology, UBC Executive
Director, Women’s Health Research Institute
“Sex is not just a deficiency in a hormone” – KJC
Dr. Brotto tells us how she started her sex research career by
studying rats.
Do stressed out rats want sex?
“Stress is antisexual” – Dr. Brotto
“So many people don’t even know that they are stressed.” - KJC
Dr. Casperson tells her story about finding mindfulness
How Dr. Brotto discovered mindfulness for
helping manage pain, anxiety, and desire
Mindfulness During sex.
How anxiety and depression affects our
sexuality. And mindfulness can help!
We talk about medications for low desire in
women. Filbanserin specifically.
Beliefs are key! We discuss the role of beliefs on our sex
life. Mindfulness helps us “see” our beliefs more.
Anorgasmia – how common it is and what is the
most common cause.
How to suss out asexuality versus low desire.
Obligatory sex – how to navigate discrepant
desire.
The myth of penis and vagina sex and why it
excludes so many people.
Mindfulness for sexuality after prostate cancer.
The role of communication with your partner. Do they even want your erect penis?
https://www.loribrotto.com/
Better Sex Through Mindfulness https://amzn.to/42bchpj
Better Sex Through Mindfulness Workbook: https://amzn.to/42abTYc
https://www.instagram.com/drloribrotto/
https://www.cancersexnetwork.org/
https://www.drannekatz.com/
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
Join my membership to get these episodes ASAP when they are
created and without advertisement and even listen live to the interviews and
episodes.
www.kellycaspersonmd.com/membership
5/7/2023
46:48
209. “The Cervix is Dumb” and I Disagree – April Live
“The
Cervix is Dumb” and I Disagree – April Live
Giovannetti O, Tomalty D, Gilmore S, Pattison A, Komisaruk B,
Goldstein S, Hannan J, Goldstein I, Pukall C, Adams MA. The contribution of the
cervix to sexual response: an online survey study. J Sex Med. 2023 Jan
14;20(1):49-56. doi: 10.1093/jsxmed/qdac010
Cochrane review on Cranberry for UTI
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001321.pub6/full
Kisspeptin is a protein that
is essential for reproductive hormone secretion and fertility
Male kisspeptin study
https://pubmed.ncbi.nlm.nih.gov/36735255/
Sexual
Tipping Point
https://www.researchgate.net/publication/24001856_The_Sexual_Tipping_PointR_A_MindBody_Model_for_Sexual_Medicine
Oral
versus Vaginal DHEA
Vaginal
DHEA is awesome – it is a prescription
DHEA oral
is a supplement – over the counter
-
DHEA oral safety - lack of efficacy good enough reason to not take it?
Dehydroepiandrosterone
replacement in women with adrenal insufficiency N Engl J Med 1999 Sep
30;341(14):1013-20. doi:
10.1056/NEJM199909303411401. 50mg oral for 4
months – decreased HDL and total Cholesterol
Conclusions: Dehydroepiandrosterone
improves well-being and sexuality in women with adrenal insufficiency.
Double-blind
treatment of major depression with dehydroepiandrosterone Am J Psychiatry 1999
Apr;156(4):646-9. doi: 10.1176/ajp.156.4.646.
Conclusions: These
results suggest that DHEA treatment may have significant antidepressant effects
in some patients with major depression. Further, larger-scale trials are
warranted.
Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK
Join my membership to get these episodes ASAP when they are
created and without advertisement and even listen live to the interviews and
episodes.
www.kellycaspersonmd.com/membership
Empowering women (and the partners who love them) to live their best sex lives. Combining the power of mind-work, body-science and relationships, I joyously smash the societal barriers that are keeping us from living our best intimate lives.
Whether you are young or past menopause, single or in a long-term relationship, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, and normalize our intimacy. Nothing in this podcast is personal medical advice, of course.