You Are Not Broken

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Welcome to July's Live Podcast

Orgasmic versus hormonal Use it or lose it

Studies on Teen Sex Ed, PRP for ED, HPV jabs, Creating Desire and more!

Sex Ed matters:https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11388-2

Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

Get in the Free FB group:

https://www.facebook.com/groups/youarenotbroken/

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

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When Sex Hurts – Dr. Krapf

 Dr. Jill Krapf is a gynecologist specializing in vulvovaginal disorders in Tampa, FL

 Dr. Krapf is active in research and has published chapters and peer-reviewed articles on vulvodynia, vulvar dermatoses, and hypoactive sexual desire disorder. She is Associate Editor for the Journal of Sexual Medicine, as well as for the textbook Female Sexual Pain Disorders, 2nd Edition. 

Love Dr. Krapf? Check out my other episodes #131 – National Lichen Sclerosis Day and #172 – Vulvar Itch

Why write a 2nd edition of the book “When Sex Hurts”?

How common is pain with sex for women?

Often times with pain with sex there is a physical cause, but you can’t always see it.

Pelvic pain and pain with sex is very isolating and people feel very alone.  People don’t know how to talk about it. 

What happens after the pain is fixed.

What does “all in your head” mean and why people don’t like that.

“Those who perceive their partners as kind and understanding report more intense pain than women whose partners have responses that promote adaptive coping.” – what!  What is adaptive coping?

How to communicate your pain to your partner and your doctor.

What if you are a partner of someone with dyspareunia - - “best partner response is having a partner who engages in what researches call facilitative responses – affection and encouragement to cope with the pain in an adaptive way, such as by focusing on pleasure, deep breathing or positive thoughts while experiencing the pain.”

We talk about stress, sex and the gut – things like irritable bowel syndrome related to pain with sex?

The role of birth control pills and pelvic pain and health. In her book, “When Sex Hurts” they talk about Yaz (drospirenone) and pelvic pain – a prospective study of women’s genitals and sexual function prior to starting Yasmin – and then after three months- decreased clitoris, decreased blood flow, decreased labia minora, decreased libido, fewer orgasms and more dyspareunia.

The role of testosterone in pelvic pain – one study showing women with higher androgen levels have less work related neck and shoulder pain then women with low androgen and differing levels of Testosterone may explain some of the gender related differences in pain perception

The difficulty in giving testosterone to women and the problem with pellets.

Recurrent Yeast Infections – Dr. Krapf helps us

Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health.

FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS

drinkag1.com/youarenotbroken

The new 2nd edition of “When Sex Hurts ”https://amzn.to/460TP4V

https://jillkrapfmd.com/

https://www.instagram.com/jillkrapfmd/

Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

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

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This is my talk I gave at the 2023 Clitoris Summit

https://clitoris.io/summit2023

I discuss the bias that women’s sexual health is all in her head.

We can’t neglect the “bio” part of all bodies.

9% of urologists in the United States are female – which is about 1,000 surgeons.

Orgasms are good for us, but so often are considered “bonuses”

Don’t forget the “psychosocial” part of sexuality.

Clitoral Adhesions

Genitourinary Syndrome of Menopause

Persistent Genital Arousal Disorder

What to do about blunted orgasms?  New guidelines on female orgasm coming soon!

Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off

https://myfirmtech.com/?sca_ref=3901627.saeQB3wieI

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.

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Dr. Elliott Justin – founder and CEO of Firmtech

Our podcast partner is Firmtech – use code “NOTBROKEN” for 15% off

 FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. Award Winning Tech: Most Innovative Sex Toy (XBIZ); RunnerUp in Fitness & Health (CES Showstoppers) 

Firm tech focuses on enjoyable sex for men of all ages, while empowering them to better understand their health and the impact of medications, supplements, personal habits, vices and exercise on their sexual wellness. We want to give you the data to make the best decisions for your sex health. 

Dr. Justin started out as an emergency medicine doctor (treating ED - amazing story) – how he transitioned to sex tech and founded a company?

The number of nocturnal erections you have is a marker of vascular health.

The penis is the canary in the coal mine of vascular disease.

No one knows what is normal in terms of numbers of nocturnal erections for men as they age.

“cock killer” drugs for men – SSRI and hypertension drugs, recreational drugs

Is there a number of times a week a man should have sex to “use it or lose it”?

Alcohol has a profound effect on erections.

Dr. Justin explains venous leak syndrome of the penis and what causes it.

How this Firmtech device actually works.

What is coming in the future for clitoral wearables?

https://www.instagram.com/myfirmtech/

https://myfirmtech.com/ use code “NOTBROKEN” for 15% off

https://wefunder.com/firmtech

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.

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Member question:  Lichen Sclerosis, decreased sensation and libido – I discuss two types of desire – spontaneous and responsive and three options pharmacologically for low desire.

A couple options for if you "want to want": testosterone, Addyi and Vyleesi.

Pneuma for penile girthiness  - if you want to be a shower.

The Orgasm Gap - as written by men

Testosterone is not associated with increased cardiovascular risk and associated decreased risk of breast cancer.

P Agrawal and others, Testosterone Therapy in Females Is Not Associated with Increased Cardiovascular Risk – A US Claims Database Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.014, https://doi.org/10.1093/jsxmed/qdad060.014

Sexual Boredom in long term relationships contributes to low desire.

L De Oliveira and others, (055) Sexual Boredom and Sexual Desire in Men and Women in Long-term Relationships: A Latent Profile Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.053, https://doi.org/10.1093/jsxmed/qdad060.053

An obituary of Jaqueline Gold

Our Podcast Sponsor is Firmtech – use code “NOTBROKEN”

FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. ⁠https://myfirmtech.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.

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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

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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

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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

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“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

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The Third time Dr. Haver is on my podcast!

The role of sleep, diet, exercise and body image on sex is real.

Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her.

How female body composition changes in peri and menopause

Diets may change hot flashes

Can you measure inflammation?

Fatty liver – goes up in menopause – treatable with diet changes

Anti-inflammatory diet resource: arthritis.org

Supplements for peri/menopause

-       Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA

Role of continuous glucose monitors

The loss of estrogen increases gut permeability – role of gut microbiome in bone heath –

Tiktok: drmaryclaire

IG: https://www.instagram.com/thegalvestondiet

Website: https://galvestondiet.com/

The Galveston Diet Book: https://amzn.to/433AsGZ

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.

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Better Sex Through Lifestyle Changes – Diet, Sleep, Hormones, Exercise – The Galveston Lifestyle

Try not to eat like shit.

The role of sleep, diet, exercise and body image on sex is real.

Dr. Haver’s story – she shares her journey of stress, grief and menopause and how “workout more and eat less” wasn’t working for her.

How female body composition changes in peri and menopause

Diets may change hot flashes

Can you measure inflammation?

Fatty liver – goes up in menopause – treatable with diet changes

Anti-inflammatory diet resource: arthritis.org

Supplements for peri/menopause

-       Fiber, mag, vit D, omega 3 - - ? DIM ? DHEA

Role of continuous glucose monitors

The loss of estrogen increases gut permeability – role of gut microbiome in bone heath –

Tiktok: drmaryclaire

IG: https://www.instagram.com/thegalvestondiet

Website: https://galvestondiet.com/

The Galveston Diet Book: https://amzn.to/433AsGZ

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

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Emergency Department Care of the Menopausal Female

Dr. Pam Dyne is a Professor of Clinical Emergency Medicine at UCLA David Geffen School of Medicine

Common things midlife women go to the ED for – irregular bleeding and prolapse

Heart attacks present differently in women than in men.

How to work up abnormal vaginal bleeding – questions to ask.

Do ED docs know how to do a pelvic exam?

Indications for a pelvic exam and optimal positioning

Recurrent UTIs, and estrogen possibly 1st line rx so something to keep in mind

Asymptomatic bacteruria - if doc says you have a UTI but you have no UTI sx, question whether abx indicated, pending the urine culture

            - change in cognition in elderly human – don’t just treat for a UTI?

Elder abuse – what is it – when to suspect it?

Cardiac symptoms in perimenopause

Heart attacks present differently in women than in men.

“Sometimes a doctor’s job is to tell you what it isn’t” – workups that don’t show anything dangerous.

How to use a tennis ball to do myofascial release for muscle pain

The devastating effects of a hip fracture.

www.instagram.com/drpdyne

Pelleton: singerpam

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Increasing Penile Length, How Long Sex Lasts, and Urology YouTube Rockstar Rena Malik, MD   

Dr. Malik is an associate professor of surgery in the Division of Urology and director of Female Pelvic Medicine and Reconstructive Surgery at the University of Maryland School of Medicine. She has published more than 60 peer-reviewed articles and book chapters.

She has 1.48 Million YouTube subscribers

We go over her most popular videos – most of these questions are “am I normal” questions.

27M views – Scientifically proven ways to increase penile length

Why are men so obsessed with penis size and do women care?

11M views – How long does sex last on average?

10 M views - What exactly is the G spot?

9.4 M views – Can you masturbate too much?

8.9 M views – Can you increase your semen volume?

5.8 M views – Can ejaculating more frequently reduce risk for prostate cancer?

5.7 M views – How to increase testosterone naturally

5.2 M views – Explaining the difference between showers and growers

4.3 M views – Does prostate massage have any health benefits?

3.5 M views – Does science support “no nut November”?

Dr. Malik's Youtube: https://www.youtube.com/channel/UCV66hp0qxx2Xq273N0bo7uQ

https://www.instagram.com/renamalikmd

https://www.tiktok.com/@renamalikmd

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

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Joining me for the second time on the podcast is world renowned sex therapist, Dr. Marty Klein – Author and sex therapist to Silicon Valley.

If you want our first episode together check out Episode 169 – where we discuss his book “His porn her pain”

Today we are discussing his amazing book: “Sexual Intelligence: What we really want from sex and how to get it”. This book is 10 years old and still completely relevant. And he is still being interviewed about it!

What is sexual intelligence and why did it need to be written about?

“For a lot of people, sex is an opportunity to fail” – Dr. Marty Klein

How do you navigate when one partner wants something and the other doesn’t – oral during a period, PIV sex, kink?

What is your opinion about the “low desire” epidemic and the meds for low desire.

“Most people leave sex for when they are too tired to do anything else” – Dr. Marty Klein

“In a world that is filled with ice cream and Netflix….why would anyone want sex?” – Dr. Marty Klein

You say in the book PIV has symbolic meaning for hetero people – can you talk about why this limits us?

What to do when sex is boring?

What to do with a partner who won’t communicate about sex? Stonewalling?

26:13 Why Dr. Klein doesn’t like the term erectile dysfunction.

I’m not attracted to my partner any more – they gained weight or are getting older – any help?

Tips for desire discrepancy. Communication and more touch.

https://www.martyklein.com/

Dr. Klein’s book: His Porn, Her Pain  https://amzn.to/3IYvIsF

Dr. Klein’s book: Sexual Intelligence https://amzn.to/3WLfYi0

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.

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And get on the wait list for the upcoming "adult sex education master class"

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Dr Jaime Seeman aka Doctor Fit and Fabulous is a board certified OBGYN.  She has a passion for fitness, preventative medicine and empowerment not only in her medical practice but in her own life. She has a podcast called The Fit and Fabulous Podcast with Dr Jaime Seeman and a book called Hard to Kill: Master the Mindset to Maximize Your Years

https://www.doctorfitandfabulous.com

Hard to Kill Book: https://amzn.to/3QiFGst

https://www.instagram.com/doctorfitandfabulous

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

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Episode 200!!!!

Suzanne Gilberg-Lenz, MD works at the  Women’s Care of Beverly Hills, an obstetrics and gynecology practice that has locations in Beverly Hills and Redondo Beach, California.

Dr. Gilberg-Lenz is involved in women’s empowerment and public education and frequently appears as an expert in women’s health and integrative medicine on TV, in print, and online.

Her book Menopause Bootcamp: optimize your health, empower your self, and flourish as you age is out now.

Why is talking about menopause an act of rebellion?

How many doctors know how to treat menopause and how to find an expert?

We discuss the role of communication and how it builds intimacy.

Normalizing how varied sex can be and getting out of the heteronormative narrow view of penetrative sex.

The role of declining estrogen and giving less fucks.

How can menopause be an opportunity?

Mainstream medicine has a woman problem – and the painful truth is that science fails us.

Why we do not recommend pellets?

How to talk to your doctor about menopause?

Why does no one care about heart disease?

https://www.menopause.org/

https://www.instagram.com/askdrsuzanne

https://www.instagram.com/themenopausebootcamp/

Menopause Bootcamp: Optimize Your Health, Empower Your Self, and Flourish as You Age https://amzn.to/3m5ZJzn

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.

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Dr. Dubin is a  fellowship-trained urologist and andrologist focusing on men’s health. He cares for men with fertility problems, sexual issues (erectile dysfunction, premature ejaculation, delayed ejaculation, etc.), Peyronie’s disease, low testosterone, testicular pain and other problems involving men’s genitalia.

He wants to help men understand that the issues they face are normal and help them find solutions that fit their lifestyle and life goals.

In addition to providing individualized patient care, he is also passionate about providing helpful information to the community. He co-hosts a podcast, “Man Up — A Doctor's Guide to Men’s Health,” in which he discuss various men’s health topics.

Why don't men go to the doctor?

Where do men get most of their sex ed from?

Figuring out the difference between erections, orgasm, ejaculation (and refractory time) and desire.

The five things you need to get a good erection.

The role of testosterone and libido and erections.

Taking testosterone can cause infertility in 60% of men.

Once you take Testosterone are you going to be on it forever?

When a man goes to the doctor for Viagra, should the doctor ask about the partner?

We need more people talking about intimacy without an erect penis.

And if you are comfortable - what to do when you penis doesn't work - I hear over and over about men being able to orgasm with a soft penis and I need some info on this!  Are you the person?  So many people think sex is over when the penis doesn't work and I need someone to tackle this difficult topic.

Dr. Dubin did a study looking at women getting blamed for their partner’s erectile dysfunction. 1 out of 7 women were blamed.

Tips for when your male partner doesn’t want to talk about intimate issues.

What is with products that make you make more semen?

What is with penis enlarging procedures?

Social media inaccuracies with men’s health – sperm retention!

Does ejaculating decrease prostate cancer?

Does vasectomy cause prostate cancer?

https://www.themanuppod.com/

https://www.instagram.com/themanuppod/

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Is bigger always better?

The “use it or lose it” myth needs to die.

Vaginal atrophy is a hormonal issue.

Are orgasms good for you?

Can I use vaginal estrogen more than twice a week?

Tips and tricks for vaginal estrogen.

Can you still get BV and yeast infections after menopause?

Painful sex and low libido after a LEEP procedure.

Hi I have a question! I just saw my gynecologist , she has me on vaginal estrogen. I asked if I can go on the estrogen patch she advised me that I don’t need to be on the patch that the tabs are what I need! I’m sorry I should have said explained i had a hysterectomy in my 40’s they left my ovaries a year later I was told I was in full menopause! I’m 60 now and only started vaginal estrogen a year ago due to me complaining about painful intercourse. Should I also be on the estrogen patch.

I’m only 22 and suspecting a stage 3 prolapse . I’m pretty sure I’ve unintentionally caused it due to straining on the toilet,etc. I wanted to know- can I still get pregnant? And can my prolapse heal itself?

Who needs systemic estrogen versus only vaginal estrogen?

The multiple reasons we are undertreating menopause.

I’m a 62 year old guy. Married to a beautiful soul for 40 years. I’d love to get her your book. But, I don’t wanna come off as being “that guy.” Do you have any suggestions?

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Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones.  It is a nice overview and I hope you enjoy it!

• The best way to get rid of fear is education
• Why the Women’s Health Initiative study took people off of hormones
• Understanding the Healthy Cell Hypothesis
• Repetition is the key to adult learning
• The top two reasons women stop having sex in perimenopause and menopause
• What we know about menopause hormone therapy in 2023
• The more educated you are, the more you can advocate for yourself
• By definition: menopause is one day - 366 days after your last natural period
• Average age of menopause in western society is 51
• Hormone therapy was popular in the 80’s and 90’s
• If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
• FDA approved indications for estrogen 1) preventing osteoporosis
  2) treatment of vasomotor symptoms
  3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
  4) GSM
  
• how did we get to the point where we thought estrogen caused cancer?
• what does hormone therapy help?
• the longer you go without estrogen, your arteries develop a fatty streak or plaque
• who can’t be on HRT
• who can be on HRT
• Best practices for hormone replacement therapy
• Non oral estrogen vs oral estrogen
• Unanswered questions we have about hormones

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Happy ONE MILLION DOWNLOADS!  
So I asked ChatGPT to help me write a podcast episode, and I think AI nailed it!

How can iIget my partner to have more sex with me?

1. Communicate openly: Have a conversation with your partner about your needs and desires. Share your feelings and listen to their perspective. It's important to approach this conversation in a non-confrontational and non-judgmental way.

2. Understand their perspective: Your partner may have different needs or desires when it comes to sex. Try to understand their perspective and see if there are any underlying issues that may be affecting their interest in sex.

3. Show affection: Show your partner that you care about them and appreciate them. This can help build a stronger emotional connection and make them more likely to want to be intimate with you.

4. Be spontaneous: Surprise your partner with a romantic gesture or plan a special date night. This can help reignite the spark in your relationship.

5. Look at your relationship: Reflect on your relationship as a whole and see if there are any factors that may be affecting your partner's interest in sex, such as stress, fatigue, or relationship issues.

6. Seek professional help: If you and your partner are unable to resolve the issue on your own, consider seeking the help of a couples therapist or sex therapist. They can provide guidance and support to help improve your relationship.

7. Be patient: Remember that change takes time, and it's important to be patient and supportive of your partner.

It's important to remember that every relationship and every person is different, and what works for one couple may not work for another. Communication and mutual understanding are key to addressing any issues in a relationship, including sexual intimacy.

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I get so many hormone questions!  So I needed a podcast to refer people to.
I hope I did okay covering the basics and deep diving into some more complicated details.

Enjoy!

1. Sex and Menopause

2. Systemic versus Vaginal Hormones

3. Estrogen Doesn't Cause Cancer

4. We gendered hormones and how this hurts women

5. Natural is a weapon waged to keep us in our place

6. Pellets and compounds are to be avoided if better options are available

7. You never need to stop hormones

8. The FDA will not help us (the two cases of Testosterone and Alzheimer's disease). 

(bonus) I hate the word "balanced" when discussing hormones.  Pro tip - people are probably just trying to sell you something. 

Paganini-Hill A, Henderson VW. Estrogen deficiency and risk of Alzheimer's disease in women. Am J Epidemiol. 1994 Aug 1;140(3):256-61

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Blaming Her For His ED, UTIs on Social Media, Sex Toys in the Middle East, Female Testosterone Guidelines and More - January Live Podcast

Vanessa and Xander Marin’s survey – over 54,000 people - their Sexual Frequency Report

They were on my podcast # 181 – sex talks with social media’s sex educators

Justin Dubin’s paper on Blaming women for erectile dysfunction

Examples of misinformation found on YouTube and tiktok videos regarding urinary tract infection

Sex toys in the middle east

Mindfulness with Female Sexual dysfunction

Clinical practice guidelines for use of T in Women

https://www.tandfonline.com/doi/epdf/10.1080/13697137.2021.1891773?needAccess=true&role=button

Justin M. Dubin, MD, W. Austin Wyant, MSc, Navin C. Balaji, BE, Iakov V. Efimenko, BSc, Quinn C. Rainer, BA, Belen Mora, BA, Lisa Paz, PhD, Ashley G. Winter, MD, Ranjith Ramasamy, MD, Is Female Wellness Affected When Men Blame Them for Erectile Dysfunction?, Sexual Medicine, Volume 9, Issue 3, June 2021, Page 100351

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I have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters"

https://amzn.to/3GaubA5

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Happy Third Birthday and New Year’s Resolutions

- Will hit 1 million in January!

New year’s wishes

- Male birth control

- Say no and have it be okay

- Vaginal E for everyone who wants it

o Good Rx

 Estradiol 0.01% 42 G tube

o Amazon Pharmacy – 28.13

 Interlude – get interlude

 20 off your first order

- Decreased fear around estrogen

o Peter Attia podcast Episode 42interviewing Estrogen Matters Dr Avrum Bluming and Carol Taveris Phd

https://peterattiamd.com/caroltavris-avrumbluming/

 2021 update from the authors

- :the WHI has walked back virtually all of their early alarmist findings. In recent publications, they reported that estrogen does not increase “all cause mortality” or deaths from heart disease and cancer. Actually, they said, it increases longevity, most notably when begun within ten years of the last menstrual period. It is the best preventative for osteoporotic hip fracture. It is safe and effective when applied vaginally for local symptoms. And, in the most striking about-face from their 2003 headlines that HRT “did not have a clinically meaningful effect on health-related quality of life” for women in menopause, they stated in 2019 that “Hormone therapy is the most effective treatment for managing menopausal vasomotor symptoms.”

- Desire mismatch is not a problem

- Orgasmic equality

- Hope is not a game plan

o Wishing your desire was different does nothing – it does worse than nothing

o Resisting reality, resisting what is

- Healthy relationship with your body

o Speak kindly

o Sleep, exercise, food

o Stop shoulding all over your body

- Healthy relationship with sex

o Stop shoulding

o Stop doing it for other people

o Be present

o It is okay to fail, to not feel like it

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Happy December live podcast.

I talk about snake clitorises, human clitoris nerve endings, why the American Heart Association wants you to start hormones early, and sex has gone mainstream as the Economist talked about it!

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Krista St-Germain is a Master Certified Life Coach, Post-Traumatic Growth and grief expert, widow, mom and host of The Widowed Mom Podcast. When her husband was killed by a drunk driver in 2016, Krista’s life was completely and unexpectedly flipped upside down. After therapy helped her uncurl from the fetal position, Krista discovered Life Coaching, Post Traumatic Growth and learned the tools she needed to move forward and create a future she could get excited about. Now she coaches and teaches other widows so they can love life again, too.

The brain love interpretation and drama.

Tell us your story of how you became a coach for widowed moms.

How to define grief – a natural response to perceived loss.

When sex is appropriate while grieving?

How does grief work?

Grief is not golf.

How to respond to someone experiencing grief.

“Feelings are not problems to solve” – Krysta St. Germain

8 myths about sex and grief

- You just want physical touch, not sex

- If you want sex again it means you didn’t love your person of loss

- The first year is the hardest/you shouldn’t have sex the first year

- If you don’t want sex there is something wrong with you

- You should wait for sex until you are done grieving

- If you want sex then you must be trying to escape your grief

- Escaping your grief is wrong

- You can have sex again until it is “the one”

- You aren’t ready to have sex until you don’t have strong emotions

Sex after a health diagnosis

https://www.instagram.com/lifecoachkrista/

coachingwithkrista.com

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Meet Sylvie B – a sexological body worker in training!

Many people struggle in their intimate relationships, whether because of pain,

perceived dysfunction, loss of libido, mismatched libido and, most pervasively, shame.  Many people have also experienced trauma, low self-esteem, and frustration over the limits to their pleasure.

Somatic sex education is about exploring our sexual challenges through breaking down the

autopilot and the worn out old patterns we rely on for whatever reason, which limit our erotic pleasure and full self-expression.

Good sex more than just the absence of pain.

Why do people come see a sexological body worker?

What is Somatic Sex Education and sexological bodywork?

Not many people are used to being asked how they would like to be touched. Some people get really frustrated because they realize they just don’t know. And that they have never looked too deeply into that. That can bring up feelings of guilt or shame.

Tips for squirting

How do you want to feel during sex?

Tips for tuning in to the very subtle frequency of what people actually desire.

What to do when people feel numb?

How do we emerge from shame and trauma?

How do we set and communicate boundaries as women in our relationships?

The pleasure of the soft cock – what to tell men with ED. What to do.

Let’s talk about this problem – middle age pelvis – menopause versus viagra

Find Out More

https://somaticsexeducator.com/

https://www.instagram.com/s3xandsensibility/

https://mysexandsensibility.com/

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Dr. Becky Lynn is back! Previous on Episode #44 and #43 where we talked about vaginismus and endometriosis and sex after breast cancer (44) and hormones (43). So check them out!

She is the founder of Evora Women’s Health in Missouri

Dr. Lynn  recently authored the paper: Low Sexual Desire in Breast Cancer Survivors and Patients: A Review

- Sexual dysfunction is 30-100% of women with breast cancer. And low desire is 5-87%

- What happens when we do surgery on the breasts

o Does it matter if we had radical mastectomy versus lumpectomy, with or without reconstruction?

- Role of Chemotherapy on sexual function

- Role of anti-estrogen meds on sexual function

- Role of couples therapy

- Data on vaginal moisturizers on sexual function

- Role and safety of vaginal estrogen after breast cancer treatment – ACOG statement paper

- Trial of Bupropion – open study shows improvement – randomized controlled trial versus placebo pending

- Role of vaginal testosterone cream in pts on Aromatase Inhibitors – lowers estrogen in the body

- There is a study looking at intravaginal DHEA on sexual function in breast cancer

- Abstract at ISSWSH on Addyi (filbanserin) in breast cancer population

- Role of hormones after breast cancer

Luo F, Link M, Grabenhorst C, Lynn B. Low Sexual Desire in Breast Cancer Survivors and Patients: A Review. Sex Med Rev. 2022 Jul;10(3):367-375.

website:   https://evorawomen.com/

FB/IG @evorawomenshealth

TikTok:  @dr.beckylynn

FB/IG Becky Kaufman Lynn, MD

YouTube:  search Dr. Becky Lynn

YouTube:  search Evora Women's Health

Twitter:  @Becky Lynn

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Dr. Carrie Leff is a practicing Internist and Pediatrician in Michigan. She is passionate about Adolescent and Women's health. Dr. Leff is on a mission to educate teens about their bodies and to help parents become more comfortable with difficult conversations with their kids. She is the mother of 3 daughters, a professional multi-tasker and a believer in the power of women.

Dr. Leff co-wrote Celebrate Your Body 2: The Ultimate Puberty Book for Preteen and Teen Girls in 2019. It is a #1 Best seller in  in Teen & Young Adult Health Books on Sexuality & Pregnancy on Amazon.

We met at the ISSWSH conference March 2022 in Texas – we were both giving lectures.

“Mommy, I feel like you wrote this book just for me” – Dr. Leff’s daughter

Why she wrote this book and created a program about puberty?

How puberty is like menopause.

She discusses when puberty starts and what first signs are.

What does an all-American puberty education in a public school look like?

“Talking to your kids should be 30 one minute conversations, not one 30 minute conversation” – Dr. Leff

“Our kids aren’t connecting puberty and sex unless we make that connection for them” – Dr. Leff

If you can’t/won’t discuss puberty with your kids then you are teaching them that you aren’t a resource for this information.

I love how you call private parts “personal parts” – why is this important?

So many middle aged women have body shame – when does this start?

How she found out her book was banned.

Consent – example of trying a shirt on at a store - - so important – many middle age women don’t practice consent.

How to close the orgasm gap by 2040 – her plan

A golden question, “how will you know you are ready to have sex?”

Moms buying teens their first vibrators – thoughts and her experience

You didn’t bring up birth control – when to bring it up, how to bring it up, resources for adults.

You wrote an op-ed for the Washington post about your book getting banned: “Some parents believe that telling children the truth about sex and our bodies will spoil their innocence. But innocence and ignorance are not the same.”

Celebrate Your Body 2 Book: https://amzn.to/3dLZzc7

https://turningteen.com/

https://www.instagram.com/drcarrieleff/

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So Many good topics in the November Live Podcast!

USPSTF opinion on hormones for primary prevention of disease.

https://jamanetwork.com/journals/jama/fullarticle/2797867

Worrying what other people think - vagina and penis broken in older dating

Clitoris has 10k nerve endings

What Kaiser says about having sex - and is it accurate?

We need more research before we tell women they "should" have sex to prevent atrophy - it is just misinformation at this time.

The brain is the biggest sex organ!  And the role of "sex negativity" on your sex life.

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Dr. Rubin’s NY Times article!

My book is now on Audible!

And Q&A

· Can you talk about IC?

· What are other options for testosterone? This is the first time I’m hearing that pellets are harmful. I’ve done two rounds of HRT and getting ready for my third. Although to be honest not completely happy with the testosterone pellet as it is elevated at the beginning and begins to drop off after a couple weeks.

· What are your thoughts on getting an ablation to stop my period? I’m 50 and went back on the pill to regulate my period, but it’s suppressing everything else!

· Can you discuss whether surgery before or after menopause is advisable for prolapse?

· We aren’t talking enough about female hormones and their impact on mood. PMS, PMDD etc. It's a roller coaster every month and I have no doubt it has some serious implications for some.

· I am wondering about peri menopause- I am 44 and still on birth control pills- I have been listening a lot about your suggestions to take a low dose estrogen to keep everything in good aging health during menopause, is it ok to do this while still on the pill?

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Religion and Sex – Can They Be Bedfellows?

Today we discuss the Muslim culture, sex, and vaginismus with Dr. Sadaf Lodhi, OBGyn and sex coach for Muslim women.

She is host of the Muslim Sex Podcast – we discuss her origin story

Religion can have a profound effect on one’s sex life/sexuality.

Islam is a sex positive religion. When the Muslim countries were colonized they tended to become more puritanical.

Islam discusses sex within the context of marriage.

Many times women experience shame and people don’t talk about women’s pleasure.

Common things Dr. Lodhi sees women coming to her with:

Seeing sex as a duty

Low libido

Beliefs like sex is dirty or sex will be painful

One of her most important things she likes to do is empower women through education.

Women get pressure from their partner and an expectation that it is a duty. And they are failing them and God.

Vaginismus – the involuntary contraction of the muscles surrounding the lower 1/3rd of the vagina.

1/3rd of Muslim culture may struggle with vaginismus.

The role of mindfulness in helping vaginismus and low desire.

“People make putting something in the vagina a big freaking deal” – Dr. C.

The role of PT in treating vaginismus.

There are no FDA approved medications for vaginismus.

Dr. Lodhi shares a huge win with us.

It is not about the number of times of sex a week.

The role of the scholars and the males in helping women feel sex positive.

Follow her on Social Media:

Muslim Sex Podcast

www.drsadaf.com

Facebook: @DrSadafobgyn

Instagram: @DrSadafobgyn

TikTok: @DrSadafobgyn

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A rundown of my time in NYC, moderating a Sex Ed panel for "the New Pause" symposium hosted by Stripes and The Swell.

https://theswell.com

https://iamstripes.com

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Vanessa’s a licensed psychotherapist with 20 years of experience in the sex therapy field. Xander’s a regular dude who’s been married to a sex therapist for over a decade

Their hot take on desire.

Their top three causes of low libido that they see

1) Painful sex

2) Unpleasurable sex

3) Relationship issues

“Our libido gets affected by everything in our lives” – Vanessa Marin

“Is my life actually supporting my libido?” – Vanessa Marin

Let’s talk about initiation – tips, couples get stuck in old scripts that stop working as relationships change

“You get rejected once and you think you are unlovable” – Dr. Casperson

“initiation should feel like an invitation” – Vanessa

“Initiation takes a large amount of vulnerability” – Vanessa

“There are a lot of unhealthy gender dynamics that come up with initiation” – Xander Marin

According to their online poll, only 2% of breast owners like the “boob honk” as a way to initiate sex.

Spouses who avoid talking about sex – they are writing a book!

What to do when a partner stonewalls the conversation – don’t start with the problems.

Connected to feel like sex or sex to feel connected – often one of each in a partnership

At what point should couples consider bringing in a therapist?

How to find out how much sex is “right” for someone’s relationship

Woman says – he doesn’t care about my pleasure – what to do?

Vibrator envy – help for the woman when the partner doesn’t understand and being able to advocate for your pleasure.

Consent and the problem of “I just do it for him”

Avoiding sex because of erectile dysfunction. They help us trouble shoot.

https://www.instagram.com/vanessamarintherapy/

https://vmtherapy.com

https://podcasts.apple.com/us/podcast/pillow-talks/id1569466131?i=1000577319619

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Meet Glen Lovelace! I love his generosity toward helping men in relationships and his masculine energy on this podcast! He shares his story from desperate (even suicidal) plans to living a life of helping others live their best relationships.

When women learn about their sexuality and get empowered, often they feel stuck because of a spouse who they fear is not open to change.  I wanted to bring on someone who literally deals with this as his job.  Glen helps men who's wives have been transformed in one way or another, usually by coaching education. 

Glenn Lovelace is the wingman for men whose wives have transformed from coaching. He is a certified coach through the life coach school. Glenn has coached over 3,000 clients 1 on 1 since 2008.

His transformation started with bodybuilding after being in a very low place in his life. He decided he needed to prioritize himself to be the best spouse and father he could be. 

"It’s okay to be uncomfortable."

How to “gently” change your partner (and remember you can’t change anyone who doesn’t want to be changed).

1) Show them how you have changed

2) Bring in a third party influencer

3) Learn how to speak the same language

4) Always remember you two are on the same team

Roomate Syndrome – just existing together and losing touch why you love and are attracted to each other.

If one person does their work, the marriage can get better.

Your spouse is just there to love.

Can couples start speaking the same language? Glen says yes!

Intimacy not in the bedroom is important!

Wanting your spouse to change for you to be happy is a toxic plan.

Happy Wife Happy Life - it’s a lie and Glen explains how it wasn’t good for him.

Each person is in charge of their own pleasure.

Don’t assume what is needed in a situation - - Ask

How to be a man worth desiring? Start dating and desiring your wife. Approach her how she wants to be approached. Date every week. Keep your commitments.

There are seasons to your sexuality.

Foundations of trust in a relationship

- Security, trust, safety, stability

The trouble with saying “divorce isn’t an option”

Talk about your religion – what does your religion say about sex and marriage and how have you navigated any challenges?

“Progress Creates Happiness” – Glen Lovelace

https://glennlovelace.com/

https://www.instagram.com/itsyourwingman

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September Live Podcast – Why Couples Don’t Have Sex, Hormone Education, and More

- Reassuring data on Estrogen and breast cancer

- social media is associated with sex dysfunction

- define erotica, why are we so scared of this word?

- Why couples don’t have sex – thanks for the inspo www.instagram.com/yourdiagnonsense

- top feelings in your fantasies

- the more you focus on these the more you will enjoy sex, and the farther you get away - and if you aren’t getting these fulfilled, the more breaks you have on. And does society agree with your core feelings? It matters.

-  Danish observational study on HT after BCa

- What can I learn from boredom?

- MHT and cholesterol changes

Reassuring data regarding the use of hormone therapy at menopause and risk of breast cancer Pinkerton, JoAnn V.; Wilson, Carolyn S.; Kaunitz, Andrew M. Menopause. 29(9):1001-1004, September 2022.

Cold S, Cold F, Jensen MB, Cronin-Fenton D, Christiansen P, Ejlertsen B. Systemic or Vaginal Hormone Therapy After Early Breast Cancer: A Danish Observational Cohort Study. J Natl Cancer Inst. 2022 Jul 20:djac112. doi: 10.1093/jnci/djac112.

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A mindwork episode!

Dr. Ubell is one of the first physician life coaches!

She gained and lost the same 40 lbs at least 10 times since puberty and now helps women become a team with their body and stop obsessing over food using the power of mindwork. 

She reached out to me to be on the podcast and at first I didn’t know how to connect the dots besides life coaching. I have a podcast episode called “sex while fat” – we are okay at any size. I was worried she just wanted to talk about losing weight.

So I said Okay if we can talk about how mind work in her arena can also relate to a positive body image and sex life.

Like my older episodes talking about money and sex – these topics are more related than we think because of our thoughts about them.

“I am interested in people stopping hating themselves” – Dr. Ubell

What is diet culture?

The concept of mutual respect between you and your body.

Can weight loss goals exist with body positivity?

Shame is useless.

“I haven’t had success so there must be something wrong with me” Dr. Ubell

Why do we get numb or disconnected from our bodies?

Over eating as a trauma response – sexual assault or childhood trauma – I got big to not feel or too attractive.

Changing one’s identity requires changing our thoughts.

Menopause and weight gain/loss – watch what you believe about this.

Acceptance of our bodies as we get older.

Entitlement thoughts! I feel so seen! I am entitled to my latte!

How to stop invalidating your emotions

Relationship with yourself and thoughts about yourself are important for both weight loss and sexuality.

Get her book here! https://amzn.to/3AYTwtU

https://katrinaubellmd.com/

https://www.facebook.com/katrinaubellmd/

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This was a Book Club I did with Dr. Rachel Rubin and Andrea Martin, NP last week. 

Free first chapter on the website www.kellycaspersonmd.com 

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Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off:NOTBROKEN Sales link: https://hellobonafide.com/notbroken

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First I read from the recently published article, "The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi." Then I talk about seven different types of vibrators. Then I finish with a tragic case of motorcycle spring meets penis. Enjoy!

1. The OG - Hitachi Magic Wand. external, powerful and marketed as personal massagers

2. 𝗖𝗹𝗮𝘀𝘀𝗶𝗰 𝗽𝗲𝗻𝗲𝘁𝗿𝗮𝘁𝗶𝘃𝗲 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - put curve on them, call them G’Spot’ and raise the price
⁣
3. 𝗖𝗹𝗶𝘁𝗼𝗿𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - these focus on external clitoral stimulation. Air pulse – Wevibe Melt – Best in class IMO.
⁣
4. 𝗗𝘂𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝗸𝗮 "𝗥𝗮𝗯𝗯𝗶𝘁𝘀" - Work in and out at the same time.
⁣
5. 𝗕𝘂𝗹𝗹𝗲𝘁 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - usually a "starter" vibrator for most folks.
⁣
6. 𝗖𝗼𝘂𝗽𝗹𝗲𝘀 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - many many different types here. Eve by Dame is one that is "hands free", many strap onto a penis.
⁣
7. 𝗔𝗻𝗮𝗹 𝘃𝗶𝗯𝗿𝗮𝘁𝗼𝗿𝘀 - kinda self explanatory.

Donnenfeld SR, Stanfield AV, Hammett J. The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, the Halban-Narjani Procedure, and the Art of Constantin Brancusi. Urology. 2022 Aug;166:18-21. doi: 10.1016/j.urology.2022.04.030. Epub 2022 May 7. PMID: 35537558.

www.winkwinkboutique.com

Thanks to https://www.instagram.com/drmilhouse for her recent vibrator post for the inspiration.

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Vaginal Lasers

How a male can introduce my book to his female partner

Unopposed Estrogen can cause harm

Q&A from listeners:

Genetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations?

I’m a 38 y/old breast cancer survivor. I’m on estradiol, got all the fancy lubes, and now I’m curious about testosterone… People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won’t touch the hormone topic with me and defers to the oncologist because of my cancer history… thoughts/suggestions?

I’ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I’d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don’t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly?

I’m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it’s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn’t sound right.

Our podcast sponsor is Bonafide

Bonafide products help women embrace the natural changes that occur throughout all phases of life.

Discount code for 20% off:NOTBROKEN

Sales link: https://hellobonafide.com/notbroken

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