You Are Not Broken

Required listening for anyone who has been told they have prolapse.

 1) what it is 

2) why women get it 

3) non-surgical options 

4) surgical options 

5) post op expectations 

6) risks of surgery

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In a now groundbreaking and often referenced paper "Why Humans Have Sex," Cindy Meston and David Buss asked over 700 individuals to list the reason why they last had sex.  Well, get ready for some spoken word poetry as Dr. Casperson reads all 237 reasons out loud.  Pay attention to your thoughts and judgements as your brain will tell you what you think the right and wrong reasons are!  Our biases are strong, but as they learned, there is not just one reason! 

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This is our first episode geared towards the guys!  Join me and guest Dr. Pohlman as we discuss his podcast - The Prostate Health Podcast and his area of expertise, men's prostate and sexual health.  What we will learn:

Changes after prostate cancer treatment

Sex after prostate cancer

Why men have more erectile dysfunction as they age.

Options for intimacy after prostate cancer treatment.

The role of testosterone after prostate cancer.

www.prostatehealthpodcast.com

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The second half of the steamy sex ed talk is here!  Ride along and you will learn: 

Mindfulness for COVID and sex

Faking orgasm

Porn is fake

Resources to help women achieve pleasure

Why Penis in Vagina sex is bad for female orgasms

Clitoral anatomy

Medication for hypoactive sexual desire disorder

Sexual pain

Top tips for sex!

Book recommendations

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I did a lecture on female sexual dysfunction 101 and I broke it into two episodes for you!

In this first half, learn about:

How a urologist got into female sexual health

Orgasmic inequality in heterosexual relationships

Low desire versus bad sex

Why women have sex

Mindfulness for better sex

Alcohol and sex - the good and bad

Spontaneous versus responsive desire

Sexual desire mismatch

Tips for creating desire in a long term relationship

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Uberlube.com sent me a box of goodies to share!  In this episode we talk about the importance of lubrication! I also answer a listeners question about vaginal estrogen, its purpose, expectations and limitations. Enjoy!

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When estrogen goes away, the vulva and vagina loose their blood flow, elasticity and resistance to injury and infection. You are more prone to dryness, infections of the bladder and vagina and pain with intercourse. In this podcast we will learn about: Options for treatment, over the counter and prescription. Why lube is important. Lasers. In addition we will touch briefly on the specific population of breast cancer survivors. And in the general population, why estrogen isn’t always scary. Enjoy!

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Sit down with me and meet Amanda Nayfield PT, DPT, WCS, pelvic floor physical therapist, mom, wife, and outdoor adventurer! And check her out @connectNWPT

What you will learn in this episode:

How she got interested in pelvic health in her training as a physical therapist

A personal success story in pelvic pain and intimacy

What happens at the first physical therapy appointment

What a pelvic floor assessment entails and why it is important

How a physical therapist’s exam is different from a medical doctor’s pelvic exam

How pelvic PT helps postpartum pelvic and sexual health

How pelvic PT helps menopausal sexual dysfunction

How pelvic PT helps males with pelvic pain

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Okay, I get it. Who wants to listen to a podcast about pelvic exams?  You! Why? Because they are so important in the workup of pelvic pain and sexual health concerns!  You will learn how I think about pelvic exams and how my exams are different than your "average" pap smear exams. I did the best I could to keep this one short and sweet! I hope it brings you value and understanding! - Dr. C.

Things you will learn:

Reasons that you need a pelvic exam with sexual dysfunction

How you can “see” estrogen status with a pelvic exam.

Clitoral phimosis is a thing! This can decrease orgasms.

The dry posterior vulva! Oh my!

CT scans and MRI can’t usually “see” pain.

Pelvic floor muscles - you can’t see them but you can feel them on exam and if you reproduce the pain we have found a reason for pain.

Reasons for pain during sex (dyspareunia) can be found on a pelvic exam.

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The second half has dropped!  Join Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator, Peer Sexual Health Education (PSHE) coordinator.

Topics discussed this time: 

How do you bring up sexually transmitted infections in a new relationships?

How do advocate when your medications cause sexual side effects?

Sexual desire mismatch in a relationship.

Female “ejaculation” or squirting - what is that about?

How do I explore my sexual boundaries?

I have been faking orgasms - HELP! - Where do I go from here? How to talk to your partner about faking orgasms

Advice for someone who is scared to have sex for the first time.

What to do with competing sex drives.

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Dr. Casperson and Tracy Rienstra, M.Ed., Health Educator and Peer Sexual Health Education (PSHE) coordinator meet up to talk Q&A's that were asked of them as a part of a University lecture on sexual health.  In this episode topics discussed:

Is my anatomy normal? 

Basic Genital Care

What does the vulva include?

Why post menopause causes more UTI and infection

The care and cleaning of foreskin

The most common penis issues in our clinics

Blood flow and erections

Why smoking causes erectile dysfunction

Premature ejaculation

How to get curious when erectile dysfunction is a problem in a relationship

Is erectile dysfunction the end of your sex life?

Am I having unrealistic expectations for my body?

Side effects of antidepressants.

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We all want good skin.  But what happens when the skin condition is in the private area?  This is a skin condition 101 talk on lichen sclerosis.  It affects up to 3% of all women (and some men too).  Learn about it and how it is treated.  

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Today we are learning about the role of testosterone in female desire disorders.  A brand new consensus guideline just came out dictating the role of testosterone in post menopausal women with low sexual desire. What a great time to learn more!

You will learn: The myth that testosterone is a male hormone.

How aromatase affects one’s active testosterone, in both men and women.

How testosterone plays a role in sexual desire and overall health.

How well does testosterone work for HSDD (hypoactive sexual desire disorder).

The role of placebo in sexual health studies including the Viagra studies.

Side effects of too  much testosterone.

Who shouldn’t take testosterone.

Myths of testosterone.

Why is there no FDA approved testosterone product for women?

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Today's podcast is a rundown of the back side of my sexual dysfunction handout.  

Topics include:

Hormones

The proper application of Vaginal estrogen - in my opinion

Estrogen creams verus tabs

Lubrication recommendations and vulvar skin care

Intravaginal DHEA

AASECT certified sex therapists

Pelvic Floor Physical Therapist recommendations

Book Recommendations

Desire in a long term relationships

Apps and Websites for pleasure and orgasm

Vaginal lasers - what they are good and not good for

And of course, always remember that is is not individual medical advice.  Yes I am a doctor, but this is for general health information only. 

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When you come see me for sexual dysfunction issues there is a double sided handout that you get in the office.  Well here I break down the information on the front page of the handout for you!  We talk about desire (spontaneous and responsive), arousal, orgasmic dysfunction and sexual pain concerns.  

We talk about what is normal, what could be causing your lack of success in this arena, as well as different treatment options.

Stay tuned next week for the back page!!!

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Female sexual desire, do you need medications to have sex, do you need lube?  How do you talk to your partner about sex?

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Female sexual health and desire 101! 

Topics discussed:

Female sexual function training among physicians.

Female sexual function treatment.

Painful sexual intercourse / dyspareunia.

How many women actually orgasm with peno-vaginal sex?

Normalizing female sexual discussions.

Female sexual desire: spontaneous and reactive.

Hormonal changes in women post menopause.

Getting in the mood.

Female libido.

Female vaginal dryness / vaginal tissue composition pre and post menopause.

Female vaginal lubrication and types: silicone vs. water-based.

Pelvic floor sexual physical therapy.

Sexual therapy.

Alcohol and sex.

Peno-vaginal sex.

On using it or lose it.

Mona Lisa laser vaginal treatment.

"Vaginal rejuvenation"

How laser works in the vagina; what it does or does not do.

Platelet Rich Plasma injections to the clitoris.

Orgasmic inequality among same sex and male/female sex.

Female's biggest sex organ.

% of women with peno-vaginal intercourse.

Female pleasure organ.

Vaginal estrogen and risk of cancer.

Types of topical estrogen available and costs.

Top 3 things / take aways for women.

How to engage discussion with a partner regarding sex.

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