293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health
You Are Not Broken1 Joulu 2024

293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health

293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health In this engaging conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson explore various aspects of sexual health, focusing on the importance of language, the journey into understanding female sexual health, and the complexities of erectile dysfunction and libido in men. They emphasize the need to treat couples as a sexual unit and discuss the role of testosterone in overall health. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into the complexities of testosterone therapy, its historical context, and the stigma surrounding hormone replacement. They discuss the importance of hormones in aging and mental health, the need for responsible hormone management, and the innovations in sexual health products. The dialogue emphasizes the necessity of rebranding hormones and addressing misconceptions to improve patient care and access. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into various aspects of sexual health, focusing on male sexual response, the effects of medications on sexual function, and innovative procedures for penile enhancement. They discuss the psychological factors influencing men's desire for enhancement, the importance of understanding the male sexual response, and the implications of medications like statins and finasteride on libido and testosterone levels. Takeaways Understanding female anatomy is crucial for effective treatment. Pain during sex is a common issue that needs addressing. Sex should not be limited to penetration; intimacy can take many forms. Couples should be treated as a unit in sexual health discussions. Erectile dysfunction can exist independently of libido. Do GLP1s affect desire or other aspects of intimacy? Testosterone plays a significant role in both male and female sexual health. Screening for low testosterone should be standard practice? Hormones should be treated similarly to other medications. Historical regulations on testosterone are outdated and need reform. The stigma around testosterone affects both men and women. Hormones play a crucial role in aging and cognitive function. Deregulation of testosterone could enhance patient access. Are statins affecting testosterone or libido? Penile Fillers Supplements to increase ejaculation volume https://testosteroneproject.com/ https://joshuagonzalezmd.com/ https://www.shoppopstar.com/ For more education about low T and getting started on possible therapy, visit Kyzatrex 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 Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jaksot(334)

Meet a Pelvic Floor Physical Therapist!

Meet a Pelvic Floor Physical Therapist!

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

12 Huhti 202030min

Pelvic Exams - I know I know, your favorite topic!

Pelvic Exams - I know I know, your favorite topic!

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

5 Huhti 20207min

Question and Answer Round Two - A Urologist and Sex Therapist

Question and Answer Round Two - A Urologist and Sex Therapist

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

29 Maalis 202037min

Question and Answer with a Sex Therapist and a Urologist - episode one of two

Question and Answer with a Sex Therapist and a Urologist - episode one of two

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

25 Maalis 202027min

Lichen Sclerosis

Lichen Sclerosis

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

1 Maalis 202010min

Testosterone For Desire in Women

Testosterone For Desire in Women

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

15 Helmi 202028min

Sexual Dysfunction page 2 - the second half of the handout

Sexual Dysfunction page 2 - the second half of the handout

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

3 Helmi 202021min

Female Sexual Dysfunction Handout Front Page

Female Sexual Dysfunction Handout Front Page

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

28 Tammi 202021min

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