302. Troches and More! A Pharmacist Explains It All

302. Troches and More! A Pharmacist Explains It All

In this episode of the You Are Not Broken podcast, Dr. Kelly Casperson interviews pharmacist Tara Thompson, discussing the intersection of women's sexual health and pharmacology. They explore the role of compounding in hormone therapy, the education gaps in pharmacy regarding hormones, and the influence of media on public perception of hormone replacement therapy. The conversation also addresses the challenges women face in obtaining testosterone prescriptions, the implications of hazardous medication labels, and the nuances between generic and brand name medications. They delve into the efficacy of different forms of progesterone and the potential benefits of extended-release formulations. In this engaging conversation, Dr. Kelly Casperson and Dr. Tara Thompson delve into the complexities of pharmacology, particularly focusing on hormone replacement therapy (HRT) and the various delivery methods available. They discuss the innovative approaches in different countries, the importance of understanding different dosage forms like troches and buccal delivery, and the pharmacokinetics involved in hormone absorption. The conversation also highlights the interactions between hormones, particularly estrogen and thyroid management, and the benefits of injectable estrogen. They emphasize the need for personalized treatment options and the role of compounding pharmacies in providing tailored solutions for patients. The discussion concludes with a reminder that there are always options available for patients seeking hormonal therapies. Takeaways Pharmacists often lack training in women's sexual health and hormones. Education is crucial for pharmacists to support women's health effectively. Media can misrepresent the risks associated with hormone replacement therapy. Hazardous medication labels can create unnecessary fear around hormone therapy. Compounding pharmacies can provide tailored hormone therapies for women. There are significant challenges in prescribing testosterone for women. The differences between generic and brand name medications can affect efficacy. Topical progesterone may not provide the same benefits as oral forms. Extended-release formulations of progesterone can improve patient outcomes. Troches and buccal delivery offer unique advantages. Transdermal testosterone may be preferred over oral forms. Hormonal interactions require careful monitoring. Injectable estrogen can provide steady-state delivery. Personalized hormone therapy is essential for patient care. Compounding pharmacies can offer tailored solutions. Patients should not feel limited in their options. Education on hormone therapy is crucial for healthcare providers. There is always an option for patients in need. Things discussed: ISSWSH.org Study on HRT and Lupus Sedona in October: https://www.ascendretreats.com/menopause-and-sexual-health-2025 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: My Website Interested in my sexual health and hormone clinic? Starts 2025. 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. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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143. Brains and Pains - Healing Chronic Pain with Deb Malkin

143. Brains and Pains - Healing Chronic Pain with Deb Malkin

Worldwide, the rates of chronic pelvic pain for women of childbearing age range from 14% to 32% Deb Malkin is a plus size, body positive, LCS certified life coach, massage therapist, movement enthusiast, and client zero of her pain recovery coaching work. She had only been taught that pain is related to issues in the tissues and was never taught the link between the brain, nervous system and the experience of chronic pain. Her mission has always been for people of all sizes, abilities and genders to feel at home in their bodies. She shares her story of chronic pain. The brain can continue and perpetuate pain long after the body has healed. Why is chronic pain everywhere? Does pain tell us lies or is it in how we interpret the pain that gets us in trouble? The role of fear and being able to feel. We talk about pain with sex and pelvic pain and tips for that issue. The “perfectionist personality” and suppressed rage and how it is involved with pain. The role of self-acceptance and body image and pain. The process of just being aware changes your brain. The “lazy detective”. “The brain talks to us in thoughts, emotions and body sensations” Deb Malkin CURIOSITY IS THE ANTIDOTE TO FEAR Recommended Book The Way Out by Alan Gordon https://amzn.to/35vybLY 1:1 chronic pain coaching program - www.debmalkin.com https://www.instagram.com/movewithdeb/ Podcast “Move With Deb” - https://movewithdeb.libsyn.com/ March’s Sponsor – Tabu Code YANB for 15% off of your intimacy kit at www.heytabu.com This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/EL95aG --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

9 Maalis 202250min

142. BONUS! - ISSWSH conference day 3 and 4

142. BONUS! - ISSWSH conference day 3 and 4

My last summary of the amazing ISSWSH conference! Such amazing topics Sex post baby Porn in heterosexual long term couples - getting to the deeper issues Pre-menstrual Dysphoria Disorder Perimenopause Sex after Pelvic Surgery --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

7 Maalis 202240min

141. BONUS! Day Two ISSWSH Live

141. BONUS! Day Two ISSWSH Live

Welcome to Day two of my thoughts on the 2022 ISSWSH conference! How to talk to your kids about sex Sex after cancer Sex after baby --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

6 Maalis 202225min

140 - BONUS! Day One ISSWSH LIVE

140 - BONUS! Day One ISSWSH LIVE

Join me at the ISSWSH conference in Dallas today! Resources MYPFM.com PROSANA.org --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

4 Maalis 202219min

139. Interview with Rachel Hughes for Perry App

139. Interview with Rachel Hughes for Perry App

Such a good talk with Rachel Hughes for Perry app! Check it out! https://www.heyperry.com/ https://www.instagram.com/ohhelloperry/ https://www.facebook.com/groups/heyperry https://apps.apple.com/us/app/perry-perimenopause-community/id1544428724 This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/gNdtcd --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

27 Helmi 20221h 6min

138. February Live Podcast - hormones, prolapse, pelvic floor PT and more

138. February Live Podcast - hormones, prolapse, pelvic floor PT and more

Get on the email list to get the live podcast recording invite link to your email at www.kellycaspersonmd.com 1. Hormones 10+ years after menopause, risks and benefits and how to talk to your doctor. 2. pelvic organ prolapse options, surgical and non-surgical 3. What are pellets? Are they effective? 4. Benefits of pelvic floor therapy 5. Can incontinence be treated at home? 6. Views on viagra? 7. Is progesterone necessary if taking vaginal estradiol? 8. Is it a thing to apply estradiol to the face or neck? Are there estrogen creams recommended for the face? 9. What exactly should I ask for when I want to get my hormones tested? AND MORE! This content in this Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/LxZTpk --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

23 Helmi 202244min

137. Sex and Menopause

137. Sex and Menopause

This is a lecture I gave for a physician course on sex and menopause.  The myths and the facts.  Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/MxiRLg --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

20 Helmi 202227min

136. Male Orgasmic Disorder

136. Male Orgasmic Disorder

I define Male orgasmic disorder and discuss the common causes and treatments.  Reference: AUA Update Series "Male Orgasmic Disorder" Find a Sex Therapist: https://www.aasect.org/referral-directory Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/SMg4U --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

13 Helmi 202211min

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