302. Troches and More! A Pharmacist Explains It All

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/ 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

19 Feb 20231h 1min

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? 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 --- 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 Feb 202327min

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 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 --- 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 Feb 202333min

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. 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 --- 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 Jan 202316min

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 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

22 Jan 202336min

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 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 --- 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 Jan 202333min

I have the good fortune of talking with Dr. Nan Wise, PhD, author of "Why Good Sex Matters" https://amzn.to/3GaubA5 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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

8 Jan 202343min

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 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 https://www.getinterlude.com/?utm_source=affiliate&utm_campaign=promo-kc-notbroken --- 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 Jan 202325min