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

Avsnitt(334)

EPISODE 30!!! Dr. Casperson Talks Pelvic Anatomy

EPISODE 30!!! Dr. Casperson Talks Pelvic Anatomy

This is part one of two episodes where I am publishing my recorded lecture to my local Nurse Practitioner association.  So this may be geared more towards the health professional. But don't we all deserve an education?? Sex and education for busy modern times!  First step, learn the organs! My story - how I got in the business of sex education.  Disclaimer - sex is awkward Listen to your brain - it will tell you what you already know about sex. Society puts a lot of rules about sex into our brain. Those voices will talk to you. Vulnerability is the key to connection. The Hardware - the Pelvic Anatomy Anatomy about the vulva Labias are normal Vulvodynia - pain in the vulva Clitoral anatomy Post menopause anatomy changes Genitourinary symptoms of menopause How does birth control change the vulva? Vaginal estrogen does NOT cause breast cancer When can I stop my vaginal estrogen? Vaginal DHEA How to clean and care for your vulva and vagina --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

2 Aug 202029min

#29 - Dr. Casperson Talks to the Rotary!

#29 - Dr. Casperson Talks to the Rotary!

So lucky to talk to the Rotary in Duluth, MN! The mind is the biggest sex organ! I got into female sex med because of one of my patients and my inability to help her – hear that story. Sex education in America tends to be shame based and disease and pregnancy prevention based. 1) Talk about desire types 2) Orgasm inequality 3) You can’t desire bad sex 4) Erectile dysfunction 5) Menopause 6) Systemic and vaginal estrogen Tips and tricks! Sex works best when you get out of your head! Focus on the present. How to talk to your partner about sexual desire mismatch. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

26 Juli 202033min

Meet ROSY founder Dr. Lyndsey Harper! - an app for female sexual wellness

Meet ROSY founder Dr. Lyndsey Harper! - an app for female sexual wellness

Why Dr. Harper created ROSY www.meetrosy.com https://www.instagram.com/meet_rosy/ https://www.facebook.com/MeetRosyApp/ How I met Dr. Harper and how she got started in creating a sexual health wellness app. She launched on Valentine’s day 2019. She has 20,000 users in just a little more than one year! What is low sexual desire? Distressingly low sexual desire. How can a woman bring up this topic with her doctor. Tips and tricks. We discuss the myth that women’s sexual health is complicated. It is not! We discuss reactive (responsive) desire. It is totally normal! We talk about loss of trust in a relationship and how that affects desire. Recently Rosy was educating women about erotica. What is this and why does it work? Erotica can be both helpful and off-putting. Resources Rosy provide for health professionals? Future plans for Rosy – Telehealth started in Texas June 1, 2020. Erase shame and isolation! --- 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 Juli 202030min

#27 - Interview 2/2 Dr. Rachel Rubin!

#27 - Interview 2/2 Dr. Rachel Rubin!

Here we go!  Week two!   Learn about how birth control affects sex DHEA And enjoy DC's premier cliterologist!   Find her on Facebook at https://www.facebook.com/DrRachelRubin/ Find her at https://intimmedicine.com/ Instagram: https://www.instagram.com/drrachelrubin/ Twitter @rachelsrubin1 --- 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 Juli 202028min

Meet a Full Time Female Sexual Medicine Urologist, Dr. Rachel Rubin - Episode 1 of 2

Meet a Full Time Female Sexual Medicine Urologist, Dr. Rachel Rubin - Episode 1 of 2

I can't remember how I met Dr. Rubin but I am so excited I did!  A sister urologist to me!  Such a great educator and surgeon! Find her on Facebook at https://www.facebook.com/DrRachelRubin/ Find her at https://intimmedicine.com/ Instagram: https://www.instagram.com/drrachelrubin/ Twitter @rachelsrubin1 How she got into female sexual medicine after urology residency The biggest misperception about her job Challenges with menopause and the pelvis Testosterone’s role in women How to talk to your partner about sex (hint: bring them to the doctor's appointment).  When you empower someone with how their body works, everybody wins and confidence happens!   --- 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 Juli 202021min

#25 - Meet a Pelvic Pain Expert Physician - Dr. Gerig!

#25 - Meet a Pelvic Pain Expert Physician - Dr. Gerig!

Dr. Gerig is owner and founder of www.pelvicsolutionscenter.com. She sees men and women who have pain in the pelvic region, which may include the lower abdomen and back, gluteal area, genitals and rectum. She is an expert in interstitial cystitis (IC). Learn that not everyone that comes into her clinic with interstitial cystitis actually has IC. The classic IC symptom – pain perception in the bladder when it fills up and it is relieved when you urinate. There usually is associated urinary frequency. Pelvic floor muscle tension (high tone pelvic floor) is more common than IC and is often confused with IC. IC, pudendal neuralgia and pelvic floor muscle tension are the three main things Dr. Gerig treats. What a PT and a pelvic floor expert finds on physical exam cannot often be seen on a CT scan. She integrates the role of physical therapy in her practice. She thinks 95% of her patients need PT. PT is the primary treatment except for ulcerative IC. Ulcerative IC is a condition where there are ulcers in the bladder (Hunner’s ulcers). Physical therapy is vital in educating women about their bodies and bodily function. Clean eating is helpful. Your primary fluid intake should be water. Integrate an anti-inflammatory diet. Integrate movement every day into your life. Slowly increase your activity as you are able. Dr. Gerig thinks movement and stress management are very important when you have muscle tension. Tips for stress management!!! Healing from pelvic pain takes time. There is no magic wand! It takes time and work. Medications for IC and pelvic pain. Elmiron side effects. Supplements used – glucosamine and quercetin, aloe vera. Other medications used: histamine blockers, neuromodulators, vaginal muscle relaxants. Dr. Gerig’s goal is to get her patients OFF medication eventually. Switching topics, Pudendal neuralgia. This is a pelvic nerve called the pudendal nerve, it feeds the rectum, urethra, genital. Symptoms are burning, throbbing pain, worse with sitting. People often have urinary frequency and a “foreign body” sensation in the pelvis. It can cause pain with urinating, pain with sex, pain with bowel movements. Post childbirth child pain. Prolonged pressure of the baby’s head on the pudendal nerve can cause urinary issues. Women can have pain with sex, pain in tailbone. Find a PT who is well trained in treating pelvic pain. Tips and tricks for self advocacy for pelvic pain. www.apta.com .    www.hermanwallace.com What hurts pelvic pain, or what behavior is not helpful? Rumination and catastrophizing. Seeing a therapist can help with this. --- 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 Juni 202038min

The Brighter Side Of Marriage - An Interview with Marriage Intimacy Coach - Monica Tanner

The Brighter Side Of Marriage - An Interview with Marriage Intimacy Coach - Monica Tanner

Meet Monica Tanner, wife, mother and marriage intimacy expert and coach. Her mission: Lowering divorce rates by helping couples have better sex. Learn about her backstory as a child from a divorced family. She started a podcast, On the Brighter Side https://podcasts.apple.com/us/podcast/on-the-brighter-side/id1345544810 She teaches the Five Step Framework to Complete Connection. She teaches about “Radical Intimacy” – Intimacy without boundaries. Find her online at https://onthebrightersideoflife.com/ And https://bit.ly/30dayplans And her Facebook: https://www.facebook.com/monica.tanner2 The role of connection, loving and safety in having mind blowing sex. The feelings of love and the feelings of desire are different. A lot of women struggle with, “I am not supposed to have pleasure” Myths about sex and intimacy in our culture. How one creates more fun, flirtyness and pleasure in life. The role of a “busy mind” and how it isn’t helping your sex life. Lost Desire?? Spontaneous versus reactive desire. The role of boredom in a marriage and what it does to intimacy. The three secrets to building desire. 1) The difference between love and desire 2) The difference between spontaneous and responsive desire 3) You can’t afford to NOT have a healthy sex life --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

21 Juni 202031min

Let's talk to a sex coach! Meet Dr. Sonia Wright!

Let's talk to a sex coach! Meet Dr. Sonia Wright!

Today I am interviewing Dr. Sonia Wright!  Find her at: https://www.themidlifesexcoach.com and on facebook at https://www.facebook.com/midlifesexcoach Today we are going to listen and learn about how she became a sex coach. How to talk to your partner about your intimacy goals. Taking responsibility for your own sexuality. Resources for men Long term relationship challenges The topic of desire Book suggestions for readers Body image and sexuality challenges Tips and tricks to talk to your physician Faking orgasms Basic health needs to optimize sexuality --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

14 Juni 202037min

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