302. Troches and More! A Pharmacist Explains It All
You Are Not Broken2 Feb

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)

3 Easy Wins

3 Easy Wins

Sometimes the assumption is that pelvic pain and sexual dysfunction is so very complicated.  Don't get me wrong, sometimes it is.  Doctors don't always have the "magic wand" that we all want.  BUT, sometimes the "win" or solution is just so easy I had to share them here (bonus 4th easy win included because it was just so fun I did't want to stop).  Win #1 - lube Win #2 - estrogen cream Win #3 - Responsive Desire Bonus Win #4 - listen and learn!  --- 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 Juni 20209min

Pelvic Organ Prolapse Master Class

Pelvic Organ Prolapse Master Class

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

31 Maj 202039min

Episode 20! - 237 Reasons Why People Have Sex

Episode 20! - 237 Reasons Why People Have Sex

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

24 Maj 202014min

For The Men! Intimacy Options After Prostate Cancer Treatment

For The Men! Intimacy Options After Prostate Cancer Treatment

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

17 Maj 202020min

Steamy Sex Ed - second half

Steamy Sex Ed - second half

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

10 Maj 202026min

Steamy sex ed - part one

Steamy sex ed - part one

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 --- 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 Maj 202021min

Uberlube Unboxing and Vaginal Estrogen

Uberlube Unboxing and Vaginal Estrogen

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! --- 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 Apr 202019min

The Menopause Symptom No One Talks About!

The Menopause Symptom No One Talks About!

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! --- 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 Apr 202020min

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