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(333)

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 Apr 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 Mars 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 Mars 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 Mars 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 Feb 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 Feb 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 Jan 202021min

Female Desire 101

Female Desire 101

Female sexual desire, do you need medications to have sex, do you need lube?  How do you talk to your partner about sex? --- 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 Jan 202020min

Populärt inom Hälsa

somna-med-henrik
rss-bara-en-till-om-missbruk-medberoende-2
inga-beiga-morsor
alska-oss
sexnoveller-deluxe
johannes-hansen-podcast
angestpodden
not-fanny-anymore
sova-med-dan-horning
brottarbroder
dilemma-2
en-beroendepodd-av-the-house
tyngre-traningssnack
sa-in-i-sjalen
rss-viktmedicinpodden
rss-beroendepodden
rss-sjalsligt-avkladd
halsoveckan-by-tyngre
rss-activation-podcast
dodsdomar