324. Perimenopause is Real

Dr. Winter is a urologist.  She grew up in New Jersey and went to Rutgers for undergrad. She did her urology residency at Cornell in NYC. She did her fellowship with Dr. Irwin Goldstein in San Diego – the only fellowship for women’s sexual health that exists! She currently works at Kaiser in Portland. She is active on twitter at @AshleyGWinter She is on FB at @ashleywintermd Her podcast is called “the Full Release” which she co-hosts with her husband Mo Mandel. https://podcasts.apple.com/us/podcast/the-full-release-health-relationships-comedy/id1346835576 So excited to have you! 1) How did you find Urology 2) Why a fellowship? 3) We ponder the lack of education and acknowledgement of the clitoris in exams and education. 4) What is your favorite procedure in urology and why? 5) How do you take care of penis health? 6) Biggest misperception about the penis? 7) How penis bearing people have hurt themselves. 8) Any advice if a penis isn’t working as well as it should? 9) Do OCT penis supplements work? 10) What is Peyronies Disease? 11) Biggest misperception you see with people and sex? 12) How did you find a comedian as a fiancé? 13) How did your podcast come to life? My favorite tweet of Dr. Winter’s: The actual text of the review states: "The findings support the role of the clitoris in attaining sexual orgasm." NOTHING NEEDS TO SUPPORT THAT. That would be equal to saying, "This data supports the role of the eyeball in seeing." The clitoris DESERVES BETTER. --- 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 Nov 202055min

Jenn Mason, owner of the sex shop Wink Wink Boutique in Washington state joins us today! www.winkwinkboutique.com IG: www.instagram.com/winkwinkboutique How Jenn got to the point of owning a sex store. How do you get to that place in life? Learn how Jenn and Dr. Casperson met. Learn what has been the most rewarding thing for her in opening her store. We live in a shame-based culture about sex. How I get people to be open to exploring the tools and resources available in the store. What is sex positive education? The medicalization of “low sexual desire”. Is it possible it is more complex than just neurotransmitters? The myth of spontaneous desire. The importance of mindfulness and context – and the difference between people’s brains. A discussion about erectile dysfunction. Why Jenn doesn’t like the term “foreplay”. Jenn’s journey into sex coaching. Fantasies are normal. --- 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 Nov 202032min

Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine. Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living. Find her at https://www.evorabydrbeckylynn.com/ IG: https://www.instagram.com/beckyklynnmd/ FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/ Twitter: @beckyklynn https://www.youtube.com/c/BeckyLynnMD What is vaginismus? What is the Pelvic floor? How does endometriosis effect sex? Can you talk about sexual function after breast cancer and what options are available? Advice for women who want to talk to their doctors about considering hormones or discussing sexual health? --- 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 Nov 202015min

Dr. Becky Kaufman Lynn is the Director of the Evora Center for Menopause and Sexual Health. She is a board-certified gynecologist, and a trained Sexual Counselor and Menopause Provider. She is also an Adjunct Associate Professor of Obstetrics and Gynecology at Saint Louis University School of Medicine. Dr. Lynn is a world-renowned expert in sexual medicine and menopause. She is a frequent invited speaker on women’s sexual health and appears regularly on numerous podcasts, television shows, radio shows, and in print. Known for her patient/partner education YouTube channel, and her research on the effects of cannabis on the sexual experience, she has been featured in MORE magazine, SELF magazine and Martha Stewart Living. Find her at https://www.evorabydrbeckylynn.com/ IG: https://www.instagram.com/beckyklynnmd/ FB: https://www.facebook.com/EvoraCenterforMenopauseandSexHealth/ Twitter: @beckyklynn https://www.youtube.com/c/BeckyLynnMD How she went from ballet to gynecology! How did she get into sex med as a specialty from general gynecology? How is sexual function changed in peri and menopause? Hormones decline and this affects the pelvic function and libido. When is it time to consider starting supplemental systemic hormones? A review of the Women’s Health Initiative study and how we got to where we are with hormones having a bad reputation. And where are we now. Biggest myth about taking hormone supplements in menopause? Vaginal hormones don’t increase your risk of breast cancer. Why are women so afraid of hormones? A woman said she tried systemic estrogen but it caused her to gain weight. Thoughts? --- 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 Okt 202018min

Today I am here with sex educator and sex therapist Tracy Dalhstead-Rienstra. She wanted me to talk about this important piece of legislation coming out on the November ballot for people who live in Washington state. As an expert in the field of sexuality, she talks about the current standard of education that she sees in adults in her practice and what adults who didn’t get a good sex education look like in their struggles in intimate relationships. BACKGROUND Senate Bill 5395 (SB 5395), passed by the Legislature in 2020, would require Washington’s public schools to provide comprehensive sexual health education instruction that is medically and scientifically accurate, evidence-informed, age-appropriate, aligned with health and learning standards, and inclusive of all students regardless of their protected class status. A referendum called Referendum 90 will be on the November ballot asking voters to approve or reject Senate Bill 5395. A 2017 Centers for Disease Control and Prevention (CDC) survey indicates that nearly 40 percent of all high school students report they have had sex, and 9.7 percent of high school students have had sex with four or more partners during their lifetime. Among students who had sex in the three months prior to the survey, 54 percent reported condom use and 30 percent reported using birth control pills, an intrauterine device (IUD), implant, shot or ring during their last sexual encounter. The birth rate for women aged 15-19 years was 18.8 per 1,000 women in 2017, a drop of 7 percent from 2016. According to CDC, reasons for the decline are not entirely clear, but evidence points to a higher number of teens abstaining from sexual activity and an increased use of birth control in teens who are sexually active. Though the teen birth rate has declined to its lowest levels since data collection began, the United States still has the highest teen birth rate in the industrialized world. Sex Education and States All states are somehow involved in sex education for public schoolchildren. As of October 1, 2020: § Thirty states and the District of Columbia require public schools teach sex education, 28 of which mandate both sex education and HIV education. § Thirty-nine states and the District of Columbia require students receive instruction about HIV. § Twenty-two states require that if provided, sex and/or HIV education must be medically, factually or technically accurate. State definitions of “medically accurate" vary, from requiring that the department of health review curriculum for accuracy, to mandating that curriculum be based on information from “published authorities upon which medical professionals rely.” Research on sexual abuse shows comprehensive sexual health education is an important and effective prevention strategy. When students learn about and develop skills related to affirmative consent, they are more able to set personal boundaries and respect the boundaries of others. (Schneider, M., & Hirsch, J. S. (2018). Comprehensive sexuality education as a primary prevention strategy for sexual violence perpetration. Trauma, Violence, & Abuse.) --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

18 Okt 202032min

The Clitoris has one job, one job only – pleasure. But what about the penis? Take a listen to find out. The glans of the clitoris is the part we “think about” – but there is way more. You can also see the clitoral shaft/body. The anatomy issues that can come along with owning a clitoris. We are designed perfectly!! Darn it! What does your brain say to you when we talk about the clitoris? --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

11 Okt 20208min

Jessica Pin is an author and advocate, publishes frequently on her IG @Jessica_ann_pin and is passionate about education equality in regards to genital anatomy between the sexes. Her Goal: equitable coverage of the clitoris in medical literature & curricula to prevent harm.  She has even published her own study! 3 top OB/GYN textbooks changed. Listen to her story about when and how she decided to get a surgery on her labia and what has happened since then. All labias are normal. All sizes are normal. Listen to how she has taken her experience into advocacy work. Her advice for physicians. She describes anatomy of the vulva for us. Biggest misconceptions in female anatomy. Negative body image affects sexual function! Her final thoughts on changing medicine to help women better! Thank you Jessica! --- 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 Okt 202036min

This is audio shared from my facebook live video talking about Responsive Desire. Feeling broken in a male-centric world. Feeling broken in a sex-shaming society. Some people think that sex and desire aren't "drives" at all. Want to improve your sex life? Emily Nagoski says change your context. Women are way more "context driven" in regards to sexual activity.  Men tend to be more visual. --- 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 Sep 20209min