May 18, 2025 • 55 mins
The Dusty Muffins are going global this week with special guest Dr. Kelly Casperson! Join Dr. Aoife O'Sullivan, Dr. Christine Hart Kress, DNP, and Dr. Rebbecca Hertel as they chat with the renowned urologist and menopause advocate fresh off her triumphant talk at Sydney Opera House's So Hot Right Now menopause event.
In this exciting episode, you'll discover:
🎤 Behind-the-scenes stories from Dr. Casperson's landmark Australian tour
đź“š Sneak peeks at her upcoming book and what's next in her menopause mission
🏥 Big news about Dr. Casperson’s new clinic which is now open!
🌏 How the global conversation around menopause is evolving
Featured Highlights:
• The truth about the controversial WHI 2002 study (and why it still matters)
• How Dr. O'Sullivan’s famous Vulva Puppet is changing conversations
• Where to access recordings from the groundbreaking Sydney events
Connect With Our Experts:
✨ Dr. Aoife O'Sullivan: @portlandmenopausedoc
✨ Dr. Rebbecca Hertel: @drrebbeccaherteldo
✨ Dr. Christine Hart Kress, DNP: @christinehartkress_dnp
✨ Dr. Kelly Casperson: @kellycaspersonmd
Resources Mentioned:
• So Hot Right Now recordings: HealthyHormones.auÂ
• You Are Not Broken book & podcast: KellyCaspersonMD.comÂ
• Vulva education puppet: VulvaPuppet.com Purchase one with this discount code: ALITTLEHELP
Remember: Our hosts and guests are doctors sharing knowledge, not YOUR doctors. Tune in for education, empowerment, and plenty of laughs.
Subscribe to The Dusty Muffins for more boundary-pushing conversations about women's health.With their signature blend of medical expertise and infectious enthusiasm, this episode will leave you inspired by the growing international movement to transform menopause care. From opera houses to new clinics, Dr. Casperson proves the menopause revolution is truly going mainstream! Check out her website and podcast at: https://kellycaspersonmd.com.
The Dusty Muffins' Info
Become a supporter of this podcast: https://www.spreaker.com/podcast/the-dusty-muffins--6539849/support.
In this exciting episode, you'll discover:
🎤 Behind-the-scenes stories from Dr. Casperson's landmark Australian tour
đź“š Sneak peeks at her upcoming book and what's next in her menopause mission
🏥 Big news about Dr. Casperson’s new clinic which is now open!
🌏 How the global conversation around menopause is evolving
Featured Highlights:
• The truth about the controversial WHI 2002 study (and why it still matters)
• How Dr. O'Sullivan’s famous Vulva Puppet is changing conversations
• Where to access recordings from the groundbreaking Sydney events
Connect With Our Experts:
✨ Dr. Aoife O'Sullivan: @portlandmenopausedoc
✨ Dr. Rebbecca Hertel: @drrebbeccaherteldo
✨ Dr. Christine Hart Kress, DNP: @christinehartkress_dnp
✨ Dr. Kelly Casperson: @kellycaspersonmd
Resources Mentioned:
• So Hot Right Now recordings: HealthyHormones.auÂ
• You Are Not Broken book & podcast: KellyCaspersonMD.comÂ
• Vulva education puppet: VulvaPuppet.com Purchase one with this discount code: ALITTLEHELP
Remember: Our hosts and guests are doctors sharing knowledge, not YOUR doctors. Tune in for education, empowerment, and plenty of laughs.
Subscribe to The Dusty Muffins for more boundary-pushing conversations about women's health.With their signature blend of medical expertise and infectious enthusiasm, this episode will leave you inspired by the growing international movement to transform menopause care. From opera houses to new clinics, Dr. Casperson proves the menopause revolution is truly going mainstream! Check out her website and podcast at: https://kellycaspersonmd.com.
The Dusty Muffins' Info
Become a supporter of this podcast: https://www.spreaker.com/podcast/the-dusty-muffins--6539849/support.
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:05):
Welcome to the Dusty Muffins, where menopause meets sisterhood and strength.
We're three minipause specialists coming together to laugh, share, and
empower you through the wild ride of menopause imperimenopause. Whether
you're curious, confused, or just looking for real talk, you're
in the right place. We're here to answer your burning questions, educate,
and applicate all with a dash of humor and a
(00:26):
lot of heart. So pull up a chair and join
the conversation. Before we dive in, Please remember, while we're doctors,
we're not your doctors.
Speaker 2 (00:33):
This podcast is.
Speaker 1 (00:34):
For educational purposes only and is not a substitute for
medical advice. We encourage you to partner with your own
medical clinician to address your unique health needs.
Speaker 2 (00:43):
This is the Dusty Muffins.
Speaker 1 (00:46):
Welcome back to the Dusty Muffins, the podcast where three
midlife menopause specialists get real about the messy, marvelous, and
sometimes maddening magic of midlife.
Speaker 2 (00:54):
I'm Rebecca Hurdle.
Speaker 1 (00:55):
I'm a board certified osthroopathic family medicine physician and a
menopause certified practitioner.
Speaker 3 (01:01):
I'm Christine Hartkress, a board certified Women's Health Nurse practitioner
and certified menopause practitioner from Virginia.
Speaker 4 (01:08):
And I'm EFO Sullivan, a Board certified Family physician, a
Menopause Society Certified practitioner, and I have a Telly Medicine
practice and see patients in Oregon and Washington.
Speaker 2 (01:19):
Yes, so today's a big one.
Speaker 1 (01:20):
We are beyond excited to have one of the most badass,
science based sex positive voices in the game joining us today,
the incredible and funny let me add Doctor Kelly Casperson.
Speaker 3 (01:32):
Doctor Casperson is a Board certified eurologic surgeon, hormone and
sex medicine specialist, award nominated podcaster, speaker, and the creator
of the wildly popular podcast You Are Not Broken. She's
basically the queen of the demystifying desire, hormones and sexual
wellness for women.
Speaker 4 (01:50):
And she's here with us today to blow the lid
off some serious midlife myths. We're talking desire orgasms, testosterone,
and medications like banserin otherwise known as Addie and bremelanotide
otherwise known as valisi plus. Why you are definitely not
broken if your sex drive has gone missing and.
Speaker 2 (02:11):
A fun little fact, I actually went to Kelly.
Speaker 1 (02:13):
I went to college in Kelly's hometown of Duluth, Minnesota.
So we're gonna find out who survived the ice cold
weather is batter me or doctor Casperson surviving a career
in surgery.
Speaker 2 (02:23):
So let's get into it.
Speaker 5 (02:26):
Thanks for having me and everybody's friend.
Speaker 2 (02:30):
Yes, and everyone's friend, yes.
Speaker 4 (02:32):
Everyone's friend exactly, and in the on along those lines,
tell us how your trip to Australia went.
Speaker 5 (02:43):
Oh my gosh, it was insane. So I went to
I got the heavy good fortune of being asked to
speak at the Sydney Opera House for the So Hot
Right Now Menopause event. It was a three hour extravaganza.
The best part was the standing ovation though did I
tell you guys about the standing ovation? That was the
best part. Okay, So like three hour event. It was amazing.
(03:04):
It was a mix of like talks and roundtables and
all the things, and we got a full house standing
Ovation all the way to the back, sold out two
hundred and fifty twenty five hundred people. Twenty five hundred
people sold out Standing Ovation to the back of the house. Right,
So we're driving to dinner that night, and I'm kind
(03:24):
of poo pooing it. Not that not that I'm dismissing it,
but I'm like, oh, it's very common for us to
get standing ovations because this is such a powerful message
women feel seen. There's a lot of emotion that comes
up in these talks. So I'm kind of like pooh
pooing it, like yeah, yeah, yeah, I like obviously right,
And they're like, Kelly, you don't understand. Australians don't stand.
(03:47):
And I'm like, excuse me, and they're like they don't stand.
They're like, stay, you don't tip at the restaurants, you
don't stand. Oh for event. And the woman who m seated,
her name is Shelly Horton and she is Australian. She's like, Kelly,
I've been m seeing events in Sydney, Australia for thirty
years and today was my third standing ovation.
Speaker 1 (04:11):
Oh my no way, because I'm like, yeah, we've seen
Kelly get a standing ovation.
Speaker 2 (04:17):
Yeah.
Speaker 5 (04:20):
So I was like it went from like yeah, yeah,
you guys, we always get standing ovations for them to
be like culturally, you don't understand, we don't stand for people,
and I was like, oh shit, this was big then, okay,
very big. We got a standing ovation in Sydney, Australia
(04:40):
and they don't stand wow.
Speaker 4 (04:43):
Kelly was over there.
Speaker 2 (04:46):
A bunch of.
Speaker 5 (04:49):
It was awesome, So Kelly. I was super happy about
the talk I did that. I wanted to do the
talk like no power point. They're like, you're raw dogging
this talk and I'm like, yeah, yeah, she does right,
because I'm like, you know what, I just want to
get to the I'm at that point where I want
to challenge and I want it so it's like fully memorized,
(05:10):
twenty minute, lots of laughs, very funny. You can actually
buy the event online now. I don't want to go
to SOHA right now.
Speaker 2 (05:20):
I don't know it's on there. Okay there yeah, yeah, yeah,
we can do that.
Speaker 5 (05:24):
It's really good.
Speaker 1 (05:27):
Yeah, and how do you I could not do that
in my late pyraimenopause is remember much of like five minutes,
let alone and entire Yeah.
Speaker 5 (05:34):
I was freaked out. I was like because I didn't
watch it, and I watched it for the first time
last week. I was so freaked. I was like, if
I repeat something in this talk, I'm going to be
so upset at myself. Because I'm like, you know, you're like,
did I repeat something?
Speaker 2 (05:47):
Yeah, and then you're so then you forget and no,
I watched it. It was good. It was good.
Speaker 3 (05:53):
And you've done tech talk before, right, yeah.
Speaker 5 (05:56):
Yeah, you had to memorize for that, right, So I
had the like understanding of what that actually takes. Like
it's when people do that, like it's unbelievably hard work,
like or perhaps it's natural for some people. For me,
it's unbelievably hard work. So I was happy to be
able to do that. It's just nice to not have
(06:19):
power points to fall back on, and it is give people,
give people the experience they came for.
Speaker 4 (06:24):
Yeah, yeah, I feel it comes more from the heart
when you don't have to worry about the PowerPoint slides.
Speaker 5 (06:29):
It does. I mean, it's really like yeah, I mean
it is. It becomes embodied where you're like, this is
my message.
Speaker 2 (06:35):
Yeah, yeah, very cool.
Speaker 1 (06:37):
I did that at a just a very small little
event in a local salon. I didn't have anything, and
we set aside a couple hours and I couldn't believe it.
Just you're right, it just started flowing and all the
information starts to flow because we've given these talks and
you know, you know, this is what we do, and
I just don't know that I could get in from
like a large audience.
Speaker 5 (06:56):
I'd be like, well no, I mean it's like, you know, it's,
for the lack of a better word, i'm broken, but
I don't mean that. But it's like, dude, I give
it a talk to twenty five hundred people at the
effing Sydney Opera House, like I ain't afraid of anything anymore.
On the Monday after, we did an event for two
(07:17):
hundred and fifty eight women and it's like a nice
city haul up in Newcastle, Australia. It was a wonderful event.
Same thing. I was like, these are the three things
I want to talk about, no powerpoints, just went up
on stage and talked. But you're like, oh, two hundred
and fifty eight now like on stage?
Speaker 2 (07:33):
Nothing?
Speaker 5 (07:34):
Yeah, nothing.
Speaker 4 (07:36):
I'm so I was trying to find the link there
to give it, but I can't find it at the moment.
I'll keep looking for it to tell our dealers.
Speaker 5 (07:43):
But you put.
Speaker 4 (07:44):
It at the Sydney Opera House was for everybody, right,
But then the next day there was an actual medical
conference as well.
Speaker 5 (07:51):
Oh yeah, I forgot about that part too. We were
we were busy. We worked hard for our vegomite, for
our wallap heating. So yeah, Sydney Opera House was Saturday night,
twenty five hundred people general audience. Lots of medical people
were there, but general audience. Then Sunday was a menopause
conference in Sydney that was about That was somewhere between
(08:12):
three hundred and four hundred people. Phenomenal as well. It
was me Mary Claire Luis Newsom Bunda Wright. I talked
about testosterone and GSM and sexual function, and then I
did another Monday night in Newcastle which was again general population.
You know. The interesting thing about traveling and giving these
(08:34):
talks is like you realize that the problems are everywhere,
and you know Australia and in my talk I say, like,
the whole world envies Australia because it has the first
the government approoved female testosterone product. Point by the company's calculations,
point three percent of Australian women are on that product.
Speaker 4 (08:56):
Oh my god, it's not crazy.
Speaker 5 (08:59):
Yeah. The well, a couple of things. Nber one people
don't know about it. Number two of the stigma of disa.
Number three distigma of sexual health. So the indication is libido,
and women get dismissed, like what what do you want
to libido for? You know, either you're not married or
your middle life or you know whatever. So they're it's
(09:20):
like all these little stigma pieces keep adding up to
like really crappy access.
Speaker 1 (09:26):
Mm hmm.
Speaker 4 (09:27):
Yeah, it's shocking.
Speaker 2 (09:28):
It's everywhere, everywhere.
Speaker 3 (09:31):
I would have thought it would have been higher. Like
we're all like Jones, Oh.
Speaker 2 (09:35):
My gosh, right, try to get it off.
Speaker 5 (09:39):
Did you bring at yeah? Second, but did you steak
it inside the yeah? Right? The I mean, there're statistically
this Australia seems to be using hormones more. I mean
progesterone that's yet is around, was there in ten or fifteen,
(10:04):
and you know America, of course, it's hard to measure
her use so much compounded, but like menopause Society said
five percent in America. So yeah, they're buy and large
probably using more eshragen progesterone, but they're not using for
having a teslash her own product, they're not using it.
Speaker 4 (10:21):
Yeah, And when you guys all got to dinner, went
to dinner and stuff afterwards, did y'all have a good laugh.
Had you met doctor Louise Newson in person before?
Speaker 5 (10:30):
I've never met her in person before.
Speaker 2 (10:32):
No, did, y'all?
Speaker 4 (10:33):
Was it good in the evening?
Speaker 5 (10:35):
Lovely? Oh my god, she's so smart, she's so funny.
She's so mission driven, like my favorite thing. Like, you know,
I would get like I'd be like, well, don't you
think that blah blah blah, and she'd be like, obviously, Kelly.
I love obviously Kelly.
Speaker 1 (10:53):
That's why we listened to Top too. She has since
the best way. I'm like, I just like her words.
Speaker 5 (10:59):
Ye, don't you think it's crazy that X, Y and Z?
And she's like obviously, Kenny, Like it was like a
very validating, you know, great, but uh yeah, she's she's incredible.
Like I was happy to connect with her, but I
was shocked by how well we connected, Like really I
felt kindred souls. She's doing God's work in the UK.
(11:21):
It's not it's not easy over there, So she's doing
God's work.
Speaker 4 (11:27):
She is routin.
Speaker 5 (11:30):
For no good for no good reason.
Speaker 4 (11:32):
How long were you there for altogether, Kelly?
Speaker 5 (11:35):
Eight nights?
Speaker 4 (11:36):
Oh yeah, did you get any time to actually explore?
Speaker 2 (11:40):
Yeah?
Speaker 5 (11:41):
I went on some locks. I did get to Peta Koala.
We went to like a Koala Wallaby thing. Yeah, I
don't know what they're called, farm Refuge, Sanctuary Home, farm place.
I had no idea. Like wombats were so big, were
like these massive teddy bears and I'm like, that's a
(12:04):
bob bigger than they are in my head. They have
things that they've they have like shark nets on all
the beaches because they're sharks everywhere. And I'm like, I'm like, oh, thank.
Speaker 2 (12:14):
You, Oh I love it. That was and that was
a long flight.
Speaker 5 (12:19):
Yeah, you know the weird One of the other weird
things was that I got heckled at dinner. So again
there they don't tip in like you know, service industry there,
so maybe that was part of it. But they also
have a very big drinking culture and so it's like
the combination of the two led to this. But I'm
so having like we're very nice dinner looking over the
Sydney Harbor the night of the Sydney Opera House event
(12:41):
and the waiter comes by and he's like, you want
some wine, you want blah blah blah, and I'm like, no,
thank you, and he goes, what's wrong with you? I'm like,
I'm being heckled by a waiter right now for not drinking.
This is insane. I'm like, I can't explain my whole
why to this mode, nor do I care. So I'm like,
just not to night, thank you, but thank you.
Speaker 2 (13:02):
Oh my gosh, do you have any alcoholic Yeah? Like
all the would you American?
Speaker 1 (13:10):
Yeah?
Speaker 5 (13:10):
I know. I was like, what's wrong with you? And
I'm like, oh my god, I love Kelly.
Speaker 3 (13:15):
Let's talk orgasms because I've been dying to talk about that.
You know, what's up?
Speaker 5 (13:22):
That's a fantastic, fantastic you know.
Speaker 3 (13:25):
When I read your book, I was that was the
first time that I had seen that only twenty to
thirty percent of women have an orgasm with penile penetration.
And I had shared with these guys that I had
always thought there was something wrong with me because I
have never and you know, I don't know where I
(13:47):
learned that you're supposed to, probably somewhere in someone talking
about a G spot, right, and so like, just to
have that weight lifted off me, I was like, oh
my gosh, I'm not broken. And then interestingly enough, I said,
I told my husband the same thing, and we have
never had this conversation. And he's like, well I knew that.
Speaker 5 (14:09):
I'm like what.
Speaker 2 (14:12):
He's like why, I'm like, I had no idea.
Speaker 3 (14:18):
Yeah, interesting, And I asked my son. He's twenty seven,
and so I asked him and he was like, uh,
he goes, of course, the clitorist needs stimulation. So somewhere
beach nineteen eighty and like, I don't know whatever ten
years ago, twenty fourteen or so, like the sex had changed.
Speaker 5 (14:40):
Good. I mean, the data says sex that's getting worse.
So yeah, God, it's happening. God is happening where your
son's growing up.
Speaker 3 (14:47):
Yeah, So why do you think so many Like why
do you think women don't know this? I mean, I
know that was part of your reason writing the book
is to give us real sex, right.
Speaker 5 (14:56):
I mean, I mean I made it all the way
through medical school without knowing that.
Speaker 1 (15:00):
You know.
Speaker 5 (15:00):
It was only when I started really becoming obsessed with
the topic did I find the data. And uh, I
mean we don't get First of all, do you even
remember seeing a clitorist in any sex d Like, it's
it's like overarias full of or med school. Yeah, so
it's like it's completely pleasure void. It's a disease and
(15:20):
pregnancy prevention plan. But like my whole thesis is a
lot of adult problems could be solved with good education.
And it's like, you know, we just don't know, and
and it's such a shameful topic, so we internalize it.
We think there's something wrong with us, or we think
there's something wrong with our partner, like all at the
same time, and it's just like, hey, did you know?
(15:41):
And then people are like, I didn't know. You're like, yeah,
you're not broken. And that's like where the name of
the podcast came from, is me just being like, oh, yeah,
you're not broken. That's that's normal. Rubustcrotum, it doesn't come
rubb vagina doesn't orgasm.
Speaker 2 (15:54):
Right, right, They don't that until you like show them.
Speaker 5 (16:00):
Yeah, and you know, the hetero the heteronormative theory of
sex is very like penile centric. I mean, the orgasm
GAP's insane and people just don't know.
Speaker 4 (16:13):
Yeah, can we talk about for a second, Yes, I
wonder if people.
Speaker 5 (16:19):
Yeah, so the orgasm gap is basically looking at it
in a coupled relationship. How often does one couple one
person have an orgasm versus the other as a marker
for pleasure. We of course pleasure is not just orgasm,
but as a marker for pleasure. And the gap is
the widest in the heterosexual relationship. The man clocks in
around ninety six ninety seven percent of the time, to
(16:42):
which they're like, what can I do to get the
other four percent? You know? And then and then the
heterosexual woman's around sixty sixty five percent, And that's in
a partnered, loving relationship. If it's hook up sex, and
this is like, my my new thing is like screaming
to the young girls of like, hookup sex in in
university culture does not benefit you. What the fuck are
(17:04):
you doing it for? Yeah, hookups hook up culture sex
of female orgasms around six percent of the time, So
very I believe that. And it's not all the things
like oh it's because women's bodies are more difficult, or
it's more challenging, or it's all debunked. This is a
sociologic reason. This is not biologic. This is not physiologic.
(17:25):
This is socio cultural conditioning on who's supposed to be
experiencing pleasure. And when sex ends, when only one person
has an orgasm, we normalize them mhmm.
Speaker 2 (17:36):
Yeah, and these universities.
Speaker 1 (17:40):
Yeah, and these universities too, they're doing this, you know,
they're drinking. I don't know how many women can actually
have an orgasm once they've are drunk or drinking.
Speaker 5 (17:48):
They're you know, so well, yeah, and let's talk about that, like, yeah,
the amount of unsafe sex that happens, yeah, coercive sex, yes,
and because of alcohol involved is very high, very highly correlated.
And it's like I want women to understand that. I
want them to have that knowledge to be like, this
(18:11):
is the game that everybody's playing and it's completely stacked
against you. It's okay to not play this game because
it's insanely stacked against you at this point.
Speaker 4 (18:20):
Yeah, that's a great message.
Speaker 3 (18:23):
Do you think it's more concerning? Like where do you
tell women they should be concerned like about orgasm? Like
in terms of okay, so you know, only thirty percent
will have an orgasm with pnio penetration, but from a
you know, like a refer patients to maybe urology. Is
(18:44):
it when they can't have an orgasm at all with
penetration or is that more sex therapy and learning? How
you know, the mind body connection and learning how to
let go.
Speaker 5 (18:55):
Yeah, well, first of all, just I mean a great question.
So we normalize the fact that, like putting something in
the vagina is not the best way for a female
to orgasm. Normalize that clitterist is what we have to do,
usually external. It can be internal and external, but clitterists
in general. So just re educating on how your body's built.
And then you break down orgasm into primary anorgasmia or
(19:15):
secondary enargasmia. So primary is I've never had an orgasm
in my life, even with self pleasure, never happened. Be like, okay,
tend to put that person towards sex therapy. Great book,
it's an old book. It's called Sex for One. Betty
Dodson did a lot of work in the seventies on
educating women how to orgasm. So great resource. There A
(19:37):
secondary nargasmia is I used to have great orgasms and
now I can't. And so now I'm thinking, is it hormones?
Do we need to replace those? Do we have clteral fimosis,
do we have liken sclerosis, do we have you know,
some spinal pathology in the hips, something where we're like, hey,
the hardware used to it. She knows how, because again,
in our society, we don't teach women that pleasure is
(20:00):
even allowed. Right, So is it a is it a
you don't you haven't culturally been given the permission and
you don't know how? Or is it no, you knew how,
Now it doesn't work. Now we're going to think more
kind of biologic reason.
Speaker 2 (20:11):
Yeah, it's it's crazy. There's just so much to it.
Speaker 1 (20:14):
And I think starting with educating, you know, our young females,
not just when they get to midlife, but starting at that,
you know, you know, Pubert learning about your body to
begin with, Let's just start there, let's learn.
Speaker 2 (20:29):
Let's call Argey and tell you what they are.
Speaker 1 (20:31):
And and then we move from there, you know, then
we start talking to our our teens and young adults about,
you know, how how an orgasm works and how they
should be treated, and that it's so that they sex
is important for them, and then you go into you know,
midlfe women like today, she came to me and said,
you know, hey, I just I'm only doing this for
(20:53):
my husband because I feel like I really should be
having sex with them. I just don't blipido anymore. And
I sat back and I said we're not doing this
for your husband. We need to do this for you.
Otherwise this isn't going to work. But let's talk about it,
you know, Yeah.
Speaker 5 (21:07):
Yeah, it is so under research. I'm very fascinated by
the most research we have is in university students because
they're easy to research because they're like sitting ducks, right,
but the yeah, and they have sex, but the coerciveness
of sex in long term relationships. And I'm doing this
(21:28):
for another person, I'm doing this to keep somebody happy.
I'm doing this because I should, Like, it is glaringly
huge problem, under researched, extraordinary. If I had dollars for like,
that's what I would research. There's not much on it.
I wrote a substec on it like last month, and
people were like, thank you so much for talking about it,
because it's way bigger than you think it is. But
(21:51):
women aren't ever. I mean, if you're not taught that
pleasures for you, if you're taught that it's a good
wife duty just to have sex to keep somebody else happy,
Like our culture is set up for women to have
that experience.
Speaker 2 (22:03):
Yep.
Speaker 4 (22:04):
When my vulva puppet arrived the other day and I
threatened my daughters to arrange with their principles to go
in and give a proper talk. They were both horrified,
left the table quickly, and we have not disgusted again
since then.
Speaker 5 (22:23):
Well done.
Speaker 2 (22:26):
I walk around and my boys are like, what are
you doing?
Speaker 3 (22:30):
Your purple puppet vulva is quite majestic. I love that royalty.
Speaker 4 (22:37):
And purple is my favorite color, so I feel like
it was meant to be.
Speaker 5 (22:41):
I just feel like the default color is like this
royal to this royal plush, velvety, silky, looks nobody's coming, Like,
where's where's the red checkered vulva? Like that doesn't sell
it is royalty.
Speaker 4 (23:00):
There are some interesting ones on her website. There's one
that is like it's called the beaver Fur, I think,
and it's got a lot of beaver fur around the edge.
I don't know if it's genuine beaver or it's faux beaver.
Speaker 2 (23:16):
It seems really cold though that.
Speaker 5 (23:20):
I mean, she was a trip. She only knew what
happened the bulba puppets, Like I heard there was like
two hundred of them. It was was that the heather
quail bring a whole bunch of bulba puppets.
Speaker 2 (23:33):
What happened?
Speaker 3 (23:35):
No animal for a while.
Speaker 4 (23:39):
So Heather Quail ordered those silicone ones that are sold
to men online to use for pleasure at home. But
she bought one hundred of those or so for the
course that was on the first day of his wish
where they were doing pelvic exams.
Speaker 5 (23:58):
Yeah, is this the one? Is this the same vulva
that Rachel Ruben did a reel about the Labia minora
going away? And now it's like gone completely viral.
Speaker 3 (24:08):
Isn't it that stretch cleary looking one.
Speaker 2 (24:12):
It's not the clear but there were some like that too.
Speaker 4 (24:15):
It's a sin. And then the vulva puppet lady had
a stall at the Issuish meeting. She was the grip
was usually quite busy.
Speaker 2 (24:27):
She hand makes them the hippie quite the hippie, uh huh.
Speaker 1 (24:31):
And then I mean the fabrics are coming from exotic
places and website it was really cool.
Speaker 5 (24:41):
Is there a Dusty Muffins discount code now.
Speaker 4 (24:44):
For the Oh we should contact her and asked.
Speaker 1 (24:47):
We should, Yes, these are all the things. Yes, there
will be Dusty Mussive Muffin discount codes. Because I just
look up.
Speaker 4 (24:53):
Her website so I can tell you what it is,
Please please use it's wondrous vulva puppet. Is it time
to move on to Yes?
Speaker 1 (25:07):
So yeah, so Addie and and vy LSI, which I
can flibanster and bring them man tide.
Speaker 2 (25:13):
I can't do it. So but they're two out here, and.
Speaker 1 (25:18):
I have a little story about them, you guys, and
I'm felt, honestly a little broken. So I might go
off a little bit on the tangent because I was like,
what the hell I'm going to try this? I used
to stop Stone, It's fine, It's okay, And I'm like,
I'm going to use vy Lasi.
Speaker 2 (25:35):
I'm not going to use Addie. I don't want to
take a pill every day. I just have sex.
Speaker 1 (25:40):
And so I'm like, but I'm I got to tell
my patients what this is, what this is like?
Speaker 2 (25:44):
And I thought I could actually check it out.
Speaker 6 (25:48):
And I'm like, it didn't work for me. It didn't
work at all, and thank you. So it made me
feel terrible. I'll tell you. I did it at night.
Speaker 1 (25:59):
We were going to dinner and I'm like, okay, I'm
going to get this thing ready right, So.
Speaker 2 (26:03):
I had him help me with it.
Speaker 1 (26:04):
He was all excited and I honestly, I like got
a headache. And I almost felt like I had had
like two drinks, because that really is all it takes
if I ever have a cocktail. And so I felt
a little fuzzy in the head and I was super nauseated,
and I looked at him.
Speaker 2 (26:21):
I was like, I love you, my frog. Shit, I'm
going to touch me.
Speaker 5 (26:26):
Yeah, that was the biggest yeah.
Speaker 2 (26:29):
And I had at him. But it wasn't likes so terrible.
It wasn't so terrible.
Speaker 1 (26:35):
But I'll tell you, I did fill out some tingles
when I went to bed, but I was nauseated and
I was likeugh. And so the next day, and this
is what's so interesting about the brain about with that,
because I sat there and I thought, I thought of you, Kellyen.
I was like, boy, maybe I am broken. For a second,
I'm like it really didn't work. And then he and
I were talking and I, yeah, brains are assholes, and
(26:57):
that's what it was. I'm like, Nope, it's my brain.
I have so much going on right now with you know,
a new practice and you know, kid stuff and work
stuff and travel and our new podcast and all these things.
I go, I think it's my brain, and I just
don't think I want to stop what I'm doing to
go do this. But if you and I were on
(27:18):
vacation together, I think we would be having sex every day,
probably multiple times a day.
Speaker 2 (27:25):
So I kind of had that epiphany and it was.
Speaker 5 (27:27):
Really, did you book your vacation then?
Speaker 1 (27:29):
Yeah? I know soon, So so I kind of wanted,
you know, to bring to start with that because I
didn't have an experience when we were first doing this
and now I do, so, you know, talk to us
a little bit about Addie and Bye Lucy and these
two FT approved medications for premiu apousal women.
Speaker 5 (27:48):
Yep, so these are our non hormonal brain centric medications
currently FD approved for premenopausal. Does that mean they don't
work in postmenopausal No? Does that mean it's illegal to
prescribe them to both menopausal people? No, just that the
the damn FDA thought there was a wonderful difference between
(28:08):
women the day before their year of no periods in
the day after their year of no periods, which we
call pre menopausal and post menopazzal. You might have trouble
getting insurance to cover it if you prescribe it postmenopausal.
But to tell you the truth. Insurance is a jerk
with sex ments anyways. So a lot of premenopause, even
though it is FDA approved. A lot of insurances have
(28:28):
sexual health riders on them, sexual health Blinky, is there
dusty muffin discoun cod We're gonna.
Speaker 2 (28:37):
Get dusty muffin discount code. That's two two.
Speaker 5 (28:41):
Now, you're like, thanks to Kelly coming on. Our business
is So they work in the brain by basically increasing dopamine.
Dopamine is the neurotransmitter involved in seeking out pleasure. So
at a lot of people think like, oh, you get
dopamine hit by getting the reward. It's actually seeking out
(29:03):
something that is then pleasurable. That is like a big
part of the dopamine hit to increase the dopamine, and
you're like, okay, I want to seek out pleasure. The
I think that big mistake is that these medications won't
make you desire something that wasn't desirable in the first place.
It won't These medications will not make you want proctly.
(29:26):
They will not make you want not an ice cream.
It will not make you want painful sex. Like it's
that's not how it works. And I think again, that's
where it's like I'm I'm stoked. There's medications, Like, absolutely,
I'm very pro medication, but I always joke like I
don't prescribe on the first date. And what I mean
by that is a woman doesn't understand the glitterists and
(29:48):
that she can't usually orgasm by putting something in her vagina,
and that her stress life and her sleep affect her
interest in sex. So it's like you got to learn
all of that because otherwise you prescribe. I was like, here,
take some just stop your own, take take flow banster
in whatever. And then the woman fails it and she
feels broken because now instead of like you just having
(30:08):
issues with sex, you're a medication failure. Yeah, and that
feels even shittier. Right, So I think I think do
medications have a place? Absolutely? Do we need more options? Yes? Please,
you know we have options, and even even the options
we have, what's the point of having options if you
can't access them. So so it certainly I don't want anybody.
(30:30):
And I don't think I'm saying I'm anti medication. I'm
pro education. And if you're not having if you're having
an orgasm sixty percent of the time, do your partner's
ninety five percent of the time. Sex just isn't as
rewarding for.
Speaker 2 (30:45):
You as your prank.
Speaker 5 (30:47):
So giving you a medication to try to desire something
that is inherently not desirable is a fool's.
Speaker 1 (30:53):
Errand yeah, so that medication I'm saying, don't take that
medication if you're busy.
Speaker 5 (31:00):
Yeah, if you're busy, it's not going to make more
time in your life for a pleasurable thing. But I
mean I always ask women, like, hey, when you go
to the party, do you like the party? It is
the party nice? Like yeah, I could take it or
leave it? Like okay, well I can't make you desire
a take it or leave it type of party. But
if you're like, the party's great, Like I'm like, I
always forget, like how much fun we have and blah
blah blah. And you also have to suss out respond
(31:22):
desire versus spontaneous desire. Right again, the sex said we
never got is like it's totally normal to not be
desiring sex because you got kids, you got a job,
you got podcasts, you got aging parents to take care
of whatever it might be. Taxes are due, Like you're
not thinking about sex that's totally normal. But you put
yourself into a sexual context, you actually call your nervous system.
(31:44):
You become accepting, relaxing, pleasurable world, and then you're like, oh,
I like this. I just forget to prioritize it. That's
not a desire problem. That's a prioritizing how you want
to live your life problem, and a medication will do
that for you.
Speaker 2 (32:01):
That's right.
Speaker 1 (32:01):
And I think that's a huge point, especially in this
room of women who are busy with all of those things,
and when we do cancel our women about that, for
them just to stop and be like, you might be right, okay,
I just I'm just busy and I need but I
need to carve out that time. And it's important to
(32:23):
carve out that time because it's so easy just to
keep running on that you know, on that treadmill, on
that little hamster wheel and just keep doing those things.
Speaker 5 (32:32):
Yeah, I mean, you know. And I always like normalized sex, right,
Like sex isn't this like unique thing that has its
own set of rules. I'm like, listen, I would love
to just sit on the couch and spontaneously desire fitness adventuables,
but I don't, right, but I like fitness and vegetables
in my life, so I have to carve out time
to make those things happen. And it's not usually before
(32:53):
that I'm desiring them. It's like during and after, and
I'm like, I really like salads and like spin class, right,
but like not before, I don't not sitting around spontaneously
desiring it. And it's just again the stigma, the stigma,
And I think it's Hollywood's to blame, but it's like
that you should just sit around desiring sex all day.
(33:13):
That's not how our brains work. Like it might be
when you're like chilling and you're seventeen and you've got
you've got no taxes to pay, you don't have a mortgage,
you don't have kids you're responsible for, you got plenty
of free time. Sex might be higher up in the
priority with your replete.
Speaker 2 (33:31):
The honeymoon phase, those things.
Speaker 5 (33:34):
Yeah, just you know, making women feel like their experience
is very normal. It's like, most most sexperts agree that
scheduling sex is a pro move.
Speaker 1 (33:46):
Yeah, And isn't it funny that they a lot of
women and men both think like, well, what's the point
if you have to schedule sex? I'm like, well, schedule
everything else you dinner?
Speaker 5 (33:57):
Do you go to your job on a schedule?
Speaker 3 (34:00):
Will?
Speaker 5 (34:01):
Like you schedule everything. You shower in the morning usually
around seven am. Like you schedule everything? Yeah, Like you
brush your teeth twice a day on a sed Like
it's we live regimented life, like block out some time
for intimacy. But it's like, you know, oh, sex is special.
No it's not.
Speaker 3 (34:22):
Let's get sad to hear because when I have kids
in the house, that's what That's what my husband and
I used to do is we would schedule Sunday night
and I'm thirty, don't call us. And then even the
dogs know because we tell the dogs now next night
and they scatter off the bed.
Speaker 5 (34:41):
No, they don't. They I love it. I got a
new Take a video.
Speaker 2 (34:47):
I know, yes, take a video, but I want to.
Speaker 5 (34:50):
I want to see you. I want to see you
saying that and having the dogs run off the bed.
Speaker 3 (34:54):
They run off and they stay down.
Speaker 2 (34:58):
Oh my god, my notes asked dogs are like what
are you doing to her? You know.
Speaker 3 (35:03):
One of the things when we were at Issuish that
they were taught that the by LSI rep was talking
about is they did a trial and showed that by
Lesi increased orgasm response. And so I was, you know,
so now I've been using by Leisi for the in
orgasmic women after we've already done like vaginal estrogen testosterone cream,
(35:28):
and and you know, I tried it now on three patients.
One of them said it made her so nauseous. She
wasn't interested. But you know, the advice I gave her
was try it once solo and self pleasure. Don't involve
your partner you're so nauseous. And then the other one
was like, she said, I because she had lost you know,
(35:49):
she told me I lost my orgasm the strength, and
she said it did help, so and then I was happy.
And I think what a lot of clinicians don't know
is can you use testosterone with vy lasi or addie
with testosterone?
Speaker 5 (36:05):
But why not?
Speaker 3 (36:07):
But I think it's something that not all clinicians know, right.
Speaker 1 (36:10):
I agree with you, Yeah, I agree with you on that.
We just talked about that somewhere about using both.
Speaker 2 (36:15):
I can't recall you.
Speaker 5 (36:17):
Look, I'd love to see a study, but we don't
need a study to know that you can do that. Uh.
Labanserin also has good orgasm data and they're using men.
That's that's the other thing works in all jens.
Speaker 2 (36:32):
Yeah.
Speaker 5 (36:33):
Oh, here's a pop quiz. So it's marketed to women,
says for women only. It's an effing pink box. The
FDA label is hypoactive sexual desire disorder in women. What
percentage of all prescriptions in America are for men of
that drug?
Speaker 3 (36:49):
Something tells me we're going to be a study.
Speaker 2 (36:50):
It's going to be high.
Speaker 5 (36:52):
It's bigger than zero sixty. No, it's ten percent, ten.
Speaker 3 (37:00):
Which is more than the number of women on menopausal
hormone therapy in the United States.
Speaker 5 (37:04):
Correct, Right, I don't I don't know how many total
prescriptions of addie are sold in Let's yeah. Yeah, but yeah,
from from the last thing I heard, it was about
ten percent our off label for men. So here we are, like,
I don't know about postmenopausal women. I'm like, fucking ten percent?
(37:25):
Are like ten percent of the prescriptions go to men? Right,
don't tell don't tell me a post menopausal woman can't
have this. Come on.
Speaker 2 (37:33):
I think it's or the premium puzzle with testosterone. So
let's move into test for them. Yeah, probably, So let's
go into t.
Speaker 5 (37:41):
Wait, say that again. I missed it.
Speaker 3 (37:43):
I said, I bet you. Insurance probably pays for the dude.
Speaker 5 (37:48):
No, don't, don't get me started.
Speaker 1 (37:50):
Yeah, so, how so let's talk about how it can
help with life women. That's the difference between testosterone and
these other medications.
Speaker 5 (37:59):
Sure, well, so ovaries make tustosterone, and when we are
having our period time of our life, we have four
times the amount of testosterone than estrodron. We just have
about ten to twenty times less tustosterone than male bodies,
but four times the amount of tisosterone than estrodron. So
you have to, like, I always start with that because
(38:21):
otherwise woman will be like, who is this crazy doctor
trying to get me to take a male hormone.
Speaker 2 (38:26):
It's like like their mouth drops, right, they're like, yeah.
Speaker 5 (38:30):
All of a sudden, I wasn't taught this in med
school either, you know, like we made it all the
way through medical school not knowing this. That's embarrassing.
Speaker 2 (38:38):
It's very embarrassing.
Speaker 7 (38:42):
Or ten Yeah, multiple countries, so we've been giving tstosterone
to women for eighty years.
Speaker 5 (38:55):
Crazy second, either, this is one This is one of
my I have many favorite things about distosterone, but this
is one of my favorite things. What medication do we
use where we give willing volunteers ten times the therapeutic
dose and see how they do zero except for testosterone
(39:16):
because they're called transman yep. And we have a thirty
year safety data of paper, and we have a fifty
year safety data paper.
Speaker 4 (39:26):
Do we just need to rename this whole process and
call it gender affirming care? Call all of it gender
affirming care?
Speaker 5 (39:35):
Maybe? I don't know if it's going to work towards
us or against us, just as far as like a
branding thing, but I do I would like to rebrand
them neu hormones. These are neuro hormones. Yes, work Where
I would I was like, where's libido located?
Speaker 3 (39:51):
The Yeah, I've been using the neuroendocrine because I heard
you say that.
Speaker 2 (39:57):
I've been telling.
Speaker 4 (39:57):
Pristine you shouldn't be doing that.
Speaker 5 (40:02):
Is that trade back?
Speaker 2 (40:05):
Do you that?
Speaker 4 (40:07):
I'm just kidding?
Speaker 3 (40:10):
I do give Kelly credit for it? Does that help
the party?
Speaker 1 (40:16):
I use the party analogy a lot. I'm like, I
like it and it works, But I.
Speaker 5 (40:20):
Mean so like the the conservative arm of the medical
field who says that testosterone doesn't help mood, it's only
for libido. I'm like it's literally called getting in the mood. Yeah, Like,
(40:44):
I don't make this upright. And the other thing that
of testosterone is it's not just for desire. It helps
every single domain of sexual health, so arousal, orgasm. We
have papers where it helps distress, like distress, the distress
of sex meaning not that, not that. What am I
(41:07):
trying to say? I'm distressed because it's not functioning well.
And then you give people disasterone, their distress goes down,
That's what I'm trying to say, So distress, what's that? Well,
that's an effing mood. Also, Okay, so we've already told
you that it's helping with two moods, So tell me
again how this doesn't help with mood. Like, it's just
it's so obvious to me that it's like infuriating. And then, uh,
(41:30):
doctor Luis Newsom's team published a it's a prelim study,
and I'll call out the negative things about it upfront,
so nobody calls me out. But it's like they didn't
check lab values and they didn't have a EVO arm.
But what they did do is they said, these women
are already on estrogen. We're not changing their estrogen dose,
(41:50):
and they put them on distosterone and they gave them
like a twelve point scale of mood and cognition and
like significant mood improvements on testosterone. Yeah, so when we
were surprised men's moods get better on testosterone. You know,
(42:11):
it's like it's it's in all bodies. So it's like
the data we have is there, it's just that nobody
talks about it. And you know, I'm always like, yeah, yes,
we need more data. But it's a generic medication that's
not patentable. There's not a lot of interest in groundbreaking
research at this point.
Speaker 4 (42:31):
And I don't know how you can see patients and
treat them and not see from Almost every patient that
comes back to you, if you listen to them, they
tell you all the things that have changed in their life.
Speaker 2 (42:44):
Yeah.
Speaker 5 (42:44):
I always joke. I'm always like, you ever comes back? Yeah,
a woman ever comes back and is like, the only
thing it's helped is my libido.
Speaker 4 (42:52):
Right, what I is, I have had all these other
positive things, but my libido hasn't changed. That's when I
hear the.
Speaker 5 (43:03):
Thing everything And to be fair, you know, for people
to know this, like libido can take a while like
it can take four to six months for libido to
kick back in, and so setting those expectations up front
for people so you're not just like ramping up the
dose at week six is like give us, give us
some time start start seeing. And again it won't car
(43:24):
it won't carve out time to prioritize sex. But like
I always say, like Glenn Powell, you know from the
second Top Gun movie mm hmm, time out. Yeah, they
trade to Glenn Powell's attractedness. And then when you want
to rip Glen Powell through your computer screen nor training,
(43:52):
I don't need my diss to go any higher. He
is fine in the literature that charge that. That's it.
Speaker 4 (44:05):
Trademark thah quickly.
Speaker 2 (44:09):
To our discount code.
Speaker 5 (44:13):
Yeah, on a scale of I never want sex again
to Glenn Powell's the finest thing on Earth. Where are you? Okay?
You're an eight grade?
Speaker 1 (44:21):
Oh Christine, this is your turn.
Speaker 2 (44:27):
Forward to this one.
Speaker 8 (44:28):
Yes, mushire okay, okay, just want the first word or
sentence that comes to your mind when I say the
following the orgasm myth you want to retire.
Speaker 5 (44:43):
Forever, that women's bodies are difficult.
Speaker 3 (44:47):
First word that comes to mind, when I say the
word testosterone. Oh yeah, Sydney or Duluth.
Speaker 5 (44:58):
Oh hell, listen, it's like it's amazing people like listen.
There's two schools of thought about Deluth, Minnesota. The first
school thought is it's amazing anybody reproduces, so yeah, And
the second school of thought is there's nothing else to
do but reproduce.
Speaker 3 (45:16):
That's right, that's funny, Rebecca. How many children did you
make there?
Speaker 5 (45:23):
One? Yeah?
Speaker 1 (45:27):
I have six children, but I made I made one
in Duluth the year I graduated college.
Speaker 5 (45:34):
Was it in the winter or was it in the summer.
Speaker 2 (45:36):
It was in the winter.
Speaker 5 (45:41):
Do you see she's in the There's nothing else to
do but reproduce them.
Speaker 3 (45:44):
There we go, All right, worst sexsmith you've heard in clinic?
Speaker 5 (45:50):
Oh god, this wasn't in clinic, but it was bad.
I heard that if a woman gets a hysterectomy, she
won't go through menopause.
Speaker 4 (46:00):
Oh boy, that's pretty bad.
Speaker 3 (46:02):
All right, that's last one. Muffin or croissant?
Speaker 4 (46:09):
What kind?
Speaker 5 (46:10):
You heard? It? All like a fresh warm banana chocolate chip.
Speaker 4 (46:16):
Oh yes, we like We like our muffins, Dusty Kelly.
Speaker 1 (46:22):
We try to prevent them from being dusty, but we
like the powdered dust on.
Speaker 5 (46:27):
So good.
Speaker 4 (46:28):
And you know, your book You're Not Broken has become
a go to for women trying to reclaim their sex lives.
And word on the street has it that you are
writing a second book. Will you tell.
Speaker 5 (46:40):
Us, well, the writing is done, my friend, it's coming
up right now. It's yeah, no, it doesn't make any sense.
It's called the Menopause Moment I have. I I had
(47:00):
many other names for the book, but it turns out
that what's that?
Speaker 3 (47:05):
What was the funniest one?
Speaker 5 (47:06):
I really I really wanted to call it aging in
captivity like that, and the reason and the reason is
it's a nod to Estra Pearrel's mating in captivity, which
I it's amazing, So it's a nod to her. And
it's also like every everybody who says, like, don't treat
menopause because this is natural and you're just naturally supposed
(47:27):
to not have hormones bla blah blah. I was like,
we're not supposed to effing live, Like I don't know
what data you've been sniffing, but like, life expectancy is
at a record high, you know, and it's like, there's
a I think Epha knows this. There's a seal. There's
a harbor seal at the Portland Zoo who's apparently forty
eight years old, and average life expectancy for harbor seals
(47:50):
in the wild is about eighteen.
Speaker 2 (47:52):
Oh, now that point that's impressing.
Speaker 5 (47:54):
We are living in captivity. Antibiotics have increased our our
average life span by twenty six years for the average humor.
It's unprecedented. Right, sanitation, clean water, safe food supply, not
a lot of wars, Like, we are aging in captivity. Therefore,
don't tell me any of this is natural and use
(48:16):
that as a reason to not treat four moments and
here in menopause. So anyways, it's a long explanation, but
like but they were like, uh, just takes too long.
People think you're gonna think about people in jail. Like
the publishers didn't like it, right, I know, but so
that's what I wanted. But it turns out that Amazon
search terms are this is like me who pulling the
(48:39):
title of my book, which is probably not nice, but
Amazon search terms are king that's the scene God and
so menopause moment, and it's about I wanted to write
the book because I feel like the one on ones
have been written now, and yes we need more and
blah blah blah, but the one on ones have been written.
This is a two to oh one or a three
(48:59):
zero one. And what I mean by that is, I'm
giving you all the all the good data on why
if you care about living well, aging well, and doing
a disease free you better take a long, hard look
at what hormones can do for you. And so that's
that's the book that has to come after what's a hormone?
Are they safe? Are they trying to kill us? Right?
(49:21):
That book's been written now, now we need the like,
oh you want to not have a hip broken at
eighty two? All right, let's look at the data and
let's start thinking when we're fifty what we want seventy
five to look like, because odds are you're gonna make it,
but are you gonna make it disease free. There's a
new study that was looking at the nurses, you know,
the Big Nurses Health Study, Like it's like one hundreds,
(49:45):
it's like all these nurses that they call longitudinally, Yeah,
the percentage of them that made it to seventy chronic
disease free. Oh wow, right, Like we're stuck in this
trap of like is it natural? Is it right? What
(50:05):
does God think? Like We're like, we're stuck in this
and it's like, knock it off. Who do you want
to be in twenty years? You got to think of
it now because hormones don't treat disease, they prevent it.
You got to get on the boat now and think
about her then what do you how do you want
to be? So that's that's the book.
Speaker 4 (50:21):
Yeah, that sounds like, you know, Luise Newson says, don't
think of it in terms of what are the risks
and benefits of taking hormone therapy? You have to turn
it around and think what are the risks of not
using ones? And that sense exactly like what you're kind
of talking about with your book. Right, we need to
(50:43):
think how do we stay healthy rather than fix the
cracks once they've appeared.
Speaker 5 (50:49):
Yeah, and I mean I really I basically tear down
the grandmother Hypotle is this? Oh yeah, I tear down
the fact that oh this is natural, because I'm like, dude,
the wealthiest or aristocrats in England were the men who
owned land Okay, they're the only people we kept track
of as far as who died and when average age.
This is only a couple hundred years ago, so the
(51:11):
as rich and male as you could be, your average
age of death was forty seven.
Speaker 2 (51:17):
Wow. So it's like crazy.
Speaker 5 (51:20):
And then they've factored out even because people will come
back and they'll be like, yeah, but infant mortality, And
like they've factored out infant mortality. If you made it
past five, you still were living maybe ten years postmenopause,
but not thirty or forty, which is an eighty percent increase, right,
So I really tear down this myth of like we
(51:41):
should just put up with whatever we got right now.
It's like, no, no, no, we're artificially living long. And if
that's true, you might want to consider hormones. Yeah, And
then I kind of I end it with like what
if menopause is optional, you know, and what if in
ten to fifteen years we're just going to have We're
going to figure out how to keep the ovarian cells
(52:02):
going and all this like taking hormones is just going
to be like ancient leech.
Speaker 2 (52:07):
Draining at some point without bleeding.
Speaker 5 (52:09):
That's what That's what they're without believing. But that's what Yeah,
exactly do you know? Just like a little bit so
that that's the book. It really is like getting of
a lot of miss It's very pro hormone. It's very like,
you know, female longevity. You can't have that conversation without
hormones at this point. And you know, if men had
(52:32):
a drug that they could take between age fifty and
sixty that let them live three years longer, how many
of them would take Italy?
Speaker 2 (52:41):
Yeah, and they would tell me that and they yeah.
Speaker 5 (52:45):
Yeah. So anyways, I'm very stoked about it. Yeah, I
think the time is right for like a pro hormone book, like, yeah,
you know one I can't waitcause it was time to
move on from like yeah, are we still afraid?
Speaker 1 (53:03):
Right?
Speaker 4 (53:04):
Yeah, we're done with that?
Speaker 2 (53:06):
Awesome?
Speaker 5 (53:06):
Yeah, I'm done having that conversation.
Speaker 2 (53:08):
Yeah.
Speaker 4 (53:10):
When I give a talk, I always put up a
slide of Elsa and Frozen saying let it go, let
it go. We're a past that.
Speaker 5 (53:19):
I mean. The best thing about the whole damn thing
is the WHI study. I did a real Instagram today.
The WHI two thousand and two study is free online,
Like everybody can go read it. It's there and look
at this not statistically significant like and it says this
probably doesn't apply to biodentical like extra dial and progesterone.
(53:42):
This probably doesn't apply to those medications. It says that
in the article. In the article under the limitation section,
it says this, this could be different with different doses,
and it probably doesn't apply to the crown and progesterone
and transdermal. It says that. It says he doesn't apply
to transdermal. It's in the effing paper and we destroyed
(54:06):
women's healthcare over dot paper.
Speaker 3 (54:08):
Oh I know, guys, doctor blooming over an Estrogen Matters
hasn't done a post on that those two things because
I love following his posts about just how we've changed
our minds right or how they want everything themselves, the investigators.
Speaker 2 (54:24):
That's awesome, totally, that's awesome.
Speaker 4 (54:27):
Well, we were going to tell people your podcast is
called You Are Not Broken, as if people don't know
that already. Instagram is at Kelly Casperson, MD and website
is KELLYCASPERSONMD dot com. Thank you to doctor Casperson for
taking the time to join us here today. It's been
an absolute joy getting to talk to you for an hour.
Thank you, and to our listeners. If you love this episode,
(54:49):
share it with your midlife besties, and don't forget to subscribe,
leave a review, and follow us for more real talk
on menopause and midlife well.
Speaker 5 (55:00):
Thank you, M
Welcome to the Dusty Muffins, where menopause meets sisterhood and strength.
We're three minipause specialists coming together to laugh, share, and
empower you through the wild ride of menopause imperimenopause. Whether
you're curious, confused, or just looking for real talk, you're
in the right place. We're here to answer your burning questions, educate,
and applicate all with a dash of humor and a
(00:26):
lot of heart. So pull up a chair and join
the conversation. Before we dive in, Please remember, while we're doctors,
we're not your doctors.
Speaker 2 (00:33):
This podcast is.
Speaker 1 (00:34):
For educational purposes only and is not a substitute for
medical advice. We encourage you to partner with your own
medical clinician to address your unique health needs.
Speaker 2 (00:43):
This is the Dusty Muffins.
Speaker 1 (00:46):
Welcome back to the Dusty Muffins, the podcast where three
midlife menopause specialists get real about the messy, marvelous, and
sometimes maddening magic of midlife.
Speaker 2 (00:54):
I'm Rebecca Hurdle.
Speaker 1 (00:55):
I'm a board certified osthroopathic family medicine physician and a
menopause certified practitioner.
Speaker 3 (01:01):
I'm Christine Hartkress, a board certified Women's Health Nurse practitioner
and certified menopause practitioner from Virginia.
Speaker 4 (01:08):
And I'm EFO Sullivan, a Board certified Family physician, a
Menopause Society Certified practitioner, and I have a Telly Medicine
practice and see patients in Oregon and Washington.
Speaker 2 (01:19):
Yes, so today's a big one.
Speaker 1 (01:20):
We are beyond excited to have one of the most badass,
science based sex positive voices in the game joining us today,
the incredible and funny let me add Doctor Kelly Casperson.
Speaker 3 (01:32):
Doctor Casperson is a Board certified eurologic surgeon, hormone and
sex medicine specialist, award nominated podcaster, speaker, and the creator
of the wildly popular podcast You Are Not Broken. She's
basically the queen of the demystifying desire, hormones and sexual
wellness for women.
Speaker 4 (01:50):
And she's here with us today to blow the lid
off some serious midlife myths. We're talking desire orgasms, testosterone,
and medications like banserin otherwise known as Addie and bremelanotide
otherwise known as valisi plus. Why you are definitely not
broken if your sex drive has gone missing and.
Speaker 2 (02:11):
A fun little fact, I actually went to Kelly.
Speaker 1 (02:13):
I went to college in Kelly's hometown of Duluth, Minnesota.
So we're gonna find out who survived the ice cold
weather is batter me or doctor Casperson surviving a career
in surgery.
Speaker 2 (02:23):
So let's get into it.
Speaker 5 (02:26):
Thanks for having me and everybody's friend.
Speaker 2 (02:30):
Yes, and everyone's friend, yes.
Speaker 4 (02:32):
Everyone's friend exactly, and in the on along those lines,
tell us how your trip to Australia went.
Speaker 5 (02:43):
Oh my gosh, it was insane. So I went to
I got the heavy good fortune of being asked to
speak at the Sydney Opera House for the So Hot
Right Now Menopause event. It was a three hour extravaganza.
The best part was the standing ovation though did I
tell you guys about the standing ovation? That was the
best part. Okay, So like three hour event. It was amazing.
(03:04):
It was a mix of like talks and roundtables and
all the things, and we got a full house standing
Ovation all the way to the back, sold out two
hundred and fifty twenty five hundred people. Twenty five hundred
people sold out Standing Ovation to the back of the house. Right,
So we're driving to dinner that night, and I'm kind
(03:24):
of poo pooing it. Not that not that I'm dismissing it,
but I'm like, oh, it's very common for us to
get standing ovations because this is such a powerful message
women feel seen. There's a lot of emotion that comes
up in these talks. So I'm kind of like pooh
pooing it, like yeah, yeah, yeah, I like obviously right,
And they're like, Kelly, you don't understand. Australians don't stand.
(03:47):
And I'm like, excuse me, and they're like they don't stand.
They're like, stay, you don't tip at the restaurants, you
don't stand. Oh for event. And the woman who m seated,
her name is Shelly Horton and she is Australian. She's like, Kelly,
I've been m seeing events in Sydney, Australia for thirty
years and today was my third standing ovation.
Speaker 1 (04:11):
Oh my no way, because I'm like, yeah, we've seen
Kelly get a standing ovation.
Speaker 2 (04:17):
Yeah.
Speaker 5 (04:20):
So I was like it went from like yeah, yeah,
you guys, we always get standing ovations for them to
be like culturally, you don't understand, we don't stand for people,
and I was like, oh shit, this was big then, okay,
very big. We got a standing ovation in Sydney, Australia
(04:40):
and they don't stand wow.
Speaker 4 (04:43):
Kelly was over there.
Speaker 2 (04:46):
A bunch of.
Speaker 5 (04:49):
It was awesome, So Kelly. I was super happy about
the talk I did that. I wanted to do the
talk like no power point. They're like, you're raw dogging
this talk and I'm like, yeah, yeah, she does right,
because I'm like, you know what, I just want to
get to the I'm at that point where I want
to challenge and I want it so it's like fully memorized,
(05:10):
twenty minute, lots of laughs, very funny. You can actually
buy the event online now. I don't want to go
to SOHA right now.
Speaker 2 (05:20):
I don't know it's on there. Okay there yeah, yeah, yeah,
we can do that.
Speaker 5 (05:24):
It's really good.
Speaker 1 (05:27):
Yeah, and how do you I could not do that
in my late pyraimenopause is remember much of like five minutes,
let alone and entire Yeah.
Speaker 5 (05:34):
I was freaked out. I was like because I didn't
watch it, and I watched it for the first time
last week. I was so freaked. I was like, if
I repeat something in this talk, I'm going to be
so upset at myself. Because I'm like, you know, you're like,
did I repeat something?
Speaker 2 (05:47):
Yeah, and then you're so then you forget and no,
I watched it. It was good. It was good.
Speaker 3 (05:53):
And you've done tech talk before, right, yeah.
Speaker 5 (05:56):
Yeah, you had to memorize for that, right, So I
had the like understanding of what that actually takes. Like
it's when people do that, like it's unbelievably hard work,
like or perhaps it's natural for some people. For me,
it's unbelievably hard work. So I was happy to be
able to do that. It's just nice to not have
(06:19):
power points to fall back on, and it is give people,
give people the experience they came for.
Speaker 4 (06:24):
Yeah, yeah, I feel it comes more from the heart
when you don't have to worry about the PowerPoint slides.
Speaker 5 (06:29):
It does. I mean, it's really like yeah, I mean
it is. It becomes embodied where you're like, this is
my message.
Speaker 2 (06:35):
Yeah, yeah, very cool.
Speaker 1 (06:37):
I did that at a just a very small little
event in a local salon. I didn't have anything, and
we set aside a couple hours and I couldn't believe it.
Just you're right, it just started flowing and all the
information starts to flow because we've given these talks and
you know, you know, this is what we do, and
I just don't know that I could get in from
like a large audience.
Speaker 5 (06:56):
I'd be like, well no, I mean it's like, you know, it's,
for the lack of a better word, i'm broken, but
I don't mean that. But it's like, dude, I give
it a talk to twenty five hundred people at the
effing Sydney Opera House, like I ain't afraid of anything anymore.
On the Monday after, we did an event for two
(07:17):
hundred and fifty eight women and it's like a nice
city haul up in Newcastle, Australia. It was a wonderful event.
Same thing. I was like, these are the three things
I want to talk about, no powerpoints, just went up
on stage and talked. But you're like, oh, two hundred
and fifty eight now like on stage?
Speaker 2 (07:33):
Nothing?
Speaker 5 (07:34):
Yeah, nothing.
Speaker 4 (07:36):
I'm so I was trying to find the link there
to give it, but I can't find it at the moment.
I'll keep looking for it to tell our dealers.
Speaker 5 (07:43):
But you put.
Speaker 4 (07:44):
It at the Sydney Opera House was for everybody, right,
But then the next day there was an actual medical
conference as well.
Speaker 5 (07:51):
Oh yeah, I forgot about that part too. We were
we were busy. We worked hard for our vegomite, for
our wallap heating. So yeah, Sydney Opera House was Saturday night,
twenty five hundred people general audience. Lots of medical people
were there, but general audience. Then Sunday was a menopause
conference in Sydney that was about That was somewhere between
(08:12):
three hundred and four hundred people. Phenomenal as well. It
was me Mary Claire Luis Newsom Bunda Wright. I talked
about testosterone and GSM and sexual function, and then I
did another Monday night in Newcastle which was again general population.
You know. The interesting thing about traveling and giving these
(08:34):
talks is like you realize that the problems are everywhere,
and you know Australia and in my talk I say, like,
the whole world envies Australia because it has the first
the government approoved female testosterone product. Point by the company's calculations,
point three percent of Australian women are on that product.
Speaker 4 (08:56):
Oh my god, it's not crazy.
Speaker 5 (08:59):
Yeah. The well, a couple of things. Nber one people
don't know about it. Number two of the stigma of disa.
Number three distigma of sexual health. So the indication is libido,
and women get dismissed, like what what do you want
to libido for? You know, either you're not married or
your middle life or you know whatever. So they're it's
(09:20):
like all these little stigma pieces keep adding up to
like really crappy access.
Speaker 1 (09:26):
Mm hmm.
Speaker 4 (09:27):
Yeah, it's shocking.
Speaker 2 (09:28):
It's everywhere, everywhere.
Speaker 3 (09:31):
I would have thought it would have been higher. Like
we're all like Jones, Oh.
Speaker 2 (09:35):
My gosh, right, try to get it off.
Speaker 5 (09:39):
Did you bring at yeah? Second, but did you steak
it inside the yeah? Right? The I mean, there're statistically
this Australia seems to be using hormones more. I mean
progesterone that's yet is around, was there in ten or fifteen,
(10:04):
and you know America, of course, it's hard to measure
her use so much compounded, but like menopause Society said
five percent in America. So yeah, they're buy and large
probably using more eshragen progesterone, but they're not using for
having a teslash her own product, they're not using it.
Speaker 4 (10:21):
Yeah, And when you guys all got to dinner, went
to dinner and stuff afterwards, did y'all have a good laugh.
Had you met doctor Louise Newson in person before?
Speaker 5 (10:30):
I've never met her in person before.
Speaker 2 (10:32):
No, did, y'all?
Speaker 4 (10:33):
Was it good in the evening?
Speaker 5 (10:35):
Lovely? Oh my god, she's so smart, she's so funny.
She's so mission driven, like my favorite thing. Like, you know,
I would get like I'd be like, well, don't you
think that blah blah blah, and she'd be like, obviously, Kelly.
I love obviously Kelly.
Speaker 1 (10:53):
That's why we listened to Top too. She has since
the best way. I'm like, I just like her words.
Speaker 5 (10:59):
Ye, don't you think it's crazy that X, Y and Z?
And she's like obviously, Kenny, Like it was like a
very validating, you know, great, but uh yeah, she's she's incredible.
Like I was happy to connect with her, but I
was shocked by how well we connected, Like really I
felt kindred souls. She's doing God's work in the UK.
(11:21):
It's not it's not easy over there, So she's doing
God's work.
Speaker 4 (11:27):
She is routin.
Speaker 5 (11:30):
For no good for no good reason.
Speaker 4 (11:32):
How long were you there for altogether, Kelly?
Speaker 5 (11:35):
Eight nights?
Speaker 4 (11:36):
Oh yeah, did you get any time to actually explore?
Speaker 2 (11:40):
Yeah?
Speaker 5 (11:41):
I went on some locks. I did get to Peta Koala.
We went to like a Koala Wallaby thing. Yeah, I
don't know what they're called, farm Refuge, Sanctuary Home, farm place.
I had no idea. Like wombats were so big, were
like these massive teddy bears and I'm like, that's a
(12:04):
bob bigger than they are in my head. They have
things that they've they have like shark nets on all
the beaches because they're sharks everywhere. And I'm like, I'm like, oh, thank.
Speaker 2 (12:14):
You, Oh I love it. That was and that was
a long flight.
Speaker 5 (12:19):
Yeah, you know the weird One of the other weird
things was that I got heckled at dinner. So again
there they don't tip in like you know, service industry there,
so maybe that was part of it. But they also
have a very big drinking culture and so it's like
the combination of the two led to this. But I'm
so having like we're very nice dinner looking over the
Sydney Harbor the night of the Sydney Opera House event
(12:41):
and the waiter comes by and he's like, you want
some wine, you want blah blah blah, and I'm like, no,
thank you, and he goes, what's wrong with you? I'm like,
I'm being heckled by a waiter right now for not drinking.
This is insane. I'm like, I can't explain my whole
why to this mode, nor do I care. So I'm like,
just not to night, thank you, but thank you.
Speaker 2 (13:02):
Oh my gosh, do you have any alcoholic Yeah? Like
all the would you American?
Speaker 1 (13:10):
Yeah?
Speaker 5 (13:10):
I know. I was like, what's wrong with you? And
I'm like, oh my god, I love Kelly.
Speaker 3 (13:15):
Let's talk orgasms because I've been dying to talk about that.
You know, what's up?
Speaker 5 (13:22):
That's a fantastic, fantastic you know.
Speaker 3 (13:25):
When I read your book, I was that was the
first time that I had seen that only twenty to
thirty percent of women have an orgasm with penile penetration.
And I had shared with these guys that I had
always thought there was something wrong with me because I
have never and you know, I don't know where I
(13:47):
learned that you're supposed to, probably somewhere in someone talking
about a G spot, right, and so like, just to
have that weight lifted off me, I was like, oh
my gosh, I'm not broken. And then interestingly enough, I said,
I told my husband the same thing, and we have
never had this conversation. And he's like, well I knew that.
Speaker 5 (14:09):
I'm like what.
Speaker 2 (14:12):
He's like why, I'm like, I had no idea.
Speaker 3 (14:18):
Yeah, interesting, And I asked my son. He's twenty seven,
and so I asked him and he was like, uh,
he goes, of course, the clitorist needs stimulation. So somewhere
beach nineteen eighty and like, I don't know whatever ten
years ago, twenty fourteen or so, like the sex had changed.
Speaker 5 (14:40):
Good. I mean, the data says sex that's getting worse.
So yeah, God, it's happening. God is happening where your
son's growing up.
Speaker 3 (14:47):
Yeah, So why do you think so many Like why
do you think women don't know this? I mean, I
know that was part of your reason writing the book
is to give us real sex, right.
Speaker 5 (14:56):
I mean, I mean I made it all the way
through medical school without knowing that.
Speaker 1 (15:00):
You know.
Speaker 5 (15:00):
It was only when I started really becoming obsessed with
the topic did I find the data. And uh, I
mean we don't get First of all, do you even
remember seeing a clitorist in any sex d Like, it's
it's like overarias full of or med school. Yeah, so
it's like it's completely pleasure void. It's a disease and
(15:20):
pregnancy prevention plan. But like my whole thesis is a
lot of adult problems could be solved with good education.
And it's like, you know, we just don't know, and
and it's such a shameful topic, so we internalize it.
We think there's something wrong with us, or we think
there's something wrong with our partner, like all at the
same time, and it's just like, hey, did you know?
(15:41):
And then people are like, I didn't know. You're like, yeah,
you're not broken. And that's like where the name of
the podcast came from, is me just being like, oh, yeah,
you're not broken. That's that's normal. Rubustcrotum, it doesn't come
rubb vagina doesn't orgasm.
Speaker 2 (15:54):
Right, right, They don't that until you like show them.
Speaker 5 (16:00):
Yeah, and you know, the hetero the heteronormative theory of
sex is very like penile centric. I mean, the orgasm
GAP's insane and people just don't know.
Speaker 4 (16:13):
Yeah, can we talk about for a second, Yes, I
wonder if people.
Speaker 5 (16:19):
Yeah, so the orgasm gap is basically looking at it
in a coupled relationship. How often does one couple one
person have an orgasm versus the other as a marker
for pleasure. We of course pleasure is not just orgasm,
but as a marker for pleasure. And the gap is
the widest in the heterosexual relationship. The man clocks in
around ninety six ninety seven percent of the time, to
(16:42):
which they're like, what can I do to get the
other four percent? You know? And then and then the
heterosexual woman's around sixty sixty five percent, And that's in
a partnered, loving relationship. If it's hook up sex, and
this is like, my my new thing is like screaming
to the young girls of like, hookup sex in in
university culture does not benefit you. What the fuck are
(17:04):
you doing it for? Yeah, hookups hook up culture sex
of female orgasms around six percent of the time, So
very I believe that. And it's not all the things
like oh it's because women's bodies are more difficult, or
it's more challenging, or it's all debunked. This is a
sociologic reason. This is not biologic. This is not physiologic.
(17:25):
This is socio cultural conditioning on who's supposed to be
experiencing pleasure. And when sex ends, when only one person
has an orgasm, we normalize them mhmm.
Speaker 2 (17:36):
Yeah, and these universities.
Speaker 1 (17:40):
Yeah, and these universities too, they're doing this, you know,
they're drinking. I don't know how many women can actually
have an orgasm once they've are drunk or drinking.
Speaker 5 (17:48):
They're you know, so well, yeah, and let's talk about that, like, yeah,
the amount of unsafe sex that happens, yeah, coercive sex, yes,
and because of alcohol involved is very high, very highly correlated.
And it's like I want women to understand that. I
want them to have that knowledge to be like, this
(18:11):
is the game that everybody's playing and it's completely stacked
against you. It's okay to not play this game because
it's insanely stacked against you at this point.
Speaker 4 (18:20):
Yeah, that's a great message.
Speaker 3 (18:23):
Do you think it's more concerning? Like where do you
tell women they should be concerned like about orgasm? Like
in terms of okay, so you know, only thirty percent
will have an orgasm with pnio penetration, but from a
you know, like a refer patients to maybe urology. Is
(18:44):
it when they can't have an orgasm at all with
penetration or is that more sex therapy and learning? How
you know, the mind body connection and learning how to
let go.
Speaker 5 (18:55):
Yeah, well, first of all, just I mean a great question.
So we normalize the fact that, like putting something in
the vagina is not the best way for a female
to orgasm. Normalize that clitterist is what we have to do,
usually external. It can be internal and external, but clitterists
in general. So just re educating on how your body's built.
And then you break down orgasm into primary anorgasmia or
(19:15):
secondary enargasmia. So primary is I've never had an orgasm
in my life, even with self pleasure, never happened. Be like, okay,
tend to put that person towards sex therapy. Great book,
it's an old book. It's called Sex for One. Betty
Dodson did a lot of work in the seventies on
educating women how to orgasm. So great resource. There A
(19:37):
secondary nargasmia is I used to have great orgasms and
now I can't. And so now I'm thinking, is it hormones?
Do we need to replace those? Do we have clteral fimosis,
do we have liken sclerosis, do we have you know,
some spinal pathology in the hips, something where we're like, hey,
the hardware used to it. She knows how, because again,
in our society, we don't teach women that pleasure is
(20:00):
even allowed. Right, So is it a is it a
you don't you haven't culturally been given the permission and
you don't know how? Or is it no, you knew how,
Now it doesn't work. Now we're going to think more
kind of biologic reason.
Speaker 2 (20:11):
Yeah, it's it's crazy. There's just so much to it.
Speaker 1 (20:14):
And I think starting with educating, you know, our young females,
not just when they get to midlife, but starting at that,
you know, you know, Pubert learning about your body to
begin with, Let's just start there, let's learn.
Speaker 2 (20:29):
Let's call Argey and tell you what they are.
Speaker 1 (20:31):
And and then we move from there, you know, then
we start talking to our our teens and young adults about,
you know, how how an orgasm works and how they
should be treated, and that it's so that they sex
is important for them, and then you go into you know,
midlfe women like today, she came to me and said,
you know, hey, I just I'm only doing this for
(20:53):
my husband because I feel like I really should be
having sex with them. I just don't blipido anymore. And
I sat back and I said we're not doing this
for your husband. We need to do this for you.
Otherwise this isn't going to work. But let's talk about it,
you know, Yeah.
Speaker 5 (21:07):
Yeah, it is so under research. I'm very fascinated by
the most research we have is in university students because
they're easy to research because they're like sitting ducks, right,
but the yeah, and they have sex, but the coerciveness
of sex in long term relationships. And I'm doing this
(21:28):
for another person, I'm doing this to keep somebody happy.
I'm doing this because I should, Like, it is glaringly
huge problem, under researched, extraordinary. If I had dollars for like,
that's what I would research. There's not much on it.
I wrote a substec on it like last month, and
people were like, thank you so much for talking about it,
because it's way bigger than you think it is. But
(21:51):
women aren't ever. I mean, if you're not taught that
pleasures for you, if you're taught that it's a good
wife duty just to have sex to keep somebody else happy,
Like our culture is set up for women to have
that experience.
Speaker 2 (22:03):
Yep.
Speaker 4 (22:04):
When my vulva puppet arrived the other day and I
threatened my daughters to arrange with their principles to go
in and give a proper talk. They were both horrified,
left the table quickly, and we have not disgusted again
since then.
Speaker 5 (22:23):
Well done.
Speaker 2 (22:26):
I walk around and my boys are like, what are
you doing?
Speaker 3 (22:30):
Your purple puppet vulva is quite majestic. I love that royalty.
Speaker 4 (22:37):
And purple is my favorite color, so I feel like
it was meant to be.
Speaker 5 (22:41):
I just feel like the default color is like this
royal to this royal plush, velvety, silky, looks nobody's coming, Like,
where's where's the red checkered vulva? Like that doesn't sell
it is royalty.
Speaker 4 (23:00):
There are some interesting ones on her website. There's one
that is like it's called the beaver Fur, I think,
and it's got a lot of beaver fur around the edge.
I don't know if it's genuine beaver or it's faux beaver.
Speaker 2 (23:16):
It seems really cold though that.
Speaker 5 (23:20):
I mean, she was a trip. She only knew what
happened the bulba puppets, Like I heard there was like
two hundred of them. It was was that the heather
quail bring a whole bunch of bulba puppets.
Speaker 2 (23:33):
What happened?
Speaker 3 (23:35):
No animal for a while.
Speaker 4 (23:39):
So Heather Quail ordered those silicone ones that are sold
to men online to use for pleasure at home. But
she bought one hundred of those or so for the
course that was on the first day of his wish
where they were doing pelvic exams.
Speaker 5 (23:58):
Yeah, is this the one? Is this the same vulva
that Rachel Ruben did a reel about the Labia minora
going away? And now it's like gone completely viral.
Speaker 3 (24:08):
Isn't it that stretch cleary looking one.
Speaker 2 (24:12):
It's not the clear but there were some like that too.
Speaker 4 (24:15):
It's a sin. And then the vulva puppet lady had
a stall at the Issuish meeting. She was the grip
was usually quite busy.
Speaker 2 (24:27):
She hand makes them the hippie quite the hippie, uh huh.
Speaker 1 (24:31):
And then I mean the fabrics are coming from exotic
places and website it was really cool.
Speaker 5 (24:41):
Is there a Dusty Muffins discount code now.
Speaker 4 (24:44):
For the Oh we should contact her and asked.
Speaker 1 (24:47):
We should, Yes, these are all the things. Yes, there
will be Dusty Mussive Muffin discount codes. Because I just
look up.
Speaker 4 (24:53):
Her website so I can tell you what it is,
Please please use it's wondrous vulva puppet. Is it time
to move on to Yes?
Speaker 1 (25:07):
So yeah, so Addie and and vy LSI, which I
can flibanster and bring them man tide.
Speaker 2 (25:13):
I can't do it. So but they're two out here, and.
Speaker 1 (25:18):
I have a little story about them, you guys, and
I'm felt, honestly a little broken. So I might go
off a little bit on the tangent because I was like,
what the hell I'm going to try this? I used
to stop Stone, It's fine, It's okay, And I'm like,
I'm going to use vy Lasi.
Speaker 2 (25:35):
I'm not going to use Addie. I don't want to
take a pill every day. I just have sex.
Speaker 1 (25:40):
And so I'm like, but I'm I got to tell
my patients what this is, what this is like?
Speaker 2 (25:44):
And I thought I could actually check it out.
Speaker 6 (25:48):
And I'm like, it didn't work for me. It didn't
work at all, and thank you. So it made me
feel terrible. I'll tell you. I did it at night.
Speaker 1 (25:59):
We were going to dinner and I'm like, okay, I'm
going to get this thing ready right, So.
Speaker 2 (26:03):
I had him help me with it.
Speaker 1 (26:04):
He was all excited and I honestly, I like got
a headache. And I almost felt like I had had
like two drinks, because that really is all it takes
if I ever have a cocktail. And so I felt
a little fuzzy in the head and I was super nauseated,
and I looked at him.
Speaker 2 (26:21):
I was like, I love you, my frog. Shit, I'm
going to touch me.
Speaker 5 (26:26):
Yeah, that was the biggest yeah.
Speaker 2 (26:29):
And I had at him. But it wasn't likes so terrible.
It wasn't so terrible.
Speaker 1 (26:35):
But I'll tell you, I did fill out some tingles
when I went to bed, but I was nauseated and
I was likeugh. And so the next day, and this
is what's so interesting about the brain about with that,
because I sat there and I thought, I thought of you, Kellyen.
I was like, boy, maybe I am broken. For a second,
I'm like it really didn't work. And then he and
I were talking and I, yeah, brains are assholes, and
(26:57):
that's what it was. I'm like, Nope, it's my brain.
I have so much going on right now with you know,
a new practice and you know, kid stuff and work
stuff and travel and our new podcast and all these things.
I go, I think it's my brain, and I just
don't think I want to stop what I'm doing to
go do this. But if you and I were on
(27:18):
vacation together, I think we would be having sex every day,
probably multiple times a day.
Speaker 2 (27:25):
So I kind of had that epiphany and it was.
Speaker 5 (27:27):
Really, did you book your vacation then?
Speaker 1 (27:29):
Yeah? I know soon, So so I kind of wanted,
you know, to bring to start with that because I
didn't have an experience when we were first doing this
and now I do, so, you know, talk to us
a little bit about Addie and Bye Lucy and these
two FT approved medications for premiu apousal women.
Speaker 5 (27:48):
Yep, so these are our non hormonal brain centric medications
currently FD approved for premenopausal. Does that mean they don't
work in postmenopausal No? Does that mean it's illegal to
prescribe them to both menopausal people? No, just that the
the damn FDA thought there was a wonderful difference between
(28:08):
women the day before their year of no periods in
the day after their year of no periods, which we
call pre menopausal and post menopazzal. You might have trouble
getting insurance to cover it if you prescribe it postmenopausal.
But to tell you the truth. Insurance is a jerk
with sex ments anyways. So a lot of premenopause, even
though it is FDA approved. A lot of insurances have
(28:28):
sexual health riders on them, sexual health Blinky, is there
dusty muffin discoun cod We're gonna.
Speaker 2 (28:37):
Get dusty muffin discount code. That's two two.
Speaker 5 (28:41):
Now, you're like, thanks to Kelly coming on. Our business
is So they work in the brain by basically increasing dopamine.
Dopamine is the neurotransmitter involved in seeking out pleasure. So
at a lot of people think like, oh, you get
dopamine hit by getting the reward. It's actually seeking out
(29:03):
something that is then pleasurable. That is like a big
part of the dopamine hit to increase the dopamine, and
you're like, okay, I want to seek out pleasure. The
I think that big mistake is that these medications won't
make you desire something that wasn't desirable in the first place.
It won't These medications will not make you want proctly.
(29:26):
They will not make you want not an ice cream.
It will not make you want painful sex. Like it's
that's not how it works. And I think again, that's
where it's like I'm I'm stoked. There's medications, Like, absolutely,
I'm very pro medication, but I always joke like I
don't prescribe on the first date. And what I mean
by that is a woman doesn't understand the glitterists and
(29:48):
that she can't usually orgasm by putting something in her vagina,
and that her stress life and her sleep affect her
interest in sex. So it's like you got to learn
all of that because otherwise you prescribe. I was like, here,
take some just stop your own, take take flow banster
in whatever. And then the woman fails it and she
feels broken because now instead of like you just having
(30:08):
issues with sex, you're a medication failure. Yeah, and that
feels even shittier. Right, So I think I think do
medications have a place? Absolutely? Do we need more options? Yes? Please,
you know we have options, and even even the options
we have, what's the point of having options if you
can't access them. So so it certainly I don't want anybody.
(30:30):
And I don't think I'm saying I'm anti medication. I'm
pro education. And if you're not having if you're having
an orgasm sixty percent of the time, do your partner's
ninety five percent of the time. Sex just isn't as
rewarding for.
Speaker 2 (30:45):
You as your prank.
Speaker 5 (30:47):
So giving you a medication to try to desire something
that is inherently not desirable is a fool's.
Speaker 1 (30:53):
Errand yeah, so that medication I'm saying, don't take that
medication if you're busy.
Speaker 5 (31:00):
Yeah, if you're busy, it's not going to make more
time in your life for a pleasurable thing. But I
mean I always ask women, like, hey, when you go
to the party, do you like the party? It is
the party nice? Like yeah, I could take it or
leave it? Like okay, well I can't make you desire
a take it or leave it type of party. But
if you're like, the party's great, Like I'm like, I
always forget, like how much fun we have and blah
blah blah. And you also have to suss out respond
(31:22):
desire versus spontaneous desire. Right again, the sex said we
never got is like it's totally normal to not be
desiring sex because you got kids, you got a job,
you got podcasts, you got aging parents to take care
of whatever it might be. Taxes are due, Like you're
not thinking about sex that's totally normal. But you put
yourself into a sexual context, you actually call your nervous system.
(31:44):
You become accepting, relaxing, pleasurable world, and then you're like, oh,
I like this. I just forget to prioritize it. That's
not a desire problem. That's a prioritizing how you want
to live your life problem, and a medication will do
that for you.
Speaker 2 (32:01):
That's right.
Speaker 1 (32:01):
And I think that's a huge point, especially in this
room of women who are busy with all of those things,
and when we do cancel our women about that, for
them just to stop and be like, you might be right, okay,
I just I'm just busy and I need but I
need to carve out that time. And it's important to
(32:23):
carve out that time because it's so easy just to
keep running on that you know, on that treadmill, on
that little hamster wheel and just keep doing those things.
Speaker 5 (32:32):
Yeah, I mean, you know. And I always like normalized sex, right,
Like sex isn't this like unique thing that has its
own set of rules. I'm like, listen, I would love
to just sit on the couch and spontaneously desire fitness adventuables,
but I don't, right, but I like fitness and vegetables
in my life, so I have to carve out time
to make those things happen. And it's not usually before
(32:53):
that I'm desiring them. It's like during and after, and
I'm like, I really like salads and like spin class, right,
but like not before, I don't not sitting around spontaneously
desiring it. And it's just again the stigma, the stigma,
And I think it's Hollywood's to blame, but it's like
that you should just sit around desiring sex all day.
(33:13):
That's not how our brains work. Like it might be
when you're like chilling and you're seventeen and you've got
you've got no taxes to pay, you don't have a mortgage,
you don't have kids you're responsible for, you got plenty
of free time. Sex might be higher up in the
priority with your replete.
Speaker 2 (33:31):
The honeymoon phase, those things.
Speaker 5 (33:34):
Yeah, just you know, making women feel like their experience
is very normal. It's like, most most sexperts agree that
scheduling sex is a pro move.
Speaker 1 (33:46):
Yeah, And isn't it funny that they a lot of
women and men both think like, well, what's the point
if you have to schedule sex? I'm like, well, schedule
everything else you dinner?
Speaker 5 (33:57):
Do you go to your job on a schedule?
Speaker 3 (34:00):
Will?
Speaker 5 (34:01):
Like you schedule everything. You shower in the morning usually
around seven am. Like you schedule everything? Yeah, Like you
brush your teeth twice a day on a sed Like
it's we live regimented life, like block out some time
for intimacy. But it's like, you know, oh, sex is special.
No it's not.
Speaker 3 (34:22):
Let's get sad to hear because when I have kids
in the house, that's what That's what my husband and
I used to do is we would schedule Sunday night
and I'm thirty, don't call us. And then even the
dogs know because we tell the dogs now next night
and they scatter off the bed.
Speaker 5 (34:41):
No, they don't. They I love it. I got a
new Take a video.
Speaker 2 (34:47):
I know, yes, take a video, but I want to.
Speaker 5 (34:50):
I want to see you. I want to see you
saying that and having the dogs run off the bed.
Speaker 3 (34:54):
They run off and they stay down.
Speaker 2 (34:58):
Oh my god, my notes asked dogs are like what
are you doing to her? You know.
Speaker 3 (35:03):
One of the things when we were at Issuish that
they were taught that the by LSI rep was talking
about is they did a trial and showed that by
Lesi increased orgasm response. And so I was, you know,
so now I've been using by Leisi for the in
orgasmic women after we've already done like vaginal estrogen testosterone cream,
(35:28):
and and you know, I tried it now on three patients.
One of them said it made her so nauseous. She
wasn't interested. But you know, the advice I gave her
was try it once solo and self pleasure. Don't involve
your partner you're so nauseous. And then the other one
was like, she said, I because she had lost you know,
(35:49):
she told me I lost my orgasm the strength, and
she said it did help, so and then I was happy.
And I think what a lot of clinicians don't know
is can you use testosterone with vy lasi or addie
with testosterone?
Speaker 5 (36:05):
But why not?
Speaker 3 (36:07):
But I think it's something that not all clinicians know, right.
Speaker 1 (36:10):
I agree with you, Yeah, I agree with you on that.
We just talked about that somewhere about using both.
Speaker 2 (36:15):
I can't recall you.
Speaker 5 (36:17):
Look, I'd love to see a study, but we don't
need a study to know that you can do that. Uh.
Labanserin also has good orgasm data and they're using men.
That's that's the other thing works in all jens.
Speaker 2 (36:32):
Yeah.
Speaker 5 (36:33):
Oh, here's a pop quiz. So it's marketed to women,
says for women only. It's an effing pink box. The
FDA label is hypoactive sexual desire disorder in women. What
percentage of all prescriptions in America are for men of
that drug?
Speaker 3 (36:49):
Something tells me we're going to be a study.
Speaker 2 (36:50):
It's going to be high.
Speaker 5 (36:52):
It's bigger than zero sixty. No, it's ten percent, ten.
Speaker 3 (37:00):
Which is more than the number of women on menopausal
hormone therapy in the United States.
Speaker 5 (37:04):
Correct, Right, I don't I don't know how many total
prescriptions of addie are sold in Let's yeah. Yeah, but yeah,
from from the last thing I heard, it was about
ten percent our off label for men. So here we are, like,
I don't know about postmenopausal women. I'm like, fucking ten percent?
(37:25):
Are like ten percent of the prescriptions go to men? Right,
don't tell don't tell me a post menopausal woman can't
have this. Come on.
Speaker 2 (37:33):
I think it's or the premium puzzle with testosterone. So
let's move into test for them. Yeah, probably, So let's
go into t.
Speaker 5 (37:41):
Wait, say that again. I missed it.
Speaker 3 (37:43):
I said, I bet you. Insurance probably pays for the dude.
Speaker 5 (37:48):
No, don't, don't get me started.
Speaker 1 (37:50):
Yeah, so, how so let's talk about how it can
help with life women. That's the difference between testosterone and
these other medications.
Speaker 5 (37:59):
Sure, well, so ovaries make tustosterone, and when we are
having our period time of our life, we have four
times the amount of testosterone than estrodron. We just have
about ten to twenty times less tustosterone than male bodies,
but four times the amount of tisosterone than estrodron. So
you have to, like, I always start with that because
(38:21):
otherwise woman will be like, who is this crazy doctor
trying to get me to take a male hormone.
Speaker 2 (38:26):
It's like like their mouth drops, right, they're like, yeah.
Speaker 5 (38:30):
All of a sudden, I wasn't taught this in med
school either, you know, like we made it all the
way through medical school not knowing this. That's embarrassing.
Speaker 2 (38:38):
It's very embarrassing.
Speaker 7 (38:42):
Or ten Yeah, multiple countries, so we've been giving tstosterone
to women for eighty years.
Speaker 5 (38:55):
Crazy second, either, this is one This is one of
my I have many favorite things about distosterone, but this
is one of my favorite things. What medication do we
use where we give willing volunteers ten times the therapeutic
dose and see how they do zero except for testosterone
(39:16):
because they're called transman yep. And we have a thirty
year safety data of paper, and we have a fifty
year safety data paper.
Speaker 4 (39:26):
Do we just need to rename this whole process and
call it gender affirming care? Call all of it gender
affirming care?
Speaker 5 (39:35):
Maybe? I don't know if it's going to work towards
us or against us, just as far as like a
branding thing, but I do I would like to rebrand
them neu hormones. These are neuro hormones. Yes, work Where
I would I was like, where's libido located?
Speaker 3 (39:51):
The Yeah, I've been using the neuroendocrine because I heard
you say that.
Speaker 2 (39:57):
I've been telling.
Speaker 4 (39:57):
Pristine you shouldn't be doing that.
Speaker 5 (40:02):
Is that trade back?
Speaker 2 (40:05):
Do you that?
Speaker 4 (40:07):
I'm just kidding?
Speaker 3 (40:10):
I do give Kelly credit for it? Does that help
the party?
Speaker 1 (40:16):
I use the party analogy a lot. I'm like, I
like it and it works, But I.
Speaker 5 (40:20):
Mean so like the the conservative arm of the medical
field who says that testosterone doesn't help mood, it's only
for libido. I'm like it's literally called getting in the mood. Yeah, Like,
(40:44):
I don't make this upright. And the other thing that
of testosterone is it's not just for desire. It helps
every single domain of sexual health, so arousal, orgasm. We
have papers where it helps distress, like distress, the distress
of sex meaning not that, not that. What am I
(41:07):
trying to say? I'm distressed because it's not functioning well.
And then you give people disasterone, their distress goes down,
That's what I'm trying to say, So distress, what's that? Well,
that's an effing mood. Also, Okay, so we've already told
you that it's helping with two moods, So tell me
again how this doesn't help with mood. Like, it's just
it's so obvious to me that it's like infuriating. And then, uh,
(41:30):
doctor Luis Newsom's team published a it's a prelim study,
and I'll call out the negative things about it upfront,
so nobody calls me out. But it's like they didn't
check lab values and they didn't have a EVO arm.
But what they did do is they said, these women
are already on estrogen. We're not changing their estrogen dose,
(41:50):
and they put them on distosterone and they gave them
like a twelve point scale of mood and cognition and
like significant mood improvements on testosterone. Yeah, so when we
were surprised men's moods get better on testosterone. You know,
(42:11):
it's like it's it's in all bodies. So it's like
the data we have is there, it's just that nobody
talks about it. And you know, I'm always like, yeah, yes,
we need more data. But it's a generic medication that's
not patentable. There's not a lot of interest in groundbreaking
research at this point.
Speaker 4 (42:31):
And I don't know how you can see patients and
treat them and not see from Almost every patient that
comes back to you, if you listen to them, they
tell you all the things that have changed in their life.
Speaker 2 (42:44):
Yeah.
Speaker 5 (42:44):
I always joke. I'm always like, you ever comes back? Yeah,
a woman ever comes back and is like, the only
thing it's helped is my libido.
Speaker 4 (42:52):
Right, what I is, I have had all these other
positive things, but my libido hasn't changed. That's when I
hear the.
Speaker 5 (43:03):
Thing everything And to be fair, you know, for people
to know this, like libido can take a while like
it can take four to six months for libido to
kick back in, and so setting those expectations up front
for people so you're not just like ramping up the
dose at week six is like give us, give us
some time start start seeing. And again it won't car
(43:24):
it won't carve out time to prioritize sex. But like
I always say, like Glenn Powell, you know from the
second Top Gun movie mm hmm, time out. Yeah, they
trade to Glenn Powell's attractedness. And then when you want
to rip Glen Powell through your computer screen nor training,
(43:52):
I don't need my diss to go any higher. He
is fine in the literature that charge that. That's it.
Speaker 4 (44:05):
Trademark thah quickly.
Speaker 2 (44:09):
To our discount code.
Speaker 5 (44:13):
Yeah, on a scale of I never want sex again
to Glenn Powell's the finest thing on Earth. Where are you? Okay?
You're an eight grade?
Speaker 1 (44:21):
Oh Christine, this is your turn.
Speaker 2 (44:27):
Forward to this one.
Speaker 8 (44:28):
Yes, mushire okay, okay, just want the first word or
sentence that comes to your mind when I say the
following the orgasm myth you want to retire.
Speaker 5 (44:43):
Forever, that women's bodies are difficult.
Speaker 3 (44:47):
First word that comes to mind, when I say the
word testosterone. Oh yeah, Sydney or Duluth.
Speaker 5 (44:58):
Oh hell, listen, it's like it's amazing people like listen.
There's two schools of thought about Deluth, Minnesota. The first
school thought is it's amazing anybody reproduces, so yeah, And
the second school of thought is there's nothing else to
do but reproduce.
Speaker 3 (45:16):
That's right, that's funny, Rebecca. How many children did you
make there?
Speaker 5 (45:23):
One? Yeah?
Speaker 1 (45:27):
I have six children, but I made I made one
in Duluth the year I graduated college.
Speaker 5 (45:34):
Was it in the winter or was it in the summer.
Speaker 2 (45:36):
It was in the winter.
Speaker 5 (45:41):
Do you see she's in the There's nothing else to
do but reproduce them.
Speaker 3 (45:44):
There we go, All right, worst sexsmith you've heard in clinic?
Speaker 5 (45:50):
Oh god, this wasn't in clinic, but it was bad.
I heard that if a woman gets a hysterectomy, she
won't go through menopause.
Speaker 4 (46:00):
Oh boy, that's pretty bad.
Speaker 3 (46:02):
All right, that's last one. Muffin or croissant?
Speaker 4 (46:09):
What kind?
Speaker 5 (46:10):
You heard? It? All like a fresh warm banana chocolate chip.
Speaker 4 (46:16):
Oh yes, we like We like our muffins, Dusty Kelly.
Speaker 1 (46:22):
We try to prevent them from being dusty, but we
like the powdered dust on.
Speaker 5 (46:27):
So good.
Speaker 4 (46:28):
And you know, your book You're Not Broken has become
a go to for women trying to reclaim their sex lives.
And word on the street has it that you are
writing a second book. Will you tell.
Speaker 5 (46:40):
Us, well, the writing is done, my friend, it's coming
up right now. It's yeah, no, it doesn't make any sense.
It's called the Menopause Moment I have. I I had
(47:00):
many other names for the book, but it turns out
that what's that?
Speaker 3 (47:05):
What was the funniest one?
Speaker 5 (47:06):
I really I really wanted to call it aging in
captivity like that, and the reason and the reason is
it's a nod to Estra Pearrel's mating in captivity, which
I it's amazing, So it's a nod to her. And
it's also like every everybody who says, like, don't treat
menopause because this is natural and you're just naturally supposed
(47:27):
to not have hormones bla blah blah. I was like,
we're not supposed to effing live, Like I don't know
what data you've been sniffing, but like, life expectancy is
at a record high, you know, and it's like, there's
a I think Epha knows this. There's a seal. There's
a harbor seal at the Portland Zoo who's apparently forty
eight years old, and average life expectancy for harbor seals
(47:50):
in the wild is about eighteen.
Speaker 2 (47:52):
Oh, now that point that's impressing.
Speaker 5 (47:54):
We are living in captivity. Antibiotics have increased our our
average life span by twenty six years for the average humor.
It's unprecedented. Right, sanitation, clean water, safe food supply, not
a lot of wars, Like, we are aging in captivity. Therefore,
don't tell me any of this is natural and use
(48:16):
that as a reason to not treat four moments and
here in menopause. So anyways, it's a long explanation, but
like but they were like, uh, just takes too long.
People think you're gonna think about people in jail. Like
the publishers didn't like it, right, I know, but so
that's what I wanted. But it turns out that Amazon
search terms are this is like me who pulling the
(48:39):
title of my book, which is probably not nice, but
Amazon search terms are king that's the scene God and
so menopause moment, and it's about I wanted to write
the book because I feel like the one on ones
have been written now, and yes we need more and
blah blah blah, but the one on ones have been written.
This is a two to oh one or a three
(48:59):
zero one. And what I mean by that is, I'm
giving you all the all the good data on why
if you care about living well, aging well, and doing
a disease free you better take a long, hard look
at what hormones can do for you. And so that's
that's the book that has to come after what's a hormone?
Are they safe? Are they trying to kill us? Right?
(49:21):
That book's been written now, now we need the like,
oh you want to not have a hip broken at
eighty two? All right, let's look at the data and
let's start thinking when we're fifty what we want seventy
five to look like, because odds are you're gonna make it,
but are you gonna make it disease free. There's a
new study that was looking at the nurses, you know,
the Big Nurses Health Study, Like it's like one hundreds,
(49:45):
it's like all these nurses that they call longitudinally, Yeah,
the percentage of them that made it to seventy chronic
disease free. Oh wow, right, Like we're stuck in this
trap of like is it natural? Is it right? What
(50:05):
does God think? Like We're like, we're stuck in this
and it's like, knock it off. Who do you want
to be in twenty years? You got to think of
it now because hormones don't treat disease, they prevent it.
You got to get on the boat now and think
about her then what do you how do you want
to be? So that's that's the book.
Speaker 4 (50:21):
Yeah, that sounds like, you know, Luise Newson says, don't
think of it in terms of what are the risks
and benefits of taking hormone therapy? You have to turn
it around and think what are the risks of not
using ones? And that sense exactly like what you're kind
of talking about with your book. Right, we need to
(50:43):
think how do we stay healthy rather than fix the
cracks once they've appeared.
Speaker 5 (50:49):
Yeah, and I mean I really I basically tear down
the grandmother Hypotle is this? Oh yeah, I tear down
the fact that oh this is natural, because I'm like, dude,
the wealthiest or aristocrats in England were the men who
owned land Okay, they're the only people we kept track
of as far as who died and when average age.
This is only a couple hundred years ago, so the
(51:11):
as rich and male as you could be, your average
age of death was forty seven.
Speaker 2 (51:17):
Wow. So it's like crazy.
Speaker 5 (51:20):
And then they've factored out even because people will come
back and they'll be like, yeah, but infant mortality, And
like they've factored out infant mortality. If you made it
past five, you still were living maybe ten years postmenopause,
but not thirty or forty, which is an eighty percent increase, right,
So I really tear down this myth of like we
(51:41):
should just put up with whatever we got right now.
It's like, no, no, no, we're artificially living long. And if
that's true, you might want to consider hormones. Yeah, And
then I kind of I end it with like what
if menopause is optional, you know, and what if in
ten to fifteen years we're just going to have We're
going to figure out how to keep the ovarian cells
(52:02):
going and all this like taking hormones is just going
to be like ancient leech.
Speaker 2 (52:07):
Draining at some point without bleeding.
Speaker 5 (52:09):
That's what That's what they're without believing. But that's what Yeah,
exactly do you know? Just like a little bit so
that that's the book. It really is like getting of
a lot of miss It's very pro hormone. It's very like,
you know, female longevity. You can't have that conversation without
hormones at this point. And you know, if men had
(52:32):
a drug that they could take between age fifty and
sixty that let them live three years longer, how many
of them would take Italy?
Speaker 2 (52:41):
Yeah, and they would tell me that and they yeah.
Speaker 5 (52:45):
Yeah. So anyways, I'm very stoked about it. Yeah, I
think the time is right for like a pro hormone book, like, yeah,
you know one I can't waitcause it was time to
move on from like yeah, are we still afraid?
Speaker 1 (53:03):
Right?
Speaker 4 (53:04):
Yeah, we're done with that?
Speaker 2 (53:06):
Awesome?
Speaker 5 (53:06):
Yeah, I'm done having that conversation.
Speaker 2 (53:08):
Yeah.
Speaker 4 (53:10):
When I give a talk, I always put up a
slide of Elsa and Frozen saying let it go, let
it go. We're a past that.
Speaker 5 (53:19):
I mean. The best thing about the whole damn thing
is the WHI study. I did a real Instagram today.
The WHI two thousand and two study is free online,
Like everybody can go read it. It's there and look
at this not statistically significant like and it says this
probably doesn't apply to biodentical like extra dial and progesterone.
(53:42):
This probably doesn't apply to those medications. It says that
in the article. In the article under the limitation section,
it says this, this could be different with different doses,
and it probably doesn't apply to the crown and progesterone
and transdermal. It says that. It says he doesn't apply
to transdermal. It's in the effing paper and we destroyed
(54:06):
women's healthcare over dot paper.
Speaker 3 (54:08):
Oh I know, guys, doctor blooming over an Estrogen Matters
hasn't done a post on that those two things because
I love following his posts about just how we've changed
our minds right or how they want everything themselves, the investigators.
Speaker 2 (54:24):
That's awesome, totally, that's awesome.
Speaker 4 (54:27):
Well, we were going to tell people your podcast is
called You Are Not Broken, as if people don't know
that already. Instagram is at Kelly Casperson, MD and website
is KELLYCASPERSONMD dot com. Thank you to doctor Casperson for
taking the time to join us here today. It's been
an absolute joy getting to talk to you for an hour.
Thank you, and to our listeners. If you love this episode,
(54:49):
share it with your midlife besties, and don't forget to subscribe,
leave a review, and follow us for more real talk
on menopause and midlife well.
Speaker 5 (55:00):
Thank you, M
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
My Favorite Murder with Karen Kilgariff and Georgia Hardstark
My Favorite Murder is a true crime comedy podcast hosted by Karen Kilgariff and Georgia Hardstark. Each week, Karen and Georgia share compelling true crimes and hometown stories from friends and listeners. Since MFM launched in January of 2016, Karen and Georgia have shared their lifelong interest in true crime and have covered stories of infamous serial killers like the Night Stalker, mysterious cold cases, captivating cults, incredible survivor stories and important events from history like the Tulsa race massacre of 1921. My Favorite Murder is part of the Exactly Right podcast network that provides a platform for bold, creative voices to bring to life provocative, entertaining and relatable stories for audiences everywhere. The Exactly Right roster of podcasts covers a variety of topics including historic true crime, comedic interviews and news, science, pop culture and more. Podcasts on the network include Buried Bones with Kate Winkler Dawson and Paul Holes, That's Messed Up: An SVU Podcast, This Podcast Will Kill You, Bananas and more.
The Joe Rogan Experience
The official podcast of comedian Joe Rogan.