214. "I Want To Want" – Desire, Bigger Penises, The Orgasm Gap, Testosterone Decreases Breast Cancer

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 4 June 2023

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

Member question: Lichen Sclerosis, decreased sensation and libido – I discuss two types of desire – spontaneous and responsive and three options pharmacologically for low desire. A couple options for if you "want to want": testosterone, Addyi and Vyleesi. Pneuma for penile girthiness - if you want to be a shower. The Orgasm Gap - as written by men Testosterone is not associated with increased cardiovascular risk and associated decreased risk of breast cancer. P Agrawal and others, Testosterone Therapy in Females Is Not Associated with Increased Cardiovascular Risk – A US Claims Database Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.014, https://doi.org/10.1093/jsxmed/qdad060.014 Sexual Boredom in long term relationships contributes to low desire. L De Oliveira and others, (055) Sexual Boredom and Sexual Desire in Men and Women in Long-term Relationships: A Latent Profile Analysis, The Journal of Sexual Medicine, Volume 20, Issue Supplement_1, May 2023, qdad060.053, https://doi.org/10.1093/jsxmed/qdad060.053 An obituary of Jaqueline Gold Our Podcast Sponsor is Firmtech – use code “NOTBROKEN” FirmTech’s rings help improve performance and sexual experience for all men not just those with ED. ⁠https://myfirmtech.com/⁠ Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	You are listening to You Are Not Broken, the only podcast that combines science, medicine, and
0:07.6	psychology to re-educate your brain and help you live your best love life. And I'm your host,
0:12.3	board certified female urologist, Dr. Kelly Casperson. Hey, everybody. Welcome to the live podcast.
0:19.1	This will be airing on the actual podcast in June because it is the end of May.
0:24.5	This is our May live podcast for our members and they type in their questions or they come on live and we chit chat about all things, sex and hormones.
0:32.7	It's very fun. So here's the first question that was sent in by a member that I wanted to cover today.
0:39.2	Hey, Dr. Casperson, hoping you can answer my question.
0:42.0	It's about diminished sensation and using an indoor cycling bike.
0:45.6	I have a new lichen sclerosis diagnosis supposedly not active.
0:49.6	I want to want to feel sexual and alive again.
0:52.6	I used to be the initiator.
0:54.0	Now it hardly crosses my
0:55.2	mind and I hate it. Please help. Okay, so a couple of things about this. For people who don't know,
1:02.1	lichen sclerosis is a skin condition way more common than we think. It's not just in the
1:08.3	postmenopause population. It can be really any age.
1:11.5	Even young girls can get lichen sclerosis.
1:13.4	It's autoimmune inflammatory.
1:15.6	It can cause destruction of tissues and decreased sensation.
1:19.3	Even pain and itching are kind of the classic lichen sclerosis feelings.
1:24.1	So the important thing to know about this member's question is she's saying she has
1:29.8	newly diagnosed lichen sclerosis and then her next sentence is, I want to want to feel sexual
1:34.6	and alive again. Like inschorosis doesn't change desire, but it can if there's pain or itching
	...

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