221. Genitourinary Syndrome Of Menopause 101

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 23 July 2023

⏱️ 56 minutes

🔗️ Recording | iTunes | RSS

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Summary

Genitourinary Syndrome of Menopause 101. This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar. Why I care about women and sex and hormones The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise Genitourinary Syndrome of Menopause The types of bladder leakage and how estrogen can help The different types of estrogen – vaginal and systemic Why we need vaginal estrogen even when we are not sexually active Why I have a cream bias with vaginal estrogen, and other options. Vaginal estrogen will not help your hot flashes. Myths about who can and can’t use vaginal estrogen. Biologic changes of the skin of the vulva after menopause How the clitoris works. Scream Cream – what it is and does it work. Favorite lubes and I explain why I like what I like Gen X is the lowest users of vibrators in America There are many papers showing transdermal estrogen does not increase your clot risk above what it already is. I explain the Women’s Health Initiative study and how it hurt women by creating fear. Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications. Why not restore function instead of taking the side effects of the overactive bladder medications? When should you stop using your seatbelt, sunscreen and vaginal estrogen? Urinary tract infections put people in the hospital and kill them – this is not a hangnail. Can estrogen alone help all pain with sex? What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them. The role of androgens and testosterone in the genitals. ACOG Position Statement of using vaginal estrogen in breast cancer patients https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer Vagina Obscura by Rachel Gross https://amzn.to/46XHChX https://www.myalloy.com/ CASPERSON25 for $25 off https://www.instagram.com/myalloy/ Our podcast sponsor today is AG1. Use AG1 to build a foundation for better health. FREE ONE YEAR SUPPLY OF VITAMIN D3+K2, 5 TRAVEL PACKS drinkag1.com/youarenotbroken Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed 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 psychology to re-educate your brain and help you live your best love life.
0:11.4	And I'm your host, board certified female urologist, Dr. Kelly Casperson.
0:16.3	Hello, everybody.
0:17.9	I am Monica Molinar.
0:20.2	I'm one of the co-founders and co-ceeos of Alloy Health,
0:23.9	which is a telehealth and pharmacy platform for women in menopause. And we're really existing
0:30.2	to validate everything that is going on in your life during peri menopause and menopausal
0:35.9	transition, provide you with access to menopause literate,
0:40.2	trained doctors, OBGYNs who have spent their careers working with women in menopause
0:46.3	and also providing you easy access to evidence-based solutions to help you through the
0:51.4	symptoms of menopause. And all of this started with my own personal journey going into menopause about 10 years ago
0:58.0	when I had my ovaries removed after a positive BRCA diagnosis and decided to prophylactically
1:05.4	remove my ovaries, which sent me into surgical menopause overnight.
1:08.3	And after trying for several years to navigate
1:12.8	through all of the information and misinformation, I decided to, with a partner, start Alloy
1:18.2	Health to hopefully provide a better opportunity for women to get educated, for other women
1:24.0	to get educated and to get the solutions that they need. So with that, we're super duper excited to have Dr. Kelly Casperson joining us today. Dr. Casperson is a
1:34.0	urologist and sexual medicine expert with a hugely popular and one of my favorite
1:40.6	podcast called You Are Not Broken, which speaks to women and men in this stage of
1:45.8	life to really help navigate the medical issues that are going on, but also just the sex
1:51.5	education that we never learned in school or out of school. So we're learning it now in our 40s
1:57.0	and 50s, which is great. So hello and welcome, Dr. Casperson. Thank you so much for joining us.
	...

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