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You Are Not Broken

260. Women and Testosterone

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5743 Ratings

🗓️ 14 April 2024

⏱️ 42 minutes

🧾️ Download transcript

Summary

260. Women and Testosterone I join Dr. Harper on her “Women’s Power Hour” in the UK on IG live and it was such a good chat she let me have the audio for the podcast. Dr. Kelly Casperson and Dr. Harper discuss the importance of testosterone for women's health, including muscle mass, metabolism, mental health, and the health of the genitourinary tract. They address common questions and misconceptions about testosterone, such as why it isn’t easy to prescribe and the normal ranges for women. They also explore the use of testosterone in the treatment of genetic urinary syndrome of menopause and its potential benefits for breast cancer survivors. The conversation highlights the need for personalized hormone therapy and the importance of considering other factors that may impact libido and overall well-being. Why are there many urologists who are experts in female pelvic health and hormones? There are no “perfect” testosterone levels; we don’t treat it to a level, but rather, there is a range. How Testosterone helps with genitourinary syndrome of menopause (GSM). In perimenopause, sometimes testosterone is the first thing we start for symptoms. Sometimes testosterone supplementation takes several months to have effects. What to do if you don’t feel effects.  Dr. Harper shares some tips and tricks. Testosterone is important for women's health, including muscle mass, metabolism, mental health, and the health of the genital, urinary tract. There are misconceptions and challenges surrounding the prescription of testosterone for women, including the lack of a female-licensed product and the off-label use of male testosterone products. Testosterone can be beneficial for women with genetic urinary syndrome of menopause and breast cancer survivors, but individualized treatment and monitoring of hormone levels are important. Hormone therapy should be personalized, and other factors that may impact libido and overall well-being should be considered. Testosterone positively affects brain function and mental clarity, which can greatly improve the quality of life for women. Should we use hormones for preventative health? We make estrogen via the androgen pathway. Reasons that we benefit from testosterone. There is no female-licensed product in either the UK or the USA. https://www.instagram.com/drshahzadiharper/ https://theharperclinic.com/ FirmTech sponsors this podcast today. Go to ⁠myfirmtech.com⁠ and enter code NOTBROKEN for 15% off today. Our other amazing podcast sponsors To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product. Discount automatically applied at checkout. Women of all ages deserve to feel fantastic. And we can—because there is relief to be found. Go to ⁠myalloy.com⁠ to start your virtual appointment today. Use code NOTBROKEN20 it's good for $20 off any purchase, one time use, and expires July 31, 2024 Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! 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

Welcome to the You Are Not Broken podcast. I'm your host, Dr. Kelly Casperson, a board-certified

0:09.9

jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.

0:16.6

Enjoy the show. Thank you for joining me on Women's Power Hour today. And today it's a little bit

0:21.7

later because our guest today is Dr. Kelly Casperson, who is over the pond, over in the States.

0:30.8

And we're going to be talking today about testosterone and also genitia syndrome of menopause.

0:40.4

She's a urologist and also as a podcast,

0:46.5

you are not broken. And we're both here to help women empower them and also to answer your questions. Testosterone is always a topic that really gets a lot of women sort of discussing and

0:52.9

I've had already loads and loads of questions.

0:55.5

And I'm going to start answering some of these questions and I'm going to talk a little bit

0:59.1

about what testosterone is because we hear a lot about estrogen. We hear a lot about progesterone

1:05.1

and those are our sort of dominant female sex hormones. However, we also, as women, need testosterone. And actually,

1:13.4

our estrogen is made through what we call our androgen pathway. So our ovaries and adrenal glands

1:19.8

produce testosterone, and it gets converted to estrogen through enzyme aromatase through the

1:25.6

pathway so that we as women have most of our

1:28.9

testosterone converted into our female sex hormones whereas for men that doesn't occur.

1:34.8

So for most of you, for many of you who may not be aware of that, that's why we as women are,

1:39.9

it's also very important for us to have testosterone on board.

1:43.5

We need it for muscle mass,

1:45.6

for metabolism, for mental health, sharpness, for the health of our sort of geniturinary

1:51.6

tracks, libido, desire. So, you know, one of the questions I get asked about here in the UK

1:57.7

is why are GPs reluctant to prescribe testosterone or why is it so difficult

2:03.5

getting hold of it? Now there are a few reasons for this. One, there is no female licensed

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