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You Are Not Broken

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5743 Ratings

🗓️ 12 May 2024

⏱️ 50 minutes

🧾️ Download transcript

Summary

264. Cervical Cancer, Birth Control, Vulvar Pain, Gaslighting with Dr. Andrew Goldstein Dr. Goldstein was previously on Episodes 68 and 69! Go check out the back episodes. Dr. Goldstein is a gynecologist and is a past president of ISSWSH. He is a top world expert in vulvar pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, and book chapters on female sexual dysfunction, sexual pain disorders, lichen sclerosis, lichen simplex chronicus, vulvodynia, and vulvar vestibulitis syndrome (vestibulodynia). Dr. Goldstein has a strong commitment to global medicine and is probably still jet lagged from his recent trip to Cambodia. In this episode of the You're Not Broken podcast, Dr. Andrew Goldstein discusses various topics related to women's health, including cervical cancer screening and prevention, the global impact of cervical cancer, dispelling myths about HPV vaccination, his book 'When Sex Hurts,' abstracts presented at Isswsh, Ehlers-Danlos Syndrome and pelvic pain, mast cell activation syndrome and vulvar pain, and the upcoming Vulvodynia Therapeutics Research Summit. The conversation covers the need for funding and collaboration in vulvodynia research, the potential of chemical vestibulotomy as a treatment, the impact of birth control on vulvar issues, the importance of pain control for procedures, and the issue of gaslighting and believing women's pain. Takeaways Cervical cancer is a leading cause of cancer death in women worldwide, particularly in resource-poor countries where screening is lacking. Vaccination against HPV can prevent cervical cancer and other related cancers, but there is a need to increase vaccination rates globally. Misconceptions about HPV vaccination leading to increased sexual activity are unfounded, and vaccination is crucial for preventing HPV-related diseases. Ehlers-Danlos Syndrome and mast cell activation syndrome are emerging as significant contributors to vulvar and pelvic pain, and further research is needed to develop effective treatments. The Vulvodynia Therapeutics Research Summit aims to bring together experts to explore novel treatments for vulvodynia and improve patient outcomes. Funding and collaboration are crucial for advancing research on vulvodynia. Chemical vestibulotomy shows promise as a treatment for neuroproliferative vestibulodynia. Birth control can have an impact on vulvar issues, and it is important for healthcare providers to discuss potential side effects with patients. Pain control should be prioritized during procedures, such as IUD insertion. Women's pain needs to be believed and relieved, and gaslighting should be addressed in healthcare settings. https://vulvodynia.com/ https://www.gyncancer.org/ Solv Wellness 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. FirmTech Go to myfirmtech.com and enter code NOTBROKEN for 15% off today. ALLOY 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 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.

0:18.2

Hey, everybody. Welcome back to the You're Not Broken podcast. Today I have my good

0:21.4

friend, Dr. Andrew Goldstein on. For those who can't get enough, you can go way, way back to the

0:27.0

beginning of the podcast, episode 68 and 69 you are on. That was like three years ago. So welcome

0:33.6

back. Well, thanks. Thanks for having me. I'm glad to be back. I didn't realize I was a double episode way back then.

0:39.6

Oh, I split you in two.

0:40.7

It was so good last time.

0:41.9

You got split in two last time.

0:43.6

So Dr. Goldstein's a gynecologist, past president of Ishwish, a top world expert

0:48.2

involve our pain and is actively involved in research and has published more than 100 peer-reviewed articles, abstracts, book chapters, books on female sexual dysfunction, sexual pain disorders,

0:59.0

lichen sclerosis, lichen sylplex chronicus, which just means itch, vulvo dinia and vulvar

1:04.6

vestibulitis syndrome. And that's the end of the podcast. That's a lot.

1:09.6

They've done a fair amount, you know. I mean, just all it proves is I've earned these gray hairs, I think is all of you.

1:15.7

It's better out.

1:16.9

You still see patients primarily in the New York office, or are you still in several offices?

1:22.8

I'm mainly in New York, but I do see people in Washington, D.C. as well.

1:27.3

And spend a lot of time now doing international medicine.

1:30.8

You're not a jet-legged anymore from your Cambodia trip recently, are you?

1:34.4

No, we got back a few weeks ago from Cambodia.

1:38.8

My side hobby is actually I do cervical cancer screening and treatment in resource poor countries,

...

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