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You Are Not Broken

294. Live Q&A: Perimenopause, Bladder leakage, Hormones and More

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5743 Ratings

🗓️ 8 December 2024

⏱️ 37 minutes

🧾️ Download transcript

Summary

In this conversation, Kelly Casperson discusses the complexities of perimenopause and its associated symptoms, particularly focusing on incontinence and the role of hormone therapy. She emphasizes the importance of vaginal estrogen as a treatment option, debunks common myths surrounding hormone therapy, and highlights the need for early intervention to prevent long-term health issues. The discussion also covers alternative treatments, the connection between hormones and pelvic floor health, and the risks and benefits of hormone therapy, ultimately advocating for patient empowerment and informed decision-making in women's health. Takeaways Vaginal estrogen is a safe and effective treatment for urinary issues during perimenopause. Hormones play a crucial role in preventing diseases associated with aging. Many women experience urinary symptoms during perimenopause, which can be alleviated with proper hormone therapy. There is a misconception that hormone therapy is only for post-menopausal women; it can be beneficial during perimenopause as well. Vaginal estrogen can significantly reduce the risk of urinary tract infections. Patients should advocate for their health and seek second opinions if necessary. Hormone therapy can improve quality of life and reduce symptoms of menopause. Education about hormone therapy is essential for both patients and healthcare providers. Pelvic floor physical therapy is a valuable resource for managing incontinence. The medical community needs to shift towards preventative care rather than reactive treatment. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: 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 Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Did you know that most doctors never receive any training in midlife hormone changes?

0:05.5

But there are over 50 million midlife women and nowhere near enough health care providers,

0:11.1

especially those trained specifically in midlife health.

0:14.7

That is why I'm so excited to introduce you to Midi Health.

0:18.6

Midi is specifically focused on helping women at midlife.

0:22.2

I trust them because their specialty trained clinicians are true experts on women's hormones

0:26.7

and all the symptoms that women experience at midlife. If you are coping with issues like stubborn

0:32.2

weight gain, hot flashes, night sweats, or even a loss of your libido, Midi health clinicians can help you feel like

0:38.7

yourself again. And even better, Midi accepts most major health insurance plans, so it's no

0:43.8

different than visiting your regular doctor. With Midi, scheduling an appointment is so easy,

0:49.3

and in most cases, you can meet your clinician within a week or so. It's really convenient.

0:55.0

So you guys, you deserve to feel clinician within a week or so. It's really convenient. So you guys,

1:01.4

you deserve to feel great. Book your virtual visit today at join midi.com. That's join midI.com. When they asked you how you learned about MIDI, tell them it was the You

1:07.2

Are Not Broken podcast with me, Dr. Kelly Casperson. It really helps support the show.

1:16.3

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

1:22.8

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

1:29.4

Enjoy the show.

1:31.1

Hey, everybody. I'm going live on Instagram and recording a podcast. We're going to talk about

1:34.9

perimenopause and incontinence today. First things first, tonight, Heather Hirsch Academy.

1:41.1

And I'm teaching the three of four live classes. Tonight is genital urinary

1:48.3

syndrome of menopause, vaginal estrogen, vaginal DHA, vaginal testosterone, and then we're

1:53.6

going to go into the non-hormonal medications for female sexual dysfunction. So phlebancerin, brimalanitide, new proprium. And then we're

...

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