322. Surgical Menopause - A Personal Narrative

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 15 June 2025

⏱️ 42 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, number 322, I sit down with sex therapist Dr. Juliana Hauser for a deeply personal and powerful conversation about her experience with surgical menopause. She opens up about the decision-making process around her hysterectomy—what led her there, what she wishes she'd known beforehand, and how it impacted her physically, emotionally, and sexually. We discuss the importance of thoroughly understanding your hysterectomy options—not all procedures are the same, and having the right information can make a significant difference. Dr. Hauser shares how guided imagery became a key part of her healing process, and we dive into the complicated (and often frustrating) world of hormone therapy. She also brings up the role of doulas—not just for birth, but for menopause—highlighting how emotional support can be just as essential as medical care. We explore why open communication in relationships matters so much, especially when it comes to sexual confidence and intimacy post-surgery. This conversation is raw, real, and full of wisdom for anyone navigating hormonal changes, recovery after hysterectomy, or simply learning to advocate for themselves in a system that doesn’t always listen. https://dr-juliana.com/ https://flourishwholehealth.com/ ⁠⁠⁠⁠⁠Order my book⁠⁠⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠ To learn more about GennaMD by Solv Wellness, visit ⁠gennaMD.com ⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠gennaMDHCP.com⁠. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0	As a urologist, I see many patients with recurrent urinary tract infections.
0:04.1	While vaginal estrogen is my first-line therapy for women in menopause,
0:07.8	I also like to offer my patients alternative proven treatment options.
0:11.5	That's where Solve Wellness comes in.
0:13.6	They've just launched Jenna MD, the next generation UTI defense.
0:18.7	And while Jenna MD is new, Sol solve wellness is not. They were the first
0:23.1	to bring doctors a clinically proven UTI supplement to the U.S. back in 2010, using 36 milligrams
0:29.1	of soluble pack, PAC, the active ingredient found only in pure cranberry juice extract that
0:35.9	helps protect against UTI causing bacteria.
0:39.0	Building on that same trusted science, JennaMD delivers twice the pack concentration found in
0:44.3	most other supplements, all in a smaller, easier to swallow capsule for maximum UTI defense.
0:50.2	To learn more about Solve Wellness's latest innovation, visit genaM-D.com.
0:56.2	That's g-en-n-n-a-m-md.com, where new customers can get 20% off their first purchase.
1:03.7	And for an additional $5 off, use coupon code, Dr. Kelly 5.
1:08.5	That's D-R-K-E-L-L-Y-5. Providers can request patient education materials and samples by visiting
1:15.8	Jenna M-D-H-C-P.com.
1:23.7	Welcome to the You Are Not Broken podcast. I'm your host, Dr. Kelly Casperson, a board-certified
1:30.3	jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.
1:36.8	Enjoy the show. Okay, you guys have been asking and I have been listening. You guys have been
1:42.4	dying for me to do a podcast on surgical menopause and hysterectomies and the whole journey.
1:49.0	And so here we are.
1:50.2	I have Dr. Juliana Hauser, who is so nice to come on second time on the podcast.
	...

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