338. Perimenopause with Dr. Hirsch

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.8 • 1.1K Ratings

🗓️ 5 October 2025

⏱️ 40 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode of the You Are Not Broken podcast, Dr. Heather Hirsch joins Dr. Kelly Casperson to discuss the complexities of perimenopause and menopause. They explore the importance of understanding hormonal health, the misconceptions surrounding these transitions, and the need for better education and treatment options for women. The conversation emphasizes the significance of quality of life and the role of hormone therapy in managing symptoms. They also address the challenges in the medical community regarding women's health and the necessity for a shift in how these topics are approached. Dr. Hirsh's Book Want more honest, empowering conversations like this one?⁠⁠⁠⁠⁠ Order my New Book⁠⁠⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0	Welcome to the You Are Not Broken Podcast.
0:06.0	I'm your host, Dr. Kelly Casperson, a board-certified jurologist, thought leader, and conversation
0:12.5	starter on midlife living, hormones, and sexuality.
0:16.7	Enjoy the show.
0:17.7	Hey, everybody, welcome back to the You Are Not Broken podcast. I have a good friend of
0:22.1	mine, Dr. Heather Hirsch on today. And before we go any deeper, I looked back because I can Google
0:28.1	search me and my podcast. And first of all, Dr. Hirsch was on episode 290. That one was called
0:33.4	the biggest gap in women's health care. And that was way back. And then I was like,
0:37.6	Heather's been on my podcast more than that. You were on episode 61 and 62, which was February
0:44.7	of 2021. Wow. Oh my gosh. I remember recording that in my table in Boston. Welcome back. I'm so excited because you're such an
0:57.7	inspiration. I love all the things that you do. I love all the ways in which you speak about
1:04.2	midlife women's health, sexual health. And so it's so fun to get to talk with you and talk to your
1:09.9	audience at the same time.
1:11.6	And that's the end of the podcast.
1:12.9	I just had Heather on here to be kind to me. And we're done. So I remember listening to your podcast early on. You had on a very good friend of yours who was a urologist and you said that she was your best friend. And I was like, oh, she's friendly to urologist. That's cool. and we connected via something we were doing.
1:27.8	And I came on your podcast and we talked about
1:29.5	recurrent urinary tract infections, I think, or bladder leakage. It was a urology topic. Now you know the truth about me. I must just love urologists because so many of my friends' urologists. I was in a meeting with Heather yesterday. There were three female urologists in this meeting that she had.
1:45.3	So like she clearly attracts urologists. And you, for people who miss the boat, Dr. Heather
1:50.6	Hirsch is a internal medicine physician, which we need more of them in perimenopause and
1:56.4	menopause because they actually understand things like cardiac disease. Dude, cardiac disease
2:02.2	mystifies me sometimes. I'm like, why are we ordering all these tests? We don't have any data.
2:07.3	And then people say we can't be on hormones because you got a calcium score and there's no data
	...

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