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You Are Not Broken

346. Vibrators As Medicine

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 23 November 2025

⏱️ 45 minutes

🧾️ Download transcript

Summary

In this episode of the You Are Not Broken podcast, Dr. Alexandra Dubinskaya, a urogynecologist, discusses the role of vibrators in women's health, particularly in addressing sexual health issues. She shares her journey into the field of urogynecology, the importance of sexual health, and her groundbreaking research on vibrators. The conversation explores the implications of her findings, the cultural perceptions surrounding sexual health, and practical recommendations for healthcare providers. Dr. Dubinskaya emphasizes the need for further research and the potential benefits of vibrators in improving blood flow and addressing conditions like lichen sclerosis and atrophy. Takeaways Vibrators can improve blood flow to the pelvic area. Cultural perceptions of sexual health impact women's experiences. Research on vibrators is a new frontier in women's health. Vibrators can help with conditions like lichen sclerosis and atrophy. The importance of sexual health in urogynecology cannot be overstated. Women often feel more comfortable using vibrators externally. The 'use it or lose it' concept needs a nuanced approach. Healthcare providers should recommend vibrators as a common practice. Better questionnaires are needed to assess solo sexual activity. Future research should focus on creating user-friendly vibrators. https://drurogyn.com/ To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠Pinnacle's network to earn FREE CME credit⁠ 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 starter on midlife living, hormones, and sexuality.

0:16.0

Enjoy the show.

0:18.0

Hey everybody, welcome back to the You're Not Broken podcast.

0:20.0

The big question today

0:21.2

is, should doctors be prescribing vibrators? And I'm here with a fellow vibrator officiator,

0:27.5

Dr. Alexandra Dubenskaya, who is a Eurogynecologist in California. Welcome to the podcast.

0:33.9

Thank you so much for having me, Kelly. So you did gynecology residency and then Eurogine Fellowship,

0:40.3

and now you practice in the Los Angeles area, yeah?

0:43.8

My story is a little bit longer than that.

0:46.2

I'm happy to share.

0:47.4

Yeah, sure.

0:48.2

I actually grew up in Russia,

0:50.6

and I did a general surgery residency in Russia.

0:54.1

No way. Yes. And I'm coming from family of

0:58.5

doctors, surgeons, so I kind of knew how the life of medical professions are. And it's not very

1:06.4

reasonable for me and logical to go to medical school. And I also wanted to make a difference. So while I was

1:13.6

in medical training, I got a chance to travel in different countries. And one of the country was the

1:18.8

United States. So when I came here, I fell in love with the hot air of New York, of the tall skies, of the East Coast, of the heavy rains of Virginia,

1:32.3

tall mountains of California. And I thought, why not? Maybe I could become a doctor in the United

1:39.1

States. Like, how crazy could it be? And that thought continued living with me. And one day, I convinced my mom to help

1:47.9

me. We collected some money like $400. And I was on a way to United States. So I didn't really

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