347. Unraveling the Myths of Vaginal Hormones

You Are Not Broken

Kelly Casperson, MD

Health & Fitness, Medicine

4.8 • 1.1K Ratings

🗓️ 30 November 2025

⏱️ 45 minutes

🔗️ Recording | iTunes | RSS

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Summary

GSM = genitourinary syndrome of menopause - it is a mouthful - and a very common experience. Today Dr. Corinne Menn and Dr. Casperson talk all about it. This audio is taken from an IG live - follow us both there! In a world where women's health often takes a backseat, the conversation surrounding vaginal hormones is crucial yet frequently misunderstood. We dive deep into the complexities of vaginal estrogen, dispelling common myths and providing clarity on its importance for women, especially those facing menopausal challenges. Dr. Menn's IG 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. 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	We're going to make fast fire, so I'm going to say the question and we can
0:22.0	both, you can chime in, I'll just go through as many as possible. And I just think we're both
0:26.8	always really fired up about this. And I just think it's appalling. We think of this, you and I is
0:33.2	low-hanging fruit because we talk a lot about other more complicated uses of hormones.
0:37.7	Well, not really complicated, but to the average, you know, doctor, it seems complicated. So we think vaginal hormones, this should be easy, but it's still not. We joke. We could just have Instagram accounts where all we do is answer questions about vaginal estrogen, right? I know, totally. No, I think of the anger is appropriate. I was out to dinner last night and I'm like, I'm just, I'm kind of angry today.
0:57.6	Oh, I think of the anger is appropriate. I was out to dinner last night and I'm like, I'm just, I'm kind of angry today.
0:57.6	Oh, I'm angry. Yeah. And they're like, why are you angry? And I'm like, I'm so angry that we know all of this. Yeah. We've been doing this for a very, like longer than I've been doing it, right? Like medicine's been doing this. We know it's safe.
1:11.8	We know it's good. And it's just beating a head against a wall because it's whack and mole.
1:17.3	Yeah. And so the reason why I texted you yesterday and then we'll get into the questions.
1:20.8	And what I was saying when we were trying the live earlier was that I saw a patient yesterday who was 10 years from an early stage breast cancer diagnosis,
1:30.6	totally doing great, is in menopause and has terrible GSM and has not been able to have
1:38.1	sex for two years. She is literally living your book. You are not broken. Like she,
1:44.0	her and her husband are great communicators.
1:46.4	They have an incredible relationship.
1:48.1	They just went on a beautiful, special trip to two of them.
1:51.7	And we had, she looked me at the best time, but we didn't, we weren't able to have sex once.
1:56.3	Because it's so painful.
1:57.6	And she just was seen at the survivorship clinic at a famous world-class breast cancer
2:03.6	center, which won't be named, but you could guess.
	...

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