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You Are Not Broken

354. Building Companies, Busting Myths, And The Power Of Hormones

You Are Not Broken

Kelly Casperson, MD

Health & Fitness, Medicine

4.81.1K Ratings

🗓️ 18 January 2026

⏱️ 50 minutes

🧾️ Download transcript

Summary

In this episode of the You Are Not Broken, Dr. Kelly Casperson is joined by Joanna Strober, CEO of MIDI Health, for a direct and hopeful conversation about menopause care, hormone therapy, and what women actually need from the healthcare system. Joanna shares the story behind building MIDI Health and why access, education, and properly trained providers are essential to closing the massive gaps in menopause care. Despite the data, only a small fraction of eligible women are receiving hormone therapy—leaving millions undertreated, dismissed, or told to simply “push through.” This episode tackles outdated narratives around menopause, reframes hormones as foundational to long-term health and longevity, and makes a strong case for advocacy—by clinicians, companies, and women themselves. How MIDI Health is delivering hormone therapy to 25,000 women each week Why only ~5% of women over 40 are currently using hormone therapy The critical need for education and training in menopause care How hormone therapy can help prevent downstream health issues Why menopause care doesn’t end when periods stop What’s broken in women’s healthcare—and how to fix it Real patient success stories that show what’s possible The role of hormones in longevity, vitality, and overall health Why advocacy is essential for meaningful change MIDI Health’s vision to become a trusted, national brand for women’s health Menopause is not the end of care—it’s the beginning of a new phase that deserves attention, education, and evidence-based treatment. Hormone therapy isn’t about vanity or “anti-aging”; it’s about giving women access to the healthcare they’ve always deserved. 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 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

Hey, everybody. Welcome back to the You Are Not Broken podcast. Today we're going to talk to my friend, Joanna Strober, who is huge in the menopause world

0:25.8

because she is changing a lot of people's lives.

0:29.2

Joanna, thanks for coming to the podcast.

0:31.3

I'm very excited to be here.

0:33.2

So we're going to talk like all the halves, a third maybe, a third business, a third

0:36.5

empowerment, a third menopause, because I want to get into the story of like how you are running this

0:43.5

massive company that you're running. People don't just come out of the gate running massive

0:47.9

companies. There's always a buildup. So can you tell us your story on like your career and how you got to,

0:53.0

and for anybody who doesn't know yet she runs

0:55.1

midi health m i d i health which provides hormone therapy to what hundreds of thousands of

1:02.4

women at this point about 25,000 a week 25 000 a week so midi takes care of a town of women

1:10.4

every single week that's like a large stadium of women

1:14.6

every single week. And we're just getting started because there's 80 million women over the age of 40.

1:20.4

And as of the last data collection, only about 5% are on hormones. We're working to change that.

1:26.3

So tell us how did you get to helping 25,000 women a week with hormone therapy?

1:32.2

Yeah.

1:32.6

So God, if you had said we would get here, I'm not sure I would have believed you a few years

1:37.7

ago.

1:38.0

But we started a mini a few years ago, and only less than four years ago.

...

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