meta_pixel
Tapesearch Logo
Log in
You Are Not Broken

358. It Was Never All In Her Head with Dr. Elizabeth Comen

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 15 February 2026

⏱️ 38 minutes

🧾️ Download transcript

Summary

This week on You Are Not Broken, I sit down with breast oncologist and historian Dr. Elizabeth Comen to talk about her powerful book All in Her Head and the long, complicated history of how women’s health has been misunderstood, minimized, and medicalized. If you’ve ever been told your symptoms are anxiety… stress… hormones… or just part of being a woman — this episode is for you. We explore the historical roots of dismissal in women’s healthcare and how those patterns still show up today, especially in cancer care. Dr. Comen walks us through how breast cancer treatment has evolved, what we’ve gotten right, what we’ve gotten wrong, and why quality of life must be part of the conversation — not an afterthought. We also talk about: Why women’s pain has historically been labeled “hysteria” How medical bias still affects diagnosis and treatment The real tension between longevity and quality of life Hormonal therapies in breast cancer — and how nuance gets lost Why advocacy matters more than ever The double-edged sword of social media and AI in health information How understanding medical history helps us build better medicine today This episode isn’t about blaming the past. It’s about understanding it — so we stop repeating it. Because when women are dismissed, care suffers. And when women are informed, everything changes. If you care about evidence-based medicine, health equity, and empowering women with real information — this is a must-listen. Dr. Comen's IG Dr. Comen's Book 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

Click on a timestamp to play from that location

0:00.0

Welcome to You Are Not Broken, the podcast that challenges everything we've been taught about

0:07.6

midlife, hormones, and sexuality. I'm Dr. Kelly Casperson, board certified jurologist, author,

0:13.4

and a leading voice in women's sexual and hormone health. Enjoy the show. Hey, everybody,

0:18.0

welcome back to the You Are Not Broken podcast. This is like the most long overdue competition to have Dr. Elizabeth Coleman on this podcast because by no fault of her, I've had to reschedule like multiple times. So welcome finally to the You're Not Broken podcast, Dr. Elizabeth Cohen.

0:32.6

Thrilled to be here. You're a busy lady, but we made it work. Between you and me, we're busy people. So you are a practicing oncologist in New York City, NYU, and you're a busy lady but we made it work between you and me we're busy people so you are a practicing oncologist in new york city NYU and you wrote a very popular book that everybody loved and i loved it i took i took a while to read it and then i like read it in a weekend because it was so effing good and it's called all in her head and. And it's phenomenal. And it's about the history. For anybody who likes the history of medicine, it's a very good history book. And it also gets you a little pissed. If you thought, like, maybe things aren't equal in health care between the genders. If you ever thought that, this book proves it. Thank you. I really appreciate your endorsement. It's phenomenal. And you have a,

1:12.9

you, I'm going to get it wrong, but your undergrad was in history or history of medicine. This book's

1:17.7

been coming, right? This, I've always wanted to do this. So I majored in the history of science at

1:22.7

Harvard, which became really the history of medicine. And for me, I really was, I knew I wanted to be a doctor,

1:29.3

but I was always fascinated by the culture, the religious influences, the societal influences on

1:35.6

science. And if you think about even just the COVID vaccine or COVID, nothing happens in a vacuum.

1:40.9

Science does not happen in a vacuum, but we can tend to think that it's this

1:44.5

objective pursuit of truth, which it's not. It's influenced by the people who have the seat at

1:49.4

the table, those who have the instruments, the tools, the power, the money, and the questions

1:53.1

that can be answered. And for me, I always was fascinated by women's health in particular.

1:59.7

I became a breast oncologist. And over time,

2:02.6

taking care of women, I really was overwhelmed by just the gaps in our health care. And I wanted to

2:08.1

understand them better. This was my way to do it. I've written two books, which is insane, because I'm

2:13.8

like, I'm like, do I even identify with the word author? But I have two under my belt.

2:22.9

So I feel I feel like I can be like, I understand it takes a lot of work to write a book.

2:31.5

But your book is fact after fact, after history, after story. Like this thing is packed with receipts.

2:52.9

Well, initially, when I thought I wanted to write, well, when I was talking to an agent, they thought, would you just want to write about breast health or breast cancer? And I said, absolutely not. I don't want to write the, here are the five things that you need to know, to optimize, like, that's been done. I really wanted to write an intellectual book that was accessible, that would show the things that I was learning by looking back at, you know, 17th century medical records or looking at an Egyptian mummy who had evidence

2:58.2

of urinary incontinence. How long have these embedded narratives been in women's health? So the book has

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Kelly Casperson, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Kelly Casperson, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2026.