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You Are Not Broken

364. Marriage, Midlife and Staying Connected with the Whites

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 29 March 2026

⏱️ 55 minutes

🧾️ Download transcript

Summary

In this episode of You Are Not Broken, I sit down with Dr. Kate White and Jay White to talk about something we don’t discuss enough: what actually happens to marriages in midlife. Because midlife isn’t just hot flashes and hormones. It’s identity shifts. Career pivots. Aging parents. Changing bodies. Evolving desire. And if we don’t talk about it, it can quietly unravel connection. We explore how hormonal changes — especially in perimenopause and menopause — can significantly impact intimacy, mood, and relational dynamics. When libido shifts or sex becomes uncomfortable, couples often misinterpret it as rejection instead of biology. That misunderstanding creates distance. We talk about how communication — real, vulnerable, scheduled communication — is essential. Not just “How was your day?” but “How are we doing?” So many couples assume the other person should just know what they need. They don’t. Curiosity is a skill. We also discuss: Why midlife is often framed negatively — but can actually be deeply transformative The common pattern of women initiating divorce when they feel unseen or unheard The difference between sex and intimacy — and why emotional closeness fuels physical connection How counseling can create a safe space to untangle resentment and rebuild trust Why adapting to change — instead of resisting it — is key to long-term partnership One of the most powerful themes of this episode is that midlife doesn’t destroy marriages. Silence does. When couples understand what’s happening — hormonally, emotionally, relationally — they can respond with compassion instead of blame. Marriage in midlife requires evolution. It requires honesty. It requires both people staying curious about who their partner is becoming. And when that happens? Midlife can be a season of deeper connection — not disconnection. https://www.headsandtailspodcast.com/ 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 You Are Not Broken, the podcast that challenges everything we've been taught about midlife,

0:08.1

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

0:13.7

voice in women's sexual and hormone health. Enjoy the show. Hey, everybody, welcome back to the

0:18.6

You're Not Broken podcast. I think I'm going to name this episode, a psychologist and an Obie Guy and walk into a bar.

0:24.2

Because today, we have Dr. Kate White and Jay White, a married team who have separate jobs, but now they have one podcast that they do together.

0:34.7

So welcome to the You're Not Broken podcast. Thank you. Yes. We are heads and tails.

0:39.7

Obviously, he's the head and I spent a lot of time at the tail. And we saw so much overlap in our

0:47.9

patients come home and talk about what was going on in their lives, especially in midlife, where we were seeing

0:55.7

the disruption of relationships, not just their relationships to their partner, but also to

1:03.9

their job and their parents and their families, even their friends during midlife.

1:09.8

The more we talked about it and the more that

1:12.0

Jade saw what I was going through myself, I think it all kind of coalesced into, we're talking

1:18.6

about the same problems from a different perspective, the biology and the psychology and how

1:23.7

they interact. Agreed. That's why the marriage works. You're like, since we talk about this all the time, we should just be recording. Yes, exactly. Exactly. Yeah, yeah, yeah. I love it. Well, I'm so glad you started your podcast. And, you know, a lot of midlife, I was just on NPR for the second time. And like, the zeitgeist is like, why does midlife have to happen? Isn't it

1:47.9

all shitty afterwards? Like, the cultural attitude of this, frankly, sucks right now. And I was like,

1:55.0

this is like an amazing, and I never want to be Pollyanna. But I'm like, it's an amazing opportunity that like a lot of good comes from.

2:05.6

But, you know, it's like any spiritual journey.

2:08.1

Like the pain is part of the recipe.

2:10.8

But it was just like, okay, they're asking on NPR.

2:13.7

Like, why the hell does this even have to happen?

2:16.9

So is that what you're hearing from people like

2:20.1

they're coming in and they're like why do we have to get older why do we have to grow spiritually and

...

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