Episode 350: Six Years In — The Big Winter Blowout, Hormones, Health, and Being in the Arena

You Are Not Broken

Kelly Casperson, MD

Health & Fitness, Medicine

4.8 • 1.1K Ratings

🗓️ 21 December 2025

⏱️ 44 minutes

🔗️ Recording | iTunes | RSS

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Summary

I just wrapped 6 years of podcasting!!! Episode 350 marks a major milestone for You Are Not Broken: six years, 350 episodes, and a whole lot of growth—personally, professionally, and culturally. In this end-of-year “big winter blowout,” Dr. Kelly Casperson reflects on what 2025 brought, what changed (for better and worse), and why continuing to speak up for women’s health still matters more than ever. From world events that shaped the year to personal health wins (yes, including her first colonoscopy), Dr. Casperson shares an honest recap of the moments that mattered. She celebrates big professional milestones—like opening the Casperson Clinic, publishing her second book, winning a podcast award, and helping remove outdated FDA boxed warnings on hormone therapy—while also naming the frustrations, resistance, and misconceptions that persist. This episode also looks ahead: new courses, retreats, sexual health innovations (including a vibrator!), and the continued expansion of education around hormones, sex, and aging. Anchoring it all is a reminder from Theodore Roosevelt’s Man in the Arena: progress belongs to those willing to show up, be imperfect, and keep going. Six years and 350 episodes of You Are Not Broken A candid end-of-year reflection on 2025 and the state of the world “Baby’s first colonoscopy” and why health screenings matter Travel highlights, including Sydney and the Opera House Publishing a second book and opening the Casperson Clinic Major personal health improvements through strength training and lifestyle changes The book "you are not broken" winning an award and hosting a second annual retreat in Sedona Three separate FDA engagements—and successfully removing outdated boxed warnings on hormone therapy The biggest misconception about FDA changes and how fast (and messy) change can be A frank moment of accountability (and humor) around language and advocacy Updates from the Casperson Clinic, waitlists, and the subscription-based care model Addyi approval for postmenopausal women The future of online education, including upcoming “Summer School” hormone courses Takeaways from male-dominated FDA panels and what they miss What’s next: retreats, documentaries, new courses, and new products The top five most-listened-to You Are Not Broken episodes of 2025 Should I Take Hormones? (Ep. 328) How (and Why) to Prescribe Hormones (Ep. 318) GLP-1s with Dr. Salas-Whalen (Ep. 329) Getting Better at Sex – Part One (Ep. 333) Perimenopause Is Real (Ep. 324) New online courses covering testosterone for women, female sex education, GSM, perimenopause, and hormones for longevity A retreat in Whistler (August 2026 — limited spots remaining) The M Factor 2.0: Before the Pause (premieres expected early 2026) A sex education course with Commune launching in 2026 And yes—building a vibrator Dr. Casperson closes with Theodore Roosevelt’s Man in the Arena, a reminder that meaningful change doesn’t come from critics on the sidelines—it comes from those willing to step into the work, get messy, make mistakes, and keep advocating anyway. If you’ve been part of this community for one episode or all 350, thank you for being here. This work continues because it matters—and because you do. Listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠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
0:06.6	jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.
0:13.4	Enjoy the show. Hey, everybody. Welcome back to the You Are Not Broken podcast.
0:18.5	Episode 350, opening up the fifth year, January 1st, 2026, The You Are Not Broken Podcast. Episode 350, opening up the fifth year, January 1st, 2026, the You're Not Broken podcast will be a first grader,
0:27.6	meaning it will be six years old, crazy.
0:31.7	When I started my podcast, for those, there are OGs here that have been with me since the
0:36.5	beginning and many, many super fans that have been like, I'll start at the beginning and watch her evolution.
0:42.0	So those people who know, there were zero other urology podcasters, me and my friend, Dr. Garrett Pullman, who has the prostate health podcast.
0:50.7	Check it out if you have prostate needs were the first two, to my knowledge, the first two
0:55.8	urology podcasters that started this. And now doctors podcasting ain't no big thing. Like just this
1:01.7	year, at least to my knowledge, two more urologists started podcasts. So one of my favorites,
1:08.4	the sex doctors podcast with Dr. Abraham Morgan Teller, check him out. Just two or three
1:12.6	episodes ago, I interviewed him and his wife, Dr. Marion Brandon, who's a sex therapist, who's amazing.
1:19.2	So they have a newer, they have a baby podcast, and you know how baby podcasts are? Like, nobody listens to you in the beginning, except for your mom, and you worry that you're not good. But I'm telling you, they're good. They're good. And I've certainly gotten a lot better myself after doing this for five years. You feel like, you're a really good interviewer. And I'm like, I've been doing this for a half a decade now. Like, I legitimately at this point could call this a media company if I wanted to. I did that with my husband the other day.
1:44.3	I'm like, oh yeah, me and my media company. So maybe I'll just start manifesting that. I mean, when you, when you got a big Instagram and like a substag and a YouTube and an Instagram, like you kind of have, and you speak on stages, you kind of have a media company, don't you? Like, I'm sure people have media companies with less than that.
2:02.0	So today is all about episode 351. kind of have a media company, don't you? Like, I'm sure people have media companies with less than that.
2:02.0	So today is all about episode 351, year in review, wrapping up five years of the You're Not Broken
2:09.8	podcast. I am live on Instagram while I'm doing this, so we'll see if there's some awesome
2:14.6	Q&As that come in, but I have an agenda. I need to catch you guys up. This year was nuts. If you would have told me at the beginning of this year, or even like three years ago, if you would have been like, hey, so you'll quit your insurance-based job, open up a clinic, and in 2025, you'll start a clinic, go to Australia, speak on the Sydney Opera House stage, go to the
2:34.3	FDA three times, be part of the team that got the boxed warning up of vaginal estrogen.
2:39.4	Oh, and have your second book released in 2025, like, and keep a marriage intact and have
2:44.8	children who still love you. Like, oh, and also be in the best shape of your, of the recent years
	...

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