5 • 743 Ratings
🗓️ 10 September 2020
⏱️ 9 minutes
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0:00.0 | Welcome to You Are Not Broken, the only podcast that combines science, medicine, and psychology, to re-educate your brain and help you live your best love life. |
0:15.9 | And I'm your host, Ford Certified Female Urologist, Dr. Casperson. |
0:24.3 | Hey, guys. board certified female urologist Dr. Casperson. Hey guys, today I'm going to talk about a patient that came in to see me, and I'm going to |
0:28.8 | kind of make her a generic person because this is so incredibly common. This applies to so many |
0:33.1 | people. So a lady comes in. She's, you know, middle-aged, late 50s, early 60s. She has grown kids. They're out of the |
0:42.5 | house. She may be on her first marriage or she may have, be on multiple marriages. And she comes in |
0:48.7 | with pain with sex. And basically she's stopped having sex because of the pain. And we talk about her pelvis and her muscles and her vaginal estrogen status and hormone |
0:59.9 | creams and lubrication and all the things that urologists do. |
1:04.0 | So not to negate the importance of all of those things. |
1:07.0 | I always get a physical therapist involved with pain with sex. |
1:10.8 | Nearly universally are |
1:12.5 | going to use some sort of prescription hormone cream after perimenopause, postmenopause, or |
1:18.9 | side effects from birth control pills. So unless there's a contraindication because of cancer or |
1:24.1 | something like that. And lubrication, a lot of these women have never tried lubrication. |
1:28.9 | They're just stuffing a penis into their vagina with spit. Or, you know, K-Y jelly is like the, |
1:34.9 | I don't know, it's universal. It's like the Betty Crocker of lube. You can find it everywhere. |
1:39.7 | But it's water-based and for really dry skin, it does not work well. So the other thing is just acknowledging the role that vaginal dryness plays in discomfort |
1:50.3 | with sex. |
1:51.5 | So not to negate the importance of that, but the point of this podcast is about the mind. |
1:56.5 | So inevitably, you know, I always ask her what her goals are, because if she doesn't know what her |
2:01.2 | goals are, I can't help her. I've got so many tools in my toolbox for better sex and books and |
2:06.8 | resources and websites and therapists and sex therapists. But if you don't have a goal, then I don't know |
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