Adult SexEd


You Are Not Broken

Changing Women’s Healthcare from Inside Medicine


In this episode, Dr. Sarah Cigna and I explore the complexity of hormones and desire, emphasizing that there isn’t just one hormone responsible for desire and that they all play together. The importance of individualized treatment and its impact on quality of life is discussed, highlighting the life-changing nature of sexual medicine. The significance of referrals and second opinions is emphasized, encouraging healthcare providers to seek help from specialists and patients to seek multiple perspectives. The need for expanding sexual medicine fellowships is addressed, calling for advanced learning opportunities for all healthcare professionals.


  • Sexual health education is crucial for healthcare providers to better serve their patients.
  • Comprehensive vulvar examinations are essential for diagnosing and treating sexual health issues.
  • Expanding sexual medicine fellowships can help train more clinicians in this specialized field.
  • Individualized contraceptive options should be offered to patients based on their specific needs and preferences.
  • Improving pain control options for IUD placement can make the procedure more comfortable for patients.
  • Testosterone is not the sole hormone responsible for desire, and other factors, such as estrogen, play a significant role. Hormones and desire are complex, and there isn’t just one hormone responsible for desire.
  • Individualized treatment in sexual medicine can greatly improve quality of life.
  • Referrals and second opinions are important in sexual medicine to ensure patients receive the best care.
  • Expanding sexual medicine fellowships is crucial for advancing the field and providing evidence-based care.

About dr. signa

Dr. Sarah Cigna (She/Her) is an Assistant Professor of Obstetrics & Gynecology with The George Washington University. She is the current Director of the SAGA (Sexual Health and Gender Affirmation) Center and Director of the first Sexual Medicine Fellowship in the country for OBGYN physicians.
She is active in the International Society for the Study of Women’s Sexual Health (ISSWSH); she has served on the education committee for several years and will be taking over as the Education Chair this year. She is a Fellow of ISSWSH and runs a busy sexual medicine outpatient service, teaching medical students, residents, fellow clinicians and patients the wonders of sex medicine! She still enjoys birth work (delivering babies), and benign GYN surgery. She hopes to model the role of sexual medicine specialist in an academic setting for aspiring sex detectives.

dr. signa on IG



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Kelly Casperson, MD


Kelly Casperson, MD

She’s the sister, urologist, sex expert and friend you never knew you needed….until now.

Dr. Kelly Casperson is a board certified urologist. That makes her an expert of the pelvis. And her mission is to empower women to live their best love lives. Because let’s be honest. None of us were taught right. Combining the power of mind, body and relationships, Dr. Kelly joyously breaks down the societal barriers that are keeping us from awakening into our best intimate experience.

Listen, share and subscribe.

Whether you are young or past menopause, single or in a long-term bond, it is never too late or too early to realize YOU ARE NOT BROKEN. With humor, candor and ease, I break down the stories that we have been told about being sexual beings, to help us play, explore, and normalize our lives. Nothing in this podcast is personal medical advice, of course.

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