Adult SexEd


You Are Not Broken

Genitourinary Syndrome Of Menopause 101


This is an interview I did with my friend and co-founder of a menopause clinic Alloy, Monica Molenaar.


  • Why I care about women and sex and hormones
  • The definition of menopause and how we aren’t educated about what menopause actually is and the symptoms that can arise
  • Genitourinary Syndrome of Menopause
  • The types of bladder leakage and how
    estrogen can help
  • The different types of estrogen –
    vaginal and systemic
  • Why we need vaginal estrogen even when we are not sexually active
  • Why I have a cream bias with vaginal estrogen, and other options.
  • Vaginal estrogen will not help your hot flashes.
  • Myths about who can and can’t use
    vaginal estrogen.
  • Biologic changes of the skin of the vulva after menopause
  • How the clitoris works.
  • Scream Cream – what it is and does it work.
  • Favorite lubes and I explain why I like what I like
  • Gen X is the lowest users of vibrators in America
  • There are many papers showing transdermal estrogen does not increase your clot risk above what it already is.
  • I explain the Women’s Health Initiative study and how it hurt women by creating fear.
  • Vaginal estrogen is equivalent in efficacy to the common overactive bladder medications. Why not restore function instead of taking
    the side effects of the overactive bladder medications?
  • When should you stop using
    your seatbelt, sunscreen and vaginal estrogen
  • Urinary tract infections put people in the hospital and kill them – this is not a hangnail.
  • Can estrogen alone help all pain with sex?
  • What do they new Menopause guidelines say about the window for starting systemic hormones and how long can you take them.
  • The role of androgens and testosterone in the g******s.


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Kelly Casperson, MD | Board Certified Urologist · Sexuality & Hormones Expert and Advocate


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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