Ep 95 Testosterone, Hormones, and Midlife Sex with Dr. Kelly Casperson

2025-12-22

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Testosterone, menopause, and women’s sexual health are still surrounded by confusion, fear, and outdated information. In this episode, I sit down with Dr. Kelly Casperson, board-certified urologic surgeon and founder of the Casperson Clinic, to break down what women actually need to know about hormones, intimacy, and midlife health. We talk about why testosterone is not a “male hormone,” how hormonal changes affect the vulva, pelvic floor, and libido, and why so many women are under-treated or misinformed. Dr. Casperson shares what’s changed in hormone therapy research, why vaginal estrogen is one of the safest tools available, and how to approach testosterone safely without wrecking your body. Get ready to understand your hormones, protect your health, and make confident decisions about your body.

In this episode, you will learn:

00:00 What happens to vulvar and pelvic tissue as hormones decline.

06:45 How hormone therapy research has been misrepresented for years.

11:30 Does vaginal estrogen help with pelvic floor laxity?

15:45 What women actually need to protect bladder, sexual, and vaginal health.

20:00 How Dr. Casperson became an advocate for women’s sexual health.

25:30 How testosterone supports women’s energy, mood, and vitality.

31:30 The most essential approach when using testosterone.

35:30 Safer first-line options for testosterone therapy.

39:30 Two most powerful tools in women’s health.

Resources

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