
Episode 047: The Truth About Hormones: How Your Body Really Works
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About this listen
What happens when you outlive your ovaries? Dr. Kelly Casperson, board-certified urologist and award-winning author, joins us to unpack the truth about menopause and hormones in her characteristically honest, evidence-based approach.
Kelly challenges the outdated narrative that hormones are dangerous, walking us through why the 2002 Women's Health Initiative study has been widely misinterpreted. "The paper is free online," she explains, "and it says breast cancer does not reach statistical significance." Yet two decades later, this misunderstanding continues to prevent women from accessing treatments that could significantly improve their quality of life.
We dive deep into the timing hypothesis—why starting hormone therapy early provides the best preventative benefits against conditions like heart disease and dementia—and why baby boomers should be "pissed" about being denied hormones when they needed them most. Kelly doesn't hold back when debunking the patronizing "grandmother hypothesis" or addressing vaginal health with her trademark blend of medical expertise and humor.
Perhaps most valuable is her balanced approach to menopause management. While advocating for hormone therapy when appropriate, she emphasizes that slapping on an estrogen patch won't help much "if you're drinking and not sleeping and not exercising and your mood about getting older is shitty." The real power comes from combining hormone knowledge with lifestyle changes and a positive mindset.
Whether you're approaching perimenopause, deep in the menopause transition, or supporting someone who is, this episode delivers the straightforward education women deserve. As Kelly reminds us, "Nobody is more in charge of your body and your knowledge about it than you."
Be sure to order her new book, "The Menopause Moment," available at all your favorite bookstores.
Dr. Kelly Casperson is a board-certified urologist, best-selling author, and top-ranked international podcaster empowering women to take charge of their health, hormones, and sexuality. Known for blending science with storytelling, she turns complex medical topics into relatable, actionable insights that help women live fully, especially in midlife.
With her signature candor and clarity, Dr. Casperson dismantles myths around sex, menopause, and desire. Her acclaimed podcast, You Are Not Broken, is a trusted resource for hundreds of thousands of women seeking real answers about their bodies and brains. Her work fuses urology, neuroscience, and mindset coaching to spark lasting change in intimacy, confidence, and well-being.
As a speaker and educator, Dr. Casperson challenges outdated norms in medicine while offering bold, science-backed solutions. Whether on stage, in clinic, or behind the mic, she is leading a health revolution through smart, honest conversations.
Website: https://kellycaspersonmd.com
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MiDOViA is dedicated to changing the narrative about menopause by educating, raising awareness & supporting women in this stage of life, both at home and in the workplace. Visit midovia.com to learn more.
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