madman
Super Moderator
In this episode of unPAUSED, Dr. Mary Claire Haver sits down with Dr. Kelly Casperson, a urologist, author, and host of the podcast “You Are Not Broken”. Dr. Casperson trained in a specialty that treats both men and women, which gave her an early and clear view of the gender gap in sexual healthcare. That disparity became the driving force behind her work, her two books You Are Not Broken and The Menopause Moment, and her clinic, the Casperson Clinic. Together they cover the full landscape of what women were never taught, what medicine has missed, and what actually works for female sexual health, libido, desire, and sexual dysfunction in midlife.
The conversation gets straight to what most women were never told: that the orgasm gap between heterosexual men and women has not improved in decades, and that the silence around female sexual health has never been about a lack of science. It has been about a lack of priority.
Chapters
00:00:00 – The “Mushy Broccoli Sex” Problem (Why Desire Fades)
00:01:30 – Why Women’s Sexual Health Is Ignored in Medicine
00:03:00 – Introducing Dr. Kelly Casperson + Why This Topic Matters
00:04:30 – Urology vs OB-GYN: The Gender Gap in Sexual Healthcare
00:06:00 – The Patient Story That Changed Everything
00:07:00 – How Hollywood Completely Misrepresents Sex
00:08:00 – Viagra, Inequality & The Birth of Women’s Sexual Medicine
00:10:00 – “You Are Not Broken”: Reframing Female Sexual Health
00:12:00 – Why Doctors Get Sex Advice Wrong (and Patients Feel Dismissed)
00:14:00 – Gender Bias in Treatment, Surgery & Sexual Outcomes
00:17:00 – Why We Never Learned Sex Ed (And the Consequences)
00:26:00 – The Sexual Response Cycle: Male vs Female Desire
00:29:00 – Arousal = Blood Flow (The Missing Piece in Women’s Health)
00:31:30 – The Brain, Dopamine & Why Bad Sex Kills Desire
00:33:00 – The Orgasm Gap (And Why It Hasn’t Improved)
00:36:00 – Medications for Low Desire (Addyi, Vyleesi Explained)
00:40:00 – Biology vs Culture: What Really Impacts Women’s Sex Lives
00:43:00 – Clitoris vs Vagina: The Biggest Myth to Retire
00:49:00 – What an Orgasm Actually Is (Medically Explained)
00:53:00 – How Aging & Hormones Change Orgasm
00:56:00 – Postpartum Sex, Pain & Low Estrogen Reality
00:57:30 – Early Perimenopause Signs Women Miss
00:59:00 – What Is Hypoactive Sexual Desire Disorder?
