1
00:00:01,680 --> 00:00:09,520
Speaker 1: You're listening to I Choose Me with Jenny Girl. Hi, everyone,

2
00:00:09,600 --> 00:00:12,440
Speaker 1: welcome back to I Choose Me, the podcast where we

3
00:00:12,520 --> 00:00:16,840
Speaker 1: talk about the choices we make and today how they'll

4
00:00:16,880 --> 00:00:20,720
Speaker 1: help us live longer and stronger. Thanks to modern medicine

5
00:00:20,760 --> 00:00:26,080
Speaker 1: and technology, we are living decades beyond our ovaries, and

6
00:00:26,200 --> 00:00:30,960
Speaker 1: this means we are aging well beyond menopause, which requires

7
00:00:31,480 --> 00:00:36,680
Speaker 1: intention and knowledge. My guest, doctor Kelly Casperson, a urologist

8
00:00:36,720 --> 00:00:40,000
Speaker 1: and an author, is here to clear up some myths,

9
00:00:40,640 --> 00:00:44,680
Speaker 1: talk symptoms and stigma, and show us how choosing ourselves

10
00:00:44,960 --> 00:00:49,080
Speaker 1: in this stage of life can mean thriving into our eighties,

11
00:00:49,560 --> 00:00:53,680
Speaker 1: nineties and beyond. I'm very glad to have you here. Finally,

12
00:00:54,160 --> 00:00:56,560
Speaker 1: thank you for having I've been waiting. I've been waiting

13
00:00:56,560 --> 00:01:00,480
Speaker 1: for this moment. Your book is out now, which is

14
00:01:00,680 --> 00:01:06,120
Speaker 1: very exciting because everybody needs more information. Yeah, and I've

15
00:01:06,200 --> 00:01:10,119
Speaker 1: had a few of your cohorts, your peers, probably some

16
00:01:10,600 --> 00:01:14,760
Speaker 1: people that you work with I know, but talking about menopause,

17
00:01:15,319 --> 00:01:18,200
Speaker 1: and there's I don't think there's just enough conversation around it.

18
00:01:18,280 --> 00:01:19,279
Speaker 1: You can never have to make.

19
00:01:19,200 --> 00:01:21,959
Speaker 2: No, it's like fifty percent of the population of the world,

20
00:01:22,480 --> 00:01:25,840
Speaker 2: So like everybody needs to know about this, right, I

21
00:01:25,920 --> 00:01:28,600
Speaker 2: mean not a niche or it's like the largest niche ever.

22
00:01:28,720 --> 00:01:30,600
Speaker 1: And it's such a cool time, don't you feel like

23
00:01:30,680 --> 00:01:35,039
Speaker 1: because we're on this precipice, like we're over the kind

24
00:01:35,080 --> 00:01:37,040
Speaker 1: of over the tip of the mountain.

25
00:01:37,200 --> 00:01:40,640
Speaker 2: The Yeah, like you know, it's like we've crested even

26
00:01:40,640 --> 00:01:42,720
Speaker 2: three years ago because I've been doing this now, Like

27
00:01:42,840 --> 00:01:45,319
Speaker 2: my podcast and I was not talking about menopause at

28
00:01:45,319 --> 00:01:47,640
Speaker 2: the beginning of my podcast is like almost six years old,

29
00:01:48,120 --> 00:01:50,360
Speaker 2: and like even three years ago people are like, I

30
00:01:50,400 --> 00:01:52,600
Speaker 2: don't know, let's not talk about it. And now everybody's

31
00:01:52,640 --> 00:01:54,840
Speaker 2: like I can't get enough of this topic. And so

32
00:01:54,880 --> 00:01:58,040
Speaker 2: it's moved so fast it's crazy. Yeah, it's crazy.

33
00:01:58,120 --> 00:02:01,200
Speaker 1: I've been kind of on the er coaster with it since.

34
00:02:01,640 --> 00:02:06,320
Speaker 1: And I was like in perimenopause for sure, right when

35
00:02:06,360 --> 00:02:09,360
Speaker 1: it started happening, and I was like, wait, you're explaining

36
00:02:09,400 --> 00:02:13,560
Speaker 1: all my symptoms. Now everything's starting to make sense. Oh

37
00:02:13,800 --> 00:02:15,559
Speaker 1: I didn't know about perimenopause.

38
00:02:15,919 --> 00:02:18,160
Speaker 2: Yeah, totally. Oh Bddy thinks there's something magical about like

39
00:02:18,200 --> 00:02:20,600
Speaker 2: a period, like oh, you're having periods, You're still fine,

40
00:02:20,880 --> 00:02:22,520
Speaker 2: And it's like no, no, no, no, no, that's like the

41
00:02:22,560 --> 00:02:25,520
Speaker 2: event that's happening that like ends in the result of

42
00:02:25,600 --> 00:02:27,959
Speaker 2: no periods. Yes, right, So it's like a whole the

43
00:02:28,000 --> 00:02:30,399
Speaker 2: whole thing. And I think that, you know, the gen

44
00:02:30,639 --> 00:02:33,440
Speaker 2: X is really like taking this conversation. And now the

45
00:02:33,480 --> 00:02:37,160
Speaker 2: millennials are coming in on the perimenopause conversation. Oh, you're

46
00:02:37,200 --> 00:02:40,320
Speaker 2: seeing this like groundful of energy come from these different groups.

47
00:02:40,639 --> 00:02:45,400
Speaker 2: Because and the boomers, God bless them, they're pissed because

48
00:02:44,919 --> 00:02:48,920
Speaker 2: if they're educated and paying attention, they're in the piss

49
00:02:48,919 --> 00:02:51,639
Speaker 2: stage because they're like we were fifty twenty years ago

50
00:02:51,680 --> 00:02:53,959
Speaker 2: when this when the iron creat dropped off hormones.

51
00:02:54,120 --> 00:02:57,360
Speaker 1: So wow, I have my daughter called me last night

52
00:02:57,360 --> 00:03:00,880
Speaker 1: a geriatric millennial. How do you feel about that?

53
00:03:01,000 --> 00:03:03,880
Speaker 2: I like, e Liza Sleschinger, the comedian who calls it

54
00:03:03,880 --> 00:03:04,639
Speaker 2: elder millennial.

55
00:03:04,800 --> 00:03:06,640
Speaker 1: I'm an elder. That's better than Jerry.

56
00:03:06,720 --> 00:03:07,480
Speaker 2: It's way better.

57
00:03:07,919 --> 00:03:09,440
Speaker 1: But even though when you're pregnant and you have a

58
00:03:09,440 --> 00:03:12,240
Speaker 1: pregnancy has a certain age, they call you a geriatric yea.

59
00:03:12,280 --> 00:03:13,880
Speaker 2: Yeah, it's a direct prostate yea.

60
00:03:13,960 --> 00:03:15,560
Speaker 1: And yeah, geez, well they.

61
00:03:15,520 --> 00:03:18,239
Speaker 2: Used to go before genital urinary cinem menopause, which you

62
00:03:18,280 --> 00:03:21,560
Speaker 2: can get into, which affects pelvis's postmenopause. In the eighties,

63
00:03:21,560 --> 00:03:28,280
Speaker 2: it was called the senile vagina in legitimate medical papers,

64
00:03:28,440 --> 00:03:31,200
Speaker 2: senile vagina. So we've come a long way.

65
00:03:31,480 --> 00:03:33,880
Speaker 1: We come a long way. Wow, I wonder where we're

66
00:03:33,880 --> 00:03:38,160
Speaker 1: going to be in three more years. Modern medicine and technology,

67
00:03:38,960 --> 00:03:45,240
Speaker 1: we're sort of living years now beyond the functioning over

68
00:03:45,320 --> 00:03:49,200
Speaker 1: ease in our bodies. So in order to be free

69
00:03:49,200 --> 00:03:52,800
Speaker 1: of disease, it takes some intention. From your point of view,

70
00:03:52,800 --> 00:03:57,680
Speaker 1: tell me why does aging well matter? Oh?

71
00:03:57,760 --> 00:04:00,360
Speaker 2: Man, Well, I think we're especially going back to like

72
00:04:00,480 --> 00:04:02,760
Speaker 2: the gen X and why we're so passionate about this

73
00:04:02,840 --> 00:04:05,880
Speaker 2: project is like the gen xers are taking care of

74
00:04:05,920 --> 00:04:08,720
Speaker 2: the people who are maybe aging not well. Right, So

75
00:04:08,720 --> 00:04:11,360
Speaker 2: we're actually looking and taking care of those people, and

76
00:04:11,400 --> 00:04:14,360
Speaker 2: we're like, is there a different way? And we're starting

77
00:04:14,400 --> 00:04:16,840
Speaker 2: It's pretty simple to understand, Like you don't just get

78
00:04:17,080 --> 00:04:20,560
Speaker 2: there overnight, right, what we do now matters. So I

79
00:04:20,560 --> 00:04:23,360
Speaker 2: think we're seeing it done poorly, and we're seeing it

80
00:04:23,400 --> 00:04:25,880
Speaker 2: done on a massive scale that we've never seen before.

81
00:04:25,920 --> 00:04:28,480
Speaker 2: Like everybody's got the great grandma who lived till ninety,

82
00:04:28,560 --> 00:04:31,799
Speaker 2: but like as a society, we're not We've never aged

83
00:04:31,880 --> 00:04:35,440
Speaker 2: as a society before on this massive level. So we're like,

84
00:04:35,680 --> 00:04:37,320
Speaker 2: you know, when I talked to women in clinic, I'm like,

85
00:04:37,520 --> 00:04:39,440
Speaker 2: what do you want to be doing when you're seventy three?

86
00:04:39,880 --> 00:04:42,039
Speaker 2: And it gets people thinking of like what you do

87
00:04:42,160 --> 00:04:45,840
Speaker 2: right now actually matters for when you can't be I mean,

88
00:04:45,839 --> 00:04:47,640
Speaker 2: you can be seventy three and start lifting weights, you

89
00:04:47,680 --> 00:04:50,680
Speaker 2: absolutely can, but like bonus if you start now, because

90
00:04:50,680 --> 00:04:52,960
Speaker 2: you're like, I just want to maintain this instead of

91
00:04:52,960 --> 00:04:54,520
Speaker 2: have to make up for lost time.

92
00:04:55,440 --> 00:04:59,160
Speaker 1: I was just to lunch yesterday actually with a ninety

93
00:04:59,440 --> 00:05:02,760
Speaker 1: four year old women, so cool, and her name happens

94
00:05:02,800 --> 00:05:06,359
Speaker 1: to feed our Breeden name dropping, but it was, you know,

95
00:05:06,440 --> 00:05:08,520
Speaker 1: I just love her so much, and so I got

96
00:05:08,520 --> 00:05:10,440
Speaker 1: to catch up with her yesterday and I asked her,

97
00:05:10,480 --> 00:05:13,400
Speaker 1: you know, tell me all your sets, and she said,

98
00:05:13,480 --> 00:05:17,320
Speaker 1: you know, I worked. I exercise at ninety four. I

99
00:05:17,320 --> 00:05:20,240
Speaker 1: don't really want to, but I do just to stay strong.

100
00:05:20,520 --> 00:05:20,719
Speaker 2: Yeah.

101
00:05:20,880 --> 00:05:24,719
Speaker 1: She's the most able, bodied, well functioning brain, all the

102
00:05:24,800 --> 00:05:25,800
Speaker 1: cylinders roaring.

103
00:05:26,120 --> 00:05:28,279
Speaker 2: Yeah. And I think it's, you know, a rebrand for

104
00:05:28,360 --> 00:05:31,480
Speaker 2: lack of better words of what aging is, because we

105
00:05:31,520 --> 00:05:35,440
Speaker 2: put aging with fraility together, like fraility is an option yeah,

106
00:05:35,480 --> 00:05:38,120
Speaker 2: aging well is an option and really like breaking those

107
00:05:38,120 --> 00:05:40,880
Speaker 2: two things apart to be like I mean, I've I

108
00:05:40,920 --> 00:05:43,320
Speaker 2: watch like my cat videos on the internet or like

109
00:05:43,320 --> 00:05:45,160
Speaker 2: the eighty four year olds who can like bench press

110
00:05:45,160 --> 00:05:47,320
Speaker 2: one hundred pounds right, Like I will watch those like

111
00:05:47,400 --> 00:05:50,800
Speaker 2: cat videos and I gotta get on that yours, right,

112
00:05:50,920 --> 00:05:53,040
Speaker 2: and like I love it. And so I'm like this

113
00:05:53,080 --> 00:05:57,400
Speaker 2: is catching on and fraility is not inevitable, but it's

114
00:05:57,440 --> 00:06:00,839
Speaker 2: so pervasive in our society that really is inevitable that

115
00:06:00,880 --> 00:06:02,599
Speaker 2: it's like, no, we don't.

116
00:06:02,400 --> 00:06:06,440
Speaker 1: We don't. I love how you frame that frailty. Fraility. Yeah,

117
00:06:06,680 --> 00:06:08,279
Speaker 1: fraility is an option.

118
00:06:08,440 --> 00:06:10,919
Speaker 2: It's an option. We don't we don't want to be frail.

119
00:06:10,960 --> 00:06:15,440
Speaker 2: We want to be strong. But aging doesn't always mean fraility. Yeah, yeah,

120
00:06:15,480 --> 00:06:17,400
Speaker 2: like the ninety four year olds. So in my clinic,

121
00:06:17,839 --> 00:06:19,919
Speaker 2: I alays the people who've been married for fifty years

122
00:06:20,200 --> 00:06:22,720
Speaker 2: and the people who are over ninety, Like my whole

123
00:06:22,720 --> 00:06:24,720
Speaker 2: career now, I'm always like, tell me your secret, give

124
00:06:24,760 --> 00:06:26,920
Speaker 2: me your one secret for the longevity for.

125
00:06:26,880 --> 00:06:29,159
Speaker 1: The marriage, one secret, please, And the.

126
00:06:29,600 --> 00:06:31,599
Speaker 2: One secret of the ninety year olds, they always say,

127
00:06:31,839 --> 00:06:35,440
Speaker 2: just keep moving, just keep moving, don't stop moving. Just

128
00:06:35,560 --> 00:06:39,200
Speaker 2: keep moving like that's universally the sci Yeah. Yeah. And

129
00:06:39,200 --> 00:06:42,880
Speaker 2: the married people usually they say, don't take things so seriously.

130
00:06:44,000 --> 00:06:47,320
Speaker 2: Usually the guy will be like she's usually right, right,

131
00:06:47,360 --> 00:06:49,880
Speaker 2: it is like you know, I think what that means

132
00:06:49,960 --> 00:06:51,520
Speaker 2: is like they've gotten to the point where it's like

133
00:06:51,520 --> 00:06:53,440
Speaker 2: they don't argue about everything all the time, like it's

134
00:06:53,440 --> 00:06:55,320
Speaker 2: not worth it. Right. So I'm like, those are my

135
00:06:55,360 --> 00:06:58,800
Speaker 2: tips from the people who are doing longevity very well.

136
00:06:59,040 --> 00:07:01,840
Speaker 1: Yeah, in relationship and otherwise.

137
00:07:01,839 --> 00:07:04,520
Speaker 2: Because then the doctor like you see people age every

138
00:07:04,560 --> 00:07:07,599
Speaker 2: single day, like twenty times a day, right, And so

139
00:07:07,640 --> 00:07:09,720
Speaker 2: it's like, I see, I had a couple come in

140
00:07:09,800 --> 00:07:13,120
Speaker 2: they were like forty eight and they're like, well, doc,

141
00:07:13,160 --> 00:07:15,040
Speaker 2: if you just tell us like we're too old for

142
00:07:15,120 --> 00:07:17,760
Speaker 2: sex now and this is just how it is. And

143
00:07:17,800 --> 00:07:19,920
Speaker 2: I'm like, you, guys, I had seventy four year old

144
00:07:20,000 --> 00:07:22,840
Speaker 2: in here like two hours ago. They're having sex all

145
00:07:22,880 --> 00:07:25,200
Speaker 2: the time. It's the best sex they've ever had. Can't

146
00:07:25,280 --> 00:07:27,040
Speaker 2: keep their hands, you can't keep their hands off each other.

147
00:07:27,200 --> 00:07:30,240
Speaker 2: Like yes, they need some pharmaceutical assistance, but like they

148
00:07:30,360 --> 00:07:33,640
Speaker 2: love what they're doing, right, And these for eight year

149
00:07:33,640 --> 00:07:37,160
Speaker 2: olds were like what because they think, like you know,

150
00:07:37,360 --> 00:07:38,920
Speaker 2: if you just tell us we're old and this is

151
00:07:38,920 --> 00:07:39,400
Speaker 2: all there is.

152
00:07:39,440 --> 00:07:42,120
Speaker 1: And I'm like, no, I know it's such a perception

153
00:07:42,240 --> 00:07:44,360
Speaker 1: that it's such a perception. You know, at a certain age,

154
00:07:44,400 --> 00:07:48,720
Speaker 1: we just sort of don't have sex anymore. But that's

155
00:07:48,760 --> 00:07:49,240
Speaker 1: not true.

156
00:07:49,520 --> 00:07:49,920
Speaker 2: No, it's not.

157
00:07:49,960 --> 00:07:51,880
Speaker 1: Although I don't want to picture my mom having sex,

158
00:07:51,920 --> 00:07:53,000
Speaker 1: but we don't want to picture.

159
00:07:52,760 --> 00:07:54,960
Speaker 3: That, but we want to excitt now that my kids

160
00:07:55,040 --> 00:07:56,520
Speaker 3: want to picture, right, Yeah, exactly.

161
00:07:56,800 --> 00:07:58,720
Speaker 2: Yeah, I think, well, you know, a society has this

162
00:07:58,760 --> 00:08:02,080
Speaker 2: perception of who's allowed to be sexual. Right, so even

163
00:08:02,160 --> 00:08:06,760
Speaker 2: there's a societal bias against old people being sexual, like, right,

164
00:08:06,880 --> 00:08:07,880
Speaker 2: who's permitted? Right?

165
00:08:07,960 --> 00:08:10,160
Speaker 3: Like I just said, I don't want to see that, right, Yeah,

166
00:08:10,200 --> 00:08:12,120
Speaker 3: And it's like, oh no, there's plenty of sex, like

167
00:08:12,160 --> 00:08:15,520
Speaker 3: they you know, the sexually transmitted infections are actually quite

168
00:08:15,600 --> 00:08:18,480
Speaker 3: common in nursing homes because they're like, we don't worry about.

169
00:08:18,280 --> 00:08:20,840
Speaker 2: Pregnancy, right. It's like, but you do have to protect

170
00:08:20,840 --> 00:08:23,160
Speaker 2: yourself and you know, be as safe as possible because

171
00:08:23,320 --> 00:08:24,680
Speaker 2: you guys are getting it on a lot.

172
00:08:24,600 --> 00:08:26,200
Speaker 1: They're hooking it up.

173
00:08:26,960 --> 00:08:27,720
Speaker 2: I love that.

174
00:08:28,200 --> 00:08:37,760
Speaker 1: I gotta get my mom in one of those places. Okay,

175
00:08:37,840 --> 00:08:42,120
Speaker 1: so you have an interesting take on perry and menopause.

176
00:08:42,160 --> 00:08:46,320
Speaker 1: Because you are a urologist, So how does your perspective

177
00:08:46,600 --> 00:08:50,880
Speaker 1: differ from say, just a dynacologist, yes or yeah.

178
00:08:50,920 --> 00:08:53,400
Speaker 2: So I mean for people who don't know who are listening,

179
00:08:53,480 --> 00:08:56,480
Speaker 2: a urologist is a surgeon of the genital urinary system.

180
00:08:56,559 --> 00:09:00,280
Speaker 2: So think kidney stones, think prostate, think bladder, think all

181
00:09:00,320 --> 00:09:03,960
Speaker 2: gender genitals. That's what we do. And so I'm already

182
00:09:04,040 --> 00:09:07,800
Speaker 2: very comfortable with giving men totosterone when they have lotustosterone,

183
00:09:07,800 --> 00:09:10,199
Speaker 2: and giving men viagra and helping them out with directions

184
00:09:10,240 --> 00:09:12,840
Speaker 2: when they have sexual issues. That's how we're trained. It's

185
00:09:13,000 --> 00:09:16,559
Speaker 2: very normal. That's our job, right, And so what became

186
00:09:16,600 --> 00:09:19,640
Speaker 2: apparent to me in the female sexual health and the

187
00:09:19,640 --> 00:09:22,240
Speaker 2: female hormones is we've got these two groups of people,

188
00:09:22,400 --> 00:09:25,080
Speaker 2: different genders. And the guy comes in and he's like, Doc,

189
00:09:25,120 --> 00:09:28,080
Speaker 2: I just don't have any energy anymore, and like I

190
00:09:28,120 --> 00:09:30,160
Speaker 2: love my wife, but I just don't feel like it.

191
00:09:30,360 --> 00:09:31,240
Speaker 1: Check check check.

192
00:09:31,320 --> 00:09:33,959
Speaker 2: Yeah. We're like, okay, well, let's you know, let's check

193
00:09:34,000 --> 00:09:36,600
Speaker 2: your hormones and here's some viagra and here's some options,

194
00:09:36,640 --> 00:09:40,560
Speaker 2: and let's tune it up right. And the woman comes in.

195
00:09:40,760 --> 00:09:42,680
Speaker 2: She says the same thing and we're like, well, you know,

196
00:09:42,800 --> 00:09:45,160
Speaker 2: you're just getting old, and try a glass of wine,

197
00:09:45,679 --> 00:09:51,439
Speaker 2: and like, you know, maybe acupuncture, but no shade to acupuncture.

198
00:09:51,559 --> 00:09:54,760
Speaker 2: But it's like they both have legitimate medical issues, but

199
00:09:54,840 --> 00:09:57,400
Speaker 2: we treat them very differently. We treat this one like

200
00:09:57,480 --> 00:09:59,600
Speaker 2: he's worthy of treatment, and this one we blow off

201
00:09:59,640 --> 00:10:01,000
Speaker 2: and we're like, why are you here? This is a

202
00:10:01,000 --> 00:10:04,160
Speaker 2: stupid thing to be talking about. You're just getting older, right.

203
00:10:04,200 --> 00:10:07,360
Speaker 2: So the magic that I have and why I think

204
00:10:07,880 --> 00:10:10,320
Speaker 2: I've been able to kind of move this conversation forward

205
00:10:10,320 --> 00:10:14,200
Speaker 2: is I see the gender bias every single day. Gynecologists

206
00:10:14,240 --> 00:10:17,160
Speaker 2: only take care of women. They have no idea how

207
00:10:17,200 --> 00:10:19,280
Speaker 2: we're taking care of the men. And so I hear

208
00:10:19,320 --> 00:10:21,240
Speaker 2: how the guys treated and I see how the women's treated,

209
00:10:21,280 --> 00:10:23,160
Speaker 2: and I'm like, would we ever say these things to

210
00:10:23,240 --> 00:10:26,680
Speaker 2: a man? And if not, we've got inequality here and

211
00:10:26,760 --> 00:10:29,840
Speaker 2: until the medical world is more equal and how we

212
00:10:29,880 --> 00:10:32,600
Speaker 2: treat people and what we say is a legitimate health

213
00:10:32,600 --> 00:10:33,560
Speaker 2: care concern.

214
00:10:33,720 --> 00:10:36,160
Speaker 1: I got a lot of work to do or deemed

215
00:10:36,200 --> 00:10:37,720
Speaker 1: worthy of insurance coverage?

216
00:10:37,920 --> 00:10:41,839
Speaker 2: Yeah, oh totally. I mean you know viagra was became

217
00:10:41,920 --> 00:10:44,160
Speaker 2: FD approved in America in nineteen ninety eight.

218
00:10:44,559 --> 00:10:48,120
Speaker 1: Wow, Yeah, and that's a long time.

219
00:10:48,240 --> 00:10:50,440
Speaker 2: It's a long time ago. It's one of the best.

220
00:10:50,480 --> 00:10:53,480
Speaker 2: It was the best selling blockbuster drug of its time.

221
00:10:53,559 --> 00:10:57,280
Speaker 2: No drug has sold more more quickly than viagra. Did okay,

222
00:10:57,840 --> 00:10:59,800
Speaker 2: got FD approved it with just six months of safety

223
00:10:59,840 --> 00:11:03,320
Speaker 2: day wow? Right, so like pretty fast, this was worthy

224
00:11:03,320 --> 00:11:07,400
Speaker 2: of them approving And uh, ninety percent of men are heterosexual, right,

225
00:11:07,440 --> 00:11:09,320
Speaker 2: and so we're like, who's taking care of the women

226
00:11:09,600 --> 00:11:11,760
Speaker 2: who are supposed to be sleeping with the men that

227
00:11:11,840 --> 00:11:13,360
Speaker 2: people like me are giving viagra too?

228
00:11:14,480 --> 00:11:16,040
Speaker 1: And I willse poor women.

229
00:11:16,120 --> 00:11:18,720
Speaker 2: I know, and we know now because we're paying attention

230
00:11:18,840 --> 00:11:21,320
Speaker 2: now that if you give a man viagra and you

231
00:11:21,400 --> 00:11:24,760
Speaker 2: don't take care of his partner, you're destabilizing that relationships.

232
00:11:24,800 --> 00:11:26,680
Speaker 2: You are because he doesn't know how to talk, like

233
00:11:26,720 --> 00:11:28,680
Speaker 2: they don't know how to talk about sex, right, because

234
00:11:28,679 --> 00:11:30,800
Speaker 2: our sex said stinks in the country.

235
00:11:30,880 --> 00:11:31,040
Speaker 1: Right.

236
00:11:31,280 --> 00:11:33,080
Speaker 2: But it's like you have to say, like what's your

237
00:11:33,120 --> 00:11:37,160
Speaker 2: plan with your superdick? Now? Like where are you going

238
00:11:37,200 --> 00:11:37,679
Speaker 2: to go with this?

239
00:11:39,120 --> 00:11:40,080
Speaker 1: You're super dick?

240
00:11:41,040 --> 00:11:43,800
Speaker 2: That's where like we're improving your blood flow? Are we

241
00:11:43,840 --> 00:11:44,920
Speaker 2: improving her blood flow?

242
00:11:45,000 --> 00:11:45,160
Speaker 1: Right?

243
00:11:45,200 --> 00:11:48,079
Speaker 2: Is anybody dealing with her genitally 'or a narry cindral menopause,

244
00:11:48,240 --> 00:11:50,560
Speaker 2: like does she even want to sleep with you? So

245
00:11:50,679 --> 00:11:53,160
Speaker 2: now I mean I'm like such a better urologist now

246
00:11:53,240 --> 00:11:55,800
Speaker 2: than I was, because now I man comes in with

247
00:11:55,880 --> 00:11:58,720
Speaker 2: this and I say, well, what's your plan? Oh? Well,

248
00:11:58,760 --> 00:12:00,800
Speaker 2: you know as for my wife? And I'm like, when'd

249
00:12:00,800 --> 00:12:03,680
Speaker 2: you have sex last eight years ago? And I'm like,

250
00:12:04,200 --> 00:12:06,840
Speaker 2: did you tell her you're here today? Is somebody says

251
00:12:06,840 --> 00:12:09,280
Speaker 2: somebody done a physical examine her? Like does she want

252
00:12:09,320 --> 00:12:11,480
Speaker 2: to sleep with you? Right? Because guys are like, I'll

253
00:12:11,520 --> 00:12:13,760
Speaker 2: just I just need an erection, And I'm like sex

254
00:12:13,840 --> 00:12:16,520
Speaker 2: is so much more than an erection, Like we to

255
00:12:16,559 --> 00:12:19,240
Speaker 2: have a bigger conversation about this, yeah, and who's taking

256
00:12:19,240 --> 00:12:21,920
Speaker 2: care of her? Right? And So now what I love

257
00:12:21,960 --> 00:12:24,440
Speaker 2: in clinic is I see couples, you know, they both

258
00:12:24,480 --> 00:12:27,080
Speaker 2: come in and she's we're dealing with her pelvis and

259
00:12:27,120 --> 00:12:30,520
Speaker 2: his pelvis and ultimately like their relationship together, and it's

260
00:12:30,800 --> 00:12:31,440
Speaker 2: so fun.

261
00:12:31,880 --> 00:12:34,720
Speaker 1: Yeah, I can see how that would be so fulfilling,

262
00:12:34,880 --> 00:12:38,840
Speaker 1: to gratifying, to really help people not just individually but

263
00:12:39,080 --> 00:12:42,280
Speaker 1: with their partners, because we like to partner, you know.

264
00:12:42,880 --> 00:12:45,480
Speaker 2: Yeah, And it's like midlife, I mean, if you if

265
00:12:45,520 --> 00:12:48,559
Speaker 2: you can go dark, pretty quick, but like divorces skyrocket

266
00:12:48,600 --> 00:12:51,880
Speaker 2: in midlife. And I had had a lawyer come to

267
00:12:51,920 --> 00:12:54,520
Speaker 2: one of my retreats last year, which was super divorce

268
00:12:54,600 --> 00:12:56,560
Speaker 2: lawyer came to one of my retreats and she's like,

269
00:12:56,559 --> 00:12:59,680
Speaker 2: I'm here to learn all about menopause because menopause is

270
00:12:59,679 --> 00:13:02,480
Speaker 2: the reason and that people are getting divorced. Wow, She's

271
00:13:02,520 --> 00:13:04,719
Speaker 2: like untreated menopause. And she's like, but by the time

272
00:13:04,720 --> 00:13:07,560
Speaker 2: they get to the divorce lawyer, it's too late. It's

273
00:13:07,559 --> 00:13:08,959
Speaker 2: the end there. You know, she's pulling them out of

274
00:13:09,000 --> 00:13:11,120
Speaker 2: the river right with the metaphor, and she's like, we

275
00:13:11,160 --> 00:13:14,520
Speaker 2: need to get people treated so much sooner because intimacy

276
00:13:14,600 --> 00:13:17,400
Speaker 2: goes away and communication goes away, like all of that

277
00:13:17,440 --> 00:13:20,800
Speaker 2: goes away. And so I was like, oh, man, learn

278
00:13:20,800 --> 00:13:21,760
Speaker 2: from the divorce.

279
00:13:21,480 --> 00:13:23,920
Speaker 1: Lawyers, right, like, yeah, it makes sense.

280
00:13:24,040 --> 00:13:27,920
Speaker 2: Seventy percent of divorces are initiated by women, so, which

281
00:13:27,960 --> 00:13:31,080
Speaker 2: is a crazy statistic. And if the woman's educated so

282
00:13:31,120 --> 00:13:33,920
Speaker 2: like went to college or above, ninety percent of divorces

283
00:13:33,920 --> 00:13:35,720
Speaker 2: are initiated by women. Yeah, I believe it's like the

284
00:13:35,720 --> 00:13:38,000
Speaker 2: guys don't want to get divorced, right, So it was like,

285
00:13:38,120 --> 00:13:40,320
Speaker 2: what's happening, Well, that's.

286
00:13:40,240 --> 00:13:42,360
Speaker 1: A whole other time. That's a whole other podcast, because

287
00:13:42,480 --> 00:13:45,760
Speaker 1: I have feelings about it. But I mean it's a fear.

288
00:13:45,880 --> 00:13:48,000
Speaker 1: It's like a fear. As a married woman, I can

289
00:13:48,040 --> 00:13:52,600
Speaker 1: say that losing my libido, losing interest in having sex

290
00:13:52,640 --> 00:13:55,840
Speaker 1: with my husband or my partner is a fear. Yeah,

291
00:13:56,040 --> 00:13:59,559
Speaker 1: So how do we as women get past that fear?

292
00:14:00,200 --> 00:14:03,320
Speaker 2: I think it all goes back to education, right, And

293
00:14:03,360 --> 00:14:06,040
Speaker 2: I'm saying that from a physician who went to med

294
00:14:06,080 --> 00:14:09,200
Speaker 2: school who didn't learn anything about women's sexuality. And so

295
00:14:09,240 --> 00:14:11,360
Speaker 2: that was my first book and the reason I got

296
00:14:11,360 --> 00:14:14,320
Speaker 2: interested in it is like seven years into my career,

297
00:14:14,360 --> 00:14:16,080
Speaker 2: I had a woman come into my office and I

298
00:14:16,120 --> 00:14:18,440
Speaker 2: was very bonded with her already, like I already loved her,

299
00:14:18,480 --> 00:14:21,840
Speaker 2: I loved her husband. We were working on legitimate, serious

300
00:14:22,040 --> 00:14:24,880
Speaker 2: urology issues. And she was crying in my office because

301
00:14:24,920 --> 00:14:28,000
Speaker 2: of their sexless marriage, and I handed her the box

302
00:14:28,040 --> 00:14:30,600
Speaker 2: of KLEENICX, and I'm like in my head, I was like,

303
00:14:30,640 --> 00:14:32,720
Speaker 2: I don't know how to help her. And I was

304
00:14:32,720 --> 00:14:35,080
Speaker 2: training because again I was trained by men. Only if

305
00:14:35,120 --> 00:14:37,880
Speaker 2: there's only a thousand female eurologists in America, and we

306
00:14:37,920 --> 00:14:40,960
Speaker 2: take care of the men, right, women are difficult, will

307
00:14:41,000 --> 00:14:44,080
Speaker 2: never figure them out, and don't worry. The gynecologists are

308
00:14:44,080 --> 00:14:46,440
Speaker 2: taking care of them. And that's what I was told.

309
00:14:46,920 --> 00:14:49,000
Speaker 2: And so when she's crying in my office, these thoughts

310
00:14:49,000 --> 00:14:51,160
Speaker 2: are coming back, and I'm like, is it true? Is

311
00:14:51,200 --> 00:14:54,120
Speaker 2: it true? We don't know anything about female sexuality? Right?

312
00:14:54,280 --> 00:14:56,760
Speaker 2: Is it true? The gynecologists are taking care of female sexuality?

313
00:14:56,800 --> 00:14:58,520
Speaker 2: And I just didn't know that, right, So I just

314
00:14:58,520 --> 00:15:01,760
Speaker 2: started learning, started going to the conferences. I ran into

315
00:15:01,840 --> 00:15:04,520
Speaker 2: a friend of mine there from med school, and I'm like,

316
00:15:04,560 --> 00:15:06,480
Speaker 2: she's a gynecologist, and I'm like, why are you here.

317
00:15:06,760 --> 00:15:08,720
Speaker 2: You're supposed to know all this already, right, and she's like,

318
00:15:08,760 --> 00:15:11,360
Speaker 2: we didn't learn it either. I'm like, okay, so doctors

319
00:15:11,360 --> 00:15:15,560
Speaker 2: don't know anything about sex. Yeah, that's what's bad. So

320
00:15:15,600 --> 00:15:17,840
Speaker 2: it's so for me to say women need to get educated.

321
00:15:17,880 --> 00:15:20,080
Speaker 2: It's like and that's why I wrote the book, That's

322
00:15:20,080 --> 00:15:22,320
Speaker 2: why the podcast, because it's like, you actually can't go

323
00:15:22,360 --> 00:15:23,880
Speaker 2: to your doctor and be like, tell me everything I

324
00:15:23,920 --> 00:15:26,040
Speaker 2: need to know about sex. Like doctor visits are ten

325
00:15:26,080 --> 00:15:28,240
Speaker 2: minutes long at best at this point. But it's like

326
00:15:28,760 --> 00:15:31,640
Speaker 2: what turns you on? What's what is arousing? What do

327
00:15:31,680 --> 00:15:35,120
Speaker 2: you need to get in the mood because Hollywood gives

328
00:15:35,200 --> 00:15:40,000
Speaker 2: us a three minute sexual script which doesn't pan out

329
00:15:40,000 --> 00:15:42,840
Speaker 2: in real life. No, if that's our education, yeah.

330
00:15:42,680 --> 00:15:44,760
Speaker 1: You start thinking it's supposed to look like I saw

331
00:15:44,840 --> 00:15:45,680
Speaker 1: in the movies, like.

332
00:15:45,680 --> 00:15:49,040
Speaker 2: Yeah, instantaneous so in love. Yes, it is like you're

333
00:15:49,040 --> 00:15:52,000
Speaker 2: just like so hot, instantaneous orgasm. It lasts three minutes,

334
00:15:52,040 --> 00:15:54,560
Speaker 2: it's it's over when the man orgasms, Like it's a

335
00:15:54,600 --> 00:15:58,000
Speaker 2: sexual script on repeat. So we think that's real life,

336
00:15:58,800 --> 00:16:01,320
Speaker 2: but it's like, no, real life's actually way messier and

337
00:16:01,360 --> 00:16:04,160
Speaker 2: sex can actually be a lot longer, right, Like Hollywood

338
00:16:04,160 --> 00:16:05,200
Speaker 2: gives us very short sex.

339
00:16:05,560 --> 00:16:06,520
Speaker 1: They only have so many.

340
00:16:06,360 --> 00:16:09,960
Speaker 2: Minutes, mates, I have a commercial break. But yeah, so

341
00:16:10,080 --> 00:16:12,880
Speaker 2: we think like that's where we get our education, because

342
00:16:12,920 --> 00:16:16,280
Speaker 2: we didn't otherwise get anything more than like disease and

343
00:16:16,320 --> 00:16:17,960
Speaker 2: pregnancy prevention plans.

344
00:16:18,320 --> 00:16:21,680
Speaker 1: Yeah, basics, the basics. A lot of people simply don't

345
00:16:21,720 --> 00:16:26,960
Speaker 1: know what harry or meno pause. They don't know the difference,

346
00:16:27,360 --> 00:16:30,880
Speaker 1: and it's for so long carried such a stigma, such

347
00:16:30,920 --> 00:16:36,520
Speaker 1: a feeling of shame for women who are at the

348
00:16:36,680 --> 00:16:39,480
Speaker 1: end of the end of other people's jokes about it.

349
00:16:39,640 --> 00:16:41,240
Speaker 2: Yeah. Yeah, we've made it a joke.

350
00:16:41,320 --> 00:16:41,840
Speaker 1: It's a joke.

351
00:16:41,880 --> 00:16:42,320
Speaker 2: It's a joke.

352
00:16:42,360 --> 00:16:44,040
Speaker 1: It's funny. It's not funny, you guys.

353
00:16:43,920 --> 00:16:45,880
Speaker 2: It's not funny. If we cut off men's testicles or

354
00:16:45,880 --> 00:16:47,480
Speaker 2: they fell off at age fifty one, there would be

355
00:16:47,520 --> 00:16:50,280
Speaker 2: a national vaccine and it wouldn't be funny, and they'd

356
00:16:50,320 --> 00:16:51,600
Speaker 2: all be on testostero.

357
00:16:51,760 --> 00:16:53,760
Speaker 1: Yes, there would be like national guard everywhere.

358
00:16:53,840 --> 00:16:55,920
Speaker 2: Yeah, totally, it's like take care of these dudes. There'd

359
00:16:55,960 --> 00:16:57,880
Speaker 2: be like a day off for them. But I think

360
00:16:57,920 --> 00:17:00,160
Speaker 2: part of the problem is, like you can't see your ovaries.

361
00:17:00,320 --> 00:17:02,280
Speaker 2: You don't know what your ovaries do, or if you do,

362
00:17:02,360 --> 00:17:04,840
Speaker 2: you think they make eggs, which they do, but they

363
00:17:04,880 --> 00:17:08,760
Speaker 2: also produce hormones. And ovaries only last a certain amount

364
00:17:08,800 --> 00:17:10,639
Speaker 2: of time based upon the size of them. So the

365
00:17:10,680 --> 00:17:12,800
Speaker 2: size of the ovary is based upon the size of

366
00:17:12,800 --> 00:17:16,400
Speaker 2: the mammal. So elephant ovaries are bigger. Human ovaries are smaller,

367
00:17:16,440 --> 00:17:19,000
Speaker 2: and they have follicles, which are just basically little parts

368
00:17:19,000 --> 00:17:22,280
Speaker 2: that release hormones, and we use those every month, right

369
00:17:22,320 --> 00:17:24,600
Speaker 2: to put out an egg and produce hormones, and after

370
00:17:24,600 --> 00:17:27,879
Speaker 2: a certain amount of time there's none left. Right, But

371
00:17:28,480 --> 00:17:32,720
Speaker 2: we are living so much longer now, So antibiotics alone

372
00:17:32,800 --> 00:17:35,400
Speaker 2: have extended human life span by twenty six years per

373
00:17:35,440 --> 00:17:39,440
Speaker 2: person in America, Like, we are living so much longer

374
00:17:39,880 --> 00:17:42,960
Speaker 2: than we use two naturally. So it's like clean water, sanitation,

375
00:17:43,040 --> 00:17:45,520
Speaker 2: excellent food sources, Like we're making it to eighty four.

376
00:17:45,920 --> 00:17:49,720
Speaker 2: It's forty years without hormone production, and a lot of

377
00:17:49,760 --> 00:17:51,720
Speaker 2: people are like, well, I can't really feel it. Some

378
00:17:51,760 --> 00:17:54,040
Speaker 2: people are very symptomatic, but some people aren't. It's like,

379
00:17:54,080 --> 00:17:56,480
Speaker 2: you can't feel your bones thinning, you can't feel your

380
00:17:56,480 --> 00:17:59,640
Speaker 2: brain changing, you can't feel your arteries stiffening, you can't

381
00:17:59,640 --> 00:18:02,680
Speaker 2: feel your labia minora disappearing. Right, It's like all these

382
00:18:02,680 --> 00:18:04,760
Speaker 2: things where we're like, oh, you can feel it happening,

383
00:18:05,160 --> 00:18:08,240
Speaker 2: but there's many things happening hormonally that you can't feel.

384
00:18:08,440 --> 00:18:11,600
Speaker 2: But we'll have dire consequences if you live long enough.

385
00:18:12,240 --> 00:18:14,800
Speaker 1: Correct, and we don't know how to treat them right,

386
00:18:14,960 --> 00:18:17,000
Speaker 1: because nobody was talking about it.

387
00:18:17,080 --> 00:18:19,240
Speaker 2: Nobody was talking about it. And you know the crazy

388
00:18:19,280 --> 00:18:22,600
Speaker 2: thing about menopause and replacing hormones is in the nineteen nineties,

389
00:18:23,040 --> 00:18:26,440
Speaker 2: forty percent of American women were on hormones. That's what's

390
00:18:26,440 --> 00:18:28,040
Speaker 2: so crazy about it. It's like, I'm just trying to

391
00:18:28,040 --> 00:18:32,479
Speaker 2: get us back to the hormones. Were the torments were

392
00:18:32,520 --> 00:18:36,679
Speaker 2: in the top five top selling drugs in America in

393
00:18:36,720 --> 00:18:37,520
Speaker 2: the nineteen nineties.

394
00:18:37,600 --> 00:18:40,239
Speaker 1: Yes, I remember a specific one that I was like,

395
00:18:40,720 --> 00:18:44,760
Speaker 1: what it was? They made it from equine urine.

396
00:18:45,080 --> 00:18:46,600
Speaker 2: Yeah, Premar premarin.

397
00:18:47,960 --> 00:18:49,120
Speaker 1: There's it's still out there.

398
00:18:49,200 --> 00:18:50,080
Speaker 2: Yeah, I'm still there.

399
00:18:50,119 --> 00:18:54,280
Speaker 1: But I was like, I am never going to.

400
00:18:53,280 --> 00:18:57,399
Speaker 2: Eat eat orry pregnant horses. Yeah. Well, like just for

401
00:18:57,560 --> 00:19:01,639
Speaker 2: fun medicine history, we isolate the very first hormones from

402
00:19:01,640 --> 00:19:05,600
Speaker 2: pregnant humans because they're in a hospital and we can

403
00:19:05,600 --> 00:19:08,600
Speaker 2: collect their pe not we not like me, but but

404
00:19:08,720 --> 00:19:11,400
Speaker 2: like medical science on human right. Yeah, so first we're

405
00:19:11,400 --> 00:19:15,080
Speaker 2: consuming human urine hormones. We've evolved and now we can

406
00:19:15,119 --> 00:19:18,920
Speaker 2: you know, modern manufacturing, Like it's the hormone that you're

407
00:19:19,000 --> 00:19:23,000
Speaker 2: ovary naturally produces, not taken from an animal given back

408
00:19:23,040 --> 00:19:25,640
Speaker 2: to you. So we we have the most safe hormones

409
00:19:25,640 --> 00:19:30,920
Speaker 2: now than we've ever had.

410
00:19:34,000 --> 00:19:36,800
Speaker 1: Okay, so seeing as every human, like you said, fifty

411
00:19:36,800 --> 00:19:39,399
Speaker 1: percent of the population, every female human is going to

412
00:19:39,480 --> 00:19:43,040
Speaker 1: experience perry and menopause if they're like even and they live,

413
00:19:43,320 --> 00:19:45,840
Speaker 1: that's right, and even if they don't know it, even if.

414
00:19:45,720 --> 00:19:47,280
Speaker 2: They don't know it even if they'd have no you know,

415
00:19:47,400 --> 00:19:49,400
Speaker 2: quote unquote feeling that they're going through.

416
00:19:49,680 --> 00:19:52,480
Speaker 1: What are we looking for? Like as far as a symptom.

417
00:19:52,280 --> 00:19:54,760
Speaker 2: So the classic symptom is hot flashes. Yeah, hot flashes,

418
00:19:54,880 --> 00:19:57,919
Speaker 2: night sweats parse Parsley. This forty to sixty percent of

419
00:19:57,920 --> 00:20:01,200
Speaker 2: women a less well known, but they're starting to study

420
00:20:01,240 --> 00:20:03,840
Speaker 2: it more. Is something called not feeling like myself?

421
00:20:04,080 --> 00:20:05,320
Speaker 1: Yes, I've heard this phrase.

422
00:20:05,440 --> 00:20:07,439
Speaker 2: Yeah, and so they're actually starting to publish papers on

423
00:20:07,520 --> 00:20:09,720
Speaker 2: it of like how common is it that women don't

424
00:20:09,720 --> 00:20:12,959
Speaker 2: feel like themselves? And it's very common. It's like sixty

425
00:20:12,960 --> 00:20:16,359
Speaker 2: percent of women don't feel like myself and that's changing

426
00:20:16,400 --> 00:20:20,960
Speaker 2: hormones little in society, like judging you for aging, right, congratulations,

427
00:20:21,000 --> 00:20:22,800
Speaker 2: you're not dead. We're gonna judge you for aging, Like

428
00:20:22,840 --> 00:20:24,720
Speaker 2: it's a crazy it's a crazy world that we live in.

429
00:20:25,240 --> 00:20:27,480
Speaker 2: But really, like, do you One of the most satisfying

430
00:20:27,520 --> 00:20:30,280
Speaker 2: things that I do as a clinician is when women

431
00:20:30,320 --> 00:20:32,480
Speaker 2: come back and they say I feel like myself again,

432
00:20:33,000 --> 00:20:35,159
Speaker 2: Like that is the best day for me. And I

433
00:20:35,240 --> 00:20:38,840
Speaker 2: put smart women back out doing smart things. That's they're

434
00:20:38,920 --> 00:20:40,440
Speaker 2: changing the world. And I'm like, I have the best

435
00:20:40,480 --> 00:20:42,280
Speaker 2: job in the world because I make them feel like

436
00:20:42,320 --> 00:20:44,480
Speaker 2: themselves and like they want to get things done.

437
00:20:45,080 --> 00:20:50,399
Speaker 1: For a woman who doesn't quote feel like herself, what

438
00:20:50,400 --> 00:20:50,960
Speaker 1: does that mean?

439
00:20:51,520 --> 00:20:54,280
Speaker 2: Yeah, it means I know what it means. It's really hard,

440
00:20:54,400 --> 00:20:56,159
Speaker 2: yeah right, Like it's I was just gonna say, the

441
00:20:56,200 --> 00:20:58,479
Speaker 2: best way to know what it means is to have

442
00:20:58,520 --> 00:21:01,439
Speaker 2: gone through it yourself, because you can't. I can't do

443
00:21:01,560 --> 00:21:03,760
Speaker 2: a lab and be like, does Jenny feel like Jenny? Right?

444
00:21:03,800 --> 00:21:05,520
Speaker 2: Can I X ray you and see if you if

445
00:21:05,520 --> 00:21:08,159
Speaker 2: you're feeling like yourself? Like you can't objectively measure it.

446
00:21:08,800 --> 00:21:10,600
Speaker 2: But a woman will come back and she'll be like,

447
00:21:10,640 --> 00:21:13,680
Speaker 2: I feel like myself, and I'm like I get it,

448
00:21:13,840 --> 00:21:16,240
Speaker 2: Like I know what that means. Like you just have

449
00:21:16,320 --> 00:21:18,040
Speaker 2: a knowing of like you know, it's kind of I

450
00:21:18,040 --> 00:21:20,680
Speaker 2: mean for people who don't have that experience, and maybe

451
00:21:20,680 --> 00:21:22,560
Speaker 2: you could share yours, but it's like when you have

452
00:21:22,640 --> 00:21:24,480
Speaker 2: like the really bad flu or something like you feel

453
00:21:24,920 --> 00:21:27,800
Speaker 2: we were like, oh okay, I'm back now right, it's

454
00:21:27,800 --> 00:21:30,320
Speaker 2: like yeah, kind of that knowing that you're back. I

455
00:21:30,400 --> 00:21:32,560
Speaker 2: was off, I'm back. Yeah.

456
00:21:32,640 --> 00:21:35,080
Speaker 1: I think for me, it lasted for a long time.

457
00:21:35,119 --> 00:21:39,000
Speaker 1: It lasted for years of not feeling like I couldn't

458
00:21:39,040 --> 00:21:41,760
Speaker 1: really understand what was happening. I didn't know why am

459
00:21:41,760 --> 00:21:44,639
Speaker 1: I feeling more depressed? Why am I having anxiety? Why

460
00:21:44,680 --> 00:21:47,240
Speaker 1: am I losing my hair? Why can't I sleep? Why

461
00:21:47,280 --> 00:21:50,400
Speaker 1: do I have lower sexual desires? Like so many things?

462
00:21:50,880 --> 00:21:53,960
Speaker 1: And I was like, Okay, why can't I remember things?

463
00:21:54,240 --> 00:21:56,159
Speaker 1: I need to go see if I have Alzheimer's or

464
00:21:56,280 --> 00:21:59,600
Speaker 1: not getting dementia. I did that check, like you go

465
00:21:59,680 --> 00:22:02,520
Speaker 1: and you talk to doctors and nobody ever kind of

466
00:22:02,880 --> 00:22:06,359
Speaker 1: piece the puzzle together in a way that made sense,

467
00:22:06,400 --> 00:22:09,560
Speaker 1: And it also felt so overwhelming, because how can I

468
00:22:09,600 --> 00:22:14,160
Speaker 1: possibly follow all these different doctors orders and regimes and

469
00:22:14,800 --> 00:22:17,240
Speaker 1: prescriptions like it's it becomes so much.

470
00:22:17,440 --> 00:22:20,919
Speaker 2: Yeah, well, like when you're sick, it's very hard to

471
00:22:20,960 --> 00:22:23,800
Speaker 2: advocate for yourself. Right. It's a lot easier to advocate

472
00:22:23,800 --> 00:22:26,040
Speaker 2: for yourself when you're feeling great, but that's not how

473
00:22:26,040 --> 00:22:28,800
Speaker 2: you enter the medical system. Usually you're sick and you

474
00:22:28,840 --> 00:22:32,320
Speaker 2: can't advocate for yourself, and you're tired and you're feeling crappy.

475
00:22:32,400 --> 00:22:34,320
Speaker 2: That's why you want help, But it's hard to advocate

476
00:22:34,320 --> 00:22:36,520
Speaker 2: when that's what you're going through. It's very hard.

477
00:22:37,320 --> 00:22:40,359
Speaker 1: It's so true. I like that I'm not feeling myself.

478
00:22:40,800 --> 00:22:42,240
Speaker 1: I'm not feeling myself, not.

479
00:22:42,160 --> 00:22:47,480
Speaker 2: Feeling Yeah, the abbreviation it was NFLM. Not feeling like myself.

480
00:22:47,600 --> 00:22:50,040
Speaker 2: Like the NFLM is actually getting more and more studied.

481
00:22:50,440 --> 00:22:53,080
Speaker 1: My husband would be very excited thinking it's the NFL

482
00:22:54,200 --> 00:22:58,360
Speaker 1: with some new team at it. But surprise, any we're

483
00:22:58,400 --> 00:23:01,720
Speaker 1: not talking about football. Okay, So let's talk about sex,

484
00:23:01,760 --> 00:23:05,840
Speaker 1: libido and all of the things and the lack thereof

485
00:23:06,440 --> 00:23:09,280
Speaker 1: what happens why does that happen to you us?

486
00:23:09,640 --> 00:23:12,560
Speaker 2: So sex is incredibly complex, which is why I love

487
00:23:12,600 --> 00:23:15,400
Speaker 2: the topic so much. Right, it's biopsychosocial, So it's biology

488
00:23:15,440 --> 00:23:16,480
Speaker 2: what's going on in your body?

489
00:23:17,000 --> 00:23:19,359
Speaker 1: Biopsychosocial. That's the word.

490
00:23:19,400 --> 00:23:22,879
Speaker 2: Word word, that word, and now I'm like, uh, but

491
00:23:23,000 --> 00:23:27,159
Speaker 2: it explains things bio bio psycho, So the bios like

492
00:23:27,200 --> 00:23:29,199
Speaker 2: your cells and how well you're functioning, and you know,

493
00:23:29,320 --> 00:23:31,879
Speaker 2: what are your hormones doing? And do you have painless sex?

494
00:23:31,880 --> 00:23:34,639
Speaker 2: And like all the body parts. And then psychological is

495
00:23:34,680 --> 00:23:37,360
Speaker 2: like how are you feeling about your body image and aging?

496
00:23:37,520 --> 00:23:40,200
Speaker 2: And like you know, what how is your relationship and

497
00:23:40,240 --> 00:23:42,679
Speaker 2: like do you guys even like each other? Right? And

498
00:23:42,720 --> 00:23:45,280
Speaker 2: then social is like what does society tell you about,

499
00:23:45,400 --> 00:23:48,040
Speaker 2: you know, your attractiveness as a female as you age?

500
00:23:48,240 --> 00:23:50,640
Speaker 2: How close are you to the current ideal that's ever

501
00:23:50,760 --> 00:23:54,600
Speaker 2: changing on what sexy is? Right, that actually influences women's

502
00:23:54,640 --> 00:23:57,040
Speaker 2: desire for sex, How close they are to the ever

503
00:23:57,160 --> 00:24:00,800
Speaker 2: changing societal norm of what sexy is? And then society's

504
00:24:00,880 --> 00:24:03,199
Speaker 2: rules like if a woman likes sex, what do we

505
00:24:03,240 --> 00:24:06,800
Speaker 2: call her? Happy? Might be one word, but a bad

506
00:24:06,800 --> 00:24:09,239
Speaker 2: word might be another word. Right, like our judgment of

507
00:24:09,400 --> 00:24:11,800
Speaker 2: are you allowed to want sex as a woman without

508
00:24:11,840 --> 00:24:12,679
Speaker 2: being judged about it?

509
00:24:12,960 --> 00:24:15,480
Speaker 1: Now you have then? Right, there's so many things I

510
00:24:15,480 --> 00:24:19,560
Speaker 1: could say right now totally derogatory that I've heard about that.

511
00:24:19,680 --> 00:24:22,520
Speaker 2: So sex exists within that huge bubble. Right, it's like

512
00:24:22,640 --> 00:24:26,800
Speaker 2: not just a functioning body, but also like does society

513
00:24:26,800 --> 00:24:29,040
Speaker 2: say it's okay for you to touch yourself? Does society

514
00:24:29,080 --> 00:24:31,720
Speaker 2: say that a woman's allowed to pursue sex? Does society

515
00:24:31,720 --> 00:24:33,240
Speaker 2: say a woman can have a higher sex drive than

516
00:24:33,240 --> 00:24:35,679
Speaker 2: her male partner? Right, it's like all these myths and

517
00:24:35,720 --> 00:24:38,240
Speaker 2: biases that we're trying to like when we're swimming in

518
00:24:38,320 --> 00:24:41,199
Speaker 2: this right, and most people haven't sat down and been like,

519
00:24:41,320 --> 00:24:43,600
Speaker 2: can you journal you know how you feel about being

520
00:24:43,680 --> 00:24:46,199
Speaker 2: sexual in our society, Like nobody's thinking about that, but

521
00:24:46,240 --> 00:24:48,679
Speaker 2: it affects us, right, Am I doing this right? I've

522
00:24:48,720 --> 00:24:51,520
Speaker 2: seen people have sex on in Hollywood movies. Am I

523
00:24:51,560 --> 00:24:54,119
Speaker 2: matching up to that? Right? So there's like comparison all

524
00:24:54,160 --> 00:24:58,119
Speaker 2: the time that's happening. So that's biopsychosocial. And in perimenopause

525
00:24:58,160 --> 00:25:03,000
Speaker 2: and menopause, hormones go down, and estrogen and testosterone because

526
00:25:03,080 --> 00:25:07,679
Speaker 2: ovaries make testosterone, influence dopamine and serotonin, which is I

527
00:25:07,720 --> 00:25:10,520
Speaker 2: feel good? I want to pursue sex. Sex is rewarding

528
00:25:10,640 --> 00:25:14,000
Speaker 2: all of those things. Estrogen and testosterone affect the brain,

529
00:25:14,640 --> 00:25:19,280
Speaker 2: also affect blood flow, arousal orgasm. You give a woman testosterone,

530
00:25:19,320 --> 00:25:22,160
Speaker 2: her clteral artery has more blood flow to it.

531
00:25:22,240 --> 00:25:26,000
Speaker 1: Really yeah, I always forget to take my testosterone. But

532
00:25:26,280 --> 00:25:27,959
Speaker 1: like twenty minutes before you came, I was like, I

533
00:25:27,960 --> 00:25:30,119
Speaker 1: gotta put this on, And then I thought, am I

534
00:25:30,160 --> 00:25:33,720
Speaker 1: even doing this right? I have the clicker kind that

535
00:25:33,880 --> 00:25:36,080
Speaker 1: it says give it two clicks and then you have

536
00:25:36,119 --> 00:25:38,560
Speaker 1: point five? Is that a good dose?

537
00:25:39,119 --> 00:25:41,199
Speaker 2: Is it points at point five millilaters or mili? Do

538
00:25:41,240 --> 00:25:45,400
Speaker 2: we know milligrams? Just for ges? So for everybody listening

539
00:25:45,760 --> 00:25:47,720
Speaker 2: I always say clicks is in a dose, clicks is

540
00:25:47,720 --> 00:25:50,480
Speaker 2: in amount. So you just need to know how many

541
00:25:50,640 --> 00:25:53,120
Speaker 2: mgs you're putting on. That's miligrams.

542
00:25:53,240 --> 00:25:55,000
Speaker 1: Yeah, let's go into testosterone talk.

543
00:25:55,240 --> 00:25:57,679
Speaker 2: So testosterone again, Like I always have to back up

544
00:25:57,680 --> 00:26:00,239
Speaker 2: and be like, overies make testosterone because otherwise we are,

545
00:26:00,280 --> 00:26:02,640
Speaker 2: like doctor Casperson says, we should take this male hormone.

546
00:26:02,720 --> 00:26:04,440
Speaker 2: I'm like, this is a female hormone.

547
00:26:04,520 --> 00:26:07,840
Speaker 1: It doesn't sound right that our ovaries are making testosterone, right,

548
00:26:08,080 --> 00:26:10,080
Speaker 1: just me you looking at what you're saying from over here.

549
00:26:10,640 --> 00:26:14,080
Speaker 2: Google's like, disosterone is the male hormones. It's for men's wrong.

550
00:26:14,200 --> 00:26:15,159
Speaker 1: Men need that. I don't know.

551
00:26:15,200 --> 00:26:16,800
Speaker 2: I didn't learn it in med school either. Like that's

552
00:26:16,800 --> 00:26:18,360
Speaker 2: the trippy thing is, yeah, I did not learn that's

553
00:26:18,359 --> 00:26:19,119
Speaker 2: in medical school.

554
00:26:19,160 --> 00:26:20,160
Speaker 1: That's so frightening.

555
00:26:20,240 --> 00:26:23,399
Speaker 2: We gender it. We gender things. We say men have testosterone,

556
00:26:23,440 --> 00:26:26,080
Speaker 2: women have estrogen. Here's the fascinating part. But we'll get

557
00:26:26,080 --> 00:26:28,760
Speaker 2: back to the diestosterone. Men have more estrogen in their

558
00:26:28,800 --> 00:26:31,200
Speaker 2: bodies than a postman aposal female.

559
00:26:31,960 --> 00:26:32,880
Speaker 1: What do they do with it?

560
00:26:33,200 --> 00:26:37,360
Speaker 2: They have sex with it? So they actually like they

561
00:26:37,359 --> 00:26:40,000
Speaker 2: did this study. It's a crazy study because they took

562
00:26:40,080 --> 00:26:42,360
Speaker 2: young men and they blocked their testosterone. Like I don't

563
00:26:42,400 --> 00:26:44,120
Speaker 2: know how much they paid these people, but I hope

564
00:26:44,119 --> 00:26:47,440
Speaker 2: they paid them. So they took these men, blocked their testosterone,

565
00:26:47,560 --> 00:26:50,720
Speaker 2: gave them distosterone back, but blocked the conversion of disosterone

566
00:26:50,760 --> 00:26:53,919
Speaker 2: to estrogen because that's how that's how bodies were make

567
00:26:53,960 --> 00:26:57,040
Speaker 2: distosterone and they converted to so they blocked that. So

568
00:26:57,080 --> 00:26:59,560
Speaker 2: now you have a normal distosterone but no estrogen. Male

569
00:26:59,600 --> 00:27:01,359
Speaker 2: body sex drive went down.

570
00:27:02,000 --> 00:27:04,080
Speaker 1: They need the estrogen, they need the ESU. We need

571
00:27:04,080 --> 00:27:05,480
Speaker 1: the estrogen, We need the estrogen.

572
00:27:05,800 --> 00:27:08,080
Speaker 2: Yeah, isn't that crazy though? Like so if I have

573
00:27:08,160 --> 00:27:10,080
Speaker 2: a couple in, you know, and the woman's kind of

574
00:27:10,080 --> 00:27:12,479
Speaker 2: skittish about hormones or whatever, and I look at her

575
00:27:12,520 --> 00:27:14,680
Speaker 2: male partner and I'm like, you know, he has more

576
00:27:14,840 --> 00:27:17,040
Speaker 2: estrogen in your bot in his body than you have

577
00:27:17,160 --> 00:27:20,320
Speaker 2: right now, and it kind of blows their mind to like, WHOA,

578
00:27:20,359 --> 00:27:23,000
Speaker 2: I really have no estrogen? Then, yeah, because we don't

579
00:27:23,040 --> 00:27:25,360
Speaker 2: think of them as having tons of estrogen, and you don't.

580
00:27:25,440 --> 00:27:28,640
Speaker 1: We don't think about all of our issues, our symptoms,

581
00:27:28,640 --> 00:27:32,600
Speaker 1: our aches and pains being about estrogen, right, and the

582
00:27:32,640 --> 00:27:34,480
Speaker 1: fact that you know that could be just a major

583
00:27:34,520 --> 00:27:36,800
Speaker 1: component of why we're feeling the way we're feeling.

584
00:27:36,920 --> 00:27:39,199
Speaker 2: One of the very common ones is like frozen shoulder,

585
00:27:39,200 --> 00:27:41,360
Speaker 2: which they call the fifty one year old shoulder. Yeah right,

586
00:27:41,400 --> 00:27:44,199
Speaker 2: And the muscle skeletal syndrome of menopause now, which is

587
00:27:44,240 --> 00:27:47,000
Speaker 2: like joint aches and pain. The osteoarthritis goes up with

588
00:27:47,080 --> 00:27:50,720
Speaker 2: low hormones, like need for rotator cuff goes up in

589
00:27:50,760 --> 00:27:54,440
Speaker 2: any gender with low hormones. So like our muscle skeletal

590
00:27:54,480 --> 00:27:58,040
Speaker 2: system uses these hormones to like lubricate and move and

591
00:27:58,080 --> 00:28:00,879
Speaker 2: not be painful. The snostrenes actually very good at I

592
00:28:00,920 --> 00:28:05,399
Speaker 2: don't say treating pain, but like modulating pain. So like

593
00:28:05,520 --> 00:28:08,320
Speaker 2: the stereotype of like it's only for hot flashes or

594
00:28:08,880 --> 00:28:10,920
Speaker 2: you know, it's only for these The big stereotype of

595
00:28:11,040 --> 00:28:14,359
Speaker 2: testosterone for women is that it's only for libido. And

596
00:28:14,400 --> 00:28:15,800
Speaker 2: to me, I'm like, if you say that, then you

597
00:28:15,800 --> 00:28:19,760
Speaker 2: don't understand how sex works, right, because libidos a mood

598
00:28:19,880 --> 00:28:22,360
Speaker 2: and it's a motivation. Where do those come from? They

599
00:28:22,359 --> 00:28:25,160
Speaker 2: come from the brain, right, So it's like testosterone works

600
00:28:25,160 --> 00:28:28,119
Speaker 2: in our brain, that's what it does. Like why is

601
00:28:28,160 --> 00:28:30,600
Speaker 2: your libido better? Because I feel like myself I actually

602
00:28:30,640 --> 00:28:34,240
Speaker 2: have motivation and energy and humans start looking better a

603
00:28:34,240 --> 00:28:34,640
Speaker 2: little bit.

604
00:28:35,280 --> 00:28:38,000
Speaker 1: I'm not lying. You look great right now because I

605
00:28:37,600 --> 00:28:39,000
Speaker 1: got I'm loaded up.

606
00:28:40,640 --> 00:28:43,000
Speaker 2: Right yeah those two hours before podcast?

607
00:28:45,000 --> 00:28:48,000
Speaker 1: Wait, okay, am I supposed to put my testosterone where?

608
00:28:48,000 --> 00:28:48,880
Speaker 1: Am I supposed to put it?

609
00:28:48,960 --> 00:28:49,640
Speaker 2: Lateral thighs?

610
00:28:49,760 --> 00:28:50,160
Speaker 1: Outside?

611
00:28:50,200 --> 00:28:52,360
Speaker 2: That are they common? And the reason is this You're

612
00:28:52,360 --> 00:28:55,200
Speaker 2: get a side effect of hair growth where the application is.

613
00:28:55,800 --> 00:28:58,560
Speaker 2: So for risks, it's like, oh, you don't want hairy wrists,

614
00:28:58,680 --> 00:29:01,120
Speaker 2: so it's not an aesthetic that's in right now, But

615
00:29:01,280 --> 00:29:03,160
Speaker 2: like lateral fis, you're not gonna notice or you're going

616
00:29:03,200 --> 00:29:05,400
Speaker 2: to shave you legs anyways, so either way, okay, so

617
00:29:05,440 --> 00:29:08,000
Speaker 2: we will do nerthizer, just more hair follicles there. Right.

618
00:29:09,080 --> 00:29:13,760
Speaker 2: Some people in some parts of the nation will tell

619
00:29:13,800 --> 00:29:16,800
Speaker 2: women to put systemic and systemic means full body, so

620
00:29:16,800 --> 00:29:18,280
Speaker 2: it's supposed to be in your full body, but they'll

621
00:29:18,280 --> 00:29:21,360
Speaker 2: tell them to put it on their lavia. Uh. They

622
00:29:21,400 --> 00:29:23,479
Speaker 2: can get really high absorption that way because labia has

623
00:29:23,520 --> 00:29:26,040
Speaker 2: tons of testosterone receptors. So we tend just to use

624
00:29:26,040 --> 00:29:27,560
Speaker 2: regular skin lateral fighs.

625
00:29:28,240 --> 00:29:31,040
Speaker 1: Okay, okay, that's very good information.

626
00:29:30,880 --> 00:29:34,640
Speaker 2: And our dosing is one tenth the male dose. One tenth,

627
00:29:34,880 --> 00:29:37,520
Speaker 2: So this is small amounts. We're not trying to and

628
00:29:37,720 --> 00:29:39,280
Speaker 2: you know that's ssterioto. Will you turn me into a

629
00:29:39,280 --> 00:29:41,080
Speaker 2: man if I give you man doses?

630
00:29:41,800 --> 00:29:42,360
Speaker 1: Right?

631
00:29:41,960 --> 00:29:43,560
Speaker 2: We do that.

632
00:29:45,760 --> 00:29:47,040
Speaker 1: One of the competitive ones know.

633
00:29:47,160 --> 00:29:49,800
Speaker 2: That they take a lot of things, way more things

634
00:29:49,800 --> 00:29:52,320
Speaker 2: than testosterone, and.

635
00:29:52,360 --> 00:29:55,440
Speaker 1: They and they work very, very hard, and they work at.

636
00:29:55,680 --> 00:29:58,480
Speaker 2: Gonna accidentally get biceps. But that's the myth with testosterone

637
00:29:58,520 --> 00:30:00,600
Speaker 2: is like will it give women must It's like not

638
00:30:00,680 --> 00:30:02,280
Speaker 2: if you don't eat and not if you don't lift weight.

639
00:30:02,320 --> 00:30:04,080
Speaker 1: Are you gonna make me have a hairier face?

640
00:30:04,280 --> 00:30:06,600
Speaker 2: Right? No?

641
00:30:06,600 --> 00:30:10,600
Speaker 1: No, when it's dosed appropriately, dosed appropriately, most people know

642
00:30:11,200 --> 00:30:13,000
Speaker 1: one tenth of what a managing tenth have.

643
00:30:13,640 --> 00:30:17,360
Speaker 2: Which is usually somewhere around three and five milligrams a day.

644
00:30:17,560 --> 00:30:21,120
Speaker 1: So your point of view is testosterone goes hand in

645
00:30:21,160 --> 00:30:22,400
Speaker 1: hand with estrogen.

646
00:30:22,920 --> 00:30:25,960
Speaker 2: But that's not where society is right now. But to me,

647
00:30:26,000 --> 00:30:28,560
Speaker 2: I'm like your ovaries make it starts going down after

648
00:30:28,560 --> 00:30:32,000
Speaker 2: our twenties, and there's nothing magical again about like your

649
00:30:32,040 --> 00:30:35,719
Speaker 2: last period marks the menopause transition. Right, there's nothing magical

650
00:30:35,760 --> 00:30:38,760
Speaker 2: about having periods or not with distosterone. Dososterone starts going

651
00:30:38,760 --> 00:30:41,680
Speaker 2: down after our twenties, So there's a lot of perimenopausal

652
00:30:41,720 --> 00:30:43,680
Speaker 2: women that could benefit with distosterol.

653
00:30:43,840 --> 00:30:47,360
Speaker 1: It's so interesting. And also I was right there thinking,

654
00:30:47,880 --> 00:30:51,360
Speaker 1: I don't know about that. That sounds risky for all

655
00:30:51,360 --> 00:30:53,880
Speaker 1: the reasons we just talked about. I was very like,

656
00:30:54,320 --> 00:30:57,040
Speaker 1: you know, nervous to try it. And I'll say some

657
00:30:57,240 --> 00:31:00,440
Speaker 1: honestly days that I don't use it because I'm thinking,

658
00:31:01,360 --> 00:31:03,200
Speaker 1: is this something I have to use every day? Is

659
00:31:03,200 --> 00:31:05,200
Speaker 1: this something that, like you know, I can use once

660
00:31:05,240 --> 00:31:07,800
Speaker 1: in a while. Is it a daily thing?

661
00:31:07,800 --> 00:31:09,960
Speaker 2: It's a daily thing. I mean, ovaries don't take a

662
00:31:10,000 --> 00:31:13,680
Speaker 2: day off so oover, just replace my older old right,

663
00:31:13,760 --> 00:31:15,560
Speaker 2: I'm don't taking time off, take months off at a

664
00:31:15,560 --> 00:31:19,320
Speaker 2: time in perimenopause. Yeah, But I mean the cool thing

665
00:31:19,480 --> 00:31:23,959
Speaker 2: is doctors have been giving women to stosterone for eighty years.

666
00:31:24,280 --> 00:31:26,000
Speaker 2: Like that's the thing. It's like, I'm not actually I'm

667
00:31:26,040 --> 00:31:28,200
Speaker 2: not actually new. I just know the data and I

668
00:31:28,240 --> 00:31:30,600
Speaker 2: just know what people have been doing, right, Distosterone's been

669
00:31:30,640 --> 00:31:32,720
Speaker 2: around for like eighty years. Have been giving women to

670
00:31:32,760 --> 00:31:36,760
Speaker 2: stosterone for eighty years, And we're probably three or four

671
00:31:36,800 --> 00:31:41,960
Speaker 2: years away from an FDA approved pharmacologic female dose testosterone.

672
00:31:42,040 --> 00:31:45,719
Speaker 2: And when that happens, the conversation is going to change,

673
00:31:46,120 --> 00:31:48,320
Speaker 2: right so cause it's just going to validate it so

674
00:31:48,400 --> 00:31:51,200
Speaker 2: much more so, there's multiple companies right now going forward.

675
00:31:51,200 --> 00:31:53,000
Speaker 2: And when so I went and spoke at the FDA

676
00:31:53,120 --> 00:31:57,280
Speaker 2: in July and my talk was to stosterone and I

677
00:31:57,360 --> 00:32:00,080
Speaker 2: gave them several requests. But it's like it's gonna be

678
00:32:00,160 --> 00:32:02,400
Speaker 2: a game changer. It's just going to normalize it for

679
00:32:02,480 --> 00:32:05,280
Speaker 2: people because we've been doing it for a while. And

680
00:32:05,320 --> 00:32:07,440
Speaker 2: the women who were on it like if you and

681
00:32:07,480 --> 00:32:08,640
Speaker 2: this is what I you know, I say, It's like

682
00:32:08,680 --> 00:32:11,040
Speaker 2: women don't come back and say thank you for my libido.

683
00:32:11,080 --> 00:32:14,080
Speaker 2: That's the only thing that's better on testostero like that.

684
00:32:14,320 --> 00:32:16,960
Speaker 2: They never say it's only libido. It's like this goes

685
00:32:16,960 --> 00:32:19,600
Speaker 2: in your brain and it's the biggest thing is motivation.

686
00:32:20,120 --> 00:32:23,120
Speaker 2: I just did a follow up with a woman surgical menopause,

687
00:32:23,120 --> 00:32:26,000
Speaker 2: which means her ovaries were removed, doctors did not give

688
00:32:26,000 --> 00:32:29,120
Speaker 2: her hormones for three years. Her symptoms got so bad

689
00:32:29,160 --> 00:32:31,840
Speaker 2: she had to quit her job. And I know she's

690
00:32:31,840 --> 00:32:33,120
Speaker 2: not the only one, so I want to tell the

691
00:32:33,160 --> 00:32:35,600
Speaker 2: story so otherwise, like yes, so she got up finally

692
00:32:35,640 --> 00:32:38,120
Speaker 2: got on estrogen before she found me was like, oh

693
00:32:38,120 --> 00:32:41,520
Speaker 2: my god, the sun's back out right, So got back

694
00:32:41,560 --> 00:32:43,600
Speaker 2: on estrogen, helped her sleep. All the things came to

695
00:32:43,640 --> 00:32:46,000
Speaker 2: me for testostero, and I just did her fall up

696
00:32:46,000 --> 00:32:47,400
Speaker 2: a couple of weeks ago, and she it was a

697
00:32:47,400 --> 00:32:50,440
Speaker 2: telemed and she's like, let me show you outside my house.

698
00:32:50,480 --> 00:32:52,719
Speaker 2: It's she takes me out there and a deck is

699
00:32:52,760 --> 00:32:55,000
Speaker 2: being made out there and she's like, this is my

700
00:32:55,040 --> 00:32:59,520
Speaker 2: testosterone deck. And I'm like, your testosterone deck. Tell me more.

701
00:32:59,560 --> 00:33:02,320
Speaker 2: And she's like, I just have the motivation to get

702
00:33:02,360 --> 00:33:05,480
Speaker 2: things done now, Oh I want that. Yeah. So it's

703
00:33:05,480 --> 00:33:08,320
Speaker 2: like this pursuit of wanting to get things done that

704
00:33:08,440 --> 00:33:10,600
Speaker 2: Like again, it's how do I X ray your level

705
00:33:10,600 --> 00:33:12,600
Speaker 2: of motivation? How do I draw blood and say this

706
00:33:12,640 --> 00:33:14,520
Speaker 2: is her level of motivation and it's less than what

707
00:33:14,560 --> 00:33:17,120
Speaker 2: it used to be, right, So and I say that

708
00:33:17,160 --> 00:33:19,520
Speaker 2: to be like in medicine, we love measuring things, we

709
00:33:19,720 --> 00:33:23,600
Speaker 2: love being objective. So it's this kind of like it's

710
00:33:23,680 --> 00:33:25,520
Speaker 2: not woo wo, but it's kind of this like I'm

711
00:33:25,520 --> 00:33:28,360
Speaker 2: telling you testosterones giving you back something that's kind of

712
00:33:28,400 --> 00:33:32,880
Speaker 2: hard to measure, So it's like less valid in the

713
00:33:32,920 --> 00:33:35,120
Speaker 2: medical world of like I don't know how I measure that.

714
00:33:35,400 --> 00:33:36,480
Speaker 1: Yeah, but it.

715
00:33:36,520 --> 00:33:39,080
Speaker 2: Drives me crazy when people are like disosterones only for libido.

716
00:33:39,280 --> 00:33:41,680
Speaker 2: You're like, libido doesn't exist. There isn't like the one

717
00:33:41,760 --> 00:33:44,160
Speaker 2: centimeter libido box on the left side of your brain

718
00:33:44,240 --> 00:33:46,680
Speaker 2: that like only testosterone goes to. Like, it's not how

719
00:33:46,720 --> 00:33:51,200
Speaker 2: brains work, it's the whole thing body, the whole whole body. Yeah, there,

720
00:33:51,240 --> 00:33:54,200
Speaker 2: I mean, And there's we have much less data on

721
00:33:54,280 --> 00:33:55,960
Speaker 2: testosterone than we do for estrogen.

722
00:33:56,120 --> 00:33:58,960
Speaker 1: Well but until soon we'll be well.

723
00:33:58,840 --> 00:34:02,000
Speaker 2: Hopefully, yeah, hopefully you're.

724
00:34:01,800 --> 00:34:03,920
Speaker 1: A part of it. Okay, So there's you know, I

725
00:34:03,960 --> 00:34:06,680
Speaker 1: think in the early two thousands, there was that whole

726
00:34:06,760 --> 00:34:11,080
Speaker 1: situation with telling women they shouldn't be on home hormone replacement.

727
00:34:11,080 --> 00:34:14,840
Speaker 2: There ye, the whr the wh should we talk about that?

728
00:34:15,320 --> 00:34:15,840
Speaker 2: People don't know?

729
00:34:16,040 --> 00:34:16,839
Speaker 1: I would like you too.

730
00:34:17,000 --> 00:34:20,720
Speaker 2: So we've been giving women to disosterone and extra hormones

731
00:34:20,760 --> 00:34:23,080
Speaker 2: for like eighty years. In the nineteen nineties, forty percent

732
00:34:23,120 --> 00:34:24,839
Speaker 2: of American women were on it. It was the top

733
00:34:24,880 --> 00:34:27,279
Speaker 2: one of the top five best selling drugs in the nation.

734
00:34:27,640 --> 00:34:29,360
Speaker 2: Hormone if you can even call like what your ovary

735
00:34:29,400 --> 00:34:32,000
Speaker 2: makes a drug? Right, But I don't have a better word.

736
00:34:32,120 --> 00:34:35,400
Speaker 2: So hormones was one of the top ten, top five pharmaceuticals,

737
00:34:35,480 --> 00:34:37,279
Speaker 2: And I want to set the stage for people to

738
00:34:37,320 --> 00:34:39,879
Speaker 2: be like, we're not talking about something new, We're trying

739
00:34:39,880 --> 00:34:42,200
Speaker 2: to get back to where we were because the devastation

740
00:34:42,480 --> 00:34:46,719
Speaker 2: was profound. So the cardiologists back in the nineties, they're like,

741
00:34:46,960 --> 00:34:49,440
Speaker 2: women who are on hormones seem to have less heart disease.

742
00:34:50,360 --> 00:34:53,640
Speaker 2: And they had observational studies and like they had allotted

743
00:34:53,760 --> 00:34:56,680
Speaker 2: data to be like women who stay on the hormones,

744
00:34:57,000 --> 00:34:59,640
Speaker 2: they're not getting heart disease like the women who aren't.

745
00:35:00,040 --> 00:35:02,680
Speaker 2: So they knew something was up with this, and they said,

746
00:35:02,760 --> 00:35:05,680
Speaker 2: let's do a randomized spacebo control trial looking at this.

747
00:35:05,880 --> 00:35:10,799
Speaker 2: Let's prove it definitively like core of a million dollar study.

748
00:35:10,520 --> 00:35:11,000
Speaker 1: At the time.

749
00:35:11,080 --> 00:35:12,879
Speaker 2: Now that would be a billion dollars if we wanted

750
00:35:12,920 --> 00:35:15,880
Speaker 2: to do it now. Federal government funded like forty sites

751
00:35:15,880 --> 00:35:18,520
Speaker 2: in America, big study, and it was like this big

752
00:35:18,560 --> 00:35:20,279
Speaker 2: thing because it was like, oh, it's on women, right,

753
00:35:20,280 --> 00:35:22,600
Speaker 2: which is a big deal. But what they did is

754
00:35:22,600 --> 00:35:25,759
Speaker 2: they took older women, so not new menopause fifty year olds.

755
00:35:25,760 --> 00:35:28,480
Speaker 2: They took older women average age sixty three, and they

756
00:35:28,480 --> 00:35:31,799
Speaker 2: put them on oral synthetic medications as we don't use now,

757
00:35:32,600 --> 00:35:36,640
Speaker 2: and they stopped it early because they didn't like how

758
00:35:36,680 --> 00:35:38,920
Speaker 2: there was some breast cancer in some of the people,

759
00:35:39,480 --> 00:35:43,319
Speaker 2: but it never was statistically significant. The crazy thing about

760
00:35:43,320 --> 00:35:45,960
Speaker 2: this study is that it's free online right now, like

761
00:35:46,040 --> 00:35:48,600
Speaker 2: anybody can pull up and read this whri It's not

762
00:35:48,640 --> 00:35:50,360
Speaker 2: like this mystery thing in a history book. It's like, no,

763
00:35:50,440 --> 00:35:52,080
Speaker 2: it's free online, like I can pull it up and

764
00:35:52,120 --> 00:35:55,879
Speaker 2: read it and it says comes close to statistical significance.

765
00:35:56,360 --> 00:36:01,239
Speaker 2: And in the medical research world can't come close and

766
00:36:01,360 --> 00:36:04,640
Speaker 2: have it be statistically significant. It's like you're kind of pregnant.

767
00:36:04,840 --> 00:36:06,799
Speaker 2: It's like, no, no, you're pregnant, or you're not pregnant. Right,

768
00:36:06,840 --> 00:36:10,440
Speaker 2: it's either statistically significant or it's not. And it wasn't.

769
00:36:11,080 --> 00:36:13,480
Speaker 2: But back in two thousand and one, in two thousand

770
00:36:13,480 --> 00:36:17,120
Speaker 2: and two, there wasn't social media. Medical studies got printed

771
00:36:17,160 --> 00:36:20,200
Speaker 2: on paper and got mail deer house a week later,

772
00:36:20,680 --> 00:36:23,000
Speaker 2: so the doctors couldn't read it, and they went to

773
00:36:23,040 --> 00:36:26,719
Speaker 2: the media first. They wanted a big they wanted it big.

774
00:36:27,360 --> 00:36:29,680
Speaker 2: So some of the researchers went to the media and said,

775
00:36:29,800 --> 00:36:32,080
Speaker 2: we stop this because of the risks of breast cancer.

776
00:36:32,480 --> 00:36:35,440
Speaker 2: Media took it ran with it. Women are now afraid

777
00:36:35,440 --> 00:36:38,640
Speaker 2: of something their body naturally makes. One week later, the

778
00:36:38,719 --> 00:36:40,520
Speaker 2: doctors get to read the study because it came in

779
00:36:40,520 --> 00:36:44,799
Speaker 2: the mailbox and they said it didn't reach statistical significance.

780
00:36:45,440 --> 00:36:48,120
Speaker 2: And the doctors who knew knew that this wasn't that

781
00:36:48,200 --> 00:36:51,080
Speaker 2: big of a deal. But they didn't have social media platforms,

782
00:36:51,120 --> 00:36:55,080
Speaker 2: they didn't have podcasts, they didn't have the news stations. Right,

783
00:36:55,200 --> 00:36:58,000
Speaker 2: so about eighty percent of women in this nation got

784
00:36:58,040 --> 00:37:01,920
Speaker 2: taken off of their hormones. Subsequently, there's been papers published

785
00:37:01,920 --> 00:37:04,480
Speaker 2: saying because of that, because remember lots of people were

786
00:37:04,480 --> 00:37:07,040
Speaker 2: on hormones, we took them off, we have more heart disease,

787
00:37:07,160 --> 00:37:11,160
Speaker 2: more bone fractures, there's more breast cancer now. And the

788
00:37:11,200 --> 00:37:13,400
Speaker 2: crazy thing about the study, to wrap it up for people,

789
00:37:13,480 --> 00:37:15,280
Speaker 2: is that the women who are in the estrogen alone

790
00:37:15,360 --> 00:37:18,319
Speaker 2: study had actually decreased risk of breast cancer. And that

791
00:37:18,360 --> 00:37:20,879
Speaker 2: did not make the news at all. So, I mean,

792
00:37:20,920 --> 00:37:23,760
Speaker 2: it's sickening to be like, you guys wanted the attention

793
00:37:24,040 --> 00:37:26,120
Speaker 2: and you gave it negative attention. But there's actually some

794
00:37:26,160 --> 00:37:28,560
Speaker 2: really good stuff that came out of there, and nobody

795
00:37:28,640 --> 00:37:31,480
Speaker 2: knew about it, right because it's good news. Doesn't make

796
00:37:31,560 --> 00:37:34,000
Speaker 2: us turn as many heads, that's right, but it's done

797
00:37:34,120 --> 00:37:37,319
Speaker 2: profound damage, and it's made women afraid of something their

798
00:37:37,320 --> 00:37:38,239
Speaker 2: body naturally makes.

799
00:37:38,400 --> 00:37:40,840
Speaker 1: Yeah, that's the hardest part because I talk about hormone

800
00:37:40,840 --> 00:37:44,000
Speaker 1: replacement and I share my story and tell people that

801
00:37:44,080 --> 00:37:47,120
Speaker 1: I use it, and I get a lot of women saying, oh,

802
00:37:47,160 --> 00:37:51,759
Speaker 1: I can't take that, or I have breast cancer in

803
00:37:51,760 --> 00:37:53,640
Speaker 1: my family, so I can't.

804
00:37:53,719 --> 00:37:56,680
Speaker 2: Yeah, that's a very common myth. Yeah, and so it's

805
00:37:56,719 --> 00:37:59,920
Speaker 2: and the good I want people to understand, Like everything

806
00:38:00,040 --> 00:38:03,080
Speaker 2: I'm saying is like published somewhere and written somewhere. This

807
00:38:03,120 --> 00:38:05,839
Speaker 2: isn't like Kelly's opinion on life, right, Like I'm very

808
00:38:05,840 --> 00:38:09,400
Speaker 2: well researched in this. But family history is not a

809
00:38:09,480 --> 00:38:14,920
Speaker 2: contraindication to hormone therapy, and that's well published. There's twenty

810
00:38:15,080 --> 00:38:18,760
Speaker 2: twenty two menopause guidelines. So what happens to your family

811
00:38:19,440 --> 00:38:22,680
Speaker 2: doesn't control your ability to be on hormones, and people

812
00:38:22,960 --> 00:38:25,440
Speaker 2: don't know that. Yeah. I mean. The other thing that's

813
00:38:25,440 --> 00:38:27,680
Speaker 2: crazy about breast cancer, which I'd say is probably one

814
00:38:27,680 --> 00:38:30,480
Speaker 2: of the most feared things that women has, is like

815
00:38:30,719 --> 00:38:33,000
Speaker 2: most women don't know that alcohol increases the risk of

816
00:38:33,040 --> 00:38:35,600
Speaker 2: breast cancer. And that was very interesting for me because

817
00:38:35,640 --> 00:38:37,880
Speaker 2: I would see women come in and they're so afraid

818
00:38:37,920 --> 00:38:40,560
Speaker 2: of estrogen, and I'm like, how much do you drink

819
00:38:40,600 --> 00:38:42,680
Speaker 2: a week? Like, oh, you know, a bottle of weekend

820
00:38:42,800 --> 00:38:44,640
Speaker 2: or you know, whatever it might be. And I'm like,

821
00:38:44,719 --> 00:38:47,880
Speaker 2: you realize that alcohol has an association with breast cancer

822
00:38:48,120 --> 00:38:50,560
Speaker 2: And they're like, I didn't know that. And I'm like,

823
00:38:50,560 --> 00:38:52,600
Speaker 2: so here you are afraid of something that doesn't cause

824
00:38:52,600 --> 00:38:55,359
Speaker 2: breast cancer and you're unaware of something that is a

825
00:38:55,400 --> 00:38:59,200
Speaker 2: known cancer causing agent eight cancers. Actually, yeah, right, So

826
00:38:59,239 --> 00:39:00,759
Speaker 2: it's like we're afraid the wrong thing.

827
00:39:01,400 --> 00:39:04,000
Speaker 1: I mean, when you're a smoker, you think, oh, I'll

828
00:39:04,000 --> 00:39:06,600
Speaker 1: stop smoking cigarettes and I'll just vape. Sure, yeah yeah,

829
00:39:06,640 --> 00:39:08,600
Speaker 1: yeah right, it's like that. That's what the kids are

830
00:39:08,640 --> 00:39:11,600
Speaker 1: thinking in these days, not even knowing right what kind

831
00:39:11,600 --> 00:39:13,120
Speaker 1: of damage they're doing bodies.

832
00:39:13,200 --> 00:39:14,600
Speaker 2: Yeah, it's awful.

833
00:39:14,320 --> 00:39:16,839
Speaker 1: That's crazy. Yeah. So when I hear that back then,

834
00:39:16,880 --> 00:39:19,800
Speaker 1: I'm like, you need to be listening to the right doctors,

835
00:39:19,840 --> 00:39:22,600
Speaker 1: and I give them recommendations listening to the right podcasts

836
00:39:23,239 --> 00:39:24,520
Speaker 1: and reading the right books.

837
00:39:24,719 --> 00:39:28,279
Speaker 2: Yeah yeah, and because remember like what we're doing, like

838
00:39:28,320 --> 00:39:31,440
Speaker 2: the doctors who are sharing. This is we're changing medicine

839
00:39:31,480 --> 00:39:34,080
Speaker 2: from the bottom up, right, We're getting the women educated,

840
00:39:34,120 --> 00:39:36,160
Speaker 2: and we tell them, we're like, hey, I'm sorry, you're

841
00:39:36,200 --> 00:39:37,560
Speaker 2: going to know more than your doctor for a little

842
00:39:37,600 --> 00:39:41,920
Speaker 2: bit about this. Like sorry, because after the WHI medical

843
00:39:41,920 --> 00:39:44,759
Speaker 2: schools stop teaching this, residencies stop teaching this. We have

844
00:39:44,800 --> 00:39:49,360
Speaker 2: two decades of untrained medical clinicians. But nothing motivates a

845
00:39:49,400 --> 00:39:51,959
Speaker 2: doctor to learn something. Then like five women came into

846
00:39:51,960 --> 00:39:54,880
Speaker 2: my office this week saying, I want to try vaginal estrogen,

847
00:39:54,880 --> 00:39:56,719
Speaker 2: I want to try an estrogen patch, blah blah blah.

848
00:39:56,760 --> 00:39:59,200
Speaker 2: So we're saying, here's the data, here's how to talk

849
00:39:59,239 --> 00:40:02,319
Speaker 2: to doctors, go advocate, because the bottom up is how

850
00:40:02,360 --> 00:40:04,680
Speaker 2: it's going to change. It's very similar, I think to

851
00:40:04,719 --> 00:40:09,359
Speaker 2: the HIV AIDS ground swell, Like doctors weren't trying new

852
00:40:09,400 --> 00:40:13,399
Speaker 2: meds research, wasn't doing anything. The patients and the advocates

853
00:40:13,480 --> 00:40:16,200
Speaker 2: went in and said we want to be treated, you

854
00:40:16,360 --> 00:40:19,720
Speaker 2: have to do something, and so like that ground swells

855
00:40:19,760 --> 00:40:21,759
Speaker 2: like that's what the women are doing now. This is

856
00:40:21,760 --> 00:40:22,880
Speaker 2: how we're changing medicine.

857
00:40:22,960 --> 00:40:24,760
Speaker 1: Yeah, it's such an amazing movement.

858
00:40:25,000 --> 00:40:26,520
Speaker 2: Yeah, it's crazy, it's so good.

859
00:40:26,800 --> 00:40:29,880
Speaker 1: Okay, This brings me to a question that maybe a

860
00:40:29,880 --> 00:40:34,200
Speaker 1: lot of women have dealt with. This when you need

861
00:40:34,200 --> 00:40:37,080
Speaker 1: to read your books and you got your facts down

862
00:40:37,480 --> 00:40:39,960
Speaker 1: and you know things that maybe your doctor doesn't know,

863
00:40:40,000 --> 00:40:42,480
Speaker 1: and you go into the doctor's office and you tell

864
00:40:42,480 --> 00:40:45,800
Speaker 1: them what you know, and they say, oh, yeah, you

865
00:40:45,840 --> 00:40:47,400
Speaker 1: should stop reading so many books.

866
00:40:47,560 --> 00:40:50,080
Speaker 2: Yeah, well, or you should stop being on the internet.

867
00:40:50,440 --> 00:40:51,480
Speaker 1: Oh yeah, don't google it.

868
00:40:51,480 --> 00:40:53,799
Speaker 2: Don't don't google it. You should also not listen to podcasts.

869
00:40:54,800 --> 00:40:57,960
Speaker 2: According to some people. You know, there was just a

870
00:40:58,000 --> 00:41:01,520
Speaker 2: paper study this is the breast cancer survivor population, and

871
00:41:01,560 --> 00:41:04,120
Speaker 2: they basically ask the researchers ask the women, where do

872
00:41:04,160 --> 00:41:07,320
Speaker 2: you get your health information from? Right, It's social media,

873
00:41:07,440 --> 00:41:10,680
Speaker 2: it's podcasts, it's books, because you don't have enough time

874
00:41:10,680 --> 00:41:13,239
Speaker 2: to be educated in the doctor's office, Like, that's not

875
00:41:13,239 --> 00:41:14,680
Speaker 2: what it's there. If they want you in and out,

876
00:41:14,800 --> 00:41:16,719
Speaker 2: they want you in and out. So you know, it's

877
00:41:16,800 --> 00:41:19,840
Speaker 2: it's very paradoxical to be like, don't don't get educated,

878
00:41:19,880 --> 00:41:23,200
Speaker 2: but we can't do it here. You know, it's like, no, women,

879
00:41:23,239 --> 00:41:25,400
Speaker 2: you're not going to turn off social media, right, Like

880
00:41:25,440 --> 00:41:27,760
Speaker 2: there's good stuff and there's bad stuff. And I would argue,

881
00:41:27,800 --> 00:41:30,200
Speaker 2: like the doctors who know the good stuff. They need

882
00:41:30,239 --> 00:41:32,239
Speaker 2: to be on there because lord knows, there's a bunch

883
00:41:32,280 --> 00:41:34,799
Speaker 2: of people selling other things on there, right, Like, it's

884
00:41:34,840 --> 00:41:37,880
Speaker 2: got to get some sort of truth. So advocating for

885
00:41:37,920 --> 00:41:42,120
Speaker 2: yourself is just an absolute, huge scary thing for a

886
00:41:42,120 --> 00:41:43,920
Speaker 2: lot of people. Have a chapter in my book on

887
00:41:43,960 --> 00:41:46,280
Speaker 2: how to talk to your doctor, right, So my first

888
00:41:46,320 --> 00:41:49,680
Speaker 2: tip is, if you have a great relationship already awesome,

889
00:41:49,760 --> 00:41:51,439
Speaker 2: you're already ahead of the curve. A lot of women

890
00:41:51,520 --> 00:41:53,920
Speaker 2: don't have that relationship with their doctor, right, who's like

891
00:41:53,960 --> 00:41:56,360
Speaker 2: willing to be like, hey, we're both getting older together,

892
00:41:56,440 --> 00:41:58,319
Speaker 2: let's learn how to do this. Let's what do you know?

893
00:41:58,400 --> 00:42:01,000
Speaker 2: I'll see what I know like a part because that's,

894
00:42:01,400 --> 00:42:03,640
Speaker 2: at the end of the day, a lovely, amazing thing.

895
00:42:03,719 --> 00:42:06,000
Speaker 2: Not everybody has that. So if you don't have that,

896
00:42:06,680 --> 00:42:09,720
Speaker 2: one tip is call the receptionist and say, does doctor

897
00:42:09,800 --> 00:42:13,200
Speaker 2: Jones deal with perimenopause and menopause, because don't take a

898
00:42:13,280 --> 00:42:16,120
Speaker 2: day off of work, pay for parking, get childcare to

899
00:42:16,200 --> 00:42:19,080
Speaker 2: go sit, pay for your cope to go sit in there,

900
00:42:19,080 --> 00:42:21,160
Speaker 2: and say, hey, I'm learning a lot about perimenopause and

901
00:42:21,160 --> 00:42:23,319
Speaker 2: I think I might benefit from an estrogen patch. And

902
00:42:23,360 --> 00:42:25,759
Speaker 2: they're like, nope, I don't believe in that. Like, learn

903
00:42:25,840 --> 00:42:28,120
Speaker 2: that before you do all those things. Yeah. Right, So

904
00:42:28,120 --> 00:42:30,160
Speaker 2: it's like get ahead of it to be like, Okay,

905
00:42:30,160 --> 00:42:32,680
Speaker 2: if doctor Jones doesn't do that, do one of their

906
00:42:32,760 --> 00:42:35,880
Speaker 2: partners do that? Right? Who's in the clinic that sees

907
00:42:35,920 --> 00:42:40,000
Speaker 2: these patients, right, because that's a friendly person. And then

908
00:42:40,320 --> 00:42:43,000
Speaker 2: this is the script. I've been reading a lot about

909
00:42:43,160 --> 00:42:46,720
Speaker 2: x y Z and I'm experiencing that. Can I try

910
00:42:46,960 --> 00:42:51,439
Speaker 2: vaginal estrogen, an estrogen patch, five milligrams of testosterone whatever

911
00:42:51,480 --> 00:42:53,040
Speaker 2: it is? So you tell them what you want. I

912
00:42:53,040 --> 00:42:55,720
Speaker 2: would like to try x y Z for this reason.

913
00:42:55,960 --> 00:42:58,520
Speaker 2: I will schedule a follow up in two to three months,

914
00:42:58,560 --> 00:43:01,799
Speaker 2: and we will adjust as need it. Doctors love knowing

915
00:43:01,800 --> 00:43:04,440
Speaker 2: how you do. They love knowing they're gonna just as needed.

916
00:43:04,600 --> 00:43:06,399
Speaker 2: It's like, I don't want to try something and never

917
00:43:06,520 --> 00:43:08,719
Speaker 2: see you again. I hate it when people like don't

918
00:43:08,719 --> 00:43:12,239
Speaker 2: come back. Yes, I think you're like, well, how that helped? Yeah,

919
00:43:12,320 --> 00:43:14,719
Speaker 2: help that go. So we love that. So it's like

920
00:43:14,760 --> 00:43:17,919
Speaker 2: speak our language and kind of give give that. I'm

921
00:43:17,960 --> 00:43:21,879
Speaker 2: on your team. I don't want to do anything dangerous either. Right,

922
00:43:21,960 --> 00:43:26,839
Speaker 2: Let's see how it works that that moves mountains, and

923
00:43:26,880 --> 00:43:28,960
Speaker 2: you know, again, it's a partnership. At the end of

924
00:43:29,000 --> 00:43:31,480
Speaker 2: the day. Hormones in America are a prescription. You do

925
00:43:31,640 --> 00:43:35,200
Speaker 2: need somebody to help you access them. But find large

926
00:43:35,239 --> 00:43:37,479
Speaker 2: doctors want to help women. And if you are winning

927
00:43:37,560 --> 00:43:40,120
Speaker 2: on hormones, go back and tell that doctor, like I

928
00:43:40,160 --> 00:43:42,360
Speaker 2: am now sleeping. Oh my god, my sex life is

929
00:43:42,360 --> 00:43:45,080
Speaker 2: so much better. Oh my god, the brain FOG's better. Like,

930
00:43:45,360 --> 00:43:47,960
Speaker 2: tell them why you're better, because they're gonna help the

931
00:43:47,960 --> 00:43:50,280
Speaker 2: next woman with that's right, because they see that.

932
00:43:50,280 --> 00:43:54,680
Speaker 1: That's amazing, that's amazing. We talked about cancer risks, and

933
00:43:54,520 --> 00:43:57,080
Speaker 1: I remember what you wrote in the book about being

934
00:43:57,160 --> 00:44:00,000
Speaker 1: people being afraid of estrogen and something our body naturally produce,

935
00:44:00,280 --> 00:44:03,800
Speaker 1: and not being afraid of alcohol, which is the leading

936
00:44:03,840 --> 00:44:06,760
Speaker 1: cause of a lot of major diseases.

937
00:44:06,840 --> 00:44:08,759
Speaker 2: Yeah, they think about ten percent of breast cancer is

938
00:44:08,760 --> 00:44:09,560
Speaker 2: alcohol related.

939
00:44:09,880 --> 00:44:14,000
Speaker 1: Do you think this is a very like generalization. But

940
00:44:14,080 --> 00:44:18,160
Speaker 1: I feel like as an American seeing our foods, the

941
00:44:18,160 --> 00:44:20,319
Speaker 1: things we have available to us and the things that

942
00:44:20,680 --> 00:44:24,279
Speaker 1: are you know, really sort of laid out for us

943
00:44:24,360 --> 00:44:27,520
Speaker 1: as things we should want, like sugary drinks from the

944
00:44:27,520 --> 00:44:28,520
Speaker 1: coffee store. Yeah.

945
00:44:28,800 --> 00:44:30,640
Speaker 2: Yeah, I don't want.

946
00:44:30,520 --> 00:44:33,200
Speaker 1: To call them out. But the sugary drinks, the drive

947
00:44:33,280 --> 00:44:36,680
Speaker 1: through food, the sodas up to the gulps. You know,

948
00:44:37,680 --> 00:44:40,560
Speaker 1: I feel like people are setting us up for being

949
00:44:41,080 --> 00:44:42,680
Speaker 1: at least pretty diabetic.

950
00:44:43,000 --> 00:44:44,839
Speaker 2: Yeah. Oh, and I mean the amount of sugar. If

951
00:44:44,880 --> 00:44:47,560
Speaker 2: you just look at like how much sugar humans consumed

952
00:44:47,560 --> 00:44:50,040
Speaker 2: in the eighteen hundreds, I'm not even talking like more

953
00:44:50,080 --> 00:44:51,879
Speaker 2: than a hundred years ago. It was like the eighteen

954
00:44:51,960 --> 00:44:53,719
Speaker 2: hundreds compared to now, it's insane.

955
00:44:53,920 --> 00:44:56,120
Speaker 1: How much do they eat in eighteen hundreds of curious?

956
00:44:56,400 --> 00:44:56,920
Speaker 2: Very little?

957
00:44:56,960 --> 00:44:57,760
Speaker 1: Well, what are they getting?

958
00:44:57,840 --> 00:45:00,719
Speaker 2: Like they can't have like a cake once a year?

959
00:45:00,760 --> 00:45:02,280
Speaker 1: Somebody made a cake, right, yeay?

960
00:45:02,320 --> 00:45:06,560
Speaker 2: Okay. The other interesting thing about that is sex was

961
00:45:07,000 --> 00:45:10,200
Speaker 2: the most amazing thing because there wasn't a lot else

962
00:45:10,239 --> 00:45:13,279
Speaker 2: going on, right, Like, sex was great, That's what was

963
00:45:13,320 --> 00:45:14,920
Speaker 2: gonna be the highlight of your week. And now we're like,

964
00:45:15,000 --> 00:45:17,879
Speaker 2: I got Netflix, I got Hagana's Mint Chip, I've got

965
00:45:17,880 --> 00:45:19,600
Speaker 2: any type of bottle of wine that I want. Like

966
00:45:19,640 --> 00:45:23,480
Speaker 2: we're getting our dopamine in ways that it's other than sex,

967
00:45:23,760 --> 00:45:25,719
Speaker 2: Whereas like even one hundred years ago, you're like there's

968
00:45:25,719 --> 00:45:28,399
Speaker 2: nothing else. We don't have electricity, nothing else to do.

969
00:45:28,719 --> 00:45:32,239
Speaker 2: Sex seems pretty good. Yeah, but sex is actually work, right,

970
00:45:32,280 --> 00:45:35,160
Speaker 2: It's a lot. It's more work, I mean than scrolling

971
00:45:35,239 --> 00:45:37,239
Speaker 2: and a pine ice cream. Yeah.

972
00:45:37,239 --> 00:45:39,120
Speaker 1: You definitely have to exert some energy. You have to

973
00:45:39,120 --> 00:45:40,440
Speaker 1: exert energy, which.

974
00:45:40,800 --> 00:45:42,319
Speaker 2: You have to coordinate with another human if you want

975
00:45:42,320 --> 00:45:44,319
Speaker 2: another human involved, right, and that they have to get

976
00:45:44,320 --> 00:45:47,160
Speaker 2: off their device, right. Like, sex is actually like not

977
00:45:47,239 --> 00:45:50,440
Speaker 2: at the top of the dopamine like food chain anymore. Yeah,

978
00:45:50,600 --> 00:45:51,960
Speaker 2: unless you prioritize it.

979
00:45:52,000 --> 00:45:55,080
Speaker 1: To me, I remember when exercise was the top of

980
00:45:55,400 --> 00:45:58,439
Speaker 1: the dopamine food chain. Yeah, yeah, and everyone was saying,

981
00:45:58,440 --> 00:46:00,920
Speaker 1: you have to exercise because that's how you're body releases

982
00:46:01,320 --> 00:46:04,520
Speaker 1: the dopamine. Those are chemicals that we need, yea, And Okay,

983
00:46:04,760 --> 00:46:07,040
Speaker 1: that don't motivate me to but I just did it

984
00:46:07,080 --> 00:46:11,560
Speaker 1: blindly because someone said it. Yeah, no like doctor recommending it,

985
00:46:11,640 --> 00:46:13,560
Speaker 1: you know, no one saying that that was gonna help

986
00:46:13,600 --> 00:46:15,480
Speaker 1: my hormone balance.

987
00:46:15,360 --> 00:46:18,360
Speaker 2: Right yeah. Yeah, So exercise won't make your ovaries not

988
00:46:18,480 --> 00:46:20,680
Speaker 2: run out of follicles. I think that's a bit. I

989
00:46:20,680 --> 00:46:23,359
Speaker 2: guess there's like the crazy stuff on social media, right,

990
00:46:23,360 --> 00:46:25,719
Speaker 2: Like if you just like like stretch your fascia a

991
00:46:25,719 --> 00:46:28,239
Speaker 2: certain way, you can prevent metopause. It's like, no, that's

992
00:46:28,239 --> 00:46:31,840
Speaker 2: not how it works. But exercise really does help vaso

993
00:46:31,880 --> 00:46:35,640
Speaker 2: motor symptoms. It really helps sleep, it really helps glucose metabolism,

994
00:46:35,719 --> 00:46:38,399
Speaker 2: like it helps so much in midlife. It's like, don't

995
00:46:38,480 --> 00:46:40,719
Speaker 2: just think you can slap on an estrogen patch and

996
00:46:40,800 --> 00:46:41,640
Speaker 2: be good, Like you.

997
00:46:41,680 --> 00:46:44,000
Speaker 1: Still all things it does for you. Why wouldn't you

998
00:46:44,080 --> 00:46:44,239
Speaker 1: do it?

999
00:46:44,280 --> 00:46:46,280
Speaker 2: Oh my god, it is better than any Like exercise

1000
00:46:46,400 --> 00:46:49,080
Speaker 2: is better than any drug at preventing dementia. Yes, if

1001
00:46:49,200 --> 00:46:51,319
Speaker 2: they could, it would have a Super Bowl ad for sure.

1002
00:46:51,320 --> 00:46:55,480
Speaker 2: They'd be like, exercise helps your brain. People who exercise

1003
00:46:55,520 --> 00:46:56,160
Speaker 2: have better sex.

1004
00:46:56,560 --> 00:47:01,080
Speaker 1: No. Now it is is you watch the Suitable commercials

1005
00:47:01,120 --> 00:47:03,560
Speaker 1: and it's they list all the side effects and they

1006
00:47:03,560 --> 00:47:05,400
Speaker 1: say them so fast that you're.

1007
00:47:05,280 --> 00:47:09,080
Speaker 2: Like, wait, what yeah, stay fast for a reason.

1008
00:47:10,520 --> 00:47:14,799
Speaker 1: Short is the breath, the irritable sundrum, totally cottenance. They'll

1009
00:47:14,800 --> 00:47:16,480
Speaker 1: tell you all the things that this drug could give you.

1010
00:47:16,600 --> 00:47:18,719
Speaker 2: I mean, that's what's so interesting. So the whether I

1011
00:47:18,760 --> 00:47:20,080
Speaker 2: don't know if you know or not, but they're the

1012
00:47:20,160 --> 00:47:22,440
Speaker 2: vaginal estrogen has a boxed warning on it that the

1013
00:47:22,520 --> 00:47:25,480
Speaker 2: FDA put on after the wa try it's still there,

1014
00:47:25,640 --> 00:47:28,640
Speaker 2: still there. We went to the FDA in July. Still there,

1015
00:47:29,440 --> 00:47:32,200
Speaker 2: it's low hanging fruit. It's got to come off. Everybody

1016
00:47:32,239 --> 00:47:34,800
Speaker 2: all the One of the criticisms of us at the FDA,

1017
00:47:34,880 --> 00:47:37,279
Speaker 2: they're like they agree on too many things because we

1018
00:47:37,440 --> 00:47:39,279
Speaker 2: all agree the box warning needs to come off of

1019
00:47:39,320 --> 00:47:41,239
Speaker 2: vaginal estrogen like that is like, you know, if you're

1020
00:47:41,239 --> 00:47:45,960
Speaker 2: an expert, you agree on that. So it says probable dementia,

1021
00:47:46,640 --> 00:47:50,120
Speaker 2: probably probable, not possible, No probable probable.

1022
00:47:49,719 --> 00:47:52,240
Speaker 1: Dementia, very high sakes, very high.

1023
00:47:52,040 --> 00:47:56,920
Speaker 2: Sakes blood clot liver disease, heart disease. It doesn't cause

1024
00:47:56,920 --> 00:47:59,560
Speaker 2: any of that. So you've got this inaccurate, super scary

1025
00:47:59,600 --> 00:48:03,440
Speaker 2: box on vaginal estrogen, which is basically skincare. It's just skincare,

1026
00:48:03,600 --> 00:48:06,319
Speaker 2: that's all it is. And then you've got alcohol government warning,

1027
00:48:06,400 --> 00:48:08,680
Speaker 2: which is like don't operate heavy machinery or get pregnant.

1028
00:48:09,239 --> 00:48:10,920
Speaker 2: And you're like, one of these causes cancer and one

1029
00:48:10,920 --> 00:48:14,680
Speaker 2: of them doesn't. The labels switched, yeah exactly. You're like,

1030
00:48:14,719 --> 00:48:16,800
Speaker 2: we're being we're being told to be afraid of the

1031
00:48:16,880 --> 00:48:19,120
Speaker 2: wrong things. So I did an Instagram thing. I'm like,

1032
00:48:19,120 --> 00:48:22,600
Speaker 2: here's two government label warning labels. One of these actually

1033
00:48:22,600 --> 00:48:25,240
Speaker 2: causes cancer. It's the one that doesn't have the label

1034
00:48:25,239 --> 00:48:27,759
Speaker 2: that says it causes cancer. Well that's confusing, right, Like

1035
00:48:27,800 --> 00:48:30,719
Speaker 2: it's awful, right, we want to have trust in the

1036
00:48:30,800 --> 00:48:34,239
Speaker 2: truth of labeling, but don't just don't operate a forklift

1037
00:48:34,280 --> 00:48:35,280
Speaker 2: and wine's fine.

1038
00:48:36,160 --> 00:48:40,000
Speaker 1: Oh my gosh. Has there been research around, Like cannabis

1039
00:48:40,400 --> 00:48:40,719
Speaker 1: not as.

1040
00:48:40,719 --> 00:48:43,759
Speaker 2: Much, but so THHC and people a lot of women

1041
00:48:43,880 --> 00:48:46,680
Speaker 2: use CBD or THC gummies for sleep because sleep is

1042
00:48:46,719 --> 00:48:49,200
Speaker 2: so gets so wrecked when your hormones go down. Right,

1043
00:48:49,719 --> 00:48:52,120
Speaker 2: So I just started keeping tracks since I opened my

1044
00:48:52,239 --> 00:48:54,399
Speaker 2: new clinic, but I've gotten three people off of their

1045
00:48:54,600 --> 00:48:58,200
Speaker 2: CBD THC gummies because what the sleep experts will tell

1046
00:48:58,239 --> 00:49:01,719
Speaker 2: you is that the thhcs really bad for it makes

1047
00:49:01,760 --> 00:49:03,840
Speaker 2: you sleep, and it makes you sleepy, but it's not

1048
00:49:04,000 --> 00:49:06,800
Speaker 2: good deep sleep. It's not restorative sleep. And they're worry

1049
00:49:06,960 --> 00:49:09,359
Speaker 2: is that your brain's not not getting what it needs

1050
00:49:09,360 --> 00:49:13,200
Speaker 2: to stay healthy. So hormones are amazing for sleep, right,

1051
00:49:13,239 --> 00:49:15,160
Speaker 2: And I'm like, every time I get a patient off

1052
00:49:15,160 --> 00:49:18,560
Speaker 2: of their damn sleep gummies, I'm like, yeah, there's another one.

1053
00:49:18,400 --> 00:49:20,640
Speaker 1: Because you know, the moms at the carpool lane are like, oh,

1054
00:49:20,760 --> 00:49:21,520
Speaker 1: just eat this.

1055
00:49:21,920 --> 00:49:24,239
Speaker 2: Just eat this. Yeah, but like the sleep people are like,

1056
00:49:24,239 --> 00:49:25,239
Speaker 2: it's not good for your brain.

1057
00:49:25,400 --> 00:49:27,640
Speaker 1: I saw something speaking about just things you see on

1058
00:49:27,680 --> 00:49:29,040
Speaker 1: the internet and you don't know if they're true or not.

1059
00:49:29,800 --> 00:49:33,160
Speaker 1: I saw something on social about if you don't go

1060
00:49:33,200 --> 00:49:36,160
Speaker 1: to bed before twelve, and I think there's definitely something here.

1061
00:49:36,200 --> 00:49:39,920
Speaker 1: But then what's that rhythm? Arkatia rhythm? But if you

1062
00:49:39,920 --> 00:49:42,319
Speaker 1: don't go to sleep before twelve, you're not getting that deep,

1063
00:49:42,360 --> 00:49:44,560
Speaker 1: deep sleep that you have to get because it happens early.

1064
00:49:44,640 --> 00:49:47,040
Speaker 2: It happens really interesting. I mean it's interesting, like people

1065
00:49:47,080 --> 00:49:49,759
Speaker 2: so many people are wearing wearables now and so when

1066
00:49:49,800 --> 00:49:51,799
Speaker 2: they come back, especially if they if we are starting wait,

1067
00:49:52,440 --> 00:49:56,839
Speaker 2: wearbles like a whoop or an aura ring yep, yeah,

1068
00:49:56,840 --> 00:49:59,480
Speaker 2: apple wash, anything that's tracking sleep, right, there's a bunch

1069
00:49:59,480 --> 00:50:01,839
Speaker 2: of things that do. And so now they'll come back

1070
00:50:01,880 --> 00:50:03,600
Speaker 2: and they'll be like, look at my sleep on hormones,

1071
00:50:03,680 --> 00:50:07,040
Speaker 2: like they can actually see that they're actually having rem sleep.

1072
00:50:07,080 --> 00:50:08,600
Speaker 2: And one of the cool side effects of hormones of

1073
00:50:08,640 --> 00:50:11,359
Speaker 2: people are like, I'm dreaming again, and I'm like, that

1074
00:50:11,440 --> 00:50:14,120
Speaker 2: means that you're having that restorative sleep and actually hitting

1075
00:50:14,120 --> 00:50:18,600
Speaker 2: those different sleep levels.

1076
00:50:22,000 --> 00:50:25,719
Speaker 1: Okay, how can we help men understand? Yes, in a

1077
00:50:25,760 --> 00:50:30,120
Speaker 1: clear and simple way that also won't make them shut

1078
00:50:30,160 --> 00:50:34,200
Speaker 1: their ears off when they hear the words perry or menopause,

1079
00:50:34,920 --> 00:50:38,640
Speaker 1: because the truth is, if you're a man that's listening,

1080
00:50:38,719 --> 00:50:40,920
Speaker 1: or you know a man that's listening, you need to

1081
00:50:41,000 --> 00:50:42,840
Speaker 1: let them know that. That would be a huge mistake

1082
00:50:43,000 --> 00:50:46,839
Speaker 1: to not learn about what the women around us are

1083
00:50:46,880 --> 00:50:48,880
Speaker 1: experiencing and what they're going through, because you're going to

1084
00:50:48,960 --> 00:50:51,000
Speaker 1: miss out on a lot eleven totally.

1085
00:50:51,160 --> 00:50:52,879
Speaker 2: How do you remember the men to want to get

1086
00:50:52,880 --> 00:50:53,799
Speaker 2: divorced by lark?

1087
00:50:55,880 --> 00:50:57,800
Speaker 1: So hard for me to wrap my head around.

1088
00:50:58,360 --> 00:51:00,440
Speaker 2: I know, but that's therapy.

1089
00:51:00,480 --> 00:51:03,200
Speaker 1: I think I'm not the right statistic. I'm also in

1090
00:51:03,239 --> 00:51:04,959
Speaker 1: the other statistic, and I think it's just an age

1091
00:51:05,000 --> 00:51:06,799
Speaker 1: thing when you're like I was just talking about this

1092
00:51:06,840 --> 00:51:11,760
Speaker 1: with some women from the Thrive fifty plus UH arena

1093
00:51:11,920 --> 00:51:15,200
Speaker 1: and we were talking about how we just don't have

1094
00:51:15,320 --> 00:51:19,600
Speaker 1: the tolerance anymore. Yeah, so it suck for when.

1095
00:51:19,680 --> 00:51:21,840
Speaker 2: I don't know if you can swear on your podcast

1096
00:51:21,880 --> 00:51:24,560
Speaker 2: but it's called something, you know what, then I don't

1097
00:51:24,600 --> 00:51:26,520
Speaker 2: give up the zero fucks the zero fox. You have

1098
00:51:26,560 --> 00:51:29,399
Speaker 2: a zero the zero fox. Okay, So this is how

1099
00:51:29,400 --> 00:51:33,080
Speaker 2: you explain this to men Okay, take your testicles, take

1100
00:51:33,080 --> 00:51:35,799
Speaker 2: your take your testicles. They're gonna shrivel up and get

1101
00:51:35,840 --> 00:51:38,960
Speaker 2: small and then they're gonna fall off. And then we're

1102
00:51:38,960 --> 00:51:42,120
Speaker 2: gonna say, but that's just what happens, and that's just aging. Yeah,

1103
00:51:42,120 --> 00:51:45,160
Speaker 2: and you're gonna be fun and it's natural. Yeah, But

1104
00:51:45,239 --> 00:51:48,880
Speaker 2: what happens when your testicles are removed hot flashes, poor sleep,

1105
00:51:48,920 --> 00:51:51,200
Speaker 2: You can't hold muscle on, your libido, it gets tanked,

1106
00:51:51,280 --> 00:51:53,680
Speaker 2: You have no energy to do anything. You start getting

1107
00:51:53,680 --> 00:51:56,480
Speaker 2: more fat in the middle of the belly. The exact

1108
00:51:56,600 --> 00:51:58,640
Speaker 2: same thing, exact same that happens.

1109
00:51:58,840 --> 00:52:01,759
Speaker 1: If you're there, you their balls off, that's what would happen.

1110
00:52:01,800 --> 00:52:04,400
Speaker 2: Sorry, Yes, that's how you say it, Buntley, Yes.

1111
00:52:05,360 --> 00:52:07,239
Speaker 1: Because you know nobody wants to get their balls cut

1112
00:52:07,280 --> 00:52:09,760
Speaker 1: off that it sounds like a really terrifying.

1113
00:52:09,440 --> 00:52:11,439
Speaker 2: Suyes, and I think you know, I'm like, if only

1114
00:52:11,440 --> 00:52:13,440
Speaker 2: our ovaries were on the outside so we can actually

1115
00:52:13,480 --> 00:52:17,479
Speaker 2: see them, it's smaller, yeah, and so they don't actually die.

1116
00:52:17,920 --> 00:52:20,879
Speaker 2: They still high, but they just they don't have they

1117
00:52:20,960 --> 00:52:23,440
Speaker 2: don't have any follicles left that are functional and can

1118
00:52:23,440 --> 00:52:23,920
Speaker 2: produce them.

1119
00:52:24,040 --> 00:52:25,200
Speaker 1: Not really, yeah, but.

1120
00:52:25,120 --> 00:52:27,160
Speaker 2: We can't see them, right, So, like I said, it's like,

1121
00:52:27,200 --> 00:52:29,040
Speaker 2: we love objective things that we can see an X

1122
00:52:29,120 --> 00:52:31,480
Speaker 2: ray and measure. That's a great way. And so were

1123
00:52:31,520 --> 00:52:33,840
Speaker 2: all the picture. Men can see their testicles. It's a

1124
00:52:33,920 --> 00:52:37,080
Speaker 2: nice visual. They're attached, they enjoy, they like theirs and

1125
00:52:37,120 --> 00:52:40,160
Speaker 2: so it's just like use a body part that they know,

1126
00:52:40,400 --> 00:52:43,359
Speaker 2: like and trust their testicles and say it says if

1127
00:52:43,360 --> 00:52:47,720
Speaker 2: your testicles stopped working, and then society said, don't worry, honey,

1128
00:52:47,840 --> 00:52:48,719
Speaker 2: that's fine.

1129
00:52:49,160 --> 00:52:51,480
Speaker 1: But what if they fight that and say that just

1130
00:52:51,719 --> 00:52:53,279
Speaker 1: a bunch of stuff you heard on that end.

1131
00:52:53,280 --> 00:52:55,919
Speaker 2: But that's what it is to be like, that's that's

1132
00:52:55,960 --> 00:52:56,440
Speaker 2: just science.

1133
00:52:56,440 --> 00:52:56,920
Speaker 1: It's science.

1134
00:52:57,080 --> 00:52:59,840
Speaker 2: It's gonads reaching the end of their life. And about

1135
00:53:00,000 --> 00:53:03,719
Speaker 2: twenty percent of men will have low testosterone and low

1136
00:53:03,800 --> 00:53:08,280
Speaker 2: tustosterone and men is associated with diabetes, depression, Alzheimer's disease,

1137
00:53:09,040 --> 00:53:12,560
Speaker 2: worse fracture risk, right, same things that happen to our bodies. Right,

1138
00:53:12,840 --> 00:53:16,280
Speaker 2: and we know when they have lotusosterone, we give them testosterone.

1139
00:53:17,000 --> 00:53:20,360
Speaker 2: Like it's just it's so linear in that world and

1140
00:53:20,400 --> 00:53:22,400
Speaker 2: here we're like, are you sick enough? You know, is

1141
00:53:22,440 --> 00:53:23,280
Speaker 2: this really happening.

1142
00:53:23,360 --> 00:53:24,200
Speaker 1: It's very frustrating.

1143
00:53:24,280 --> 00:53:27,239
Speaker 2: Yeah, it's very frustrating. But by and large to stereotype more,

1144
00:53:27,280 --> 00:53:30,160
Speaker 2: which we've done a great job of. Men are helpers.

1145
00:53:30,640 --> 00:53:34,279
Speaker 2: Men like to solve problems, to solve problems, They want

1146
00:53:34,320 --> 00:53:35,040
Speaker 2: to understand.

1147
00:53:35,480 --> 00:53:38,040
Speaker 1: They can general, they want to understand.

1148
00:53:38,160 --> 00:53:41,560
Speaker 2: They want to really, yes, they really do. And and

1149
00:53:41,800 --> 00:53:44,399
Speaker 2: a great way is like I don't know what you're

1150
00:53:44,440 --> 00:53:47,400
Speaker 2: going through right now, but I know that it's real.

1151
00:53:47,880 --> 00:53:50,080
Speaker 2: I know that you're suffering, and I will be here

1152
00:53:50,160 --> 00:53:53,799
Speaker 2: for you as we figured this out together. Like superpower.

1153
00:53:54,080 --> 00:53:57,480
Speaker 1: That is superpower. Once you know you have somebody that's

1154
00:53:57,880 --> 00:54:02,840
Speaker 1: hearing you, validating what you're saying, listening, it makes the

1155
00:54:02,840 --> 00:54:03,600
Speaker 1: world a difference.

1156
00:54:03,760 --> 00:54:05,720
Speaker 2: Yeah, And if I could tell me anything about sex,

1157
00:54:05,760 --> 00:54:08,480
Speaker 2: if they want to sleep with the female in the world,

1158
00:54:08,920 --> 00:54:10,960
Speaker 2: ninety percent of men are heterosexual. But if you want

1159
00:54:10,960 --> 00:54:13,640
Speaker 2: to sleep with a woman, she won't want to have

1160
00:54:13,680 --> 00:54:16,279
Speaker 2: sex if it's painful. A lot of women at pain

1161
00:54:16,320 --> 00:54:18,560
Speaker 2: with sex and don't even tell their male partner. Yep. Yeah,

1162
00:54:18,560 --> 00:54:20,759
Speaker 2: But so because a guy's like what's changed, right, Like

1163
00:54:20,800 --> 00:54:22,640
Speaker 2: why does she want to have sex, It's like, well,

1164
00:54:22,640 --> 00:54:25,000
Speaker 2: if it's painful, you never want to hate your thumb

1165
00:54:25,000 --> 00:54:29,120
Speaker 2: with a hammer, right, It'll never desire pain. Her hormones

1166
00:54:29,120 --> 00:54:32,960
Speaker 2: are changing, which affects desire because desire comes from dopamine

1167
00:54:33,080 --> 00:54:35,719
Speaker 2: and the brain. That's what the libido is, right, And

1168
00:54:35,760 --> 00:54:38,719
Speaker 2: so it's like biologically, there's a lot going on, And

1169
00:54:39,040 --> 00:54:40,920
Speaker 2: was she liking sex in the first place? Did you

1170
00:54:40,960 --> 00:54:44,400
Speaker 2: prioritize her pleasure? Did you prioritize her orgasm? Because in

1171
00:54:44,440 --> 00:54:47,600
Speaker 2: the whole realm of like female sexuality, the desire libido

1172
00:54:47,640 --> 00:54:50,640
Speaker 2: experts will be like talking about how to increase your desire.

1173
00:54:51,080 --> 00:54:52,759
Speaker 2: And one day, this is like three years ago, on

1174
00:54:52,800 --> 00:54:55,759
Speaker 2: my podcast, I was interviewing somebody and I'm like, you're

1175
00:54:55,800 --> 00:54:58,000
Speaker 2: assuming a woman's having good sex in the first place

1176
00:54:58,040 --> 00:55:01,400
Speaker 2: in this scenario, aren't you a man? And he's like yeah,

1177
00:55:01,600 --> 00:55:05,440
Speaker 2: And I'm like, Aha, that's the flaw. You're assuming she

1178
00:55:05,520 --> 00:55:08,400
Speaker 2: had good sex in the first place. You will never desire.

1179
00:55:09,080 --> 00:55:11,640
Speaker 2: Chef Boyardi in a can you want a five star

1180
00:55:11,680 --> 00:55:14,200
Speaker 2: Italian restaurant? Right, Like I want to go back to that.

1181
00:55:14,600 --> 00:55:17,080
Speaker 2: I don't really care about Spaghettio's all that much, right,

1182
00:55:17,120 --> 00:55:19,200
Speaker 2: So it's like you have to have sex worth desiring

1183
00:55:19,560 --> 00:55:21,879
Speaker 2: in order to have desire for something like it has

1184
00:55:21,920 --> 00:55:24,080
Speaker 2: to be rewarding. And so those would be what I

1185
00:55:24,120 --> 00:55:28,040
Speaker 2: tell men is like just know that about female sexuality.

1186
00:55:28,200 --> 00:55:30,120
Speaker 2: It can go a long way and being like it's

1187
00:55:30,160 --> 00:55:33,239
Speaker 2: probably not you bro like her body's changing. Yeah, and

1188
00:55:33,400 --> 00:55:35,560
Speaker 2: did you prioritize her pleasure in the first place?

1189
00:55:35,680 --> 00:55:40,239
Speaker 1: Yeah, it's probably not you bro like that because it's

1190
00:55:40,239 --> 00:55:45,000
Speaker 1: so true. And once men get educated and women for

1191
00:55:45,080 --> 00:55:49,880
Speaker 1: that matter, but then we understand the bio bio psycho

1192
00:55:49,920 --> 00:55:56,479
Speaker 1: psycho social social component, which you talked about so well

1193
00:55:56,560 --> 00:55:59,960
Speaker 1: in your book. So you're a woman, you go through menopause,

1194
00:56:00,600 --> 00:56:02,399
Speaker 1: and then there's still life to live.

1195
00:56:02,880 --> 00:56:03,000
Speaker 2: Hell.

1196
00:56:03,120 --> 00:56:08,480
Speaker 1: Yeah, that's where the longevity. Yeah, the advocating for yourself

1197
00:56:08,800 --> 00:56:09,640
Speaker 1: really pays off.

1198
00:56:09,719 --> 00:56:12,719
Speaker 2: Yeah. Yeah, I mean.

1199
00:56:12,640 --> 00:56:14,680
Speaker 1: What our practices that we need to be doing right

1200
00:56:14,719 --> 00:56:19,680
Speaker 1: now that we can do so that that we can

1201
00:56:19,719 --> 00:56:21,440
Speaker 1: do just moving forward forever.

1202
00:56:21,760 --> 00:56:24,839
Speaker 2: Yeah, to age, well move Listen to all the ninety

1203
00:56:24,880 --> 00:56:26,720
Speaker 2: year olds. They're ninety for a reason.

1204
00:56:27,360 --> 00:56:30,440
Speaker 1: There is some lucky you have.

1205
00:56:30,440 --> 00:56:33,960
Speaker 2: Some luck component, but by and large, lifestyle hugely matters.

1206
00:56:34,320 --> 00:56:37,200
Speaker 2: I think we've kind of been fed this like modern

1207
00:56:37,360 --> 00:56:40,080
Speaker 2: science and medicine, like we've got a gene for everything,

1208
00:56:40,120 --> 00:56:41,600
Speaker 2: and you either have the gene or you don't have

1209
00:56:41,640 --> 00:56:44,160
Speaker 2: a gene. It's like genes are turned on and off

1210
00:56:44,160 --> 00:56:46,400
Speaker 2: by your environment. A lot of the time. We're not

1211
00:56:46,760 --> 00:56:49,799
Speaker 2: destined to just be who our parents are, right, So

1212
00:56:49,840 --> 00:56:53,080
Speaker 2: it's like movement matters, what you put in your mouth matters,

1213
00:56:53,080 --> 00:56:56,279
Speaker 2: sleeping matters. And you know that's one criticism of like

1214
00:56:56,320 --> 00:56:58,560
Speaker 2: the people who prescribe hormones and talk about it. It's

1215
00:56:58,560 --> 00:57:00,799
Speaker 2: like you just want everybody on hormones, Like I want

1216
00:57:00,840 --> 00:57:03,480
Speaker 2: you to have an amazing life. Hormones are part of it.

1217
00:57:03,920 --> 00:57:06,439
Speaker 2: I think the other part in midlife and it's going

1218
00:57:06,480 --> 00:57:08,399
Speaker 2: back to like the zero fuck part. But this is

1219
00:57:08,440 --> 00:57:12,799
Speaker 2: the like mindset chapter in my book is like what

1220
00:57:12,880 --> 00:57:16,680
Speaker 2: do you want? Times? Well, this is not forever an

1221
00:57:16,840 --> 00:57:20,959
Speaker 2: there's the finish line. Think about that, what do you want?

1222
00:57:21,000 --> 00:57:23,680
Speaker 2: And are you living in integrity with what you want

1223
00:57:23,680 --> 00:57:26,040
Speaker 2: in this life? Because I think you get to midlife

1224
00:57:26,040 --> 00:57:28,160
Speaker 2: and god, thank god we call it midlife, Like what

1225
00:57:28,240 --> 00:57:31,120
Speaker 2: a blessing to call fifty mid Like it's actually like

1226
00:57:31,240 --> 00:57:33,840
Speaker 2: very optimistic of us to call it that, right and sweet? Yeah,

1227
00:57:34,080 --> 00:57:37,720
Speaker 2: but it's like are you living your life only serving

1228
00:57:37,720 --> 00:57:40,760
Speaker 2: other people? Or what are you actually here for? And

1229
00:57:40,800 --> 00:57:43,600
Speaker 2: the more you drop into your own integrity of like

1230
00:57:43,720 --> 00:57:46,360
Speaker 2: is this what I want to be doing? Like that's

1231
00:57:46,360 --> 00:57:48,480
Speaker 2: where the pivot comes. That's where the growth comes, and

1232
00:57:48,480 --> 00:57:51,520
Speaker 2: that's where this like you know, amazing experience of like

1233
00:57:51,600 --> 00:57:54,880
Speaker 2: I truly get to become what I want because the

1234
00:57:54,960 --> 00:57:57,480
Speaker 2: kids are out of diapers now, I finished my school,

1235
00:57:57,480 --> 00:57:59,880
Speaker 2: I did that career. What do I want to do now?

1236
00:58:00,440 --> 00:58:03,800
Speaker 2: And it's like that happens very commonly and it can

1237
00:58:03,840 --> 00:58:08,320
Speaker 2: be very disruptive, but those like those women, they're always

1238
00:58:08,320 --> 00:58:09,880
Speaker 2: glad they went on that journey. Yeah.

1239
00:58:09,960 --> 00:58:13,000
Speaker 1: Always, that's the journey too. I choose me, that's.

1240
00:58:12,800 --> 00:58:13,960
Speaker 2: The journey to I choose me.

1241
00:58:14,040 --> 00:58:20,800
Speaker 1: Absolutely, It's so important and as midlifers definitely go through it. Yeah, yeah,

1242
00:58:20,840 --> 00:58:24,959
Speaker 1: I love this. Okay, before I let you go, doctor

1243
00:58:25,040 --> 00:58:29,480
Speaker 1: Kelly Cassperson, you're on a book tour. You're saving the

1244
00:58:29,520 --> 00:58:33,760
Speaker 1: world from the fear of menopause. What was your last

1245
00:58:33,920 --> 00:58:35,000
Speaker 1: I choose me moment?

1246
00:58:35,480 --> 00:58:39,480
Speaker 2: Oh? I mean probably today because I'm like, okay, I

1247
00:58:39,480 --> 00:58:42,200
Speaker 2: need to drink a protein shake because I got a

1248
00:58:42,200 --> 00:58:45,240
Speaker 2: fuel of the body. I got my workout in, got

1249
00:58:45,240 --> 00:58:47,040
Speaker 2: my hair makeup done, which is super fun to do.

1250
00:58:47,080 --> 00:58:48,440
Speaker 1: You look beautiful by life very much.

1251
00:58:48,840 --> 00:58:53,960
Speaker 2: It's not just your distosterone like yeah, but it's like,

1252
00:58:54,200 --> 00:58:55,760
Speaker 2: I mean I'm at the point now like I went

1253
00:58:55,800 --> 00:58:59,280
Speaker 2: through a surgical training right, Like, I hustled, I worked

1254
00:58:59,360 --> 00:59:02,480
Speaker 2: very hard. I got to an excellent point in my career,

1255
00:59:02,800 --> 00:59:04,880
Speaker 2: and then I totally pivoted to like what do I

1256
00:59:04,880 --> 00:59:07,480
Speaker 2: actually want to do? What do I want my week

1257
00:59:07,560 --> 00:59:09,520
Speaker 2: to look like? Right? Do I want to help people

1258
00:59:09,520 --> 00:59:11,040
Speaker 2: one on one? Or do I need I have like

1259
00:59:11,040 --> 00:59:14,000
Speaker 2: a world to change? Right? And so now like really

1260
00:59:14,040 --> 00:59:16,640
Speaker 2: for me, it's like is this fun? Is it going

1261
00:59:16,720 --> 00:59:19,240
Speaker 2: to be fun? Is it gonna align with what I

1262
00:59:19,280 --> 00:59:21,760
Speaker 2: want to do? So I'd say, now, like this my

1263
00:59:21,880 --> 00:59:24,120
Speaker 2: life is kind of choosing me at this point. Yes,

1264
00:59:24,240 --> 00:59:27,280
Speaker 2: like being like I am not doing this because anybody's

1265
00:59:27,320 --> 00:59:30,040
Speaker 2: telling me to do it, Like it's really like, it's fun.

1266
00:59:30,200 --> 00:59:33,120
Speaker 2: It lights me up. I love helping people. I love

1267
00:59:33,240 --> 00:59:36,080
Speaker 2: hearing from women. You know, because of you, my marriage

1268
00:59:36,120 --> 00:59:37,840
Speaker 2: is stronger than it's ever been. Because of you. I

1269
00:59:37,880 --> 00:59:40,160
Speaker 2: went to my doctor and got on badginal estrogen because

1270
00:59:40,160 --> 00:59:43,600
Speaker 2: of you, sex isn't painful anymore, Like, oh my god,

1271
00:59:43,600 --> 00:59:45,280
Speaker 2: it's the best life ever. So I would say, like

1272
00:59:45,360 --> 00:59:47,800
Speaker 2: I think I'm I think I'm doing pretty good job.

1273
00:59:47,920 --> 00:59:50,320
Speaker 1: You have walk in the walk yeah and talking the

1274
00:59:50,400 --> 00:59:52,800
Speaker 1: talk yeah. So that's a good alignment. I love it,

1275
00:59:52,840 --> 00:59:55,760
Speaker 1: thank you, great conversation, thank you, thanks for having me