363. Mesh, Vaginal Estrogen, Female Urology and More with Dr. Una Lee

From You Are Not Broken by Kelly Casperson, MD

March 22, 2026 · 52 min

About this episode

Dr. Una Lee joins Kelly Casperson to discuss midlife care for women, focusing on vaginal estrogen, female urology, and the importance of patient-centered research.

In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get. We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don’t measure those things, we miss the point. We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that. We cover: Why education on vaginal estrogen and GSM is essential The research gap in testosterone therapy for women The importance of pelvic floor physical therapy as first-line care Informed consent and nuance in surgical conversations Ongoing barriers to hormonal access The big theme? Women are living longer — and our healthcare system needs to evolve with them. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual…

People in this episode

Host: Kelly Casperson, MD

Guest: Dr. Una Lee

Topics covered

midlife care
vaginal estrogen
female urology
patient-centered research
hormonal access
sexual health

Keywords

midlife care
vaginal estrogen
female urology
hormonal access
pelvic floor physical therapy
testosterone therapy
informed consent

More episodes of You Are Not Broken

374. Men, Testosterone and Penis Health Too! · June 7, 2026 · 58 min
373. Sexual Health: Cervix, Vulva, and Vulvodynia Research · May 31, 2026 · 56 min
372. Deprescribing Antidepressants · May 24, 2026 · 47 min
371. You Could Be Having Better Sex · May 17, 2026 · 44 min
370. Microbiomes & Menopause: What’s Really Driving Your Symptoms? · May 10, 2026 · 47 min
369. Perimenopause, Testosterone and AMA with Dr. Casperson · May 3, 2026 · 1h 7m

Explore listener stats, chart rankings, contacts and more on the You Are Not Broken podcast page.