369. Perimenopause, Testosterone and AMA with Dr. Casperson

369. Perimenopause, Testosterone and AMA with Dr. Casperson

From You Are Not Broken by Kelly Casperson, MD

May 3, 2026 · 1h 7m

About this episode

Dr. Kelly Casperson discusses perimenopause, hormone therapy, and self-advocacy in women's health with Sara Reardon.

Episode 369: Dr. Kelly Casperson, interviewed by Sara Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sara Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who…

People in this episode

Host: Kelly Casperson

Guest: Sara Reardon

Topics covered

  • perimenopause
  • hormone therapy
  • women's health
  • advocacy
  • testosterone
  • DHEA

Keywords

  • perimenopause
  • hormone therapy
  • testosterone
  • DHEA
  • women's health
  • advocacy
  • bladder health

Mentioned in this episode

Organizations: AMA

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