You Are Not Broken

Dr. Kelly Casperson is a board-certified urologist in the Pacific Northwest, and she started this podcast because she kept having the same conversations in her clinic — about libido changes, pelvic floor issues, hormonal shifts, and the way women's sexual health gets brushed aside by the medical system. With nearly 300 episodes and over two million downloads, the show has clearly struck a nerve. The focus here is on the intersection of hormones, sexuality, and overall wellness during midlife. Casperson covers testosterone therapy for women, vaginal dryness, orgasm changes after menopause, bladder health, and the psychological toll of feeling like your body has betrayed you. She speaks plainly. There is no tiptoeing around uncomfortable topics and no euphemisms where a direct word will do. That bluntness is exactly why listeners keep coming back. Episodes are generally 20 to 35 minutes — tight enough to finish on a walk but substantive enough to leave you with something actionable. Casperson also brings on guest experts: fellow urologists, pelvic floor therapists, sex therapists, and hormone specialists. The show leans heavily on current medical literature, and Casperson often walks through the research behind her recommendations. She is upfront about the limits of what we know and honest about where medicine has historically failed women. If you want a podcast that tackles the body stuff no one warned you about in midlife, and does it with medical credibility and zero awkwardness, this one delivers.