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Welcome to the you are not broken podcast. I'm your host, Dr. Kelly Casperson, a board certified urologist, thought leader and conversation starter on midlife living, hormones and sexuality.
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Enjoy the show.
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Hey everybody, Dr. Kelly Caspersen here. I'm doing a live podcast on Instagram, so if you want to join Instagram to catch me sometimes, feel free. I am talking today about my trip that I did yesterday. This will not be released a day after the research symposium, but a trip yesterday that I made. For people who don't know, I live in Bellingham, Washington which is. I call myself South Canadian and it's an easy quick. I've got a Nexus pass. It's easy to cross the border. It was not a problem at all. And I drove up to the University of British Columbia, which is a beautiful campus. It felt very academic. I have not been to academics in a while and went UP for the 4th annual BC stands for British Columbia Sexual Health research networking event. Before I get too into this, just to introduce myself for those who don't know me, Dr. Kelly Casperson. I am a urologist. I practice urology with a focus. I sit in the Venn diagram of hormones, testosterone, sexual health and menopause midlife. I sit in the Venn diagram of like the testosterone where like the estrogen and the sex life and the menopause are the other circles. So random tangent pre order the book on Amazon. It is called you are not broken stop shoulding all over your sex life. And I wrote this book a couple years ago now and it is getting a second rebirth because a publisher bought it because they said this is a great book. And I'm like thank you. So it's available for pre order. September 10th is when the book comes out. So pre order that you can do that on Amazon, you can do that on Barnes and Noble that I'm aware of. So super excited for the book to go bigger. Gonna get an international audience and I hope it's just as cool the second time around as the first. And in the current writing of book number two, which is going to be all about midlife hormones talking about fear of hormones and debunking it. So back to the B.C. sexual Health Research networking event. This is put on by Dr. Lori Bratto's lab. If you don't know Dr. Laurie Bratto, then you don't know the expert in the biopsychosocial. She's the psycho. She's the psycho. Sorry, sorry Laurie. She's the psycho in the biopsychosocial wording of sexual health she wrote a book and it is called Better Sex through Mindfulness. And she actually has a workbook that goes with that, talking about the role of meditation, body dropping into the body, being centered in the body. Like she says, a lot of people are having sex with their bodies and they're not having sex with their minds. So. So it's better when you have sex with both things at the same time. Mind's engaged, body's engaged, everybody's having a better time. So she has put on this sexual health research networking event. Super fun to go up as a urologist, because all of my conferences I go to are the biologic, right? Hormones, hormones, hormones and how the body works and the nerves and the pelvic nerve. And this is a lot more like the brain part, not the brain like neurotransmitter part, that's more bio, but the brain, like, how do you think about this? How do you feel about this? How do past traumas affect your sex life? Things like that. So it was very cool because there was a lot of students presenting and she did it in how she created this is she did it in like 7 minute talks, back to back to back to back. So we had seven minute talks from 9am to noon with a 15 minute coffee pee break. And she didn't allow any questions at the end of the presentation, which was brilliant for two reasons. Number one, a lot of students are presenting and they're super anxious and nervous about doing this and they don't have to worry about like people asking questions that they might not know how to answer. And it also forces you to network afterwards to find that person to ask them your question, to introduce yourself and be a lot more connected. So that's very cool. If you are interested, University of British Columbia, Department of Obstetrics and Gynecology is hiring. They are hiring a OB GYN to do half clinical work, half research work. So it is an associate professor position in the Department of Obstetrics and Gynecology at the University of British Columbia. I will link that in the show notes and Americans are welcome to apply. So if you're an OB GYN and you love sex med and you want to help midlife women, it's called a Professorship in Midlife and Mature Women's Health. How effing cool is that? So applications are open now online at the you probably find it through the UBC website. Otherwise I will post the link in the show notes for this podcast. And if somebody ends up taking that job because they listen to the youe're not broken podcast. Then like, Lori might love me forever and buy me coffee at some point. That's a whole new way to get a job is to be listening to a podcast and be like, I'm an OB gyn. I would like to help research and study sexuality and women in midlife. I would like to live in Vancouver, Canada. All right, so the other cool thing I want to show you for people who are able to see this is I got this awesome project that was funded by the Women and Gender Equality Canada's Feminist Response and Recovery Fund. And it's called the guidelines for Integrating Gender Based Violence Prevention within School Based Comprehensive Sexual Health Education. That's amazing. It's the whole like rape culture conversation of like, don't get raped instead of saying, teach people not to rape. Right? Flip the script, people. So we need to talk about consent. We need to talk about talking before we have sex. That's not taught in sex ed, man. Sex ed is a disease and pregnancy prevention plan if you are lucky. So I love that they handed this out. I will digest it. It is literally like a hundred page referenced document of integrating gender based violence prevention within school based comprehensive sexual health education policy. Recommendations for creating structural support for anybody who is involved in sex ed or educating people are interested. You could probably go to the. You probably go to Canada and get this handout. It's very, very well done in helping make your school's sex education better and safer for all. So let me grab my notes. Oh, let's talk about sponsors. Lots of people sponsored this conference. I got a sole source silicone vaginal dilator, which is very cool and it came with some fun stuff. So we'll investigate that. Ohnut is a very cool product for deep dyspareunia. They actually did a talk on that. And then the makers of Onut has made this new device called the Kiwi, like the Fruit K I W I. And it's basically a vibrator for the external or entrance for people with entry pain. Don't forget your vaginal estrogen if you have entry pain, people. So that's really cool. Hopefully maybe they'll send me one. So broad area massage, pressure point massage, myofascial release, and for shallow insertion. So Onut is for deep pain with penetration, like for people who have scar tissue, who've had hysterectomies, foreshortened vagina radiation, endometriosis, and then their other devices, the Kiwi vibrating device for pelvic relaxation. Check out them. Thepelvicpeople.com and thank you to all of the sponsors who are there. Uber Lube, one of my favorites. They're so good at sponsoring things like this. So thank you to Uber Lube for doing that. If you want to follow the other thing, I want to tell you about this, if you want to stay in contact with the University of British Columbia's lab and to be alerted of any of their future trials, they announce all of their clinical trials on their Instagram, so that link will be in show notes. But on Instagram you can search U, B C S H R Sexual health research, maybe and follow them for more. They're doing amazing things on, of course, mindfulness and vaginismus pain with sex. Lots of cool stuff. All right, let me get my notes. So I am the podcaster who takes notes at conferences because I want to come back and tell you guys all about them. They started at 9. 10. They started. There's this digital health platform that Dr. Barato is creating, has created. It's not available for the public yet, so she says it's going to be available for the public next year. But it is a health platform addressing sexual health. And it's basically a digital health tool that helps people understand low desire and sexual concerns in the privacy of their own home to get some education, like, before they talk to their doctor about it or maybe after they talk to their doctor about it. So 40 to 50% of females worldwide have sexual health concerns. And sexual health concerns are associated with poorer mental health and quality of life. So what they did is they studied this digital health tool called E Sense, and they had two arms. They had a cognitive behavioral therapy arm, and then they had a mindfulness arm. And then they had a wait list which was their control arm that they didn't give any education to. And this was designed for women with low desire. Average age of the women was 43, and the average length of them being in a relationship was 15 years. So, like, there's millions of these people. So compared to the placebo or the wait list arm, both the cognitive behavioral therapy and the mindfulness education significantly increased sexual events, satisfying sexual events, and decreased distress associated with low desire. So increase their desire and decrease their distress. I apologize now for anybody who presented at this conference and me misquoting any of this research. It was seven minutes and we didn't have a long time to digest, but I wrote down all the things I'm interested in. Okay, so that was awesome. And that was presented by Dr. Laurie Brato. Next one was Dr. Katrina Bouchard, who talked about Patient engagement in vulvar lichen sclerosis research. Really talking about things we research coming from the people who have the conditions. Instead of this top down of this is what people with the condition want to know. Bottom up. She talked about the Lost Labia Chronicles. If you guys have lichen sclerosis, know somebody with lichen sclerosis, see patients with lichen sclerosis. Check out the Lost Labia Chronicles on Instagram. It's an amazing, amazing resource. Also on YouTube, I'm pretty sure. So it's patient supported research and they're doing a study of vulvar lichen sclerosis Couples sexual health study that's finishing this month. So we'll look for that publication, which is very cool. Okay, so then another one that was interesting was spoken by Sam Dawson who is a PhD and was talking about sexual literacy. And they said even a little bit of sex education counts. Where do people go for adult sex ed? And so they said they asked the question, their research question is is sexual knowledge related to sexual well being? So they asked 4,500 people, they asked, I think this was an online questionnaire. They basically gave them 75 statements about sex. And unbeknownst to the people answering the questions, these were all myths. So they were all wrong statements about sex. Men and cisgender individuals were more prone to believing the myths. What they call myth endorsement. People who endorsed the myths had greater distress and problems and issues with sexual function. Very cool. Check out the Instagram page. Ms. Kim. Concections M I S C O N S E X I O N S and this is basically like the platform they created to do these studies. So what they found is in 3.5 minutes you can change sexual well being. People watched a 3.5 minute mindfulness video, increased satisfaction, increased desire and increase awareness of their body. So they're like it does not take a lot to improve people's quality of life. Which is so awesome. All right, the next study looked at, let's see. Paul Young presented a study of O nut which I just talked about. The onut. It's basically a silicone ring that you can stack. There can be up to like 3 rings stack at the base of the vibrator, the finger, the penis, whatever is to be penetrated. And it basically prevents that object from going too deep and triggering anybody who has pain with deep penetration. So it's onut versus wait list for deep dyspareunia or deep pain with sex, specifically with a person with endometriosis. So the onut significantly decreased Deep dyspareunia pain scores. Basically proving that this device works and does what they said it said it does. So very cool talk then by Dr. Rebecca Cobb. I need her on my podcast Researcher in Canada and she does qualitative research. So qualitative research. When I think of qualitative research I think of Brene Brown. Brene Brown's kind of famous for qualitative research, which basically means get a bunch of people, talk to them for a long time and then like code their answers and find themes. So she was doing some qualitative research on consensual non monogamy. Found that 22% of Canadians are or have been in a consensual non monogamous relationship. The other research was that people don't fit into boxes. And she asked the question, you know, wanted to answer the question, is consensual non monogamy? Is it an identity or is it a behavior? She found that some people identify as consensual monogamy and then other people are like, no, no, that's just something I do. Super interesting looking at identity versus behavior for consensual non monogamy. A dominant theme of her research that kept coming up is that consensual non monogamy allows me to become my truest self, that consensual non monogamy made me grow and that it's my job to work on myself. So very empowering statements coming from people for the reason why they do it or what they think about it. There's a sense of autonomy through connection, of really knowing who you are and that you're choosing what, choosing what you want to do with your life. It was a very, very cool talk. Okay. Then we had Richard Rigby presenting on meaning making in mixed gender couples sexual problems, a thematic analysis. So discussing sexual problems with your partner and looking at the beliefs that come up when you are communicating. Because we always talk about communication. Communication, communication is paramount to having a good sex life. So they had 108 mixed sex couples and they looked at, they basically studied them while they were talking to each other. And the good of this research was that a lot that like couples who do these things have, have things work well, right? That they're comfortable sharing thoughts and emotions, that non sexual intimacy is important and that they co construct the problem. So two perspectives become one perspective. That was all very positively associated with things going well, things that were not so good that they discovered. So like things not to do or like warnings. If you see this in a relationship that one person is dominant and is trying to convince the other person of their point of view. And then if people are polarized so they're blaming, they're having opposite beliefs and they're not united. And then the hopeless versus hopeful dichotomy. This is very interesting. This reinforces what they were talking about. If you've read the book When Sex Hurts of like, the hopelessly optimistic of like, don't worry, it's just gonna get better. It's fine, don't worry, this isn't a problem. Kind of that like shallow optimism of like platitudes, I guess is a good word for that. Like, that's actually not super. It's good to be supportive. But if you're just kind of like shallow in that, but like you're not helping come up with a solution, or acknowledging that your partner says it's a problem and you acknowledge that to them it is a problem, instead of being like, it's fine, it's fine. So that was super interesting. Then we had Aaron Fitzpatrick talking about postpartum education. So they're doing a study called the Stork study. 80% of expectant parents get no info about sex and 84% of parents do want info. The most common information that pregnant couples have, is it wrong to say pregnant couples? The couple's not really pregnant. There is a pregnancy within the couple. One person's pregnant. All right. Most common info that they got was on contraception, on the safety of sex during pregnancy, and when to resume zoom sex. I haven't seen. Side note, I was talking with some ob GYN friends a while ago because the thought or belief that you're good to go sexually for penetrative sex after six weeks after a baby, I'm like, where's the data that actually looked at that? And there is no data that decides that six weeks is good. It's kind of just like when the doctor's appointment happens and that's actually not when a lot of bodies are feeling like sex is safe, pleasurable, non painful, enjoyable, not exhausted, all these things. So I think the six week you're good to go is kind of made up until somebody sends me that data. The more information partners had about sex after pregnancy, the greater their sexual well being was. So a lot, a lot of this is like, no duh, but it's like proof of concept of like. Anybody who thinks our current sex education is good enough is like, doesn't realize how bad it is, I guess is my whole point. Okay. So then we had a urologist talk, which is super nice. Dr. Flanagan, he's urologist up at UBC, redefining testicular prosthesis. So there's one product, there's one testicular prosthetic on the market. I believe that's true in both America and Canada. And it tends to be very stiff, rigid, and not described as natural feeling or comfortable to people. So this is either gender affirming surgery, loss of a testicle because of trauma or cancer. Most people don't get testicular prosthesis a lot, at least in America. It's not covered by insurance. So they are working on making a softer prosthesis. They're working on making a new ipp, which stands for inflatable penile prosthesis that both increases size and girth. So it's cool. Like with all the 3D printing and robotic stuff you can do now they are thinking about what else they can create to make more options on the market. Super cool. All right, next, one student, Vasiliya Karava, unveiling survivor experiences in non consensual intimate image dissemination disclosure. So these are people who are. Who have intimate photos shared without their permission on the web. Incredibly common, hardly discussed, rarely reported to authorities, rarely a straightforward path of getting the images off the Internet. So non consensual intimate image dissemination, that's what it's called, is not uncommon. She quoted amazingly scary amounts of this happening about 1 in 3 people. This is another thing I think needs to be in sex ed, especially young people sex ed. Because when I had sex ed, we didn't have cell phones. We didn't. You'd had to like buy an $800 camcorder with like film in was and there was no Internet to put that on. Right. So what is available now to harm people is a whole different story than what was available when I was receiving sex ed. So I think this is a absolute must in sex education of things can be shared incredibly easily. They can be very damaging. They can be very hard to take off the Internet. The Internet is forever. So I would just say don't do it like once, once you've recorded something or taken a picture, it's. It's there. Yeah. So how do we include that in sexual education? I think is incredibly pertinent. One in three people were afraid that they would be blamed for it. Even though there were, they were not the ones who put the images up. And people are likely to blame themselves, especially if they took the image. So very interesting, Excellent, thought provoking talk. Next one was by Dr. Petra Zebrov, a PhD sex therapist talking about getting over the edge strategies that men and women use to reach orgasm. Super interesting. So these are people. They research people that I can orgasm by myself, but I can't orgasm with my partner. So they said, well, what works? So they wanted to study the triggers of orgasm. What techniques do people use? And they found that the majority of women can orgasm alone 94% of the time, but only 74% with their partners. The top ways that women said they were able to get over the edge to have an orgasm, 80% success. Clitoral stimulation. Focusing on pleasure. Inside focus, focusing on the physical sensations and then letting go. Um, I'm really bad with names off the top of my head. But there is an older book now I'm just thinking the only name I'm thinking of right now is Lori Broado. She didn't write that. It's called Sex for one very famous female who was an advocate for women's pleasure. Sex for one, for trying to figure that out for anybody who wants the partner's knowledge of her orgasm. Strategy was a huge component of her being able to have an orgasm with a partner. Her strategy. So she needs the strategy. She needs to know what works. He needs to know her strategies. That was the winning combination.
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Next.
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Oh, this was cool. PhD candidate Natalie Brown. Virtual reality for vaginismus. Vaginismus is the abnormal pathologic, whatever you want to call it, tightening of the pelvic floor. And one way to help work with that is physical therapy. Vaginal dilators. Desensitization of the fear.
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Right?
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The fear of pain can make things worse. You're setting up a feedback loop. So they said, okay, well, if you just tell a woman to go home and put dilators in her vagina, she doesn't want to do it because she's afraid, right? Of the pain. So they're talking about virtual reality, you guys. This is coming, like now. So I posted a picture of me on Instagram today wearing the. It was a meta headset. They cost about. I think they start at around $500. This was like a 1300 dollar. I don't know. These are Canadian prices because I was in Canada when I asked this question. But $1300 virtual reality headset. You basically put the headset on. It goes all around. And they are doing. They're researching live action. So like actors versus avatars or animated. Right. And the animated is coming along quickly. Very interesting. The animated isn't perfect yet. The fidelity isn't there.
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Men.
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And this is their generalization and researching this Men don't seem to care. Women are incredibly bothered. They can't get into the sexual mindset by, like, the edges not being perfect. Not. Not that they need to be perfect, but, like, we're a lot more caring about the details, whereas the guys are like, boobs. Virtual reality boobs. Great. So you basically put this virtual reality. It's like, literally this actor was coming at me, and then like, it was my body that I could look down and it wasn't my body. It's a fake body. But, like, it's the appearance of a naked body that is in the position that it would be yours. And then somebody coming along to give you pleasure. Like, this is a thing. This is happening. Is dating even gonna be a thing anymore? Cause you can just strap on one of these things and, like, have the experience. But for. To use it as a therapy, as a desensitization is very, very cool. Very, very cool. My notes, My notes for Natalie Brown's talk. Virtual reality for vaginismus. Very cool. Good job. Good job. Casperson.
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Okay.
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She was a very good speaker too. Then we had Lauren Selden, who was a student in Dr. Broto's labs, talking about the virtual reality live action versus animated. And she asked the group, this is a cool question. She asked the group, close your eyes if you want to think of your ideal sexual partner. Everybody has a different. She didn't go around and ask us our answers, but she's like, everybody thinks of somebody different. So with this virtual reality, you can actually create your ideal sexual partner. So there is this platform. I haven't looked at this yet, but the platform vertimate, which you can create erotic animations like, you guys, this is happening. This is a now thing. So they're using that platform. Apparently it's a free platform to create this for their research to study vaginismus and healthcare concerns. Then we had computer and machine learning talk on an objective tool for Peyronie's assessment. Peyronie's is an abnormal curvature of the penis. It can become severe enough to not be able to penetrate. It can also be associated with pain, also associated with erectile dysfunction. That's the chicken and egg question, though. Does the erectile dysfunction come first? So your penis isn't as firm, and so therefore it buckles, causing micro traumas, which then over time, cause scarring and bending of the penis. So very common, as common as one in three men, is what some studies show. But the cool thing about this research symposium is how many of these ideas came out of the pandemic, when people, like, couldn't see doctors, couldn't meet together, had to do everything online, like, a lot. We're like, well, in the pandemic, this is what happened. You couldn't go to the doctor. And so they had men show or send in secure images of their penis to measure penile curvature length for Peyronie's. And they said, well, can you teach a computer to measure the angles? And then therefore, you could potentially use this as like, you know how we have these apps for like, skin lesions now, Right? And then these computer learning can be like, that's cancer. That's not cancer. Go see a dermatologist. Don't. Could you do that for something like Peyronie's? Send in your confidential images and they could be like, yeah, there can be. That's a significant curvature. Go see a urologist. All right, so that was very cool. The other thing is you could be diagnosed over the phone. All right, the next one, examining the influence of culture and acculturation on sexual well being. This was very cool. So this woman is getting her master's thesis in this. Amara Kun is her last name. Anuki. Very cool talk. Is sexual well being universal? What affects sexual well being? Is it frequency, is it desire, is it satisfaction? Or is it distress or lack of? And she says, well, you can have lots of sexual frequency and not have sexual well being. You can have sexual well being and not actually be having sex frequently. Right. So like, how do all of those. When we talk about the domains of sexual function, frequency, desire, satisfaction, distress, what matters. So as she said, in a sexually traditional culture, sex is for procreation, to have kids, for marriage. It privileges the male sex and it prohibits or discourages sexual education. That's kind of her classification of a sexually traditional culture. And then sexually liberal culture being. Sex is about intimacy and love. There's a variety of sexual experiences that are supported within the culture. Pleasure for all is prioritized, and it supports sexual education. So her big question is, what happens when you move from a traditional culture to a more liberal region? Well, it turns out prelim data says you have lower guilt and fewer sexual complaints. So I love this question. I love that they're researching this. So they're basically taking people from all over the world who have moved to, I believe it's Vancouver, British Columbia, and figuring that out. It'd be interesting to see the data go in the opposite direction too.
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What happens if you move from a sexually liberal place to a sexually more traditional place? So that was A cool study. The next talk was by Kate Hunker, a student assessing the relationships between sexual script flexibility and sexual health outcomes in couples with vulvar lichen sclerosis. An investigation using the Dyadic Sex Flex scale. So basically the question is how is your ability to adapt to new or different sexual experiences? How does that help you in coping with lichen sclerosis? And they use all these scales to ask the couple, basically, like if you're stuck to one sexual script that in a heterosexual couple sex is putting a penetrating vagina with a penis. Right. Somebody asked, so shall I move to Vancouver, you guys? They're doing a lot of this online now. I don't think you have to move to Vancouver. Then the last speaker was a really a more hands on. Wasn't so much a lecture. Angela Hensey. And it was embodied pelvic wellness. Rewriting the body story. How do we. How do people become more embodied? That's a fantastic question. We spend so much of our life ignoring our body's needs, desires, wants, language. How do we get back in? Because in your body, in the present moment is where good sex lives. So hopefully more to come. We did some mindfulness, two minutes, which was awesome. And then we had lunch. And then our keynote speaker was Trina Orchard and her new book called Sticky Sexy Swipe Culture and the Darker side of Dating Apps. And it is part memoir, part social research, part anthropologic lens on the myths, truths and misfortunes of the current dating zeitgeist. With all these apps and apps is big businesses. Right. So her talk was called Swipe Forward. When dating apps reveal about sexuality, gender and feminism. I'll link her book in the show. Notes. Go buy it. Go support her. It was an awesome talk. So she. So these are just some notes from her talk that I found fascinating. How the world dates on dating apps currently there's about. This is hard to research because a lot of these are, you know, private companies. It's hard to know their data. 441 million users with a global revenue of $8.7 billion. And she talks. So it's a rigged system. It's designed to provide intermittent wins to keep users swiping. Not unlike gambling. Right. You don't want to. You can't win all the time and you can't win right away because then you won't need the app anymore. That these dating apps kind of perpetuate a narrative. I don't know if we're gonna call it a myth, but a narrative that dating is Hard that you should rely on these apps for your dating life and the new realm of like meeting people for the first time online where you don't have all your senses involved.
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You can't see what your gut is telling you. Hear things, hear their voice, see how that sounds, smell, even sight. Right. You have like, you literally have no senses are involved in this except for looking at pictures and then texting people. So the person, the person that you are, the person that they are is actually farther away in the beginning until you decide to connect. She said dating is not the only thing that people do on the apps. There are scammers, there are people who are there to spy on their exes, and there are people there who are bored. She said that the one thing that the dating apps do seem to support. Oh, interesting comment. People are addicted to fake dating nowadays. Oh, that's interesting. Let's see if I can read more of that. They feel like it's okay to cheat on the Internet. Yeah, totally. They said the new dynamic of the older woman, younger man, that dynamic's on the rise. And what she noted was that many men, many young men don't want the trappings of traditional masculinity. They don't want to be a father, they don't want to be a boss, they don't want to be the breadwinner. They're seeking life lessons. They're seeking equitable, pleasurable partnerships. So she was sharing the good and the bad and the ugly of all this. She said that the midlife women's movement is absolutely here. I couldn't agree more with what I do in promoting hormones, midlife longevity, sexual equality, education and empowerment. Right. So in one way, this dating app is kind of anti ageism because everybody's welcome. She definitely thought her mental health deteriorated on the app and actually made a comment that her friends were happy when she was off of the app. And she said for her tips, she gets. So she gave tips for people for dating apps, which was awesome. That know that it's difficult. The algorithm isn't made for you to succeed because if you succeed, you get off the app, manage when you swipe, set timelines or boundaries for that and work to meet people more offline. Meaning put yourself in places where there are people that you can meet and interact with. So all of your people interaction isn't just online. Don't be dependent to the online dating sources. She says this is. She acknowledged that that's going to be easier to do in a bigger city than a smaller city. The thing that it was fascinating to me, and I'm gonna get her book, and I'm gonna read it. Is the misogyny and can I say bullying of, like, these heterosexual men picking on the women or bullying them or, like, saying things that are inappropriate that, like, she'll. She. So she would, like, call them out, and then she'd like, half of them were like, I can do what I want, and the other half of them are like, you're right. That wasn't very nice. But it's like, you literally are on an app to, like, try to gain access to relationships and sex, and you're being a jerk. Like, very interesting side of. And this is the men who are doing this dark side of the masculinity. Like, why that doesn't even make any sense to me, but I'm not a dude. But, like, is that an approach that works? What, women are tolerating this, or are you tolerating it because you think that that's normal or, like, part of flirting? I don't know. It's bizarre to me. I'm like, if a dude's goal is to gain access to female for sexual intimacy, why are you being a dick? Because I. Probably because it works. But, like, these are the tough questions I need answered. All right, so takeaways from the British Columbia Sexual Health research networking event. Is that Dr. Laurie Bratto's amazing. Go work with her. If you're an OB GYN who wants to do. Do 50% research and 50% clinical link in show notes. UBC is hiring. And then you guys can come down and buy me coffee for hooking you guys up. My main takeaway was people care desperately about making people's sex lives better. They literally, this is their career, is trying to figure out how to make your sex life better. So I know we all feel alone. I know we all feel we're the only ones. But literally there are people at academic institutions trying to make sex lives better. Just want you to know that, like, I know just hearing that's gonna make some people feel a lot better. And that sex truly is biopsychosocial. It's not just your hormones. It's not just your dopamine. It's not just your relationship. It's not just how you were raised. It's not just your thoughts and body image, but it's all of it. As wonderful and messy and pertinent as all of those things are, that's what it is. So thank you for joining me on this potpourri of a review of what happens in the biopsychosocial research realm up at the University of British Columbia when they invited me up for a day. Stay tuned. Maybe they'll invite me up next next year and I can make it and then we'll do another one of these. All right, my friends. Love you to the moon and back. I'll see you next time. Remember, you are not Broken thank you for listening to this week's episode of
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youf Are Not Broken. If you want to dig deeper with me, sign up for my Adult Sex Education Masterclass where you learn adult things like communication skills, anatomy lessons and desire types, and how to talk to your doctor about sexual health concerns. If you want the Adult Sex Education Masterclass for free, join my monthly membership for more in depth exclusive content, more time with yours truly. A private podcast, coaching and educational empowerment and you can watch my interviews live
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Head over to www.kellycaspersonmd.com for the membership and Adult Sex Ed Masterclass members. Get the Masterclass for free. This podcast is presented solely for educational, entertainment and informational purposes only. I am a doctor, but not your doctor in this format and all of my platforms and guests including on this podcast are not giving individual medical advice or practicing medicine. See and consult with your own care team for your individual needs and concerns. This podcast is not intended as a substitute for the care and advice of a physician, therapist or other qualified professional. This podcast does not constitute the practice of medicine, in case you were curious about that and no doctor patient relationship is formed. But I still love you. Using the information on this podcast or any of my platforms is at your own risk. Until next time. Remember, you are not broken.
Podcast Summary
You Are Not Broken with Dr. Kelly Casperson, MD
Episode 268: Sex in Canada
Date: June 9, 2024
Episode Overview
In this lively and information-packed episode, Dr. Kelly Casperson shares her reflections and main takeaways from attending the 4th annual British Columbia (BC) Sexual Health Research Networking Event at the University of British Columbia (UBC) in Vancouver, Canada. She spotlights the vibrant Canadian sexual health research scene, reviews keynote talks, and summarizes standout student and faculty presentations on topics including sexual education, the biopsychosocial model of sexual health, sex tech innovation, dating culture, and the persistent gaps in clinical practice. True to her signature style, Dr. Casperson delivers science-based insights with humor, candor, and deep empathy for midlife women and those navigating sexual changes.
[00:18–03:30]
[10:30–12:20]
a. Digital Health and Desire: E Sense Study
[15:30–17:00]
b. Patient-Engaged Research: Lichen Sclerosus
c. Sexual Literacy & Busting Myths
d. Dyspareunia and Pain Solutions: Ohnut & Kiwi Devices
e. Consensual Nonmonogamy as Identity/Behavior
f. Communication in Relationships
g. Sexual Health in Parenthood
h. Testicular Prostheses & Gender Affirmation Tech
i. Digital Consent and Image Sharing
j. Orgasm Strategies & Research
k. Virtual Reality for Sexual Health (Vaginismus)
l. Peyronie’s Disease & AI Assessment Tools
m. Sexual Well-Being and Acculturation
n. Flexibility in Sexual Scripts
o. Embodied Pelvic Wellness
[34:30–38:00]
[38:30–end]
For Further Reading & Updates:
This episode is an exceptional resource for anyone interested in the current frontiers of sexual health science, modern sex education, and the stories of passionate people working tirelessly to break stigma and make sex better for everyone—especially midlife women.