The Jen Marples Show for Midlife Women

Let’s Talk About Sex with Dr. Kelly Casperson & Dr. Peter Castillo

Jen Marples Episode 232

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0:00 | 53:57

This conversation with Dr. Kelly Casperson and Dr. Peter Castillo is a masterclass in reclaiming your sexual health, and it is going to change the way you view midlife. We are having an honest, no-shame discussion about why everyone deserves to have good sex and how to move past the pain or silence that often accompanies menopause.

Dr. Casperson, a urologist, and Dr. Castillo, a urogynecologist, break down the physiological "cliff" women often feel they’ve fallen off. They explain how hormonal shifts—specifically the decline of testosterone and estrogen—start much earlier than most of us realize, often beginning in our late 30s or early 40s. From the "Spice Girls" of hormones to the power of vaginal estrogen as preventative care, this episode provides the concrete facts you need to advocate for your own well-being.

We also explore modern solutions beyond the pharmacy, including laser treatments and red light therapy that restore vaginal tissue health. If you’ve ever been told your symptoms are just a normal part of aging, this episode is your permission to seek a second opinion and prioritize your pleasure.

You Need to Listen If You Want To:

  • Understand the physiological changes that impact libido and comfort during perimenopause and menopause.
  • Demystify the roles of estrogen, progesterone, and testosterone in brain health, bone density, and sexual response.
  • Learn why having a period isn't a "permission slip" for hormone therapy and why early intervention is key for longevity.
  • Discover non-hormonal options like fractional lasers and photobiomodulation for treating dryness and pain.
  • Gain practical scripts for opening an honest, low-pressure dialogue about sex with your partner.

You’re Not Too F***ing Old! for great sex!

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Unedited AI Transcript Here


CONNECT WITH THE GUESTS:

Dr. Kelly Casperson:

Dr. Peter Castillo:


Resources mentioned:

  • 🔗 ISSWSH.org — find a sexual health provider near you
  • 🔗 menopause.org — Menopause Society provider directory
  • 📱 Telehealth options for testosterone: Joi (joi.com) & Midi (midi.com)

Medical Disclaimer: This content is for educational purposes only and is not medical advice. If you need medical advice, please consult your doctor or medical provider.