You Are Not Broken

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You Are Not Broken I am Kelly Casperson, MD
My mission is simple: to share proven tools that empower you to create a better life.
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And, it’s to make you feel a little less alone, to encourage you every step of the way, and laugh a lot as we learn and grow together.

One of the most interesting things we talked about in this episode is how easy it is for couples to become the joint CEO...
10/08/2026

One of the most interesting things we talked about in this episode is how easy it is for couples to become the joint CEOs of a logistics company.

Kids. Careers. Aging parents. Bills. Dinner. Who’s doing what tomorrow.

And then perimenopause enters the picture.

Suddenly, the relationship that used to feel romantic can start feeling like a business partnership, and neither person necessarily realizes how far they’ve drifted.

That’s why midlife can be such an important crossroads for a marriage.

Not because menopause “ruins” relationships.

Because it can force couples to finally talk about the things they’ve been avoiding: s*x, connection, expectations, resentment, division of labor, and what each person actually needs.

Sometimes the disruption is an invitation to renegotiate the relationship.

🎙️ Listen to episode 383 now: https://open.spotify.com/episode/5C648Cd9eZ6av0tjvC9ue1?si=D1GAeH2QSGq1ZpDPWwli-A

What do you think couples need to talk about more in midlife?

Oprah daily listed me as one of the best menopause books last week. How cool is that??
10/08/2026

Oprah daily listed me as one of the best menopause books last week.
How cool is that??

10/08/2026

You are not broken podcast. Week 2 series for the men! Epsiode 383.

Menopause conversations center on women. For good reason.
But what about the guy standing next to her?
Joe Warner and Rob Kemp wrote Burning Up, Frozen Out — the first real guide to perimenopause written for men. Not about fixing her. About understanding what’s happening and showing up anyway.
We talk about why men are so in the dark on this. What actually helps versus what just feels helpful. And why this works better as a team sport.
In this episode:
The stereotypes that make menopause a no-go topic at home
Why communication breaks down exactly when you need it most
Small, low-effort ways men can actually support their partner
Men have their own midlife hormonal shifts too — sleep, stress, food, fitness
Why “support” means listening, not solving.

New Substack out today.Whenever a breast cancer survivor asks me about testosterone, I notice the same reaction.She tens...
09/08/2026

New Substack out today.

Whenever a breast cancer survivor asks me about testosterone, I notice the same reaction.

She tenses up. Braces herself for a denial.

Because somewhere along the way, she was told that androgens are basically estrogen’s creator—and that testosterone just converts to estrogen, so it’s automatically a no-go.

But there are several assumptions hiding in that conversation:

Estrogen causes cancer.
All testosterone does is convert to estrogen.
Hormones don’t provide enough benefit to justify the risk.

And all three of those assumptions are far more complicated than we’ve been taught.

Breast cancer survivors deserve nuance, evidence, informed consent, and a conversation that doesn’t start with “no.”

New Substack out today.

08/08/2026

Be gray in a gray world my friends.

08/08/2026

This one’s for the women in it and the partners trying to show up for them.
In this episode:
Perimenopause vs. menopause, where one ends and the other begins
What hormonal changes are actually doing to mood, sleep, libido, and connection
The emotional and relational ripple effects of menopause that no one prepares you for
Hormonal shifts in men during midlife, and why this isn’t just a “her” conversation
How to actually talk to your partner about what’s changing
Rebuilding pleasure and intimacy when everything else is in flux
Reminder: none of this is individual medical advice, discuss your own plan with your own clinician. With Traver Boehm

08/08/2026

Menopause doesn’t just happen to a body, it happens to a relationship. In this episode 382 Traver Boehm joins Dr. Kelly Casperson to talk about what’s actually going on hormonally during perimenopause and menopause, and what that means for the partners trying to understand it from the outside.

08/08/2026

Sometimes it is low T. Sometimes it isn’t. Episode 382 on the “you are not broken podcast this week. In which we talk to the men. With Traver Boehm

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