You Are Not Broken

On today's episode I review the 2026 ISSWSH conference, sharing insights on women's sexual health, hormone therapy, and recent research developments. This episode covers upcoming events, new products, and key takeaways from the conference, providing valuable knowledge for clinicians and women alike.

https://www.isswsh.org/

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠
Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week on You Are Not Broken, I’m joined by the strong, grounded, and refreshingly honest Alicia Erickson for a conversation about midlife reinvention — from hormones to heavy lifting.

We talk about the real-life impact of perimenopause (and why projects like The M Factor: Shredding the Silence on Menopause matter), Alicia’s decision to get sober at 45, and what happens when women stop shrinking and start building — muscle, boundaries, and belief in themselves.

Alicia shares her journey into strength training, progressive overload, and even stepping on a bikini competition stage — not for validation, but for growth. We break down body recomposition (yes, you can build muscle and lose fat at the same time), the critical role of sleep, and how hormone replacement therapy can dramatically shift quality of life in midlife.

This is a conversation about doing hard things on purpose.
About eating enough.
About lifting heavy.
About community.
About deciding your second half will be stronger than your first.

You are not broken. You might just need a barbell.


Why perimenopause feels chaotic — and what’s actually happening hormonally


Alicia’s sobriety journey and the connection between alcohol, mental health, and midlife


Why strength training is non-negotiable for women over 40


Progressive overload explained simply


Sleep as the foundation for body composition


Hormone replacement therapy and quality of life


Body recomposition: burning fat while building muscle


Eating more (not less) to support muscle growth


The mindset shift from “smaller” to “stronger”


The power of community and doing hard things together

If this episode resonates, share it with a woman in your life who needs permission to take up space — in the gym, in her body, and in her life.

Because midlife isn’t the beginning of decline.

It’s the beginning of power.

https://www.instagram.com/aliciae/

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠
Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week on You Are Not Broken, I sit down with breast oncologist and historian Dr. Elizabeth Comen to talk about her powerful book All in Her Head and the long, complicated history of how women’s health has been misunderstood, minimized, and medicalized.

If you’ve ever been told your symptoms are anxiety… stress… hormones… or just part of being a woman — this episode is for you.

We explore the historical roots of dismissal in women’s healthcare and how those patterns still show up today, especially in cancer care. Dr. Comen walks us through how breast cancer treatment has evolved, what we’ve gotten right, what we’ve gotten wrong, and why quality of life must be part of the conversation — not an afterthought.

We also talk about:


Why women’s pain has historically been labeled “hysteria”


How medical bias still affects diagnosis and treatment


The real tension between longevity and quality of life


Hormonal therapies in breast cancer — and how nuance gets lost


Why advocacy matters more than ever


The double-edged sword of social media and AI in health information


How understanding medical history helps us build better medicine today

This episode isn’t about blaming the past. It’s about understanding it — so we stop repeating it.

Because when women are dismissed, care suffers.
And when women are informed, everything changes.

If you care about evidence-based medicine, health equity, and empowering women with real information — this is a must-listen.

Dr. Comen's IG

Dr. Comen's Book

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠
Learn more about your ad choices. Visit podcastchoices.com/adchoices

Explorer is officially available for pre-order, and the first production run is intentionally limited. Use code NOTBROKEN20

If you’ve been waiting for a vibrator that’s anatomy-informed, safety-first, and designed with real female physiology in mind, this is for you.

👉 Pre-order Explorer now
🎧 Use code NOTBROKEN20 at checkout for 20% off
⏳ Limited first run — once it’s gone, you have to wait!

Pleasure is not a luxury. It’s part of health care.

What if pleasure wasn’t mysterious, shameful, or something women were expected to “figure out on their own”?

In this episode of You Are Not Broken, Dr. Kelly Casperson is joined by Lara Pack to talk about the launch of their new vibrator, Explorer—and more importantly, the science, safety, and education behind it.

It’s a grounded, evidence-based conversation about female arousal, blood flow, anatomy, consent, and why most women were never taught how their bodies actually work. Kelly and Lara walk listeners through why Explorer was designed the way it was, what makes a vibrator safe (and unsafe), and how pleasure tools can support—not replace—intimacy, connection, and sexual health.

They also tackle common myths around vibrators, including fears about dependency, partner insecurity, and “doing it wrong,” while reframing pleasure as a learnable, normal, and empowering part of healthcare.

If you’ve ever felt confused, embarrassed, or under-educated about pleasure—or wondered how to talk about it with a partner—this episode is for you.

What We Cover


Why Explorer was designed for external pleasure—no penetration required


The role of blood flow and arousal in sexual comfort, desire, and response


Why consent matters in every relationship, no matter how long you’ve been together


How vibrators can support sexual health, healing, and confidence


The importance of anatomical accuracy and comfort in vibrator design


How to talk with a partner about using pleasure tools without shame or defensiveness


Why vibrators are not a “replacement” for partners—but a supplement to connection


Safety, materials, and why quality matters when it comes to intimate products


How sex education gaps leave women blaming themselves instead of the system


Why sexual wellness is a lifelong learning process—not something you’re born knowing

Key Takeaway

Pleasure isn’t frivolous.
It’s physiological.
It’s learnable.
And it belongs to you.

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠

Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week I sit down with Autumn Calabrese to talk about fitness, mindset, and stress management—especially as they relate to women in midlife. We explore how hormonal changes can affect energy, recovery, motivation, and overall health, and why many women find that the fitness strategies that once worked no longer feel effective or sustainable.

We also discuss how women’s fitness culture has evolved over time, shifting away from extremes and toward a more balanced, realistic approach that prioritizes consistency over perfection. This episode highlights why managing stress is just as important as working out, and how nutrition, quality sleep, and community support play foundational roles in long-term wellness.

At its core, this conversation is an invitation to reframe fitness as a tool for resilience, strength, and vitality—not punishment—and to encourage women to embrace change, stay consistent, and prioritize their health through every season of midlife.


Fitness helps support warmth, energy, and resilience, especially during winter


Mindset is a major driver of sustainable fitness and health habits


Stress management is essential for overall health in midlife


Hormonal changes can significantly impact women’s physical and mental well-being


Fitness culture is evolving toward balance rather than extremes


Consistency in workouts leads to better long-term health outcomes


Nutrition is a cornerstone of a healthy lifestyle


Quality sleep is critical for recovery and overall well-being


Embracing change can transform the midlife experience


Community and accountability enhance motivation and long-term commitment

Autumn's IG

BODI platform

To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠⁠

Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠
Learn more about your ad choices. Visit podcastchoices.com/adchoices