You Are Not Broken
You Are Not Broken
Kelly Casperson, MD
363. Mesh, Vaginal Estrogen, Female Urology and More with Dr. Una Lee
48 minutes Posted Mar 22, 2026 at 4:00 am.
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Show notes
In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get.
We dive into the importance of patient-centered research — studying what truly matters to women: quality of life, sexual health, urinary symptoms, and comfort. If we don’t measure those things, we miss the point.
We also discuss the removal of the boxed warning language on vaginal estrogen and how correcting misinformation has already improved prescribing and access. Fear limited care for years. Data changes that.
We cover:
Why education on vaginal estrogen and GSM is essential
The research gap in testosterone therapy for women
The importance of pelvic floor physical therapy as first-line care
Informed consent and nuance in surgical conversations
Ongoing barriers to hormonal access
The big theme? Women are living longer — and our healthcare system needs to evolve with them.
Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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