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!

Learn more about Jen Marples at https://www.jenmarples.com

Want to work with Jen? Book a complimentary 20-minute call HERE.

Follow Jen @jenmarples on Instagram, LinkedIn, TikTok and YouTube

Subscribe to Jen’s Newsletter

Unedited AI Transcript Here

CONNECT WITH THE GUESTS:

Dr. Kelly Casperson:

• Website: kellycaspersonmd.com
• Instagram: @KellyCaspersonMD
• Books: You Are Not Broken & The Menopause Moment
• Podcast: You Are Not Broken

Dr. Peter Castillo:

• Website: swanmd.com
• Instagram: @SwanMed

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.

This is my last episode of the year (see you in 2026!), and I'm getting real with you about something that's been weighing on me: how and why we give up our power. After a recent incident that left me asking "why didn't I just walk away?", I did some deep reflection on why we still feel compelled to answer pointed questions, keep the peace at all costs, and put ourselves in uncomfortable situations just to avoid rocking the boat.

Here's what I know after 56 years: we've been conditioned since youth to not speak up, to keep the peace, and to feel like we owe people our opinions, answers, and presence. But here's the truth: we're too f’ing old for this! This episode isn't about blaming anyone else or burning bridges. It's about recognizing where we're losing our power and understanding why, so we can do things differently moving forward. Whether it's at the holiday table, in friendships, at work, or even in our marriages (yes, I'm referencing that recent New York Magazine article on women quietly quitting their marriages), it's time to reclaim our power!

Listen if you want to:

• Understand why you feel compelled to stay in uncomfortable situations instead of walking away
• Learn how to gracefully reclaim your power without burning bridges or blowing up families
• Get a year-end reflection assignment that will help you identify where you've been giving up your power
• Discover why changing relationship dynamics is so hard (and why that's okay)
• Start 2026 ready to stand up for yourself with grace and balance

Jen Says: YNTFO to walk away!

Subscribe to Jen’s Substack

Learn more about Jen Marples at https://www.jenmarples.com

Want to work with Jen? Book a complimentary 20-minute call HERE.

Follow Jen @jenmarples on Instagram, LinkedIn, TikTok and YouTube

Unedited AI Transcript Here

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.

I just turned 56 and I have some news—I finally launched my Substack! After thinking about it for two years (sound familiar?), I made it happen on my birthday. It's called YNTFO with Jen, and I'm so excited about this new way for us to connect and be in real conversation together.

This episode is a quick one where I'm sharing what's on my heart as I step into this new year. I'm talking about putting your health first, being present with the people you love, and why leading with love and compassion matters more than ever. Plus, I'm sharing what I learned from hosting my recent event and why I'm feeling like I'm finally back in sync with what I'm meant to do in this world.

Listen if you want to:

• Hear about my new Substack and how we can connect there (it's free!)
• Get a birthday reminder to prioritize your health and stop white-knuckling through life
• Be inspired to take one small action that creates ripples of change
• Remember that women supporting women is how we move forward
• Feel the permission to be exactly where you are right now

You’re Not Too F***ing Old! To launch a Substack!

Learn more about Jen Marples at https://www.jenmarples.com

Want to work with Jen? Book a complimentary 20-minute call HERE.

Follow Jen @jenmarples on Instagram, LinkedIn, TikTok and YouTube

Subscribe to Jen’s Newsletter and Substack

Unedited AI Transcript Here

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.