Testosterone and Menopause: What Every Woman Should Know
Most women in menopause are never told the full story about testosterone. We’re told it’s a male hormone or that it’s just about sex, if it’s mentioned at all. But the truth is, testosterone plays a major role in women’s health during perimenopause and menopause. And for many women, it’s the missing piece of hormone therapy.
In this episode, Tamsen sits down with Dr. Kelly Casperson, a leading urologist and one of the top experts prescribing testosterone to women every day, to cut through the confusion. If you’ve been told no, if you’re not feeling like yourself, or if you’re just trying to figure out what is going on with your hormones, this conversation is for you.
In this episode they uncover:
- Why testosterone matters for women in menopause and why it’s not just about libido
- The most common myths about hormones and what doctors are still getting wrong
- How to know if you’re a candidate for testosterone and what testing actually works
- What to say if your doctor shuts you down
- How testosterone affects energy, mood, sex, and identity in midlife
- What women in other countries already have access to and what’s coming next.
Loving The Tamsen Show podcast? If you have a moment, your review could be the reason another woman finally hears the thing she’s been needing.
Watch full video episodes HERE
Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before.
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Pre-order Dr. Kelly Casperson’s new book, The Menopause Moment here.
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
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49:42
Emotional Immaturity in Parents: How It Shows Up in Your Adult Life
Ever feel like you're the one holding it all together, while someone else creates the chaos?
Tamsen sits down with Dr. Lindsay Gibson, clinical psychologist and author of the New York Times bestselling book Adult Children of Emotionally Immature Parents, to talk about the emotional patterns we carry from childhood into midlife, and what happens when they start to crack.
They break down the four types of emotionally immature parents: the
emotional, the driven, the passive, and the rejecting. And how each one
leaves its mark on your confidence, your relationships, and the way you
see yourself.
In this episode they uncover: – Why high-functioning women still feel “not good enough” – The deep loneliness that shows up in midlife (even when you're surrounded by people) – The role of “healing fantasies” and why they keep us stuck – What brain scramble is and how to protect your peace in tough conversations – How to finally stop carrying emotional responsibility for everyone elseThis one gets to the heart of those quiet insecurities we don’t always say out loud, but feel deeply.
Watch full video episodes HERE
Want more from Dr. Lindsay Gibson?
Get her book: Adult Children of Emotionally Immature Parents
Visit her website
Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before
Follow The Tamsen Show on Instagram
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Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
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54:06
Peeing When You Sneeze? The #1 Pelvic Floor Specialist Explains Why
Urinary leakage. Painful sex. That pressure you can’t explain. If you've been told these are just “normal” parts of getting older or having kids, this episode will open your eyes. Tamsen sits down with board-certified pelvic floor physical therapist Dr. Sara Reardon (known online as The Vagina Whisperer) to get honest about the symptoms women are still suffering through in silence.
From perimenopause to postpartum, Dr. Reardon shares how pelvic floor dysfunction shows up, why it's more common than you think, and what you can actually do about it. No shame, no confusion. Just real answers for women who are ready to feel strong in their bodies again.
In this episode, they cover:
– What the pelvic floor actually is and how it supports your core health
– How perimenopause and hormonal shifts impact bladder control and sexual function
– Why pelvic pain, leakage, and pressure are common but not normal
– What pelvic floor therapy looks like and how to know if you need it
– The truth about Kegels and why they’re not always the answer
– How posture, stress, and childbirth affect your pelvic health at every age
– When to ask for help and how to find the right pelvic floor specialist
Loving The Tamsen Show podcast? If you have a moment, your review could be the reason another woman finally hears the thing she’s been needing.
Watch full video episodes HERE
Want more from Dr. Sara Reardon?
Get her book Floored: A Woman's Guide to Pelvic Health
Visit her website
Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before
Follow The Tamsen Show on Instagram
Follow Tamsen on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
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42:32
GLP-1s For Menopause Belly Fat: What the Science Says and Why It Matters
You’ve heard the headlines. Ozempic, Wegovy, GLP-1s. But what is actually happening inside your body when you take them?
In this episode, Tamsen sits back down with Triple Board-Certified Endocrinologist and Belly Fat Expert Dr. Rocio Salas-Whalen to get real, science-backed answers. They break down how these medications work, why muscle loss is a real risk, and how hormone therapy plays a role in your overall metabolic health.
This conversation goes beyond quick fixes and tackles what sustainable, medically informed weight loss really looks like. It’s about body composition, long-term health, and understanding the emotional impact of a changing body.
This episode will cover:
-How GLP-1 medications like Ozempic and Wegovy work in the gut, brain, and pancreas
-The connection between GLP-1s, visceral fat, and insulin resistance
-Why you may be losing muscle instead of fat if not monitored properly
-What "Ozempic butt" really means and how to prevent it
-The truth about hair loss, protein intake, and rapid weight loss
-When to combine GLP-1s with hormone therapy and how to approach it safely
-Why weight loss isn't just physical and the emotional impact many women aren't prepared for
Dr. Rocio is the founder of New York Endocrinology and a leading voice in obesity medicine. Her upcoming book, Weightless: A Doctor's Guide to GLP-1 Medications, Sustainable Weight Loss, and the Health You Deserve will cover everything she shares in her practice and more.
Loving The Tamsen Show podcast? If you have a moment, your review could be the reason another woman finally hears the thing she’s been needing.
Watch full video episodes on YouTube
Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before
Follow The Tamsen Show on Instagram
Follow Tamsen on Instagram
Follow Tamsen on TikTok
Want more from Dr. Rocio Salas-Whalen? Visit here website
For the latest updates on her upcoming book, follow her on social media.
If you loved this episode, you're going to love our hour long episode about Hormone Therapy with leading OBGYN Dr. Sharon Malone.
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
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39:09
The Belly Fat Episode: The Truth About Muscle Loss, Menopause, and Midlife Fatigue
You’re eating healthy. You’re working out. You’ve cut sugar, carbs, and wine. But the belly fat is still there and no one is giving you answers. This episode connects all the dots.
Dr. Rocio Salas-Whalen, a triple board-certified endocrinologist, joins Tamsen to explain exactly what’s happening inside your body during midlife and what you can finally do to feel better in it.
Hormones. Insulin. Thyroid. Stress. Sleep. It’s all part of the story, and Dr. Rocio gives women the real talk they’re not getting in most doctors’ offices. This is the episode that clears the confusion and gives you the clarity you’ve been craving.
What they talk about:
-Why fat accumulates around the belly in perimenopause and how to reverse it
-The exact lab markers to request to check for insulin resistance and early prediabetes
-How to know if your thyroid is working against you, even with “normal” results
-What visceral fat is, why it's so dangerous, and the proven ways to reduce it
-How stress, poor sleep, and cortisol spikes make weight loss nearly impossible and how to fix it
-What to eat (and when) to balance blood sugar and reduce inflammation
-How to advocate for better care if your doctor won’t dig deeper
Loving The Tamsen Show podcast? If you have a moment, your review could be the reason another woman finally hears the thing she’s been needing.
Watch full video episodes on YouTube
Get Tamsen’s new book, How To Menopause: Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before
Follow The Tamsen Show on Instagram
Follow Tamsen on Instagram
Follow Tamsen on TikTok
Want more from Dr. Rocio Salas-Whalen? Visit here website
For the latest updates on her upcoming book, follow her on social media.
If you loved this episode, you're going to love our hour long episode about Hormone Therapy with leading OBGYN Dr. Sharon Malone.
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
You deserve a roadmap. Consider this your starting point.
Hosted by Emmy-winning journalist, filmmaker, and New York Times best-selling author Tamsen Fadal, The Tamsen Show is where real talk meets real solutions. Each week, Tamsen sits down with top doctors, leading voices, and women rewriting the rules—from hormones and health to reinvention, relationships, and everything in between. Whether you're navigating perimenopause, deep in menopause, or facing the questions that come with midlife, this show is for you.
It's time to take charge of your health, reclaim your life, and feel even better than before.
New episodes every Wednesday.
Follow @thetamsenshow for updates and behind-the-scenes.
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