Testosterone and Menopause: What Every Women Should Know
Dr. Kelly Casperson

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 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.They cover:
They talk about:
- 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
1:11 Why Dr. Kelly Casperson Chose Urology and How It Led to a Focus on Women’s Sexual Health
3:00 The One Patient Story That Changed Everything
4:35 Testosterone 101: Why It’s the Dominant Hormone for Women Too
7:47 Can Women Take Hormones After Breast Cancer? Clearing Up the Confusion
12:47 The Truth About Testosterone Levels in Perimenopause and Menopause
14:09 Why Testosterone Alone Won’t Fix Your Libido And What Will
19:40 The Real Options for Women Without FDA-Approved Testosterone
21:49 What You Need to Know About Pellets, Compounding, and Gels
25:42 4 Side Effects of Testosterone: What’s Real and What’s Not
28:46 What is Hypoactive Sexual Desire Disorder?
30:00 Sex Is in Your Brain: Rewriting the Script and Why Medications Can Impact It
34:27 The Labia Minora and Why Hormones Matter More Than You Think
37:04 GSM and the One Hormone Most Women Can Safely Take
40:47 Actionable Steps Women Can Take Today
Watch the Full Episode Here: https://www.youtube.com/@TamsenFadalTV
Get my new book, How To Menopause, Take Charge of Your Health, Reclaim Your Life and Feel Even Better Than Before 💖 https://www.tamsenfadal.com/how-to-menopause
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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.
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I’m an Emmy Award-winning journalist, filmmaker, author, speaker, certified integrative nutrition coach, and passionate menopause advocate.

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