The Testosterone Doctor: The Truth About Women’s Libido with Dr. Kelly Casperson

Tamsen Fadal October 15, 2025
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Tamsen Fadal

@tamsenfadaltv

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Host of The Tamsen Show Podcast | NYT Bestselling Author of How To Menopause | Producer of The (M) Factor Documentary & Before The Pause I’m Tamsen Fadal, author, host, and your guide through midlife and beyond. Here, we have real conversations about perimenopause, menopause, reinvention, wellness, and everything that comes with major life change. If you're navigating symptoms, career shifts, or just want to feel like yourself again, you're in the right place. Expect expert advice, honest stories, and tools to help you thrive. Let’s redefine this chapter, together. Medical Disclaimer: This content is for educational and entertainment purposes only and is not medical advice. If you need medical advice, please consult a medical provider.

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From low libido to painful sex to the truth about testosterone, Dr. Kelly Casperson is back, and this time, she’s answering your questions on The Tamsen Show Podcast. In this episode, Tamsen sits down with Dr. Casperson, the leading urologist, author, and leading voice in women’s sexual health for an honest, no-shame conversation about what’s really happening to women’s bodies in midlife. She explains how hormones shift during perimenopause and menopause, why desire changes, and what women can actually do to feel better in their bodies again. From hormone therapy and vaginal estrogen to confidence, pleasure, and how to start these conversations with your doctor (or your partner). It’s real answers, real science, and the kind of clarity every woman deserves. Plus, keep listening for a special conversation with Dr. Isabelle Raymond, SVP of Clinical and Medical Affairs at Nutrafol, who joins Tamsen to dive deeper into the connection between hormones and hair health – and the importance of closing the research gap on women in menopause. Here’s what you’ll learn: - What’s really happening to your hormones during perimenopause and menopause - Why libido and energy change and how to get them back - The truth about testosterone for women - How hormone therapy really works and when to consider it - The connection between vaginal health, confidence, and pleasure - BONUS: How hair changes during perimenopause and menopause, the importance of a whole body approach and why inclusive research matters CONNECT WITH TAMSEN 🧡 The Tamsen Show on Instagram: https://www.instagram.com/thetamsenshow 🧡 Instagram: https://www.instagram.com/tamsenfadal 🧡 TikTok: https://www.tiktok.com/@tamsenfadal CONNECT WITH DR. CASPERSON 🧡 Follow her on Instagram: https://www.instagram.com/kellycaspersonmd/?hl=en 🧡 Visit her website: https://kellycaspersonmd.com/ 🧡 Get Dr. Casperson’s new book, The Menopause Moment: https://kellycaspersonmd.com/the-menopause-moment-book/ 🧡 LEAVE A REVIEW If you enjoyed listening to the podcast, we'd love for you to leave a 5-star review on Apple Podcasts to help others discover the show: https://podcasts.apple.com/au/podcast/the-tamsen-show/id1799976761 Timestamp: 00:00 Intro 06:10 What Estrogen and Testosterone Actually Do for Your Sex Drive 09:21 Why “Menopause Is Natural” Can Be Misleading 11:01 GSM Explained: Painful Sex, UTIs, and the Fix Nobody Mentions 13:35 The Truth About Spontaneous vs. Responsive Desire 18:40 Vaginal Estrogen: What It Is, How It Helps, Why It’s Safe 22:31 Best Lubes for Women 40+ (And What to Avoid) 27:43 Sharp Pain During Sex Is Not Normal 32:16 Testosterone for Women: Why We Deserve FDA Approval 38:48 Are Testosterone Pellets Safe? What You Should Know 45:56 How to Rekindle Desire in Long-Term Relationships 52:08 BONUS: Why Your Hair Is Thinning in Perimenopause 57:05 Hair Health Is Hormone Health And What to Watch For About Tamsen Fadal: Tamsen is a journalist, NYT best-selling author, podcast host, filmmaker and menopause advocate. As host of The Tamsen Show Podcast, she’s become a powerful voice in the conversation about midlife. She is the creator and producer of The (M) Factor: Shredding the Silence on Menopause and The (M) Factor 2: Before The Pause, groundbreaking films calling for change in how we approach women’s health. Tamsen is also the author of the New York Times Bestseller How To Menopause, the ultimate guide to navigating midlife with confidence. From SXSW to Capitol Hill, Tamsen champions policies that break the stigma around menopause and empower women at work and beyond. After 30 years as a TV anchor, she now leads the charge in midlife health advocacy. Featured in Oprah Daily, The Today Show, NYT, and more. #menopause #kellycasperson #thetamsenshow

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