Have you noticed changes in your sleep?
Do you sometimes feel more anxious than usual?
Today, Jay sits down with Emmy award–winning journalist and bestselling author Tamsen Fadal to open up one of the most overlooked conversations in health and wellness: menopause. Tamsen shares her personal journey of confusion, discovery, and advocacy, breaking down why menopause has been shrouded in taboo for so long and how it impacts not just women’s bodies, but their emotions, relationships, and careers.
Together, they explore the often-hidden symptoms of perimenopause, from brain fog and anxiety to disrupted sleep and loss of confidence, and how these challenges spill over into every aspect of life. Tamsen explains the science behind the hormonal shifts, debunks the biggest myths, and reveals practical solutions, from lifestyle changes and stress management to hormone therapy and community support. Most importantly, she reminds women that their best years are not behind them, but ahead.
In this interview, you'll learn:
How to Spot Early Signs of Perimenopause
How to Differentiate Perimenopause from Menopause
How to Support Your Family Through Menopause
How to Build Healthy Midlife Habits
How to Find Community During Transition
How to Advocate for Yourself at the Doctor’s Office
Every transition comes with challenges, but it also carries the possibility of growth, wisdom, and renewal. By breaking the silence, sharing our experiences, and embracing knowledge, we not only lighten the weight for ourselves but also create space for others to feel seen and understood.
With Love and Gratitude,
Jay Shetty
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What We Discuss:
00:00 Intro
01:38 Why Is Talking About Menopause Still So Taboo?
02:38 What Actually Happens to Your Body in Menopause
04:20 There Are Over 100 Symptoms!
06:09 The Hidden Struggles Women Face
08:43 Busting the Biggest Menopause Myths
10:16 The Major Hormonal Shifts Behind It All
13:45 Three Early Warning Signs
15:10 Perimenopause vs. Menopause
17:34 Should You Consider Hormone Therapy?
18:30 Lifestyle Shifts That Actually Make a Difference
22:15 Finding Strength in Community
26:08 Why Women’s Health Needs More Research
27:11 The Risks of Ignoring Symptoms
31:10 Why So Many Miss Perimenopause Signs
33:21 When to See a Menopause Specialist
35:41 What Men Need to Know
38:26 It’s Normal For Your Sex Drive to Change
42:39 Am I Too Young for Menopause?
46:28 The Truth About Hormone Therapy Side Effects
47:08 Menopause, Fertility, and the Overlap
49:20 How to Prepare for Perimenopause
51:30 Do Birth Control Pills Help?
53:03 Inspiring Stories of Women Thriving
55:19 Why It’s More Than “Just Aging”
Episode Resources:
Tamsen Fadal | Website
Tamsen Fadal | Instagram
Tamsen Fadal | TikTok
Tamsen Fadal | Facebook
Tamsen Fadal | X
Tamsen Fadal | LinkedIn
See omnystudio.com/listener for privacy information.
On Purpose with Jay Shetty 
