Hard Conversations in the Menopause Transition: Hormones, Testing, GLP-1s & What’s “Ideal” Now with Carla DiGirolamo, MD, PhD (Episode 260)

Hit Play Not Pause

Health & Fitness, Medicine, Fitness

4.9 • 769 Ratings

🗓️ 4 February 2026

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

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Summary

This week we welcome back our resident reproductive endocrinologist and menopause specialist, Dr. Carla DiGirolamo, for another candid conversation. We pull back the curtain on Carla’s own menopause experience—how she navigates her symptoms, what she’s learned, and what she practices herself. We also dig into the hard conversations so many of us are having as we navigate this ever-evolving space, and how years of working closely with active midlife women have shaped her thinking on hormone therapy, GLP-1 medications, testosterone, hormone testing, and what actually moves the needle for athletic women in the transition.

Carla DiGirolamo, MD, PhD, is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in women’s performance and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Medical Society. She is a MedFit Care provider and provides weekly workouts and medical updates at her Substack Athletic Aging. She is an Endocrine Consultant for Wild Health and Women’s Health Director at Eternal Health. Most recently, she has launched her own private practice specializing in helping active and high-performing women reach their performance potential from puberty through menopause. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimization. Visit her website www.drcarlad.com to learn more about her services and schedule an appointment.

Resources

Athletic Aging with Dr. Carla DiGirolamo on Substack

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Transcript

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0:00.0	You are listening to Hit Play Not Pause, a feisty menopause podcast for active performance-minded women.
0:12.2	I am your host, Celine Yeager. Each week, I bring you advice from athletes, scientists, researchers, and other experts to help you feel and perform your best no matter what your hormones are doing.
0:23.1	This show is a production of feisty media.
0:27.2	Hello, strong feisty women.
0:29.3	I hope you all are well.
0:31.2	So back by popular demand this week, we have another sit-down, kind of loose, candid conversation with our resident
0:38.6	reproductive endocrinologist and menopause specialist, Dr. Carlett D. D. D. Romalo.
0:43.8	And, well, Carla and I have become friends over the years, and we actually communicate pretty
0:48.7	regularly, sharing our thoughts and feelings and how they've evolved on things like menopause
0:53.4	and training and hormones
0:54.7	and the like. And I think that there's some benefit to letting you all sit in on those conversations
1:00.0	from time to time. And this is definitely one of those times. For those who don't know, along with
1:05.4	starting her own menopause practice, Carla also consults with Eternal, which is a healthcare service that is focused on
1:12.2	athletic and active folks just like us and a lot of women just like us. I am a member. I can't
1:18.9	say enough good things about the work they do. She also provides similar consulting services
1:24.2	to wild health, and she just sees a lot of women just like you, just like
1:29.7	me, just like everyone listening right now. So as this show heads into year six, it seemed like a
1:35.5	good time to have her back on. We talk all about her menopause experience, as well as her experience
1:42.6	with clients, and how her thinking has evolved and continues
1:46.2	to evolve on all things menopause and hormone therapy and testosterone and hormone testing
1:52.5	and glp ones and much more and i always enjoy talking to her and i really hope you enjoy this one too
1:58.5	just a note the day after our interview,
	...

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