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Well Beyond 40

Why Women Need Testosterone with Dr. Kelly Casperson

Well Beyond 40

JJ Virgin

Nutrition, Fitness, Health & Fitness

4.51K Ratings

🗓️ 1 July 2026

⏱️ 58 minutes

🧾️ Download transcript

Summary

Why are so many women still being told testosterone is only a male hormone? I’m bringing back board-certified urologic surgeon and sex educator Dr. Kelly Casperson to unpack what women really need to know about testosterone, DHEA, vaginal estrogen, and sexual health after 40. We talk about why testosterone is not just a male hormone, how it can affect energy, motivation, libido, mood, muscle, and brain health, and why “normal” labs are not always the same as feeling your best. This conversation is about helping you understand your body, advocate for better care, and stop accepting pain, fatigue, low desire, or feeling “not like yourself” as just part of getting older. What you’ll learn: (06:11) Why critical facts about female testosterone are frequently missing from traditional medical school education. (08:39) Why testosterone is actually the most predominant sex hormone in the female body. (10:25) How to identify key symptoms of low testosterone such as midday fatigue, poor gym gains, and lower libido. (13:15) The difference between normal reference lab windows and true optimal metrics for active women. (15:21) The three-step clinical order you must follow to properly evaluate if your hormone treatment is working. (22:03) Why taking a slow and steady approach to hormone replacement prevents shocking your biological system. (28:28) How DHEA operates as a precursor hormone and its direct benefits for local vulvovaginal health. (40:15) The historical evolutionary context that busts the myth about the necessity of cycling hormones forever. Love the podcast? Here’s what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Full show notes (including all links mentioned): https://jjvirgin.com/drkelly Episode Sponsor: Try Qualia risk-free for up to 100 days and use code VIRGINWELLNESS for 15% off If your routine or eating habits have changed recently head to BodyBio.com/JJVIRGIN to start supporting your gut. Mitopure supports the cellular energy that allows your muscles to actually respond and adapt. Mitopure gummies make it simple. Visit https://timeline.com/jjvirgin for 20% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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So, Sauterone really is a motivation hormone, which it helps dopamine, it helps serotonin, it helps the brain.

1:29.3

Like if you literally Google testosterone, it'll say the male sex hormone.

1:34.3

But if you go down in the paragraph on Google, it'll say, found in all bodies.

1:38.3

So we just have to get women to understand that this is a hormone in all bodies that help all cells function. What are some symptoms that someone's testosterone is low?

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