{"podcast":{"title":"40s Forward","slug":"40s-forward-7631177","podcast_index_feed_id":7631177,"rss_url":"https://rss.libsyn.com/shows/520778/destinations/4472573.xml","website_url":"https://sites.libsyn.com/520778","image_url":"https://static.libsyn.com/p/assets/e/1/7/c/e17cbcd58571b425d959afa2a1bf1c87/with_your_host_1400_x_1400_px.png","author":"Dr. Betsy Greenleaf","episode_count":26,"summary":"40s Forward Podcast Life after 40 isn't about slowing down—it's about leveling up 40s Forward is the podcast for high-achieving men and women who want more energy, sharper focus, stronger bodies, better sex, and longer healthspan. Hosted by Dr. Betsy Greenleaf, board-certified physician and founder of the International Pause Institute, each episode blends cutting-edge medical insight with real-world strategies for optimizing midlife performance. From hormones, metabolism, and longevity to biohacking, peptides, sexual wellness, and mindset, this show delivers science without hype for people who invest in their health the same way they invest in their success. This isn't anti-aging. It's forward living.","last_synced_at":"2026-07-29T02:21:06.504476+00:00","page_url":"https://stenobird.com/podcast/40s-forward-7631177"},"episode":{"title":"S1E17 Wait… Women Need Testosterone Too?!","slug":"s1e17-wait-women-need-testosterone-too","published_at":"2026-04-20T18:04:00+00:00","page_url":"https://stenobird.com/podcast/40s-forward-7631177/s1e17-wait-women-need-testosterone-too","show_page_url":"https://stenobird.com/podcast/40s-forward-7631177","url":"https://72eafd7c-7b40-45ab-8e38-1b5a902bcba1.libsyn.com/s1e17-wait-women-need-testosterone-too","audio_url":"https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/secure/72eafd7c-7b40-45ab-8e38-1b5a902bcba1/Episode_17_Full_Audio_FF.mp3?dest-id=4472573","summary":"In this episode of 40s Forward, Dr. Betsy Greenleaf breaks down one of the most misunderstood—and overlooked—hormones in women's health after 40: testosterone. If you've been feeling flat, unmotivated, disconnected, or like your drive—physically, mentally, or emotionally—has faded, you're not alone. And it may not be \"just aging\" or menopause. It may be hormonal. This conversation challenges outdated narratives and reframes testosterone as a critical hormone for women's vitality, confidence, and overall well-being. What You'll Learn in This Episode • Why testosterone is not just a \"male hormone\" • The role testosterone plays in libido, energy, mood, and cognition • How declining testosterone impacts confidence, motivation, and performance • Why symptoms matter just as much as lab values • The connection between stress, inflammation, and hormone depletion • Why hormone therapy is not a quick fix—and what needs to come first Testosterone in Women: What It Really Does Women produce testosterone in the ovaries, adrenal glands, and peripheral tissues—and it affects far more than sex drive. Testosterone supports: • Libido and sexual function • Muscle mass and body composition • Bone density • Cognitive function and mental clarity • Mood, confidence, and motivation • Nitric oxide production and orgasm quality When levels decline, women often experience not just low libido—but loss of drive, ambition, assertiveness, and vitality. What Happens After 40 Testosterone begins declining in the 30s and can drop significantly by the 40s and 50s. This decline is often compounded by: • Chronic stress and cortisol dysregulation • Poor sleep • Insulin resistance • Inflammation • Hormonal birth control history • Gut health imbalances • Surgical menopause One key principle: Stress and sex h…","meta_description":"In this episode of 40s Forward, Dr. Betsy Greenleaf breaks down one of the most misunderstood—and overlooked—hormones in women's health after 40: testoste…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1808,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/40s-forward-7631177/episodes/s1e17-wait-women-need-testosterone-too/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/40s-forward-7631177/s1e17-wait-women-need-testosterone-too.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}