The next wave of menopausal women is here. Millennials (born 1981–1996)—with the oldest now 44—are marching into the transition. And no, they’re not “all set.” They’re still running into poor care, confusion about hormone therapy, and real mental-health turbulence. Many are also rolling straight from postpartum into perimenopause—stacking new physical and emotional challenges. This week’s guest, licensed clinical social worker and women’s health advocate Lauren Tetenbaum, is on a mission to make it smoother for her generation with her new book, Millennial Menopause: Preparing for Perimenopause, Menopause, and Life’s Next Period. We dig into what she found, what millennial women need right now, and how we can build a better future.

Lauren Tetenbaum, LCSW, JD, PMH-C is a licensed clinical social worker, women's rights advocate, and writer dedicated to supporting and empowering women through life transitions. With experience as both a lawyer and a psychotherapist, Lauren specializes in counseling women navigating identity shifts related to motherhood, career, and reproductive health. Lauren frequently contributes thought leadership to media and professional organizations; she is the author of the 2025 book Millennial Menopause: Preparing for Perimenopause, Menopause, and Life's Next Period. Learn more about Lauren at thecounseLaur.com.

Resources:

Millennial Menopause: Preparing for Perimenopause, Menopause, and Life's Next Period, here.

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Kim Beckinsale and Alina McMaster, both in their mid-50s, race with Mountain Designs Wild Women, along with their teammates Cass Kimlin and Del Lloyd, who are both over 40. The team made history last year by becoming the first all-female team to win the 450 km Legend Expedition Race along Australia’s Great Ocean Road, finishing in 73:09:27 and outracing men half their age. They unpack how women-only team chemistry—less ego, more communication, and strategic towing/help—can be a superpower over multi-day, map-and-compass courses on little sleep. They also share how their training has evolved with age (fewer “flog yourself” sessions, sharper intensity, bigger recovery) and how menopause shows up (heat management, sleep shifts, mood) without slowing performance. Kim and Alina are currently at Expedition Canada 2025, getting ready to tackle a 750+ km trek–bike–paddle course starting September 25. Follow along: www.expeditionracecanada.ca

Kim Beckinsale is a Health & PE teacher at Sunshine Beach SHS with 36+ years in education and prior leadership roles at Coorparoo and Cleveland District SHS. Queensland School Sport Life Member (2013) and Triathlon 30-year service awardee (2022). A triathlete since the early ’90s and adventure racer since 2004, she holds coaching quals across triathlon, athletics, paddling, MTB, orienteering, plus Remote First Aid & CPR. Co-owner of Tri Adventure (f. 2009), which coaches athletes and runs The Wild Women Adventure Race (2012, Australia’s first all-female AR) and The Amazons Australia (2025, first ARWS all-women’s event).

Alina McMaster is Australian Partner at Eventplus and Owner/CEO of AROC Sport, organizing outdoor endurance events. Co-founded Ultra-Trail Australia in 2008 (then The North Face 100), which grew into the world’s second-largest trail event before its sale to Ironman in 2018. A former Australian cross-country ski champion and World Cup/Universiade representative, she dominated domestic multisport (Winter Classic, JLW Challenge, Sri Chinmoy Triple Tri, Jindabyne). In the late ’90s–early 2000s, she and husband Tom Landon-Smith raced on one of the top adventure racing teams globally.

Resources

Historic Win for the Mountain Designs Wild Women Team at Legend Race in Australia, Wild & Co.

AR World Series, Expedition Canada

Wild Women in action video clips.

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Eighty percent of us will develop fibroids by age 50–making them an epidemic nobody talks about. Tennis legend Venus Williams, 45, has recently spoken up about the debilitating pain, fatigue, and heavy bleeding she suffered with due to fibroids for literally decades. This week we talk with the doctor who finally helped her find relief, Dr. Taraneh Shirazian, Founder and Director of the Center for Fibroid Care at NYU Langone Health. We shine some much needed light on what fibroids are, common symptoms, how fibroids intersect with perimenopause, menopause, and hormone therapy, and what we can do about them.

Dr. Taraneh Shirazian is the Founder and Director of the Center for Fibroid Care at NYU Langone Grossman School of Medicine, a state-of-the-art wellness center that takes a holistic, multidisciplinary approach to treating fibroids, abnormal uterine bleeding, and pelvic pain while prioritizing patients’ life goals, including family planning. A minimally invasive gynecologic surgeon and Associate Professor at NYU Langone, she also directs Global Women’s Health in OBGYN and at NYU’s College of Global Public Health, where she has taught for seven years. She is the Founder and President of Saving Mothers, a nonprofit dedicated to reducing preventable maternal deaths worldwide. Recognized as a leader in women’s health and an advocate for patient education and empowerment, Dr. Shirazian specializes in fibroids, endometriosis, ovarian cysts, pelvic pain, and abnormal bleeding, and is frequently featured as a women’s health expert on major media outlets including CBS, CNN, The Today Show, Good Morning America, Newsweek, and The Wall Street Journal. You can follow her on Instagram @drshirazian

Resources:

Venus Williams Opens Up About Her 30-Year Fibroids Journey, Self Magazine

Venus Williams Shares Her Journey with Uterine Fibroids & Advocates for Women’s Health, NYU Langone Health NewsHub

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Follow Us on Instagram:

Feisty Menopause: @feistymenopause

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Support our Partners:

Phosis: Use the code FEISTY15 for 15% off at https://www.phosis.com/

Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/

Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% off

Wahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL