Start with the lived experience, not the label. We sit down with gender-affirming menopause educator and advocate Lasara Firefox Allen to reframe menopause as a human transition that deserves respect, nuance, and choices. From the first hot flash to postmenopausal clarity, we map the terrain for trans, nonbinary, and gender-diverse people who are too often erased by narrow clinical language and outdated protocols.
Lasara shares how dysphoria and euphoria can shape the menopause arc, why “hormones have no gender,” and how surgical or chemical menopause intersects with identity and safety. We break down what affirming care looks like in real clinics: pronouns honored, intake forms that fit, and treatment menus that don’t force people into boxes. You’ll hear the tough realities—erratic bleeding for transmasculine folks in unsafe environments, GSM that worsens on testosterone without local estrogen, and the data on late ADHD and autism diagnoses—paired with clear, actionable guidance.
We dive into hormone strategy with a practical lens, exploring when high-dose testosterone, physiologic-dose estradiol, and micronized progesterone make sense, and why prior side effects with birth control don’t predict menopausal HRT outcomes. We cover workplace disclosure, accommodations that reduce risk, and the hidden burden of eating disorders in the trans community. Access matters, so we point to resources you can use now, including Planned Parenthood and FOLX telehealth, plus training pathways for providers who want to deliver competent, compassionate care.
This conversation is about more than symptoms; it’s about agency. Menopause can surface grief—about fertility, identity, and change—while opening real space for post-traumatic growth. If you’re seeking care that fits who you are, or you’re a clinician ready to do better, you’ll leave with language, tools, and a roadmap. If this resonates, subscribe, share with a friend, and leave a review to help more people find affirming menopause care.

Lasara Firefox Allen (they/them/theirs / Mx.) is a gender-affirming menopause educator, coach, writer, and advocate committed to uplifting genderqueer, trans, and queer-bodied folks navigating perimenopause, menopause, and beyond. With a foundation in social work and lived experience in midlife transition, Lasara centers marginalized voices and reclaims menopause beyond binary narratives.

Website: https://www.genderqueermenopause.com/

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MiDOViA is dedicated to changing the narrative about menopause by educating, raising awareness & supporting women in this stage of life, both at home and in the workplace. Visit midovia.com to learn more.
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