Testosterone in Perimenopause with Dr. Ariane Ouellet-Decoste and Fiona Lake Waslander: Women’s Health, Perimenopause and Menopause Journey

Testosterone in Perimenopause with Dr. Ariane Ouellet-Decoste and Fiona Lake Waslander: Women’s Health, Perimenopause and Menopause Journey

When it comes to topics fueling debates in the menopause world right now, testosterone is the ultimate lightning rod. In this episode, we dive deep into the often misunderstood world of testosterone for women with Coral's Medical Director, Dr. Ariane Ouellet-Decoste and Coral Co-Founder and CEO, Fiona Lake Waslander.

With so much conflicting advice out there, it's hard to know who to trust. How do you weigh the potential risks and benefits of treatments, lifestyle changes, or even the option to do nothing at all? This conversation with Dr. Ariane and Fiona is a brilliant example of what it looks like to understand the facts and embrace the nuance when it comes to navigating the menopausal transition. They provide a much-needed masterclass on the science behind testosterone therapy, empowering you to make informed decisions about your health.


In This Episode:

  • The role of testosterone throughout a woman's lifespan
  • Potential benefits & risks of testosterone therapy
  • Importance of individualized dosing & monitoring
  • What the research really says about testosterone for libido & beyond
  • Why expert guidance is non-negotiable for women using testosterone.
  • Testosterone 101: From gels to creams & everything in between
  • Acne, hair growth & other side effects to watch for
  • Optimizing your hormonal health through lifestyle shifts
  • Coral's integrative approach to perimenopausal care
  • Why ongoing follow-up is non-negotiable


If you're curious about whether testosterone could be right for you, this episode is a must-listen.


This podcast is brought to you by Coral, a virtual clinic designed for women in midlife. They provide personalized, evidence-based care that supports every woman’s unique journey—whether you’re in perimenopause, menopause, or the years beyond. Use code TIP5 for 5% off at coral.ca.


Connect with Mikelle & Michelle at This is Perimenopause


Fiona Lake Waslander, CEO + Cofounder, Coral

Fiona Lake Waslander is a three-time founder and seasoned tech leader with over 20 years of experience building and scaling customer-centric products across North America. She co-founded Coral to address a major gap in women’s healthcare—accessible, evidence-based menopause care for women in Canada. As CEO, Fiona leads Coral’s mission to ensure it delivers the best health outcomes and evidence-based support for women in midlife. Under her leadership, Coral empowers women to take control of their health, and feel their best through the menopause transition and beyond. Fiona is a passionate advocate for women, recognizing that supporting hormonal health is essential to living with confidence at every stage of life.


Dr. Ariane Ouellete-Decoste (MD), Medical Director, Coral

Dr. Ariane Ouellet-Decoste is a Canadian-trained physician with nearly two decades of clinical experience spanning emergency care, preventative medicine, and women’s health. Her expertise bridges traditional medical practice and evidence-based innovative approaches, with a strong focus on menopause, cardiometabolic health, and lifestyle-driven care. After nearly 15 years practicing emergency medicine in Quebec and the UK, Dr. Ouellet-Decoste transitioned her focus to preventative and lifestyle medicine. She has since trained extensively in women’s health—including advanced courses from The Menopause Society, The British Menopause Society and The Canadian Menopause Society—and holds a postgraduate certificate in Nutrition Science from Stanford School of Medicine. Her approach is rooted in applying the latest medical and nutritional science to support women through midlife transitions, including perimenopause and menopause. Currently, Dr. Ouellet-Decoste serves as Medical Director at Coral, a virtual women’s health clinic specializing in menopause care. She is responsible for the medical quality and regulatory compliance of all clinical protocols, guiding Coral’s care team and clinical programs across Canada.


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