When I started HRT, I realized how little I knew about the process, both as a consumer navigating my own health and as a coach who had been working with women going through the same transition for years. I had opinions about training. I had program adjustments I thought were reasonable. What I did not have was a real understanding of what was happening physiologically, what questions to ask my doctor, or what I should and should not advise my clients when they came to me with the same questions I was quietly asking myself.
That gap is more common than most coaches admit. The perimenopause conversation is one coaches are having whether they feel ready or not, as women try to understand why training that worked reliably for years has stopped producing the same results. The low testosterone conversation arrives just as often, with male clients presenting fatigue and stalled progress that could be a programming problem or could be a signal their doctor needs to evaluate.
These conversations are not going away. The question is whether you are equipped to have them correctly, which means knowing exactly what you can address, what you should refer out, and how to hold that line without making the client feel dismissed.
Read more in my Coach360 article here.
