Sarah L. Glasco, PhD (she/her)  ·  Writer · Speaker · Educator · Patriarchy Smasher in Residence
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Neurodivergence + Menopause — Ed & Humor

  • Author
  • Podcaster
  • Speaker
  • Gender-Affirming Menopause Care certified
  • Clinician Outreach, NeuroDiversion
  • Founding member, The Neuropause Collective

I write books and make a podcast for neurodivergent people whose hormones went sideways and whose medical providers told them to try yoga. I spend a lot of time dragging conversations about neurodivergence, hormones, accessibility and healthcare equity out of the dark ages. Every claim gets a source. Every page gets edited for the neurodivergent brain processing it.

Get the Toolkit
Sarah L. Glasco mid-yell, wearing a denim jacket over a t-shirt reading Be Kind To Your Mind.
Yes, the shirt says be kind to your mind. Yes, I am yelling. Both things are true.

What I actually do

Four jobs, one grudge.

They look like separate projects. They're not. Every one of them exists because somebody with a neurodivergent brain got handed a shrug instead of a plan, and I got tired of watching it happen to people I like.

Books

Research you can actually read

One evidence-based guide for neurodivergent people in perimenopause and menopause — inclusive of cis and gender-expansive readers throughout, and typeset so a dyslexic reader isn't fighting the page to get at the information. And one book that's mostly jokes about anxiety, because both things are allowed.

  • The Neurodivergent Hormonal Survival Toolkit — the research one
  • The Overthinking Chronicles — the funny one

Podcast

ADHD Peri Punks

Chrissy Ingram and I talk about the estrogen-dopamine collision, menopause rage, sensory hell, and everything clinicians forget to mention. With citations, because we're insufferable that way.

  • 27 episodes and counting
  • 5★ on Spotify and Apple Podcasts

Speaking & advocacy

Rooms, stages and clinicians

Twenty-five years of teaching, ADHD conference sessions, and Clinician Outreach at NeuroDiversion. I train educators and healthcare teams, and I'm funny on purpose.

  • Education and healthcare audiences
  • Sessions available in French
Listen to the podcast

New — launching October

The Neuropause Collective.

I'm one of eight founding members. Clinicians, coaches, advocates and creators who all got tired of the same gap at the same time, building the thing none of us could find: a structured community for neurodivergent people in midlife, with live support calls, monthly webinars and Q&As, and resources from people who actually know what they're talking about.

Eight of us means eight perspectives instead of mine alone — which matters, because no single person should be anybody's only source on this.

Inside the Collective

  • Live community support calls
  • Monthly educational webinars and Q&As
  • A private community to ask questions and connect
  • Practical resources from clinicians and coaches
  • Ongoing support through peri/menopause

What people say

What clinicians said about the new book.

A science-backed guide to what happens when hormones and neurodivergence collide — smart, structured, and funny. It fills a massive gap in care and does it with heart, humor and precision.

Dr. Jen Wolkin (she/her), PhD, MFANeuropsychologist & author of Quick Calm

Not another wellness guide written by someone who took a weekend course and found their purpose. Evidence-backed, accessible by design, and inclusive by conviction.

Mandi L. Dixon (she/her), LPC, NCCADHD & menopause therapist — wrote the foreword

Sarah Glasco is that super-smart friend who always has your back and has done the research so you don't have to. It explains why you feel like you're going crazy (you're not) and why so much of your life makes sense now.

Dr. Ari Tuckman (he/him), PsyD, MBAPsychologist & author of the ADHD Productivity Manual

Forget an algebra book — this is the book that needs to be in every school curriculum, and doctor's office, and community center. Lifesaving, long overdue, yet right on time.

Elicia Gonzales (she/her), MSW, M.Ed.The Passion Doula

About

The talking came later.

Short version

I write books, make a podcast, run a small press, and talk to rooms about neurodivergence and hormones. Before that I spent twenty-five years as a humanities professor — literature, linguistics, gender studies, mostly in French — and got diagnosed at 51, in that order, which explains a lot.

Read the long version, or don't — genuinely up to you

Kindergarten, 1976. I was painfully shy, close to nonverbal, and I wrote my letters backwards all year — every one of them except the ones that look the same either way. M. W. A. My teacher told my parents I was slow.

Sarah's kindergarten school portrait, 1976 — a small child with a bowl haircut, looking directly at the camera, not smiling.
The official kindergarten portrait. I think it holds up as evidence.
A 1976 school Halloween lineup — several children in traditional costumes, and Sarah in the middle wearing a full Planet of the Apes mask.
Halloween, same class. Every other kid in something traditional and extremely gendered. Me, in a full Planet of the Apes mask. Honestly? More comfortable that way.

I still have the report cards.

First grade: Sarah struggles to finish her work on time. An N for Needs Improvement in work-study habits. In writing. On paper. Filed. Every time someone tells me there were no signs in girls back then, I think about a stack of paperwork in my house that says otherwise.

Here's a stat you've probably heard: ADHD kids receive 20,000 more negative comments than their peers by age twelve. Here's what actually happened: in 2010, a psychiatrist named Michael Jellinek did some back-of-napkin arithmetic in a non-peer-reviewed publication — a rough estimate of corrective comments in a school day, extrapolated out — to illustrate a point about cumulative shame. Not a study. Not a headcount. Not even a comparison to neurotypical kids, originally — that got added later, along with two extra years and a tone of certainty the math never earned. Dr. Dodson helped popularize the number to explain rejection sensitivity in ADHD adults, and once it left his hands, nobody was checking the arithmetic anymore. I don't need the number to be exact. I need you to notice it was never diagnosis-dependent to begin with — any kid whose brain worked differently got some version of this, whether or not there was a chart with a code on it yet. (This is the part of the book where citing a source turned into debunking one. Consistent, if nothing else. Origin traced by Dr. Naomi Fisher; James Brown of The ADHD Adults podcast is credited by the neuroaffirming practice group Attuned Approach as the first person they personally heard challenge it publicly — which is exactly the right amount of certainty to put on that claim.)

Also filed under evidence: I'm technically left-handed, but I didn't find this out until I was 23. Sitting in my parents' kitchen, musing out loud about why I do almost everything on my left side — I eat with my fork and spoon in my left hand, I lead with my left leg, I've done it my whole life without ever once identifying as left-handed — my mother nonchalantly replies: "That's because you kept trying to write with your left hand, but I kept taking the pencil out and putting it in your right, because I didn't want you to grow up left-handed in a right-handed society." I said, and I quote myself accurately here: seriously, WTAF, Mom, it was 1976, not 1876. Um, no wonder I struggled to write "correctly"? But whatever.

The non-linear path

How I got here, badly.

Short version

Twenty-five years teaching, seventeen of them at one university. Ten years for the PhD. Quit. Got diagnosed. Got perimenopausal. Wrote the book nobody had written yet.

Want the whole mess? Open this. Otherwise skip to what I stand for.
  1. I got myself out of the gifted track in high school, because it made me feel small and stupid. Left calculus for Algebra II with a room full of older kids the school had labeled average, and finally understood what was happening. Took five years of French and German instead of five years of math. Several adults told me I was making a big mistake.
  2. Then a PhD in Romance Languages, which only took ten years. Ten. Years. Twentieth-century French novel, supporting program in contemporary Hispanic poetry. I want the timeline on the record, because people hear "PhD" and picture competence, and I'd rather they pictured the ten years.
  3. Then twenty-five years of teaching, seventeen at the same university. I started as a grad student in 1997 and didn't stop until 2023 — no real gap in between. French/Francophone literature, French phonetics taught from a multicultural perspective, history and civilization. A course on May 1968 in France, taught in French, built around the music of that moment in the context of global politics — final project: students wrote and produced a live musical variety show, staged at a local dive bar, complete with projected subtitles. Women's, Gender and Sexualities Studies, and four years directing that minor. A monograph on Jean-Philippe Toussaint. A sabbatical spent arguing the yé-yé girls of 1960s France were feminist pioneers rather than somebody's muse. And a punk rock seminar I taught in London, which remains the best thing I did there.
  4. Meanwhile I quietly redesigned everything. Ungrading. Flexible structures. Participation that counted listening as participation, because hand-raising olympics is a terrible measure of anything. I genuinely thought I was just being difficult. I was building a neuroinclusive classroom and had no idea why I needed it so badly.
  5. Then I quit. January 2023. I woke up after one rare full night of sleep with a kind of indignant clarity I hadn't felt in years, paced the house ranting at my partner — is this what people get to feel like all the time? — and gave notice that same day. I was under contract, so I finished it: taught the entire spring semester, walked away in May. No backup plan. This surprised approximately everyone, including me.
  6. Then perimenopause got there first. A full decade before anyone had a name for the rest of it. Hot flashes, rage, brain fog nobody could explain — and zero research connecting any of it to what was actually going on underneath.
  7. Then I got diagnosed at 51, and about two hundred things stopped being character flaws and started being a neurotype. Reader, I had feelings about the timing — including the fact that the hormones had been screaming for ten years before anyone thought to ask about the brain.
  8. So I went looking for research on what happens when estrogen falls off a cliff and lands on an ADHD brain. There was almost nothing written for the people actually living it.
  9. So I wrote it. And then a podcast, and a press, and this. Not because I bounced back from anything. Because the thing I needed didn't exist and I was done waiting for someone else to build it.
Sarah singing into a microphone on stage under pink and purple lights, fronting a band.
Fronting a band. Sang lead, played guitar, bass, cello, violin and piano, wrote the songs. Fifty years of musicianship, one photo.

I didn't get here because I was resilient. Fuck resilience. I got here because I refused to disappear.

I'm not a medical provider. I'm a humanities scholar. The PhD is in Romance Languages — the twentieth-century French novel, with a supporting program in contemporary Hispanic poetry. For twenty-five years I taught literature, language, linguistics, history and civilization, and I taught most of it in French, in context. Francophone literature & culture. A seminar on May 1968. Women's, Gender and Sexualities Studies in English, and I directed that interdisciplinary minor for four years. My last course was about punk.

What that trains you to do is take a text apart. Find what it's quietly assuming. Notice who it left out. Then hand it to someone who's been told it's over their head, in language they can actually use. That's the whole job. It turns out it works on medical literature too. The swearing is free.

What I stand for

Non-negotiables.

Evidence, or I don't say it

Everything I publish carries a source. When the research doesn't exist, I say the research doesn't exist instead of filling the gap with vibes and a confident tone. There is already an enormous amount of that in this field.

Nobody's condition is a gift

I will not call rejection sensitivity a superpower. I will not tell you your executive dysfunction is secretly a strength. It's hard, the system made it harder on purpose, and you deserve better information rather than a reframe in a nice font.

Self-care is community care

You don't need more discipline. You need more capacity. Putting yourself first under late-stage capitalism isn't selfish and it isn't rude — and once you can stand up, you can help somebody else up too.

Accessible by design, not by request

ND-friendly visual design — typeface, spacing, layout, color, structure — built for anyone whose brain has a harder time reading, focusing, or processing text, diagnosed or not. Plain structure. Permission to skip the long bits. Accessibility built in from the start beats an accommodation you have to ask for while already exhausted.

Work with me

Three ways in.

Expanded Edition

The Neurodivergent
Hormonal Survival Toolkit

A Guide for Neurocomplex People in Peri/Menopause & Their Partners
Foreword by Mandi L. Dixon, LPC

Over a billion people are in peri/menopause right now, and by most estimates around one in five of them is neurodivergent — running hormonal chaos on top of executive dysfunction, sensory overwhelm and emotional dysregulation, usually while being told it's just stress. This is the map through that.

Maximum research. Minimal clinical jargon. Zero toxic positivity. Inclusive language for cis and gender-expansive readers throughout, and a page explaining exactly what I did to make it easier on dyslexic eyes — because apparently nobody else was going to.

Which version do you want?

Full-color PDF

$27 · direct

Abridged on purpose. Shorter, less dense, organized by pillar instead of chapter. Bigger type, bigger color images, more layout variety — so turning the page doesn't feel like a chore. Lives on your computer, searchable, never at the bottom of a doom pile. Sources sit behind a QR code at the end.

Paperback

$27.99

The complete book. Everything the PDF has, plus the foreword, preface, conclusion, afterword and the full printed sources. Images are smaller and black and white. A real object you can annotate, tab and throw in a bag.

Kindle

Cheapest option

The complete book, images in color, type you can resize. The budget pick, and the one to grab if you already live on an e-reader. Free with Kindle Unlimited through September 25.

Short version: if reading a whole book is realistic for you right now, get the paperback or the Kindle. If it isn't — if you read the same sentence twenty times, or you buy books with excellent intentions and they go to the bottom of the doom pile — get the PDF. It's the bare bones in bigger type, and it also happens to be the one that supports me most directly. Both of those are true and neither one should decide it for you.

Also available well beyond these — readers have found it in India, Korea, Germany, France, Canada and plenty of places not listed here. If your country's Amazon or a local shop doesn't show above, search the title directly; it's almost certainly there.

The Bookshop.org link is an affiliate link — it earns me a small commission and sends a cut to independent bookshops. Buy wherever suits you. I'd rather you read the thing than optimize my margin.

Direct means the money goes to the press instead of the platform. Just saying.

I started my own punk press specifically so I wouldn't need a traditional publisher's validation — or their rejection — and wouldn't need them for access either. I got plenty of both in academia: a traditionally published book, a stack of peer-reviewed publications, and enough harsh rejections along the way to understand exactly how much gatekeeping and financial extraction runs through academic journals and traditional presses — commercial or university, take your pick.

Audiobooks: not yet, and I'm aware of the irony. I write about accessibility and I have two books that dyslexic readers can't listen to. Both are going into production. If you want to know when, the newsletter is the fastest way to hear it.

Cover of The Neurodivergent Hormonal Survival Toolkit, Expanded Edition, by Sarah L. Glasco PhD.

Acclaim

Clinicians and readers.

I love Dr. Glasco's ND Toolkit. Accessible, by turns deep and hysterical — and I use that term intentionally — and always human and humane. It is a relief to be so clearly seen and affirmed.

Lasara Firefox Allen (they/them/Mx.), MSWAuthor of Genderqueer Menopause, founder of Genderqueer Futures — and the person who certified Sarah in gender-affirming menopause care

As a nonbinary person, I feel absolutely seen. Unlike other books and accounts about menopause, I haven't been ignored or treated as an anomaly.

Hédi A. (they/them)Early reader

This toolkit offers clarity, validation and hope, helping readers understand that they are not broken — they simply deserve better information, support and care.

Dr. Claire Phipps (she/her), BSc, MBBS, MRCGPGP & British Menopause Society accredited Menopause Specialist

Sarah walks readers through symptom identification with her Neuro-Hormonal Chaos Decoder, supports real self-advocacy, and provides scripts for conversations with medical professionals. A thoughtful, practical resource I will recommend to my clients.

Kristin Koliha (she/her), LICSWTherapist & founder of Welcome Home ADHD

Digestible, approachable, fun and hands-on — with endless compassion, so much that I found myself pausing and holding back tears.

Dr. Gilly Kahn (she/her), PhDClinical psychologist, author of Allow Me to Interrupt

Validating feelings while breaking down the science of hormonal hijinx. When ADHD and perimenopause collide it can feel like we can't catch a break, but this masterpiece is just the tonic.

Laura Mears-Reynolds (she/her)Founder & CEO, ADHD AF+ Charity; host of the ADHD AF Podcast

Sarah perfectly describes the intersections of medical diagnoses, neurotypes and experiences that many deal with in isolation. This resource will help people who have been without for so long start to get answers and validation.

Calial McCarty (she/they), MA, LMHC, CASFounder of The NeuroBloom Center, author of Naturally Divergent

The self-advocacy section is the thing I needed when I was scared to ask for HRT because I didn't know if I'd be taken seriously.

Paula Hirst (she/her), C.HptCertified ADHD Coach for Women, founder of ADHD & Alchemy

Also by me, sort of

The back catalogue.

One of these is published under Sara Toninstan — a pen name, a pun on serotonin stan, and not a secret. Sara Toninstan is Sarah L. Glasco, PhD. Same person, different hat, deliberate joke.

The Overthinking Chronicles

Self-help psychology humor — cultivating your inner comedian to reframe anxiety, spark self-compassion, and give self-doubt the punchline it deserves. Nothing to do with hormones or menopause. By Sara Toninstan (AKA Sarah L. Glasco, PhD).

Format note, since I'm fussy about this: it's set in a standard serif, not a dyslexia-friendly face. The layout is ND-friendly — heavy on bullet points, and there's an actual intermission — but the typesetting isn't what the Toolkit's is.

Parody and Palimpsest

The scholarly one. Intertextuality, language and play in the novels of Jean-Philippe Toussaint (Peter Lang, 2015) — the first English-language monograph on the author, and a genuine humanities deep dive. It reads across novels, films and paintings, and across cultures, because Toussaint doesn't stay put and neither does the analysis.

It's listed here because close reading is the skill underneath everything else I do. Take a text apart, find what it's quietly assuming, notice who it left out. That training is why I can read a body of research and tell you where the holes are.

Praise for The Overthinking Chronicles

Irreverent, entertaining and ND-friendly — Toninstan's candid writing style makes this a valuable resource for anyone looking to break the cycle of overthinking.

Catherine Smith, PsyDLicensed Psychologist

★ ★ ★ ★ ★

"Finally, a book formatted for ADHD." Praised the hilarious intermissions, quick lists and end-of-chapter takeaways for making the information easy to process in bite sizes.

Verified purchaserAmazon, United States

★ ★ ★ ★ ★

"Brilliant, witty, and immensely helpful." Called it funny, sarcastic and crass in perfect proportions, and a definite page turner.

Verified purchaserAmazon, United States

★ ★ ★ ★ ★

"Insightful and funny — couldn't put it down." Described it as relatable, with solid advice on reframing overthinking patterns.

Verified purchaserAmazon, Australia

Speaking

I spent 25 years
learning to hold
a difficult room.

Twenty-five years of it in classrooms — I started teaching as a grad student in 1997 and didn't stop until 2023, seventeen of those years at one university. Since then it's been ADHD conference sessions, gender-affirming menopause care certification, and I'm currently enrolled in advanced menopause care certification coursework — plus one stand-up set at the International Conference on ADHD. I don't read slides at people. I teach, I'm funny on purpose, and I bring citations because I was trained to and can't stop.

Upcoming

Keynote — The NeuroBloom Center opening. Bellingham, WA · September 19, 2026.

Opening for Julie Osborne — Meaningful Laughs: A Comedy Show About Menopause. Current Wellness, 219 S East St, Raleigh, NC · Saturday, September 26, 2026 · doors 7pm, show 7:15. Q&A after, books and Menopause Care info on hand. Get tickets ($25) →

Guest Lecturer, Mental Health Segment — Lasara Firefox Allen's Gender-Affirming Menopause Care (GAMC) Certification Course · Fall 2026.

Peer support group, "Hormones and Neurodivergence" — co-facilitated with Dr. Jen Wolkin. International Conference on ADHD, Baltimore, MD · December 3–5, 2026.

Sarah L. Glasco signing copies of The Overthinking Chronicles at the bookstore during the International Conference on ADHD.
Signing at the International Conference on ADHD. The stand-up set was the day before.
25+Years teaching, 17 at one institution
30+Conference sessions & invited talks
2Languages — sessions available in French
1Stand-up set at the International Conference on ADHD, 2025

Educators & institutions

The classroom I built before I knew why I needed it

Twenty-five years reverse-engineering a neuroinclusive classroom without knowing I was neurodivergent. Here's the design, what the student data actually said, and — the part most people skip — where it broke.

  • Neuroaffirming is not the same as neuroinclusive
  • Ungrading: the case for it and its real failure points
  • Participation beyond hand-raising olympics
  • Dismantling ableist assessment without dropping rigor

Clinicians & healthcare

The people your training skipped

Significant hormonal fluctuations and a wide range of neurotypes collide in ways most protocols never account for. I bring the research, the language, and the lived experience of being told to relax for two years running.

  • What neurodivergent people stop telling you, and why
  • Gender-affirming menopause care in practice
  • Intake that doesn't punish executive dysfunction
  • Cis and gender-expansive people, throughout

Keynotes & conferences

Diagnosed at 51 and furious about the timeline

The funny one. Masking, late diagnosis, the cost of being an academic success story who was quietly falling apart, and what changes when you stop performing competence for people who were never going to notice.

  • Keynote, breakout or workshop
  • Comedy set available as a closer
  • Panels and fireside formats welcome
  • Remote or in person

Consulting & workshops

Nothing About Us Without Us: The Intake Hack-a-thon

Not a talk about accessibility — a working audit of your actual paperwork, live. Built on a PhD in Gender Studies, not an ADA checklist.

  • Neuroinclusive Layout audit — cognitive load, visual overwhelm, dense text, multi-step instructions that trigger executive dysfunction
  • Gender-Affirming & Intersectional audit — language for gender identity, hormone history and ND symptoms that doesn't alienate the person filling it out
  • Built for better retention, lower anxiety, cleaner intake — not just compliance
  • Half-day format, caps at 40 for real co-design work

Not just adjectives

What Sarah's students said.

"Amazing educator" tells you nothing. Here's what they actually named — pulled straight from real course evaluations, in two threads that turned out to be the same thread.

On teaching social justice

I learned a lot about social justice issues and systemic inequities in francophone countries... our discussions and readings really opened my eyes and modified my thinking.

FRE 350 student evaluationMethods in Literary and Cultural Analysis

I appreciate how all of our readings were from authors of marginalized groups, and think it's so important to affirm these voices and learn how we can be better.

FRE 350 student evaluationMethods in Literary and Cultural Analysis

On accommodating differently — before I knew why

Read together, these are basically a roadmap for a neuroinclusive classroom, written by students who didn't know I was building one. Neither did I.

I learned a lot about how to do work that is paced, that I am passionate about and proud of, yet not allowing productivity to dictate how I feel about myself as an individual.

FRE 465 student evaluationSenior Capstone Research Seminar

I learned how it is a lot easier to break up a large assignment into tiny pieces so that it's less overwhelming.

FRE 465 student evaluationSenior Capstone Research Seminar

Having assignments due throughout the semester made it so much easier to receive feedback as we went, instead of everything landing at once.

FRE 465 student evaluationSenior Capstone Research Seminar

Dr. G was flexible to hearing and adjusting the class to our shifting needs — if we wanted an individual workday, she was open to it and welcomed it.

FRE 465 student evaluationSenior Capstone Research Seminar

Out in the world

Recent happenings.

Two events, two very different rooms, both worth the trip.

Sarah speaking on a Disability Pride panel at Underdog Bookstore, seated between two other panelists.
Disability Pride panel — Underdog Bookstore, Monrovia CA · July 2026. A 501(c)(3) indie bookstore built to amplify underrepresented voices.
Sarah and two fellow authors holding up their books at Underdog Bookstore.
Same visit — swapping books with fellow panelists and authors Calial McCarty and K. Andrew Turner after the panel.
Sarah at a resource table for Menopunkapalooza, with Toolkit copies and Red Punk Social merch on display.
Menopunkapalooza — resource table, Portland OR · June 2026, with Neuropause Collective co-founder Kristin Koliha of Welcome Home ADHD. Punk statement tees designed by Chrissy Ingram for redpunksocial.com. Tied to the Menopunks documentary and podcast project. Sold and signed a stack of copies of the Toolkit; made connections worth the whole trip.

Questions organizers ask

Before you email.

How much swearing works for your room?

Tell me and I'll build for it. Swearing is a tool I use for emphasis, rhythm and comic timing — never to take a shot at anyone in the room. In some rooms it opens people up. In others it puts a wall between us. That's a read on your audience rather than a rule about language, and you know your audience better than I do.

Before my first stand-up set, every performer had to sign an agreement acknowledging the rules of the show — no excessive swearing among them — and attend a mandatory Zoom meeting to go over the rules and logistics. In that meeting, I asked them to define excessive. They came back with: damn and shit are fine, everything else is out. I hit the mark. Just give me the brief before I'm on stage rather than after.

What size room do you work best in?

All of them. I've taught seminars of twelve and presented to convention halls. Workshops cap best around forty if you want real interaction; keynotes have no ceiling.

Do you tailor the talk?

Yes, and I'll ask you a lot of questions first — who's in the room, what they already believe, what you're actually trying to shift. A talk that ignores the room is just a monologue with slides.

Can you present in French?

I can. The PhD is in Romance Languages, and for twenty-five years most of what I taught was delivered in French. I also lived and worked in France — I was on faculty in the Department of Anglo-American Studies at Université Paul Valéry in Montpellier, which is where the fluency comes from, not just a classroom. Almost nobody asks. It's genuinely available.

What do you need from us?

A clear brief, an accurate run time, and confirmation of the accessibility provisions in the room. I ask about the last one because I'm about to ask your audience to take it seriously, and I'd rather not be a hypocrite on stage.

Mod Couple Menopause Care

Nobody is counselling that pairing. Standard protocols assume a "neurotypical" cis woman with intact executive function, a reliable memory for her own symptoms, and the stamina to advocate for herself inside a twelve-minute appointment — and most of the research they're built on focuses on white heterosexual women. You have none of that going for you right now, and that is not a personal failing.

One session. Forty-five minutes with me, plus a written recap afterwards — because handing you information at the exact moment your working memory is least able to hold it would be a strange way to help.

Direct booking. No discovery call, because you don't need a sales conversation and I don't want to run one. Everything you need to decide is on this page.

What this is

Strategy and translation. Not treatment.

Read this first. This is educational strategy and resource navigation. It is not therapy, medical care, or diagnosis, and I am not a physician. What I do is help you understand the research and walk into your actual clinician's office prepared.

You'll leave with language

Vocabulary for what's happening to you, so the next appointment isn't you gesturing vaguely at your own head while somebody watches the clock.

You'll leave with a map

What the research says about your specific overlap, what's still unstudied, and which questions are worth your limited energy.

You'll leave with it in writing

A recap you can reread, forward to a partner, or hand to a medical provider. Nothing depends on you remembering what I said.

You won't leave with a package

One session. I cap these at a handful a week because doing them properly costs me something, and a version of me running twenty a week would be worse at all of them.

Certificate of Completion: Gender-Affirming Menopause Care Certification Course, awarded to Sarah L. Glasco PhD, April 2026, issued by Genderqueer Futures and accredited by the International Association of Therapists.

I love Dr. Glasco's ND Toolkit. Accessible, by turns deep and hysterical, and always human and humane. It is a relief to be so clearly seen and affirmed.

Lasara Firefox Allen (they/them/Mx.), MSWAuthor of Genderqueer Menopause — and the person who certified me in gender-affirming menopause care

Certified in Gender-Affirming Menopause Care through Genderqueer Futures LLC, an IAOTH-accredited training provider, April 2026. Currently completing advanced certification at The Menopause School in the UK. I name the issuer specifically, because who trained me tells you more than the word "certified" does.

How it works

Four steps.

  1. Book. Pick a slot. Payment happens at booking, so there's no invoice hunting you down later.
  2. Intake. A short form. Answer what you can, skip what you can't. Incomplete is genuinely fine — I'd rather have honest gaps than performed thoroughness.
  3. The session. Forty-five minutes on video, recorded so you don't have to take notes. Camera off is completely fine and nobody will comment on it.
  4. The recap. Written up and sent within 48 hours, with next steps.

Privacy: recordings and transcripts are deleted after 30 days. Intake forms, notes and recaps after 12 months. Currently accepting US-based clients only.

What people said

After the session.

My menopause consultation with Sarah was honestly the most helpful discussion I have had with anyone throughout my experience navigating menopause... The true treasure was the personalized roadmap Sarah sent me the very same day, which provided summarized information from peer-reviewed scientific publications on the topics we discussed... The consultation empowered me to more effectively advocate for myself with my healthcare providers.

ElizabethConsultation client
Read the full testimonial

My menopause consultation with Sarah was honestly the most helpful discussion I have had with anyone throughout my experience navigating menopause. Just filling out the intake form made me think about symptoms related to menopause in new ways, and made me feel seen and understood. Then when we met, Sarah was the perfect combination of professional, approachable, empathetic, and expert. She listened very carefully to things I hadn't even really articulated before. The true treasure, though, was the personalized roadmap Sarah sent me the very same day, which provided summarized information from peer-reviewed scientific publications on the topics we discussed, ranging from prescription medications to supplements I was taking and/or considering. She also provided links to the referenced articles. Throughout the process, Sarah validated the choices I had made, treated me with the utmost respect, and asked questions that opened new avenues to pursue, while providing support and resources to consider them. The consultation empowered me to more effectively advocate for myself with my healthcare providers, and gave me resources to evaluate information myself. She is incredibly knowledgeable about the medical, psychological, and cultural implications of menopause and how to best navigate it.

She brings a rare combination of authenticity, deep expertise, total research integrity, and a genuinely neuro-affirming approach. The level of detail in my personalized roadmap was extraordinary — she addressed complex, intersecting factors that most practitioners miss. Sarah is going to be a vital resource for so many women. I cannot recommend her enough!

CassieFounder, NeuroDivine & Divergent Output
Read the full testimonial

When Sarah first showed up on my feed 18 months ago, I was in a really heavy place trying to navigate my health and understand why at 44 I felt like a shell of my former self. Her content and ADHD Peri Punks was the catalyst that gave me hope, made me feel completely seen, and empowered me to build the amazing medical team I have today.

Actually working with her 1:1 in her consultation session was an incredible experience! She brings a rare combination of authenticity, deep expertise, total research integrity, and a genuinely neuro-affirming approach. The level of detail in my personalized roadmap was extraordinary — she addressed complex, intersecting factors that most practitioners miss. Sarah is going to be a vital resource for so many women. I cannot recommend her enough!

Questions

Fair enough.

Why is there no free discovery call?

Because a discovery call for a one-time session is mostly a sales conversation wearing a helpful hat, and I'd rather put that time into the actual work. Everything you'd ask me on that call is answered on this page. If something isn't, email me and I'll answer it.

I saw this for $97 somewhere else. What gives?

Same session, discounted price. If you buy the PDF Toolkit through the funnel, you get the session at $97 as a thank-you for already being there. $147 is the standard rate. Nobody's getting less for more — one path just has a discount attached.

What if it isn't useful?

Email me within 30 days and I'll refund you in full. No questions, no form, no explanation, no awkward conversation where I try to talk you out of it.

You have almost certainly paid somebody before who didn't help you and then made you feel unreasonable for saying so. I'd rather not be another one of those.

What if I need to cancel or move it?

Reschedule any time, free, no explanation required. Cancel more than 24 hours ahead and you get a full refund. Inside 24 hours I'll move you rather than refund, because the slot can't be filled that late — but I'll move you as many times as you need.

Do I need a diagnosis?

No. Self-identified, suspected, waiting on an assessment, or diagnosed at 51 like me — all equally welcome. Diagnostic gatekeeping is part of what got us all here.

Can you tell me whether to take HRT?

No, and anyone who tells you otherwise without a licence and your medical history is doing something they shouldn't. I can tell you what the research says, what questions to ask, and how to get a clinician to actually engage with them.

Is this only for cis women?

No. Cis women, trans and nonbinary people, and anyone experiencing hormonal change. My certification is specifically in gender-affirming menopause care, and that isn't a footnote in how I work.

Why only one session and not a package?

Because most people need orientation, not ongoing management, and selling you six sessions when you needed one would make me exactly the thing I write about. Want another later? Book another.

What if I'm outside the US?

Not yet, sorry. Data protection obligations outside the US are real and I'd rather do them properly than pretend they don't apply to me.

Do you use the term "postmenopausal"?

Not for myself, and not happily for anyone else. Once you're menopausal, you're fucking menopausal — there's no clean line where your body files paperwork and graduates into some tidy "post" phase. We don't live in a post-racial society either, and I'm not buying the medical version of that same trick. If you see "postmenopausal" anywhere on this site, it's because I'm quoting someone else's clinical language, not endorsing it.

A reason to come back tomorrow

Five questions a round, multiple choice. Twenty-nine questions in the bank and counting. Today's five are the same for everyone who visits today; a new set locks in tomorrow. This round covers ADHD, autism, hormones, gender-affirming menopause care, policy, and more — not just cis women, on purpose. Get it right and you get a citation, an actual author and year, hyperlinked so you can go read it yourself. Get it wrong and you get the same information from a different angle, no shame attached either way.

If reading isn't working for you today

We tried building our own "listen to this page" button. It was bad — clunky, unreliable, the kind of thing that makes a screen worse instead of better. We took it down. Here's what's actually good: free tools already built for this, some already on your device, some a thirty-second install away.

First, the basics

What's a browser extension?

A small add-on for your web browser (Chrome, Edge, Safari, Firefox — whichever one you use to read this). You install it once, like adding an app to your phone, and then it's just there — a little icon near your address bar, ready whenever you want it. Most of what's below is free. None of it requires any technical skill beyond clicking a button that says "Add" or "Install."

Option 1 — nothing to install

Use what's already on your device.

Every major browser and operating system already has a read-aloud tool built in. Free, no install, no account.

Chrome, desktop

Reading Mode

Click the side-panel icon to the right of the address bar (or press Ctrl+Shift+S / Cmd+Shift+S). Choose Reading mode, then hit play. Some newer versions of Chrome also offer "Listen to this page" when you right-click anywhere on a page — if you see it, that works too.

Microsoft Edge

Read Aloud

Click the ··· menu (top right) → More toolsRead aloud. Or just press Ctrl+Shift+U on any page. This one's genuinely easy — arguably the best built-in option of any browser.

Safari, Mac

Speech / Spoken Content

Select the text you want read, go to Edit → Speech → Start Speaking. For hands-free reading of a whole page, turn on Spoken Content under System Settings → Accessibility → Spoken Content and set a keyboard shortcut you'll actually remember.

Windows

Narrator

Press Windows key + Ctrl + Enter to turn Narrator on or off. It's a full screen reader, built into every copy of Windows — more powerful than most people need for casual reading, but free and always there.

Chromebook

ChromeVox / Select-to-Speak

Bottom right → the clock → Settings → Accessibility. Turn on ChromeVox to have full pages read aloud, or Select-to-Speak to hear just the part you highlight.

Any device

Honest note

Built-in tools sometimes only work on pages your browser recognizes as an "article." If a page doesn't read aloud the way you expect, that's the likely reason — not something wrong with your setup.

Option 2 — a little more control

Install an extension.

If the built-in tools feel limited — fewer voice choices, patchy highlighting, or you just want something more consistent — these two are the ones worth knowing about. Both live in the Chrome Web Store and both also work in Edge, since Edge can install Chrome extensions directly.

Free

Read Aloud: A Text to Speech Voice Reader

Reads any webpage aloud with one click. Supports 40+ languages, offers word highlighting as it reads, and works well on news sites, blogs, and most ordinary web pages.

  • Go to the Chrome Web Store
  • Search "Read Aloud: A Text to Speech Voice Reader"
  • Click "Add to Chrome"
  • Click the extension icon on any page to start reading

Free tier, paid upgrades

Speechify

A more full-featured option — better voice quality on longer or denser text, and it remembers your place if you close the tab and come back. The free tier covers basic reading; some voices and features sit behind a paywall.

  • Go to the Chrome Web Store
  • Search "Speechify"
  • Click "Add to Chrome"
  • Click the extension icon, or right-click selected text, to start reading

Try one thing before you commit to it: paste a dense paragraph — something with names and numbers in it, not a clean sentence — and listen for a full minute. A voice that sounds fine for ten seconds can be exhausting for ten minutes. That's the real test, not the demo clip.

Newsletter

The juicy shit goes here.

There's a version of my story on this website, and then there's the version I actually write down. The website is the professional one. The newsletter is unfiltered, raw, and real — the whole thing, dripping down your face.

Free, irregular, written by a person instead of a content calendar. Research I've found, things that made me furious, essays that got completely away from me, and the parts that don't belong on an About page.