Shawn Tassone, MD, PhD - America's Holistic Gynecologist

Shawn Tassone, MD, PhD - America's Holistic Gynecologist 2X Board Cert OBGYN + Integrative Medicine | Author of The Hormone Balance Bible - AVAILABLE NOW!
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03/10/2026

I saw a woman in the office today. That was a follow up. She was suffering from fatigue, hair, thinning, weight gain, and a few other minor issues and she came to me desperately seeking help.

When I ran her labs, I noticed that her thyroid peroxidase antibodies were very elevated what this means is she potentially is having issues converting her storage thyroid over to active thyroid, which is the conversion of T4 to T3

When I looked at her thyroid, stimulating hormone and her free T4 on paper, they were great. The problem was when you dug a little bit deeper, knowing that those antibodies were elevated her free T3 level was 2.2 which is literally hanging on by a thread.

So we talked about maybe starting her on some T3 medication which we did and bumped her levels by a simple 20%. She called me two months later and is feeling so much better.

The other things with Hashimoto’s is that we need to work on the inflammation that’s in your thyroid and sometimes we’ll do this with low-dose naltrexone and herbal supplements that can help with inflammation. This can help the thyroid work better in the background also eliminating gluten and dairy in your diet can be very helpful.

People often ask me why doctors only order the TSH in the free T4 and simply put. I don’t have an answer for you. I’m not sure why because women that suffer with fatigue hair thinning, and some of the symptoms mentioned above may have thyroid dysfunction issues. I diagnose women with Hashimoto’s 1 to 3 times a week that had no idea that they even had the disorder and that’s because routine lab orders. Do not include thyroid antibodies, or free T3 levels.

If you wanna go deeper on your labs, you can look at my link tree above. I have membership programs where we can spend a lot of time together go deeper on your lab values and get you feeling better. I’m licensed in 48 states in this country and can see via telemedicine. Give me a call 512-956-0296.

03/09/2026

The real question isn’t oral vs. non-oral — it’s which hormone, what dose, and what’s appropriate for the individual patient.

Blanket statements like “oral hormones are bad” oversimplify a much more nuanced conversation in hormone therapy.

Save this as your reminder that the best hormone strategy is always personalized, evidence-based, and guided by a knowledgeable clinician ✅

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Perimenopause

03/06/2026

Millions of women are told the same thing: “Your labs look normal.” But normal is not the same for everyone and it definitely doesn’t mean you should still feel terrible.

Hormones are complex. They interact with metabolism, stress, sleep, thyroid health, among other things. Looking at a single lab value or offering a one-size-fits-all solution often leaves women without real answers.

Over the years, I’ve seen countless women who were told their symptoms were “just stress,” “just aging,” or “just part of being a woman.” Meanwhile they were dealing with fatigue, weight changes, brain fog, anxiety, and feeling like their body suddenly stopped working the way it used to.

When you’ve been dismissed enough times, it can become really hard to trust the system, or even trust that someone will actually listen. That’s why I created my wellness memberships differently — I know women deserve more time, deeper testing, and ongoing care, instead of rushed visits and surface-level answers.

A woman’s health and hormones are not a one-time appointment.
They’re an evolving system that deserves thoughtful care.

If you’ve been struggling to get answers, you’re not alone. To learn more about my membership options or schedule a discovery call with my team, visit the website through the link in the comments.

Follow for more honest education on women’s hormones, perimenopause, and menopause 💌

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March is Endometriosis Awareness Month, and one of the biggest challenges women face with this condition is getting an a...
03/06/2026

March is Endometriosis Awareness Month, and one of the biggest challenges women face with this condition is getting an accurate diagnosis.

Endometriosis affects an estimated 1 in 10 women, yet many spend years searching for answers because the tests most commonly performed in a gynecology office cannot actually diagnose the disease and women are often gaslit regarding their symptoms.

Here’s what many people don’t realize:
❌ A pelvic exam may detect tenderness or cysts — but it cannot confirm endometriosis.
❌ A Pap smear screens for cervical cancer, not endometriosis.
❌ An HSG can show blocked fallopian tubes but cannot determine the cause.
❌ An ultrasound may suggest ovarian endometriomas, but it often misses smaller lesions.
❌ Even MRI, while helpful in detecting deep infiltrating disease, may still miss superficial lesions.
✅ The only definitive way to diagnose endometriosis is laparoscopy, a minimally invasive surgical procedure that allows doctors to directly visualize and biopsy endometrial tissue.

This is why so many women feel dismissed when they’re told “your tests are normal.”

During Endometriosis Awareness Month, it’s important to amplify conversations around:
💬 Earlier recognition of symptoms
💬 Better diagnostic pathways
💬 Access to experienced endometriosis specialists
💬 A more comprehensive, multidisciplinary approach to care

If you’re experiencing symptoms like chronic pelvic pain, painful periods, pain with in*******se, digestive issues, or infertility, don’t ignore your body. You deserve answers.

In the latest episode of Confessions of a Male Gynecologist, I sit down with who shares her personal journey with the disease and the multifaceted approach that helped her become symptom-free. Listen now to learn more about how endometriosis is diagnosed and what options exist for managing it.

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03/02/2026

I’m seeing more women coming to see me after trying online menopause platforms and most say the same thing:
💬 “I filled out a questionnaire.”
💬 “I never spoke to the same provider twice.”
💬 “They prescribed estrogen and progesterone.”
💬 “But I still don’t feel right.”

I say this all the time — hormone care is not one-size-fits-all and it should include:
✅ Full metabolic evaluation
✅ Thyroid optimization
✅ Testosterone discussion
✅ Insulin resistance screening
✅ Ongoing adjustment and treatment

I get it. Convenience is appealing.

But convenience without depth often leaves women stuck.

You are not a protocol.
You are unique.
And you deserve personalized care that reflects that.

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HormoneHealth

Men’s hormones. Women’s hormones.
Different biology. Same underlying drivers.One of the biggest mistakes I see?We treat ...
02/27/2026

Men’s hormones. Women’s hormones.
Different biology. Same underlying drivers.

One of the biggest mistakes I see?
We treat men’s low testosterone like it’s isolated.
We treat women’s perimenopause like it’s isolated.

Hormones are messengers. If the environment is broken, the message changes.

Today’s podcast episode with my friend takes a deep dive into men’s hormones including why low testosterone isn’t always the root problem.

Ladies… if your partner has been feeling “off”, this episode may explain what’s happening. Check out the full episode on your preferred podcast platform or share it with someone who needs to hear it!

Also, keep your eyes out for my Limited Edition HORMONAL Tees x .ready.official dropping soon! 🖤

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02/25/2026

Let’s talk about “the activator” — that little clicker some chiropractors use…

It’s marketed as a highly targeted, precision-based tool yet I’ve watched it used all over the body in the same visit — spine, hips, wrists…

If it’s that specific then why is it being applied everywhere?

This is why some chiropractors don’t even use activators because there’s no strong data showing they’re superior to traditional manual adjustments.

So is this really precision medicine?

And no — I’m not anti-chiropractic.

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02/24/2026

Is there really an adequate estrogen progesterone ratio?

The simple answer is no in traditional allopathic medicine. This is not something that exists. There are no studies to really show that a certain estrogen and progesterone ratio is beneficial or otherwise harmful the patients. This in my opinion is another thing that was made up in a way by the functional medicine community to make it seem like they know more than traditional doctors do when the reality is, it may or may not be true.

Why do I say that?

Because I’ve been practicing medicine and hormones for over 20 years what I have noticed anecdotally in my patience is that in menopause women seem to do better with an estrogen progesterone ratio of about 10 or 20 to one. This is just my opinion. This is just my experience, but it’s not something that is data driven other than my own data.

On the other hand in perimenopause levels are fluctuating all the time so it’s impossible for a woman to be at a 10 or 20 to one ratio for probably more than one day at a time because she’s constantly going through her cycle

My point to you is if it’s not something that you’re seeing the traditional doctors talking about chances are it may be made up or chances are that it’s not data driven and whether or not you wanna do anything about that is totally up to you remember, it’s more on how you feel than the numbers on the paper

02/23/2026

Pain management is not a belief system, it’s medicine.

An IUD insertion can range from mildly uncomfortable to significantly painful depending on the experience of the physician performing the insertion and the patients anatomy, cervical sensitivity, anxiety, past trauma — all of it matters.

When a woman asks for numbing, that’s not “being dramatic.” That’s advocating for herself.

What concerns me most in stories like this is the dismissal. Women deserve to feel safe in a vulnerable moment.

And while the particular physician she’s referring to was male, this is not a gender issue. I’ve seen, and heard stories, of both male and female gynecologists minimizing patient concerns, procedural pain, and more.

Sitting on an exam table is already uncomfortable. It is our job as healthcare professionals, and gynecologists, to reduce fear — not add to it.

Women should be able to:
✨ Voice concerns without being minimized
✨ Access numbing or other comfort measures when desired
✨ Understand what is happening to their body in real time
✨ Feel emotionally supported
✨ Walk out feeling respected, not dismissed

As a gynecologist, if you don’t “believe” in offering a patient numbing, what you’re really saying is you don’t believe your patient’s experience matters.

Good medicine treats the whole person — not just the cervix. We can do better. And we should.

If you’ve ever felt dismissed in a medical setting, I want you to know: your voice matters. Your pain matters. You matter

Save this as your reminder + follow me for evidence-based women’s health conversations that don’t dismiss you 🖤

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02/20/2026

Take a listen to this and see if you are this woman the woman that’s been told her all her labs are normal, but she feels completely miserable. You might be in menopause. You might be in the throes of per menopause and you get put on an antidepressant or you’re simply told you’re too old, you’re too young. It’s just part of the aging process?

Why should women be made to feel like they have to prove that they feel horrible before we help them? Why is it that doctors simply have the education and the expertise to replace hormones but they simply choose not to

Anxiety is one of the most overlooked symptoms of perimenopause and it often shows up before irregular cycles or hot fla...
02/20/2026

Anxiety is one of the most overlooked symptoms of perimenopause and it often shows up before irregular cycles or hot flashes — which is why it gets dismissed.

Estrogen interacts directly with neurotransmitters that regulate mood, calmness, and stress response. When estrogen fluctuates (which it does significantly in perimenopause), your nervous system can feel unstable.

This doesn’t mean you’re crazy.
It doesn’t mean you’re broken.
It doesn’t automatically mean you need psychiatric medication.

It simply means your hormones may need attention.

If this resonates, save this post and follow for more evidence-based women’s health and hormone education

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78681

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