Dry Eyes, Testosterone Drama & Why Exercise Actually Works

Key Takeaways

• ✦Around half of women in the menopausal transition experience dry eye symptoms — hormonal shifts are a key driver, and it's worth flagging to a doctor rather than assuming it's nothing.
• ✦Women are posing as men to purchase testosterone online because access through standard medical channels is difficult; this is a systemic prescribing gap, not a fringe issue.
• ✦Testosterone is used off-label for low libido and fatigue in menopause and has evidence behind it, but buying it without medical supervision carries real risks around dosing and safety.
• ✦A 2026 systematic review and meta-analysis in the NAMS journal found structured physical activity consistently improves body composition in postmenopausal women — muscle mass up, fat mass down.
• ✦The same review found almost no good evidence on whether exercise improves how women *feel* about their bodies, which is a notable gap given how much that matters.